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POSTED UNDER Rhinoplasty REVIEWS

Completely Unsure

ORIGINAL POST

I have less than a week till my surgery and...

latnahc
$6,099

I have less than a week till my surgery and honestly I'm kind of stressed about it, but of course also extremely excited/anxious. I don't have internet at my apartment so I can't update here too much unfortunately, also I'm going to be bored out of my mind, hopefully I can still read with all the bandaging on my face.

If anyone has any lists for what to do to prepare and for aftercare I would greatly appreciate it :) I have found a couple but would like everything I can get. Thanks!

latnahc's provider

Philip J. Miller, MD, FACS

Philip J. Miller, MD, FACS

Board Certified Facial Plastic Surgeon

4.7 | 164 Reviews
PROFILE

Replies (12)

October 24, 2013
I wouldn't change a thing.I think your beautiful.I understand how you feel though.I have a HUGE nose, and I would take any of the before pics on this site in a ny second.Well not any!Saving up and scouting for the best.I'll have a good thought for you.I know you will look amazing.Thx for the kitten.Keith
October 24, 2013
This is really sweet thank you so much. I will admit i did put more flattering photos up, i will get around to putting more up that show my bad angles. I have already put my deposit down but i still really appreciate your comment :)
October 25, 2013
Hi- What surgeon are you using? Did you do many consults?
October 25, 2013
I regret not doing the research before my surgery. I now know an enormous amount about septoplasty and rhinoplasty procedures. I had to prior septoplasty's, rhinoplasty's making the third operation much more complicated because of compromised blood supply. The doctors only want to use my own cartilage (rib or ear) and do not recommend synthetic material of any kind.
October 24, 2013
What are you having done? Tip elevation? Narrowing? Is it open or closed? Know something I forgot myself (and regret)--you will be swollen for at least a month, unless you're very lucky. I was swollen around the clock for a month, then started seeing the "finished" nose during the unswollen times (after a shower, sometimes after exercise, and for a while in the evenings) at about two months. The nose may be less swollen at times. I'd get ice masks. Ask after pain after-care from the surgeon, administration of steroids (they might make you feel nauseous/depressed--they really messed me up, but I'm sensitive to medication. If you start feeling that way, just be aware of steroid side effect). I'd get arnica gel like Boiron. If you're getting tip work down, know that you will probably look a little "piggy" for a while before the nose drops/takes on its shape. Be sure you have good communication with your surgeon and demand to know EXACTLY what he is doing, if he's using an implant, rotating anything, etc.
October 26, 2013
It will be an open surgery. I believe we are just thinning the tip and smoothing out the bump/sides. Actually probably tip elevation as well, but I will double check. Thank you so so much for the tips, I'm actually jotting down notes from this comment!
October 26, 2013
@latnahc: I removed an earlier comment because there was too much personal info, but still wanted to add advice--if I were you and you haven't done it already, try to research exactly what will be happening to you and what to ask for based on the consent forms. Don't let him decide. Maybe you'll decide you don't want nasal tip elevation after looking at pictures (his or other surgeons' of the procedure). Or maybe you only want it elevated/rotated a few millimeters. (Ask if he is going to rotate your tip--it is roughly what is sounds like. Some surgeons can raise the nasal tip without doing something that drastic.) If he puts in an implant, see exactly how big it is--you don't want a massive piece of foreign material in your body, especially if you have thick skin. I'm not saying this to make you squeamish--research and knowing all you can about what will be happening to your face and what you have to look forward to helps so much. It's really, really important to see he'll be using anything but your own cartilage beforehand and what the risks are if he doesn't. Finally, regarding aftercare: use warm water and a little hydrogen peroxide to remove blood around stitches with a q-tip when it dries instead of pulling. Ask your surgeon if he'll be packing your nose, if he'll provide medication for pain, and how he feels about kenalog injections or if he can give you referrals to other surgeons if, say, he isn't available to administer them. (There are risks with kenalog, like dents. A lot of surgeons don't give them for at least three months; it's to help break up scar tissue/lingering swelling.) The actual medication for prednisone doesn't agree with everyone, but that's an internal steroid without the risk of dents. As the nose swells, you might be tempted to touch the nose, pinch it due to the discomfort of fluid collection or out of nervousness, tape it too hard, or otherwise test the integrity of your skin--be vigilant against it, because if you're lucky, at least 60% of the swelling will be gone in the first three months, maybe sooner. Try to forget about it till then. For the first month, it may not even look like a nose (common experience due to swelling/distortion of shape). You may tape it gently overnight (or ask your surgeon for advice) to help shape it a little and keep fluid from pooling. You will be swollen at certain times of the day and have relief at others...the goal is to get to that period where the nose stops fluctuating. (Don't fret if you see a blob of a nose, say, in the morning. If your surgeon is good at his job, you'll be okay in two weeks to a month.) Best of luck :)
October 26, 2013
I can only see the first little bit of each of the comments you removed (through my emails) but to answer one of your questions: this will be my first rhino. This is all very good advice, hopefully he is ok with me asking more questions before the surgery. I'm not going to lie, a huge part of me is freaking out and thinking that I jumped into this way too fast and there is no turning back now. I also hope he isn't using any implants or silicone, I'm pretty sure he isn't but now I feel like an idiot for not knowing I should have asked sooner. I really should have posted here earlier. Thank you for the instructions, I was wondering what exactly I needed qtips for. And of course thank you so much for everything else, I will definitely keep it all in mind!
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October 25, 2013
Your nose looks good on you, but your new nose will look even better! I have been thinking about surgery for years now, and finally I wanna do it! My nose kinda looks like yours. I am trying now to find a good surgeon, which one are you going to ?
November 30, 2013
Thank you so much!! I went to Dr. Miller in NYC but I'm still not ready to review him. But what I can tell from your photo - you don't need surgery! Your nose looks great as is.
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December 1, 2013
:) it's a good photo -"good angle" . My nose is very wide and I think if I make it thinner it would compliment my face much more. I have always been unconfident about my nose. I need to change that! I just hope it won't turn out worse than it is now.
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October 25, 2013

