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POSTED UNDER Rhinoplasty Reviews

A nasal operation should never be pursued as an elective surgery. Please click here and educate yourself.

UPDATED FROM perry9508

Google and throughly research what Empty nose syndrome is before undergoing a rhinoplasty.

perry9508
$9,500
I would like to preface this honest and open review by speaking out against the validity of the majority of real self reviews. Most are false reviews created by people in the industry. These doctors are businessmen first and healers second. Recognize this. Fear this.

Second I would like to enlighten you as to the devastating effects any nasal surgery, cosmetic or functional can have on your nasal functionality.

First: read this wikipedia page.
http://en.wikipedia.org/wiki/Empty_nose_syndrome

Second: Read this from a leading ENS expert.
Until recently, much of the teaching and understanding of Empty Nose Syndrome was thought to be related to the creation of turbulent nasal airflow from the over-resection of nasal tissue and disruption of the normal laminar airflow physiology. Evidence of atrophic mucosa and/or crusting were objective symptoms that we would look for on nasal endoscopy to confirm this diagnosis. Recently, research has been performed that suggests that abnormal pressure and/or temperature sensation and disruption of the normal nasal cycle maybe a cause of more of the debilitative symptoms. Dr. Steven Houser, a rhinologist practicing at Case Western Reserve University and likely the top subject matter expert on ENS, and well-known to many in this group, has recently published a paper that underwent rigorous peer-review and was accepted in the Laryngoscope, our top journal in our field, that theorizes on the importance of neural damage in this disease. As as result, we are realizing that many patients who have had septoplasties, open rhinoplasties, mild turbinate reductions in terms of volume, but possibly with over aggressive cautery or radiofrequency etc, may be suffering from symptoms of this disease. While HIPAA laws prevent me from commenting on any personal medical care or confirming or denying any individual medical diagnoses, I have been likely wrong in dismissing the diagnosis of ENS in certain patients with normal-appearing nasal mucosa on nasal endoscopy.


Third: Understand that this disease comes in varying degrees, and is widely misunderstood in the ENT community. The mucosa is rich in nerves that sense airflow and signal to the brain that your lungs are taking in air. It is also responsible for the moisture in your nose, lose that and fear every impending breath. Damage to these tissues is life-ruining, understand that a rhinoplasty even without turbinate reduction can give you ENS. Do not have a nose surgery, if you develop ENS you will wish you were never born. If you would like more information please join the facebook group Empty Nose Syndrome awareness, a group started by Dr. Stephen Houser, a world famous ENT currently studying the effects of ENT and possible cures. There is much suffering there. You will feel stupid for risking this amount of suffering on something so stupid as a cosmetic change.

I am suffering from ENS symptoms. My nose is dry. Every breath is agony. I cannot sleep for more than 3 hours a night. My life is put on hold until a cure that can bring some modicum of relief to my situation is found and widely employed. My life is forever altered by this poor naive decision I made at the age of 18. Learn from me. Believe me. This is coming from someone who has realized a great cosmetic benefit, but has realized that no cosmetic benefit is worth your quality of life. Thank you.

Replies (4)

