Risk too great-The Nose Makes the Face - Washington, DC

I was the pretty girl but with a wonky,...

I was the pretty girl but with a wonky, asymmetrical nose. But people that I know and don't know told me I was beautiful all the time. Still, I remember the first time I saw my nose profile. I was 12 years old and I was surprised. I had never really seen my profile. I had a hump develop after puberty. At 17, I would look at my nose in the mirror and see what I could change about it. At 21 I had my first consultation, but decided after I was shown the simulation "after" photos that the typical change performed by surgeons was too drastic. I searched until I came across a top surgeon that I decided had a conservative approach. I wanted minor tweaks. A less bulbous tip. a slight reduction of the hump. I wanted to wake up and look like me but better. I finally had my surgery at 25.

The past 4 months have literally been horrible. I have thick skin, so the swelling was ridiculous. I looked absolutely hideous the first month. The swelling in the tip was really really bad. I didn't even recognize myself until I hit the 2 month mark. I became obsessed with taking pictures and trying to see progress. It was a big shapeless blob. Then as it started taking on its new shape, I realized how so many things change with a nose job: how you look in pictures, pictures with flash (I look worse in those at the moment), how you look under different lighting, how it can look natural under certain lighting but the "operated" look is definitely visible under others. More so, my dorsum was slightly over-resected, so I had the option of filing down the hump some more (which I did not want to do because, again, I did not want a drastic change in how I look, and the profile is usually the more obvious change) so I just had a restylane filler to fill the dip in the meantime until I can undergo a procedure to build the cartilage back up. Also, with my tip made less bulbous, my nostrils appear flared when I smile and highlighted my asymmetrical nostrils. I also developed indentations on the sides of my nose. It has brought too much negativity into my life, I became obsessive about every aspect of my nose, and it literally consumed my thoughts. I've avoided so many social gatherings because I have been so self-conscious. I don't think it's obvious to most people that I've had a nose job, and it's by no means an ugly looking nose or deformed in anyway. I just like my before nose better. I wish I had done LESS. If I could do it again, I would definitely NOT getting any tip grafts put in. I would just file down the hump and cut the muscle that makes my nose turn down when I smile. I realize how much I liked my nose and how it added to the beauty of my face rather than detracted. I also realize that with a new nose, there will be aspects you don't like about it, just like your old nose. There are too many risks involved and your nose can drastically change your appearance. If something goes wrong, you have to wait AT LEAST 6 months to do anything about it. A revision surgery is just added expense and has a longer recovery time. Also, when you make your nose smaller, you lose a lot of definition that can take a long time to return as the skin shrinks to the new shape. I don't know how I will feel about it in a few months from now, especially since the swelling is still dissipating and it's looking better each week, but I still feel that if I could do it again, I probably wouldn't.

No one can tell a difference

I had only told two people before my surgery. Afterwards, not a single person noticed, including immediate family members who live with me and my own mother who couldn't tell anything was different over video chat.

This past week, I decided to specifically ask two of my best friends whom I hadn't told before. Both have known me for at least a decade. Both said that I look exactly the same to them.

I have realized how much a cosmetic procedure messes with your head. I don't think I have ever looked at my nose as much as I have since my procedure. It is really toxic and for that reason alone if I could redo all this, I would not get ANY tip work done.

I also just saw my before and after pictures at the doctor's office. I am happy that I got rid of my hump, but I think my front profile looked better before :( I still have swelling, and I hope I will be happy with my results at the one year mark, but again, I wish I hadn't gotten any tip work done. It just wasn't worth it for me, especially now that it has brought more attention to my nostrils, which flare a little bit when I smile ( I had NEVER noticed my nostrils before my tip was narrowed).

I still think Dr. Chaboki is a fantastic surgeon and is the right choice for conservative surgery.

But, is all this pain really worth it for a change so minor? definitely debatable.

All tip jobs look fake

:( I wish I'd never touched my tip and never gotten grafts. maybe others can't tell at all, but I did this to feel better and now I just feel worse. My nose looks so fake under florescent lighting and today I was at the store and they had that security camera where you self-checkout and I was horrified by my reflection. It looks SO FAKE. I am utterly devastated by the results and my decision to undergo a rhinoplasty. I will have to live with this for the rest of my life :(

Too straight

Another reason I am hating my new nose is because it no longer has curves. Its like a straight stick and it looks really odd.

