Dr.Nahai was awesome!! I would definitely recommend him to others, I have on several occasions. I went to him July 2018 for a breast augmentation and he and his staff took lots of care and time to make sure I would be satisfied with the results, and I’m in love with my new B(•)(•)BIES!
I had blepharoplasty with Dr. Farzad Nahai (Atlanta) in February 2018. I am so happy not to have droopy eyelids anymore. I highly recommend him! I am only sorry I waited so long to do it. Dr. Nahai is incredible. He spends time with you going over the procedure and his follow up care is top notch!
Dr. Nahai is an excellent doctor! I was extremely satisfied with his work and I would certainly recommend him. He has fantastic bedside manner and his staff is very nice. Overall, it's a great experience to be treated by Dr. Nahai.
SUCH A GREAT DR ! Happy with my result and the staff is very sweet. GLAD I CHOSE DR.NAHAI ! He is great at communicating . Unlike other Dr's where they're in and out . But with him he was very descriptive and concerned. Payment Plan was great for me . I definitely recommend him to anyone. Happy that I can now feel much better with my profile.
Loving my results so far. Perfect incision line, low enough to be covered by bikini. No issues. Very happy patient :) He has called often to check in on me, which I love bc I am 2 hrs away from him. His staff is super friendly and helpful. I arrived at hospital so nervous but was quickly out to ease by him and the team of nurses. So glad I did this, ready for swimsuit season this year! Finally loving my body again after kids!
After 3 children, all C-sections, I'm ready to do this for myself! I will be 30 in January so this is my present to myself. I have found this site SO very helpful! I look forward to my new journey. 36 days left till my consultation! My background: After baby 2 I lost 70 lbs and even got abs! Baby 3 was a surprise lol but I've been diligent in my workouts and clean eating. I am having a lot of pain in my lower abdomen this time, betting I have a hernia or some really jacked up muscles. My lower stomach has always been pudgy and numb. I can do ab work all day and not feel anything from my belly button down. I know surgery is needed and I'm ready to feel confident at the pool or beach. No more pooch! No words for how exciting that is for me! I am also going for a breast lift. My husband says my boobs look fine, but I want to be able to wear bikini tops that aren't wired! I have a very full C and no matter what my weight loss has been after each baby, the girls are here to stay! Which I guess is a blessing. Figure if I'm already going under for a tuck then let's just get it all done and over with! Updated on 7 Oct 2013: I forgot to add I'm 5'4 and currently weigh in at 178. Nobody ever believes my weight, I'm just a very muscular build. So I don't go by weight, I go by clothing size :) I'm currently in 8 and they are very lose. My final goal once these stubborn love handles and pooch go I can be in a 6. Updated on 21 Dec 2013: I had some delays with arranging child care/help for me/etc so I had to push back my surgery. All set and ready for Jan. 3rd!! Getting very nervous, giddy, and emotional crying mess all in one lol I hope that is normal. Not sure why I'm crying, I just don't think it's set in that I will FINALLY not have to hide behind clothes at the beach or hide in the dark from my hubby. 2 weeks left, I'll def post pics and updates :) Updated on 1 Jan 2014: I have decided to not do the breast lift, guess my nerves got the best of me. I am just not comfortable with being under anesthesia for 6 hours! So for now I'm doing the full tummy tuck with muscle and hernia repair. Lipo of the flanks. I'm in full freak out mode! I can not wait to "wake up" and be on the mend :) Updated on 4 Jan 2014: I stayed one night over and I was able to get up 4 times to pee. Nurses and Dr. Nahai were very glad with my results and movements. I LOVE my dr! He came in today, on a Saturday to check on me. He also called several times through the night. I am taking Arnika Montana, Bromaline, & Aloe Vera capsules to promote healing and reduce swelling and bruising. I'll post pics soon. But already I'm so glad I had this done!! I look so tiny and that's with sweeping so I'm way excited to see how I look unswollen. Updated on 5 Jan 2014: Had a 2.5 hour drive home, it wasn't too bad unless there was a big bump or when we made a turn. Got home and my drainage bags were full! So I'm guessing it was from all the bouncing on the road. I felt ok all day, sleeping like a baby in a recliner. Lots