I'm turning 30 this year, recently moved to Pittsburgh and getting married in 2015 to a wonderful guy who thinks I'm beautiful just the way I am. No one knows I'm considering rhinoplasty though I've been self-conscious of my nose since I was a teenager. As a child, I was clumsy, constantly falling and bumping my nose into things. In elementary school, a basketball flew into my face and I think broke my nose though no one took me to the hospital to get it checked out. As I got older, it grew more and more crooked. Fortunately I was spared the relentless teasing a lot of other people experience. I only had to field the occasional comment about whether my nose had been broken or would I ever consider plastic surgery. I guess I've been lucky that people have been generally tactful, however despite what other people's perceptions are, I'm constantly aware of my prominent nose. I'm nervous in job interviews and when meeting new people. My confidence is suffering more and more because of it. I have a bump, deviated septum so my nose curves to the side, and a large bulbous tip. Overall, my nose is too big for my face. As a yoga practitioner, I'm very aware that I don't breathe equally through both of my nostrils and I know I breathe loudly at night. I have chronic allergic rhinitis, congestion and sinus headaches which I'm hoping this surgery can alleviate. I have done a lot of research and scheduled 3 upcoming consultations with well-qualified surgeons in Pittsburgh. I'm nervous about telling my family and my fiance that I'm planning to do this this year. It sounds silly, but I've always been known as the one in my family who doesn't care much about appearances, not into fashion or make-up- I'm the hippy, nature-loving, yoga-practicing vegetarian of the family. I used to think plastic surgery was a shallow or insecure thing to do- now after finding the RealSelf community, I've come to realize that that's completely wrong, plastic surgery is for people just like me. It's not about being superficial, but correcting something that isn't how it's supposed to be which can change your life in so many positive and beneficial ways. I realize how silly it sounds that I was afraid that taking this step would ruin my 'image' of being 'someone who doesn't care about images'. This is not the nose nature intended and there's nothing wrong with taking steps to correct it. Everyone has the right to feel confident and beautiful, especially on their wedding day. Now is the right time for me. I'm in a transition period as I approach my wedding and my 30s, I'm ready for a change and I'm hoping a new nose will help me go forward in my career and have the confidence to make new friends. Of course I have plenty of reservations - what if things go wrong? What if the outcome is worse than the nose I have now? What if I permanently lose my smile that most people say is my best feature? Is this is an insane amount of money to spend on myself when I'm of very limited resources, my car is ancient and falling apart, and I have a wedding to pay for? I can scrape together the money for an initial septo-rhinoplasty, but a revision rhinoplasty would be beyond my means. Despite these concerns, I'm eagerly awaiting my consultations and I know in my heart this is something I want and need and those close to me will understand once I break the news! Updated on 1 Feb 2014: Nothing much new to report except I did tell my fiance this week that I was considering having this done. It went about as well as I expected, he told me there was NO WAY I was going to change my nose because he loves my nose just the way it is and there is nothing wrong with it. He never even noticed it was crooked! Could it be that all this time he's known me, especially the TWO years we've lived together where he's surely seen my nose from every possible angle, that he never noticed anything was off about it? I'm sure I scrutinize my schnoz more than anyone around me, but it's an objective fact that my nose deviates to the side and it's glaringly obvious when talking to me or seeing me in photos. Then again, love is blind and he did put a ring on my finger with this nose on my face so presumably he was willing to take the whole package on an as-is basis. He said that I can't change it because it's MY nose. I have a hard time understanding this logic because any nose that I would have in the future would still be MY nose, I'm not going to all of a sudden have someone else's nose, just an improved version of my own nose. Also, the nose I have now is probably not the nose I would have had had it not experienced all that trauma in my youth. If nothing had ever interfered with it, I would likely have inherited my dad's nose - large, but straight. I am not deterred because I know he will come around, he's open-minded and supportive, it will just take him a little while to get used to the idea. Next time I bring it up I will be armed with computer generated images of my potentially new nose! Updated on 15 Feb 2014: I had my first consult today with Dr. Leong and he is as wonderful as all the reviews say. We had a huge snowstorm hit this morning, so getting to the appointment was extremely stressful, none of the roads were plowed and I barely made it out of my street, but I got there right on time at 8:15. Because of the weather, he was running a bit behind and I had to wait about a half hour to see him, but it was well worth it since he spent a good hour and a half with me. He made me feel very comfortable and he was extremely thorough, went into great detail about the anatomy of the nose and different techniques and options for rhinoplasty. He took a lot of pictures, which was probably the most nerve-wracking part since those are the angles those of us with bad noses AVOID like the plague, but it was a necessary evil. He also did a thorough exam of the interior of my nose. The initial consult was a $100 charge and all follow ups after that, prior to the surgery, are free. So I scheduled a follow up for a month from now which gives me plenty of time to mull things over. At that appointment, he will go into more detail about the surgery and the specific refinements he will make to my nose since I have a couple of options there. At that point he will also print out my pictures and show me what the potential results could look like. I'm really happy with his before/after pictures as his results are very natural and never look 'done'. Also found out that my septum is not that deviated and isn't really causing most of the crookedness to my nose. That was pretty surprising and also means this is more of a cosmetic than functional rhinoplasty and therefore pursuing the insurance angle might not be a worthwhile option. The cost of the surgery is more than the budget I originally set, so for this to be feasible, I will need to finance it, probably for 12-24 months. I plan on applying for the Care Credit card once I've made my final decision. My fiance is being really supportive. The only thing he's hesitant about (and with good reason) is the cost, since we have our wedding to pay for. He asked me if I just wanted to wait until after the wedding for the surgery but I told him there is just no way this nose will be joining us in matrimony. His reply, which was perfect: "It can be your something new!" Yep, he's pretty much the best fiance ever. I still have my consults with the other two surgeons coming up in the next couple weeks, so until then I will do my best to not spend every waking moment obsessing about this. :) Updated on 22 Feb 2014: I had my consult with Dr. Gillman Monday. I had decided to take the whole day off work and glad I