Revision Rhinoplasty for Upturned and Short Nose (Male) - Seattle, WA

I had a rhinoplasty in November 2013. I went to have the surgery in Poland because of the low prices, but this whole "mission" turned out to be one of the worst experiences in my life, so far. I wanted to have a more masculine nose, as I all my life have been struggling with people saying I look feminine. So the plan was to make it less projected and derotate it. Everything went smooth, the surgeons and everyone were so nice and I had a very good feeling. This changed the second I took of the cast and I saw the result. I knew the nose was really swollen, but something did not seem right.

The nose was extremely upturned with LARGE nostrils and it was also very unsymmetrical. All the surgeon said was "it looks fine", "it's just swollen" and "it's a more delicate nose now". Well, did not want a more "delicate" nose, I wanted a more masculine nose. I was so shocked I couldn't say much, but when I asked the surgeon when I should come back for the after care follow-up, she said that they didn't do that. That made me even more shocked. I have to say it was very unprofessional...

From the second I got back to the hotel I started researching revision rhinoplasty surgeons. I wanted a surgeon who had for certain dealt with this kind of situation before, and also one that had very natural noses. Over the last 10 months I have talked to a doctor in Seattle, Dr. Thomas Lamperti, who I really believe can solve my problems. The time of the surgery I really don't know, but hopefully within a year. As a student I cant afford the surgery right now, and as the nose looks much better than it did right after the surgery (it's still to short and upturned, but looks much better), I am able to wait for the best (hopefully).

When I got home to Norway (after the rhinoplasty) I went straight to a plastic surgeon in Oslo. He saw my original nose before I left, and when I arrived to his office he was also very shocked. He thought they had given me a ski slope, and told me I had to tape my nose nose for several months and hope for the best. Two months after that he did an alar base reduction on the nose, as they somehow became very visable after the first rhinoplasty. That is much better now, but I dont like that it's upturned and to short.


PLAN FOR REVISION
Dr Lamperti and I have made an unformal plan for the revision. He will derotate and deproject the tip of the nose, and use spreader grafts to widen the bridge. He might also place a small cartilage graft on top of the bridge to make a slight curve of a "hump", and also a slight supratip break. That way the nose will have a curved look, not totally straight, but still masculine, and maybe more natural than if it was totally straight. He might also make the tip less defined with cartilage grafts, so that the shadows on each side of the tip isn't that visable.


10 MONTHS AFTER - Facial implants?
I am really looking forward to the revision rhinoplasty, but I am also wondering if I should get chin and cheek implants done at the same time, to make my facial features even more angular and masculine. The chin is a bit receded, small and "round", and the cheeks are quite flat. I also have a bit of hollowness under the eyes, which make me look so tired all the time. The most important thing is of course the rhinoplasty, as I am also starting having some problems with breathing. But the implants could be the little touch that made the face masculine to my liking. We'll see how thing wind out, I am really excited.

I have tried to compare two images here. The nose is the same in both photos, it's how I'd like it to be after the revision. However, only the right photo has augmentation of the chin, cheeks and jaw. I think it is much easier to see how the implants can help making a much more harmonious face when comparing it like this. Without the implants the nose seems out of proportion, I would say. And with the flat cheeks I look very tired. Hmmm...

When I was younger I got harassed all the time, people called me fat and feminine. This drove me to my first rhinoplasty, the attempt of getting a more masculine appearance. Sadly things did not turn out the way I had expected. I got depressed for a while, but I decided this experience wouldn't stop me, and I got really focused on working out (I already worked out, but not at the same level I have in the last 7 months). I thought if I at least could have a masculine body, then that would be at a little bit better, right? I am so glad for that decision, and I am happy with my results. Even friends and family are very impressed, and glad on my behalf.

So the other day I was thinking; why isn't that enough? It's maybe weird, but I dont want people do define me based on my body. I dont feel like having to prove my masculinity with my muscles. I want people too look at my face. :) And you also have that constant struggle of keeping in shape... The fact is that you cant really rely on your body either. What if something happens in the future, and I'll be unable to work out at this level? Then all I have left is my face. And I refuse other people to define me, hehe, I want to define my self, and that is the main reason why I am looking so forward to this surgery. I really hope it goes well. :)