I had a rhinoplasty done 7 yrs ago. I did a lot of research and consulted with 8 surgeons before I made my decision. I was happy with everything, until a couple years ago. I noticed that my nose had changed a little, but it wasn't worth mentioning to my husband, because it was hard to get him support me having surgery in the first place. However, I had been having severe brain fog and fatigue, reduced sense of smell, couldn't get a good breath through my nose, post nasal drip and got sick a lot. I did lots of blood work, saw a few different doctors and specialists, had an MRI, etc. My tests came back normal, but they found that my left maxillary sinus had mucous in it. I went to an ENT, got on a 3 weeks course of antibiotics and started Flonase and saline rinses. I went to another ENT (Dr. Swenson), whom I had heard really good things about, and he did a CT scan and an exam. He found that I had nasal valve collapse, enlarged turbinates, a deviated septum, chronic maxillary sinusitis and Eustacian tube dysfunction. I couldn't believe this!! I went back to the doctor who did my rhinoplasty, and he said the issues I was having probably weren't from my previous surgery. Grrr! I had spent $11,000 on that surgery (rhinoplasty and chin augmentation) and it was frustrating to find out I needed a revision. I saw another doctor for a 3rd opinion, and sure enough, he diagnosed me with the exact same thing that Dr. Swenson did. I decided to go through with surgery with Dr. Swenson. He is such a great doctor and has a great bedside manner. I am so glad I found him! I am 4 days post op, and I am feeling good, so far! I can't wait to have my splints removed and can't wait to breathe better! Updated on 16 May 2015: I was so nervous to have surgery again, but was excited to get it over with! I arrived to the surgery center at 9am and did some pre-op paperwork, did a urine sample and spoke to the anesthesiologist. Dr. Swenson came in to check on me and assure me that everything would be ok. Surgery started at around 10:15. I walked back to the OR ans laid down on the table. The anesthesiologist gave me my IV, had me breathe into a mask, and I was out! The next thing I know, I'm awake. The nurse had me drink some water and take a pain pill. I ate some crackers, too. My only complaint was that my throat was really sore from the anesthesia tube. My mouth was also really dry. Surgery went well and took an hour and a half. I went home and rested, but felt really good most of the day. Sleeping was difficult, because of the mustache dressing. I had to mouth breathe, and it felt lIke I was going to suffocate. My mouth was so dry and my throat was sore. Other than that, the first day and night was better than expected. Updated on 16 May 2015: Updated on 16 May 2015: Things have been going really well. Day 3 was the worst as far as pain goes. I also started swelling and bruising on day 3. I saw my doctor and he said that everything went really well and he cleaned out my nose. I get my external and internal splints off/out on Monday! I can't wait!! I am still congested and still have drainage (mostly clear.) Is this normal? I thought the drainage would be gone by now! I am only taking ibuprofen for pain now and I am still tired, but I am able to drive and be up and about, and sleeping is much better now :) Updated on 16 May 2015: Updated on 17 May 2015: I am getting cabin fever! I really want to go out today, but don't know if I should go out with the splint. Did anyone go to the store with your splint on? I should just go and not care what others think about me! My bruises are turning yellow. Hopefully they'll be gone soon! I don't have much swelling in my cheeks/eyes anymore! Updated on 18 May 2015: I am happy dancing over here!!!! I was so anxious to get my splints out today, but everything went so well! Dr. Swenson is a gem of a man. He carefully cleaned and suctioned my nose and I got all sweaty and hot from nerves, and he had my chair lay back and he put a cold paper towel on my forehead. He is such a caring man :) He put numbing solution on cotton and had me sit for about 10 mins with that in and then he pulled out the splints. It didn't hurt at all! I am very pleased with the shape of my nose and soooo hapay I can breathe! I am still swollen, but breathing is better than it has been in years and it will only get better from here! I am so happy I had this surgery! :) Updated on 18 May 2015: Updated on 18 May 2015: I can't believe this was in my nose! One was in each nostril. It is made of plastic that doesn't bend much. I have no clue how it fit in my nose! Updated on 18 May 2015: Updated on 15 Oct 2015: It has been 5 months since my revision and things are looking good. I still have a small amount of swelling, but that's ok! I am pleased with my results and happy I am breathe again!