did since it was about an hour wait, which he profusely apologized for. But that's pretty par for the course with any doctor's office these days. He's a practicing ENT physician so he's not just seeing patients for rhinoplasty all day. I was a little nervous that he was going to be somewhat brusque or wasn't going to have a warm bedside manner since I'd read a review online from an angry mother who said that he made her daughter cry and was not the surgeon for cleft palate surgery. Whoa! Fortunately, I did not find that to be the case at my consult. He was very kind and made me feel at ease, but he also knows his stuff since he's being doing noses for decades. I really liked all of his before/after photos; the results were natural and elegant, he really achieves harmony with the rest of a person's features. He's been consistently voted one of the top physicians in the country and one of the best for women. He mentioned doing some kind of cartilage grafting in my nose to create more balance. I'd never really considered anything like that before since I was mainly focused on reduction, not adding to or repositioning the cartilage in my nose. But since this was a first consult, he didn't go into great detail about how that would work. He took photos and said he would do some imaging on them and call me back in a few days. Haven't heard from him since but I hope he'll call me this week to set up our 2nd meeting. I canceled the first consult with Dr. Chiu. A few reasons - I read the negative review on here from someone who had a rhinoplasty with him, wasn't happy with the results and said he was unwilling to perform revision or listen to her concerns. It's a bad sign for me, I want a doctor who is willing to make me happy no matter what, especially since surgery with him is on the high end - $10,000+ and the initial consult is $150. Also I got a bad vibe from his office manager, there is only one girl working in the office who manages everything - taking calls, responding to inquiries, coordination, etc. I found her to be unprofessional, disorganized and unresponsive. She took 3 weeks to respond to an email, and I had to email twice to get answer, which doesn't bode well in case I were to have surgery with them and needed a response quickly. She also confused me with another patient and accidentally called and left me a voicemail which was not intended for me, then explained she gets so many inquiries every day it's hard to keep them all straight. I just wasn't getting a good feeling and I think it's important to trust your gut. So I know I'm rambling a lot but I've been doing so much reflecting this week. It's strange to finally be "out" with my big secret (even though I haven't told the fam yet). This insecurity that I've been hiding from the world for so long, I'm now openly calling attention to, I'm letting doctors touch and closely examine my nose, I'm not hiding behind my hair and pretending my nose isn't an issue. It's very strange - I feel exposed! I also want to make sure I'm doing this for the absolute right reasons. There have been periods of my life where I haven't obsessed about my nose (for instance when I was backpacking across Europe I wasn't thinking twice about it). Since moving to Pittsburgh, I've been isolated, I have this demoralizing, dead-end job and no friends despite my best efforts to make them, I am now wondering if my nose has become a scapegoat for all my problems! But when I start asking myself these questions, the truth is this issue is going to persist the rest of my life until I get it fixed and I'm not looking for surgery to give me self-esteem. I think some people do fall into that trap with plastic surgery. Ultimately a sense of self-worth comes from within! but it's just going to give me that extra boost I need. :) So bottom line, I think I would want this regardless of other circumstances in my life. If I'm not 100 percent sure after the second consults in March, I'm either going to expand the search to Cleveland and Philadelphia, or put the whole thing on the backburner. Updated on 23 Mar 2014: This week I had my second consultations with both Dr. Gillman and Dr. Leong. Both are fabulous doctors and I have no doubt that either one would have been a great choice, but after a lot of deliberation I scheduled my surgery with Dr. Gillman. So now I have about 100 days to prepare myself for surgery. Will post again as the date approaches! Updated on 22 Apr 2014: So it's been a month since I made my decision and booked surgery. This month has flown by so I'm hoping the next 2 will do the same. I'm telling my family in person next week when I go back home for a visit. Keep in mind I've kept this a secret for about 15 years so I'm anxiously awaiting their reactions! I'm sure they knew I was self-conscious of my nose but never wanted to say anything to make me feel bad since I could never afford to do anything about it, so I imagine when I tell them, they will respond with variations of "It's about time! we always thought you needed a nose job!" Will post more pics of my hideous nose soon so we can all bid it a fond farewell. ;) Updated on 7 May 2014: So I flew home this weekend to do some wedding stuff and my plan was to tell my family in person about my upcoming surgery...and well, with all the running around and wedding planning and meeting my little baby niece just born 2 months ago, there was never a good moment to bring it up. Or maybe I just chickened out? Updated on 8 May 2014: My cubicle seems to be the best place to snap some nose selfies. Really cant hide any flaws under these awful florescent lights Updated on 12 May 2014: So I requested July 3 through 15 off and my boss said I can't have the 3rd off for sure but maybe the other days, she will have to see. Um seriously? That is no good ad my surgery is scheduled for july 3! And there was no good reason for denying that day off. I may have mentioned before that i have a really demoralizing job with fascist management. So now I'm super bummed. I have no choice but to try and reschedule my surgery. Will be calling my doctor. Updated on 13 May 2014: After playing phone tag all day yesterday with Dr. Gillman's surgery schedule, Heather, who is amazing by the way, and a sleepless night full of fretting, I finally got her on the phone this morning. I was able to move my surgery date up by 2 weeks which makes me really happy. The sooner the better! I submitted a new PTO request for june 19-june 27, returning to work monday, june 30, and it was approved! Hopefully that's enough time for me to recovery and not look like a raccoon... Updated on 13 May 2014: I had a long chat with Dr. Gillman today because I had a few more questions about the surgery to go over with him, he was very patient answering all of my silly questions and I couldn't be happier with my decision to choose him. We are completely on the same page with the desired changes and I feel like he just really gets me and what I'm after. I completely trust his aesthetics, skill level and expertise. Some people would only trust their face with someone who does 500 rhinoplasties a year, which I totally get (hey, practice makes perfect!). But for me, it's quality over quantity and I'd rather have a doctor who does fewer surgeries and is going to take his time really getting to know each patient and their desired outcome. I think he's not afraid to tell a patient that he may not be the right fit for what they're looking for. He's not into noses that look done, or have that worked-on look. He creates noses that have elegance, harmony and longevity (no breathing problems down the line). So our goals are completely