I have seen 3 surgeons over the past 4 years for a rhino/septoplasty and Dr. Brobst has by far been the most informative and suited my needs the best. He and his staff are the friendliest and most helpful people.
I drive 3 1/2 hours from Oklahoma, because Dr. Brobst is an excellent Dr. He answers all my questions, makes sure I'm comfortable throughout the procedure, & explains everything before he does anything. He wants the best possible outcome for his patients. The IPL treatment was a breeze & decreased a lot of redness from my rosacea plus brown sun spots. I'm so grateful he treats me for syringomas & very happy with the results. I love the Botox under my eyes. Dr. Brobst is a true artist! If you have any questions about procedures, call & talk to Roxanne. She has been so kind to me & very informative. She knows a lot about skin care too. Updated on 5 Oct 2016: $350.00 for the IPL only. Botox & syringoma removal not included in that price. Updated on 25 Oct 2016: Sorry, I didn't take any before or after photos. My iPhone takes terrible pictures. Many of my sun spots flaked off & the IPL helped with the redness from my rosacea. I want to have another treatment when my rosacea calms down & I can go off the antibiotics for a few days. Dr. Brobst offers a reward program with the IPL. Just call & talk to Roxanne. I passed on going to a plastic surgeons office here in Oklahoma that my dermatologist recommended, because I trust Dr. Brobst.
Love Dr Brobst and all his staff!! They are great to work with and extremely nice, this is the second time I have gotten Botox injections in my forehead, crows feet and between my eyebrows. The results are amazing! I have gotten injections before from other Drs and had complications with my eyes and what I call "frozen face" I have not experienced either so far with Dr Brobst and will continue to use him in the future!
I'm so HAPPY with my result. I had a horrible accident that left a huge scar on my face. Dr. Brobst and his staff Roxanne and Irene were able to take my disfiguring facial scar to a 1000% improvment. I highly recommend Dr. Brobst he is amazing at his craft and was able to transform my scar to nearly impossible to notice. The best part is Dr. Broast doesn't stop treating you until you are 100% happy with the result. Their office has changed my life completely and I'm forever grateful to them.
I felt like I was looking tired and was not liking the excess skin on my lids. Both my parents have this so I knew it was going to get worse as time went on. Dr. Brobst showed me what the end result would look like during our consultation. After the procedure I never took anything for pain which I loved! He checked in with me everyday for the first week and was very caring through the entire experience.
I have been self-conscious of my nose since I was a pre-teen. Finally decided to have the bump removed. Also going to have a Septoplasy and sinus work (Turbinates). Procedure is scheduled for August 17th. Getting nervous about recovery but reading the stories on here really help! Completed pre-op, blood tests and EKG today. Hope all is well there! Im not sure if I am more excited or anxious at this point. Lets go with excited! :) Updated on 18 Aug 2015: Well I had surgery yesterday and ended up staying the night in the hospital. The anesthesia made me extremely sick to my stomach and my heart rate kept dropping into the 40's when I would fall asleep. Luckily I was able to go home this morning and I feel better today; however, swelling and bruising is much worse today. 6 more days and counting! Updated on 19 Aug 2015: Had to take my pain pills every 4 hours last night. Pain is definitely worse than yesterday. Bruising seems a little better. Sleep is really hard and I woke up every hour from a dry throat. Swallowing is really painful from the dry mouth/throat. Ive read that post-op day 2-3 are the worst. Im ready to feel like myself again. Right now I feel like a walking zombie! Fingers crossed it will be all worth it next week when the cast and bandage come off. Updated on 19 Aug 2015: Pain is mostly an overall soreness and headache. Bruising seems better this evening. Swelling is still there but does seem better as well. Updated on 24 Aug 2015: So today the cast was removed... and I LOVE IT!!! Dr Brobst is wonderful! He took his time during surgery and gave me the nose of my dreams. I think my first words were “perfect". I know there is still swelling but I am amazed at how much my new nose looks like the computer generated one we agreed looked best. To completely eliminate my biggest insecurity (hump on my nose) - Now that is a great feeling!! Thank you Dr. Brobst!!! I also wanted to share some of my recovery experience since my last post. Everything was going well until Post-Op day 5. In bed that night I was trying to adjust the head wrap (I also had neck lipo) with my left hand and then moved my hand over my face to adjust the other side. In doing so, I hit my nose. It made a sound but not much pain and no bleeding. I freaked out!! I was so mad at myself. I