of pillows really make it comfy. My cats won't leave my side :) so at least I have company lol Just got up at 3am to pee, then out of nowhere nausea hit me. My face went white and I was certain I was about to throw up and was cringing at the thought bc I knew it would feel like I'm ripping apart. Hubby grabbed strawberries and a cold rag. So as I had 1 strawberry I had instant relief. Guess I needed some sugar and food in my tummy. I took pain meds on an empty stomach around 10pm. Note to self, EAT before taking meds. That was scary! So now I've had fruit, Cheerios and some water feeling great and back to sleep for me. I also want to cough and that hurts so bad. I know it's important to clear the lungs but the pain is intense. Guess you never realize how much of your core is used until it's tender like this. Oh and I also took the garment off and will out it back on when I wake up. That thing would be comfy if not for the drain lines getting all jumbled in there. I'll post pics soon :) Very happy with everything so far! Updated on 5 Jan 2014: First night home, sitting side view. It's much flatter when I stand. And if course it's pretty swollen. Updated on 5 Jan 2014: Feeling so good today! Had a nice shower, took my belly button bandage off, everything looks so great. My garment was just pinching my sides where I had lipo so today I switched to a compression underwear that just pulls up to under my boobs. Much better! Garment hooked and zipped in both sides as it was killing me to wear it. For now, my undies are working perfectly:) adding another pic. I'll be posting a lot lol just way too excited! Ready with snacks and water tonight before I take pain meds. Never want to feel nausea like I did last night. So ladies, always eat and have snacks handy! I get fuller faster so I'm trying to do healthy snacks every 2-3 hours to keep energized and sugar levels good. Updated on 7 Jan 2014: Healing nicely so far. My draining has slowed way down. Getting nothing over 20ml and most times just getting 10ml out. And it's mostly yellow. Hope drains can come out at my first visit :) Feeling pretty good as well. Lipo areas are the worst but it's nothing unbearable. VERY itchy all over so I keep a body brush with me to relieve the itch and it's long handle helps me reach my back. Just ready for swelling to be gone and to see my results. Stay positive ladies, it really helps you get through this easier :) Updated on 8 Jan 2014: So last night I became more swollen. I'm guessing I got up too much & moved around more than I should have. Didn't get a nap in at all so I went to bed really early, slept all night in my bed and didn't get up till around 8 am. Still swollen but I don't feel as bad. Just feels weird. Lipo areas def hurt way more than the actual incisions for tuck. Drains only put out 30 ml on each side yesterday. I have my first checkup on Monday, hope to have both drains out. Dreading the 2.5 he drive. Making sure to medicate heavily before we leave. Today is my last day format blood thinner shot. My hubby had been an amazing nurse. I love how he concentrates so hard to help me clean in the shower, a whole new level I love for this man :) Attaching a photo of the supplements I picked up to hopefully help my recovery. My Dr said he saw no problem with any of them. Almost done with the first week. Ready to be unswollen and feeling more helpful instead of useless around here lol Updated on 10 Jan 2014: Hit the one week mark. I don't really need pain pills anymore. My draining has trickled to less than 30 ml in 24 hours. I have my first appt on Monday, really want the drains out so I can be more comfortable in my garment. Speaking of garment, bc I spent $140 on my Marena I'm just wearing it even though the side hooks/zippers are killing my lipo area. Hate to not use it lol Going to get a faja for my next garment, still searching online for the perfect one. Anyone have a recommendation? I'll load some week 1 pics, these were when I first woke up. So swollen but I can envision the skinny under all that :) I'm basically obsessed with this site too. I keep looking at pics trying to get ideas of where I can be in 2,3,4 weeks etc... I go on a cruise end of March so I'm really hoping swelling is down and I can rock a bikini :) So impatient lol Updated on 11 Jan 2014: It's a Saturday, Dr. Nahai called to check on me. After telling him how little was coming out of the drains, he said we could go ahead and take them out & no need to come in, it was a simple thing to do from home. So he talked to my husband, gave him the rundown. This