I had an extensive Moh's surgery procedure for a BCC on my neck that lasted all day. At the end, they decided I needed a more experienced surgeon to perform the close. They called Dr. Lee and he agreed to see me. I was concerned that I would need a skin graft to cover the surgical site. Dr. Lee was able to perform magic and surgically closed the site without a problem. After a few months, the suture lines are hidden by the creases in my neck and are hardly visible. I had excellent post-op care and follow-up during my recovery time. I am glad Dr. Lee was available to take on my case. I am very impressed.
My dermatologist performed MOHS surgery removing 2 basal cell carcinomas from my nose. Same day he sent me over to Dr. Lee for skin grafting. Dr. Lee did an excellent job. The grafts are virtually invisible to the naked eye. They were so good, that I chose to not have follow up laser treatments.
Dr samson Lee is the BEST!! After my first surprise skin cancer surgery in March 2014 Dr Lee had the job of putting back together the left side of my face including the eye area. He was so kind and caring throughout the ordeal which included many follow up treatments. In October of 2015 a totally shocking discovery was made that the right side of my face now had an even larger area of skin cancer. Dr Lee was kind enough to accept my case and perform his magic to put the right side of my face which included more eye repairs back together. Again many follow up procedures where needed. All of them handled with extreme skill, kindness and compassion. It is now almost three years since my first surgery. I look good after such a challenging journey thanks you Dr Lee. I have recommend him so many time to friends and acquaintances. Dr Lee is the BEST!!!
Dr Lee had to do a rather large facial surgery after skin cancer was removed. The area was about the size of a 50 cent piece and quite deep. At first I was nervous and a bit upset about the appearance of my forehead. There were a lot of stitches that covered a large area. The outcome has been remarkable. I would recommend Dr Lee to anyone. His work is amazing. Just follow directions for after care Beth Medearis
An ENT when I was much younger offered to do a rhinoplasty at the same time I had sinus surgery, and not knowing better, I took him up on it. Needless to say, the results were horrible. My nose was badly misshapen for sixteen years, and my nasal passages were warped. I had horrible tip bossae, sagging of my septum, and pretty much everything was asymmetrical. Understandably, I was quite anxious about risking further damage; any surgeon will tell you that revision rhinoplasties are very difficult. My surgery was quite complicated, in that there was *significant* damage to the cartilage inside my nose (we weren't sure exactly how much until surgery). Fortunately, there was enough mangled cartilage left that we didn't need to take any from my ear. I had chosen a doctor who I felt confident could handle such a tricky, meticulous procedure, and I'm very glad I did. The first week of recovery was, I won't lie, awful. Nothing to do with the doctor--just the procedure, and the fact it was done over a holiday weekend meant I had to wait an extra two days or so to have the internal splints removed. The irritation caused by the splints produced enormous quantities of bloody mucus that I had to spit out every fifteen minutes, which meant I couldn't sleep. Once the splints were out, as promised, recovery was basically a breeze. I'm about six months post-surgery, and my nose looks and feels great. The changes are remarkable to me, and friends and family have all commented that my nose looks completely natural for my face. I was told it would look "significantly better" than what it looked like pre-surgery, and that's exactly what I got. Not fake perfection, just a nose that suits my face (looks a lot like it did when I was a kid, only better), and for lack of a better phrase, has structural integrity. I took my time looking into physicians, and chose a doctor who had excellent credentials, honors, and associations. Because the issue impeded my breathing, we were able to obtain proof of that for insurance, and the bulk of my surgery was covered. Other doctors I considered (with similar backgrounds) didn't even mention that as a possibility. When choosing a doctor, I'd recommend keeping their business model in mind!
Dr. Lee did a truly outstanding job - I am really happy with the result and the level of expertise he showed. Warning - rhinoplasty comes with some swelling of the nose tip which last up to a year. I'm now 2/3 of year after surgery and seeing the results slowly take shape. It takes patience, but I am glad I went through with the surgery.
I have had at least three skin surgeries (Moh's) on my nose. Each time Dr. Samson Lee has done the repair including skin grafts. He is an expert when it comes to the nose. He is a warm, caring doctor. He takes the time to see that I am happy with the final results which sometimes take many visits. I recommend him to anyone needing his experience and care.
I recently had a rhinoplasty surgery done by Dr. Lee. I am three months into recovery, and I could not be happier with the results. My nose looks so natural and it turned out just like we discussed. Dr. Lee is such a great doctor because he will not do anything too extreme to make a nose look like it has gone through surgery. My nose looks like it belongs on my face, its perfect.
Breathing issues
The doctor was nice and answered my questions when I asked. However, I am not satisfied with the end result (a little over a year since the surgery). The good – I like the nose tip as its smaller and less droopy now. Everything else is not great and more on the frustrating side. The doctor used implant from the hump and up, however we never discussed that before the surgery, and it was not depicted on the pictures he provided before the surgery. This implant made the top of the nose higher and wider and the whole nose looking longer in general. The implant was placed off center which makes my nose look a bit crooked now. The sides of the nose are uneven and asymmetrical, and one side is bumpier. The hump was literally shaved off and look flat. The sense of smell is worst now – I can’t truly enjoy food as I used to.
It appears from your pictures that you probably have had overresection of the nasal dorsum and a resulting frontal view appearance as you have shown. Temporary fillers maybe able to help to some degree, but these are going to only be able to "tent" up the skin so much. At some point you may decide on a revision with augmentation of the dorsum with cartilage/fascia to restore a more balanced appearance.
Based on your picture and the fact you are 7 days post surgery I would recommend you go see your surgeon. Conservative taping and massage may help, but before doing this I would consult your surgeon. Good luck.
Aesthetic preference is a personal decision. Based on your picture, it appears you've had a good result from a technical point of view but if you desire more bridge projection then a diced cartilage technique with fascia or fascia alone should be able to provide you additional augmentation with minimal risk of warping. There can be some issues with asymmetry, resorption, etc as with all cartilage grafting, but warping wouldn't be an issue. Since it does not appear you need a great deal of augmentation, ear cartilage would also be an option with fascia.
Human beings by our nature are not symmetric. So subtle asymmetry from one side to the other is in fact part of being human. Obviously considerable asymmetry is not desirable and may or may not warrant potential improvement. Looking at your picture, personally I can't detect a great deal of asymmetry and thus I would say leave things alone. Next time you're with your friends or family carefully look at their face, eyes, nose etc and I bet you will see that all of them have asymmetry you never noticed before.
To some extent all of our noses have usually mild inward movement on increased inspiration. Essentially if you breathe hard enough you will always be able to collapse the nose. Some patients have increased problems with this and can lead to problems breathing in particular when breathing more vigorously such as with exercise of during sleep. With some of the techniques in rhinoplasty particularly cosmetic ones, this can sometimes weaken the sidewall of the nose and cause potentially increased problems during breathing. If you don't have a breathing problem, I wouldn't worry about it, if you do, then I would go see your surgeon to be evaluated.