I visited last August 'cause I was thinning up top and my temples were going bare. Got an FUE transplant with Dr.Ferguson and the crew, and man, they rocked it! Snagged a half-off deal for a PRP treatment I did last month too. Michelle broke down the aftercare for me, step-by-step, even gave me a written guide. Big shoutout to Teresa, and the front desk ladies! Dr. Ferguson schooled me on some vitamins and products that could help out. I heard it's usually an 80% improvement in the first year, but dang, it's looking way better than I thought it would. Super stoked with my choice!
I love everyone at the Ferguson Clinic. They go above and beyond to ensure you feel comfortable and well taken care of. They are friendly, fun, kind, detail oriented and their staff is top notch. It truly is a family business and they make you feel like part of the family. You know you're in great hands when you walk in the door. The facility is inviting and immaculate. I've been to and interviewed more than one surgery center in Hawaii and California. Many were lacking one or more of these qualities. It's 5 stars all the way at The Ferguson Clinic in Honolulu. You won't be disappointed. Rick Bartalini Fair warning: Teresa Ferguson has an addiction to putting sparkly bling on anything and everything. So keep your phone, wallet or purse close by unless you want them to look like a disco ball.
I had a Cellfina treatment for cellulite and I'm super happy with the results! I had bruising on my buttocks for about 2 weeks, but after the bruising subsided you can clearly see that I have no more dimples. I tried creams and fascia blasting for years and nothing worked. Dr. Ferguson and his team made me feel so comfortable and the procedure took no more than an hour. I paid $2500 for the procedure and thinks it's totally worth. I highly recommend Dr. Ferguson if you live in Hawaii and want to be cellulite free.
I have always wanted a full shaped and full sized pair of boobs my entire life. I started off with a 34 C deflated looking breasts and now have the full shape I have always dreamed of. I only had 6cm diameter measures from my nipple to my mammary fold. The average is usually 8cm. So Dr. Ferguson created a new mammary fold for me about 2-3cm below my original fold. I am one day post op today however in my before and after photo, that was taken exactly the morning before surgery and he afternoon right after surgery. The Ferguson Clinic staff are all amazing! My nurse's name was Alice and she was just so amazing throughout my surgery day as well as during my post op appointment. I am so happy with the work of Dr. Ferguson and his staff. I love my boobs so much!! Thank you so much!!!
I am a first-timer with cosmetic surgery and anesthesia, so I was a bit nervous about committing at first. In addition, I was flying from an outer island just for the surgery, then back again shortly after. I'm so happy with the results, where to start? 1- Teresa, who works at the front desk, was SO accommodating and friendly, despite my usual circumstances. I felt like a pain-in-the-butt, with all of my questions, but she made me feel cared for from beginning to end! 2) Dr Ferguson was professional and very knowledgable. I was grateful that he advised me against working on a certain area of my body due to the complications I could have had. No other surgeons I spoke to gave me the same advice, and, thanks to his transparency, I trusted him immediately. 3) The anesthesiologist was very good. I had no complications and, although it was apparently a "light" dose, I fell right asleep and the surgery was completely comfortable. I'm LOVING the results and they will probably see me again for some "tuning up" in the future. I can't believe I waited so long...
