POSTED UNDER African American Rhinoplasty REVIEWS
Finally Getting my Nose Done! (And Fat Transfer) - Baltimore, MD
ORIGINAL POST
Excited can't express how I feel to finally have...
$8,000
Excited can't express how I feel to finally have made the decision to do this. I had a consultation with Dr. Boahene mid Sept and my surgery is schduled for Nov 22. Perfect timing to take 2 weeks off since it's the holidays.
I'm having a rhinoplasty and fat transfered from my abdomen to under my eyes since they have always been sunken in. Dr. Boahene's approach is very conservative and kept saying he wants it to match my face. He says that he will file down my hump and lift my tip since it drops when I smile. I never smile with teeth. My nostrils flare when I smile and he says he will use alar cinch sutures instead of making my nostrils smaller. So of course I google alar cinch sutures and I hear that people cannot smile properly so that concerns me. I am a bit concerned that we are being too conservative since we didnt discuss making the tip smaller, simply lifting it. All this trouble and I want to leave there with exactly what I want, although I'm not 100% certain what that is. I scheduled a second consult before my surgery for Nov 13 just to make sure that we're on the same page. I'm sure it will be ok but this is my face and I'm only doing this once!
I'm having a rhinoplasty and fat transfered from my abdomen to under my eyes since they have always been sunken in. Dr. Boahene's approach is very conservative and kept saying he wants it to match my face. He says that he will file down my hump and lift my tip since it drops when I smile. I never smile with teeth. My nostrils flare when I smile and he says he will use alar cinch sutures instead of making my nostrils smaller. So of course I google alar cinch sutures and I hear that people cannot smile properly so that concerns me. I am a bit concerned that we are being too conservative since we didnt discuss making the tip smaller, simply lifting it. All this trouble and I want to leave there with exactly what I want, although I'm not 100% certain what that is. I scheduled a second consult before my surgery for Nov 13 just to make sure that we're on the same page. I'm sure it will be ok but this is my face and I'm only doing this once!
UPDATED FROM KAIDC
8 days pre
2nd Consultation
I had my 2nd consult today and I'm so ready to do this! I walked in with a list of questions and concerns and he answered every one! I don't know if I was nervous the first time around but clearly I left there not understanding everything because baaabbyy, I am not just getting the bridge straightened and the top lifted/supported. Here are the topics we discussed and his responses:
- bridge filing. Only top or sides too?
I was concerned that he was just fixing the hump but not the sides around the hump. He said he was narrowing the sides as well.
- tip lift. Is it going to be bigger?
When I lift the tip with my finger, it makes the tip look bulbous so I asked if he's not taking anything from the tip isn’t putting cartilage there to lift it going to make it bigger. He was planning to remove a little bit of the tip as well to make it smaller to compensate.
- cinch sutures for nostril flare
I was concerned that if he put in sutures to hold my nostrils that I would not be able to move lips to smile (I read that). Now this was a surprise, he is actually going to do a alar sill excision WOAH! He’s cutting the inside of my nostrils to make them a smidge smaller so they don’t flare out. Super excited about that! Side note, he went into why just a suture wouldn’t last but I’m 100% positive that he told me he would just cinch it but that’s fine.
- scoop vs straight
His mockup has me with a very straight bridge and I was concerned that I needed some sort of scoop to look natural. He said that a scoop would make it look flat and that’s not what I want. I agreed.
I was given prescriptions to fill. Percocet for pain and Medrol for … Can’t remember now. Nausea maybe? He did not give me antibiotics since I told him I always get a yeast infection. The antibiotics aren’t actually necessary he said.
FYI my BF had a septoplasty two days ago (another dr) and he’s ok so I’m not as scared as I was.
Fat Grafting update will be under that review!
- bridge filing. Only top or sides too?
I was concerned that he was just fixing the hump but not the sides around the hump. He said he was narrowing the sides as well.
- tip lift. Is it going to be bigger?
When I lift the tip with my finger, it makes the tip look bulbous so I asked if he's not taking anything from the tip isn’t putting cartilage there to lift it going to make it bigger. He was planning to remove a little bit of the tip as well to make it smaller to compensate.
- cinch sutures for nostril flare
I was concerned that if he put in sutures to hold my nostrils that I would not be able to move lips to smile (I read that). Now this was a surprise, he is actually going to do a alar sill excision WOAH! He’s cutting the inside of my nostrils to make them a smidge smaller so they don’t flare out. Super excited about that! Side note, he went into why just a suture wouldn’t last but I’m 100% positive that he told me he would just cinch it but that’s fine.
- scoop vs straight
His mockup has me with a very straight bridge and I was concerned that I needed some sort of scoop to look natural. He said that a scoop would make it look flat and that’s not what I want. I agreed.
I was given prescriptions to fill. Percocet for pain and Medrol for … Can’t remember now. Nausea maybe? He did not give me antibiotics since I told him I always get a yeast infection. The antibiotics aren’t actually necessary he said.
FYI my BF had a septoplasty two days ago (another dr) and he’s ok so I’m not as scared as I was.
Fat Grafting update will be under that review!
Replies (4)
November 14, 2013
best of luck dear!! and thank you for the reply... Please follow up with us!! I actually scheduled a consult with him for the 4th of Dec!

November 14, 2013
You'll love him. If you want a sooner consult, ask Karen if you can be put on the wait list. She ended up calling me a week later with an appointment a month sooner. I was also 100% sure I wanted him as my Dr so I asked her to hold the next surgery date for me. Its not their practice to do that (so don't tell her she did it for me lol). She will book it if someone wants that date and is paying right then and there but you might get lucky like I did. Otherwise its about a 2 month wait for surgery after the 2 month wait for the consult.

November 18, 2013
Thank you for your info, I live in the Baltimore area and I am starting my research to have surgery done sometime early next year. Looking forward to seeing your feedback after your surgery. I wish you the best.
Replies (10)
Thank you for starting your story here! One more consultation can NEVER hurt. Very smart. Here's a list of supplies you might find handy for recovery.