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(Pics of the bony growth over lacrimal bone)
Revision Surgery in 8 months
1a) asymmetry in upper 2/3 of nose - distance from canthus (tear duct area) to bridge appears greater on the Right (left side in photos), and the Right Side has a concave shape, while the left is more straight.
1b) "bump" at inner corner of eye
2) right nostril collapse. Looks floppy and flattens when I smile.
Some asymmetries are "actual" (physically measurable distances, angles & slopes) and some "perceived" (contours & shadows). Every persons "midline" is immovable - it's a structural fact. Your midline is the straight line from the midsaggital plane to your nasal tip.
I have very visible facial asymmetry - my midline is not a straight line, my midline is deviated. This is creating the "uneven" appearance. So, in my case, to make my midline appear straight, we have to camouflage it by adding grafting material (ear cartilage) to the dorsum, and the upper lateral cartilage.
I also developed a bony overgrowth on the Right Side, near my tear duct, at the lacrimal bone. There's a little "hill" where there should be a "valley". It altered the slope, making my eye sockets appear asymmetrical. This has to be re-fractured.
As for my right nostril (left in photos), I need a small graft. My nostril collapsed, as a result of losing structural support because of the tip work. This creates a pseudo-notch - the "notch" is actually where the collapse is; the nostril is kind-of "folding" there.
I love Dr. G, and he truly wants to help. My irregularities are a result of pre-existing asymmetries and some healing issues. In order to "test out" the look of adding grafting material to my dorsum, he injected Juvederm. Immediately the appearance improves. Still need the bony growth and nostril fixed, but this is promising!
I'm visiting him again in 6 months, after Juvederm is about gone, to re-evaluate and schedule surgery.
Hating what's happening!!!!!!
1) bones between eyes not centered
2) dorsal lines asymmetrical - right one straight & left one concave - right one harsh and left one faint - bridge looks wide, instead of narrow peak and gentle dorsal aesthetic lines
3) left lateral nasal sidewall collapse - my bridge hangs over the sidewall, like a shelf
4) tip still bulbous - nose has hourglass shape - fullness even above nostrils - no triangular shape whatsoever
5) too much nostril show, even when face at rest - nostrils still flare too wide when I smile - nostrils pull up & nostrils face downward when I smile - left ala has a pointy peak
6) columella looks too long - hangs down - esp when I smile
I'll update soon ????
Provider Review
I have been trolling the internet for the best rhinoplasty doctors since I was a teenager. I found Dr. Grigoryants in 2009, and was immediately drawn to his personal aesthetic. There are many internationally acclaimed surgeons with exceedingly impressive curriculum vitae, and years of extensive training and experience. While qualification is most important, there's no circumventing the value and influence of each individual surgeons personal aesthetic on the outcomes of their patients. Dr. Grigoryants is world-renowned, board certified, published; well-respected among colleagues and loved by his patients. It is patently clear that Dr. Grigoryants delivers consistently beautiful work. He is compassionate, listens, is kind and accessible. He is adept at translating patient desires. His calm demeanor and paced manner, allows for very pleasant communication. He is upfront about limitations and sets up reasonable expectations. Dr. Grigoryants office personnel and consultants are polite, clear, and deliver prompt service and correspondence. His practice is flexible and respectful of his patients time. The Glendale office is wheelchair accessible as well.