I heard of Dr. Ferguson on the radio I wanted a breast augmentation for a very long time now & it consumed all of my thoughts day to day so I was anxious to get it over with.. before my surgery I came on here to look up Dr.Ferguson and was nervous to find out there was hardly any reviews it kinda made me question my decision that's why I decided to write one.. it's been a month now and I absolutely LOVE my breasts he did an amazing job!!!! They are perfect size shape everything.. my stats are height 5'3 weight 128 pounds.. I received 600cc under the muscle trans axillary insicion. Pre-op breast size was 32B post op 34 DD (: I'm still currently going in for ultrasound massage twice a week, all of the staff are very helpful especially Janel she handles financial exc. They all really care about your outcome after surgery.. so if you have second thoughts about coming here.. don't because your in good hands
I will be 27 years old in May. I have an amazing husband of 3 years and a happy 8 month old baby. My husband deployed oct 15 and wouldn't you know I found out I was pregnant on oct 17 so he was gone the entire time. I had a horrible pregnancy and I gained almost 70 pounds. When I gave birth June 19 I weighed a whopping 243 lbs. I am active duty Air Force myself so I am back down to 193 but I plan on losing 15 pounds before surgery and 15 pounds after. My husband is very supportive he could care less what my tummy looks like but I am doing this for myself. I want my confidence back. I want to be able to look in the mirror and not break down sobbing. I had an emergency c section as a result my stomach not only looks horrible but my muscle has separated. I have literally stalked this site and looked at thousands of pictures I am so ready to be on the flat side:) my surgery is scheduled at the Ferguson clinic in Honolulu Hawaii. Dr Ferguson and his entire staff made me feel comfortable as soon as I walked in and his confidence and straight forward answers assured me he was the right PS. So here goes... I will add before pics soon Updated on 3 Mar 2013: I am a nervous wreck. I just noticed it is already March...Its crunch time. I am in need of advice...what should i get and my room is upstairs should i prepare to sleep on the couch. Will I be able to play with my 8 month old? My mom will be here for 20 days and my hubby is amazing but I am having some major anxiety. What should i buy beforehand? Updated on 13 Mar 2013: I went in for my pre op again. I was a bag of nerves...But my PS and his staff immediately put me at ease. Now I am just excited and ready to get this done for myself. I will be off work for 30 days and my mom is coming to help with my baby for 2 or 3 weeks. Now to get all my supplies and grocery shopping out the way... Updated on 28 Mar 2013: Well today is the day. Im actually in my gown. I cried when I dropped my babybidf at daycare. My husband laughed. Just nerves I guess...well off I go Updated on 29 Mar 2013: PO day 2 im feeling tight and uncomfortable but I'm staying medicates.went for post op doc says everything looks good. Of course I'm swollen but happy so far Updated on 4 Apr 2013: I am exactly one week post op. things have been much better than expected. It's sore and tight and I'm swollen. The stretch marks on the bottom are discouraging but it's better than having them all over. Dr ferguson is amazing. His entire staff is I can't stress that enough. The biggest bummer is not being able to pick up my spoiled son but I can tell the results are going to be amazing. I can stand completely straight but I'm so tired I'm completely off pain Meds though.
I'm a mother to 5 children, had my first when I was 19 and gained 81 lbs with that pregnancy, I have children ages 17, 12,11, 8 & 4 and I can finally say I'm done having children and I want my body back. I'm 36 years old and 5'2" and 110lbs. I'm scheduled to have my TT with MR and a BA on May 29th. I'm going tomorrow the 25th for my consultation, I'm so excited but as the days get closer I'm getting nervous. Updated on 25 May 2012: I had my pre op appointment today and I got all my questions answered, my PS does a few things different then want I read on her: 1. He is only putting in one drain for TT 2. Says I can shower on day after 3. Days I can get out of the compression garment after a week (I don't know about that) I'm still going back and forth about what size of an implant to use, is anyone a similar size and have pictures? I'm thinking of doing either a 400cc or 425cc. Currently a very deflated A/B. I just don't want to end up too big for my frame. Updated on 30 May 2012: PO day 1- I got a TT with BA 425cc in each and MR. When I first got home I actually felt pretty good paint wise I also woke up from surgery in not much pain but the nausea has been terrible, if I'm in bed I'm fine but walking to the bathroom I feel like I want to faint. Pain is getting a little worse, a lot more tighter but still I thought it would be worse its still bearable. I can see my breast as all that is on them is a top strap to push them down, right now one side is much bigger and the nipple is pointing outward so I'm worried abou that but then again they are both really swollen. My tummy is completely covered by the binder (i just have a wrap around waist binder) so i can't see that but I could catch a glimpse at the bottom of the binder of some surgical tape and my husband kind of looked and he said the incision looks pretty low, I will be so happy of it is, I think I reminded my PS like 5 