Botched tip

So at 5 months, I pretty much have come to the conclusion that my tip is botched. Here are some photos. I think the alar grafts are making it look even bulkier. I'm not even sure what to do at this point.

Inverted V Deformity

So I am pretty sure I have an inverted V deformity, which was temporarily fixed by the filler, but also internal nasal valve collapse as my breathing is getting difficult. I've also had a bad smell from my nose for over a month now. This is all just so stressful.

If looking for subtle change, it's not worth it

I feel like I traded one problem for 10.

My smile is still not 100% the same
my tip feels stiff as porcelain. I miss my squishy tip. Its painful thinking I won't be able to squish my face into my future husbands face like I used to. Thinking of getting the columnar graft removed.
The lateral crural strut grafts for breathing are STILL causing swelling and are hard as rock :(
I can feel the fracture line on one side
My alar creases are more visible and defined.
I HATE the way I look under florescent light...makes me sick to my stomach.
I still have to go in for surgery to rebuild the cartilage.

I'll take my hump and bulbous tip back in a heart beat.

To be fair...

I think the lateral crucal strut grafts are and the columnar graft are both causing a lot of swelling in my tip....I took pictures today because it looked like the swelling was down and it is a marked improvement. I had no idea grafts, even though they're from your own septum, cause so much swelling and delayed healing. I wish I had known that. I'd actually initially said NO to tip grafts then decided last minute after browsing through the Dr.'s galleries that they looked natural and maybe they're not such a bad idea. I should have done my research. I wish I'd known the columnar grafts makes your tip so stiff long term. I miss my squishy nose :( So will definitely be having it removed when I get my revision.

I think the fact that my bridge was over resected in the wrong spot set a really bad tone for how I feel about all this. It really did look odd before the filler (will add pictures soon)....I think they say something like beauty is a matter of millimeters. Dr. Chaboki told me he had taken off less than one mm, but it was significant enough that the whole nose looked off and made me look really different in comparison to my pre-op. I really love my high bridge, I just wanted the hump filed down.

On preserving ethnic beauty...

A scooped nose does NOT look good on everyone, especially some ethnicities. I know women who looked STUNNING before a nose job, but once they got rid of their high bridge, they lost so much of their beauty and their faces appear washed out, childish, and less defined. I often browse through before and after pictures and it makes me sad that so many women think they'd look better with a "westernized" nose. A raised tip and a scooped bridge do not look good on all faces!!! Just my two cents.

Too big of a risk

This is how I've come to think of it. If people tell you that you are pretty (strangers too) then you are probably seen as an attractive person. Let's think of it using a scale. You could go from an 8 to a 9 by having a successful rhinoplasty, but if something goes wrong, you could drop down to like a 4. The risk is not worth it! Rhinoplasty is one of the most difficult procedures and the results depend on so many factors. You could be in the hands of the best surgeon and something could still go wrong. Sure, my nose wasn't pretty, but my overall face was attractive, and I never got teased about about my nose.

Oh and...

the funny smell from my nose was due to an infection. The Dr. put me on antibiotics and now it's gone. I also went to him and I don't have nasal valve collapse...just a lot of internal swelling.

Revision at 6 months

So I had initially wanted to wait till after summer to get the revision, but my nose is causing me so much frustration that I really really want to get the revision done in June and just put all this behind me.

My mom is scared, said if there was a mistake the first time, how do you know the Dr. won't make another mistake and you'll come out with a worse looking nose?

Yes, I am really nervous. Before going into surgery I was actually pretty confident and completely trusted my dr that nothing would go wrong, but this time, I'm scared. I really need to get the bridge fixed. Pretty much my nose looks worse because the tip was narrowed and projected, while the top portion of the bridge wasn't filed down enough (and there is a dip in the middle that is temporarily camouflaged with a filler) so I have a really harsh looking nose and it makes me so sad when I look in the mirror. I emailed the Dr. and he said he would rather wait, but I have read that 6 months in enough time. I am not refining the tip so its bridge work and removing the collumellar strut graft. I told him I really, really want to get it done at the 6 month mark, so I am waiting on his reply.

Lateral Crucal Grafts

These grafts are from hell...I absolutely abhor them.

They have caused so much of the swelling in my tip and mid nose. I am SIX months post-op and they still show up in flash pictures.

