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Nose came out over-resected and under-projected

UPDATED FROM PlainJane58
1 year post

Revision Rhinoplasty

$40,473
The bottom line is: A very well regarded and qualified surgeon may still not have an esthetic that you agree with.

Before surgery, be sure to get a firm idea of what the surgeons esthetic and surgical plan is for you. If you don't need surgery for breathing, don't allow it. If you don't have a firm idea of what your nose will look like, press for more details. If the surgeon can't provide it, then go to another surgeon who can. It's so important to know as much as possible before surgery to make sure your vision and the surgeons vision are the same. Look at photos from the doctor's website. There should be many examples of noses you like. The office should have more photos to look through- don't just rely on the website. If they don't have a large sampling of photos that you like, the surgeon is not for you.

PlainJane58's provider

Jay Calvert, MD, FACS

Jay Calvert, MD, FACS

Board Certified Plastic Surgeon

Overall rating
Doctor's bedside manner
Answered my questions
After care follow-up
Time spent with me
Phone or email responsiveness
Staff professionalism & courtesy
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Replies (5)

stay in CA. They're still better out there. Please get your operative notes. Even the pictures misleading because they don't tell you what was done to a surgeon's nose.
Please see the review "Waited 7 Years to Find a Doctor" by northcol. He had his primary with Dr. Calvert and encountered the same problem: Calvert does not provide any computer imaging or visual depiction of what to expect. In spite of requests requests for refinement, a more defined tip, a more naturally projected nose, he seems to go for a rounded, unnaturally high tipped, under-projected nose. Northcol is a male and he got Calverts obviously "done" esthetic too! Plus, we both had noticeably asymmetric noses after surgery.... and northcol's was a primary rhinoplasty! Please insist from ANY surgeon to give many images and discuss until you are satisfied that the doctor knows what you want... And what you DONT want. We assume younger doctors have more up-to-date, natural esthetic but it's not always the case. Also, most doctors provide computer imaging. It's the only way to see what your doctors vision is and to see if it matches yours. No matter how skilled the surgeon, if they produce an outdated turned up, "done" look, seek another surgeon with lots of photos you like. As skilled as a surgeon may be, don't let "trust me" be the final word on what YOU want.
Can you send me pics. Please pm me
I am considering revision with him or Davis
Did you ever get a revision and have it corrected?
My sister just had a Revision at Cleveland Clinic $10,000 included everything. It's unfortunate that Dr's double dip and run everyone's insurance rates up.
That price$$$$$ was nothing more than a greedy, ridiculous money grab. Shame on you Dr.%##%
"Double dipping" charges the patient and then bills insurance. Very disappointed because I only wanted the cosmetic procedure.
Do you have picture ? I find his work nice. But many are nkt lublishing their picture so it is hard to get my own opinion
First of all, you don't want to go to a doctor who's work you find, "Nice." Dr. Calvert's work is unrefined and his aesthetic common. Do NOT go to a General Plastic Surgeon for your nose or for a lift. Go to one that specializes in ENT, Head/Neck, Facial Plastic. Calvert is great at selling himself but he is not skilled in making a revision fit your face. He just doesn't have it. A skilled doctor knows proportion and scale. If you look at his before and afters, closely, you will see that his patients don't really look "better" after surgery. Their noses may have changed and their skin tighter on their faces, but they don't look prettier or more handsome. A good facial surgeon knows proportion, and how to drape the skin for a more appealing aesthetic. Anyone can pull the skin and secure it. Also, he's known for charging for procedures he doesn't do and then won't return your money or even let you apply it to a Spa Treatment such as Ultherapy, (because he'd given me a Witche's Chin and horrible neck lift). I paid another $6,000, (surgery center), + $1500, (implant), for a revision. My blood pressure was so high that he couldn't do the surgery. It was all Strings and Mirrors, once again, and my body reflected my fear. Everyone in his office knew that what he'd done didn't look, "better." My before photos proved it. That's when everyone just stares blankly at you and hopes you go away because it's so uncomfortable. You are not going to find integrity or a good outcome at this practice - just incompetence, misery and a whole lot of money and grief. I could go on about some other issues, but I'm going to save it for another lawsuit that's been filed against him regarding these same issues. Feel free to contact me.
ORIGINAL POST

I was unhappy with a revision that left my nose...

