I was so disappointed after having rhino surgery to treat breathing problems and open my nasal passage, the tip of my nose was left with a large bubble and huge, the bridge too wide. Their was no consideration to make a nose that fit my face at all. I am totally depressed. I feel so bad if you aren't experience in doing african american noses then don't attempt to, I can't afford to have it fixed so i live with feeling my nose is all people see. I came to you for help afterwards, you only wanted more money for what should have been apart of making me satisfied. I will not post pictures Dr Branham, I trusted you Ms. Phillips
The excellent bedside mannerism followed by the Botched procedures? Dr. Branham praised his abilities which I considered to be confidence. He and I met a number of times, thorough consultation . I wanted to have a nose implant put in to help better shape my nose. Dr. Branham assured he was capable. However the implant that he showed me during the consultation was totally different from the one that was implanted . The one he put in was so big. I hated it. He didn’t place my nose back in a good place. Also the unevenness of my nostrils and building my nose up, long gating it in a very unnatural way. It wasn’t attractive or normal looking in any way. The doctor also suggested a lip lift which also turned out hideous. Today I suffer strongly with PTSD. My quality of life is lost if I don’t find someone to fix this horror.
Early after surgery you are going to have swelling that will take time to resolve. Having said that, however, you should notice significant improvement in the overall shape and configuration of your nose postoperatively. It is essential that you talk to your surgeon about your concerns. Not knowing what you had done, I cannot comment on the specifics of your surgery, however you should be seeing improvement as the sweling continues to improve. Again, it is essential to have a good relationship and the ability to communicate freely with your surgeon regarding your concerns. if there are complications or problems with your rhinoplasty you want to find out what the plan is to correct them and what the time frame is for doing so.
There can be a number of reasons that a surgeon might refuse to do surgery. If the surgeon felt that your expectations were unrealistic or that their experience would not permit a good result then that is not the surgeon for you. Not every consultation ends with a surgical plan. I would suggest that you see other rhinoplasty surgeons and that if you have not done so; that you be as specific about what it is that you want to accomplish in changing the shape of your nose. Any examples of ideas that you have, you should bring along to the consultation. Finally, I believe that preoperative imaging is essential to allow you to see what the surgeon is contemplating and to confirm that it complies with you desires.
You have a fairly common problem that we see in young individuals who inherit a tendancy for early puffiness of the lower eyelids. This is fat that is bulging out due to a weak orbital septum. In cases like yours, a conservative transconjunctival blepharoplasty should correct the problem. In some cases, a prominent tear trough deformity also exists and this may require fat or filler injections to help camouflage this depression. In your case the tear trough or transition zone from the thin eyelid skin to the thick cheek skin is not deep and should be fine after blepharoplasty. Best of luck.
While hyaluronic acid fillers like Restylane and Juvederm can fill and soften facial features, care must be taken when injecting it into the skin and soft tissues of the nose. Because you have thin skin, the fillers are very unforgiving and will add bulk and fullness. Also they are not permanent and will require reinjection at 9months to a year. If you decide to go with fillers in the nose, small amounts should be injected with vigorous massage to make certain that you don't get irregularities from the filler. Obviously, this is not an FDA approved use for the filler materials, but it has been done before.
I understand your desire to not alter the tip of your nose, however, if you remove the dorsal nasal hump it will actually make the nose appear longer because the bump on your nose breaks up the length of the dorsum visually and makes it look shorter. If you have the bump removed you should have the tip rotated upward to shorten the overall length of the nose as well. To do this you don't have to make the tip smaller or do any other major alterations to it, but your nose will appear longer unless you alter the tip. Good luck
