not sure

I had my broken nose fixed aug 10th , 28 days ago...

i had my broken nose fixed aug 10th , 28 days ago , it was an orif , and septoplasty , ryhnoplasty , i wish i left it alone as now the tip looks wierd , my nose still looks slanted to the side , my dr said hed make the nose look great . this is a disaster . i waited 20 years to fix this broken nose and it looks bigger and worse than before . im so upset . and on top of that , my insurance paid 15k in total for procedure ... the last thing i said to the dr before i went in for surgery was ..." this is a one time shot to get this right , dont mess it up " , he said id be very happy ... im so pissed right now i dont know what to say ... after a month shouldnt i see some sort of result from a surgery that caused so much pain and discomfort , the area he cut to open nose up is reconnected wrongly , and now it slants down to right side ... im so upset i dont want to go in public .

Today sept 14 35 days post op . Still look same as...

Today sept 14 35 days post op . Still look same as prior post op pics . Wish I didn't do it . Nose looks bigge than before ... 15k spent ... Wow !

At 6 weks now . still same size . not going down...

at 6 weks now . still same size . not going down at all , saw dr. he said it will over time , dr. a cool dude ...so i hesitate to be a jerk to him about it . it is straight but leaning a bit to left , worrisome .. concave on rt side . and still big as the day i went in ... i just dont think he got the message when i went in ... oh welll lesson learned , shouldnt have screwed with it in the first place i guess ...

Here i am at almost 7 weeks ... nothing changed ....

here i am at almost 7 weeks ... nothing changed . size the same or even bigger than when i started . big mistake to do this , wasnt worth the time or healing time and loss of other things i wouldve been doing in life rather than healing . theres no way that swelling is the difference at this point . the dr just didnt do the job right . ive seen others at this point with massive differences on profile .. just lame ...

However , if im wrong and there is more swelling...

however , if im wrong and there is more swelling than i see possible i will re post down the road ... the tip is a little swelled , but the upper bridge feels pretty well healed . very disappointed . when you get your head opened up you go in with certain expectations . this could have turned out well if it were done better . will re post in two months

Ok , 60 days post op , same size as day i went in...

ok , 60 days post op , same size as day i went in , still bent to one side , profile is absolutely un changed , had face ripped open for this , a total waste of my time . honsetly feel like this was just a qucik money making procedure for doc . and my outcome was of no interest ...

Ive seen some responses from people trying to be...

ive seen some responses from people trying to be helpful , which i appreciate . some saying its better to not have too much done , or ill see a difference after 4 months , ... shouldnt i see some sort of difference at 2 months , is my nose going to suddenly stop slanting to the left as it did before , and i certainly didnt go thru having my head ripped open to have 0 results at all , i understand not want to make too much of a difference , but no difference at all is just frustrating , i had to really talk myself into doing this , and i feel like i just got screwed as i was overwhelmingly adament about what i was looking for right up to the moment i went into op , and i just got screwed , its that simple ... i feel like im being a hell of a nice guy not mentioning the docs name for sure ...

And for some to say its easier to do more of a...

and for some to say its easier to do more of a reduction later , how much money am i to spend to get a result i wanted initially , how many times do you want someone to cut your head open , how much downtime in life do you want to spend healing . i wish i didnt do this it honestly looked better before hands down ...

And worst of all , i called my doc last week to...

and worst of all , i called my doc last week to talk to him about my feelings on this , i left a message and got no response whatsoever .

Pics today . does this look like something thats...

pics today . does this look like something thats gotten better in any way , it is just flat out bent and huge still , huger even , at two months and one week

Honestly if any of you went thru this and this is...

honestly if any of you went thru this and this is what you looked like at two months one week , you be as distressed as myself . i wanted a good profile , a smaller , straighter nose , with the sides to my bridge shrunken down , with the tip made smaller , its to a point now where everyday i can only mock myself for going thru with this . for having my head ripped wide open to be left with a nose bigger maybe than karl malden or jimmy durante . can any dr on this sight honestly say that this is how one of their patients would look like after one of their surgeries at this timeframe ... ive seen before after pics of others . with huge improvements whereas ive had none ... it does look just a tiny tiny tad straighter , but its just a disaster otherwise , for a surgery billed at 15k before insurance reduction , i should look like errol flynn , or someone with a straightened , much smaller nose ... not jimmy durante ... i was really pulling for this doc , as ive stated before , hes a great guy personality wise , hes well educated , has a good reputation , so what happened here ???? i wish i never ever did this

I really believed that with the right dr , i...

i really believed that with the right dr , i couldve vastly improved my appearamce as this is what i was genetically given , so i had such high expectations i feel like my eyes and chin and cheeks hair etc are decent , but i was blessed with a giant nose , i couldnt breathe well thru the right side , it was broken ... i can now breathe better thru the right side , but the appearance is miserably unaltered ... its huge still ...