I was unhappy with a revision that left my nose wide and shapeless. I chose Dr. Calvert because he presented himself as a rib revision specialist. Dr. Calvert is pleasant and his staff is very nice. Dr. Calvert does not provide computer imaging. He says it is not realistic. I would strongly disagree. At least it gives an idea of what the surgeon has in mind. NO surgeon guarantees an exact outcome based on computer imaging but at least it provides a visual that insures you and the surgeon are both on the same page. (would you build a house without plans or drafts?) Unfortunately, my nose came out over-resected and under-projected. I ended up with a high, wide tip, a curved up columella with nostril show and no defined tip. The sides were even uneven in length and it looks "operated on". I think Dr. Calvert's esthetic is shorter, upturned noses, the "Newport Nose" of the '70s and '80s. As another reviewer pointed out, there are no noses on Dr. Calvert's website showing CORRECTION of short, turned up noses.
I had consulted with several other surgeons and none of them mentioned that I needed anything other than cosmetic improvements. Dr. Calvert's practice billed my insurance for surgery related to breathing problems. They received 20,472.84 from insurance and billed me an additional 20,000. Dr. Calvert would be excellent for primary rhinoplasty or uncomplicated rhinoplasty in need of reduction but please make sure your esthetic and his are in agreement. I'm very sorry I didn't pay more attention to this aspect of his work. I would seek out an experienced revision rhinoplasty expert who has natural results, who only does head and neck procedures (no boob jobs, no body liposuction) and provides computer imaging as a guide: Dr. Toriumi in Chicago, Dr. Rizk in NYC, Dr. Andrew Frankel in BH, Drs. Soleimani and Litner in BH, Dr. Naficy in Seattle, and Dr. Daniel Becker in New Jersey. If you prefer an upturned, shorter nose, (which many women do) by all means, see Dr. Calvert. He is a well qualified rhinoplasty surgeon.

Replies (4)

Thank you so much for sharing your opinion about your doctor.

I would love to add your experience to the Revision Rhinoplasty community, but it would be helpful if you could provide some more detail about your experience with your procedure/treatment. I suggest adding before and after photos - optional of course, so that other community members can use your review as a guide throughout their journey.

Ready to add an update now? Click here to add more detail to your review to be part of the Revision Rhinoplasty community today.

i think I provided sufficient detail
Im sorry you had to go through his ordeal, and hope you're doing better. what he did charging this outragous fee is very unethical and selfish.
There are plastic surgeon in BH who charge up to 100K for revision surgeries. It's out of pocket so they can charge what they want.
Yeah, and they aren't required - nor do they - write up a surgical plan, and a few don't even bother showing you morphs. Morphs are a way of communicating with the patient about what they want for their nose. NOT doing it is a recipe for disaster. I've experienced that before and it's horrible to wake up and find out that the doctor did the opposite of what you discussed.
WHO CHARGES $100K, literally researched everyone in bhills and never saw that price, EVER
$40,000...for a revision? I hope that's a typo?!
It came to that! Between what I paid out of pocket and what insurance paid. (What was billed to insurance was even more!). In hindsight, insurance should have not been any part of the procedure. No other surgeon proposed billing insurance. I trusted his judgement, assuming his approach would be more structural. In the end, Id rather have stuck to an esthetic/cosmetic surgery. I will never know what really should have been done unless I go back to all of the surgeons that I consulted with before going with Calvert. and seeing what they planned. I never had any issues with breathing. I think the "creative" billing practices of some surgeons walks a fine line.
I never provide a plastic surgeon with my health insurance information if I know my only reason for being there if for cosmetic work. I have heard many stories of offices billing the insurance carrier for cosmetic work by "accident".
I went to dr for my 2nd nose job.....experienced same thing ....paid cash $25k ....still not happy :/