Septoplasty and Rhinoplasty experience

I have known that I wanted rhinoplasty for the...

I have known that I wanted rhinoplasty for the past 15 years. It was never a question of if but when. When I was a little girl up until the time I was probably 13 my nose was okay. Then what seemed like overnight it all changed. To be honest I don't remember noticing until one day in grade 9 one of the guys in my class said I had a huge nose. When I went home that night I immediately looked in a 3 way mirror and was shocked when I saw the side view of my nose. I had developed a big hump and it was very obvious. How had I not noticed it? From that point on I became incredibly aware of it and very self conscious. It seems like over time it just got worse. The bump got bigger and my nose was also crooked which ironically enough, I didn't really notice too much in the mirror. It was once I saw photos of myself that I noticed how much it veered off in one direction.

I would try anything to attempt to hide my nose or at least downplay it. My hair has kind of become my security blanket. I usually wear it down and always have some kind of bangs. I have also tried contouring my nose with makeup to make it appear smaller which suprise suprise is not very effective. When I was a teenager I always tried to avoid people seeing the side view of my face (Easier said than done!) To this day I fear that cars will drive by me and see the side view of my nose. High school was probably the worst. I was made fun of for my nose. I had people tell me that my nose is crooked and one of my coworkers at a job had asked me when I had broken my nose. Not even if but when! You do get past these comments but you never forget what it feels like when someone draws attention to the very thing that you hate most about yourself. For me it just kind of amplified how I already felt about my nose.

I recently turned 30 and decided that it is the perfect time for me to do this. Everything is happening quickly and it is very exciting and scary! I will be posting more regarding my consult and the surgery.

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Oh my goodness, I could have written your story almost word for word. Same same same, all of it, with the hump and growth starting in middle school and the shock and dismay and self consciousness. Yes, do this, and do be very careful about choosing the right surgeon. Here's what some doctors say about choosing your surgeon and here's a list of questions to ask.

I hope you'll keep sharing throughout this process and that you'll post photos as well so we can see your transformation.

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Thank you for your comment Angie. It's comforting to know that others have experienced such similar experiences growing up. I definitely be sharing more and hoping to post photos as well:)

Rhinoplasty consult and surgery date

I started researching the procedure and surgeons about 3 months ago. I wanted to be very prepared and informed about this surgery. I think it can be scary because you are overwhelmed with info but for me it was so important to make myself aware and be very cautious in choosing a surgeon. I had read articles about ensuring that the surgeon is board certified and is a plastic surgeon not just a cosmetic surgeon. I looked up a lot of different doctors in the Vancouver area. My first thought was to schedule a couple of consults and to go with the doctor that I felt most comfortable with. In the end though I only contacted one doctor for a consult. I had read a lot about Dr. Buonassisi and had a really good gut feeling about seeing him for a consult. I called in the beginning of May and booked a consult for May 23rd.

Beforehand I kind of wrote up a list of things that I didn't like about my nose and questions I wanted to ask. The day of the consult I was terrified! It was weird because it is simply a time to get to know the doctor and and ask questions (Just on a side note ask questions! I felt bad thinking I was asking too many but it is an important part of the consult) Anyways I think I was so nervous because the consult makes it feel so much more real and you've really taken the last step before the surgery itself.

The consult went really well. I had many photos taken from different angles of my nose. When I met with the doctor I told him the things I didn't like about my nose. For one the hump, the crookedness, and how when I smile the tip drops down a lot towards my upper lip. I told him that I had no qualms about having an open rhinoplasty. I know a lot of people prefer closed because the scarring is less but I actually prefer the open and from what the doctor said in my case it would be necessary for the changes to be made. I also stressed that I wanted to have a general anesthetic. I read a lot about having a local with sedation which is apparently called "twilight sedation". From the sounds of it a lot of people do the procedure this way and they are fine. For me its a personal choice for this operation. I want to be knocked out, asleep, not aware of anything. It does cost more money because they bring in the anesthesiologist but for me it is worth it just for the peace of mind.

