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POSTED UNDER Rhinoplasty REVIEWS

I did a ton of research, and I was very confident in my doctor, but this happened :(

ORIGINAL POST

After 10+ years of contemplating a nose job, I...

laura_lee
After 10+ years of contemplating a nose job, I finally started looking into it this year. t's been an exhausting (and educational) process so far, but I am finally ready for my surgery! I tend to write a lot... so if you feel like reading super long amateur blogs, feel free to join me on my journey from humped, wide, bulbous tip nose, to something more feminine.

Lets start with my search for a doctor. I went to 4 consultations total. After a few days searching the internet, I got a consultation with a Dr. right away in Newport News. I won't say his name, but I think all his google reviews were fake! I was rushed during the consultation, the staff was borderline rude, and he didn't seem to enjoy his job. Um, yeah... not the kind of people I want cutting into me and having complete control while I'm asleep!! Next, I tried Dr. Carraway. Super knowledgeable guy! The consultation was rushed (I talked to him a total of 5 minutes before he was told another patient was waiting, and he left), and his nurse was extremely rude, but the surgery scheduler was friendly and answered all of my questions that the Dr. didn't have time for. I hoped that the Dr. and his staff would have more time for me at the next appointment because when I found out I could actually afford him if I took a cancellation, I was excited! As far as I can tell, he has a good reputation, and I was impressed with his knowledge. I was told I was first on the list for a cancellation appointment. She made it sound like cancellations happen all the time, so I waited a few weeks. Then I tried calling, but of course the scheduler wasn't in. I tried emailing and calling a few more times with no answer from anyone. I waited about 2 months, but never heard anything. So, I stared my search again. All I can say about Dr. Caraway is he is expensive, but they have all these discounts that make it easier (like if you get it done in the summer, or if you take a cancellation apt.). I think if they called me now and offered to do it for free I would turn it down. Who wants such a flaky and rushed office to do such a life altering surgery?! Not me!! They totally wasted my time. I could have recovered from a nose job by now. Also, the few before and after pics that the assistant showed me were very old. That made me a little uncomfortable. I want to know that my Dr. has done this surgery for years, and has done it recently. Anyway, I then searched this site for reviews on doctors because I was overwhelmed with all the options in the Virginia Beach area (and no longer believed the google reviews I was reading). I found one girl's review on Dr. Siegel from realself, and decided that was a good place to start. Dr. Siegel seems like a very nice guy. The staff was friendly, and he seemed knowledgeable. He has an in office surgery center that is certified just like the hospitals around here. I don't know all the technical terms, but I did learn from all my consultations, that in office surgery= a great way to save money! When you compare anesthesia costs for hospitals to anesthesia costs to the in-office surgery centers, it is about half the cost for the exact same job. Anyway, I did like Dr. Seigel and I was going to go to him, not just because of the amazing price, also because a friend of a friend knows him personally, and assured me he is a good guy. I went back to Dr. Seigel a second time and really had a hard time deciding what to do! I finally decided to see an ENT specialist as my last consult to compare what he said to the general plastic surgeons I had seen before.

Dr. Deutsch is the doctor I decided on in the end. My consultation was not rushed at all. In fact, he talked to me long after all my questions were answered. He personally showed me before and afters of old and recent surgeries he preformed. I could tell he enjoys his job and cares about what his patients feel and think. Everyone on his staff has been wonderful so far! Dr. Deutsch does cost more than most the other doctors I saw (Note: this is not because of the surgeon fee, as his fee was very reasonable, this is because Dr. Deutsch's surgeries are done in a hospital and hospital fees are crazy!). It was a very hard choice because I have saved up for 4 years, and it was tempting to have some money left over, but in the end, I decided I couldn't let money sway my decision. I went with the Dr. that I felt the most comfortable with. Also, the Dr. did his best to get quotes from local hospitals and find me the lowest estimate. I really appreciated that as otherwise I wouldn't have been able to use him unless I wanted to go out of my budget.

