Michael J. Paciorek, MD

Face lifting is as much an emotional as a physical procedure . If you feel your appearance is holding you back from living to your fullest you may be a candidate for a procedure now . I have seen very young women 40 be very happy with a less invasive lift . The key is to match the right procedure with the right patient .

It is common to have pain and irregularities after surgery on the nose , I would recommend bringing this up to your surgeon , occasionally a massage of the region can help if you feel a “bone” ... I wouldn’t be concerned unless this persists after 6 months

I appreciate your concern following surgery ,I do not feel your nose will get longer or go down with time . It often takes a while to get used to a new look but my patients usually can tell if “it’s right “ , even with a cast in place .. I would allow a minimum of 6 months for this to heal and if you’re not happy consider a revision 

A deviated septum may cause a whistle in the nose . If a deviation is caused by a traumatic event the external nose is often deviated as well .Insurance will usually cover deviated septal surgery but often make getting coverage for external nasal repair difficult , classifying this as cosmetic. I would recommend going to a double board certified ENT/Facial Plastic Surgeon for another opinion .

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The use of simulated images may help you focus your thoughts about your surgical expectations ,however exact replication of a simulated image should not be expected . Post surgical outcome will usually approximate a professionally simulated image and I would encourage you to see a Board Certified Surgeon and have one done.