As much as I wish I could leave a positive review of this doctor, that has not been my experience having undergone a septorhinoplasty procedure with Dr. Revenaugh almost a year ago. I initially chose Dr. Revenaugh due his background as an ENT, combined with his experience as a facial plastic surgeon. He was personable and thorough during our consultation and seemed understanding of the functional and cosmetic concerns I had about my nose. Unfortunately, what was discussed (and documented!) prior to the operation was not what was delivered post-surgery. It was evident very early-on that my profile had been scooped and that my tip was now pointy and over-projected. When I expressed my concerns to Dr. Revenaugh, he initially dismissed it as swelling. As time went on and nothing improved, Dr. Revenaugh did eventually acknowledge the less than ideal outcome. He was willing to revise the procedure, but not refund it. Unfortunately, I have lost confidence in his skillset and will be seeking a revision to *hopefully* correct these errors with another surgeon. I would caution anyone against choosing this doctor, and even undergoing this procedure in general, as it truly did nothing to improve my confidence or my finances.
Dr Revenaugh was very likable and down to earth during our consult. I chose him to do my septo rhinoplasty because he trained under Dr Toriumi who is a specialist in complication nose revision cases, so I thought I was in good hands. My nose had never been worked on and Dr Revenaugh told me it was a straightforward, easy case. I had a deviated septum and so I thought going through my insurance would be of a benefit to me, but then the office started trying to bill my insurance as much as 30k, and kept lowering it as it got denied. My insurance required me to pay 20% and they would cover 80% so you would imagine my shock when a typical rhinoplasty is 10k…. And they were billing my insurance over double that. I should have saw this as a red flag and canceled but I was so excited for this change and went ahead. I now have an ugly side profile and it absolutely ruined my confidence. On top of that, I cannot breathe better. What else is there to say.
Dr Revenaugh's bedside manners are nice and warm. However his overall incompetence overshadows any good bedside manners. Dr Revenaugh has incorrectly diagnosed me with the condition of nasal obstruction, despite the evidence that has been provided to him in support of no mechanical nasal obstruction issues in my case. The consequences of a wrong diagnosis are an invasive functional medical procedure that demolishes the breathing function altogether. It looks like Dr Revenaugh is still very young and inexperienced to treat patients surgically, given the mistakes in basics that he makes - here, wrong diagnosis, not clearly communicated to the patient - during a cosmetic only consultation. Dr Revenaugh's professional level is more of a resident, rather than an experienced MD. Not to be trusted with any serious care, especially surgical.
Absolutely botched my nose. Didn't even look at my CT scan before surgery so I have no idea what direction he had prior to starting surgery. Follow up CT scan showed I had a deviated septum. That was his only job, to fix my deviated septum.
Thank you for your question. Every surgeon is different, but most would recommend refraining from alcohol prior to surgery and in the immediate post-operative period. I typically ask patients to refrain from alcohol use for 1-2 weeks prior to and after surgery. There are several reasons for this and they center around your safety and our goal of delivering an excellent outcome. Alcohol can lead to more bleeding or oozing of blood during and after surgery. This can cause swelling and slow the wound healing process. Alcohol also can dehydrate patients and interfere with anesthetic and pain medications. NEVER drink alcohol when taking prescribed pain medications following surgery as this can be dangerous. Finally, alcohol can slow your final healing and resolution of swelling. Your surgeon should also discuss other medications and supplements to avoid prior to surgery. Hope this has been helpful. All the best!
It can sometimes be difficult to tell if a nose is broken. Concerning signs and symptoms include nasal deformity or crookedness immediately following an injury, bruising over the nasal bridge and under the eyes, bleeding from the nose after an injury, pain that lasts for several days following a nasal injury or difficulty breathing. X-rays can help to diagnose, though sometimes nasal fractures can be missed with x-ray. CT scans can be more helpful but are often unnecessary. To diagnose a broken nose, clinical exam with a facial plastic surgery, otolaryngologist or plastic surgeon can be very helpful though early on after an injury there can be significant swelling that can interfere with the ability to see and feel subtle indications of a broken nose. Prompt diagnosis is critical in treatment of nasal fractures, so if you think you have a broken nose, please see your doctor or one of the physicians above. Hope this is helpful.
Rhinoplasty recovery is different for each patient and timing for dressing and suture removal can vary amongst surgeons. For my patients, I typically remove dressings (tape, cast, and sutures) at 1 week from surgery. At this time any residual bruising is beginning to resolve. You will notice varying amounts swelling of the nose for several weeks following surgery, but most patients are comfortable being in public once the bruising has resolved at 10-14 days. The healing process for rhinoplasty can take 12 months for final healing. Your surgeon should discuss your expected recovery with you at your consultation.
You are correct, you are still early in the healing process. You will see some improvement in the swelling from this time onward. From the photos, it does appear that there is still some degree of dorsal hump. Time will tell what percentage of this is related to swelling or underlying structures. try and be patient and follow-up with your surgeon. 9-12 months from surgery if there is still residual swelling there may be a role for further procedures.
From the photographs, there does appear to be improvement in the initial dorsal alignment. At 2 weeks, it is still early in the healing process and you may see additional changes. It is too early to make any decisions regarding final outcome or need for further treatments. Hope this is helpful.