Also left the dr a message with my concerns last...

also left the dr a message with my concerns last friday the 5th october with no return call , he probably doesnt wanna hear it , i dont know ... i also did my due diligence to make sure all bills were paid as quickly as possible as they have been now completely paid all while feeling let down by results ...

Also after much thought the last few days im not...

also after much thought the last few days im not going to state this docs name , im not in this to defame him , like ive said before i like him personally , it just seems like i have horrible luck ...

Gonna take down pics now and re post in a bit with...

gonna take down pics now and re post in a bit with new pics , i dont even like lookin at em right now , thanks everybody

Here i am at 2 and a half months does this look...

here i am at 2 and a half months does this look like anything was done at all to anbody ??? my profile is huge , even huger ... my point or tip which i liked looks like its been just chopped off ... so pissed ... three before pics and three after pics ...

So tell me folks is this a disaster or what , pre...

so tell me folks is this a disaster or what , pre op pics without a doubt much better , ill say it again wish i didnt do this , tip is now chopped off , no change in profile at all ... front slightly , almost no difference at all slightly straighter . why did i do this . doc didnt listen to anything i requested bridge still wide and bent , i asked for doc to call me on message , his assistant , who is anice lady as is the doc a nice guy calls me back but doc wont call me back , anfd to be honest , when he does im gonna blow up on him im so pissed right now . i had my face ripped open for this ! it was bent to the left before op because it was broken so it looked more beaky from my right side , and right now it looks still bent to left side and still incredibly huge from the right , actually even huger than before ... its all in the pics ...

And if you look at pics from the left it just...

and if you look at pics from the left it just looked so much better pre op , it had strucure and shape and a tip ! now it looks chopped of and wierd ... see pics

Nov 14 th , over 3 months past now , finally got...

nov 14 th , over 3 months past now , finally got letter from docs asst . telling me now for the first time that only structural fixes were done and that even though he promised the aesthetic and desired changes , that would have only been done as a " courtesy " as insurance would only cover cost of structural damages , and he just wasnt able to get to it . so even though he promised to fix bump on nose and give me a good profile , and even though he promised to thin down sides of bridge to make it just a bit thinner , only now is he admitting that he did none of these things because it wouldve costed more than my insurance was covering . i had a broken nose and deviated septum , i do breathe better , but my nose is still bent to one side and he promised several times to improve the aesthetic appearance in the process . he promised " no more beak " just as i was walking back to operation room as i pressed him to get it right ... now he has his asst send me a letter telling me it wouldve only been a courtesy which he decided while in the operation not to extend to me . i wouldve gone to another doc if i knew he was just sales pitchin me pre op to get a customer as i still have a bent nose ... now i think the dude is a scumball as before ive always stated the guy seemed cool , or maybe im being impatient , but now i realize there is nothing to wait for , there isnt goin to be an improvement at all to wait for , it will still be huge and beakish ...i basicly got screwed ... funny thing is my spouse is a nurse in the same healthcare system he works in , where word " could " travel fast , so im amazed ... just amazing ... and she sat with me in pre op inteviews with him where he made certain promises . im not makin this stuff up . she was also sitting there in the pre op where the last thing he said to me when i said " get this right , only one chance " , and he smiled an said " no more beak i promise youll have a great profile " ... go figure >>> so thats it for me , there will be nothing more to report on as i know there is nothing to be hopeful for ... take care everybody , thank you for kind words ... be careful everybody , do your research , dont just believe a guy because he has a great education . or he seems like a cool guy ... get all expectations and promises in writing ...
Name not provided

i was refered by my md , this dr is a nice guy , i like him , but he didnt do what was asked of him , it is very upsetting .

