I had this surgery 2 or 3 years ago, the date I have given might be wrong because I prefered to take careful approach and to see if the results satisfying in the long run. I must admit that I had higher expectations towards the nose I wanted. I wanted more defined tip of nose but had to accept flatter one. I also experience narrower air passages (in nostrills) which can be a result of the grafting performed. In general and in comparison to what I had before (droopy nose) I can say I am much more confident about my nose and I get compliments from friends and acquaintances. Dr. Gonschior is a professional surgeon and have attention to detail. But.. he is too busy for post operation attention. He came for few seconds and left. I felt forsaken and hurt as a result. In my opinion this is a point that has to be changed.
I disliked my nose since being a late teen and undergraduate, which is now 15 years ago, I am now mid-thirties. I didn't have the financial means to proceed with surgery during those years, so just got on with my life, I didn't feel great about myself but my nose didn't hold me back either. But after turning around 33, my nose suddenly looked to me very noticeably worse; bigger, not a nice shape at all, was definitely spoiling my otherwise OK face, and I found some photos stuck up on social media by other people mortifying. I then reached a point where I felt there wasn't much point in bothering to make the best of myself with hair or make-up, since my nose was always spoiling my appearance. But then suddnely having the financial means through inheritance, I met with Dr Gonschior who was straightforward, honest, kind, understanding and with a very quick / instinctive sense of what would look good on me. Immediately after my surgery, on return to my room, I went to to the bathroom to take a look at my face, and even wearing my after cast I could tell that I had a smaller nose, that was also a cuter shape. My recovery was very easy, having suffered serious health problems in the past, a rhinoplasty barely scratched the surface, it was a akin to having a minor common cold and no more. As time progresses my nose keeps growing nicer, not only is it a tremendous improvement on my old nose, but you can see that Dr Gonschior along with his many years of medical training, is also artist having deep knowledge and clever understanding of faces, since my new nose suits me so well, and the result being both subtle (I don't believe anyone would ever know I had a rhinoplasty unless I told them) - but yet dramatic, since I am quite photogenic now when I never was before. My face looks younger and cuter somehow overall. I've gone from avoiding mirrors to being happy to have my photo taken. With a great sense of liberation and positivity for the future. I feel that the world is my playground now, whereas before I felt not good enough to fully take part and would hang back. Dr Gonschior is an excellent doctor and a good person, I wouldn't hesitate to recommend him to all, and will always be grateful to him for having done such a good job with me.
I have to recommend my surgeon Mr Gonschior at Surgery One! I hated my ears my whole life, they stuck out making me feel self conscious and I only ever wore my hair down to cover them. Mr Gonschior has changed everything he pinned them back and reduced the size of my ear lobes with no scars in sight! I have so much more confidence now - having this surgery was the best decision I have made.
I felt confident that Mr Gonschior would improve the appearance of my Nose, however he exceeded my expectations. I am delighted with my new look, I was slightly concerned that my family and friends wouldn't recognise me however I still look like me, just an improved version. Mr Gonschior has a unique blend of knowledge, skill and a creative flair that I believe sets him apart from many other Cosmetic Surgeons. Anyone considering choosing Mr Gonschior as their Surgeon should rest assured that they are in very safe hands. My only regret is that I didn't go ahead with the Rhinoplasty years ago. Updated on 28 Dec 2014:
after having disliked my nose for quite some time I decided I was ready to take the plunge, I had seen a few surgeons who all seemed to think they could give me the results I wanted but were quite brief and I felt they were just telling me what I wanted to hear but not really listening. I was quite nervous as my mum has had 3 nose jobs and still isn't fully happy with the result so I knew choosing the right surgeon was very important. Then I met with Dr Gonschoir who is a facial specialist so had much more experience with rhinoplasty then most, he questioned me in detail about what I wanted to achieve and was very honest about the results I could expect. I felt he listened to what i wanted and really understood the result I was after. I had quite a bulbous tip and a slight bump and a broad bridge, I wanted a more refined tip and a feminine but natural result. I fully trusted him and booked in to have the operation two weeks later. at this point I was excited more then nervous. When I woke up after the surgery I was shocked how painless it was. I got up went home and carried on as if nothing had even happened. The two weeks waiting for my splint to come off was agony, I was desperate to see my new nose. Finally the day came and my nose was better then I could ever imagined, he had given me exactly what I asked for!! I felt more feminine and instantly more confident. As the months went by my results kept getting better and better a year later my nose was more refined still. Doing my nose was the best thing I've ever done, I feel I can wear less makeup and have my hair up and still feel pretty. I would recommend Dr Gonschoir 100%, my family were so impressed with the results and his care that my nan had her eye bags removed with him and my mum is booked her facelift with him as we speak. really really happy :)
Each patient has their own challenges in this life. Genetics and poor dentistry with limited options mean that I have spent most of my life dealing with issues related to my teeth. When a patient has had trust broken, it is difficult to believe that a doctor will do what they promise they can. Mr. Gonschoir came highly recommended to me and he and his team have restored my faith. He could not have done more to make me understand what would occur during my procedures, he was realistic and he was empathic. I trust him implicitly and I will continue to sing his praises.