I have to say that I found it fascinating to go through the the photos with the doctor. They take many different photos of your nose from different angles(I found when I looked at them I kind of shuddered and wondered why I hadn't done this sooner!) The doctor sat with me and went through the images with me asking me questions about my nose. I had read beforehand that apparently it can be hard to straighten a crooked nose. There can be improvements but it usually won't be perfectly straight. Dr. Buonassisi did confirm that. He also explained that they would actually have to do a septoplasty to straighten the nose, which would be combined with the rhinoplasty. I loved his approach because he said what he is able to do and what he is unable to do. He didn't downplay the risks at all and the best part was doing the computer digital imaging. He showed me what changes he could make and how it could look. I was blown away. It still looked like me but with a nicer nose! From researching this doctor I read a bit about his technique. He focuses on small changes to the bridge and tip of the nose for the most natural looking result.

It was weird when I saw how my side view looked with the digital imaging I loved it but when I saw the front view I hesitated a bit. It looked better but different. I wasn't sure if I liked it but then I realized that we are probably so used to seeing our noses everyday and when any change is made it looks "off" because you are not used to it. Even though I hate my nose its different to see it look a little more normal!

After the great experience at the consult I decided I wanted to do the surgery. I felt completely at ease with the doctor, his approach, and his honesty. It seems so surreal still. I booked the surgery for June 11th which is only 5 days away!

I've been reading a lot of posts on here which has been really helpful. I am also trying to prepare myself with a lot of books, magazines, and movies. Still have to buy one of those U shaped travel pillows. I've heard that these are helpful. Oh and lip balm! Does anyone have anymore advice on things to have to make the recovery easier/more bearable?

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Wow your story is so much like mine it is scary! I am scheduled for this Monday the day before you. Keep in touch and let us know how it goes. Good luck!
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Thanks finally2013! Our dates are coming up pretty quick. Keep updating and best of luck to you as well :)

Seasonal allergies and rhinoplasty?

I am a bit concerned about the role that my seasonal allergies may play in this procedure. I hadn't been experiencing allergies much this year so I wasn't too concerned but then about a week ago it started. They are brutal! I sneeze probably about 10-15 times an hour and my nose just literally runs like a tap all day. On days that I am at home and not going out I shove kleenex up both nostrils and leave them there. Gross right? However it seems to be the only thing to stop the running. The whole time I was experiencing these allergies all I could think of was trying to heal and recover and how terrible that would be with those kind of allergies. Then I of course got paranoid and was worried that I wouldn't be able to do the surgery!

I did talk to the office staff and they were helpful. They said that it is a common concern. I did get some Reactine Extra Strength 24hr from them. Usually the allergy meds don't seem to help me. This does seem to alleviate the symptoms but not fully.

Has anyone had a similar experience to this? If so what measures were taken to help? I'm terrified that I will be sneezing like a maniac after surgery because I know that if you do sneeze you have to do it through your mouth( Isn't that how most people sneeze anyways though?)

Only 2 more days. Very scared and excited!

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Rhinoplasty/Septoplasty surgery done!

I really wanted to post yesterday but was not feeling up to it. I had my surgery at about 8AM yesterday morning. It was at a private clinic and everyone there was so kind and reassuring. Dr. Buonassisi came in to go over things with me before surgery. It's funny how it seems like the hour leading up to the surgery is actually worse than the surgery itself. For me that's when I am most nervous and my mind kind of starts whirling.

The surgery itself only took 2 hours. I was really tired afterward and out of it and i remember asking if it was over about 4 times. They said the surgery went really well. My throat was a little sore after and I was coughing because I had a general anesthetic.

I only looked in the mirror once or twice that day because I feel like it can be upsetting to see yourself looking so different and you don't realize at the time that it is temporary and will pass. In my case my face is very bruised and swollen and my nose as well. It is worse today(day 2) and I think that day 3 might be the worst but hopefully it will go down a bit after that. I'm also very congested. It kind of feels like a bad head cold.