times that I really wanted it as low as possible. I can't wait to see my BB. I go for my post op today so we will see. Oh and another thing is the binder is on so tight it's very uncomfortable. I also only have one drain and in almost 24 hours it hang even out out 25cc of fluid. Things that have really helped me so far: Back scratcher - my legs and arms are so itchy and I can't stretch to reach it so that is sooo good to have. Straws definitely That's all I figured out so far, will post pics if I can get some today at the office later Updated on 31 May 2012: post of day 3, its been and on an off day, the most pain us under my breast, I have a binder pushing them down and the paid is horrible. The other problem I have been having is heart burn and hiccups. The TT incision has been ok other than the occasional burning. I went to my post op yesterday and he cleared me to shower even though I have one drain in, I have only had one drain in from the start and it barely drains at all about 10cc a day. The shower felt so good and relaxing, I though I was going to feel faint once all the binders were off but infact it felt so good. My husband put a plastic chair in the shower and he bathed me. Added new pics below
I have 5 children, currently 5' 2' 112lbs. With my first baby I gained 81lbs, I managed to get most of might wait off after each pregnancy but never back to prepregnancy weight. I finally just lost 20 more pounds and I'm happy with my weight however my skin has always haunted me. In clothes I look fine, intimitely I look disgusting with skin and boobs hanging. So I have finally decided to take the plunge and surgery is scheduled for May 29. Updated on 23 May 2012: Officially one week from today I will have my procedure done, I'm starting to get a little scared but still so excited. I have my pre op appointment this Friday and have accumulated so many questions, I guess after reviewing so many before and after pictures my main concern is the placement of the scar, I do not want my scar high and I know if I don't have enough skin to stretch down it just might be high. I did read on other TT's post that they can use the belly button skin and I will have a small vertical scar and all those scars I have seen are nothing at all, they look like they fade nicely so I'm going to ask the PS if he can do that. Updated on 30 May 2012: PO day 1- I got a TT with BA 425cc in each and MR. When I first got home I actually felt pretty good paint wise I also woke up from surgery in not much pain but the nausea has been terrible, if I'm in bed I'm fine but walking to the bathroom I feel like I want to faint. Pain is getting a little worse, a lot more tighter but still I thought it would be worse its still bearable. I can see my breast as all that is on them is a top strap to push them down, right now one side is much bigger and the nipple is pointing outward so I'm worried abou that but then again they are both really swollen. My tummy is completely covered by the binder (i just have a wrap around waist binder) so i can't see that but I could catch a glimpse at the bottom of the binder of some surgical tape and my husband kind of looked and he said the incision looks pretty low, I will be so happy of it is, I think I reminded my PS like 5 times that I really wanted it as low as possible. I can't wait to see my BB. I go for my post op today so we will see. Oh and another thing is the binder is on so tight it's very uncomfortable. I also only have one drain and in almost 24 hours it hang even out out 25cc of fluid. Things that have really helped me so far: Back scratcher - my legs and arms are so itchy and I can't stretch to reach it so that is sooo good to have. Straws definitely That's all I figured out so far, will post pics if I can get some today at the office later Updated on 1 Jun 2012: PO day3 - today is kind of off and on, it started out a pretty good day then has pains set in and I know I probably have to have a BM since its been 4 days but I can't go, so far I have been taken colace for the past 2 weeks, a pill laxative and milk of magnesia and nothing yet. Earlier today I also tried to stop the hydrocodone and take extra strength Tylenol instead and oh boy was I in pain. Now in the evening I feel good again do I have to say the past few days have really just been up and down. I also have been experiencing se burning every so often ony incision area which is pretty painful, I put ice packs on it which helped it after awhile. I was cleared to shower so I showered yesterday while sitting on a chair any husband helped wash my hair and stuff. My drain has only been putting out 5cc of fluid for tr past 2 days so I'm really hoping when I go back to my post op on Monday that I can have that take out, I'm scared though, he has that tube taped really good to my pubic area and it looks like that will hurt. I'm dying to get a look at my belly button also. Oh and the most annoying thing is the type of binder I have on my boobies, it's an elastic binder that is on tight to push them down, it's so sore and I can wait to be able to wear a sports bra type of thing. Hopefully recovery gets better from here. Updated on 3 Jun 2012: 4 dpo - Best day for me yet, I really felt much better and stayed only on Tylenol from this morning and did fine, got up and down a lot and feel good. Yesterday was a hard day for me since I knew I had to have a BM and had all the gas pains (so painful) but couldn't I took a laxative pill in the morning and and milk of magnesia at around 