Rhinoplasty - Revision with Dr. Andrew Frankel

I had Rhinoplasty performed last January and the...

I had Rhinoplasty performed last January and the outcome has not been good. The goal was to reduce the overall size, remove bump on bridge and refine the tip a little. The Doctor built up the nose to reduce the bump and built my tip way out, as a result my nose is bigger than it was before the surgery. But worst of all my tip is all messed up and curves to the left. I can see and feel cartilage grafts out of place. On the left side nostril there is a white patch of skin that has been getting worse with time, after asking a few other Doctors they believe it is pressure from misplaced tip cartilage.

I wish I never had the surgery in the first place but now I am faced with finding a surgeon I can trust and have the issues fixed. I am looking for a Doctor that not only is well known for revision rhinoplasty but also will be able to reduce the size of my nose not build it up. I live in Saint Louis but I am looking at Doctors from all over the states. Does any one have any recommendations? I have looked at Dr. Andrew Frankel, Dr. Jay Calvert, Dr. Gary Motykie and Dr. C. Spencer Cochran.

I have a phone Consult with Dr. Frankel in a week and will be setting up a skype consult with Dr. Calvert soon.

Does anyone have experience with any of the Doctors I mentioned or recommend anyone else?

I really appreciate any advice!

Hi there! I remember seeing your discussion post about your white patch. Don't you love it when you have something that no one can figure out? It sounds like you're really doing your research and that you have some good doctors on your list.

Here's what some docs say about finding the best revision rhino surgeon in the U.S.

Please keep us posted!


post op pics

Adding some post op pics.

I have a Skype Consults scheduled with Dr. Calvert next Wednesday 10/2.
I have been searching for the best revision Dr. also for my daughter. Dr. Chochran and hes partner Dr. Guntner are highly recommended by other plastic surgeons. Motykie's pictures look great but he has some negative feedback.

Phone and Skype consults done, in person consults set

I had my phone consult with Dr. Frankel and Skype with Dr. Calvert. I really liked them both but seems to be leaning towards Dr. Frankel.

Dr. Calvert mentioned he would most likely use Temporalis Fascia Graft. Frankel did not mention that so I looked into it and it seems like Dr. Frankel does not like to use faica grafts unless necessary since it causes loss of definition and can cause more scar tissue. Take a look at his answer to this question (http://www.realself.com/question/denver-pros-and-cons-fascia-grafting-in-rhinoplasty)

Dr. Frankels noses seem to be smaller than Dr. Calverts and I am wondering if Calverts use of Faica grafting is one of the reasons why.

Regardless I am flying in next month to meet with them both and will find out more on Dr. Calverts use of Facia grafting at that time.
By the way my nose looks very similar to yours and he had a catalogue full of cases that were very similar to mine
You should consult with Dr. Rollin in Newport Beach. He is very specialized and experienced in revision Rhinoplasty. I am doing a secondary and I'm going with him after I saw his extensive work catalogues at his office. My only concern is that he is in his mid sixties....
I'm curious to how your nose turned out with Dr. Rollin Daniels. I had surgery with him about 6 months ago and I feel like he destroyed my nose. My nostrils are completely crooked!! My right nostril goes up way higher than my left and it looks like the bridge of my nose is collapsing. I know that I am still healing but I feel like my nose should still look symmetrical. Anyway, I'm very unhappy and am looking for another doctor to fix his mistakes :(

In Person Consults

So I flew to L.A. and had my in person consults with Dr. Calvert and Dr. Frankel.

I was really impressed with Dr. Frankel. His approach to find out what I my issues were and ultimately what I want to achieve with the revision was great. He was very comforting and I felt like he really wanted find out what I wanted my nose to look like, but at the same time I felt that he was realistic and was not just telling me what I wanted to hear. I have a few more follow up questions for him that I am going to email today. But I have a great feeling about him so far.

I would like to get at least one more opinion before I make a decision. Still looking to book the surgery for January.
I can't wait to hear who you go with. I seem to keep coming across Dr. Frankel a lot when researching. My daughter is still in high school so we don't have the time until this summer to go on consults but since her nose came out similar to yours I would like to keep in contact with who you go with and your results. Good luck it sure is scary second time around we seem to know too much now but in a good way.
Hi irsi, I am not wanting to reveal the Doctor's name at this point publicly but if you want to private message I will let you know.
May I ask who did your first surgery? I'm sorry you need a revision and hope you find the right surgeon. Be sure to ask any surgeon you choose what they do to treat post-op swelling, pain, tweaking of their work, etc. Other than that, I hope you find the right person.