I have one more appointment before the surgery, but I feel completely at ease. I wish I could do this tomorrow. Luckily, l only have to wait a few more weeks!!

laura_lee's provider

Brian D. Deutsch, MD

Board Certified Facial Plastic Surgeon

laura_lee rating for Dr. Deutsch:

Overall rating
Doctor's bedside manner
Answered my questions
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Replies (14)

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May 18, 2014
Glad that you went on multiple consults and did your homework. Thank you for sharing with us and I hope you keep us updated. Good job on the editing (I don't know how) the photo. Sounds like you've put a lot of thought into this, which is great. Best of luck!
May 18, 2014
Faith, Thank you for your kind words! I hope my nose turns out much better than my edited photo, but it was fun to mess around with and see what it could look like.
May 18, 2014
After talking to all these different surgeons did they all talk about doing the same technique (open vs closed)? My surgery is on May 28 and I am so afraid of open rhino. I really woukd rather the closed approach. I know the surgeon is the one that needs to decide that. Do you have any good tips that might help me or anyone else who's so nervous?:)
May 18, 2014
Sunflower, I was told open from all 4 surgeons. I have a lot of different issues I want fixed, so it just makes sense. Open is more scary to me as well, but I think the end result will be better because the doctor can more easily see what he/she is doing with open. What scares you about open? Is it that the scar will be visible for a while? I personally would rather that the doctor is completely able to see what they are doing! We are having surgery on almost the same day! I can't wait to see your results!!
May 19, 2014
Hi, relax, don't be afraid! you will go to sleep and wake up quick as a wink and go home to Hi, having done it twice, Im an expert! relax and heal. Make sure you have everything you need in the house for at least 2 days. You won't want to go out and have to shop etc. Its painless and the worst is the small bruises you may get under your eyes that can be covered by concealer. Take arnica if your doctor advises to stop bruising. (I get headaches from it so test it first!) I advise against taking any narcotic pain killers they may give you. they can make you vomit and you really don't have pain. Be prepared to see the bandages and bruises post op. Its a very short duration but you'll probably look a bit battered. Overall in a week you will jump for joy that you have the face you wanted! A nose is everything! Don't be afraid, think of your favorite place as you go to sleep! Mine is a warm beach and I imagine I'm laying in the sun! You'll be surprised how easy it is! Good luck!
May 19, 2014
you should read the post on Make Me Heal by MissJ re: open vs. closed, it is very informative.
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May 19, 2014
I am happy that you took time to research doctors and educate yourself about the procedure. All the best to you. Looking forward to reading your updates.
May 19, 2014
Thank you! It was fun to read through your profile. Thank you so much for all of your advice. I learned a lot, especially from your must have items list. I am a side sleeper as well, and I am NOT looking forward to sleeping upright and then on my back. How long do you have to sleep on your back anyway?
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May 19, 2014
Hi Laura. I'm glad my review is helpful and you enjoyed reading through it. I slept upright and on my back til my cast came off (8 days).
May 19, 2014
ONE MORE THING! ENT doctors are NOT plastic surgeons! GO TO a board certified plastic surgeon ONLY! you risk destroying your face! I know a girl who went to an ENT and bled like crazy afterwards! You also have facial nerves to protect! Be diligent, and having worked in medicine, I can tell you sometimes the nasty doctors are the bEST! You're not there to make friends you're there to have an EXPERT SURGEON work on your face! If his work is GREAT then go for it! Forget personalities thats irrelevant! Good luck but heed my warnings. XO
May 19, 2014
I disagree. I would rather have an ENT work on my nose as that is their specialty. They know all about the nose and how it works. Most plastic surgeons work on many parts of the body and do not have (at least from my research) as much experience in doing rhinoplastys. As you can see in my blog, I met with both ENT and plastic surgeons, and in the end the ENT was the best choice for me. Logically, I think an ENT would know more about facial nerves than a plastic surgeon, but either way, I have not heard of facial nerves being an issue during a rhinoplasty... have you? Also, I think personality should play a factor. If the doctor is rushed, extremely pushy, has rude staff, doesn't listen to your questions and concerns, and or doesn't seem knowledgeable, then what makes you think they would do a good job during the surgery? If they rush the consultation and don't listen to what you want, then they will most likely rush the surgery and "fix" it the way they want, not the way you want, and when you wake up in pain, do you want someone to take care of you and get you what you need to heal your best, or a rude staff member who doesn't care about you and the way you heal? I personally am not going to give my money to, or put my nose in the hands of a doctor with a bad personality or a doctor who has rude staff. But, that's just me :)
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May 19, 2014
Thanks for starting your story on RealSelf! Excited for you!
UPDATED FROM laura_lee
7 days pre

1 Week to Go! Still deciding if I want the profile to be straight or slightly sloped...

laura_lee
Today at my appointment, we talked more about what I want. The only thing I can't decide, is to slope, or not to slope?! The Dr. said I can bring in a pic the day of surgery to show him just how straight or sloped I want the profile to be.