3:00 and it worked by 9:00pm and omg I felt so better afterwards. But to warn you don't overdue the laxatives, I took two different ones yesterday and now I'm paying for it today by having to go all day long and its not fun. I also weighed myself this morning I knew I was going to be way over my preop weight but I just wanted know know how much swelling im dropping each day and I knot I had to give a little for the new boobs. So I started off the morning 11lbs more then preop weight. I started the cucumber water that someone mentioned on here that was good for swelling (I hate cucumbers) but chugged 3 glass fulls throughout the day and I went down but 3lbs, I think thats really good for one day, and I have to say right now my boobs are probably 1-2lbs :) I wish I went bigger on them especially since I know they are swollen right now and will go down more. Had my 2nd shower tonight and this time I didnt use the shower chair I stood up but had my husband in there with me helping wash my hair and just in case I felt faint. I took one more picture since I didn't catch a side view picture last time, sorry my husband is the worst at getting photos. Updated on 4 Jun 2012: 6 Days PO - This morning I feel really good, I'm standing pretty straight, I actual stand straighter when boob binder (pushing them down) and big bulk CG is off. I'm a little depressed about the results, I see a lot of others with same dpo's as me and their stomach looks so much flatter, mine is indented where my incision is and puffy on my upper abdomen and pubic area which is depressing for me since I had a flat stomach going in pretty much just a lot of loose skin. I go to the PS today and I'm hoping he takes out my drain, I have been bare draining a teaspoon fulls so I really don't see the need for it. I'm so scared it's going to hurt coming out, its actually in my pubic area and has a lot of dried blood around it which make it look like it secured it to my body with the blood and that area is so tender......uggghhh pray for me I don't scream like I'm in labor. I'm going to try to see if I can get a new compression garment too, the current one is so bulky it makes dressing very tricky. I will see if I can get new pics today and maybe I can ask him to get a peek at my belly button since that is all taped up. Updated on 5 Jun 2012: 7 DPO - So I read about the dreaded depression that can happen and regreting you have done this about a week after, yes it hit me but for good reason. I'm starting to accept I need to just relax and have patience and believe in my PS. Ok with that being said, I weighed myself this morning and 4lbs away from pre op weight and with new boobies I would say maybe just 2lbs away so I feel good about that, I do have a little swelling left on the tummy and pubic area but most of it has gone down. I usually wait to have my husband under my CG for me and take pictures of my belly but he takes the worst pics and to wait around for him so this morning when I woke up I did it myself, phew lets just say that I seen stars and had to sit down after awhile, I don't know if it was from looking at my BB incision when I was puting oinment on it or what but I had to sit for a good few minutes before puting it back on. I feel pretty good for the most party, still not standnig straight at all and the biggest pain I have is a groin area pulling burning feelnig. So I got pictures to explain the puckering of my incision area, the pictures show it with two layers of tape on it and you can still see how bad the puckering is, looks worst right at my incision area, I'm just going to pray they smooth out, otherwise I'm happy with the flat belly. Still unsure about my BB. Updated on 7 Jun 2012: 9 dpo - I'm really surprised at how good I feel and how well I'm healing. I don't have much paint at all mostly just discomfort and tightness. I can get myself about 90% straight after walking around for awhile but once I have been sitting for awhile and stand up again it's grandma status for a little while. I still have my binder on which of course I no it probably supports me but I can't wait until I can get it off, I also still have a binder on my boobs which I can't wait until that comes off, that one makes them hurt. I go to the PS again tomorrow so hoping I can get those two things off. For the first time today I tried on a bikini bottom (didn't buy the top yet since I didn't know what size I would be) to test out to see if my scar is hidden and it is! I'm excited about that, I have never used a bikini since probably 9 years old and not sure if I will have the guts to wear one out but if I do the scar wont show, but I still have a ton of wide stretch marks on my hips and thighs but I will take that any day over flabby jiggly skin. Updated on 8 Jun 2012: 10 dpo- saw the PS today and got rid of my bulky binder and graduated to a regular spans which feels so much better. Tape was taken off my incision which kind of freaks me out being able to see it, I do have some red enflamed areas that I have to watch which freaks me out more, im just praying that it heals, my biggest fear is to have and open wound. I will take pics soon to show the puckering of my incision that I explained in my previous update. My binder also was taken off the boobs and I now feel so free, with both of them off and just the spanx I feel I can stand up so much more straight. Updated on 9 Jun 2012: 11 dpo- updated to show the picture of the puckered or rippled incision that I posted about earlier, My PS says its like