My whole adult life I have been unhappy with my nose. Not a day goes by and I can't help but look in the mirror and wish it were more symmetrical. Three weeks ago I get slammed in the face by the back of my friends head while I was playing in a pool with my daughters and instead of being upset by the break or the pain I started giggling because I knew for a fact something major had happened and that this would be my ticket to a new nose. Sure enough!!! Broken and discovered that my septum is all kinds of JACKED up! I am four days away from my surgery and so nervous and excited. Scared that I won't look like myself. :( I do know that if I don't take advantage of this opportunity then I will regret it for the rest of my life! I know I am in very good hands with Dr. Swenson and that I need to just sit back and enjoy the ride. Updated on 30 Jul 2012: I want this for me. At the same time there is a nudge of guilt for not not loving myself exactly the way God has created me. I am not looking to change my appearance drastically at all. In fact I want my nose but just improved. When it is all said and done and people can walk up to me and not notice anything was done I would be happy. On a side note that I did not mention. Cost: The $3300 that I am putting towards the surgery is the cosmetic part that the insurance will not paid for. The other Septum and Bridge that was broken will all fall under my insurance. WOOT WOOT I have always been so bugged about the cartilage in the tip of my nose and how off balance the two sides are. As I have aged I feel like I've watched one side become more and more different than the other side as if it is growing on only one side. Dr. S explained that the left side that is higher is where it should be and the right side is drooping and that he will be able to fix that. Updated on 2 Aug 2012: tomorrow is my big day! Scared! :(
From the pictures that are submitted, it almost appears that it is the brow that is providing the hooded/tired effect. As mentioned before, in person consultation would be your best option. The reason for this is there is a lot more that goes into and eyelid consultation than a front view of the eye. The surgeon you choose will also evaluate the integrity of the eyelid skin and may even evaluate field of vision to see if it is affected by the hooding. It may be as simple as some non invasive skin tightening or filler. Best wishes.
As a provider of chemical peels, an in person evaluation with someone who does peels regularly is going to give you the best results. The in person evaluation will allow someone to visualize your skin type and the severity of each concern. With a darker skin tone you will want to err and the side of being conservative and starting with a light peel such as the PCA Sensi peel. This particular peel has been studied in all 6 skin types and is a great way to see how your skin responds without risking further post inflammatory hyperpigmentation. The nice thing about PCA peels is they are customizable allowing the provider to mix and match different peels and serums for your specific skin type and concern. Providers of PCA skin peels have to be certified in their protocols to perform them which gives further assurance that you will get the best peel for your skin.
The first thing to know is that neither of these peels will likely give you the result you are looking for in a single treatment. They both have ingredients that will target hyperpigmentation. As someone who oversees many PCA peels in our office, I can speak a little more to the customization aspect of a PCA peel. The company PCA was built around chemical peels and has developed many of their products to be used during the peel treatment in order to target specific skin concerns like acne and hyperpigmentation. Your well trained provider will be able to add different serums and target treatments to help build the best peel for your skin type. The VI appears to have great ingredients like Trichloroacetic Acid, Vitamin C and salicylic acid that will address both acne and pigment but it will be standardized rather than customizable.
There are a lot of changes that take place during the first 6 weeks post op. This is usually a very concerning time for patients because they can notice the fluctuation in swelling which often causes the nose to appear misshapen. In our office we have patients follow up almost weekly to counsel them about these changes that can otherwise be quite distressing. The nose often feels like a foreign entity until the healing process has completed. My recommendation is to contact the surgeon for a follow up so your specific recovery can be discussed with you. Best Wishes.
First of all, try not to worry. Swelling following lip injections is very normal. Our lips are very sensitive to any sort of "trauma" and as a result will swell. Some people have a stronger response than others. Icing the area will help. Avoid touching or manipulating the area as this will cause more swelling. Watch for any swelling inside the mouth/throat that might indicate an allergic reaction. Personally speaking I see a higher rate of swelling with restylane products, specifically Restylane Silk. There are ways to fix it if it doesn't resolve after 1-2 weeks.
