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If you trusted your surgeon in the first place, I say stick with that surgeon for at least the first year because you can't do anything really before a year anyway. Trust your surgeon. Go get second and third opinions but don't abandon your surgeon at like two weeks because your nose is swollen and your best friends tells you, "Why did you spend all this money? It doesn't look good."

Over time I've seen noses change, even after a year. I lecture around the world on rhinoplasty. I'm in the Rhinoplasty Society as a board member and we're responsible for helping educate patients and other surgeons around the world on rhinoplasty. It's the most difficult, challenging operation there is, and it's very important to go to someone who's truly an expert, in other words, they've done a lot of cases, they're comfortable with revisions. If you go to a surgeon that's a true rhinoplasty specialist and they do revision surgeries from elsewhere and around the world, they can certainly handle touching up their own work.

So I say stick with your surgeon and talk with him or her frankly at three months. At three months, you can kind of tell whether there's a possibility or likelihood of revision or not. If the surgeon had the skill in the first place not to completely damage your nose and you just see little things that are off or some areas that need to be collapsed or your breathing's not as good, that surgeon, if they're a specialist, should be able to revise his or her own work easily. So I'd say wait 'til at least three months. Talk to your original surgeon. Don't abandon him because unfortunately there is professional jealousy out there and if you go to a competitor, some of them are not as ethical and honest as me. They may badmouth the original surgeon and make you angry and angrier and make you lose confidence. It's very important how you handle a touchy situation like that.

Nose Job Gone Wrong: When Should You Decide If You Need to Fire Your Plastic Surgeon?

Dr. Ashkan Ghavami advises against firing your original rhinoplasty surgeon before the first year of healing has completed. He explains how quick decisions and professional jealousy between surgeons can often lead to even worse results.

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