that because he used anchoring stitches and those should flatten out in 6-8 weeks, I'm a little skeptical about that. They took off the tape covering my incision yesterday and I now have a enflamed area in the middle of the incision and I'm praying that will heal. Updated on 11 Jun 2012: 13 DPO - Feeling really good, for most of the day I'm walking about 90% straight but at the end of the day I start to swell which makes me hunch over a bit more. Paint is pretty much gone, just tightness now, I'm being able to sit up more with out the help of my arms from a lying down position. My incision is healing and not much raw or red areas left but it still looks ugly, I am happy that even with pretty low undies I can still hide my scar completely (pic attached). As for my BA They are still uneven, my left side is clearly bigger and lower than the right, I did not have differences in the size of my breasts before. They are also really low, I know a lot of the problems with BA's in the begining is having them too high and wanting them to drop but wow mine are so low :( I'm not supposed to be wearing a bra but I want them to be lifted before they sag even more. Overall I'm pretty happy, just have to have hope that my scar will flatten out. Updated on 13 Jun 2012: 15 days today and I feel really good, by the end of the day I'm able to stand almost straight, still can arch my back for perfect posture but pretty straight. Swelling is still there gets worse as the day goes on, I really can't wait for that to subside. Everything is healing nicely, scar still hideous as heck but I will be patient with that. I can sit up with no assistance from my arms so thats getting better too, the most uncomfortable thing to do is get in my car, I have an suv and its not that high but the scooting motion to the side to get in is uncomfortable on pulling the stomach muscles but other than that even the tenderness and tightness of the muscles gets better. I'm dying to sleep on my side but I too scared to even try it, I was sleeping propped up with a lot of pillows behind my head and more under my leg up until a couple of nights ago I'm slow trying to bring my self back down to a normal level. My but and tailbone were taking a beating in that position. Update on my uneven boobs, ok so the left side looked a lot larger and sat lower (about 1/2" or 3/4" lower) and the right side smaller and had more fill on top. PS advised me at 8 dpo to not use a bra, a binder, sports bra nothing on my breasts and them them hang natural. But I was concerned, they were already hanging lower than I want (I didn't have a lift) already sitting pretty low and I was worried they would stay low. So like a rebel I am......... I went and bought a nice soft no wire bra from Victoria secrets Body by victoria I think its called. It push my boobies together adding cleavage (boobs are very far apart) and lifted the left side which breast pocket was too low up higher. after wearing it all day and taking it off, amazingly they are on the same level and look the same size. hmmmm I may continue to rebel? Ok enough of my long rambling review Updated on 19 Jun 2012: 3 weeks PO - the last week has gone by so fast, not much has changed in the way I feel or look, pretty much the same. I went to the gym yesterday for the 1st time, did the treadmill at a slight incline at 3mph for 45 minutes, I felt so good afterwards I felt stretched and not so tight. I did swell though, I can weight for the swelling to subside. So my incision is closed and looks healed well I do have a few scabs that look like they are falling off in some areas and I want to start scar therapy but when I asked my PS last week about scar therapy he says "NONE, dont have to do any" hmm really are you serious you give me this hideous looking incision and then you say no scar therapy? I'm really really unhappy about my choice in PS. So I have to do it on my own, I bought scar away strips, for now I have them on my areola incision since that is completely sealed with no scabbing and on my TT scar at the very edge where its really healed I just started putting some Palmers oil on it and massaged that little area as a test until the rest heals a little more and wow the skin feels so silky soft in that area. I also put some on my BB which is very dry, I really want to get the dark ring around my BB to fade a bit that line is so dark. Updated on 26 Jul 2012: 8 weeks post op - I haven't updated in awhile, just been so busy. so my ripples in my scar have flattened out in the middle of the scar but not at the outer edges. My scar and belly button are still very dark red/purple and my mole that they removed is starting to raise up again and I don't think he removed it correctly, supposed to dig it out rather that skim it off. My new issue??? I have Capsular contracture on my left breast............sheesh can't anything go right, so my left breast is about 1 1/2" higher then the other and tighter pocket, I massage it about 10 times a day, they have me on a anti asma meds (supposed to soften tissue) and I'm doing steroid shots into the breast pocket, had my first one last week and need to go back every month for about 4 months but I don't know if that will work. I've been back at the gym for about 5 weeks now, I pretty much do everything and have no restrictions. Scar treatment - I have been using bio oil on the TT scar for about 2 weeks I don't notice any difference other than its softer and I use Mederma on my belly button and mole scar for about 2 weeks and