I cannot thank Mr Gonschior and his team enough for their amazing service and care before, during and after my closed rhinoplasty procedure. Choosing a surgeon to perform such a procedure is difficult, finding out whos best, who would achieve the best results and most importantly who makes you feel comfortable. As a person who looks into everything they do extremely deeply I researched into different surgeons and arranged to see Mr Gonschior for an initial consultation, I immediately felt comfortable and reassured that he was the best man for the job and has no need to even meet with any other surgeons. He was very honest with what I needed and explained everything I needed to know in depth. The surgery itself went swimmingly Mr Gonschior and the staff were kind & caring and made what should have been a nerve-racking day quite relaxing. One year on my new nose is perfect, I am extremely happy I chose the surgeon and would recommend him to anyone considering Rhinoplasty.
Hey, I'm S and I am 21 years old. I have always hated my nose and even though a lot of my friends say there's nothing wrong with it, I see everything wrong with it. First of all, it has a bump from the side and while that's not a huge hump, the thing that bothers me the most is how much my nostrils are showing. It's ridiculous, you can see inside my nose at all angles and they are large. My columella sticks down very low plus my nose is just upturned overall. I have been looking for a suitable surgeon and haven't found one without bad reviews as well. A good friend of mine that is a plastic surgeon as well recommended dr. Stefan Gonschior with MYA clinic. I went in for a consultation and he was very friendly and reassuring and also didn't seem to push me into having it done. It will be an open rhinoplasty and he asked for the liberty of deciding whether to do certain procedures on the operating table as he always goes with his gut. While that might seem worrying, I think and hope that such a praised surgeon certainly knows better than me which procedures work better. I prefer having a subtler result rather than him trying to change too much and end up looking a mess! I booked my rhinoplasty for the 8th of April and am very excited and looking forward to it! I will update accordingly. S x (The cost is £6800 but I put the equivalent in $ as it would't let me change it.) Updated on 23 Feb 2014: Updated on 24 Feb 2014: Okay, for the girls that said I don't need it, this is a better picture. Look at how my columella hangs ridiculously low and how crooked the nose looks when I smile. Plus the permanent excessive nostril show. Updated on 1 Apr 2014: I will be having my rhinoplasty one week from now and I am very nervous! I went in and had a second consultation with dr Gonschior where We decided together than rather than shaving my collumela he will slightly derotate my tip as to have less nostril show. Basically making my upper lip /nose angle straigther as now it's quite upturned. I decided against having my collumela shaved off because dr G informed me that doing so will actually increase the extent of my nostrils' visibility from front view. After the main procedure he will decide whether I need a alar base reduction (shrinking the size of the nostrils with two incisions on the lower part of the nostril). Updated on 11 Apr 2014: I had my surgery Tuesday afternoon and it has been almost 3 days now. The pain is not bad, I can just feel the tightness of my stitches and the general swelling and bruising. Also, not being able to breathe through my nose is quite frustrating. Didn't have any nausea but was a bit shaky after I woke up. I had a tiny bit taken in from my nostrils too so I have several stitches. The inside of my nose is still very swollen and there is quite a lot of discharge/snot. My side view is straight like I asked for. There isn't a lot that I can look at just yet as everything feels so swollen. I can't wait for my swelling and bruising to go down. I get my stitches out in 4 days and my cast off in another 10; my surgeon insists on the cast being kept on for an additional week. Updated on 15 Apr 2014: I had my stitches removed today and it hurt so much! I would have never thought it can hurt so bad but as I had so many of them (because of the alar base reduction incisions too) and my nose being irritated as I have a cold and I have a very runny nose and this probably didnt help. I don't really have a lot to say at the moment as I am waiting to have my cast removed in 7 days. The tip does seem to be very swollen and upturned and I am waiting for this to come down hopefully in time. The hump is gone and profile seems pretty straight like I requested (I hate too much of a scoop); the nostrils are quite a bit smaller and that bit of hanging columella is gone. Only complaint so far is how upturned it looks but then again I have always had it upturned and Dr explained he can't make it that much straighter. Especially since he removed the hanging columella, the angle is bound to be more accentuated. Right now I am trying not to worry too much and let it settle before I make any harsh assumptions. Updated on 23 Apr 2014: So I had my cast removed yesterday with no pain as it was already loose. Skin on nose was and still is very irritated after 2 weeks under the cast. Little to no bruising and swelling left. At this initial stage I am fairly pleased with results, it's not perfect but that is an unrealistic expectation. Profile is straight with very slight scoop as I requested, nostrils made smaller and bridge narrowed. I do have a few concerns that hopefully will be resolved with swelling: nostrils are a bit uneven, and there is a very small curve still to my columella where I can feel the cartilage in a weird way. Nose goes slightly to the right but it always did that a bit and it is made more noticeable by the swelling I think. Overall, quite happy but hopefully it will get better as swelling subsides. What are your opinions?
