It's been about 2 weeks since I had my rhinoplasty with Dr. Gruber, and I truly couldn't be happier. I did extensive research before picking Dr. Gruber. He was the only one of multiple surgeons I saw who really listened and to what I wanted/envisioned, and he truly delivered - my nose is absolutely amazing and exactly what we envisioned together.
Doctor Ronald Gruber is a Masterful Artist and an Exceptional Surgeon. He has an Excellent Aesthetic Eye, & indepth Knowledge and Experience in Both the Form and the Function of the Nose. He has made my Life Long Dream Come True & Exceeded my Expectations Beyond comprehension. I highly recommend him to anyone who wants nothing less then the closest outcome to perfection. He's a Genius.
I've had my Rhinoplasty Surgery with Dr. Ron Gruber about 6 Months ago. The entire process was a very pleasant experience. He took his time to educate me and wiped away any doubt and fear I had prior to meeting him. There was no pain, and minimal swelling after my surgery. The results were Epic. I have allot of respect for him and I am thankful for the great experience from beginning til end.
I had a rhinoplasty with Dr Gruber a week ago. I was very nervous for 2 months before and didn't know what to expect. I was beyond pleasantly surprised! I had no pain whatsoever, i didn't even take Tylenol. I had no major swelling and just a small bruise under my eye. The anesthesiologist was also amazing , i got up and left after 3h under like nothing happened. I only took 3 days off work, but i did have a cast on for 6 days so if that bothers you you will need to stay home. I am ecstatic about the result, its perfect! Scars are already fading and swelling is way down, not that it was ever major... Dr Gruber is an amazing surgeon and i would recommend him to anyone, I've wanted to do this for 10 years and feel lucky he operated on me. He is worth every last cent, best decision i have ever made. Thank you!
I went to see four other well regarded surgeons before finding and selecting Dr. Gruber for my deviated septum and secondary rhino. Three of them put me through a typical horse and pony show with high powered sales pressure, both over simplifying my case difficulty and over pushing the other services such as botox and laser stuff. The fourth, took one look at me and said…"I can't help you. You need to go see Dr. Gruber because he wrote the book on your case". My appointment with Dr. Gruber was short yet extremely thorough. I picked him 10 minutes into the conversation because he immediately picked up on what needed to be done and explained why. In his office, he has a shelf of text books he authored and yes, he has literally written the book on rhinoplasty. He does 4 surgeries a week, all year long, and has many years of experience, a good eye and a strong desire to help people. On the day of surgery, Dr. Gruber's staff was awesome. His nurse and anesthesiologist really worked well together and with me. No one likes surgery, right? I've had 6 (now 7) surgeries in my short life and this one had the best team in play. Dr. Gruber was also very engaged, I like how he asks the right questions. My case was complicated and the results are better than I hoped for. I lived for eleven years with the results of some previous moron surgeon's horrible mistake and now I am human-looking again. My nose is now perfectly shaped and sized and has great symmetry. Dr. Gruber is about 20% more than others up front, but he submitted to my insurance so the net cost will be less than the lot. I'm very grateful that I got a referral to Dr. Gruber. Updated on 3 Aug 2013: Here are some updated pictures from my wedding this month... Updated on 4 Aug 2013:
I started off with a crooked nose that had a severely deviated septum but normal tip cartilage. In 2009 I had surgery with a closed approach that involved trying to straighten out my nose and septum. This ended as a big fail as my septum reverted crooked and my tip and mid vault became collapsed in on the left hand side. The surgeons' response was to suggest permanent filler bio alcamid, and I never went back to see him again. I had revision with a different surgeon in 2011 who proposed straightening the septum using the open approach and rebuilding the left side using ear cartilage. Initially it looked better but by 6 months my nose became warped and the grafts showed through, by 2 years post op I had very distressing graft mobility and inflammation that caused me to become depressed and suffer from insomnia, the onlay grafts were used as the surgeon abandoned spreader grafts because he couldn't do them and he just draped cartilage over my nose. My tip was very pinched and asymmetric. My septum was dislocated again and my nose looked far worse. By this point any naivety or trust in a surgeon's assurance or confidence had gone. I researched extensively and became much more savvy. Previously I hadn't done any proper research or consulted with more than one surgeon. In addition I chose my surgeon for primary and first revision based on how local they were and didn't understand that skill level could vary so much. For my second revision I consulted in person with 3 