After years of not being able to breathe properly, I went to see Dr. Jin at Dr. Jin's Premium Nose Clinic. The reason I chose him is simply that he's supposed to be the best. He is known for taking on the hardest cases of nose reconstruction and achieving feats no other surgeon can. I've never had nose surgery before, and I certainly don't need a reconstruction, but a surgeon who can take on the most challenging cases surely will be able to do the best job on the less drastic cases too.
Aside from the breathing issues, I also wanted to see if I could refine my nose tip while I was at it. I have a straight, masculine nose, and I've always loved the look of a cute and feminine supratip break.
Within minutes of stepping into his office, Dr. Jin had diagnosed me with a deviated septum and swollen turbinates, so I decided on the spot to get septoplasty and turbinate reduction. In addition, Dr. Jin said he would be able to use septum cartilage left over from the septoplasty to build up my nose tip a little. His fees are a bit more expensive than other surgeons in Korea, but given he's the best in the field, that's to be expected. The nose is such an important body part in terms of function (I mean, breathing is pretty critical to survival) that I had decided from the outset that only the best would do in this instance.
Day 0 - Day of surgery, 19th August 2021
I came to the clinic at 7:30am, had my photos taken, had a final pre-op consultation with Dr. Jin where we confirmed the details of the surgery, then without further ado, I got on the operating table and was put under.
When I woke up, I was terrified something had gone wrong. I felt that I'd been in surgery all day, it was now night (it was noon), and the surgery had been a disaster. I guess it was the effect of the anaesthesia. I also felt physically sick. I've always hated the feeling of waking up from general anaesthesia, which is why I try to get things done under IV sedation as much as possible, but Dr. Jin strongly recommended G.A. as the much safer option, so I had complied. The first few hours after waking up when you can't even drink water is pure hell, but things very slowly start to get better from the first sip of water. The first 12 hours post surgery is really quite unpleasant, and the subsequent 12 aren't that much better. My nostrils were packed with cotton wool (I think that's what it was), and my left nostril in particular would not stop bleeding. It bled all night. I had to change the dressing under my nose three times throughout the night. I was having visions of bleeding to death. It was seriously quite worrying. I took extra high doses of iron and copper supplements to give my body the nutrients to make more blood lest I lose too much and pass out...
Day 1
I went to the clinic for the morning-after check up. I was still bleeding so Dr. Jin did some things to stanch the bleeding and replaced the cotton wool in my left nostril. The cotton wool in my right nostril was taken out. My left nostril started bleeding again when I ate my first meal of the day then bled on and off until the evening when it finally stopped completely. I could barely sleep because I was so uncomfortable. Although my right nostril didn't have any cotton wool inside, it was completely blocked with snot, so it made no difference. My throat also felt blocked with thick phlegm that just wouldn't dislodge. It just sat there suffocating me, and that combined with my blocked nose meant that I was physically and psychologically so tormented that I managed about two hours of disturbed sleep the entire night. I was quite depressed and even regretted having had the surgery a little if I'm honest. Not being able to breathe properly does very bad things to your psyche.
Day 2
I was back at Dr. Jin's office at 9am. I had thought the bleeding had stopped, but apparently, there were still some small traces of blood appearing, so some more stuff was done to the insides of my left nostril, which involved some kind of a long metal probe. I thought it was going to zap me or cauterise me or something, but whatever it was doing, I couldn't feel it. All the cotton wool was taken out, so now both nostrils were just blocked with snot. I was starting to wonder if I'd ever be able to breathe through my nose again, when around lunchtime, my nostrils started clearing a tiny bit. By the evening, I could breathe around 10% through my nostrils and 90% through my mouth. I was very swollen and bruised all day and looked quite grotesque. For the first time ever, I was glad masks are mandatory. The mask doesn't hide my eyes, of course, which are also swollen and distorted, but I'll take what help I can get.
Day 3
Today, I could breathe more through my nose, maybe around 50%. The swelling is slightly better than yesterday. In the middle of the night, I got up to go to the loo, and as I was thoughtlessly leaning forward on the loo (yes, I wasn't supposed to, but I was half asleep) I felt a sudden popping sensation in my nose and blood started dripping onto the floor. I must have applied enough pressure to burst a stitch. Ugh. I put some cotton wool into the nostril to stanch the bleeding and it stopped within a few minutes, but I was seriously freaked out that I'd busted open an incision. I'm not due back at the clinic until the day I get my stitches out, but I'm going to head over to Dr. Jin's office first thing tomorrow morning (today's Sunday) to make sure I haven't done any serious damage. I'm so angry with myself.
Day 4
I went to the clinic at opening time in the hopes of getting the burst stitch checked out. Dr. Jin does his surgeries in the morning and only deals with outpatients from 3pm onwards, so I wasn't sure if I'd be able to see him, but I went on the off chance because I was so worried. Luckily, he had a minute to see me and after checking inside my nose, told me that everything was as it should be. Thank god for that! The swelling has gone down further and the bruise has turned mostly yellow, which means it will go away soon. I can still breathe only around 50% through my nose. My skin under the splint gets crazy itchy and ticklish from time to time, and there's nothing I can do but just wait for it to go away. It drives me insane and I can't wait to get it the splint off.
