I waited quite some time and sought consultation from 3 other surgeons who recommended everything from not doing much to changing the nose completely. Then I found Dr. Nima. During the consultation he recommended using fascia from the scalp to thicken the skin on the nose, shortening and smoothing out the tip, and rebuilding the cartilage underneath. He also recommended evening out my naturally uneven nostrils. It was a complicated case and required a complicated strategy to fix everything. Dr. Nima was adamant that my nose should look like my nose and should be fixed so the work lasts into old age. He had an incredible eye for detail without being invalidating while you sit in his chair.
I couldn't be happier with his work. The poor man spent 6 hours in surgery (well over what he thought and he didn't charge me extra for his time) to extract fascia from my scalp, cartilage from my ear, even out the nostrils, and fix all the many defects. It's uncanny how much my nose looks naturally made for my face. No person would ever guess I had it worked on. It's exactly what I wanted and continues to heal very nicely.