had avoided getting head butted by my 2yo, I watched out for swinging doors, I stayed clear of jumping dogs and then I hit MYSELF in the nose!! How stupid?!?! Well to make matters worse I starting searching online to see how bad this was. Of course the answers varied greatly but I focused on the one the would require a revision surgery. The next morning (7:30 am on Sunday) I texted Dr Brobst about my concerns. His response was so comforting! He told me not to worry and that he didn’t think I did anything that would be detrimental to the outcome. He also thanked me for letting my know and said to have a great day. I was so impressed with this response. He has such a calming nature that it just instills true trust and confidence. I was able to let it go and I did have a good day :) Updated on 3 Sep 2015: These pictures were taken PO day 15. Loving my new nose!!! I just wish my smile would come back. I would say it is 80% right now. This surgery definitely takes an emotional toll as well as a physical one. Even though I love the results and the surgery is "worth it" for me, it is a hard recovery. I never realized how much my smile makes me look like "myself". Im trying to patiently wait for its return. :) The other thing to note: I am always so scared that I will do something to damage by nose! What if I sleep wrong? or bump it accidentally? or my toddler does? It is SCARY!! Im ready for my nose to be a little more "durable". You don't realize how much you bump your nose on a daily basis. Two situations are more problematic. Drinking out of a cup (can hit the bridge) - Ive been using straws for 2 weeks. This is ok most of the time but kind of awkward when I have to rinse after brushing my teeth. And Kissing!! I haven't really been able to kiss my husband since surgery! We have to do this head turned sideways peck - not very romantic. LOL Happy Healing Everyone! Updated on 3 Sep 2015: I am amazed at the difference. Updated on 22 Sep 2015: Still loving the results! Updated on 25 Sep 2015: Updated on 2 Nov 2015: Before and After - Front View Updated on 2 Nov 2015:
Worst bed side manner of any physician I have ever visited. Took $3,000 deposit and refused to return 14 days before surgery. His communication skills are subpar along with his disposition. Be careful what you give this office, they all about profits and I truly felt that I was treated as a second rate patient. Dr. Brobst argued for two days about not wanting to return my deposit. It’s all about candy and nuts until it’s time to put your money on the table. Updated on 28 Apr 2022: I saved for years to have my falling nose fixed because insurance refused to pay, I explained my case to Brobst that I live pay check to pay check and $3,000 might be a nickle in his paycheck but this amount was like a million bucks in my bank account. He then decided that he’d only return half my deposit. Do note, I called 2 weeks to cancel this surgery after my company would not allow me time off since they decided it was elective surgery. I was told I’d have to speak with Brobst for a return of deposit. I lost total faith in him after his arguing disposition and I was out of a loss for half of my $3,000.
I debated for a long time whether or not to post this journey. But, if it weren't for this community, I don't think I would have ever gotten up enough courage. So, I thought maybe my journey could help others. I've never had a separate face and neck and my chin has always been non-existent. As I've gotten older, my face seems like it has "melted" into my neck. A large weight loss has also contributed to the falling of my face in addition to being born with a very recessed chin. I've had cheek and eye fillers and jaw Botox to help in the past but they weren't permanent and didn't really resolve the issue... which was an extremely weak chin. As a child, I wore braces and a head gear for years with not much luck. I was told as a child and I'm still told as an adult that I need a Genioplasty, but that idea scares me to death and still does over 30 years later! I've been told fillers could work but I'd need thousands of dollars of fillers to get enough projection...then I'd have to get the fillers all again in a few years. So in the end, a chin implant and neck lipo are the route I've chosen to go. My procedure is scheduled for November 15th and I'm extremely excited, yet very nervous at the same time. I've always loved my smile and heart-shaped face and pray neither will change. I feel confident my surgeon knows what I want and I'm leaving it in his hands and praying. This has been a LONG time coming and I'm ready for the change. Just have to be patient and trust the process. Ive read all about the upcoming highs and lows I'll endure along with the "how could I do this" moments. I'm hoping I'll be as prepared as possible, but it's my face so I am scared. One week and a half to go! Updated on 5 Nov 2018: Looking forward to having a separate face and neck with a chin! Doctor thinks I may need a medium or large extended anatomical implant. He won't know for sure