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life changing - multiple bad rhinoplasty surgeries and bad brow and s-lift

UPDATED FROM Lifechanging

Seems even bluer

$50,000
my nise seems to be getting worse. I am forever changed and devastated.

Lifechanging's provider

Andrew Jacono, MD

Andrew Jacono, MD

Board Certified Facial Plastic Surgeon

4.7 | 452 Reviews
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Replies (15)

I actually think you are seeing some healing.
From the pic it doesn't but did you get a second opinion ?
I'll say only this: when I first saw your picture before I read what had been done, I thought, "What a nice-looking woman." You are still very attractive. I think you're seeing so much more than most people see. Not much compensation, I know, but I had to say this. Do you put concealer on your nose?
And how gauche of anyone to say that you have dirt on your nose or that it looks blue! What are they, three?
Have been concerned about you. Have you seen other doctors who can help fix the problems Jacono caused?
UPDATED FROM Lifechanging

Another Bad Development - expected with Jacono

Just when I thought it couldn't get worse it did. I guess progressively worse is what happens with Jacono. The ear cartilage he put on the left side of my nose is no longer in place and a result, I have a dent on the left side of my nose at the tip. Of course at the tip, Just like the lump of cartilage he left front and center at the tip, it is noticeable.
Of course nothing is worse than the fact that he shortened my nose drastically without even a discussion about the length. Also the s-lift after the swelling went down all of the irregularities and asymmetry came through and similar with the brow lift. Please don't consider him for surgery. I urge you to find someone else.

Replies (25)

Ok. That made me laugh. Thanks
Lifechanging, I'm glad I made you laugh:) I'm so sorry you are feeling badly about your surgery. Please visit Dr.Reed. He is a TOP cosmetic surgeon. He has worked on many top models and actors. He's such an awesome surgeon but even better a great human being. He will be totally honest with you and he will let you know if your nose can be corrected. It's worth a try, what do you have to loose? I don't work for him and gain nothing suggesting him accept that I've seen his work and had work done by him as well. He does a fantastic job! Also, he's an older gentlemen who knows everything there is to know regarding cosmetics. Please consider visiting him. His full name is Lawrence Reed and his office is in Manhatten.
@danee73: does he do revision rhino? He has a lot of bd reviews...
Iris, I am genuinely surprised he has bad reviews. I don't know how well he could do a revision but I've seen his work and it was fantastic. Cosmetic surgery is a risk and revision surgery must be a bigger one but I think he's worth a visit. Hear what he has to say. It's worth a try. Be honest with him regarding your expectations and concerns. I'm sure he will be honest with you and try his best to address all of your concerns. He is patient and willing to answer all of his patients questions. Plus he is extremely knowledgable, I don't believe he would mislead you.
I'm so sorry about your situation, but it is evident that the doctor indicated above was an incompetent.
Thanks
@Please tell us what sort of ear cartilage he put in your nose--was it from the back of the ear, or the inside (auricular)? When did he put it in? When was the fourth surgery? Listen--there is something wrong with your nasal cartilages. That is why your blood supply is messed up. You have a cartilage deformity. He's going to keep shoving grafts in and out without fixing the nose. Your nose is short because your NASAL CARTILAGES--the membranes in your nose--were rotated, flipped inward, and your tip was possibly derotated. If you are derotated slightly, you can lengthen your nose.
This is wrong. Bad advice. It is blood vessel damage to the nasal skin envelope.
He used cartilage from inside my nose. The last surgery was 2 years ago. He said he detonated my nose but there isn't much difference. I'm not sure the circulation will ever improve.
I suppose I can see that. I didn't know. What else is a patient supposed to do if their nose has been shortened? Serious question--what if she took out the grafts put in her nose? Do you feel ear cartilage conducts blood better than septal cartilage? My tip was softer and healed better. I'm 3 months post op, and feel like a fool--the septal cartilage is hard. I had no idea what I was letting be put inside my nose.
Sorry about that, you're right. I should not have said "blood supply"==but "length".
Septal cartilage is the ideal grafting material. You are correct in that ear grafts should generally feel softer in the nose, however ear grafts lack structural support and have a tendency to warp and resorb. Septal cartilage should not have any problem finding a vascular supply in the nose, however I do not personally think the grafts used in her nose are a problem. Of course, any grafting material can be overused, resulting in an uncomfortable feeling as well as perhaps some vascularity issues if it is putting too much pressure on the nasal skin envelope, but the skin is relatively adaptive and this should be uncommon. Irsi, I do not wish to insult you but you really need to do more research on the physiology of the nose and the techniques used in structural grafting as well as the surgical techniques used in exciting changes to the nasal pyramid. You are correct in some of the things you are saying, but your general understanding of the nose is flawed. In general a good revision result will sacrifice flexibility and softness for contour and nasal patency. It is the nature of grafting. It will improve over time, but you need to be realistic in your expectations. Lifechanging's nose is blue because Dr. Jacono enticed her into too many surgeries without recognizing the potential, and indeed the probable outcome that her skin envelope would suffer with such little time in between revisions.
Actually he used cartilage from inside my ear-typo. Yes revisionhatemylife is correct I had too many surgeries in a short period of time. He encouraged me too particularly in the last surgery. He never mentioned any of the risks and I did not educate myself enough. I thought he had my best interest in mind but he was only concerned about himself-potential complaint or legal action. He is only concerned about himself. I hope anyone who goes to him understands that.
For any kind of lifting dr Yaremchuck is very good . He does a lot of revision work too you can check out his site.
I've heard of him and I may go to him this year to fix my brow. Thanks for the recommendation.
He fixed a chin implant that was put in by a Long Island p.s. His recovery are tough ! I was a mess for over a month but his work is beautiful and natural.
I wish you the best and hope you get great results second time around . I think it's a crime Drs get away with obviously hurting patient s and we have no recourse just heart ache and lost $
@lifechanging: can I ask why he put that on the side of your nose--was it to fill a dent like a spreader graft, or near the nostril? What was the graft functioning as, a spreader graft? I am so sorry for your pain.
Thanks. A doctor told me they were strut grafts and not spreader. He was supposed to lengthen my nose and not make it wider but whatever he did made my nose look shorter and wider. I don't think he knows what he's doing so I don't think there was any logic behind what he did or does.
UPDATED FROM Lifechanging