aligned. Choosing a surgeon is such a subjective, deeply personal decision. And I also think it's about getting a good gut feeling about your doctor. I've read so many stories where people push past red flags and icky feelings and then are horrified with their results. Well yeah, your intuition is there for a reason. Then I've also read stories where people go to the most well-regarded top surgeon in their field, were so confident that they were going to get the best, and then they end up with botched results. I've toyed with the idea of getting my under-eye bags removed, then I read the horror stories (there are some on here) of people who went to the best ocular plastic surgeon in the country and he ruined their eyes. So you just never know. So much is out of your control, all you can do is make the most educated decision possible and full steam ahead. Updated on 20 May 2014: Just a little paranoid about being recognized by someone from work, so pix coming down until after surgery Updated on 26 May 2014: My family now knows about my procedure and they are all being really supportive. My sisters and dad said they never noticed my nose was crooked, my mom said she noticed my bridge was getting more prominent and she can see where it gets narrower and more constricted just beneath the hump on my bridge. But they definitely all remembered how I was constantly getting hit in the face with balls as a kid and always had nosebleeds. My parents both have sleep apnea and have to sleep with breathing machines, so they were glad that this surgery should prevent me from having to deal with that when I get older. Especially my dad who has been to a lot of ENT's himself but was always advised surgery probably wouldn't help his case. As for the cosmetic part of the surgery, my mom said she thinks my nose is elegant the way it is and if anything, the surgery will just make me more beautiful. Which, of course, moms have to say but it still meant a lot to me! I'm feeling really good with the family support behind me but am starting to get a lot of nerves about the actual surgery and recovery - anesthesia, pain, discomfort, what if I don't like the way it looks afterwards and miss my quirky Roman nose? And should I tell my coworkers the truth, or use some kind of 'cover story' ? Any one reading this who has been through the surgery or about to go through with it - what did you tell your work? Updated on 4 Jun 2014: I've been working on my rhino-recovery stockpile for months now. Two weeks to go and I think I've amassed most of the supplies I'll need: -Vitamin C (started my dosage today, doc has me taking 1000mg twice daily for 2 weeks) -Arnica tablets (will start taking the day before surgery) -Bromelain (will start taking after surgery) -Arnica gel -Lots of ice packs (ordered some items from Therapearl) -Straws -Neck pillow -Throat lozenges -NeilMed sinus rinse recommended by doc -Afrin nasal spray -facial cleansing wipes, since I won't be able to wash my face -dry shampoo since my hair is going to be NASTY after not washing it for a couple days -bandanas for tying back said nasty hair -comfy nightgowns -my favorite sunscreen from Sephora for when I do have to go outside (MDSolarSciences broad spectrum SPF 50 - this stuff is amazing, feels like velvet on my skin) Foods I plan to eat -smoothies and fresh juice from my juicer -lots of pineapple and other fruits -popsicles and ice cream -unsalted crackers for taking meds -applesauce -yogurt -pudding -mashed potatoes -soup (planning on making a big batch of gazpacho ahead of time. yay for cold soup!) -oatmeal Any other suggestions? Updated on 11 Jun 2014: So there goes my life savings. Easy come, easy go, eh? Well not so easy come, but pretty easy go.. Still, it's a small price to pay for spending the rest of my life with a nose I'm not ashamed of. Here's the breakdown: Dr Gillman's fee: $5,000. Hospital Fee: $702.00. Anesthesia: $306.50. For a grand total of $6,008.50. My original budget was $6,000. So not bad that I only went over by $8.50. Dr. Gillman's office takes credit cards, cashier's checks, and cash, and just requires that you pay in full at some point before your surgery date. I didn't ask whether they accept CareCredit since I decided to just use my savings and work as many hours as possible the last few months. I am living proof that plastic surgery is within reach for someone living on a very tight budget and not making much money, if you're willing to be frugal and thrifty for as long as it takes. It's possible! Updated on 16 Jun 2014: Picked up a few more things - dry mouth spray, latex gloves (to make ice packs, saw it on someone else's blog), antibacterial soap, "real" ginger ale from whole foods and gatorade (I'm not a big fan of gatorade, but my recovery info packet says it's a good thing to have around, so just in case I'm in the mood for it). Had one little anxiety attack on Thursday, sitting in a doctor's office for my annual pap exam, it all of a sudden hit me that I was going to be in a hospital undergoing a serious medical procedure in a few days. Almost like it hadn't really sunk in before then? Then I couldn't sleep all night that night, tossing and turning. Spent the weekend deep cleaning and disinfecting my house and felt a lot better about things. Did a really intense workout and rubbed arnica gel on my muscles afterwards and dissolved 3 arnica tablets under my tongue - and the next day, I had none of the soreness that I normally get, so I'm totally convinced this stuff works! Now going into this with a positive, peaceful frame of mind, visualizing a smooth recovery and complication-free healing. Updated on 18 Jun 2014: Just got out of the shower and took a few before pics...fresh faced, no makeup, on my last night with this nose! Yesterday the hospital called to take a detailed medical history, then today Dr. Gillman called to check in and see how I was feeling, if I had any more questions. I pretty much just wanted to know if I'd have packing or splints that I could breathe through, and he said I'd have the hollow splints so I should be able to breathe afterwards, other than the stuffy congested feeling. Yay. I was really worried about that. I also asked some dumb questions, like after I wash my face in the morning, can I put on moisturizer? I'm religious with moisturizing! He's so kind though, he didn't make me like any of my questions were dumb. Around noon the ambulatory surgery center called to let me know my surgery time. It's at 9 am and they want me there at 7 am. Fantastic! Just eating a light dinner now and then relaxing until it's time for a good night's rest. Updated on 18 Jun 2014: Here are the pics I just took Updated on 18 Jun 2014: It posted my same update like 4 or 5 times and then wouldn't post my pics?? Anyway sorry about that. Updated on 20 Jun 2014: I just wrote my whole update and then real self froze so I'm starting over. Ok, so I made it! I got to the hospital at 7, went through the full intake, answered a lot of questions, changed into a gown, took a pregnancy test (though I got my period on Wednesday), met with the anesthesiologist and Dr. Gillman to go over the surgery plan. They wheeled me back, started taping monitors to my chest and that's the last thing I remember. I woke up in recovery in a lot of pain and discomfort. They pumped me full of pain meds which made me woozy. I was talking a little crazy and I had to pee but couldn't walk, so I had to pee in a bed pan. Honestly when you're in that situation, you don't even feel any sense of shame or embarrassment! I also threw up a little blood. I stayed in recovery a couple hours until I felt well enough to be transported