Treatment Provider

John Layke, DO, FACS
Board Certified Plastic Surgeon
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Recovered and Still Crooked

It has now been 4 (?) years since my surgery and unfortunately I am not happy overall with my outcome. My nose is still what I would consider very crooked (parting my hair to one side helps, but the straight pulled back hair is just too brutal to post and share) and my nostrils are not similar from one side to the other.
What you can’t see from the picture but can in natural lighting is that where my nose was re-broken at the bridge (to fix my deviation caused from broken nose and straighten back to pre-break) there are bumps and lumps covering it from different angles. I did go back to see Dr. Layke as this was never mentioned to me as being a possibility pre-op or in our consultations and he said it does happen to some people. It is apparently my bodies way of trying to strengthen the area where it was broken during surgery. Unfortunately that gives me a hump from one angle and little awkward bumps from others. I wish it had been mentioned to me as being possible because I was completely blindsided by this part of my results.
While adding the bolstering to my nostrils does help them stay in place when I inhale, there appears to be swelling/ residual scar tissue inside my left nostril and the airflow is still VERY minimal on that side. Having any sort of minor allergies or stuffiness and I am completely blocked up unable to breath.
I love Dr. Layke’s office and bedside manner, however I do not love my results.
At this point I am not confident a second surgery would fix any of these issues as some are direct results of the first surgery and the others are what I went in the first time for. When I visited him we did review the pictures we were trying to achieve and there was mutual agreement we did not get close to them.
But, that’s my update! Hope it helps anyone who wants to know someone’s experience years post-op and completely healed.

Day 4 Post Op

The bruises have already turned to green! I have been using Arnica Gel and gently massaging as directed and I think that has helped the bruises significantly. The swelling has moved down from my eyes to my lower cheeks, and it is still pretty bad directly around my nose. The pressure seems to be inside my mouth and deep in my nasal cavity. Not so much on top or in my forehead anymore.
It is very frustrating to be so limited. I read others recovery stories where they are up and movin around two days after surgery and am envious. Every time I do more than walk to the restroom or to and from the kitchen for water and food I can feel my heart beat in my nose and then the pain comes flooddddding in! I am down to half a pain killer just as needed, so I think I had a total of 2 today rather than 5...
My body is not tired and sore as it was the first two days, but having to basically be on bed rest is very frustrating for me. I am having a hard time using this time off work to recover. I'm not used to being so... Lazy for more than a day or two at least.
To anyone that will be having surgery in the future, please make sure you have someone that can help you with the simple things you won't even realize you need help with, like bending down to pick ANYTHING up, propping pillows or anything that takes quick movements, but above all I would plan to have a friend come keep you company for a few hours each day because it can sure make you feel lonely. Just feeling support of someone who cares is what I would say is the biggest. While I would consider myself an introvert this much time alone, which a mix of medication and limitations to what I can do, have been tough emotionally. Make sure to have a good support group and let them know you will need them a head of time.
While I wouldn't suggest straining yourself I am going to try to take a slow 2 mile walk tomorrow to get some fresh air and out of the house. Plus my moms birthday is next week so maybe I can muscle up enough energy to go look for a little extra present!

Uneven Nostrils / Swelling

I need a little reassurance regarding the shape and size of my nostrils. It is day 4 post op from my open septa rhinoplasty and I am nervous. My surgeon explained that he had to make the left nostril more round to help it not collapse as I breath in, but it is still appearing more narrow, or long than the right nostril (the picture is reversed). There was more work done to the left side, that's where my nose was broken, and the bruising is worse around my left eye... Could it be the bandage at the base that makes it appear a different shape? Or tubes inside holding it in an odd shape? I know we are our worst critics, and that swelling can drastically change the true outcome of the procedure and it can take months to a full year to see. Has anyone had similar swelling problems? How did they turn out in the end? (Sorry for the bloody bandages!)

Provider Review

Board Certified Plastic Surgeon
436 N. Bedford Dr., Beverly Hills, California
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Overall rating
Doctor's bedside manner
Answered my questions
After care follow-up
Time spent with me
Phone or email responsiveness
Staff professionalism & courtesy
Payment process
Wait times

Dr. Layke and his staff have been wonderful. He was very pleasant to talk with and explained his technique and style to be exactly what I am looking for. After I consulted with the financial department I had more questions for him and he was happy to come back and discuss more. I am very excited to have decided to have my septoplasty/rhinoplasty procedure done with him and I would encourage anyone to schedule a consult with his office if ever looking to help you become your "real self", whether it's fix a broken nose and deviated septum, or hump reduction! Don't schedule a procedure with anyone else before at least having a consultation with him.