I don't notice any change there. Updated on 12 Oct 2012: 10/12/12 - 4 Months post op. I'm loving my results but still having a few issues. scar for the most part did flatten out, on my right side (left in mirrror) of the scar you can still see rippling the longest line is my appendix scar that instead of being horizontal like it used to be is now vertical, why he didn't remove it all together just irritates me as on that side I do have loose skin and I know it could have been removed. My scar is very low however it is affixed to my stomach wall, he said it would loosen up at 3-4 months but here we are at about 2 weeks past 4 months and its still stuck there. my belly button is a bit high, I guess he measured from the bottom or something but I have a short torso which then makes placement of it look a little off. I do have keloid scars on my belly button and above it where he removed a large birth mark from my stomach, he keeps saying it will flatten...........we shall see. On to my boobs which I did have done, I had the a very bad case of capsular contracture where my left boob had popped up a whole 2" above the other. On September 4th I had to go in for a revision which cost me another $2100 @#@$%%%#$####!!!!!! to fix, he then made the pocket lower then the other one because he said its easier to get it back up then push it down...............ugghhhh!!!! couldn't you just make them even, so now every since that surgery I have to wear a wire bra (like the one in the pics) 24/7 to mold that boobie up to its position, when I take off the bra and massage them, the left breast sags back down, so frustrated already. So I had another boobie post op the other day and they said for faster results on making them even I can use a baseball belt very tightly under my breast 24/7 and I mean 24/7 I have to even shower with one one then afterwards lay down and change the band. they said if I do this they should be set within a week. Overall I'm extremely happy about my results from where I came from, I'm so much more confident, I actually use a bikini on the each and haven't done so since I was 10 years old. Updated on 10 Apr 2013: Revision day 1- I had my 2nd revision on my left breast, first was for capsular contracture and when doc did that one he opened the bottom pocket too low and not the top so my breast sat low on one side and I could actually feel the implant. So I had that done yesterday, that's a little sore. I also had my scar revised, as you see in my pictures I had rippling on the outer edges of the scar and he failed to completely remove a. Appendix scar I had which now instead of a horizontal scar the appendix scar was standing straight up vertically. So under general anesthesia I had both corrected. I will try to post pics after all the bandages come off.
It has been a exactly three weeks since my Pearl Laser treatment, and I look horrible! My face is still red and blotchy and I get stares from people every where I go! A friend of mine asked me if I was suffering from some kind of skin allergy. I am so frustrated and disappointed! I did it to get rid of the wrinkles under my eyes and to minimize my pores but so far my wrinkles are still there (just less deep) and my pores are the same size. And now I look worst than before the procedure because of all these red blotches all over my face. What's worst is that I'm getting married in 7 days! My doctor assured me that I would be fully healed by my wedding date--in fact his exact words were, "You'll be fine--if anything, you'll just have a slight pinkness to your face". Now I can't help but wonder if he just wanted my money! I went to the store and purchased a product from Clinique that is supposed to help minimize "redness" on my face. The sales person put a little on me and it did help somewhat, but I still look awful. It brings me to tears every time I think about looking this way at my wedding! Updated on 20 Dec 2010: It has now been exactly 6 weeks since the Pearl Laser treatment, and my skin is now covered in brown blotches, which my doctor calls "hyper-pigmentation". WTF??? Isn't the laser treatment supposed to get rid of hyper-pigmentation, and NOT cause it?? I am so angry!! So now he's trying to play it off, saying that it will fade overtime. I don't want it to fade--I want it gone!! After all, I didn't have a brown, blotchy face before the procedure! He has been trying to treat me with some kind of LED light, claiming that it should help too. I have had two treatments so far and I still look the same. He also gave me certain kinds of facial creams, that while seem to be great moisturizers, does little for the stains on my face! ARGH!!!! Updated on 30 Dec 2010: I visited another doctor for a second opinion on the results of the Pearl Fractional laser treatment I received. He told me that I am right to be concerned because it looks as though my face has actually been scarred! He suggested that I request a copy of my medical records from the doctor that performed the treatment so that he can get an idea of where things went wrong. He feels that the settings on the laser may have been set too high. When I told him that the my doctor have been administering LED light treatments to my face, claiming that it should help with the inflammation, but that there seems to be very little improvement. He said that LED light treatments aren't proven to help and that although it won't harm my face, it certainly won't help either. :o( I DO NOT RECOMMEND the Pearl Fractional Laser to ANYONE! BEWARE!!
