My Second Rhinoplasty - New Orleans, LA

I had my first rhinoplasty in 2005 to remove the...

I had my first rhinoplasty in 2005 to remove the bump on my nose. It looked so much better and I was very happy with it for a few years. The last four years or so, my nose started bothering me again. The hump was gone, but I felt my nose was too big for my face. I didn't mind my nose from the front, but my tip was still long and over-projected from the side. I had my first consultation in 2010 with the same doctor that performed my first rhinoplasty, but I did not have enough time for taking off school, work, and recovery. I work from home now and met with my doctor again for a second consultation in the beginning of January. I decided to go through with the procedure and had it done on January 24. Here are some before pictures.

Cast removal and swelling

I decided to write this review two days ago when my swelling was starting to go down and I was out of my mini-depression. I'll explain. I had my procedure on January 24th and everything went fine. I was home the next six days and had my great parents taking caring of me. I only needed a few of my pain pills, and I mainly took them because I had the worst headaches for a few days. I'm used to having a few cups of coffee every day, and my instructions said no caffeine for two weeks, so I think I was having caffeine withdrawals! I had my cast removed on Thursday, January 30. When the cast came off and I looked in the mirror, I was shocked... and not in a good way. My nose, especially my tip, was so swollen (one side more than the other), and my nose was twice as big as going into surgery. I looked in the mirror one time and couldn't look again for hours. I didn't recognize myself and was convinced I made the biggest mistake of my life (yes, I know I sound like a drama queen). I read hours and hours of reviews about how not to judge your nose right away... there will be swelling... the tip will look big... but it's much different reading it than actually seeing it on your face. I was convinced for the next two days that this was my new nose. I was avoiding mirrors as much as possible. I couldn't believe that I ruined my face from the front just so I could have a better nose from the side. I was crying constantly to my parents. Two days later, I woke up and thought that I was either getting way too used to my new nose, or the swelling was finally going down. After looking at some pictures from the second day of my cast coming off, I realized that the swelling was going down, and I was starting to look like myself again. I decided to write this review because I hope someone who feels this way upon seeing their nose for the first time will not jump to conclusions, and it really is only the beginning. I'm now 12 days post-op, and the swelling continues to go down. I wish I had a picture from the front of my nose the first day of cast removal, but I was too upset to take one (again, drama queen). Here are some more pictures.

3 weeks post-op

It has been 3 weeks since my revision rhinoplasty. I had a slight bump shaved down and a lot of tip cartilage removed. I haven't seen that much additional swelling go down in the past week, but my nose is looking pretty good. I notice my nose looks best late at night. I try to sleep propped up with pillows, but I always end up turning on my side or stomach. Oh well... I'd rather be comfortable! My tip still looks a little big and uneven. My swelling fluctuates... some days are better than others. Sometimes I look in the mirror and I still don't recognize myself which is a weird feeling. I have my first post-op appointment with my doctor on Wednesday. I'll do another update soon! Here and some more pictures.

6 weeks post-op

Not much change since my last update. Thought I'd post some pictures anyway. For some reason I think the swelling looks best right before bed. One side is more swollen than the other, but I'm sure I'm the only one who really notices. I took a photo from the front with the flash on, and it looks so humongous! I won't be posting that one. Sticking to dim lighting until the swelling goes down more :)
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Your pictures look good...looks like you're coming along nicely. Why no caffeine for 2 weeks? Yikes.... I got the worse migraine headache the day of my surgery because I couldn't have anything to drink, so I went without caffeine/coffee and then my surgeon was over 3 hours late so I suffered until I was finally knocked out from the anesthesia. Does caffeine interfere with the healing?
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Thank you very much. I know how you feel! My patient instructions sheet said no caffeine for 2 weeks. I googled why and it said to avoid after surgery because it can raise your blood pressure and cause a possible hematoma. Another site said if you had none of those problems before surgery then no need to worry, so I had half a cup a few days early!
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Wow your swelling has gone down heaps in 3 wks! Mine not so much. Looking good. I hope you're doing well x
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Looking Good! Will you be sharing your surgeon's name? I'm happy for you. I think you'll like it more and more as swelling subsides. Thanks for sharing with us!
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Thank you for the kind words! My surgeon was Dr. Graham in New Orleans.
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Your nose looks beautiful. Thanks for sharing.
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thank you very much!
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How are you going these days? How's your swelling?
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I'm pretty good! My swelling has not changed much from my last update. My tip looks a little big for my taste, but I can live with it. I will probably post an update at the 1-month mark. How are you doing?
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that's good, I feel the same, my tip is still too big for my liking but I know it's still swollen. I'm going pretty good thanks :-) look forward to your update
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Hi Ladies, I am in the same boat. Almost 2 mths and still swelling in the tip, we are all not alone :) The positive is it will go down!
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You're allowed to be a drama queen after going through rhinoplasty! Thanks for posting this. I'm sure it will give a lot of others hope who are going through something similar. Please keep us updated as the swelling continues to go down. I definitely see a big improvement.
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Haha I guess that's true. thank you very much!
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I know exactly how you feel and I am going through all the same emotions. Please keep us updated and remain patient. My swelling is progressing SO slowly and looks unsual given my nose is small so it looks like little bubbles of swelling. We have 12 months of healing to go through so we are both a long way from our final result. I'm looking forward to seeing how you go. Please feel free to look at my post. I have a photo from the cast off to 5 weeks later and there is a difference. You're not alone xxx
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Thank you for writing. I know it may be hard for you to believe, but I think your nose looks awesome! I get what you mean about feeling like your nose has changed your face completely. I'm still not completely used to mine, but I'm getting there.
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looking lovely :)
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thank you!
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Your nose looks great. Did you ask your surgeon why your nose changed after the first surgery? I had my primary 12 years ago and my nose was fine for years. But in the last few years I noticed it has changed so much. The profile is not straight and tip and nostrils are asymmetric. I decided to have revision but not with the same surgeon.
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Thank you! I'm actually not sure if my nose changed. I would have to ask my doctor, but my first rhinoplasty I think only the bump was removed and no tip work. For the first few years I was just so happy that the bump was gone, the rest of my nose didn't bother me. I also think as I got older, my face started thinning out, making my nose appear larger. I hope you are happy with your revision!
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I can totally relate! It is very hard to see the bigger picture with all the swelling going on! Your doctor got very close to your simulation and the difference from day 7 to day 10 is amazing, my swelling doesn't move that much, you've got me worried that maybe mine is going to stay like this :-/
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Oh no... don't let me worry you! Today I actually saw a picture of someone's swelling 7 months compared to 36 months post-op, and there was still a drastic change. It's hard, but we have a long ways to go. I really do think your nose looks great! Here's the link http://www.plasticsurgeryspot.com/nose-surgery-primary-revision-rhinoplasty/195-pictures-how-long-swelling-lasts-after-rhinoplasty.html
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Well that definately is reassuring, thanks for sharing the link, although I really hope it doesn't take that long!
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