31 Years Old & Finally Bit the Bullet After Wanting to "Fix" my Nose Since 9th Grade! - Tarzana, CA
I have had a love/hate relationship with my nose...
Septorhinoplasty(closed)/turbinate reduction/alar rim reduction
Day after surgery -
Day 2, I looked frightening. As the day wore on, my bruising grew and darkened. Felt like my undereye lids were going to burst. I put Aquaphor on everything that was swollen - I feel it helped my skin as it ballooned - skin feels scarily taut otherwise - and it kept my skin feeling elastic as it was shrinking back down.
Don't look at yourself day 2 and think you see any part of the final result. Ignore the way you look and focus on making yourself comfortable. Your upper lip will be functioning weird also - if you attempt a smile, you'll look like the Joker from Batman.
I was scared by the swelling and bruising. Really couldn't see how much more my skin could take. My eyes were so sore from the swelling around the tear ducts and they watered a lot.
I was feeling really punkish, and compared to other patients, I thought my reaction was fairly extreme. I called Dr. G's office and was reassured that it was normal. I hadn't seen a single woman on realself with a facial result like mine, and it worried me.
Turned out I did have a mild fever (100.4) but since I was on the antibiotics, the dr office wasn't concerned about an infection. My sore throat was originally from being incubated, but I think it continued into a "cold" sore throat. Major congestion is to be expected, but I was oozing mucous (just slightly pink-tinged), so I'm pretty sure it was a cold. Luckkkkyy.
Anyhow, if you get "sick", get the old school style little plastic squeeze bottles of generic sterile saline to wash up your nostrils. You don't want the ones that mist or spray - you want the ones with the single hole in the tip that you can shoot. Literally stand over a sink, don't put the tip inside your nostril though, and shoot. The saline probably won't get very far (this will change over the next few days) but it helps clean out whatever is in there. Do not take any over the counter cold medicines, ibuprofen/Advil or drink hot teas, or eat hot soups. Only acetaminophen (Tylenol) and lukewarm liquids.
Also, get anti-microbial Q-tips and hydrogen peroxide - pour a little peroxide on the Q-tip and trace the inside rim of each nostril to protect against germs or bacterias settling and traveling up into your nose or infecting your incisions. I would rinse the hydrogen off with saline afterward, put a dollop of Aquaphor, and stick my mustache back on.
Day 5 - removing the cast!
Keep in mind - extreme swelling still. I'm glad I had read somewhere that your new nose could resemble Avatar - because that's exactly what I saw. I looked like the love child of Avatar & Miss Piggy. Go in expecting that. It'll ease your mind. And honestly, look at it , be shocked, but then leave it alone. Avoid mirrors. Take some photos so you can see the daily changes. And forget about it.
My daughter and significant other were she'll-shocked to see me look so different. My SigO liked my old nose and is extremely supportive of what I wanted, but he teared up. That's the only thing that made me well up. You have to be ready to let go of your old face!! You'll see yourself come back, but beware for shocked faces from people who love you at first.
Day 6 - day after cast removal
Day 7 - two days post cast removal
9 weeks out!
Less and less satisfied.
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 ????
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.
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.