until I am back in surgery. Here's a "before" pic... Updated on 8 Nov 2018: My chin implant and liposuction is scheduled one week from today!!! This has been 34 YEARS in the making. I am extremely excited and have all the hope in the world this procedure will be what I have always wanted. The incision will be under my chin and I will undergo general anesthesia. I will be off work 11 days to recover. I feel very confident in my surgeon that he knows what I want. He is double board-certified as a facial plastic surgeon specialist as well as an ENT. His specialty is faces. In addition, I'm praying everyday that the procedure goes well with no complications. I love the shape of my face from the front as well as my smile. Those are the two things I do not want to change about my face. My smile has always been my Saving Grace for my face distracting from the side view. I know exactly how to line up my teeth to bring my jaw forward in every picture that is taken from the front. I do not take pictures from the side. Sometimes I wonder if I will know how to smile without having to line up certain teeth or if I will have to relearn how to smile after the procedure. It's been so many years of doing it this way it's a learned behavior. Every now and then I get a little nervous when I think about the actual procedure, but when I think about the results, I feel this overwhelming happy and peaceful feeling... a feeling like I should have done this many years ago. Every time I went to a new dentist or even visited an orthodontist, my face was brought up for discussion. Definitely makes a person feel self-conscious. As if I didn't already feel this way! Here are a few of my before pictures... Updated on 10 Nov 2018: Maybe there's stages of feelings you go through with this type of upcoming surgery. I'm up right now with an anxiety attack thinking about this week's procedure....I want to still look like my kids! Will I be able to feel it? Will my smile change?....I've read the answers to all these but they are still in my mind. The anesthesiologist called yesterday to discuss a concern I have which is this post nasal drip and the resulting cough I have from it. You see, Last year I underwent a routine upper GI procedure to see why I had such an awful cough for years even after allergy shots, nasal sprays, medications, etc. Dr found out when I was under twilight sedation!! I began "wretching" from the tube down my throat and my eyes filled with blood from the hard coughing. My surgeon is aware of this and put me in touch with the anesthesiologist so we can all be prepared with drying agents and medications to stop the drainage and a breathing tube will be left in until I'm almost awake. And, the Dr will suction out the nasal passages to help. This is the exact reason I chose my surgeon as he is double board-certified as a facial plastic surgeon AND ENT familiar with all these issues. Now I'm worrying I'll wake up and have to experience the tube being taken out just because I wanted my face to look better. I guess I'm feeling nervous tonight. Updated on 14 Nov 2018: After all these years, tomorrow is the day I'm making a change. I have to be up in 6 hours to head to the hospital and I can't sleep. I think it's nerves and excitement. I've looked at myself a lot in the mirror today knowing I'll look quite different after tomorrow... especially with a compression garment on my head 24/7 for awhile. If you happen to see this, please send up some positive thoughts and prayers for me. Here's to taking a chance and going for it!... Updated on 15 Nov 2018: Checked into hospital at 6am and chin Implant and submental lipo began at 7:30am. Both my doctor and the anesthesiologist we're prepared to prevent the drainage I've been talking about. Dr Brobst said surgery went well! I didn't cough or have any complications during surgery. I've been resting all day. My lips aren't numb at all and pain is a 3 out of 10 around incision! Just my chin feels swollen but feels like I could move it if I tried...I haven't!! But, I have a horrible headache since all the medications I was given for drainage and pain are leaving my body. My throat feels like it's bruised to the touch, but I don't see any bruising yet. It will come soon enough and I'll be prepared with my Arnica and pineapple. Dr Brobst even called me to check on me tonight. He has a wonderful bedside manner, which is another reason why I chose him to do this surgery after all these years! Oh, my implant is an extra large, middleman brand. I haven't seen it yet but Dr says it gives me the projection I needed while allowing me to keep my heart shaped face I already have and really want to keep. I'll get this Qtip looking wrap and foam off at my appointment in the morning and I'll get the compression garment then. Most importantly, I'll get a sneak peek of my very first chin!! Updated on 16 Nov 2018: Had my 1st post op appointment this morning. For the first time in my life I have a chin AND a neck!!! I cried. I'm very bruised and swollen but I know it will get better with time. I