prominent surgeons in Europe and on-line with Dr Anil Shah. I was very worried about travelling from the UK to the US and didn't think that I could cope or afford the surgery but I knew of many successful Dr Gruber patients. After consulting with Dr Gruber via telephone consult I instantly felt that he was my surgeon, despite having not met him in person. I don't know why but it was a feeling that I didn't feel with any other surgeon that I consulted with. I travelled from the UK to San Francisco which is a long flight. Dealing with his office was always a pleasure and they couldn't of been more helpful to me. My operation lasted 4.5 hours and was extensive, the horrid mobile onlay grafts I had previously were removed. I had my internal and external valve and tip cartilages completely reconstructed and my septum had extensive work to straighten it. Ear and septal cartilage was used. My skin was lined with a blanket fascia graft. Recovery was really, really tough and the journey home was very far from ideal. Now at 5 weeks I am recovering from an abscess that caused me to be hospitalised for 2 days and Dr Gruber has been incredibly concerned and supportive. My results...... the redness from the inflamed grafts is gone and my skin although not perfect as it had been damaged has calmed down completely. No more angry red areas of inflammation. The shape is really amazing and symmetrical and my tip looks like it did originally before being butchered. It looks like a normal nose which considering what it like before is nothing short of a miracle. My insomnia and depression has gone. My family are so happy to have the old me back. Doctor Gruber's age did concern me but not enough to not go ahead with my surgery and as soon as I met him, it was not an issue. Updated on 23 Sep 2013: Updated on 23 Sep 2013: Updated on 23 Sep 2013: Updated on 23 Sep 2013: Updated on 24 Sep 2013: Updated on 18 Oct 2013: I seem to have very bad luck. I developed an infection that developed an abscess after having it drained with a needle a month ago, and a week ago and a month of antibiotics it made no difference. I saw Mr Matti in London Harley Street, who I previously saw for two consultations and he remembered me. He diagnosed a suture granuloma, which under local anaesthetic he removed. He injected the local anaesthetic through my mouth into my nose, I had numbing creme up my nose so the only part that hurt was injecting into my mouth. The swelling is immense on the right side of my nose and cheek and normal on the other side so I look very distorted, it's still numb today. The external lump on the skin may take a time to go down. Updated on 22 Oct 2013: I couldn't post a whole face photo as I looked awful. I went into a bit of a dark place since last Thursday due to the awful swelling . Fast forward to Tuesday and my lopsided swelling has gone done a lot. Enough that I don't look noticeably distorted. I emailed Dr Gruber upset at the weekend and he emailed Mr Matti who personally phoned me but I missed his call. I saw him today and he was very reassuring and said that the red lump externally will go down but it may take months for resolution. He said he couldn't see a stitch when he excised the lump and really doesn't not think there is one there. He does not anticipate taking the graft out. Everything feels very distorted to me, I can feel the outline of the graft and the whole area is red. Hope time can be a great healer for me. The photo shows how swollen my nostril was. Updated on 30 Oct 2013: My nostril swelling has come down a lot. I was unbelievably distorted due to the asymmetrical swelling. Thank you to all the people who were supportive and gave great practical advice. It was much appreciated. Externally there is inflammation around the graft but Mr Matti is sure that it will come down. I have seen him twice and am due to see him in two weeks as the area still has not healed up completely. This is a bit worrying as he said if it still hasn't healed he may have to do something, what? I have no idea. He is liaising with Dr Gruber and keeping him informed. Updated on 30 Oct 2013: This is a flattering photo of me. Some days I can looks so rough. Also I am having a problem with my skin including redness and spots over my cheeks, nose and forehead and I am afraid it is rosacea. I am 35 next week and the whole nose saga has been going on since I turned 31. I hope that I can not lose any more of my life to being sad about my nose. So I am sharing a nice picture for my self esteem. Updated on 30 Oct 2013: Updated on 8 Nov 2013: I don't feel I can prolong the inevitable. I have to be opened up to find out what's causing this as it's something internal i.e. stitch, graft infected. I don't really want anyone else but my own surgeon messing about in there and although I have now got a nice NHS ENT consultant on my case I can't keep being told to keep taking antibiotics. I stopped taking them for 2 days as I thought they were useless - big mistake my nose has really flared up and pain really increased. I will update on Thursday and let you know how I get on. Updated on 8 Nov 2013: I hope this area will end up healing well. Updated