Day 6
I got my splint and stitches removed today! In addition, they pulled out some plasticky things from deep inside my nostrils that I hadn't even known were there. I was shocked when these things emerged from my nose! No wonder I couldn't breathe. I thought my nose was just clogged up with snot, but once these things came out, I felt like my nose cavity had tripled in size! I also found out that Dr. Jin had used something called a flaring suture technique to bolster the structure of my nose (kind of like holding up the roof where the roof is the nose bridge) which had the added effect of slightly opening up my nasal valves. That's definitely a good thing in my book. I am very happy that Dr. Jin is so thorough with his work. I've heard so many horror stories of noses that look great straight after surgery but then gradually collapse due to structural issues. There are also tons of people who complain that they lost the ability to breathe properly the moment they had a nose job because form was prioritised over function. That just makes no sense to me, and I am shocked that there are surgeons who do this. I'm not saying all plastic surgeons are guilty of this, but this definitely seems to be a huge problem in Korea, and this is precisely the reason I decided I wanted an ENT specialist for my nose surgery rather than a plastic surgeon. Once I had decided that, my aim was to find an ENT specialist who also had a good sense of aesthetics and was skilled in surgery, which is how I came across Dr. Jin. From what I've seen so far, I am extremely happy with my decision. The only question mark I have is that there isn't a visible supratip break at the moment, but I'm hoping that's just due to the swelling. What's surprising is that my nose looks so normal only 6 days out from surgery. If I ran into someone I knew in the street right now, no one would know I'd had anything done to my nose. If this is the worst it's ever going to look, then it's going to look phenomenal once the swelling goes down.
Updated on 26 Aug 2021:
My feelings so far since getting the splint, stitches and the weird plastic things removed from my nose two days ago:
1. I can breathe better than I ever remember. The air just goes through, whereas before the surgery, I always felt that there was some obstruction somewhere. There were times I would blow my nose and nothing would come out, and yet, my nose was so blocked no air would enter. I get a lot of clear mucus still, but as long as I clear it, my nose is like an open tunnel. Loads of people seem to say they couldn't breathe properly until several weeks out from surgery, so this is a really pleasant surprise. I also never knew what I was missing out on by not being able to breathe properly. I had got so used to not being able to breathe, that I just didn't realise things could be this way.
2. The swelling in the nose is going down very gradually. There are no 'step changes', just a drip-by-drip kind of change that's continually happening. I really hope to see a supratip break appear soon, but I know it's early days and I'm trying not to focus on it.
3. I anxiously examine my nose for any negative changes because I've read (and seen on YouTube) so many cases where the nose looks great immediately after surgery but then goes wrong over the subsequent months. Curving to one side, collapsing, rotting, etc. Serious problems. Those kinds of stories petrify me, and I feel that I will always be on the look out for the first signs of anything like that happening.
4. As far as the cosmetic side of my surgery was concerned, I wanted an ultra natural result. I considered my surgery as a functional surgery with a tiny cosmetic alteration, so I wasn't looking for a dramatic change in the appearance at all. In fact, I wanted the change to be so minor that even my own mother wouldn't be able to easily tell. However, looking at my nose now, I'm wondering if I should have gone for a bit more to get a more noticeable projection in the nose tip and a definitive supratip break. It was a fairly expensive surgery and quite a tough recovery that I had to endure at first, not to mention the time and effort I invested into selecting the best surgeon possible. Given all that, I'm wondering if I should have been more 'ambitious' on the appearance side of things. On the other hand, I know I'm just being foolish. I've never really had a problem with how my nose looked, and when it comes to cosmetic surgery, the best course of action is usually to leave well alone unless you have a real, debilitating complex about something. On the whole, I am still very happy with my decision and hope I heal well without suffering any major complications.
Updated on 29 Aug 2021:
I must be the unluckiest person alive. I dropped my phone (iPhone XS with a heavy bumper) squarely on my nose tip while reading lying in bed. Fair to say, I completely freaked out. It's almost midnight on Sunday night, so the only thing I could do was to email the surgeon's office, but I am so worried that I don't think I will fall asleep tonight. Argh, it's been a mere 10 days since the surgery, and the phone could literally have fallen anywhere else on my nose apart from the tip and been fine. The tip is the one part that needs to be protected, and of course it's where I get hit. I'm already having visions in my head of the corrective surgery I'm going to need to fix this. There is swelling on the tip and just above it, the tip is rounder than before the accident, and I also think the angle of the tip has dropped a bit, but I'm not sure if if I'm imagining it. I'm literally about to cry.
Updated on 30 Apr 2023:
Now that it's been a year and 9 months since the surgery, I'm posting an update with the before and after photos. I waited until now to make sure all the swelling was resolved so that I could get an accurate comparison.
As you can see from the photos, there isn't a huge difference visually with a neutral expression, but you can see that the nose tip is slightly rotated up and the nose bridge has the tiniest ski slope in the after shot. The much bigger difference can be seen when smiling, as the nose tip no long drops down as it did before. I didn't want a big difference in the appearance of my nose. My main concern aesthetically was that the tip was starting to droop a little so I wanted to shore it up and make sure it didn't droop further, and I also wanted to improve the appearance when smiling.
The real point of the surgery, of course, was to improve the function, and that aim has definitely been achieved. I can breathe much more easily than before, and I don't suffer from a constantly blocked nose anymore.
The final verdict is that I am very happy with the outcome of the surgery and would recommend Dr Jin to anyone looking to improve the function or appearance of their nose.