I can still feel them and they are hard as rock

They exert pressure on the inside and are VERY uncomfortable, especially when working out.

hate.hate.hate them. I can't wait to have them out. I see most surgeons say they should not be visible...well, they are :( think twice before agreeing to them.

Revision in two weeks!

I saw Dr.Chaboki today, and I'll find out on Tuesday for sure if I could have my procedure in the first week of June. I am so nervous I feel sick to my stomach. I still trust him because ultimately the changes he made were so subtle no one noticed but me.

We discussed filing down the hump some more..I am actually now worried that he may not file down enough the second time around and I'll still be left with the hump. I'd be really, really disappointed. We also discussed removing the grafts that are making my nose look bulkier, and if possible removing the strut graft (which is difficult to remove with the closed approach so he may just trim it down).

I just still believe that finesse rhinoplasty is not worth it. Its not worth the price, risk or the recovery process. Obviously I wouldnt be saying this if I didn't need a revision...but so many people end up needing a revision after rhinoplasty, so again, there is that risk factor, and we're talking about the center of your face here.

Also, how come I can't edit what my previous posts? Can anyone tell me if thats simply not an option. Some of my earlier posts were typed when I was highly emotional and I'd like to edit them.

Lateral Crucal Strut grafts

Just wanted to show you guys how visible these grafts are. They are the two slanted lines running down the sides of my nose. I can also feel the edges on the inside of my nose. This picture was taken FOUR months after my procedure. it is a lot better now but they are still palpable and visible.

Lessons

I think I could categorize the last six months as one of the most anxiety-inducing periods of my life. The funny part is that no one really noticed I had a rhinoplasty except maybe one or two people, but I see all the changes, and though they are subtle, they made me look and feel worse.

Hindsight is 20/20, but here's what I took from all this:

1. make sure you really dislike your nose. Make sure you don't have a love/hate relationship with it because you may not like your results and will miss your nose. I thought I looked decent when I looked in the mirror, but I hated pictures of myself. I also miss a lot of the quirks about my nose. I ESPECIALLY miss having a squishy tip. I would give anything to have that back.

2. Which brings me to my second point. IMO, a subtle rhinoplasty is NOT worth it. By subtle, I don't mean natural. Everyone wants natural results (ok, most people), but like, if it's a difference so minor, like oh, my tip is slightly higher on the right side, and I want to make it symmetrical, it's not worth the risk, cost, or recovery. I think a big part of why I wanted a super subtle rhinoplasty was because I was scared of of a cookie-cutter nose, but I was also scared of being judged. If you really don't like your nose, go to a surgeon with an artistic vision who will show you what would look good on you.

3. Understand that if you change one aspect of the nose, you gotta change everything else so that it will be in harmony with each other. I only wanted to get rid of my hump but wanted to keep a high bridge, but I also wanted to reduce my bulbous tip. Having a smaller tip along with the high bridge made my nose look less soft and more harsh if that makes sense. My bulbous tip sort of broke up my nose into different parts but when it was narrowed it made my nose look longer.

4. Research, research, research. Read about the details of a how a rhinoplasty is performed. Research all potential complications. I had no idea what any of these deformities were until I became paranoid about my nose after surgery: inverted v, a pollybeak deformity, a step-off, saddle nose, open roof, internal valve collapse, etc. Know all of this and be prepared.

5. Choose a double certified plastic surgeon who is also an ENT, preferably. Make sure your surgeon specializes in FACE surgery. He may have excellent ratings but he may be really good at breast enhancement, for example, as opposed to rhinoplasty. This won't guarantee that you won't need a revision.

6. Ask for a computer simulation. Make sure you are completely satisfied with the simulation. Discuss every little detail. Ask lots of questions. I should have asked more questions about the grafts I was getting and potential complications. They left me with a lumpy nose and LOTS of swelling. Discuss the revision policy.

7. The recovery is NOT the same for everyone. I read so many positive reviews before I got my own surgery of how people were thrilled when they had their cast taken off, or even just a month post-op. I looked like a got hit by a truck when my cast came off. I had bruising for nearly two weeks. My tip was numb for weeks. My smile looked scary, and did not look natural for a while. The swelling was bad for months.Every time I would lie down I could feel my nose swell up. This lasted for 4 months. It was sooooo miserable.

8. Be prepared to possibly not recognize yourself. This was the most disorienting and the scariest part of this experience. The swelling just makes it all that much worse.