Hi I had surgery with Mr Gonschior in October 2012. I was always bothered by my "witchy" nose and had always wanted a job done on it. However, about eight years ago I fell face first down 16 stairs at my place of work and the result was having to have corrective surgery a year later as could not breathe through my right nostril. This surgeon at Chase Farm Hospital in Enfield was top class. It was a septum op to repair my smashed nostril and enabled me thereafter to breathe. I was happy with that but more unhappy with my longish nose with hump as it now had been pushed very much to the left side of my face and was not only too pointy, humpy and long but now very twisted; a look borne out in photos. The NHS refused surgery for aesthetic (or what they termed cosmetic) reasons and finally my partner paid for me to go to MYA. I did feel constantly irritated by some of the staff at MYA, it all seemed so shallow, and fake somehow. The one girl I really respected was a nurse at MYA, who seemed very down to earth. Anyway, my nose was pretty smashed up; I guess; Mr Gonschior told me after surgery that he had found many fragments of bone that he had to pick out (I had open septo-rhinoplasty with him) and I was happy with my new nose for a long time. Basically, I went in not thinking that I would now have Hollywood looks but that my nose would no longer be an issue, as in I would not sit at traffic lights turning to look directly at people in cars next to me rather than looking ahead (fundamental to safe driving!?) because I was so paranoid about my profile and believed (and still do) that they were thinking what an ugly nose I had. To that end, this has been achieved more or less. It's also true that facial (especially) surgery will not make an unhappy person with many other issues of self-esteem, suddenly become a happy madly confident soul, but there are of course fundamental things that have to gel. I returned to see Mr Gonschior and all was well. He spent maybe five minutes with me the first time and just looked and said yes, very good, and smiled and looked very pleased. The second time, around six months ago, having waited two hours to see him, he spent literally two minutes with me with a smiling "muse" of his standing at his side wielding a clipboard. The reason I had gone back to see him was that I have much trouble breathing through my nose now and it has not really improved. I do yoga so obviously learn to breathe through my nose and that was never an issue (except when I first had my accident until the septum was repaired by the very able surgeon in Enfield). I get asthma and feel that I need to breathe through my nose rather than my mouth, this is fundamental to all of us really as our nose is our natural filter system which prevents many pollutants reaching our lungs. Mr Gonschior did not even touch my nose/face, just looked and said very nice. I said breathing is an issue (I had started to get quite anxious about this) and he said it would take a revision of the exact proportions of his previous work on me to rectify that! He also said that he may have to get cartilage from somewhere on me and "prop up" the nostril inside for the breathing ability - and that some people don't like that as makes the tip look wider). He told me that he was happy to see that my nose hadn't dropped anywhere near like he had thought it might -!!!? but then he looked at his notes and said oh yes, I remember this was such a difficult job - and to be fair he did say immediately after the op that it had taken three hours nearly and that he was a little concerned about my very fragile cartilage. I said will my cartilage hold up then? (groggily obviously) he said I hope so. Anyway my nose now is still better than it was; it absolutely has dropped and is now not such a straight profile line as it is low and very slightly concave at the top to middle mid line, which is better than sort of umped as it was prior to the op. But it is slightly bulbous at the end now; consistent with droppage. At some angles I feel it looks rather fat and large at the end now but dead-on profile is still quite acceptable. This month (11th) is the two-year anniversary of my op. I want to be able to breathe but as he told me it would take another op of the same proportions and magnitude of his original operation, I am loathe to go for that - big question anyway - would I be charged again. My op cost me £6,000! Obviously I am still paying that sum back as a loan and could not even think about paying again. Can't see MYA going for that. Is this perhaps why people are compelled to sue Gonschior/the Company?? You know, all I want from Gonschior is the respect of him listening, looking properly at my nose and giving me a solution to the breathing problem. I understand fully that my nose was quite shattered from my fall down the stairs so, on balance, I am believing (hoping) that he did the best he could with his amazing skills