Desperate measures- you tell me

I noticed when you google Jacono 4 1/2 stars -387 reviews come up under his his name under for the link to his website. The link brings you to his website and of course there is no data source. I guess he is rating himself over and over and he thinks his clients are not too smart. I also noticed on another site a teenager gave him a good review for rhinoplasty and when you click on her profile there is a restaurant review which sounds like it was written by an adult. I also noticed 3 negative reviews were taken down from this site. I'm not sure why. Meanwhile he has a steady stream of one or two posts per month some with little detail, no pictures, they sign up on this site the day they post and then never post again. Desperate measures. Meanwhile he has ruined my face and I am not alone.

Replies (16)

I'd hate to think this was purposeful but it could be. A couple of other women he has ruined the faces of, have said the same thing. Perhaps it is true or perhaps he is just incompetent. Both are reasons to stay away from him.
Ugh, that indeed does sound suspicious. So sorry :(.
I'm sorry you are experiencing this.
Thanks
I am so very sorry that you are going through this. Your experience saddens me but, it also makes me angry. I know it will not change your surgery results but, if you feel is "work" is substandard, have you considered filing a complaint with the Medical board or seeking legal recourse? I have heard many good things about Dr Davis in Florida. although I don't have any personal experience with him. Perhaps you can check him out if you haven't already done so. Don't give up. I KNOW you will find a competent PS who can help you. Many blessings.
Thank you. I appreciate the support. I have been to davis. He seems good. The issue really is the skin on my nose and risk of necrosis by another surgery. Thanks again.