9. Your nose will become the center of your world and will consume your thoughts for a while. You will look in the mirror more than you have looked in the mirror all of your life. lol.

10. Have enough saved for potential complications. What if you're one of the 15-30% who needs a revision? Never thought I'd be getting a revision.

Profile

I still don't even know if this is a saddle nose deformity or what.

These after pictures were taken a little over one month post-op. It looks fine now because I had Restylane injected to fill the dip, and the swelling in the tip has gone down dramatically, but you can see why this caused me so much anxiety. Pretty much I was left with a much worse looking profile, a hump that looked more prominent, and a tip that was projected which just compounded how bad the dip in the middle of my nose looked.

Revision-Day 0

I thought a lot and prayed a lot about getting the revision done at 6 months. I met with the Dr yesterday to go over expectations and goals again. Today marks exactly six months since my primary surgery and I decided to go through with it.

I was extremely nervous and had to take sedatives for a few nights before surgery. I went in at 6am and surgery started at approximately 7:40am. I woke up from anesthesia around 2 hours later. The pain was around a level 4-5, so I was given some pain medicine. I fell asleep but woke up shortly afterwards because the pain was back, so I was given another dose, and quickly fell asleep.

I went home and slept for about 4 hours. I woke up feeling great. I have had minimal pain and no nausea. I have been able to eat normally, walk around, talk, etc. I have no bruising yet. the bone was rasped but not broken. I don't have any packing and my breathing is amazing. It's even better than it was yesterday before the procedure. So this is really promising. I remember my breathing was difficult and stuffy for a good month the first time around.

- The lateral crucal strut graft and the columellar strut graft were both removed. I hated how the former bulked my nose and the latter made my nose projected. It wasn't unnaturally projected at all, but because I have a long nose to begin with, I just preferred my natural projection better and thought the strut graft was extremely uncomfortable. I wish I had done my research about it the first time and stuck with no tip grafts.

The Dr was worried about collapse after removing the lateral strut grafts. I guess time will tell, but they were extremely uncomfortable so I elected to have them removed.

-The hump was rasped down some more but osteotomy was not performed.

- He did have to build up my middle bridge with crushed graft. This is what I am most worried about.

I do not have a cast, which is also nice. I guess now I just have to wait and see till it is removed in a week's time, and then wait for the healing process to reveal this nose.

Revision-Day 2

I am still sleeping a lot but overall have minimal pain. I've had no bruising either, just some swelling in the face. Actually, the only pain I have is a stomach ache. Probably from all the narcotics and medications I've been having to take.

Sometimes I wake up and think, is this really my life? I cannot believe I had to get a revision rhinoplasty. I pray that it is my final surgery because this is all emotionally exhausting.

Revision-Day 3

I took a sneak peak to see my nose underneath the tape and, well, I have a straight profile, and the tip was deprojected. This is promising. But the problem with rhinoplasty is that many people end up with a nice profile view and a worse front view. My front is naturally extremely swollen at this point and based on my first experience I can't really judge it until at least 3 months post-op.

I am completely regretting this whole saga. No one ever teased me about my nose. It just happened to be my biggest insecurity. I look at some of my pictures and think, well, I did have a reason to be insecure about it. It wasn't all in my head. But all I wanted was a one-time "finesse" rhinoplasty.

Now I am deathly scared that the cartilage that was used to build my bridge will show, warp, reabsorb, etc. I am scared of finding out down the road that I have an open roof deformity. It really feels like I have opened a can of worms.

I could not live with my post-rhinoplasty nose for another few years. Without the filler, it looked deformed. I had been reading about fillers and the damage they could potentially cause and did not feel comfortable getting re-injected. (please see this link http://deantoriumi.com/issue1-1.asp )

Yes, I took a leap by going with the same surgeon, and I am praying to God that I don't regret it. I do not have the funds to finance a revision, and my doctor was a facial plastic surgeon and an otolaryngologist and that was not a guarantee that I would not need a revision. I wouldn't even know where to start when looking for a revision PS considering I felt that I did my research the first time around in choosing a Dr. He worked with me and was willing to perform the procedure, so I went through with it. I am just praying so much that I won't need a third procedure. This all just saddens me so much.

I just wish I could rewind time.