3 out of 5 stars Overall rating
5 out of 5 stars Doctor's bedside manner
5 out of 5 stars Answered my questions
1 out of 5 stars After care follow-up
1 out of 5 stars Time spent with me
1 out of 5 stars Phone or email responsiveness
5 out of 5 stars Staff professionalism & courtesy
5 out of 5 stars Payment process
5 out of 5 stars Wait times
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Comments (63)

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Sounds like asianaz gave you good advice. Let us know what happens after you speak to Dr. Holden. If your doctor didn't, or can't now, tell you specifically what he did to your nose, then the eventual outcome is not one you can reasonably approximate, and it's pointless to try. Unfortunately, what you asked for, and what he actually did, may be two different things, and what you need to be interested in now is what he actually did. If he said he did x, y, and z... then be patient and wait for x, y, and z to reveal themselves. Without knowing what he actually did, even Dr. Holden may be reluctant to surmise at this early stage. In addition, if your doc only removed material, and added nothing, then it's obviously impossible to end up with a larger nose, and it must be an extreme case of swelling. Did he add anything to your nose? I thought you posted a few weeks ago something about him saying, "be patient, I had to add cartilage after cartilage." or something to that effect. If he ADDED something, then yes, there will be some aspects of your nose that will be larger than before. Finally, some people are more prone to excessive swelling, which can be influenced by many factors, including diet, elevation of head, etc. I think if it were me (who loves salty food with beer) I would be still sleeping in a half-sitting position, still putting ice on 1x each a.m. and p.m., and still taping my nose... no matter what, because I am very prone to extreme swelling. In the end, the reality is Tim, that either your doctor is a scheister and you're stuck with a do-over... or you are experiencing the worst-case scenario of extended swelling. Nobody has answers for you, cause only time will tell. But forgetting what you asked for, and concentrating on exactly what was done, will give you the best indication of outcome. Good luck to you.
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Thank you for your very considerate input . It is well thought out ... I will follow your advice as its prob the best I could do from here . And maybe your right maybe I'm the greatest dweller in the history of ops ... And yes he did say he added cart ... Maybe he had to to get it to straight ? I don't know .., I just keep lookin at it and see jimmy durante . It's freakin me out ... Cause I feel like I'm a good lookin guy w this huge beak :)
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thing is i dont think the docs a scheister . i just think i have bad luck or somethin. like i said hes a cool dude . he has a great education and reputation thats why i wont ever put his name up as im not in this to defame i just got so bummed i figure itll help me to vent or get some feedback .. im gonna pull my pics now as im just gonne follow some advice . wait . and just deal with it ... thanks again ...
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Venting does help, but it sounds like you have now turned a corner, and are ready to move forward. Planning "next steps" always makes me feel better, too. Let us know, way down the road (it might take that long!) how it all turned out, as you've gotten a whole bunch of us crossing our fingers for you! Till then, take care and stay positive...
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Tim, as you are not getting your questions answered by your doc, you may also consider posing your questions to the Ask a Doctor section of Realself ... hope you get some peace of mind soon ... :)
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had surgery may 22, 2012. when cast came off my nose turned to the right and nostrils looked uneven...I have taped my nose a certain way with surgical tape every night before I go to bed, and my nose is now straight and nostrils are even. It's a pain taking the tape off every morning because you don't want to pull at the skin, but it works great. next month will be six months. My nose still swells by the end of the day.
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Thnx
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Tim, I'm serious, start taping...It stops the swelling. Look up taping nose after surgery. You can tape it across the bridge and around the tip. I swear.
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Let me ask you something, does your tip feel hard or does it feel normal (like it did before surgery). If it's still hard, then you still have swelling and that doesn't surprise me at all. The tip will take the longest to get back to normal which is why, as you said, it looks "chopped off." I don't think it does though, you are just experiencing a lot of swelling. I'd love to see your results about 6 months from now and then at the year mark.
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Definately still way hard and swollen at top , if that corrects what I think is that chopped off look then I'll be happy ... Believe me if at 6 months it all looks good I'll update my pics . I just notice certain things that remain exactly the same as pre op
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and look at the pics from the right side , jesus the hook is even bigger than when i started ive seen multiple amounts of pics at three months with huge differences , i have yet to hear a single comment from a surgeon that says ..." oh yeah , your nose is supposed to look bigger , huge and beaky at three months , its gonna de-swell to half that size , and the bridge will straighten out " ...
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I always thought men should have large noses? I am a straight woman and I think men with large or "big" noses are really attractive, I don't think I could date a man with a little or dainty nose ;P anyways take care.