Addressing the external component should have little to no effect on your voice. There are two types of "nasal" voices, hypernasal and hyponasal. A hypernasal voice is almost always due to dysfunction at the junction of the nasopharynx and oropharynx, usually the palate. This is rare and most well-trained singers are adept at manipulating this junction (if not, they wouldn't have a pleasant singing voice, they would hiss a lot as air continually leaks out the nose). A septorhinoplasty would not likely affect this at all. More commonly is the hyponasal voice. Two extreme examples are when you are sick and your nose is full of mucous or the singing of Bob Dylan. This removes a large portion of your resonating chamber. Most nasoseptal pathology is well anterior to this, and repair will have no detrimental effect on your voice. Nasal surgeons with an Otolaryngology background are usually also trained in voice and speech pathology. I place a camera in the back of the nose of potential nasal surgery candidates who sing or rely significantly on oration (usually politicians, clergy, and motivational speakers). After having them perform certain vocal exercises, I can reliably tell them what if any changes they will have after surgery.
The picture is very limited; however, any picture taken with in the first 6-12 months will be fairly limited, as soft tissue swelling can not be adequately assessed without a physical exam. When subperiostial dissection is extended this laterally, edema in this area is great and takes quite some time to resolve, as it is the only route for lymphatic drainage of the nose especially after an open rhinoplasty. It is unlikely that the bone itself is actually in a different position than preop, as an osteotomy this lateral would surely affect the drainage of your tears to your nose. If, on exam, this is not from edema then what you are see is a step off where the bone medial to the osteotomy has fallen too medial to the lateral edge of the osteotomy. If there is no airway compromise a simple filler to soften this transition zone is very aesthetically satisfying. This being said I urge you to leave it alone until a qualified nasal surgeon tells you the edema has resolved.
Without a physical exam I can't say for sure that your septum is not crooked, but based on the picture it looks like the left middle third of your nose is more concave than the right giving the illusion of a crooked nose. This is easily address with a spreader graft between the septum and left upper lateral cartilage. I personally have no specific age limit, but there are three things I look at. First and foremost, if I can't address the nose without affecting its future growth I will defer surgery. The septum is the major growth center of the nose and bony midface. If the septum stops growing from over resection or loss of blood supply the nose and cheeks may stop growing. In your case that doesn't appear to be a factor, as the spreader graft can be harvested from your ear, and the mucosal elevation is limited. The next thing I look at is the extent of social or physical debilitation the deformity causes. I will start addressing cleft nose deformities around the age of 5 (I will avoid the septum until much later for the above stated reason). I actually performed a septoplasty in a 2 day old whose deformity was so severe he could not breathe out of his nose, and, therefore, could not be fed orally. Finally, I observe how the patient looks at them self and at the world; what some would call maturity. I do not like that term because it implies age. I have happily removed a hump in a very "mature" 15 year old, but I will not touch a 30 year old who acts 10. These last two things are fairly subjective and can only be decided with direct interaction between the surgeon and the patient.
Your picture shows a drooping tip where the infratip lobule is below the columella. This is not a bottom bulbous tip. This is due to lack of support for the cartilages that make up the tip, so gravity pulls them and the soft tissue down. A bulbous tip is due to the size of cartilages of the tip and to a lesser extent the thickness of the soft tissue. Correcting a bulbous tip will not affect a drooping tip and vice versa. Like a big hump, bulbous tip, or twisted dorsum, correction of a drooping tip is one of those things that a basic rhinoplasty should address unless the patient specifically wants to retain them. I actually have a list of these things that I have my patients fill out if they want to preserve any of them. Just let your surgeon know you do not want a drooping tip and he/she will know what you mean.
Rotation of the tip superiorly or elevation of both lower lateral cartilages in their entirety usually resolves a ptotic tip while actually decreasing the length of the dorsum. To preserves this, it is extremely important to provide sufficient support by anchoring the lower laterals to the septum or placing a strut graft. Pictures would be extremely helpful.