Revision-Day 5: Tape is off

Dr. was supposed to remove it tomorrow, but I've taken a few showers and the tape has sort of fallen off. My profile looks NORMAL, thank goodness, It is straight (for now). This is how it should have looked the first time around. I am scared to touch it but I gently went over it and it does not feel smooth. I think even if it stays bumpy, if it looks normal and no indentations show after the swelling subsides then I will live with it.

I am pretty scared of how the front will heal. I do not have high hopes or expectations. I asked him to address the visible fracture line (it's so ugly), but I think it will still be there since he did not break the bones. I am also expecting marks/indentations in my skin where the lateral crucal strut grafts were taken out.

Overall, I still feel pretty sh*tty. I can see how rhinoplasty can do wonders for someone's self-esteem, but it seems like a hit or miss. It's a huge gamble. And I feel so unlucky that I am in the miss category.

It took two surgeries to come out with a hump-less normal looking nose (for now).

Now the long recovery process begins. In the back of my mind, I know that I may need a revision sometime down the road, but for now I will live with this nose and its flaws, just like I lived with my biological nose for 25 years. I think they will be flaws I can live with, as opposed to the nose after my primary.

Will post pics soon.

This is why I was insecure

Here are the official before profile shots. The hump was more prominent on the left side, and it looked the worst when I smiled wide.

post-Revision pictures

As promised, profile pictures. As I expected I wish he'd taken off a little more of the top bony portion, but I can live with this, and for now it means a much shorter recovery since no bones were broken.

Yes, my Dr is really conservative. I just went through all this crap to look 99.8% the same? lol

I saw the Dr today who told me that my nose was completely straight when he finished the procedure, and that the bumpiness is where the cartilage is swollen right now but it should come down.

I am pleasantly surprised by how little swelling I have :) Really, really happy. I am only 7 days post-op and I look presentable and quite good even to myself!

My first recovery experience has really scarred me and I am just so happy I don't have to go through that again.

Most of the swelling is in the sides where the lateral crucal strut grafts were removed. Really, they make me so angry. I will now have scar tissue because of them. They are intended for functional purposes to prevent external valve collapse, but I don't think they should be used in a primary unless you already have bad collapse. I am so mad at how much they really prolonged my healing, were uncomfortable, and had visible edges on the inside and outside, and also it kept getting crusty inside my nose where they were inserted. Seems like some PS love to use them and say they will "refine" a bulbous tip. I guess I'm one of those people who had a bad experience with them.

Overall, while this experience has really caused me so much depression (even people with no need for a revision often suffer post-op depression), I am SO grateful because it could have been so much worse. I would rather have a PS who took too little than too much.
Though ideally, we all just want to have ONE procedure.

What I appreciate about my Dr is that he really respects and wants to maintain/improve the functional integrity of the nose, so he really is concerned about your breathing ability more than the cosmetic portion, which is why he is a great ENT. I can breathe at night, no post-nasal drip, no tonsil stones (he removed my tonsils-worst recovery but best decision of all the surgeries I've had), so for those things I have to remind myself to be grateful and just move on.

Now that the revision is over with, I am looking forward to finally being a normal person whose life isn't revolved around her nose :)

Disappointment

its been 4 days since I've updated and 11 days since my revision, which was minimally invasive so there was very little swelling.

My swelling is almost 90% gone, which is the bright side of things I guess. Its also a huge relief that the grafts are out.

I am sorry to say that I am disappointed :( There is still a slight dip above my tip :( I was hoping I would be completely satisfied but was half expecting something like this to happen, but I wanted to at least have an improved nose until I could save up to go to another Dr for a revision if need be. It's definitely a big improvement over that deformed- looking profile I had post-primary...looking back, I cannot believe I did not get a second opinion and waited 4 months to get a filler (and paid for it), but then again I was going crazy and I literally did not see anyone until after I had the filler injected :(

I also never mentioned that I've had a really swollen columella since my primary. I don't know if this will improve with time.

I have requested the operative notes and will be scheduling a consult in a few months.

I may, however, end up choosing not to get a revision at all. It definitely won't be happening for a while if I do.

So there it is, $7600 total down the drain along with my natural nose and self-esteem.

Thoughts?

So I found a picture that is similar to my nose tip and how it was narrowed. Is it just me or does a wider tip suit this type of nose better? I feel like a narrowed tip makes the nose look longer and harsher? Am I crazy?

http://www.drlamperti.com/blog/post/how-else-to-refine-a-bulbous-nose

Probably will be getting a revision.