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Didn't say I wanted a " dainty " nose .. When I got broken it created a sort of hook or beak look to it I was hoping to get it more straight . But thanks for the heads up
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Tim, we hear your frustrations loud and clear ... at 3 months, you are not fully healed yet ... the swelling will continue to fluctuate ... I read somewhere that the 3 to 6 months is the hardest (besides the first week), and I myself am beginning to understand why ... also read somewhere noses that are thin and perfect in the early stages tend to become pinched at 1 year n may even collapse later on, while those that are wide and larger after surgery look good and natural at 1 year ... please be patient ... if indeed you are still not happy after 1 year, a good revision PS can make it good again.
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ok thank you , i know i sound freaked out , maybe im being paranoid i guess , never had a surgery before , maybe my expectations are unrealistic , but id figured id see something even relatively close to what i was looking for ... i certainly hope your right , but i cant invision an amount of swelling to get me to where i want to be
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but you gotta admit , from the side i sure look like jimmy durante , not good ...
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haha, you still have your SOH ... no, I do not ... I see a nose post surgery with a very swollen tip that will deswell and become smaller n slimmer ... one other thing, I notice that pics taken at home especially in the bathroom look terrible n somehow show a bloated nose, while pics taken outside in natural light look better ... recently I went overseas, returned home n noticed that my nose did look smaller (in the same bathroom mirror) after 6 weeks ... if you can, go on holiday n forget about your nose for a while ... enjoy all the wonderful things in life !
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i wish that were the case as far as pic is concerned , but my eyes , hair , face , chin , cheeks all look normal .... and then my nose is to look bloated ? i dont think so , it is what it is , but i appreciate the nice thought . im gonna take down pics tomro as i dont like leaving them up ...
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and at the end of the day who wants a revision , these docs have the education , the skill , you look them in the eyes and explicitly tell them what your looking for , why is there a need for a revision ? thats like going to get you brakes fixed , them not fixing them and telling you , oh well just bring the car back and pay us again and we promise we'll get it right this time ...
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Hi Tim, I'm very sorry that you're disappointed with your results and at the end of the day, it is YOU that has to (and deserves) to be happy. I noticed that you're in Scottsdale and that's why I decided to reply. Please see Dr. Paul Holden...he is a facial plastic surgeon and he is a brilliant doctor (not to mention, a truly genuine and caring individual). Rhinoplasty is his "first love"...he is a revision specialist as well. He has such an artistic eye and will let you know what will look natural and how he'll "correct" your problem. He will NEVER push you to do anything and only has his patients' best interest at heart. Just explain to him exactly what you're unhappy with and what you'd like and I highly doubt you'll be disappointed. He is a truly gifted surgeon with an amazing aesthetic eye for perfection. I've literally spent hours with him and his patience and support has never been short than 100%. I've also read about prior patients being able to "work out" a payment plan as well. I guarantee you that Dr. Holden will do whatever he can to help you...he TRULY cares!
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Thnx
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thank you , ill contact him and show him my results to at least get his point of view on my results and what my expectations should be at this point . but if i know certain things werent even addressed then a certain result couldnt be expected ... sucks cuz my doc was cool , i liked him well enuf . he just didnt do the things we talked about prior to op ... its crazy to me
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Just FYI since I just read my reply again and I meant to say his patience and support "have been nothing less than 100%"...I'm a little OCD with my grammatical errors...lol! Anyways, it truly does amaze me (and it IS crazy) when I hear countless stories of patients saying their doctors did not do what they asked. Do they just have a mindset of what they want or think what would look best with total disregard for the patients' desires? I assure you that Dr. Holden will listen and listen carefully. He will offer his opinions on what would look natural, proportionate and aesthetically pleasing on YOU. But again, he will not push you into anything either. If you have a desired "look" that differs from his, he will work WITH you. I really hope you do see him...I think he'll provide you with valuable insight. Just FYI, he performed an under eye fat transfer on me and trust me, after reading the countless horror stories (especially from this sight where less than 50% were satisfied with their results), I would've cancelled altogether. But I trusted Dr. Holden and it's probably one of the best decisions I've ever made.
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Did your MD recommend this surgeon based on his aesthetic skills or the probability of him fixing your breathing problems or both?
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he was recommended based on the health care organization they were all affiliated with . the doc has an excellent education , and reputation based on his structural and aesthetic skills , i just feel like my repeated assertions as to my aesthetic desires were disregarded completely although he provided a slightly better structural breathing ability
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