to the car. I'm glad I live so close to the hospital because I just wanted to be in my home. The swelling started immediately, much worse on the left side. The nurse told me not to ice...which was surprising...? I am taking arnica, bromelien and putting the arnica gel on. Not sure if it's working. My eyes are almost completely swollen shut. Basically I've just been sleeping about an hour at a time, then getting up, trying to drink some fluids, and clean my stitches and do the nasal rinse, take meds. But what I can see of my nose, it looks straight and the tip is cute. So all of this is definitely worth it! Updated on 20 Jun 2014: As comfortable as possible in my little nest on the couch. The bruises around my eyes are dark purple, and I have this giant puffy bruise on my forehead. I look like a Klingon from star trek! My upper lip is stiff and numb which makes it weird to eat. I'm taking a pain pill every 3 hours because by the end of the 3rd hour, the headache and nasal pressure are pretty unbearable. Moving around makes it worse. Seems like I've got a long road ahead of me. Hoping I'll feel up to watching some movies tomorrow, but for now it just hurts to keep my eyes open. Updated on 21 Jun 2014: At this point... Taped my glasses to my forehead so I could at least write an update. Thanks everyone for your tips and advice. Feel like that episode of Seinfeld where Kramer decides to only sleep in half-hour increments around the clock. Except it really sucks. Wish I could get a few hours of deep rest in. My day has consisted of icing, applying arnica gel, cleaning the weeping from my eyes, cleaning stitches, and popping pills. I haven't had much of an appetite but have enjoyed some ice cream, popsicles and smoothie today. I'm really really looking forward to the part where the swelling moves down. Come on, gravity! Updated on 21 Jun 2014: Stiff, numb upper lip and zero sense of taste or smell. Normal? Updated on 22 Jun 2014: Migrated to my bedroom for a change of scenery. Still not sleeping. Was getting sweats and chills the last 2 nights resulting in shivering and teeth chattering and having to bundle up. Took my temperature today and i have a slight fever. Odd because I'm taking antibiotics and pain pill with tylenol as directed. Wondering if it could be a sinus infection because i have so much pain and pressure in my head. My body feels strange and I'm often disoriented, half awake but in a dreaming state. Going to call the doctor tomorrow if this doesn't improve. The only good news is the bruising is turning yellowish under my eyes. Just kinda looks like sad clown make-up now. My fiance said my surgery was 4 hours long and it just seems like it was too much for my body. I'm a petite girl and this has been a lot to go through. I've taken stool softeners but still no luck in that department... Updated on 23 Jun 2014: The swelling is moving down my face which is fantastic. I think I've finally turned a corner. Still not sleeping more than a hour at a time, but that's an improvement over what it's been. There were a lot of aspects of my recovery which turned out to be worse than I was expecting, but then, there were a few things I'd thought would really bother me and they didn't, such as not being able to wash my face or hair. Just don't care! Those items are really far from my 'things i give a s--t about right now' list. Very liberating! And I like my new nose. I pretty much promised myself though no matter what it looks like when the cast comes off, I never want to go through this again, so I'm keeping it. Updated on 23 Jun 2014: I'm going through some trying times here and I'm just going to make a pre-emptive statement..if you don't have anything nice to say, please don't say anything at all. A lesson that we all learned as children, but doesn't hurt to have a gentle reminder. Constructive comments, tips and words of encouragement from people who are in the process of rhinoplasty and/or septoplasty are welcome, but please don't use my blog as a forum or platform for debate about plastic surgery. So far everyone who has posted on my blog has respected this, but that's not the case for all the blogs I follow, and that is unfortunate. Let's try to uplift and support each other. When you have a choice between being "right" and being kind, always choose to be kind. Doing otherwise just puts more negative, ego-driven energy into the universe, and hurts you to boot. Really, at the end of the day, is it worth it? As Randall said in the movie, Clerks, "I hope it feels so good to be right. there is nothing more exhilarating than pointing out the shortcomings of others, is there?" Those of us in the thick of recovery don't need to deal with the internet trolling and overly opinionated commenters. Just kindness and kid gloves, please. :) Updated on 23 Jun 2014: Lots of drainage today, good signs of healing and progress. It's getting easier though the last few days have certainly been a roller coaster. I've had moments of emotional despair where I really questioned what I had gotten myself into, why I couldn't have just accepted my funny nose and gotten on with my life and spent that $6,000 on the honeymoon of a lifetime. Moments where moving my head a fraction of an inch caused tremendous pain that I wouldn't wish on my worst enemy, and I couldn't bear any sounds or sights for hours. But then, maybe I'm just a wimp and have a low pain tolerance.. Anyhow, I was thinking back to this intense and grueling backpacking trip I took. It was a week of walking, the trail was almost a hundred miles, it was brutal and after day 3, blistered and bruised, I wanted to give up and turn back. BUT I didn't. I'd made a commitment and I had a destination to reach. I pushed on because sometimes, the only way out of something is through it. Of course, on that hike, I could have quit and taken the easy route back to civilization, whereas plastic surgery you can't just undo... But my point today is about perseverance. I'm tougher than I think and I can do this! No matter what, no regrets, everything is a learning experience. Everything can be transmuted into personal evolution. So, sorry for the philosophical diatribes. Writing this is a lot like journalling for myself, so if my little lessons and breakthroughs are boring for you, I apologize. Here's a picture of me eating chocolate ice cream, which is my bliss for the day. And on a more practical note - Oh my god, the lowly Q-tip has become my best friend. I've easily used more Q-tips in the last 5 days than I typically use in a whole year. Q-tips, along with hydrogen peroxide and nerosporin are absolutely indispensable. Updated on 24 Jun 2014: I soaked cotton rounds in witch hazel and held those to my eyes for a little while, supposed to help the bruising resolve quicker. A lot of the skin around my eyes is peeling and flaking off. Especially on my eyelids. Looking forward to getting the cast off tomorrow as it drives me nuts when my nose starts itching underneath and I can't scratch it. But then also nervous - what if the grafts in my nose look all swollen and weird? And once the cast comes off, is my nose going to throb more? Time will tell. I've kept my stitches really clean so hopefully it won't hurt when those come out. Dr. Gillman has been great about calling and checking up on me. I took the high dosage of antibiotics last night. I think I slept a little better but woke up with a really sore throat and dry mouth, even worse than what has become normal. I really love the minty dry mouth spray I got at CVS. I can actually taste the mint flavor a bit so that's a good sign. Still having the sweats and chills at night. I've