should be interesting lol going to take a muscle relaxer and pain pill just in case :) I get to drive myself to my appt on Monday, starting to feel more and more human! It's the small things lol Updated on 11 Jan 2014: Ok so it wasn't that bad. Felt weird and hurt for a few seconds while the bigger piece came out of hole. I'll upload a picture so you can see the part I'm talking about. Don't look if blood bothers you. Feels so much better to not have those drains in :) Updated on 11 Jan 2014: I have been using Arnica gel for my bruising, Bromelain, Apple Cider Vinegar capsules, Aloe Vera capsules & my daily Shakeology (70 superfoods) I usually drink apple cider vinegar each day but I gotta say I like the capsules better bc of the lack of taste lol I do not need a stool softener, between my Shakeology & my apple cider vinegar and aloe (all aid in digestion) I have been going #2 each morning with no straining or problems. Tmi but the last thing I'd want to do is to have to strain to use the bathroom. Ouchy! I like painless bathroom trips :) I drank a gallon of water a day before all this anyway and was a super clean eater so I'm back to my normal eating and water drinking. If anyone needs help with figuring out how to eat healthy, workouts later message me! I am a fitness coach :) love to help you! Updated on 12 Jan 2014: Day 9 post op....so yesterday I was feeling sooo good! I had great energy and so I thought I could clean up the kitchen. I mopped, unloaded/loaded dishwasher, took out the trash (I know I know I should not have lifted that) and before the night came, I could FEEL the soreness creeping on. I started getting really swollen. So swollen that my belly button is popping out a bit? Has anyone had that happen? So I have been basically in the recliner all day, even put frozen peas on my belly. Lots of water and my supplements. Garment on. But I'm still feeling way puffy :( My appt is tomorrow at 11:45. Dreading the 2 hr drive but hopefully there will not be a need to draw fluid off. Ewww I am just really praying that is not needed. Trying to chill but getting worried with the swelling. Guess it's kinda a bad day :( Updated on 14 Jan 2014: Had my first checkup on Monday. Everything went well, he out me on another round of antibiotics bc one of my drain sites was a lil red. He said he wished all his patients healed so quick and good :) Nutrition is key ladies! Eat well and drink that water! Posting a pic of how I looked after I got home. First pic with no ugly drains :) I'm so very swollen too but I still love my results so far. Turned 30 today! Finally at age 30 I can really be proud of my body after 3 kids. Who knew?! Best decision of my life! Updated on 16 Jan 2014: Feeling great, lots of energy all day! By 3 pm I can tell I'm swelling a bit so I tend to rest for the rest of the evening. Love everything so far. I can tell a difference in my swelling from a week ago, it has gone down a lot so my garment fits so much better :) I alternate between my full length Marena to just a high waisted spanx underwear. Marena is very tight so il 'take a break' a few hrs a day and use my spanx. Tried to use my Belly Bandit but I'm so long waisted it doesn't cover all areas. I'll update with more pics next week :) Happy healing ladies!! Updated on 18 Jan 2014: I'm getting so antsy and ready to see what I really look like....trying to be patient, having a hard time with this. Please tell me I'm normal ladies lol Do I really have to wait 3 months or longer?! ahhhhhh Updated on 26 Jan 2014: I can now stand all the way up! I tried to wear jeans today but the band was not comfy on my incision so back to stretchy pants. I now can sleep on my sides. Such a relief to my back and butt lol ready to sleep on stomach again. Still swollen but trying to be patient. I started doing lunges, squats and sitting while doing small arm workout with 5 lb dumbbells. I can't stand to not use my muscles I'm feeling so mushy. Plus I've been picking my 1 yr old up since before I hit my 2 week mark. I know that's a no no but I don't always have my hubby here so what can ya do. It doesn't hurt at all and I'm very careful with how I lift. Attaching some pics. Once I hit the 4 week mark, I'll do side by sides of the weeks to show the improvements. Updated on 1 Feb 2014: Week 4, still wearing a compression garment. Got a MariaE faja to wear and boy is it tight! Love it though, my 1st garment was just getting too loose. Still dealing with swelling especially in upper abs, not sure what is up with that. Annoying bc if look so flat if that would just go down lol Appt with my dr next week so I'm excited to see what he thinks. Updated on 2 Feb 2014: Here's my first month of before and after. Can't wait to do this each month to compare! Some days you feel like you've had no change till you look at pics. Take pics every week ladies! You'll be glad you did :)