Thank you for starting your story on RealSelf. It looks like you're already getting some great feedback from others! I agree to communicate, communicate, communicate with your doctor. You want him or her to know exactly what you do and don't want.

You're absolutely gorgeous as is, and I can only image how a refined nose will boost your confidence.

Please keep us posted!

UPDATED FROM latnahc
2 days pre

The story of my nose:

latnahc
The story of my nose:

I broke my nose as a child by running into a pole with a bolt sticking out of it (yep) in my elementary school playground. I was playing tag and next thing I knew I was bloody all over and all of my friends started crying just from looking at me. I went to the hospital and got 8 stitches. This led to a bump on my nose which I've obviously hated ever since. I actually never had a problem with my "droopy bulbous tip" until I started lurking here. I had no idea I even had a droopy bulbous tip but now I definitely do. Now, my nose isn't something that just slightly bothers me. It's something that has really affected my life, considering there are days where I don't even want to leave my house because of it. I know I sound superficial by saying that and I'm very ashamed of feeling like that. When I look in the mirror all I see is my nose, and each year my repulsion only grows. None of my friends really know I have this attitude towards my nose because I don't ever want to bring any (extra) attention to it.

In fact, none of my friends even know I'm doing this. No one in my family either. I've been telling my mother since I was 12 that I wanted a nose job and my mom is against it she nearly cries every time I mention it, but mostly just yells at me and tells me I'm being ridiculous. Recently I asked her if I hypothetically got a nosejob if she would let me stay at her house during recovery and she said absolutely not. I literally haven't told a soul which is a problem because I need an adult to accompany me home in 3 days. I don't know why I'm so embarrassed by all of this, but reading the reviews here is definitely helping me.

I am beyond stressed out right now honestly and I just pray it will all go well. Don't even get me started on my money situation...... I just hope I don't get fired for taking a couple weeks off. But maybe that would maybe be a blessing in disguise.

I will talk about the doctor and all that stuff after the procedure is done. I feel weird discussing the doctor before anything happens.

Replies (7)