So I just cried my eyes out because, yes, I will need a revision. It's really disappointing that my Dr was/is not meticulous with his work. I don't regret the "touchup" revision. It is a definite improvement, and the good thing is I won't need a filler in the meantime, which are unsafe in the nose. I will now start saving up and narrowing down a list of revision drs I will be consulting with.

Nasal Valve Collapse

So I am in the process of researching a revision Dr.
I emailed one revision Dr and sent him my post-primary pictures and he replied saying:

"the change in nose position is classic for valve collapse"

This pretty much confirms what I thought before. I do believe I still have it after the touchup revision. My breathing gets really, really difficult when I exercise.

I look in the mirror or at pictures of myself and I get this feeling that I just want the earth to open up and swallow me. I went from a nose I mildly disliked to a nose I absolutely hate. Its funny because I pine for my old nose now. I look at pictures and think "My God, your nose suited your features so well! What were you thinking!" I really don't know how I took the plunge and trusted a surgeon with my face, and despite his qualifications as a facial surgeon and ENT I still ended up with all these complications.

Add to that that I have a hanging columella and retracted nostrils.

This is definitely my biggest life regret and my most expensive mistake.

problems that will need to be addressed

-internal valve collapse
- droopy columella and Alar retraction
- I want the dome binding sutures cut to partially restore my tip
- visible fracture lines
- residual hump

Do you guys have any suggestions on important questions to ask a revision Dr? I have consults scheduled for the end of July and one in the beginning of August.

I had very mixed feeling about my surgeon initially because I kept getting told that swelling was to blame and I did not know what half of these issues were and only after much research was I able to pinpoint why I hated my results so much. It is very clear I had very lousy results due to lack of skill on his part. Really upsetting and life changing.

The Assymetrical Nose

My tip used to be more bulbous on the left side than the left, which masked that my nose was crooked. So I've noticed that now that its been narrowed, my whole nose looks crooked to the right. Another issue is that with the hump gone, my nose looks longer, and I don' like it. Will be curious to see what solutions the Drs I'm consulting with will suggest.

Did a video comparison

Today was very emotional for me. I took some pictures and the dent in the nose is back completely..started crying in the car. It helps that some of the bony portion was filed down, so it doesn't look nearly as bad, but still enough to make me avoid pictures and to be self conscious of my profile around people (more so than pre-op, ha!) :( My alar retraction/droopy columella has gotten worse. The dent and retraction show more on my left side than my right. Yay for an asymmetrical nose. My left side was always my worse side. I think that may be part of the problem too...the bone needs to be filed down on one side more than the other. Overall, I now do regret getting the revision. It should have been a pretty simple fix, most Drs I've emailed/met have told me so. But I think if your problem post-rhinoplasty is not simply a "touch-up" to improve overall results ESPECIALLY if it's a tip problem you shouldn't get it fixed with the same surgeon. Just don't. Save up and find another surgeon.

I emailed my Dr. telling him I was really upset and he called and left a VM and replied to my email saying he gets upset when one of his patients is upset, which is really nice of him. I think a lot surgeons just flip on you and lose that positive attitude once you tell them you're unhappy. But again I still have this problem that is my nose and it's taking a toll on my emotional well-being.

I took a video today and compared it to one pre-op. I *think* my tip looks better. Yay for something positive. I say *think* because I still don't like how it looks under certain lighting. My nose was more of an /\ shape and now it's a || shape, but my nose is too long for an || shape. I'm still not sure if I will have it shortened. Also, it took a REALLY long time for my brain to adjust to the new tip. Probably because the swelling was out of control in the beginning. There is still something weird about the dome-binding technique that I don't like. It looks strange under certain lighting. Honestly, comparing the videos, I don't know how no one noticed, but I realize now that most people don't memorize what your features look like, and unless you go from a big nose to a little nose, they won't even notice you had anything done.

I also realize how I have so few videos of myself pre-op. Like maybe 5 total. I did take a lot of pictures but it's not the same. It's so much easier to see the difference via video.

If you plan on getting an operation make sure you take some videos of yourself and under different lighting too.