After 6+ years of researching doctors and wavering about whether I should go forward with getting a nose job, I've finally scheduled my surgery. I know I will get some criticism from people for doing it, but at this point I am confident enough to stand up for my decision to go forward with it. I just REALLY hope it turns out well! My biggest fear is getting this done and coming out worse (like some of the horror stories I've read) but I feel as confident as I possibly can feel with the Doctor I've chosen. I've spoken to past patients of his, which has really put me at ease. He is also very patient and even gave me his cell # at my last consultation in case I had any more questions . I really feel I will get the proper attention and expertise with him. His staff was not pushy like some other places I experienced, which also helps. I am only weeks away from my surgery, and am really glad I don't have a long time to wait because waiting and wondering is probably the hardest part! I edited a profile view and also a front view of myself to show the results I'm hoping for. The doctor also did imaging but the lighting in his office did too much justice to my "before" nose that you can't really see how bad the state of my nose is in his pics!Here's what I'm hoping for (I prefer the "shorter" view of the nose vs "shortest") Updated on 5 Sep 2014: Updated on 10 Sep 2014: Upon the suggestion of my plastic surgeon, I just ordered some Arnica and Bromelain online from the VitaminShoppe. My doctor told me to take: Arnica, 3 pills, 3 x day; Bromelain, 500 mg. 2 pills, 3 x day. I'm going to start taking the Arnica a week before my surgery and continue with it after my surgery for a week also. Bromelain I'll take the day before my surgery and for a week after. I typically bruise VERY easily and very badly, so I really hope these homeopathic medicines help prevent it with my surgery! I've heard they help quite a bit. Updated on 14 Sep 2014: A week today until my surgery and I'm getting really nervous. :S Questioning if I'm making the right decision even though I know I'd regret not doing it. I wish I was less of a worrier! This just seems like a big deal. Front and center of my face. I've lived with a "not so great" nose there all my life and am just hoping this will all go well and I'll accept my new nose and be happy with it. I hope I haven't freaked out my doctor too much or put too much pressure on him! There's probably a big red flag over my head, ha! Updated on 22 Sep 2014: Here's everything I bought to prep for my rhinoplasty. I've been taking the vitamin C, A, Bromalain, arnica, and metamucil a week before my surgery. Hoping to avoid too much bruising because I typically bruise a lot! Updated on 22 Sep 2014: I'm sitting in the waiting room of the outpatient center as I write this. My surgery will be in an hour! Yikes! I'm more nervous than excited right now. Last night I had to take my first Xanax ever because my anxiety was out the roof. It definitely helped me calm down and sleep. No food or drink since midnight as required. Just praying everything goes well. Fears of something serious happening or of complications with my nose job are running through my head. Otherwise, I'm trying to not think too much and watch The Regis and Michael show playing on the tv here! Updated on 22 Sep 2014: Wow, I did it! I must say I was considering backing up even as I was already dressed in my gown. My nerves were so high that the nurses were a little concerned about how high my heart rate was. The surgery felt like it took 2 seconds and I felt fine waking up, although still anxious. My heart rate was very high. I faked them to put some music on and when my husband came in the room and was taking to me I felt better. I actually felt best once I mustered up the courage to look in a mirror and realized I didn't look as bad as I expected. Bruised under one eye but otherwise not at all (yet). I feel a sense of relief but still a little nervous in anticipation of what it will look like once bandages are up. Sorry for no pics, but I think I'll post some soon. Just a little nervous to have these pics on the Internet. If anyone wants to see any at any point just private message me. Updated on 22 Sep 2014: By "backing up" in my previous comment I meant "backing