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Douglas J. Kibblewhite, MD

Certified Facial Plastic Surgeon
550 West Broadway, Suite 641, Vancouver, British Columbia
(604) 688-5900
Website
3.5 | 2 Reviews
90 Questions Answered
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QUESTIONS ANSWERED

Is removing turbinates safe or unsafe?

Asked By:AnonymousANSWERS (1)
Turbinates are critical for warming, filtering, and humidifying the air you breathe.  They should not be removed.  They can be conservatively reduced in size if felt to be a problem.  I would be an idea for you to look up "empty nose syndrome" on the net.
provider-Douglas J. Kibblewhite, MD-photo

Douglas J. Kibblewhite, MD

Certified Facial Plastic Surgeon

3.5 | 2 reviews

Why can't my deviated septum be fixed & nose not appear crooked? CAT SCAN in Italy reveals septum was never fixed? (photos)

Asked By:AnonymousANSWERS (1)
This is sounding complicated, particularly if you have had three operations already.
I agree your nose does seem to be quite crooked.
As well, noses get more and more difficult to attempt to repair after each unsuccessful operation.
In my opinion (other surgeons will have other opinions) you will require an open reconstructive septorhinoplasty with a rib cartilage graft on hand in order to give you the best chance of restructuring your nose.
This sort of surgery will require you locating a surgeon who specifically specializes in rhinoplasty and hopefully has a lot of experience in revisions.
provider-Douglas J. Kibblewhite, MD-photo

Douglas J. Kibblewhite, MD

Certified Facial Plastic Surgeon

3.5 | 2 reviews

Can a deviated septum in my right nostril cause my entire nose to lean the opposite way?

Asked By:AnonymousANSWERS (1)
Absolutely!  You are describing a classic development problem.  The tip of the septum is in the left nostril, the rest of the septum crosses into the right airway slightly farther back (that is your big red mass), and the nose is deviated the other way, to your left.  Interestingly enough, this left front right farther back pattern is quite a bit more common than the other way around, that is, right front and left farther back.
Closed rhinoplasty techniques are not very good at fixing the tip of the septum deviations, or the curvature.  Your nose can be successfully repaired with open rhinoplasty techniques, but they are not easy operations and you will require an experienced nose surgeon.
provider-Douglas J. Kibblewhite, MD-photo

Douglas J. Kibblewhite, MD

Certified Facial Plastic Surgeon

3.5 | 2 reviews

About 3 years ago I had a Septoplasty done and was not pleased with the results. Should I consider another surgery?

Asked By:AnonymousANSWERS (1)
About 10% of patients having septoplasty surgery will find that their breathing is not improved.  There are a number of reasons for this, and you might want to consider returning to your original surgeon, or seeing another surgeon with experience in revisions, to get an informed opinion.
Revising septal surgery is usually more difficult than the original procedure, and you again have a 10% or greater chance of seeing no improvement from the second surgery, even in the best of hands.
provider-Douglas J. Kibblewhite, MD-photo

Douglas J. Kibblewhite, MD

Certified Facial Plastic Surgeon

3.5 | 2 reviews

The bridge of my nose is uneven and wide. Would Rhinoplasty be especially difficult for my nose? (photos)

Asked By:AnonymousANSWERS (1)
Given the photos provided, you appear to have a bit of a dropped tip and dorsal bump.  I cannot see, in the photos provided, the other details that you write about.  Rhinoplasty surgery can deal with the bump and dropped tip, within the usual risks and expected outcome.  I wonder if the other outcomes you wish can be achieved. What is an "alar sulcus"?
provider-Douglas J. Kibblewhite, MD-photo

Douglas J. Kibblewhite, MD

Certified Facial Plastic Surgeon

3.5 | 2 reviews

Tip wide and swollen even after steroid injection. (2 months post-rhinoplasty). What to do? (photo)

Asked By:AnonymousANSWERS (1)
Rhinoplasties take at least a year for the swelling to settle, particularly tip swelling with an open approach.
It is too early to panic.  Continue following up with your surgeon.
provider-Douglas J. Kibblewhite, MD-photo

Douglas J. Kibblewhite, MD

Certified Facial Plastic Surgeon

3.5 | 2 reviews

Can my upturned nose be fixed so I look less piggy? (photo)

Asked By:AnonymousANSWERS (1)
Yes this can be helped with a further procedure.  I write from Canada, and like the NHS, the surgery is for appearance and is not covered under public health insurance.
provider-Douglas J. Kibblewhite, MD-photo

Douglas J. Kibblewhite, MD

Certified Facial Plastic Surgeon

3.5 | 2 reviews

Rhinoplasty done with a L shaped silicon implant and corrective surgery?