been taking cat baths in front of my sink, I just haven't felt up to a real shower or bath, but I do have a hot date tonight with my fiance for my first hair washing. He's been amazing this whole time, I have relied on him for a lot of help. What can I do to make this up to him? Updated on 25 Jun 2014: Last couple hours with cast, splints and stitches... I keep getting shooting pains in the sides of my nose :( Going to take some extra strength tylenol before going. It was the best night's sleep I had so far in that I had the least amount of sweats/chills and probably only got up about 4-5 times. Glad I'm on taking the stronger antibiotics, I'm starting to feel more like myself. Updated on 25 Jun 2014: I'm so happy right now. Ok, the splints coming out hurt like a b---, but then we all know I'm kind of a baby. I had no idea how big they actually are, I didn't think something that huge could come out of my nose! He also did a little suctioning of junk which was very uncomfortable. But he said I did a good job keeping everything clean and flushed out so the suctioning was probably less than a minute. The stitches coming out was not painful at all and he was very slow and gentle with taking the cast off, it was just a little tender. And voila! Here is the big reveal. I am so happy. Sure, it's puffy, swollen and a little strange looking, but it has a level of symmetry and normalcy that my nose has never had! I can't even describe how good it feels to like what I see in the mirror. I LOVE my profile now! And I'm only 6 days out, it's just going to keep getting better. The only issue is there is this tiny little piece of skin hanging down from where one of the stitches was, I don't know if it's going to turn into a scar, it might have to be cut off down the road. I think it might be the only giveaway that I had an operation, but it's so tiny maybe only I can notice it. I go back in a month for another follow up so we'll see then. Happy! Updated on 26 Jun 2014: It's been exactly one week since the day of my surgery and I've made so much progress, considering where I was a few days ago. This morning was like Christmas - I couldn't wait to wake up and go look at my nose in the mirror! My sense of smell/taste is starting to return. I juiced carrots, celery, apples, ginger and parsley and could definitely taste the pungency of the ginger and parsley. Did some cleaning and household chores and could smell the cleaners, so that's a good sign. I'm still weak and trying not to over do it with all the bending down and standing up. Took my first shower since surgery and it was amazing. Still some lingering bruising but I'm not in the mood to put on any makeup. Updated on 28 Jun 2014: Today was my nose's first real debut into the world, other than my post-op appointment and a short trip to the grocery store last night. So I put on makeup for the first time, got a haircut, and my fiance and I went out for dinner and a movie, which we really needed. Some of the hardest parts of this recovery are that we've had to sleep separately since I get up so many times in the night, we can't snuggle up with each other freely like we used to do for fear of bumping my nose, and I still can't pucker my lips enough to even kiss him properly. Another really difficult part has been trying not to smile too big or laugh because it pulls the muscles/tissues in my nose and really hurts! I love comedy, I love to laugh, and my fiance makes me laugh every day without even trying. I can't even look at his face without smiling (I know, it's sickening how in love with are). So anyway I haven't been able to keep myself from laughing though I try to restrain it. From what I read though, this shouldn't damage my end results. I'm just going to try to keep it at a minimum. Still tender and swollen but really happy with the way it's looking so far. It's exactly what I wanted and always dreamed of, a nose that just looks normal, not deformed or out of the ordinary, and not a tiny little pinched up Kiera Knightley nose (that was like my worst nightmare). I finally feel like now when people look at me, they won't be staring at my nose, wondering what happened to it...they'll just be looking at me and hearing what I have to say. That's an amazing feeling. Updated on 16 Aug 2014: So it's been 2 months since my surgery and I haven't updated in a while, because not much has changed. There has been a slight reduction in swelling in the bridge, but I feel my tip is still very swollen. There are a few factors for this...after I returned to work on day 11 post-surgery, I started working a lot of hours, not taking breaks, not sleeping well at night (due to trying to sleep propped up), so after a few weeks of that stress, I came down with one of the many viruses going around the office. This cold just kept getting worse and wouldn't go away, eventually turning into a sinus infection. So for about 3 weeks I was constantly blowing my nose and I think this contributed to the swelling getting worse or at least not getting better. Eventually antibiotics cleared it up and I am now well. At my 6 week follow up with Dr. Gillman, I was concerned that all that nose blowing caused permanent damage but he doesn't seem to think so. He says I will continue to see refinement over the coming months, even years. So for now, I'll post some before/afters for everybody. Updated on 16 Aug 2014: Updated on 16 Aug 2014: My incision site was very red and swollen for a while. I started putting a mixture of olive oil, hemp seed oil, jojoba oil and shea butter on it twice a day and it's fading nicely. I'm not putting any make up on it, but I do apply sunscreen. Updated on 7 Dec 2014: My nose is going crooked again - a bump started forming on the left side pushing it in the other direction. I noticed it early on but trusted the doc and tried to not focus on it until the 12 month mark, but every day it gets worse and the lean is so pronounced. Since my nose was crooked before, the doctor had to do different techniques on each side, so I think that's why this is happening. He didn't think the cortisone shots were a good idea at this point. My nose looks huge to me, even bigger than before but it seems like the swelling is mostly gone and this is just how it looks now. The bump is hard. I don't think it's going to soften and smooth out over time. It certainly doesn't seem like it's going to shrink by my wedding. My next appointment is in about 6 weeks and I'm just feeling so disappointed. Updated on 24 Jun 2015: The issues with my nose didn't resolve and it appears that the curve and crookedness are here to stay. I have had several follow ups with Dr. Gillman and he doesn't think a revision is worthwhile because of the risks involved. I'm pretty disappointed because I looked at this process as something I would go through once and if it didn't come up perfect, I would just have to deal with it. But the thing I hated most about my nose, the way it leaned to one side making a bulbous crooked tip is STILL THERE! The bumps on the bridge, though reduced are still noticeable, as well and the swelling settled down into pretty ugly unevenness along the bridge. It is only marginally better than my original nose. My left profile looks OK but the right side, front on, and every single other angle is pretty horrific. Despite my unhappiness with my nose, I still had to get on with my wedding planning! I got married 2 weeks ago and with a little bit of contouring and a lot of false eyelashes, I felt absolutely beautiful on my wedding day. I don't have the money to get my nose fixed, especially since I am newly unemployed and revision surgery costs so much more than a primary, so I'm going to try and accept my flaws. What gets me though is I GAVE someone all of my savings so that I wouldn't have to live with this particular flaw, and here I am staring at a weird crooked nose every day, poorer but hopefully wiser...