cannot express enough how thankful I am to Dr Brobst and it's only been 24 hours!! I feel a little dizzy and tired, but not much pain just uncomfortable due to the swelling. I now have to wear this tight compression garment for the next week 24/7 UGH! But it will all be worth it :) Updated on 17 Nov 2018: Woke up this morning feeling like I had a teeth bleaching done on my lower teeth. They are very sensitive. I'm guessing it's from the nerves near my chin. I think I remember reading someone else's review that experienced this. Sleeping upright all night with this tight garment on my head is difficult, makes my back hurt. I start off in bed, then move to a chair. It's been 12 hours since I last took pain meds and I'm not in pain at the moment just uncomfortable from the swelling. I can feel the swelling around my jowls and chin and took a quick look at it last night when I brushed my teeth. Not much to see yet but bruising and swelling. I have to wear the garment 24/7 until next Wednesday when I get my stitches out. Updated on 17 Nov 2018: This swelling is not fun! Feels like the bottom half of my face is heavy. My jowls and chin area feel like they could pop out of this tight compression garment. My bottom teeth are still sensitive. I took off the garment briefly while I showered. But I didn't get my face or head wet. Dr doesn't want my bandage getting wet. I guess I'm in the least enjoyable part of recovery now. Here's to a speedy recovery and less swelling LoL Updated on 18 Nov 2018: Currently going through what I believe is the worst of this recovery. Hopefully this means I'll soon be getting to see the light at the end of the tunnel. The swelling is so uncomfortable, it's hard to sleep sitting upright, my lower teeth are still sensitive. Oh, and I feel dizzy especially when I take the head garment off for a few seconds to wash my face. now that I think about it, most of this uncomfortableness seems to be caused by garment! I just want to keep this journey as real as possible for anyone considering going through it. I did get some pictures this morning while it was off and it's nice to see some change even though I'm still very swollen and bruised. Updated on 19 Nov 2018: What a difference a day makes... especially when a good night's sleep is involved!!! My mindset is much better today!! I slept well, although upright with lots of pillows, in bed last night!! I had the energy to make my kids breakfast and even played games with them today since they're home for the holiday. I feel like I have more movement in my chin even though I'm still trying not to talk too much. My lips are not numb at all and they really have not been at all. My teeth are still a little sensitive on the bottom. I know there's still quite a bit of swelling near my jowl area because it feels heavy but I haven't taken the Garment off yet today I'll try to get pictures later. My goal is to keep my heart shaped face but right now it's more of a rectangle with all the swelling haha...But I know that's due to gravity because the implant was not rectangle shaped LOL! one thing I did notice is there is quite a bit of tightness underneath my chin in my neck which I know is from the Lipo. All in all it's been a much better day!! Still resting and taking it easy to ensure the best recovery and results. Updated on 20 Nov 2018: I am so happy with the way my profile is looking and it's only Day 5 Post Op!!! I have a real neck!! It's very surreal. I feel like I want to jump up and down and scream and on the other hand I just stand there and look at myself in shock. For as long as I could remember, I've always had a face that just kind of melted into my neck. No jaw or chin or neck. Even with the swelling still going on, I can see a separate face and neck now!! it's hard to see my chin because it's surrounded by tape. I'm ready to see my profile from the front view. I go back to see the Dr tomorrow to get my stitches out and hopefully the tape will be taken off and I'll get a better look then. I still have quite a bit of yellow bruising but this arnica is good stuff!! The bruising is going away so quickly. I don't really feel very swollen today but I'm sure there's still some there since I'm only 5 days out. I'm loving my side profile and hoping my heart shaped face returns in the near future. Updated on 21 Nov 2018: Today is Day 6 Post op. I had an appointment with the doctor and got the stitches out. Now I just have a small bandage. I washed my hair too today!!! I absolutely love my neck!! I haven't had one in so long. And my chin is so cute!! I keep thinking, "so this is what people have always had under their lips!" The ONLY thing keeping me from turning into Julie Andrews from the Sound of Music and breaking into song in the middle of the street are 2 little details in the back of my mind...1.) I'm worried my heart shaped face won't return and 2.) Are people going to notice because it is so drastic looking? I mean, it feels like a drastic change I LOVE. Of course we all want to look better and have people notice we look better...but I don't want people to know I had work done. I guess that's stupid. But how I feel. I go back to work on Monday. 