Date set with Dr. Frankel

I made a deposit and scheduled a date with Dr. Frankel. The date is set for beginning of January. I am not sure if I will seek a third opinion in the meantime as I feel like all my research has been pointing me to Frankel. If anyone else here has had personal experience with him I would appreciate any feedback.
Excited to hear about your experience with him! How much did he quote you for your revision? Many of his reviews lack a cost which is a determining factor for me! Thanks so much!! Good luck!
The quote is for $16,000 after the Surgical Center and General Anesthesia fees. Mine is a complicated revision so primary surgeries with him are probably less expensive.
Please share results!

3 weeks to go!

I will be having surgery with Dr. Andrew Frankel in Beverly Hills in 3 weeks. I have been in contact with some people on various forums that have recently had Rhinos with him and they are all very happy with the results. The more I research Dr. Frankel and speak to his patients the more confident I am of my decision to go with him. Right now I am just getting everything ready for the surgery. I will post more soon.
How did the surgery go? I'm have mine scheduled for this Tuesday... But I'm having second thoughts. Really scared!!! Your response would be much appreciated!!!
How did it go??

Surgery is done, now the recovery begins...

I had my surgery last week and the cast came off this past Wednesday. The surgery ended up taking over 5 hours to complete and Dr. Frankel did have to use some ear cartilage.

Dr. Frankel and his staff were wonderful during the whole process. I still feel really good about choosing him and I am hopeful that I am going to be very happy with my nose. It is still way to early to tell what how the results are as I am really really really swollen. I can at least tell that my nose seems straight at this point but beyond that I just look like I got into a hardcore fight.

In a few weeks I will update my review once the swelling has gone down and I have a better idea of the results of the revision.
Hi there! Any updates yet? Thanks for sharing!
Was hoping to hear how you are healing and if you are happy with your results
Any updates and photos? Still debating on using him

almost 5 months post-op

Sorry it has been so long since my last update. This has been a very emotionally hard 5 months. I don't have time for a lengthy update but I am posting pictures I just took today.

I am just a week or two shy of being 5 months post-op. I have had and still have a considerable amount of swelling, at least I hope it is swelling. I feel like overall it has been a major improvement from my primary surgery. My nostrils are much much more even and my nose no longer curves to the left. I have some concerns the biggest being that my nose and tip is too wide which again I am hoping is swelling and will subside as time progresses. I keep reminding myself that this was a major surgery and the second major surgery in less than two years so it will probably take some more time than normal to fully heal.

I will post more later but for now take a look at the pics and give me your honest opinion on how you think it looks, I would appreciate any feedback.

By the way, Dr. Frankel has been wonderful! I think that no matter whats he will make sure I am happy with my final results. He had a big job trying to correct the mistakes of my first surgery and I really just wish that I went to him in the first place.
I think your nose looks absolutely amazing!! It actually looks perfect! Very happy for you, congrats!
Update and pics have been added.
I think you have a very natural result . I'm happy for you :)


Looking good! I'm hoping to consult with Dr Frankel this year for a revision. Great to see another good result from him :)
your nose after revision looks so good! Really suits you and looks so natural that you would never guess you had 2 surgeries on it. Very happy for you
Just to add, I think it looks like a natural, masculine, non-operated on but very perfect and ideal nose!

More Pics of after Frankel revision

Thanks for all the nice comments. Here are some more pics just taken today.
Very nice result! Did he use septum cartilage only?
After my last surgery there was not any good septum cartilage left so he had to use ear cartilage.
How old are you?

Quick Update

I am about a week shy of 7 months. Can't believe that much time has gone by already. Most of the redness in my tip has gone away and I am not experiencing numbness any more either. I still feel like I am swollen looking and hope it continues to improve. I have a slight problem breathing out of my right side but I hope that is due to swelling and will improve during the healing process as well.

I will post updated pics soon.
Hey Moving forward, Thank you for sharing! Your nose looks great! I have a consultation with Dr Frankel coming up and have struggled to find any people who have had him apart from you! Did you feel like he listened and had the time for you? I am torn between him, Dr. Jeffrey Rawnsley and Pearlaman! AHHHH it is so hard to make a decision! :)
You look great, fits perfect!!! Enjoy your nose and life!!!
I think your new nose looks very good. Are you still in contact with your doctor to ask him if swelling in your nose could be causing the breathing problem?
Beverly Hills Facial Plastic Surgeon

Having revision rhinoplasty with Dr. Frankel in Beverly Hills the second week of January and hoping for a good outcome. After much research I feel like I can put my trust in Dr. Frankel to do a great Job. He seems to be a very skilled surgeon and just a all around good person. Only time will tell if I made the right choice.

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