Asked By:AnonymousANSWERS (1)
Silicon L shaped implants are very very commonly used in southeast Asia, often implanted in "clinics" that are little more than a storefront.  Most of them do OK.  There are no known long term adverse effects from solid implanted silicon, except a few percent of them either get infected (even years later) or come out through the skin.  These are the ones we see in Vancouver, with our huge Asian population, but these complications are uncommon.  If you are satisfied with the appearance of your nose, I would suggest you leave it alone.  Other grafting materials (rib or ear cartilage, etc) have their own problems associated with their use.
provider-Douglas J. Kibblewhite, MD-photo

Douglas J. Kibblewhite, MD

Certified Facial Plastic Surgeon

3.5 | 2 reviews

Is it difficult to restore the width of the nasal pyramid? (Where the bone meets the cheekbone)

Asked By:AnonymousANSWERS (1)
This is a difficult problem.  Most rhinoplasty techniques deal with the top of your nose (the vault).  It is possible to move the point where your nasal bones meet your cheekbone outwards into a more normal position; but this involves implanting 1.2 mm titanium microplates to keep the bones in this new position.  I have done this in three patients, out of about 2000 open noses that I have done, so it is very unusual.
provider-Douglas J. Kibblewhite, MD-photo

Douglas J. Kibblewhite, MD

Certified Facial Plastic Surgeon

3.5 | 2 reviews

Can vicryl and PDS sutures still be in my nose after 6 months?

Asked By:AnonymousANSWERS (1)
Both Vicryl and PDS are commonly used dissolving stitches, and both are reliable.  PDS in particular will take at least 6 months to start to dissolve.  I have seen it last up to 14 months.  PDS keeps cartilage in position as it heals in.  Neither stitch causes much in the way of problems, and they do not normally cause infection or redness.  The body's reaction to the stitches as it dissolves them does cause some minor swelling.
provider-Douglas J. Kibblewhite, MD-photo

Douglas J. Kibblewhite, MD

Certified Facial Plastic Surgeon

3.5 | 2 reviews

Douglas J. Kibblewhite, MD reviews

Douglas J. Kibblewhite, MD

RATING DETAILS

3.5
2 reviews

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Douglas J. Kibblewhite, MD
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2 Results
2 days post-opSeptoplasty

Genuine581713

Feel amazing and it's only day 2 - barely any swelling or pain

I will post a fully healed one eventually but omg!!! This was the best surgical experience ive ever had and this is number 14 for me (not on my nose lol!!). Dr Kibblewhite has amazing bedside manner, hes a fun doctor that made me and my spouse feel completely at ease. I feel amazing and its only day 2. Barely any swelling, bleeding or pain. I was able to not take pain pills for past day already. Chelsea his receptionist is also amazing and has gone above and beyond to answer my questions pre and post op. I cant wait to have the splint off. Oh also i havent been able to breathe out my nose in almost 16 years, when i felt air there last night it freaked me out and woke me from sleep haha so nice! Again i couldnt be more happy! Septo-Rhinoplasty

9 months post-opSeptoplasty

danny604

9 Months After Septoplasty (Worse)

Ok so I’ve been struggling with breatheing and constant nosebleeds from the time I was about 12 years old, finally after many years I get the septoplastly surgery that my doctor recommended. Said it would make everything a lot better. After the surgery the doctor said everything went perfect and come back in 2 weeks to take the cast and stitches off. The healing process went like normal, couldn’t breathe at all because it’s so swollen and still healing. But I noticed my nose was noticeably straighter, I was happy and thought that was a good sign. Fast forward a month and a half I’m breathing a bit better than before the surgery. Ok that’s progress it’s sill healing right? Ya, after that I’ve noticed no inprovments in my breathing maybe like a 15% increase in airflow. But as the months went on I’ve noticed in group photos and the occasional selfies my nose was getting more crooked, to the point it’s more crooked than it was pre op!!! Now about 8 or 9 months later my breathing is HORRIBLE, worse than before.. and my nose is MORE CROOKED.. I like to sing and make music in my spare time and my septum is about 85% most days to 100% blocked and I sound weird. My sinuses have also been going crazy I get sneeze attacks.. I’m more self conscious about my nose now... went back to the doctor for the 6 month post op and he’s like yup it went back in place and the ONLY option I have is to get it redone and the chances are the same!!?? At this point all I want a straight nose!!.. I feel hopeless and it was such a BIG waste of time.. what are any other options to correct my deveated septum make my nose straight and breathe again ????????. Thanks to anyone who can shed some light on my situation it means a lot!

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