5 days from now. My smile isn't back yet. But I'm not worried, Dr says it will come back and I already have full feeling but not to rush it, so everything can heal on it's own. My face is longer and more oval at this point not shorter and heart shaped like it was... but I LOVE having a neck AND a chin, so that makes me happy. The unknown with the shape is the only thing I'm concerned about. But even if it doesn't return to the original shape, I love what I got and I'm happy with it. Now I know why everyone on here and the Dr said this recovery is very challenging mentally. I think there's more recovery to do in my head than in my face LOL!! Updated on 21 Nov 2018: Here are a few pictures from before as compared to today (Day 6 Post op). Rippling caused by garment and deflating of the neck. Dr is confident skin will tighten up. I don't feel worried about it at all..probably because it smoothed out pretty quickly after being out of the garment while I washed my hair. Still swollen and bruised, BUT I finally have a neck and a chin!!! Updated on 21 Nov 2018: Trying again...Here are a few pictures from before as compared to today (Day 6 Post op). Rippling caused by garment and deflating of the neck. Dr is confident skin will tighten up. I don't feel worried about it at all..probably because it smoothed out pretty quickly after being out of the garment while I washed my hair. Still swollen and bruised, BUT I finally have a neck and a chin!!! Updated on 22 Nov 2018: Happy Thanksgiving!! One week ago today I was getting my chin implant and neck lipo. I'm really pleased with how things are going. I like having a chin and a neck!! I haven't needed anything for pain in 2 days. The bruising is a light yellow-green and I don't seem too swollen except under the chin and in jowl areas. My smile is still crooked and weird, but like I mentioned previously, Dr said this is normal and not to try to smile until next week. Letting everything heal properly without forcing it to return. Oh, I believe my face shape is starting to return!! That makes me so happy!!! Also, since today was Thanksgiving and I was ready to eat LOL, I made a makeshift head compression that was much more comfortable than the garment when eating...I usually leave the garment thing on 24/7! The temporary wrap i made is a long, thin rally towel I fold and wrap under my chin then tie on top of my head. It's much more comfortable than the garment around my neck and it feels like it gives more support to the area under my chin which had the lipo. Only weird part is that when I take it or the garment off, the bottom half of my face like the chin and neck feel heavy... anyone else experience this?? Updated on 23 Nov 2018: Wow, woke up with a very swollen face this morning!! I'm lumpy and bumpy and looks like someone marked all over my neck with a yellow highlighter. I wasn't the swollen yesterday but it could be because of all the high sodium foods I ate for Thanksgiving or maybe because I woke up this morning laying flat on my back...which is hard to believe since I have five pillows behind me propping me up when I sleep at night. Oh well, I know it's part of the journey and I'm only 8 days Post op. Staying positive because I've heard so many people say the swelling comes and goes for months. Would just like to look decent for Monday since I go back to work. and I'm pretty sure the bruising will be gone by then even if they swelling is not. Updated on 23 Nov 2018: When I felt like wallowing and worrying tonight about the skin on the underside of my chin and neck not tightening up, I decided to make a comparison. This is before and 8 days Post Op!! The skin is not where I want it to be yet...but, the progress is already 1000% better than I was before I had the surgery!! And I have a chin!! just needed to put things into perspective. Updated on 24 Nov 2018: Not much change today. I think swelling is down some. My main concern is the sagging area under the left side of my chin on my neck. I believe this is from the neck lipo. I know I had quite a bit of lipo work done on my neck. The right side of my neck is tightening up nicely I think. Is this "sagging" on the left normal for being 8 days out?? I'm hoping for more tightening from the Lipo as time goes by. Updated on 1 Dec 2018: I'm still riding this rollercoaster recovery. I'm feeling good. No pain, but my lower teeth still feel very sensitive at times when I brush them...not when eating or drinking. Weird. As you can see, I still have lumpiness and some swelling. My neck is still very tight kinda feels like I had a face lift. But my smile is 90% back!! I LOVE having a chin and very pleased with how it looks. Just need this neck swelling and weirdness under my chin to go away!! The doctor's office has been wonderful. I've been so freaked out, I email them pictures almost daily to ask if what I'm saying is normal. It is! I've been told the swelling and tightening up of the neck skin