with, given the structure (or lack of it) he had to work with. I don't expect to wait two hours, to have to be in a room with him for two minutes with no privacy, just a vacuous shallow young girl watching. Why do we have these people as so called chaperones - if we need a chaperone it should be a NURSE - someone who has studied not some girl who is just there to make the place look pretty? He sent me away feeling somewhat distressed; that maybe I will never breathe properly again. He said come back in a year (as I prompted that by suggesting it - he did not propose it). But the aesthetics are not my biggest issue; I will not have the nose I saw on one of my friends that I would have liked; you cannot get a nose to order, I get that; I went with my eyes open, knowing that I wanted my nose to no longer (after 55 years) be an issue, that I wanted to live life without that self-conscious element holding me back from feeling free. But I am not impressed by arrogance. You pay a lot of money for this procedure/service. MYA itself is quite flawed in some ways, they forget to phone you, seem very vague about who you are when you call. It's all the big expansive SELL when you go there but even in between the selling and your op they can be quite dismissive; then after your op, they come across as very pleasant and smiley but bemused at your requests to come back for follow ups. This is not a criticism of the staff as a whole in any way. I think they are working within the parameters of their employers restraints and consciousness of the £ signs. Yes, in some ways I do wonder if I should have gone to the private doctor my GP recommended rather than answer a MYA ad. I also feel their image is very tied up with this celebrity TV status crap. I have never seen TOWIE thank God but am aware from going to MYA that their whole company is SOLD on the fact that they have worked on so many of these "celebrities that no one knows why they are". Perhaps I should have been alerted by this fixation on and advertising that they have altered the "look" of some many people who are on reality shows but hey, I was at last getting my dream nose and I went ahead. I am very conscious of the fact that Mr Gonschior could not have known what he would find until he went in but there were no pre-x-rays or anything to show him the inner structure of my (our) nose - perhaps that is not feasible anyway. I also feel that my concern at the time was very much that I think I "went down" to surgery mid afternoon and that how many ops had he had to do already that day, let's face it ('scuse the pun) it is intense, consistently intense, skilled work and how tired would he be once he got to me? etc. I'm hoping my musings - both I think happy and concerned/disappointed slightly are helpful to others on the forum. I can only give my experience and take on it. To summarise; aesthetically I am not unhappy with my nose; I realise he worked with what he had and it is indeed an improvement (although of course now people tell me I had a very aquiline, classy nose before) but I remain concerned that it could drop further and become more sunken at the top half and bulbous at the tip; but my main concern is the breathing issue. Kimmi
I have been left with so many medical issues from the open septo-rhinoplasty I had with Dr Gonschior in September 2010. Immediately post-op I liked my nose and assumed the surgery had gone well. I could certainly feel where the bone had been broken in 3 places but I was assured by him that this was normal and the nose was secure. I also explained I couldn't breath through my nose very well either but he also reassured me this was normal and may improve slightly over time but if it did not, it shouldn't be a big problem - the shape of my nose had changed and it was apparently to be expected. Now 8 years on, the 'fine hairlines' across the bridge of my nose feel more like deep crevices which I can fit my nail into, my breathing suddenly within the last year or so has become so bad through my nose that I regularly struggle to breathe properly through it and the lower portion of my nose now looks quite large in proportion to the upper part which looks unnaturally small - basically it would seem that the bridge of my nose is collapsing due to too much bone and cartilage being removed, without proper support being put in place. For the last few months I have refused to believe I could be having any issues as he seemed like a great surgeon and I trusted absolutely that he'd done an amazing job - as soon as I began searching the internet for recent reviews, I discovered that countless other patients have had this exact experience and have brought successful lawsuits against him. I am so, so upset to be left in the position I'm in. My nose is ruined and I can't afford revision surgery. To make this mistake with one person is bad enough, but based on what I have read this is a common issue - I can't believe it.