out" ;) Updated on 22 Sep 2014: Just a quick post. So far my spin during of surgery has been very minimal. In fact, I'd say I have no pain yet but just some pressure. I have my meds near my side when/if that changes though! I feel a huge sense of relief having the surgery even though I can't really see the results. One tip from my day today for anyone undergoing facial plastic surgery. Have straws at home!! I'm glad I did anyways because I hadn't thought about how hard it would be to drink without a straw and I never read the tip anywhere else. Updated on 23 Sep 2014: It's the day after surgery and I'm still in no pain (awesome) and my bruising hasn't gotten any worse. I just have a bit of a bruise under one eye that has been there since after surgery. My swelling seems higher though, particularly between by eyes. I am taking bromelain and arnica pills to help with bruising/swelling and also a topical arnica cream on my bruises/swollen areas. I'm also sleeping upright. I think all of this is helping with a relatively smooth recovery. One concern is that I've noticed that my upper lip is longer and when I try to smile it doesn't show my top teeth. I'm hoping this is just swelling and my smile will return to normal soon. I'm probably not even supposed to try smiling at this point anyways... I've read some Q&A's here from people with similar smiling issues after a nose job, and most docs say the smile will return to normal after full healing. I sure hope so!! My surgeon wanted to see me today, which was great since he was able to tell me in person that everything went well and he believes I'll be really happy once I see the results. A big relief to hear! Updated on 23 Sep 2014: Here's a pick of what I'm using to try to minimize bruising and swelling. I use the little brush in the pic to gently apply the cream. I am eating pineapple a lot PLUS taking Bromelain (pineapple enzymes). Pineapple is also really with plain Greek yogurt. I hope you can't overdose on pineapple! I am also drinking lots of water, eating a very low sodium (but higher protein) diet, and sleeping propped up. I am still swollen and a little bruised, but overall not very badly at all. I am normally a horrible bruiser, so I think all these things are helping. Also, my surgeon is GREAT with correspondence. I was able to reach him today to ask about my longer upper lip that is covering up my top teeth when I try to smile (very weird looking) and he reassured me it's only temporary. Updated on 24 Sep 2014: I'm 2 days post op today and I'm pleasantly surprised that I'm not needing pain meds and that my swelling hasn't gotten worse. I was told today would be the worst for swelling, but I think I was worst yesterday! My only concern today is that my upper lip is SO stiff and my smile is SUPER awkward. My doctor told me it is temporary, but I'm wondering how long "temporary" is. I really don't want to have a strange smile for months! Anyone else have these issues with a stiff upper lip? Did you do anything special to try and make it better, like ice it? Or is it best to just do nothing? Thanks!! Updated on 24 Sep 2014: So I've been icing my face a lot today, including my upper lip and around my mouth. It seems to already be helping my upper lip rise a little. This is reassuring me that it wont take months to return to normal since I'm already seeing improvement from icing on day 2 post-op. Whew! Updated on 25 Sep 2014: Well today was a stressful day. I had to take Xanax because my heart rate was sky high due to worrying about my upper lip and lack of smile. I worry a lot! But the thought of not smiling is scary. After that and some rest I felt a lot better. I know I just need to be patient. In reading back at several posts I realize I have typos all over the place, which is unusual for me, but the drugs and that I'm typing from my phone most of the time don't help! So, excuse the typos ;) I bought some Vitamin B12 spray today because I'm vegetarian and I was doing some reading that vitamin B12 in the form of methylcobalamin (not the cyano form that most multi-vitamins have) can possibly help with nerve regeneration. Who knows, but I'm giving it a shot.I have a feeling I don't get much B12 in my diet otherwise. I bought the Garden of Life Kind Organics Organic B-12 Spray, which I spray under my tong. I have no idea if it will help with my upper lip issue, but no harm in trying... Heading to bed now. Tomorrow afternoon I get my cast off! Updated on 26 Sep 2014: I should be getting my cast off today unless the doc changes his mind after seeing me. I'm not in pain