I had a septoplasty/rhinoplasty with Dr. Grant Gillman two weeks ago. The whole experience has been worth it so far. Dr. Gillman is extremely knowledgable, comforting, and experienced. My nose was extremely crooked and my septum was very deviated. He corrected the crookedness and shaved the bump down on the bridge of my nose. My nose is not laser straight afterwards BUT it is a HUGE improvement, and I am very glad that I had it done. My nose is still swollen, as it will be for another year. I have extremely THICK skin, so this procedure was a huge challenge for any plastic surgeon. Thick, porous skin, crooked nasal bones, twisted cartilage, and deviated septum makes for a very challenging procedure. I do not think I would trust anyone else with it in the area. Not only is a he a plastic surgeon, but he is an ENT, which is essential for nasal surgeries, as there are a multitude of things that could cause problems with subpar surgeons. There was not much online about this surgeon as far as reviews when I chose him, so I'm writing this review as a help to anyone who is considering this in the Pittsburgh area. The total cost of my procedure was $6000. The surgeon's fee was $5000, hospital fee was $700, and anesthesia fee was $300. The septoplasty was covered by my insurance. Hope this helps anyone on the fence.
Hi all! I've never done anything like this before, so bare with me! I'm 24 year old nursing student so I want to do this while I'm on summer break! (I graduate next year).. My surgery is scheduled for July 24...less than a month!! I feel like I've found the perfect surgeon and I'll really excited about it. He is an ENT who specializes in rhinoplasty and he's the director (or assistant, I'm not sure) of facial plastic & reconstructive surgery at UPMC. He spent over 2 hours with me!!! My nose is off center, I wouldn't necessarily say "crooked," but it's not straight. I also have a bulbous tip which is too large for my face. On top of all I have a deviated septum which truly effects my breathing. So, at my appointment, he looked up my nose, felt my nose, suctioned my nose...did everything! He told me that he can absolutely he can break and reset my nose, but since it is not a huge problem he said i should outweigh the pro's and con's. He told me that when we're done in the OR my nose would be pinpoint straight, but he cannot promise it will heal that way. He said 90% chance it will be "better" but slightly unlikely it will be perfectly straight. I thought about it for a few days and I'm doing it. Even if it moves a half cm, I'll be happy...I know that if I don't do it, I'll regret it. Not to mention it really does bother me...especially in pictures because it is so much more obvious. So anyway, he's doing that, fixing my septum and reconstructing my tip. Really Excited!!! Oh, I also wanted to add that this is the second ENT I went to. The first was about a year ago and the Dr was pretty much just like yeah you have a deviated septum, ill break and reset it and i'll fix your tip. I was caught off guard because I honestly didn't even know that ENT's performed rhinoplasty? I was like okay, so I scheduled the surgery for a few months later. Obviously I didn't do through with it... THANK GOODNESS!!! He barely even looked at my nose like my Dr now. Amazing difference between the two!! Maybe thats why my doctor has been voted best doctors in america for the past 10 years!! Anyway, I'm really really nervous, mainly for going under (first time) any tips or advice is much appreciated!! Updated on 27 Jun 2012: I just wanted to talk a little bit more about the surgery & recovery. I'm planning on taking the arnica tablets because even if it doesn't help it won't hurt. Has anyone ever heard of Therapearl? They make amazing cold/hot packs. I have a few of them (they make all different shapes) but one is a small circle which would be perfect for my eyes! I have an eye mask but I don't know if I can have anything going across my bridge (probably not). So...I emailed them and said I love their products, blah blah, and I need another small circle for my other eye...so they're sending me a free one!! Yay! (www.therapearl.com) Also, I am going to the beach right before my surgery...I come home 3 days before. So I bought SPF 70 for my nose and SPF 30 for the rest of my face. My doctor said I definitely want to avoid having a sunburned nose because the skin will be much more sensitive...really paranoid about it. I also got a saline nasal spray today. My doctor told me to get it…not sure when/how often I’ll have to use it. My doctor should be calling me in a few days to give me a definite price. I'm going to ask him if he can prescribe me a Valum or some kind of anti-anxiety because I know I'm going to be more than freaking out the day of. I'll probably be crying and feeling like I'm going to throw up. I really don't want to go into surgery like that, so I want something to calm my nerves. Has anyone taken anything before surgery?? Updated on 27 Jun 2012: Well Dr. Gillman just called me to give me the price and we started talking and I totally forgot to ask about the anti-anxiety medication! Ughhh. Anyway, my total is $5,376.50. I love the extra 50 cents? Lol. I think that's an amazing price, I'm happy about it. I'm paying for it with bonds that my mom has had for me since I was born. I was going to save them to put a down payment on a new car...but when I do buy a new car I'll have a good paying job and probably won't need the money as much. So it's going towards a new nose ") This is pretty much my new favorite website, so I'm going to be posting whatever is going on inside my head... ") Updated on 28 Jun 2012: Good morning! I'd thought I'd share my shopping list. Feel free to comment or add things!! ") Nose Surgery Check List 1. Arnica tablets and topical cream- yay or nay?? 2. Baby food- trying to eat healthy as possible to recover fast! 3. Ensure/ protein drinks 4. Gatorade 5. Greek Yogurt 6. Jello 7. Pineapple 8. Bendy Straws 9. Nasal Spray 10. Nightgowns- gotta be comfy!! 11. Chapstick- any brand suggestions?? 12. Throat Lozenges 13. Tylenol PM- if i'm allowed 14. SPF 70+- no sunburn!! 15. Tattoo concealer- if i bruise 16. Laxative- heard bad stories about constipation. 17. U-shaped Travel Pillow- gonna use it in reverse, if that makes sense... I have Netflix & my Kindle Fire to keep me entertained. Probably will pick up a few magazines anyway. Anything to add?? Updated on 28 Jun 2012: added more before pics.... Updated on 11 Jul 2012: Less than two weeks away!! My doctor's office called yesterday to get my payment..no turning back now! I am so so so so nervous, I asked the office manager if Dr. Gillman prescribes anti-anxiety meds for before the surgery, shes gonna have him call me. I'm not a big fan of medication, but I know I'll need it for before the procedure. When I get really nervous my BP & pulse skyrocket which is accompanied by extreme nausea lol...I really don't want to go into surgery like that. Welp, until next time :) Updated on 22 Jul 2012: Well, 2 days!!!!!!!!!!!!! Holy crap! I was on vacation the 14th-21st so it's seems like this came up really fast!! I've been trying to mentally prepare myself but I'm not sure its working lol. I just want the surgery to be over so I can focus on recovering. The hospital called me Friday to give me instructions for that day. Basically where to park, where to