Just overall I have very conflicting, confusing feelings. The love/hate relationship I had with my face is very confusing for me. The operation definitely negatively impacted my self-perception and brought to surface a lot of insecurities. There is a reason that I hated people taking candid photos of me, yet at the same time, I was pretty confident overall, felt pretty a lot of times, got complimented often, never had a problem dating etc...It's almost a schizophrenic self-image. I still can't wrap my head around it.
Washington DC Facial Plastic Surgeon

He is professional & answers questions promptly and I never have to wait more than 5 minutes to see him at his office. He saw me the day after surgery and gave me a call in the evening. He replies to my emails within 24 hours and his attitude has not changed post-surgery. He still takes his time to talk to me. HOWEVER I am VERY unhappy with the results. My top concerns: My middle nose was over-resected, so I had a dip in the middle of my nose, causing nasal valve collapse, which I had to get restylane filler for until I get a revision, while the top bony part was not filed down enough. I have a huge droopy columella and alar retraction. I also have a visible fracture line. The lateral crucal grafts made my nose bulkier. Overall I was left with a much worse looking nose. I had a revision with him 6 months post-op..made the profile somewhat better, took out the grafts, still left with 70% of the problems that need to be addressed.

1 out of 5 stars Overall rating
4 out of 5 stars Doctor's bedside manner
3 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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Hi Peonia! I'm really glad you posted your experience - I too had a nose job that I wasn't too happy with. I actually needed to correct a deviated septum but also wanted the tip refined a little. Well, I got pretty much what I asked for but even that little, subtle change at the tip caused me immense amounts of grief since it turn out to be all that flattering in my opinion. And like you, no one even noticed I had anything done, but that didn't stop me from obsessing about it constantly (and I still kind of do two years later)! I think one thing that most of us don't consider when we go in for that "little improvement" here and there is the emotional toll it will take on our psyche when it doesn't turn out well - even if no one else notices that we had anything done. It's draining! Anyway, I just wanted to send some positivity your way and let you know that there is yet one more person out here who knows and understands what you're feeling. I hope you find a solution that you are comfortable with and that makes you happy!
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Hey, how are you? I feel for u every time I read an update & just wanted to send some love your way. I hope you find the best solution to your dilemma but in the meantime I do hope u retain some of that brilliant confidence that u had even pre surgery. Life is short and as u said u were already pretty & complimented anyway. So I hope that carries u through this time until you can realize your ultimate dream. :),, peace to u
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Thank you so mjuch kpeton. I really appreciate it. Frankly, this is my only venue to talk about this freely. I post a lot but its almost like my private diary with all these amazing people helping me keep my spirits up. The support has been much needed. My family and friends can't relate to what I'm going through.
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I'm sorry you are going through this. I too live with a really bad nose job so I really understand how you feel and how it is impacting your life. I never had a negative self image before (I wanted to do a minor alarplasty and septoplasty to improve my breathing) and now I am left with a mashed eggplant in the middle of my face. I don't think you are being "obsessive" with your nose. I feel the same was as you. I am angry with myself for doing a completely unnecessary surgery in the first place and secondly, trusting a surgeon who never explained anything or seemed to listen to what I asked him. Believe me, this is not in your 'head', I've been told that by my surgeon. They say that to discredit you and kind of shoo you away. Your pain is very real and justified. PERIOD. I hope you will be happy with your nose one day.
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Thank you so much and I'm so sorry you too have suffered. It has truly impacted my life in ways I could have never imagined. I developed social anxiety and literally had nightmares about it. I can't even breathe properly when I work out anymore :( I am angry with myself as well for not realizing how big of a risk I was taking even if my surgeon seemed to have the proper qualifications, and for not being more diligent about researching the details of a rhinoplasty and asking more questions. I think what is done is done and we have to forgive ourselves, and see what can be done now. I am trying to get back to working out regularly like I used to although I have to wear breathing strips. I also am taking herbal supplements and vitamins to help with my mood, and just trying to see the light at the end of the tunnel. I will go on consults and see what my options are. I am impatient which makes this process soo difficult. I hope you too are looking into finding ways to correct what was done and will be happy with your nose.
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You are so right; I'm actively working on forgiving myself for making the biggest mistake of my life. At the end of the day, I did my research and chose a seemingly top-notch (!) surgeon. But I did one thing wrong: I didn't listen to my inner voice that keep screaming at me to run for my life....These qualifications,Ivey-league, double-board, triple-board certified , etc. mean nothing when the surgeon doesn't listen to you and even worse, doesn't even care. My surgeon told me to stop looking at the mirror and that no one else is noticing that my nose is crooked but me unless they look at it very closely! That, to me, was representative of his lack of empathy and the fact that he just didn't care what he'd done. As long as the cheque was cashed, his responsibility stopped right there and then. The psychological abuse that I was subjected to in the hands of my surgeon was even worse than the actual disfigured nose. I am glad that you are talking about it now. It took me almost 3 years to even attempt to get out of this dark, deep, depressing hole I was living in and share my experience. By the way, thanks so much for sharing your photos.