this morning but want to take something before my appointment to dull the pain from cast removal. I'm driving myself so I need something non drowsy etc . Any recommendations? Tylenol? Motrin? Updated on 26 Sep 2014: So I got my cast off today! It was a big relief to see a nose I was happy with. :) I actually teared up a bit because I had been so worried that I might dislike it. The results are VERY natural. I almost question if they're too natural since I think my profile still looks a little large, but I'd rather be too natural than have a nose that's too big for me. Plus, I know my nose is still swollen (and there's tape on it). It feels so nice to have the cast off and the stints out of my nose. I feel like I can breath better than ever! The biggest change I expect is when I smile (my nose really droops) but I can't really smile properly yet to show that before and after (although my upper lip is getting better by the day). Updated on 28 Sep 2014: I just wanted to make an update that my smile that I was so terrified was gone forever is now almost completely back! :D My face was incredibly swollen day 2 and 3 post op, and I think it was also probably numb and swollen, which made my whole face longer, and my upper lip immensely long and immovable. My upper lip could barely come over my BOTTOM teeth. I had fears my lip was forever paralyzed, because I literally couldn't move it. I couldn't make anything that even resembled a smile for 2 days. I ended up reading about Bell's Palsy, which had similar symptoms, and read not to try and force the smile when you can't, because you may train your muscles the wrong way. Who knows if that's true, but that's what I did. I rested my smile for two days, and only started to smile again once I saw I really could again. It still feels a little strained, but I have a feeling once my stitches under my nose are out it will be more natural feeling, since that is where I feel most of the strain. I also started taking Vitamin B12 (Methyl B12 form) because I read B vitamins can help with nerve regeneration, particular Methyl B12. I figured it doesn't hurt. I don't know if that had something to do with my lip getting better faster. I'm also eating more oranges to get natural Vitamin C, sprinkle chia seeds into my yogurt and protein shakes to get more omega 3 naturally into my diet (I'm vegetarian), and still downing the pineapple juice. Applying arnica cream, etc etc. My cast came off on Friday (day 4 post op) and then my nose got tightly taped and remains taped. Dr. Nahai was so kind when I saw him at day 4 post op. I didn't feel rushed at all, he took his time taking off my cast, cleaning my nose off, and showing me how to tape. Answered all the questions I had for him, including telling me I had 0% chance my smile wouldn't return. He explained why my smile was affected since he had to cut a muscle that caused my tip to droop when I smiled. I sleep upright still because I really don't want to swell, even though I hate sleeping that way and the doc said I can sleep normally now. My stitches come out tomorrow! 7 days post op. My profile seems to be getting a little smaller, which I'm happy with, as the swelling comes down. Still hope it comes down more. I think my tip is so tightly taped it hasn't had the chance to swell too much. I'm still swollen between my eyes where there's no tape. Still a bit of a black eye under one eye, but easily covered with makeup. I'm putting warm (not hot!) soaked white/green tea bags on it to try and get rid of it sooner. Amazing Concealer by Amazing Cosmetics is working great to cover it up for now. Updated on 28 Sep 2014: Here's a side-by-side of my bruised eye taken the same day - on the left no makeup, and on the right I have concealer. This was the day I got my cast off (4 days post-op). Cast is still on with the bruise, and once I had it taken off I decided to play with makeup. I used Amazing Concealer (by Amazing Cosmetics) here in Light Golden (got it from Sephora). I apply my Arnica cream first. Then, I apply the concealer pretty thick but gently with a makeup brush, and then dust on some powder to take away some of the shine from the concealer. I can't decide if I prefer this concealer, or using Estee Lauder's Double Wear Maximum Cover Camouflage makeup. They both give great coverage for me. Hope this might help some of you trying to figure out how to cover up those bruises! Updated on 28 Sep 2014: So now that I can actually smile, here is a photo of how my nose drooped before when I smiled, and what it looks like 6 days post surgery when I smile. I am