go, no nail polish, makeup, etc. Also, she took an extensive medical history...which I'm sure they'll do the day of too. They're calling me on Monday to tell me a time. I'm really hoping it's early in the morning so I can get it over with. I don't want to have to wake up and think about it all day lol. Although, I know I'm not going to be able to sleep tomorrow night so I'll be thinking about it then haha.... I'm going shopping tomorrow for all my goodies, which I'm actually excited about. :) I'll post tmrw to let everyone know what time I'm going in...eeek Updated on 23 Jul 2012: The hospital just called, I have to be there at 10am tmrw. literally 24 hours!!! I wish it was earlier but at least it's still in the AM. I'm going shopping right now then coming home and doing some major CLEANING! Fun stuff :) Ttyl! Updated on 23 Jul 2012: The hospital called me again to tell me the schedule changed and I have to be there at 730. Muuuuch better!! Surgery doesn't start until 930, but this way I leave my house at 6am so I'll (hopefully) miss all the rush hour traffic. I have my little spot all set up with everything i'll need. I plan on spending the next week on our recliner :) Welp, I just cleaned the house...now I'm going to start mentally preparing myself lol Updated on 23 Jul 2012: 12 hours until surgery. 10 until i have to be at the hospital. It's safe to say all my excitement went out the window and I'm just a nervous wreck. my stomach drops every time I think about it...which is every 5 seconds lol. I was doing good today bc I kept myself busy. I literally scrubbed my house from top to bottom...i even cleaned out the refrigerator. But, now there is nothing left to do except sit and think...and it's not going well lol! I know I'm not going to be able to sleep tonight. Well, that's probably all for tonight. I'll post tmrw morning to let everyone know how nervous I am lol! Gnight (ps. i added a couple of "before" pics) Updated on 24 Jul 2012: All done!! Soo happy to say that. Surgery went well. I got there about 7am, they had me feel out some paperwork then took me back to pre-op about 20 mins later. I changed & they took my vitals. A physicians assistant came in to get my health history and answered any questions I had..he was really nice...everyone was. Then the nurse came in and asked me some more questions and witnessed my consent. Luckily, I was right by the bathroom because i could NOT stop peeing! Must have been my nerves bc I hadn't drank anything in 12 hours. Then a med student came in and started my IV. Then Dr. Gillman came in and made me feel SO much better. He's so nice. We were going over what he was going to do and he mentioned my small hump. I was actually just thinking about it the other day...it's not noticeable now bc my tip is so big, but once you bring that in, the hump will look big. So he was going to reduce that slightly. Then anesthesia came in and asked more questions, then finally the nurse anesthetist came in and wheeled me back. She put some drugs in my IV and I don't remember a thing. I woke up in recovery with ice over my eyes. People were talking to me and I had no idea who they were (obviously staff). The nurse was feeding me ice chips, my mouth was SO dry. She sat me in the chair which helped me wake up, but I was still struggling to keep my eyes open. I was also really dizzy up until a few hours ago. I was slightly nauseous even though they put something in my IV, which I'm very glad I asked for. I ate a cracked at the hospital and had a few bites of jello here, but that's about it. Oh ya, when I had ice over my eyes the nurse asked if i was in pain...I was a little bit so she put something in my IV...then she came back and I was still in pain so she put in more. Then a little later I took a percocet. Pain was about 4-5/10. I'm in no pain now. I've been sleeping all day. I just cleaned my stitches with peroxide and I have to do a nasal rinse. No packing!! Thank goodness. I took another pain pill and I'm feeling fine, still tired though. Well, I think thats all for now. I'll post pictures tmrw when I can get some good ones. Updated on 25 Jul 2012: I guess this is considered Day 1 Post Op? Swelling is SO bad today. I'm taking arnica tabs & also putting the gel on it...not helping. I've been icing a lot...also, not helping. I've been trying to get up and move around, which is helping, but there is only so much I can do before i get bored or tired. Bruising and pain aren't bad. I take my percocet every 4 hours, I'm not taking any chances on not being able to control pain. Towards the time when I'm supposed to take it again I start to feel pressure on my nose. I have to do this nasal rinse about 5 times a day, which feels really good...it gets all the junk out. I also have to clean w a qtip & peroxide. I can't really notice a difference in my nose except it's not as low. The piece of tape on the front is making it look like a pig nose, praying that's the tape. Well, that's about it. I'm pretty miserable, and they say tomorrow & the next day are the worst! Updated on 26 Jul 2012: Day 2 Post Op Today is much better! The swelling has moved down my face so it's not all at my eyes anymore. I was really starting to get worried about my eyes swelling shut. There is still a ton of puffiness and bruising but not as bad. Still uncomfortable, I just feel like there is a lot of pressure on my nose. Pretty much feels like someone punched me in the face lol. I'm still taking percocet every 4 hours. I could probably switch to Tylenol but I'm gonna wait at least one more day. I haven't had any trouble with boredom, I love doing nothing and being lazy. This weekend, however, I'll be bummed out bc all my friends will be out. But, Monday I get my cast off! Updated on 26 Jul 2012: Still doing good. My friend came over & brought me lomein noodles (yum) and also a gift of bath & body works body scrub. I cant wait to use it in the shower because my skins feels so grimy. I'm still taking my pain pills as I still feel pressure. I'm a little nervous to get these stitches out, I feel like it may hurt? Welp, thats about it. Time to go sit with some ice. Updated on 27 Jul 2012: Post Op Day 3 everyone! Today is so much better! I'm so happy that everything has gone uphill since post op day 1, considering they say day 3 is the worst. Day 1 was def the worst for me. Although, the mornings are still miserable. I wake up as if I have a horrible head cold but once I get up I feel better. The swelling is continuing to go down my face and the bruising around my eyes is turning yellow. Yay! I didn't take any pain meds throughout the night and I woke up in pain. From what I read, no one else seemed to be in too much pain, so it might just be me. I know I got A LOT of work done, so maybe that's why. Updated on 27 Jul 2012: Today was so much better! My boyfriend went on a golf trip for the weekend (its been planned forever) so ive had to be up a lot to do things around my house and such. I think all the movement really helped with the swelling, its almost gone! I took a bath and washed my hair...I also did my nails. Now I just cant wait to put some makeup on!! I started taking tylenol today...I'm still feeling a lot of pressure of my nose. Oh, a little recommendation, don't watch a funny movie!! Laughing hurts. I ordered 21 jump street...so funny, but so painful lol. Updated on 28 Jul 2012: Today is the first day I woke up and didn't feel like total crap!! Everything is really getting better: swelling, bruising, pain. Although, I woke up in the middle of the night and I was laying on my side! I freaked out for a minute bc I didn't know how long I was like that or