I have been taking pain meds which help me. I find that my nose is stinging a little bit which may be from the splints and
just the tip feels a little sore. Sleeping is proving to be a challenge which is what I had anticipated. I usually can only sleep for about an hour at most.

Eating has been alright but my mouth does feel tender so right now it is mostly soft foods. I've been having soup, yogurt, smoothies, bananas, and pudding. Yesterday I was craving avocado so I mashed I up with some yogurt. It was actually really good. Does anyone know when it's okay to eat cold foods like Popsicles? I know day 1 it said no hot or frozen but what about after that? Also I want to make sure I am still getting nutrients. Does anyone have any go to foods that are healthy? I would kill for a coffee right now made with my Tassimo but I know that's probably not the best- besides it will taste so much better after being without it for a little while! :)

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Recovery at day 5

My original intention was to post daily updates during the recovery process. It hasn't really happened that way though.

I need to be honest that I feel like this septo/rhinoplasty has been really hard on me. I knew recovery would be very challenging but it has been more difficult than I expected. When I read other reviews it sounds like a lot of people don't have pain but more discomfort and a lot of congestion. So I feel like a wimp because I have found recovery to be painful at times. I did have rhinoplasty and septoplasty and maybe that is partly why.

The congestion is definitely there in full force. I can feel it everywhere in my face including my throat and my ears. I can handle that part though. I was expecting it. What has kind of caught me off guard has been the sensation in my nose. It's like an intense stinging feeling. Almost like if you accidentally were to breathe in some salt water from the ocean. Similar to that burning feeling you get in your nostrils after. I haven't noticed many reviews talk about this or read about this problem after surgery. Has anyone experienced anything like this?

I think the bruising and swelling got the worst yesterday. The swelling actually caused the cast across my bridge to extend close to the inner corner of my eye which irritated it. I found it more comfortable to close my eyes because they felt like they were stinging.Thank goodness that subsided this morning. I still get headaches but not as bad. My teeth are still quite tender so I am mostly sticking with soft foods. On a positive note all the bruises are mostly yellow now.

I tried switching from T3's today over to extra strength Tylenol so I will see how that goes. If need be I can take the T3's when I am going to bed. Sleeping has definitely gotten a lot easier!

I took off the gauze pad last night but I've noticed over the past couple days that I have this scab of built up dried blood that comes out of one nostril. Sorry it's kind of gross but I keep trying to gently dab at it with a washcloth but its not loosening. In my instructions it does say not to pick at scabs and to let them dissolve on their own otherwise you can disrupt the stitches. What if it is lower than the stitches though? Then I worry that if it comes off on a washcloth that my nose might start dripping and I may need the gauze again.

It's funny because I am so congested that it sounds like my nose is kind of making a bubbling noise sometimes when I am drinking, talking, or sometimes just breathing. I am used to it and fine with it now but in the beginning it creeped me out. The doctor said it is just air making its way in.

So I don't know if anyone else has been the same as me but when I got my scheduled for surgery I knew I would need some entertainment to get through the first little while. I bought a bunch of magazines, brought out some books I'd been meaning to read, had some movies handy. I even bought this book of crosswords because I am a sucker for them. Oddly enough I didn't start reading or watching much tv until yesterday. In the first few days I just kind of laid down. I didn't feel like doing much of anything. So just realize that those things will likely come in handy but during the first few days you may just end up lying down or just not feel like reading at all. And that is fine too! Just listen to what your body is trying to tell you.

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Feeling more like myself at day 7!

Well I have to say that today has been the best day so far. I haven't taken any pain meds today including Tylenol extra strength. I am less congested as well. I decided to make myself coffee this morning after 6 days without. It was heavenly:)

I still have quite a bit of bruising under my eyes and am swollen but just really happy to be feeling so much better today. I read a lot of reviews and blogs about others experiences and was starting to feel like something was wrong with me because I didn't really bounce back . I know they say that you can be doing normal activities usually by day 2 but I have found doing anything can be very tiring. I get exhausted easily and have been laying down a lot. I also found that sometimes I would feel dizzy or like I was going to faint. I've been trying really hard to get enough fluids. Today has definitely improved.