very happy there is no more droop! Still wishing my profile was shorter though... Hopefully I just need to be patient. I have a feeling it wont get too much smaller though and I'll have to accept an improved, although still larger than I'd like, nose. I think I'll be ok with that. Updated on 1 Oct 2014: Just wanted to post an update. Everything is going smoothly with my recovery. I still have a little bit of a black eye but it's getting smaller by the day and I can cover it up. Still applying arnica cream to it. I have most of my swelling between my eyes, although it's not that bad (but I can tell it's there). I've had my nose taped ever since cast removal. I like that it's taped because it's kept my swelling down and looks really sleek under the tape. I am only assuming that if it wasn't taped it would be more swollen. I got my stitches out on Monday (1 week from surgery). I forgot to take some Tylenol before that, so it was slightly uncomfortable but not too bad (pinching feeling). I have some slight scabbing under my nose where the stitches were that I'm leaving alone because I want it all to heal well. At Monday's appointment, the doctor re-taped my nose, and between taping I saw it without the tape and was really happy with it. It's funny how much the tape distracts from the actual look of the nose! It looks even smaller without the tape on. Tomorrow I'm going to take the tape off for the first time (other than once between tapings) and go out in public for the first time. I'm going to get my hair cut and highlighted, which is MUCH needed. I asked my doc if it was ok to get my hair done 10 days post-op and he said it was fine (I wasn't sure if it would be ok since I'll need to tilt my head down and breath in fumes, etc). I will just warn my hair dresser to stay clear of hitting my nose! Updated on 22 Oct 2014: It's been almost 5 weeks since my surgery. I keep trying to be patient that my nose will miraculously shrink and that it's just swollen but I think what I see now is pretty much my final result. My profile essentially looks exactly the same except it doesn't droop when I smile. I still feel like I have a big nose. I think I scared my p.s. away from going as small as I hoped. I'm just feeling really depressed that I'm still not happy with my nose and I'm pretty sure I'll be asking him to make it smaller. I really only wanted to go through this once :( Updated on 12 Nov 2014: I just wanted to post a quick thank you message, to everyone who has been so kind with their comments. This is such a caring and friendly community. It's amazing that strangers can care so much! Thank you all. You all keep my belief in the goodness of humanity strong :) I have an appointment with my surgeon in early December. That will be 3 months post-op, and at that point I think we will both be able to better judge the results of my nose. Although they aren't "final" at 3 months, by that time frame results are pretty apparent. My nose is better in some respects (the tip cartilage is no longer crooked and bumpy, and the profile is subtly better) so I am happy about those things. However, my nose appears curved from the front, when it never did before. I am worried that the left side of my nose on the side of the bridge may have collapsed a little, and that the right side of my tip is pinched. These two things together make it look curved. Also, my tip just looks like a ball that isn't integrated with the rest of my nose from front view. The right side of my tip (my right, left in photos) is more shadowed, more pinched, and I think that's what is causing most of the visual issues (more shadowing, strange from quarter-profile, etc). What reassures me is that my Doctor seems sensible. He saw the things I wasn't happy about and said to give it more time. The fact that he didn't deny things makes me trust he will cooperate if at the end of all this healing I'm not happy. I hate the stories of doctors who say everything is fine when clearly it isn't. So, I am reassured that if things don't heal properly that there will be a fix. My doctor guarantees his work, so I would only need to pay hospital fees for a fix-up. I really don't want a second surgery, but, it may be what I go for. Despite the issues I see now, I still trust my doctor. He certainly didn't butcher my nose. It looks natural. It just has new issues now, and the profile still seems a little too large. I've finally added some photos... Updated on 5 Dec 2014: Hi ladies, I had my 3 month post-op visit with my surgeon today. He could see the indentations that were bothering me and