The first step in my practice would be to find out what the patients understanding of a droopy eyelid is. 1. Let’s say it is excess skin at the upper lid what the patients understands under the term "droopy": - there is no good non-surgical way to tackle this problem. With a laser you can tighten a certain amount of skin however it will not be much and when it comes to the risk of it I´d rather have my blade or ellman in my hand as I find it easier to control the amount of reduction which I can achieve. Peels might do a bit. I tried myself a skin tightening cream and it did have an ok temporary effect but having said this I hardly have excess skin and with a decent amount of surplus skin I do not think it will work. Botox around the eye can have some nice effect though by lifting the eyebrows and playing with the balance of the "lid muscles" and, it lasts a few month. 2. Let’s say the eyebrow sits too low and causes hooding of the upper lid and this is what the patients understands under the term "droopy": - obviously a brow lift is the procedure designed to take care of it. Alternatively Botox is suitable depending on the amount of lift needed. 3. Let’s say the lid margin is too low and this is what the patients understands under the term "droopy": - a ptosis operation is designed to alleviate this problem. Non-surgical wise Iopidine drops might have a temporary effect if the underlying cause is muscle weakness. 4. Let’s say we talk about the lower lid and excess skin is what the patients understands under the term "droopy": - again the classic operation here is obviously an external blepharoplasty. Skin tightening cream can have a mild temporary effect. Lasers and peels can be beneficial if the total amount of excess skin is not too much. Botox again will probably work in milder cases. 5. Let’s say we talk about the lower lid and excess fat is what the patients understands under the term "droopy": - external or transconjunctival blepharoplasty can be one of the answers to this problem and probably still the preferred one in my practice. However with fillers put into the hollow below the bags one can sometimes make the bags less apparent. Troph implants I have never put iin but had to remove a few which colleagues put so that I didn´t feel keen to ever put them myself. And then again laser and peels might help a bit depending on the amount of tightening needed. 6. Let’s say it is the troph area which makes the patient perceive the appearance as "droopy": - surgical options would be a soof lift or fat preserving blepharoplasty techninques. Non surgical would be fillers of course. Using fat as a filler here can produce nice results, however lumps and bumps can be a problem as with any other filler. 7. Let’s say it is cheek oedema which is perceived as "droopy": - I think there is no proper surgical option to treat cheek oedema. Indirectly you can mask the appearance with cheek implants or fillers. I am not sure about the use of laser here, theoretically tightening of this area might do something. 8. There are many other good answers mentioned in this blog which can be very useful: good sleep and food, use good skin care, avoid sun damage, good hydration, no alcohol and no smoking and the list goes on.
Rhinoplasty is without a doubt the most complex and unpredictable of cosmetic procedures. As a truly three dimensional procedure one can create wonderful little sculptures and use complex technical and artistic skill. However, even after a very skilled operation quite the opposite can manifest, as scar build up and contracture as well as external trauma are out of the control of the surgeon. Some rhinoplasties take an hour to do, others take up to four hours. Straight forwards ones will have a lower revision rate and more complex ones a higher one. A very experienced and meticulous surgeon will be able to achieve more with difficult cases and might have a lower redo rate when comparing cases of similar difficulty. Counting merely the numbers of redos leads to wrong conclusions though as a very fuzzy surgeon might take more redos on than his colleague. A surgeon who claims to have no redos in his rhinoplasty practice needs to work harder, is in denial or has a bad memory. A surgeon who practices in a country with low tax and little litigation will be able to make his business work with lower fees, and the patient might profit from this setup too. Having surgery away from home might backlash though, in case that things do not go so well and the option to just go back to see your surgeon is less easy. In my practice you will find a price range for rhinoplasty from 4K to 14K in relation to the difficulty of the procedure. This does not mean that the end result of a complex procedure looks better than the result of a more straight forward one, it is more to be understood in a way that a complex nose might not be doable at all without a certain input of time and funding. If I may use a comparison which I often use in my practice to illustrate the connection between the difficulty of a task and the effort involved: It is easier to lift 10kg in a gym ten times than 100kg one time.