on 19 Nov 2013: I flew out last Thursday and saw Dr Gruber the same day. He removed the lump, which he said was like a cyst, the day before a doctor had called it a boil and when Mr Matti removed a previous growth he diagnosed that as a pyogenic granuloma. He didn't think there was an active infection until he injected directly with local anaesthetic and he said it sunk in which showed there was fluid behind the growth which was why it was so painful! A culture was taken (cost $400). I had no swelling like I had with previous excision at all and my nose was not distorted so I felt comfortable going out. He said that being on antibiotics for the past 6 weeks was a bad idea. This was prescribed by the original ENT who discharged me from his care while I had an abscess/growth. I left Gruber's office and had saw a voicemail from the UK telling me to call re. results of swab taken in the ER a week and a half previously. I called on Friday and it showed a pseudomonas infection. Well I've been on antibiotics that treat staph and strep, not pseudomonas. I stopped taking the antibiotics. I am so annoyed. I have had a previous culture but it was when the area was dry so no blood or yellow discharge. Three ER visits - first time with 3 days in hospital on IV, three trips to London to see Mr Matti (including traumatic lump removal) and 4 appointments with ENT and last one with a new consultant who was much better and finally all the way back to the US and another surgical excision and culture which showed pseudomonas and a yeast infection. Dr Gruber prescribed two types of creme and the hospital want me to pick up a prescription for the correct antibiotic but Dr Gruber said I do not need an antibiotic. Well my nose has calmed down, still over all red and have the external lump but the pain immediately improved upon removal of lump and drainage. I have external inflammation but inside seems to be healing, but I can't say 100% that it's going. I am going to take antibiotics as I can't take any chances with this. My poor daughters have had me out of action for months due to op and infection, when I think about this it absolutely breaks my heart. Dr Gruber said that everything will settle and the inflamed side and redness will all subside. He double checked the cavity where the infection was to see that it hadn't filled up with a special tool. One other thing which I have found difficult is that being outside when my nose tip is very cold and red at the tip. I find this stressful and worrying. I hope this improves. Thanks for all the messages of support. I will update in a month or so and hope to say everything is healing well. Updated on 6 Feb 2014: After I came back from the lump removal with Dr Gruber a few days later more necrotic stuff came out of the excised area. It took 6 weeks of the correct antibiotic to halt the infection. The lining of my nose was really damaged and painful and I had burning and stinging as there was exposed areas. I finally feel so much better and things internally are healing. Externally there is still a lump and then a dent but it's smoothed out to a small degree and the skin is red but I can cover this with make up. Hopefully with time it will smooth out more. My skin was clear before my revision and after a few weeks after revision coinciding with infection my skin became really bad. Acne/rosacea all over my face and nose. Been on meds for a week and it's more or less completely cleared up. My advice would be for anyone who has a post op infection get the infected fluid tested to identify the bacteria to make sure you get the right antibiotics straight away. Updated on 17 Feb 2014: I am miserable again, pressure feeling on bridge which has been there since start of revision but got worse and severe redness and inflammation come back on strong. I look hideous. Whatever happens with future healing I am going to have a scarred, red lump on the side of my nose. I would do anything to live without constant pain. It is debilitating. Updated on 17 Feb 2014: Other nostril feels great, very normal even with alar rim graft. This nostril is inflamed and painful. Updated on 20 Feb 2014: I saw a nice surgeon who examined me and read my op report. I don't have any exposed cartilage which is a relief. He was a little critical of some of the sutures used and said that that he wouldn't of used them. Some absorbable sutures can hang around a long time, they dissolve a lot in the first few weeks then remnants remain for months. I have a lot of vicryl and pds sutures and pds can last 200 days. Also vicryl can cause infection and inflammation. He said it could be some dead cartilage or a stitch still hanging around, stitches can harbour bacteria and as they are not living tissue bacteria on the suture or dead cartilage will not be treated with antibiotics. Its a waiting game and to leave it and see if it heals, I may develop an abscess again in the future. There is a lot of redness on the side where I had a batten graft and I think thats a reaction to the sutures. Updated on 26 Apr 2014: In the lasts week I haven't had any pain it's as though my healing has had a turbo boost. Still have barely covered