how I even got that way because I was sleeping in a recliner! I have been using a U-shaped neck pillow, but from using that for so long it actually hurts the back of my neck and the back of my ears. After I woke up on my side I started using it again...not taking any chances. I'm almost done with my antibiotic..i think just one more day. I'm glad about that, I'm not a fan of taking antibiotics. My nose feels so numb! Certain times it almost feels like the tip has needles...pretty creepy. Oh, and this morning it was sooo itchy under the cast. I had to force myself to stop thinking about it...and now that i brought it up it's probably going to start itching again lol. I really think the arnica gel is helping with the swelling and bruising now...I am taking the tablets too. I occasionally take a vitamin C also. Welp, I think that's it for now. Any questions, please ask! Updated on 29 Jul 2012: Hi everyone. Not much to update. I actually slept in my bed last night! I shifted from side to side without any problems or pain. My post op instructions only say to lay elevated for first 72 hours, so I hope this was okay. I've been drinking naked smoothies & protien drinks all week...i think it's is helping my healing come along faster. I have a tiny bit of bruising and almost no swelling. I'm getting my cast off TOMORROW!! ahh. I'm really nervous tho, because I have tubes in my nose, which will be taken out and also my stitches. Has anyone had tubes in their nose? And how bad do the stitches hurt coming out? I'm gonna take 2 pain pills because I go. Eeek. :/ Well, I'm watching "Plastic Surgery: Before & After" on DFH lol. Cya! :) Updated on 30 Jul 2012: I'M IN LOVE!!!! It's still SO swollen but it's SO much better than before!! I'm so excited. Nothing hurt, stitches, cast or tubes coming out. :) Updated on 31 Jul 2012: My nose is so much more swollen today :( bummer!! I guess just bc the cast was holding the swelling down? Oh well, it's still better than before lol. I forget to say yesterday, my surgeon said no sunglasses or glasses for 6 weeks and also NO sunburn. He said if it gets sunburned, it will swell up and take a LONG time to come down. So looks like sunscreen and hats for me! Updated on 1 Aug 2012: Thanks for the support everyone, but I'm making this a little more anonymous!
I am in the process of getting my deviated septum fixed as well as the indent on the left side of my nose fixed. I have decided on a chin implant as well and am having a tough time deciding on a size! My doctor uses implantech implants, i am between the size medium extended anatomical chin and the medium or large flowers mandibular glove implant. any advice from someone that has under gone this would be great! I feel like I am leaning towards a stronger chin since what is going to be done to my nose is not much to change the look of it but to hide the crooked look it has. Updated on 6 May 2013: so Today I had another appointment to determine the size and style of implant I am going with. I have decided to get the implantech flowers mandibular glove size medium.I thought I wanted a large but my chin already protrudes a bit when I smile and I do not want to be all chinny chin chin. I am getting a deviated septum fixed and the crooked looking indent on my left side shaved down and propt up with part of the septum being removed. One other thing that helped me choose the medium chin implant with this surgery is that the doctor said he will shave the little bit of hump I have on my nose to help bring more balance to my face.One thing I liked about this chin implant is that it adds length to the face, the sides of the implant taper out thinner compared to the extended anatomical implant so this will had some length to my face and will be more of the chin then the sides. I am trying to be as detailed as I can so I can maybe help someone else with this decision.I at times felt somewhat overwhelmed with choosing a style and size for myself not knowing how i will like it. Well I am scheduled the end of this month and will update as much as I can. Updated on 18 May 2013: Thank you everyone for support on my journey with this! I am just so excited to FINALLY have this done. Now to answer some questions The doctor thought both would be great for me. I had questioned about the other styles with out wings on the implantech website. What he stated was with out wings you have a greater chance of it moving out of place where as with wings its less likely. He felt my choice with the mandibular glove style will keep a soft feminine look with more balance, as he also pointed out that when I smile I protrude a bit already. I just wanted to point out this is something I learned about and asked my doctor after our convo on what he would do to fix my nose. He is very patient and puts it in layman terms. I will try to keep updates of my recovery, I am scheduled for may 28th wish it was sooner! Updated on 31 May 2013: let me just say general anesthesia is awful! I was so sick the day out of surgery on top of the pain meds they gave me in my IV.I was shocked at how bad my eyes bruised and swelled up! I was doing good with the nasal rinse up to last night I am completely clogged with snot and probably some dried blood. My chin does not hurt as bad as my nose area does. I get a burning slight dull ache here and there and if my make certain facial movements. I have barely taken pain pills only due to how crappy they make me feel at times. I have been taking a fish oil high epa once a day since wed 1000 mg of vitamin c some digestive aids especially probiotics with my z-pak and lots of icing! I have not had any numbness from my chin thankfully as I hear this is a possible complication even if its temporary. I will try to get some pictures taken to post later. Updated on 4 Jun 2013: I am really second thinking this chin implant... I am feeling stressed after surgery but I am very very unhappy with the way this implant makes my chin look. I know I am still swollen but I have an awful wide frontal view and I am only swollen a little on my sides since it had wings and underneath. I am thinking the style of implant with wings at all is just awful for my face shape. I am trying my best to not think about it since the tip of my nose is very swollen too so that makes features look even worse.I might have been better to listen to my Bf about my chin ugh! Updated on 11 Aug 2013: so after speaking to my doctor I waited 6 weeks for an apt post opt to my surgery and decided that I wanted the implant removed. It was too big and pushing on nerves so it was awful feeling. total of 8 weeks post up to the originalsurgery I had the flowers mandibular size medium implant removed and replaced with a size small anatomical implant. I am very very pleased with this decision its the small change I needed! The thing I love about this implant is that it only pushes my natural chin forward and does not bump out like the flowers did. Now that my nose does not have an indent on the one side making my nose look crooked and my chin is now balanced with my face I am very pleased and more confident then I was before! Some ppl do not understand these changes one wants to make and some do I just want to help the next person on this journey to maybe prepare them with my personal experience. I have had no numbness with either surgery either so that is a huge plus for me. Updated on 11 Aug 2013: now with my nose my doctor offered to shave my curved bump down so now I have a straighter bridge. I personally kinda regret this I do miss my "bird" nose it was not a huge bump just cave a curve to my nose that I thought was pretty now getting an after look.