how they were making my nose look slightly crooked. He said that we'll evaluate everything after 1 year to see how the final result looks, but in the meantime to make me happy he could inject some filler. He used a tiny bit of Restylane in two areas. Now when I look at my nose from the front I finally see a straight nose! yay! :D It should last up to a year, at which point we'll see the final results of my nose without the Restylane. We will chat then to determine if I want a more permanent fix or if I'm fine getting a few tiny Restylane injections once a year. Today marks the very first day that I've felt happy with my nose since my surgery (or ever!). It's amazing what a few tiny changes to contours of the nose can do to the overall look of it. I'm sure no one will notice the difference, but I do and that's all that matters. Finally happy with this nose on the center of my face! I'm also really happy to have chosen a surgeon who can admit to seeing little imperfections and is willing and able to tweak those things to make them look better. Updated on 5 Dec 2014: Here are some pics of my results post rhinoplasty + a tiny bit of filler. Updated on 3 Feb 2015: It is pretty crazy to compare my nose from 2.5 weeks post op to just over 4 months post op. My nose scared the heck out of me at 2.5 weeks. It looked crooked and completely strange. The tip was a ball that didn't look integrated with the rest of my nose, and the whole thing looked completely crooked and wonky. Now at over 4 months, my nose looks straight and the tip is looking much more normal. I've attached a pic to compare. I know I still have 8 more months to go before we're supposed to completely judge, but for those freaking out at an early stage, try to be patient. Trust me, I know it's hard, but time really does fix a lot...even stuff that seems like there is no way it can get better.
I have treated several patients with this issue using hyaluronic acid gel fillers. The risk is very low, minimal down time and the result is immediate. It takes very little filler and it lasts a long time. Having said that , don't let just anyone inject your nose, there is a risk of skin necrosis in this area. Someone with experience will know how to minimize the risk and treat any problems that may occur. If you want a permanent change, surgery will be needed.
If there is a chance of gaining weight, you should wait until you have recovered from your thryoidectomy and check your appearance. Everyone is different, but in general a modest weight gain will be favorable for your facial appearance. At that point you might be able to treat any remaining areas of volume loss with less filler than you would have needed otherwise.
If surgery is 'on the table' for you, a face and neck lift will get you the most robust long lasting result. The issue of whether or not the incision is extended behind the ear depends on how much extra skin there is in your neck. Sometimes a short scar facelift alone (or in combination with liposuction) will improve the neck. Only an exam in person can determine this. If surgery is not an option, there are several minimally invasive techniques that will also improve your neck line such as laser liposuction or RF (radio frequency) treatment of the under surface of the skin using a device like ThermiRF.
Only someone properly trained in Mohs surgery can perform the staged tissue sparing technique of removing the skin cancer on your nose. Having said that, either your Mohs surgeon or a plastic surgeon can perform the reconstruction. Your surgeon will take into consideration the lining, support, and coverage needed to reconstruct a defect on the nose. Depending on the size and exact location of the hole, many different reconstructive techniques are available. Your Mohs surgeon or a plastic surgeon should be similarly able to reconstruct the defect.
There are solutions for a severe injury like this. Seek a consultation with someone who has expertise in facial and eyelid reconstruction. First and foremost, make sure your eye is protected and your are not drying out your cornea. The tearing is your response to poor eye protection and damage to the lacrimal system (the duct work that transfers tears from your eye to the back of your nose). Local skin and tissue from your forehead, cheek, and/or your upper eyelid can be used to make a new lower eyelid. After the proper amount of lid tissue is restored, my bet is that you will also need your lacrimal system replaced with a Crawford tube for proper tear drainage. Seek advice from someone with eyelid and facial expertise.