edge of cartilage in nostril but the external lump has smoothed out. Updated on 5 Sep 2015: I haven't updated for a long, long time. I was too fed up to be honest. I suffered rosacea triggered by op and infection. And was very unhappy with discomfort that still fluctuated and painful raised scarring internally and externally. My nose gets very cold and it is very hard to live with, but I have noticed a slight improvement recently. Overall though I have elements of great success, and my nose has been improved. If it wasn't for the infection results have been the very best they could be. I can see the outline of where the fascia blanket graft starts on my bridge when I raise my eyebrows but I know it's there and I don't think it's noticeable to others. I am most happy with how much straighter my septum is, when the light hits my face I have a straight line reflected off my nose. My collapsed left side where there was a visible graft looks wicked, very smooth and pretty whereas it was mishapen before. I'm updating while I'm tired so will forget lots of points. Pictures speak a thousand words. Sorry about the eye covering, I'm paranoid about photos being used unauthorised. The infection has left skin damage and a hypo tropic scar. Will post some more pics tomorrow. Updated on 17 Jul 2017: After having me initial rhinoplasty and septoplasty on 2009 = disaster, followed by a further failed botched revision in 2011 which left me with displaced, visible and palpable only grafts but also further resection of my nose. I had a second revision travelling all the way to the US in 2013, unfortunately suffering an awful pseudomonas post op infection. The whole rhinoplasty part of my life caused me so much distress and depression. My nose was crooked, I just wanted it straightened. I'm happy to say I would never touch my nose again. I'm left with a lot of redness and scarring on the right side where the infection was and cold intolerance of my nasal skin. But with make up I can even put the skin tone. I'm very happy with how my nose looks. Even from year 3-4 there has been changes in swelling and my nose has refined more. 2 years post op I still had a lot of swelling. Swelling lasts so long after revisions!
Had typical middle eastern nose. Told him since I was a male I didn’t want an overdone reduction of the bridge. Instead he took off a little too much which accentuated the rest of nose. I felt like the cartilage was loosened from the bone and he said I didn’t need a septoplasty but after taking off the bridge it became really obvious that the nose was off to one side. From a 45 degree angle it looked as if there was still a bump and crooked nose because the bridge was too low and the tip leaned to the right.
Ronald Gruber is the WORST surgeon!!!!! When I first met him he was nice but acted arrogant. I thought maybe that was a good thing and thought he must be really good. However, after paying him a whopping $10,000 for a minor rhinoplasty, he did an EXTREMELY POOR job on my nose. He made it look like I had a sausage on the end of my nose instead of skillfully shaping the area around the tip. He also left me uneven. I tried to live with it for a long while, but I just didn't like it. When I went back to him to share my dissatisfaction, he tried to make me believe it looked ok and was good enough. He said he didn't want to do anything more to it. He just DIDN'T CARE. He was happy to get his massive $10K fee and brush me off. He's just one of many plastic surgeons who cares mostly about the money, but he's one who sometimes does VERY POOR work and yet refuses to revise it. I also think he just doesn't have the skill to know how to make it look good. I went to another plastic surgeon in Los Angeles who agreed that my nose looked unnatural and that it was a poor job done by Dr. Gruber. This surgeon is going to fix it. However, it infuriates me that I paid Dr. Gruber so much money for such poor work (that took him only an hour) and that he didn't care and didn't want to make it look better!!!!! And now I have to pay another surgeon another $10K+ to make it look good!!!!! His legacy should be that he has done some VERY BAD work then cares more about the money and doesn't care about fixing it (actually refuses to fix it)!!!!!
Hi , my Surgery is booked for next year, have 2nd consultation coming up soon. What do you think about my pictures need some help. I will have a nose job and a chin implants i really don't like my profile and want to change it. Some people told me it's crazy and I look good the way I'm but i would love to have a better profile. will update along the way! Updated on 16 Feb 2017: I did my surgery with doctor Gruber I'm so happy I'm 7 days post surgery and I'm already very happy with the result Updated on 26 Feb 2017: Small update I'm now 17 days after surgery swollen is down I'm very happy doctor Gruber did a very good job worth it Updated on 28 Feb 2017:
I suggest you find a qualified surgeon in you area who is a member of the Rhinoplasty Society. The Rhinoplasty Society is a small group of Board Certified Plastic and Reconstructive Surgeons and ENT Surgeons who super specialize in nasal surgery.