Tomorrow I get my cast off and my splints taken out. I am excited and nervous. Not looking forward to the splints coming out in one way because it sounds very painful and unpleasant. On the other hand it sounds like the congestion improves once they are out so that is a bonus.

Just wanted to add that while I haven't posted any photos I am more than happy to answer any questions that anyone has. I am very open to that so let me know if I can help in any way! :)

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Cast is off and splints are removed!

On Tuesday I got my cast taken off and my splints out. It was a very exciting day but I was incredibly nervous as well. Make that terrified. It's hard to know what to expect when you see your nose for the first time and I was really nervous about having the splints taken out as I heard some horror stories. I read on one site someone said it felt like it was being pulled from your brains!

So before I say anything else I do wanna share about the splint removal. I took a T3 before I went to be on the safe side. From my understanding there was a stitch holding the splints in place and this is cut and then they are pulled out. I have to say that it hurt a little bit but nowhere near what I expected. It was more of a unpleasant and uncomfortable sensation. I don't know about you guys but I kind of like to know what is going on and to know what it may feel like. So the doctor just said he was going to cut the stitch and then gave me some kleenex. Then I realized he was taking the splints out because I felt the pulling and pressure. What I was completely unprepared for was the sensation. To me it felt like a gush of fluid coming out of my nose. Because I didn't expect this(or maybe because I was out of it from my T3)I thought it was blood and was a little freaked out. The doctor said there was no blood though so I assume it was just mucous. I don't know if this is how it feels for everyone but it really isn't as bad as it sounds. In fact if I had known that I would experience that weird sensation of fluid coming out of my nose I probably would have been more prepared and calm. So if I can offer some insight to anyone going through this it would be this:

1. It is not going to be anywhere near as bad as stories you might hear.

2. I would describe it as an unpleasant sensation again. You may feel some pulling, some pressure, and maybe some fluid come out of your nose. This is normal.

3. I had someone recommend that I close my eyes while they are being removed and I think that definitely helped.

4. In the end know that once these are out things feel SO much better. You feel like you can breathe so much better, have less congestion, and less discomfort. I've found it so much easier to talk since they have come out too.

Anyways the cast came off as well and I was so apprehensive about looking in the mirror after. I knew that I should expect swelling and bruising but I was scared that this would be all I could focus on. Thankfully I was able to see it and realize that it was still swollen from the front and bruised but once I got past that it felt great. When Dr. Buonassisi showed me the side view of my nose in the mirror I almost cried and feel like I literally lost all ability to form words. lol. It was perfect. There was no bump. It felt overwhelming and shocking in a good way.

When I got home I kept looking in the 3 way mirror at my side view. It almost seemed surreal. I do have to say that I don't love the front view right now but I know that is normal and I anticipated that. It is still swollen so it looks wide and the tip looks almost bulbous. This seems to be very common based on other reviews I have read. I'm trying really hard to be patient and just give it time. I know the swelling will go down and it will look better. I'm trying to focus on the fact that I love the side view.

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Before photos of my nose

Wanted to add some photos of how my nose looked pre surgery. I feel that these photos really depict what I disliked most about it. I will add more photos to show how it looks after as well.

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I will absolutely post more pics. Hoping that I can get a few up tonight and maybe some more on Thurs or Friday!:)
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We would love to see more picts.
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Hi, I really can relate to your post. From the teasing in high school, to how uncomfortable and tired you were during recovery, to the splints coming out, and how you feel about your nose now! I, too, felt exhausted and uncomfortable. I had the stinging experience as well- no fun, but definitely worth it! How are you feeling about your front view now? My cast came off Thursday, and I can see the improvement since then in terms if swelling. I'm just trying to take it easy and be patient. Icing also makes it feel better. Thanks for the post.
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2 weeks post op

I am now at the 2 week mark! Still a lot of swelling from the front. Does anyone know if taking arnica after the procedure is useful at all? I am kicking myself for not taking it before the surgery and throughout the healing process but am wondering if it is too late to start taking it now?