I like a slight slope on other girls, but I am not sure if it will look right with my face shape. While watching 24 the other night (the older ones, as I am just now jumping on the 24 bandwagon!), I was telling my husband how cute Kim's aka Elisha Cuthbert's, nose is. He laughed and said he was just thinking how strange it is, and that the new rule is... he has to approve the nose I am going for, since he also has to look at it the rest of our lives. Fair enough. I wouldn't want him to drastically change anything about himself without my opinion on it either. Anyway, I know its not your typical barbie nose, but I like the slight piggy/ski jump look on her. I believe she has had a nose job since the show as her nose is more narrow and less slope like in recent pics, but either way, I would gladly take her old or new nose.

It is my opinion that the slight slope makes one look more youthful. I think if I had a slight slope I would be very happy about it when I am older, but I am not sure if I want that for this decade. I am 30, and was recently asked if I had my parent's permission to take a sample at Costco lol! Granted, I am fair-skinned with acne, and I wasn't wearing any makeup, but still, do I want to look even younger? Do you think a sloped nose takes a few years off your appearance?

I will add some more before/after computerized photos and maybe you can help me decide. Again, I am not an expert at photo editing, so I hope my nose turns out much better than these photos, but if just focusing on the bridge and ignoring the nostrils and tip, does the computerized image look too sloped? Not enough? My husband says it looks pretty straight and he wouldn't call it sloped, so now I am wondering if my idea of sloped is also different than the Doctor's.

Opinions are welcome!

Replies (4)

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May 29, 2014
Tomorrow is your big day! Good luck! I'm looking forward to following your story.
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October 22, 2014
I am having the exact same debate with myself....perfectly straight or slight slope? One looks more natural, as if I've had nothing done, but the other is so tempting. I am worried it would make me look too different, or that it would end up too sloped. Seeing as how you're post op, could you help me out with any advice on this?
October 23, 2014
I don't know if I am a the right person to ask because I am not happy with how my nose turned out overall. If I had to do it over again, I would probably say keep it natural (no slope) only because that is just one more detail that can go wrong. If I had just had the hump shaved down a little like I originally wanted to do (before I got carried away and thought of other things about my nose that bother me like getting the sides narrowed and the tip shortened), I might not have all the issues I have right now. Then again, the slight slope is one of the only things I do like about my nose these days, so maybe it is good I went for it. I would just say show your doctor pictures and make sure he/she knows what you mean by sloped! I found out after talking to my doctor and other people, everyone's idea of "sloped" is very different. I totally understand the temptation! All that money... and time... and the emotions you feel... I guess it just depends on if you want to take that risk, and how much you care about people noticing you got a nose job when its all over. I wouldn't stress about that though. I am truly amazed at how many people don't seem to notice I got anything done.
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October 23, 2014
Thank you! That was very helpful. You're right-- keeping it simple is a good plan. I can't tell you how many times I've gone to the hairdresser and told her what I wanted, only to leave feeling like I gave her too much information and got her confused. I think I'd be just as happy with a straight nose as a 'cute' one. I love your nose and how it came out, but we are our own harshest critics. I hope as time goes on you come to love it
UPDATED FROM laura_lee
1 day pre

One. More. DAY!!

laura_lee
I called the Dr. yesterday in hopes of getting an email address so I could send pictures. I started freaking out thinking that maybe I wasnt clear enough at my last appointment. Maybe he didnt really know what I wanted. I decided I would send him some pics and make sure he could SEE what I wanted. Yesterday his staff told me there was no email and I couldn't send him pics. I was a little distraught as I did not want to show him really quick before surgery and hope he remembers. I wanted him to see the pics today and really study them in advance. Luckily, being the caring Doctor he is, he called today and gave me an address to send my pics to. Wheew, now I can relax! I've done all I can do and it is in his (and His, meaning God's lol) hands now. I have triple checked my list of things for recovery and I am so ready to do this! 5 am can't come soon enough. I am fairly grumpy in the morning, but I have a feeling I will be all smiles tomorrow!!

Replies (2)

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May 30, 2014
Good luck!! So excited for u!
June 1, 2014
Thank you!