that was deflated just takes time. I haven't seen many people on this site that have had as much sagging of a neck as I have without having a facelift with this chin implant procedure. I know I need to be patient, but this is the hardest part of the whole procedure. It's like part of you needs confirmation it's going to be okay and the other part of you is sensible and knows you are still recovering after surgery. Oh, and I had a little yellow bruising show back up on my neck but other than that I'm doing good. Doctor recommended a certain silicone roll on for my scar treatment. I'll have to post a picture of it later. Updated on 2 Dec 2018: I can tell my jawline is tightening up. I still have several small lumps under the skin near the chin, but they are decreasing. My neck is very tight but by the end of the day it feels much better (probably after all the massaging)... just in time to put the compression garment back on and start over. Still sleeping upright with 5 pillows AND an airplane pillow around my neck. My neck looks great but so tight I can almost see the skin stretching. I have no doubt gravity will handle this for me! I have some bruising probably from all the massaging. Just taking it day by day. I think this swelling and lumpiness is the worst part, maybe the ONLY bad part, about the entire experience! These reviews weren't lying when they said patience was key to this recovery!! Updated on 3 Dec 2018: I'm loving my chin and neck profile!! every morning when I wake up I run to the mirror to see what changes took place well I slept!! I feel like something has always changed!! You can see lines from the garment on my face because I still wear it as much as possible. Only thing I'm waiting for is 1) the Rippling underneath my neck to smooth out and 2) the little lumps from the Lipo. I had steroid shots under my chin last week to help with all this and the doctor's office said I'll probably have a couple more treatments like that. They also said I'll probably have another month of swelling and everything shifting into place. I'm just praying that my neck Smooths out because I know it is like a deflated balloon. I didn't have a facelift so I'm hoping for the best with the skin reattaching smoothly. I don't care for the jowls (but they were present to start with) so I may get BOTOX in my masseters along the jawline to help with that in a couple weeks. I'm still sleeping upright with all the pillows and the airplane pillow around my neck to help as much as possible. My neck is still so tight you can literally see the muscles pulling with the skin. But it sure beats the sagging neck I had to start with!!! Staying positive and trying to be patient. Updated on 8 Dec 2018: I'm extremely happy I decided to go through with this procedure. My chin feels like it's always been a part of me. There is no pain. I can't even feel where it is in my face. The recovery was very easy. Only weirdness I have now is the sensitivity of my lower teeth every now and then when I go to brush them...as if I had teeth whitening. But it's only every now and then. So glad my next dentist appointment isnt until February LOL!! My neck is changing daily swelling is going down and the skin is working to reattach. I did not have a facelift and I know my neck was extremely saggy to begin with so this is the part that is taking the longest to heal. I'm basically waiting for it to smooth out. The little lipo lumps I had are continuing to decrease in size but I still feel/see the extreme tightening with bands under my neck. it sure beats the sagginess I had. I know gravity will make sure to help out the tightness in my neck. I go back to the doctor on Wednesday and I will get additional steroid shots to help with everything smoothing out. Here are some pictures of the current progress. Not too bad for my new chin and basically a new neck without a facelift!!! Updated on 27 Dec 2018: My chin feels like it's always been there. No pain. No more teeth sensitivity. Smile is back 100%. I'm still wearing my garment at night but Dr says I can stop wearing it. I just like how it makes my neck so smooth the next morning AND smoothes out my face wrinkles (especially around eyes and forehead) because I'm not laying on it making it all smooshed lol!! I'm still waiting on my neck to smooth out and not be so tight. This part has been the longest part of my recovery. I've had 3 rounds of steroid shots under my chin to help with the healing and tightness. I massage the neck area several times a day with no change yet. Well, it changes everyday. I love having a separate chin and neck even with the tightness. I'm extremely happy with this decision :) Updated on 27 Dec 2018: Still waiting for the neck to smooth out. I know this process will take the longest and the most patience from me. But, I have a separate face and neck and a natural chin!!! No one (that didn't know I was having this procedure) has noticed! To me, its drastic lol. Since I elected not to have a face or neck lift, I have to wait it out for the skin to smooth out and tighten