So about 2 days ago my left nostril started feeling really restricted and kind of plugged and then I kind of noticed that when I breath through my nose I think the air is only coming out of the right nostril. It almost feels as if something is obstructing it. I kind of took a flashlight and tried to look inside my left nostril and something is definitely blocking my nostril and the passage looks very narrow. It could be many things though...swelling, stitches, or maybe snot (sorry lol) Possibly all three? I do know that my nose veered off to the right so with the doctor trying to straighten my septum I imagine he had to do a lot of work on the opposite nostril to try and bring it into the middle. I'm no expert but I'm wondering if doctors maybe "overcorrect" the straightening so that when it has fully healed it ends up with the right placement. I know this can be done with work on the tip of the nose since it drops over time anyways. I'm just kind of pondering but it might make sense as one nostril feels completely fine and the other feels blocked and congested. I realize too that it is likely that I am very swollen still. It's just kind of weird how it is only in one nostril! Anyways I emailed the office and they were excellent. They said it was probably okay and just swollen but Dr. Buonassisi is going to take a look at it tomorrow to help ease my mind.

I am liking the front more as the swelling seems to have gone down but it is definitely still very wide. I am just thrilled that the hump is gone. All of the stitches on the external incision have come off or dissolved except for this one annoying one right in the middle. I also still have a bit of a yellow bruise under my right eye only. Oh and I sneezed 3 times today. I was so scared of that happening, but I did it through my mouth as instructed and I was fine.

I am posting my before/after photo that was done with computer imaging at my consultation. I am not very good at the selfies but will have more pics to post within the next few days.:)

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Follow up with my doctor

I went to see my doctor on Wednesday regarding some concerns that my left nostril was feeling blocked and restricted and I was only breathing out of the right one which I mentioned in an earlier post. Just a warning... If you get grossed out by stuff that comes out of your nose might not want to read this post. I apologize if its TMI! So I went in to see my doctor and yeah the "obstruction" was snot. I could have died. lol .He had to get out his tool and get it out for me. I know he sees it every day and has probably seen worse but I just felt bad! He explained that it is likely just on the one side because that is where he tied off the stitches after the septoplasty and the mucous can build up around the knots. I got my stitches trimmed down as well. He also recommended using a sinus rinse which can apparently help with the um...buildup. I have to say it is much better now.

It was great to see everyone during my visit because they have all been so helpful and supportive. Dr. Buonassisi said everything looked really good. I was thanking him for doing such an amazing job and saying I loved it and that it looked great. He agreed that it looked great and then thanked me for being thorough and doing all of my research. He told me we were able to achieve the result because we worked as a team. To me that was so nice to hear.I had never really thought of it that way before but its true in that you as a patient have responsibility as well. It's important to do your research, to know what you want, and to ask questions.

I am posting pics of my nose and how it looks so far. The front is still quite wide and swollen but I am gradually getting used to it. It seems bigger in front of the camera versus the mirror though. Not too sure why!

5 Comments

Beautiful result :) your review is also very informative too.
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Thanks Shelly! :)
Ahh looks like such a great change than before. Definitely a better change that matches your face even better! Love it! Can't wait to see the following progress! :)
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Almost one month post op!

On Tuesday it will be one month since I had the procedure. I was out shopping this weekend and I walked past this guy who was probably my age that had a cast on his nose! I have never seen that before and to see it now was really cool. He looked great too. No swelling or bruising. I was a little jealous!:) It's interesting though how this website can make you realize that you are not alone and there are others going through this. Seeing someone in public with the cast on really confirmed that as well.