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October 26, 2013
Hey, thank you for ur comment :) I'm doing great actually and I'm excited for you to get yours done too! I'm sorry about ur lack of support in your family, unfortunately people still get weird about plastic surgery even though in our cases it's more of a medical thing anyway. I mean when someone breaks their arm, they get a cast and fix it. It's the same thing with ur nose, you broke it as a child so why should you have to live ur life out with a broken nose that makes you uncomfortable. You seem confident in your choice and that is what matters most. As far as little things that have helped me: -Have 4 bags of peas in freezer so u can always be switching out. -Pandora or music for when ur icing. -gatoraid (ur gonna need to replenish a lot!) -bananas- soft food is a must the first day -soup (it's all I have been able to eat beside the banana) -vitimins (I got mine from juicing this morning) -arnica Montana (start taking 2 days before surg) -arnica gel- for under eye bruising -bromelian -straw- some people debate this but it made it easier since my lips were numb and everything was puffy. Just take small sips. -tons of pillows (I have two set ups, the bed and the couch) -pen and pad- write down when u take all ur meds so keep track. It's a life saver. -face wipes- for wiping around the cast and tape Good luck! Ur gonna do fantastic!!
October 26, 2013
THANK YOU these are the exact tips I need! ahhh I still have so much to get! Yeah I really wish there were no stigma around it. None of my friends have every gotten any sort of cosmetic surgery (that I know of) so I can't even think of anyone I could really talk to about it. I have to tell my boyfriend ASAP, I don't know why I'm dreading that conversation so much.
October 26, 2013
Darling you are stunning and will look even more beauriful afterwards. As for the family thing, I didn't tell my parents either. It was just easier for me that way. But I do think you need someone with you for the first day at least... is there someone who can stay with you? I was very disoriented from my meds and a bit emotional afterwards. My fiancé took the afternoon off work to stay with me. The following days I was pretty much alone but had my best friend visit most days, which really helped keep my spirits up. I would def encourage you to do same if you can. As for supplies, rainbowsprinkles has covered most things I would have said... other things i can think of... Cotton makeup remover pads. I was soaking those in a bowl of ice and placing them on my eyes every hour for the swelling and bruising. Lozenges for after surgery as well as the following days. Often there's a lot of congestion initially meaning that you may have to breathe through your mouth only, which can make your throat a little dry/sore. Nasal spray. Your surgeon may prescribe this. The one I had was just a regular spray from the pharmacy that my surgeon recommended, its used mostly for colds and hay fever. It helped to clear our congestion a little in the first few days. Maybe discuss this w your surgeon though, as they each havr their own preferred post surgery instructions. Movies, books, magazines etc. I was too exhausted in the first couple of days to focus on any 'proper' reading, so if you are inclined you may wish to stock up on less demanding things like vogue... :) Clothes that are comfortable and that you dont have to pull over your head. Good luck with everything darling, you will be fine I promise. I am looking forward ti your updates xx
November 30, 2013
This comment is so sweet, thank you so much I really did appreciate it. I cannot stress enough how perfect your results are. It looks so so natural and good. Your tips truly helped. Thank you!
October 26, 2013
You're gorgeous! With your new nose, you'll even be more stunning. Good luck & can't wait to see it! :)
November 30, 2013
thank you so much! I followed you on IG!
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October 27, 2013
Hey please don't be discouraged because you're mother does not want this for you. I bet you once you are all healed she will understand your decision! She probably does not want to see her daughter in pain and is scared for you. My family is more scared of the procedure than I am haha good luck hunnie I wish you the best!
UPDATED FROM latnahc
1 day pre

Ahhhh

latnahc
Surgery is tomorrow morning. As usual I left all preperation till the last minute and I'm stressing and freaking out. Wish me luck! I hate typing on my phone otherwise I'd write more.

Replies (20)

October 28, 2013
What doc are you going to in ny? Let me know ... We have similar noses! Good luck !
October 28, 2013
Wishing you all the very best!!!
November 30, 2013
thank you!!
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October 28, 2013
Good luck, you will be fine. Xo
November 30, 2013
Thank you so much
October 28, 2013
You will do great! Just remember you are doing this for you and no one else! Your mom will forgive you eventually and maybe even agree once she sees the after like mine did. My biggest piece of advice post op is be careful! Don't put yourself in any sort of situation where you can bump your nose while you're healing! Especially the first 6 weeks. Ibumped mine 2 weeks post op and here I am 3 years later getting another surgery to remove the bump!
November 30, 2013
Oh noo! That's so scary. I am definitely being careful, I still freak out when people go in for a hug hahah
October 28, 2013
You will only be moderately bruised for the first 5/6 days and then after that it goes away and you can use makeup to cover so in term of work, you should be able to go back after the cast comes off and you have the 2 weekend day as well. Tell your mom! You definitely need someone to drive you to and from surgery plus you will be very weak and tired after anesthesia. This will give you confidence and don't listen to anyone about your body and your feelings. You know yourself better and obviously its bothered you for a while. Mine really bothered me and I am so glad I did it.
November 30, 2013
My mom didn't know till afterwards, but I should have listened to you and told her sooner!!