Bad Revision Rhinoplasty & good genioplasty - Dr Bart van de Ven

I met with dr Ion again and remain impressed with his kind, yet professional nature. We spent another 45 mins looking at morphs and he was very patient with me, even though I couldn't really put my finger on what it is I want exactly... It's weird because all doctors I've seen so far just kind of "inform" you of what they can possibly, maybe, perhaps achieve, with reservations. Dr Ion seems to custom make your nose, completely tailored to your needs and preferences. It seems too good to be true but I'm sooooo hoping it is! As soon as I can arrange it with work, I will book my surgery with him. Just worried he might reject me as a patient after all cause I'm so difficult :-) I'm trying to act normal but I'm just so excited! :-)

Dr Da silva was lovely really. Very (very) calm, cautious, caring. He carefully inspected my nose, took his time for it also, and listened to my concerns. I did find the setup of the appointment quite strange. I first met with his office manager, a lovely lady bytheway, who discussed my history etc. Then dr Da Silva came in and did the nose inspection. He took some pictures and we went into his office. The message was not so great unfortunately. He said my nose was challenging and repeated it several times. He mentioned the need for grafting to build up my nose, as was expected of course. Unfortunately, the dr does not want to use rib cartilage because of two reasons. He feels the harvesting poses unnecessary risks, and this cartilage has a tendency to warp. He only works with septal, or treated cartilage wich is imported from the US. Of course this means an extra cost and a waiting list. He didn't do a simulation, which was unfortunate. The dr didn't seem too keen on operating on my nose, as he felt only a 50% improvement would be possible. He didn't say it was impossible though. Afterwards, the office manager joined us and sort of moved in the opposite direction. Saying the cartilage was readily available and really stressing that dr Da Silva was very modest about his abilities. So there would be a good chance of the result being better than expected. The whole thing felt a little bad cop/good cop to be honest :-) It's a great sales strategy I think, whether it's intentional or not. Hence all the great reviews perhaps? Anyway, I do believe the doctor knows what he's talking about and genuinely cares. At the very least it's given me something to think about. Would it be worth going through the operation for a 50% improvement? How risky is the use of rib cartilage? What are my expectations really? The cost of the surgey and complete aftercare would be close to 10.000£. I will need to sell a kidney so if anyone is interested...? ;-)

So after the one year PO mark, I emailed Dr Bart with recent pictures and asked for a refund for the "work" he did on my nose. I didn't get a reply for a week.

After I'd sent a reminder, his secretary answered that they will not refund my surgery fee because results can't be guaranteed and I'm welcome to take the doctor's offer for a revision,

NOT IN A MILLION YEARS!

Absolutely no ethics. I am appalled.