Rhinoplasty - Started off great / ended poorly - Atherton, CA

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I am a male in my mid twenties, who had been...

I am a male in my mid twenties, who had been considering rhinoplasty for quite some time. My nose always had a droopy tip, a crooked nasal bone, and a hump that gave it a very unattractive appearance --that resembled a hook. In addition, I also had a deviated septum.

Prior to moving forward with Dr. Mehta, I have had the opportunity to attend several consultations with different doctors. Dr. Mehta was actually my last consultation, and after evaluating everything, I knew he was the surgeon that I would be proceeding with.

Not only does he speak in a very polite and professional demeanor at all times, his knowledge and expertise in rhinoplasty was clearly evident by his way of explaining the process, and setting proper expectations. He addressed each point of concern I was harboring in-depth, without trying to rush me out of his office.

In terms of his professional experience, I was impressed by his background, and was even further pleased with the fact that he is double board certified. Because he is also board certified by the American Board of Otolaryngology, I knew I was in the right hands for having my deviated septum addressed in conjunction with the aesthetics of my nose.

Even after I decided on proceeding with him, I had an ample amount of questions via email, all of which he promptly answered.

On the day of the procedure, both him and Dr. Novak (anesthesiologist), along with the wonderful staff at Waverley Surgery Center, were fully reassuring, and handled me with the utmost care. Dr. Novak was so amazing at keeping me comfortable at all times, that when the surgery was over, I was not in any discomfort. Pain and bruising were minimal and everything went by so smoothly I hardly felt like I even had surgery. Though the splint was on, I can clearly see the new aesthetically pleasing shape my nose had acquired. I was thrilled, as this was something I have been wanting for several years now.

It is now Day 10 since my procedure, and the healing process has been great. I am absolutely loving the changes that have been made to my nose. As a result of having my deviated septum fixed, I can breathe a lot better than prior to surgery. In addition, my profile view has been substantially enhanced for the better. I cannot thank Dr. Mehta and his team enough for the care they have provided me. His office staff Jill and Kelli, have been great as well, and were always there to address any questions I had regarding finances and/or scheduling.

I'm definitely glad I this procedure done, and most importantly with Dr. Mehta.

Turn for the worse

Back in April 2014, I had my first Rhinoplasty with Dr. Mehta. While the results were initially phenomenal, as time progressed, I saw my nose slowly revert back to its original shape; round tip, minimal projection, crookedness (onset was almost immediate) and prominent supratip. The only real perk left behind by the procedure was the fact that I no longer had a hump and my radix gained the elevation that I was seeking. However, as more time elapsed, I noticed the bone graft that was placed in my radix slowly diminish in size, and my supratip regain its prominence. In hopes of rectifying these shortcomings, I stayed in close contact with Dr. Mehta, who I will say was quite helpful in terms of prompt responses and insightful advice. Aside from applying tape to my supratip, I went back into the office occasionally for steroid injections -- I was advised by another surgeon not to employ the latter option.

About 9 months after the initial surgery, Dr. Mehta and I finally came to the conclusion that proceeding with a revision would be appropriate. The primary objection was to increase tip projection, shave the supratip, and rebuild my bridge that had for some reason mysteriously decreased in size. After reading about the low reliability rate of bone grafts, I asked Dr. Mehta to remove what was left of the original graft (apparently taken from my old hump) and replace it with cartilage, but he insisted on placing the new graft on top. Lacking a medical background, I of course, opted into agreeing with him -- big mistake. Can't say for sure what's happened, but seeing as how my bridge / radix is flat once more, I'm guessing what was left of the original bone graft faced a greater degree of resorption. As for my tip, it's pretty much back to how it was prior to the revision. Oddly enough, my supratip has yet again, taken on the appearance of that dreaded pollybeak (something I had desperately sought out to eradicate). My loved ones have indicated that the overall change is minimal, and the alterations made to my tip are trivial at best.

To make matters even worse, the permanent sutures that were placed in my nose have caused irritation on more than one occasion. A few months back when I was on vacation, one of them painfully extruded; as a result, I had to manually pull it out. This isn't even including all the itching and pain caused by their presence. I mentioned this to another doctor, and I was told that permanent sutures are generally not leveraged for these reasons.

Much akin to my first surgery, the results of my revision were quite pleasing during the initial recovery phase. The satisfaction carried itself for a good 3 months or so; but for the amount of money I invested, time I spent recovering, and pain I was subjected to I was expecting far better.
Bay Area Facial Plastic Surgeon

1 out of 5 stars Overall rating
5 out of 5 stars Doctor's bedside manner
4 out of 5 stars Answered my questions
3 out of 5 stars After care follow-up
5 out of 5 stars Time spent with me
5 out of 5 stars Phone or email responsiveness
3 out of 5 stars Staff professionalism & courtesy
1 out of 5 stars Payment process
5 out of 5 stars Wait times
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