I have started using the sinus rinse daily after seeing my doctor in the last visit. I am still having a really hard time breathing through my nose. I have had allergies though as well so that could be part of it. I've been sneezing a bit but making sure I do it through my mouth. You kind of have to force it out like you are going to cough. At least that whats works for me. My brother says when I sneeze it sounds like a cat coughing up a hair ball though! Swelling seems to be going down very slowly. I still have a little bit of a bruise under my right eye which seems kind of weird because its been so long.

So last night I kind of discovered that you can see much more of one nostril than the other on my front view. The left nostril is visible and the right one isn't. It seems to be only in pictures though so maybe it is at a certain angle. I don't notice it in the mirror. My tip is still quite swollen so hopefully it will even out with time. It's nice to have my smile coming back to almost normal. I also am able to "smush" my lips together to spread my lipstick/gloss. Up until a week ago I couldn't do that. It's the little things right?:)

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Thoughts on the past month and a few more pics

Wow I cannot believe that a month has gone by! I still have to feel where my bridge is (gently) to make sure that the dreaded bump is actually gone. It still seems like a dream. The confidence I have gained from this is incredible. I used to see my side view and just feel disgusting and ugly. To be able to look in the mirror and not feel any of that is amazing. The hatred has been replaced with admiration. To be honest I don't know if I will ever be the girl that is completely at peace with her looks because I am quite insecure about my appearance. However my nose was a big part of me being self conscious. Since having the procedure I find that I am much kinder to myself and accepting of my looks. So for me it has been a huge improvement and completely worth it because of that. I can walk down the street and not feel like people are making fun of my nose. I can wear my hair up and not feel exposed. I feel more than okay with people seeing me from the side. I even have more confidence interacting with people. Before the surgery you don't really realize the magnitude of how things can really change for the better in ways you wouldn't imagine. I am debating a new hairstyle too. I really want to go shorter because first of all my hair is super damaged from dying it a lot and second I just feel I now have the confidence to go for a different look:) I feel like my hair no longer suits my face. From reading some other reviews it sounds like a few others have made changes to their hair following the procedure as well.

I have a few questions regarding the recovery at the one month mark.

1) At one point did you stop sleeping with your head elevated? I have continued to sleep with 3 pillows under my head so my head is fairly propped up. I worry that the swelling will persist if I don't.

2) With regards to sun exposure do you always wear a hat? I have been really careful about applying a high spf and trying to wear a hat but is wearing a high spf enough?

3) I've been breaking out around my nose a lot and been wondering what I can do to help with that? Usually I use the clarisonic but my nose is still way to tender.

4)For those of you that have had an open rhinoplasty did you continue to put anything on the external scar? They said to put polysporin on it for a month but what about after that?

5) I still have some troubles with my breathing and my nose gets really dry. I know it is still early on but was wondering if anyone has tried using a humidifier at night. If so did it help?

If anyone could help me out with any of these questions I would appreciate it:)

Have a good weekend everyone!

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Hi Sahara! I really enjoyed reading your story and especially your most recent update. It is so amazing to see the difference from your first post (using your hair as a "blanket") to this new one (where you're thinking about a shorter cut)! Enjoy this new confidence! Your new nose is beautiful. Congratulations!!
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Thanks so much Catherine. After seeing your comment I actually reread my first and most recent post and it is a huge difference in terms of the confidence! Wow. I am looking forward to hearing more about your experience. Keep us posted:)
Hi & congrats!! What a beautiful result. I think I stopped sleeping elevated around the 2 month mark because under my eyes were looking hollow, I don't worry about a hat so much anymore but use a sunscreen, I just use a good moisturizer for the scar issue and use the saline spray occasionally as my nose does seem dry. By the way, I will be 6 most post-op in two days. Sounds like you are doing really well, now all there is to do is wait for the next few months to pass for the remainder of swelling to dissipate. Take care!
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More before pics!