under my neck. Even If This Were to be my final results I realize it is 1000% better than what it was. I may get botox along my jawline it to help lift things. We'll see. For now, I'm so happy I did this and hope my posting can help anyone else going through this or considering this procedure. Today, I'm officially changing my review to "worth it". Updated on 1 Jan 2019: Happy New Year!! I'm so happy the end of 2018 brought me the one thing I've wanted for the past 30 years...my new chin. Just having an actual chin has given me a neck and a profile I love. Even my cheekbones look higher (even though I didn't alter them in any way). Maybe chins are like eyebrows whereas they change the entire look of your face. I sure feel like my face has changed! I have a new sense of self confidence and finally I don't feel like I look 30 years older than I am because my face is sunken into my neck which is already hanging. If you're on the fence about this procedure, schedule a free consultation and talk with a Board Certified facial surgeon. I'm so glad I did! I'm still wearing this garment at night 7 weeks later although I'm cleared to stop. But, I don't think I'm ready. Maybe it's a security thing who knows. One thing I do know is how happy I am having had a chin implant. Wishing you all a wonderful 2019!
KelbellaThank you for sharing your questions and photos. It is difficult to tell you much with these photos, but in general, nasal skin scarring is not usually changed much with rhinoplasty. Occasionally, the skin is thinned if a previous hematoma had formed and turned into scar tissue, but further injury or alteration of the skin is largely avoided to decrease the risk of skin flap issues during a rhinoplasty. Only the small scar along the left nostril is apparent in the photos, but I am sure I can't see everything. What is visible in the photos is some fullness in the supratip area. Following rhinoplasty, this change can be from remaining bulkiness/curvature of the lower cartilages, persistent height of the dorsal septum, and /or loss of tip support (change in projection or rotation). Although I could give you more input with additional photos, I recommend you discuss you concerns with your surgeon. Since you are at the end of the first year, you now have a pretty good idea of what your shape will look like in most instances. Swelling/size can still be a factor for another 12-24 months . If he/she determines all the swelling is resolved, you may consider a revision if the result is not consistent with your overall goals. I hope this helps. Take care
What looks good on the model, may not look good on you. A consultation with digital imaging will help you confirm your desires and an exam will tell you if it is reasonable. The balance of a small chin implant and a reduction of your nasal dorsum would be a nice improvement of your profile. A frontal picture would be necessary to give you further advice as to what nasal procedures would also be needed to maintain overall balance/ harmony. Overall, facial asymmetry is more common than perfect balance. I hope this helps. Take care.
Thank you for your questions. I don't know why you are still experiencing significant swelling 4 yrs after a rhinoplasty. If the swelling is intermittent, you should try to take some photos of your nose at these times as well as when it looks normal again. I recommend you seek out a rhinoplasty specialist for a consultation. You should present the pictures, so that you can share your concerns even if the swelling isn't present at the time of your appointment. I hope this helps. Take care.
Lauren, Thank you for your photos and questions. From the photos it appears that your septum favors the right side, but a full exam will determine the extent of your obstruction. It will also delineate if there are other components of your nasal airway that should be treated. Any functional issue is covered by your insurance. A rhinoplasty can be performed simultaneously to alter your appearance and meet your aesthetic goals. Digital imaging is helpful to communicate your overall goals. This portion is not covered by insurance, but it usually makes sense to address all your nasal issues at the same time. This is for surgical as well as financial reasons. I hope this helps. Take care.
Thank you for sharing your questions and photos. More views would be helpful, but on this 3/4 view the inferior margin of the left nasal bone is what you are noticing with some depression where the upper lateral cartilages begin. It is difficult to tell if this will improve to your liking or not. Placement of spreader grafts to camouflage the transition and/or osteotomies to narrow the nose are maneuvers that are often utilized. Discuss your concerns with your surgeon and allow him to keep watching you closely for improvement. Only he/she knows the maneuvers used during your surgery. If after a year or so he/she determines all the swelling is resolved, you may consider a revision if the result is not consistent with your overall goals. I hope this helps. Take care