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On a side note: I have developed serious breathing problems, constant congestion, and crusty nasal passage that all came about a few months after my surgery. I find that nasal irrigation (with those nesi-pots or sinus rinse bottles) are helpful. Although the relief is temporary, it helps me to at least be able to breathe in the mornings when I wake up and I'm literally gasping for air.
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For me the breathing problem is extremely frustrating. I was an avid exerciser and it used to be my therapy/stress relief. Now every time I exercise, I feel so defeated and almost reduced to tears because its like another reminder of the negative impact this surgery has had on me. I'm using the sinus spray and rinse as well I have the crustiness issue as well where the incisions were made. Its extremely frustrating
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Like I said from a guys point of view I consider a saddle nose a boxers nose and you don't have that :p maybe you American girls are a bit more obsessive of their noses . Correct me if I'm wron g but wouldn't a third surgery be risky for even worse alar retraction? . I reckon money could be better spent on a boob job if your after a confidence boost . Not saying that you need one :)
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haha! I don't know, is it worse for alar retraction? I didn't have it before surgery. the droopy columella is pretty bad and I know I want it fixed. I won't get a surgery if there is a low chance of my concerns being corrected, so will see what the Drs have to say. Boob job?! Thats a surgery I definitely would never get! Gotta change the tires every 10 years...not going down that road :)
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From a guys point of view your nose looks good . Think you might be a bit too obsessive of your nose. I don't think it's botched . No nose is perfect
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Did you see my after pictures before the filler? Loll it looked like a saddle nose! No nose is perfect but I came out with a nose that looks worse than better. I have a dent in the middle of my nose. I appreciate your comment though I'm trying not to obsess about it and let it settle
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wider is better..I miss my older wider tip:(, my surgeon pinched my tip without my knowledge or consent. my hear broke the minute I read the op report. i need revision now..please share information with me.thank you
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Peonia, I checked out Dr. Boahene and he has excellent credentials. Training at the Mayo Clinic and on the staff at Johns Hopkins should definitely give you confidence in his skills and knowledge. He has extensive experience and certainly is a good choice to interview. Be sure to ask him exactly what he will do (what is involved) and what success he has had with such procedures. It is important to ask about any risks factors and what outcomes you can expect. I sincerely hope this works out for you.
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Skip Boahene-- look at some of his results.... I would look at Davis, Gruber (apparently great with revisions), and maybe check out D. Kim and Most in SF, both very qualified. I used Grigoryants for my primary and am thrilled with my nose-- even though he is not a facial plastic, I would venture to say that he does more noses on a weekly basis than any other surgeon on here...
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oh, and his noses look the best too ;)
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CoutureGirl, why skip Boahene? This is a revision to correct some deformities, so not the same as a primary. I am also considering Most in SF but Boehene is local and I'd prefer someone that I can see after the procedure.
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Look at his before and afters. I will PM you more information.
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Thanks so much Jmm1322. I researched him and was also impressed by his credentials. JH is one of the best hospitals in the country and his practice is focused on facial reconstructive surgery .
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Hi Peonia, I looked at the credentials of Dr. Sam Most and he certainly has an impressive background, so if you need another option, I guess that gives you one. There is something very comforting about being close to home, especially with the experience you've had. You have some good options, so go with your gut instinct. You have to trust this person above all. You have done your homework so I'm hoping your medical issues are resolved. Best Wishes
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Peonia- If Dr. Boahene feels he can't accomplish your results he will not take your case.
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Can you PM me more information too? I am considering Boahene
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Poenia
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Can you save up and wait until you can afford to fly to California? I see a lot of positive results with Dr. Grigorants. I hope your situation gets better.
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Thanks so much. I am saving up but will only go to a facial surgeon. I won't trust my face this time except with the best of the best. I am considering Dr. Boehene in Maryland.
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