I was sifting through some photos the other day and found a bunch of my old nose and all its glory:) It's pretty amazing how you almost forget how it looked before once you start becoming accustomed to the new nose. These photos are a good reminder at how far things have come and how happy I am with my decision to do this!

I have my 2 month post op appointment in just under 3 weeks. I am really excited for it! I can't wait to wear sunglasses again. My eyes are really sensitive to the sun so it's been harder than I thought going without (small price to pay for a nicer nose though). I am going camping tomorrow so will be loading up on sunblock and probably wearing my hat all weekend. Will post more after pics next week!

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About 7 weeks post op and more pics.

Hey everyone! I can't believe that I am close to being 2 months post op. In a way time flies but in another way it seems to stand still while you are waiting for swelling to go down especially. I am very happy with my nose but still hoping that the swelling will go down more from the front view over time. It just seems really wide. I know that it is likely that my nose will likely never be 100% straight which is completely okay. My doctor had discussed this with me. It is such an improvement though. I have my 2 month follow up on August 12th. I will be asking about the swelling on the left side as it seems significantly more swollen than the right.

I have stopped taking as many photos. I think it's really easy to start trying to monitor the swelling and how much it will go down with photos. I got a little overzealous though and was taking photos daily to see if the swelling was better than the previous day. I also tried googling "swelling after 6 weeks" etc to see how others looked at that point. lol It got a little excessive. So I figure for me it's healthy to take pictures weekly for the first 3 months and then monthly after that. I am a bit of an impatient person naturally but this surgery has really taught me that you need to have patience and that it will take time.

I was wanting to know if anyone has had problems with acne and breaking out after surgery? I've never had good skin and have had acne problems on and off since the age of 13. However I went on accutane and things seemed to really improve. I went off it a year ago and my skin has been doing well up until now. It started flaring up about 6 weeks post op and the weird thing is that it's not bad around my nose. It's the rest of my face! I was surprised that my skin was as clear as it was immediately after the surgery and especially after the cast removal but now it seems like it is back with a vengeance. Has anyone had anything similar? I will post updates after my next appointment.

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I think your nose is looking great as are you :) I've has problems with my skin too and was on accutane about two years ago. Since that I've only had a mild case of acne, but since the surgery it's flared up a bit again where the cast was placed it's all broken out. I'm hoping it will clear with my skin care routine soon.
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Aw thank you! With the acne it sounds like others have experienced this as well so let's hope some clearer skin days are to come:)

2 month follow up appointment

I met with my doctor on Monday for my follow up appointment. They took the photos which I am really excited to see! The appointment went well. I still had some dissolvable stitches remaining in my left nostril so he took most of those out. I brought up the fact that sometimes I will blow my nose and there will be a few blood specks on the tissue. He said that this was normal.

I spoke with him about how it seems like my left nostril is visible from front view but my right nostril is not. He took a look and kind of studied my nose and said that the apex on one nostril is higher than the other but there was nothing that could be done about that. Which is completely fine with me. I would take this nose over my old nose any day! The doctor did say that this was something that other people would not notice. He said with his rhinoplasty patients they are looking at their noses constantly(then he said he would be doing the same if he had the procedure done) and they notice a lot of little things that they might not notice before or things that no one else would pay attention to. It's interesting because I looked at my before pictures and sure enough it looks like one nostril is higher than the other but I had never noticed. Probably because my nose was so long and big that it covered most of my nostrils.

Lastly, I mentioned that I felt like there was still swelling in the tip. He felt my nose and confirmed that and said that all of the swelling should dissipate within the next year, but he did say that the results will be very gradual and I would likely not notice the subtle changes over that time. I was hoping he would say 6 months but I have repeatedly heard that final results can be seen at one year so I wasn't surprised. Just have to keep being patient. I'm actually a really impatient person so I think this procedure has taught me the art of patience (at least in this case:)

I get to wear sunglasses again so I am excited for that! I missed them. I'm also finding that my breathing is a lot better. For awhile I was concerned that I wouldn't be able to breathe properly out of my left nostril but it has gotten much better. I still worry that I am going to bump or hit my nose-Does that worry ever go away? Sometimes I feel like I am being paranoid.

When I get the photos from the doctors office I will post them on here. For now I just have some front view ones that I took.

5 Comments

What a beautiful young woman! Thank you for your thorough step-by-step account. Imagine how helpful that will be for patients going through the same stages! I'm sure it will help them take it all in stride. I've recently had a different procedure with Dr. Buonassisi and was delighted. I love how positive all his reviews are. It's as if his patients are as nice as he is! I know how it feels to be bothered and preoccupied with a feature and what a relief it is to look in the mirror and be fine with what I see. Thanks again for taking the time to write all that you did.
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Thanks for your kind message Catherine! I hope the reviews will help others. This site is such a great resource. I completely agree with you about Dr. Buonassisi. He is incredible at what he does and I was really impressed with him as well as the rest of the staff. I looked at your review and your pics and you look great. Really nice results!:)
Thank you! And just think how we can encourage others to do what feels right for them and help them walk through their fears along the way. I'm sure we all have thought long and carefully before we made our decisions and didn't take the matter lightly. You said you'd been thinking about surgery for ten years, I think. So nice to have done it and be able to move forward, isn't it?

3 and a half months post op

I wanted to give a bit of an update because I haven't in a little while. Things are going well! I've had a bit of a cold so my nose has seemed a bit more swollen than normal. I was concerned that I would irritate it because I have been sniffing and blowing my nose so much. It's weird because before surgery I could never really blow my nose. I have no idea why but I just could never do it properly no matter how hard I tried. So now after surgery for whatever reason I am able to blow my nose like a champ! It's something I didn't really give a lot of thought to before hand but it is an unexpected positive outcome.

Other than the people I have told about my surgery no one else has noticed the change. Even some of the people I told forgot about it. My mom's friend said I looked beautiful at a dinner we had and a few people have said that I am looking good but that's it. It's kind of a positive thing because it makes me feel like it looks natural. I did expect that as well because that seems to be the common reaction-people think that you look good but they can't pinpoint what it is. For me the change is really obvious(in a good way)but for others it isn't. A lot of times I think people don't pay attention to things as much as we think they will. Even with my nose beforehand. I felt like everyone was staring or making fun of me but it was me that paid the most attention to it because I was so self conscious. I just wanted to share this because for some people it may be disappointing if others don't notice but take it as a compliment. To me it means that it looks natural. That you still look like you but with a prettier nose:)

I'm posting some pics that I took the other day. Does anyone know what software/ program you would use to create a "collage" of side by side before and after photos? I tried using photoshop but couldn't figure it out.

9 Comments

Your new nose makes you look way younger!!! Crazy how a single feature can do that, huh? :)
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You look terrific. Did you have chin work done too?
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Vancouver Facial Plastic Surgeon

I chose Dr. Buonassisi after extensive research online. His reviews were excellent, before and after photos looked natural, and the 8 West website was incredibly informative. I also just had a strong gut feeling that this should be the doctor that works on my nose. During the consult he was great with answering all of my questions. He told me what he could and couldn't do and was great at explaining things. I enjoyed his sense of humor, professionalism and honesty. He made me feel very at ease before surgery. The staff at 8 West are very welcoming and supportive as well. Mandy and Angie were more than happy to help with any questions or concerns I had. I ended up having Septo/Rhinoplasty and am completely amazed by the results so far. They have completely surpassed my expectations. This doctor is incredibly skilled in his profession. I am so happy that I chose Dr. Buonassisi and would highly recommend him to anyone considering a procedure like this. You will not be disappointed.

5 out of 5 stars Overall rating
5 out of 5 stars Doctor's bedside manner
5 out of 5 stars Answered my questions
5 out of 5 stars After care follow-up
5 out of 5 stars Time spent with me
5 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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