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October 18, 2014
Sorry you are suffering ens from a rhinoplasty. I hear this a lot after people have a nose job. Would a revision help? Have you shared your concerns with your ps?
October 20, 2014
The only measure that can be taken is experimental platelet rich plasma injections which I am pursuing. Tissue damage in the nose is caused by surgery. Too many people think their functional issues can be addressed by revision. This is not the case, but rather a revision should be avoided at all costs. Nerve damage occurs when the mucosa is severed which it is in all nasal operations. And this can be devastating to the functionality of the turbinates. Nerves CANNOT be repaired.
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October 20, 2014
I hope the injections work for you. Best wishes.
October 20, 2014
Hey there, I live in Connecticut - saw that you live in Boston - so with the ENS is it that you can't breathe normally through the nose or that you feel like too much air is coming in? Confused on that part. Do you know if it has anything to do with having one side stuffy only sometimes and then being able to breathe through it normally at other times? Anyway if you'd like to chat further my email is r_grace7475 at hotmail dot com :) Rachel
October 22, 2014
To me that sounds like turbinate hypertrophy. which is when your turbinates fill up with water and interrupt the nasal cycle. It can resolve if you just rinse out your nose frequently with saline spray. It can be a precursor to ens in my humble opinion. it can take up to 7.5 years for ENS symptoms to appear.
October 22, 2014
To be honest it could be a number of things.
October 22, 2014
Have these symptoms started to occur later down the line or you felt it from the start? I also have breathing issue/tittinus and my doctor said he would do a revision septoplasty and turbinate reduction for free to help. Im in a confused state because i dont want to damage my body more but also cant imagine living life how i am now. I never had turbinate reduction just had then moved to the side so i wonder if the plasma treatment would help
October 25, 2014
October 25, 2014
My symptoms started later on.
October 25, 2014
From what I've read turbinates cannot grow back, and the purpose they serve to our well being is CRUCIAL. They humidify air, keep the nose wet, they contain nerves that signal to our brain that we are taking in oxygen. Don't cut them, don't radiate them. Don't resect them, don't move them, don't do coblation. Don't let a doctor near them. It will most likely make you worse. I'm no doctor but please educate yourself my friend. https://www.facebook.com/groups/44406735710/
October 25, 2014
If you are suffering from tinnitus and having trouble breathing, its possible your turbs are enflamed. Try taking vitamins anti inflammatories. Take vaso-dialators eat spicy food. Buy a neti pot and saline and rinse your sinus. Try everything you can.
October 25, 2014
Again. I'm not a doctor.
October 25, 2014
Also please realize you have a great deal of healing yet to come. You may not be in as bad a shape as you think. Wait it out. If you need someone to talk to you can email me at [RS bleep]@yahoo.com. I've been in your shoes for a while now. It's tough but there are things you can do.
October 25, 2014
Thanks for all the good info bro. Message me your email cause it didn't come through. Did you get any work on your turbinates done? Hopeful there will be some sort of cure or ease for us one day. I get anxiety from not being able to breathe properly
September 7, 2016
Hi there. I know this is a very old post but I was wondering how you are doing 2 years on?
UPDATED FROM perry9508

Not worth it.

perry9508
The breathing problems and swelling were not worth the cosmetic result, and I am too afraid to pursue a revision. This has been the greatest tragedy of my life and I urge you all to just be happy with who you are. No cosmetic improvement is worth the loss of a well functioning nose and throat. End of story. Please believe me. You don't know what you have until it is gone.

Replies (2)

September 26, 2014
i agree with u on your last post! Wish someone had told me all of this before i went in, it wouldve made a world of difference. Im so sorry that ure going thru this, but thank u for putting the word out and sharing ur experience. Wishing u all the best
September 26, 2014
Sorry to hear your nose didn't turn out the way you'd hoped. My first rhinoplasty didn't go well either. Only a few hours after the splint was removed it swelled...and never went back down. It looked almost the same as before. I was really depressed and discouraged. I taped, did steroid shots... nothing worked. I have really thick skin and it took two years to FULLY settle. My surgeon is very skilled. I don't believe it was something he did or didn't do. I went back to him for the second one because I fully trust him. He fixed it completely and for free. During recovery, I took supplements for inflammation (bromelain, Wobenzyme), taped for about 6 months, massaged so it wasn't rock hard and did get a couple of steroid shots. It's been a long journey. A year and 8 months out, it still swells a bit. But I know I'm also a slow healer. I guess I am telling you all of this because I went through it and I understand how scary the thought of going through it again is. It doesn't have to be a tragedy though! I hope that you're not too worried about talking to your primary again. He/she SHOULD correct it. If you're looking for another doctor, I'd recommend mine 100%: Dr. Gary Motykie. He's in LA, so that might be geographically difficult. But he's amazing. I'm really happy with my revision.
UPDATED FROM perry9508

Last one.

perry9508

Replies (3)

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August 10, 2014
Hi! First off congrats on Brown, that is a great achievement. So we are about the same age (I am also a university student in CA) and I can honestly tell you that I think your nose is fine the way it is. However, I know that when we spend a ton of money, we expect great results, not "fine" results. I just had my rhino on july 29th (if you personal message me and I can show you pictures) and it is my understanding that your nose should be overly upturned in the beginning so that it naturally drops into the desired position. With your photos, it did not look upturned at all after surgery. Can you clarify if it was upturned? If so, did it almost look "piggy"? Also, how tall are you? All of these can be factored into why your surgeon chose the nose he did.
August 10, 2014
I'm a little under 5'11. The nose tip usually does drop, my nose was initially in the desired position but it fell due to lack of support. It did not look piggy, it very much suited me, and had it remained that way I would not be on this website any more haha. But you are correct in that "fine" is not the goal. "great" would be nice. "good" would be acceptable.
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August 10, 2014
Ahh, see that is why most plastic surgeons over-rotate. That way when it drops, it goes into the desired position. I guess it is kind of like breast implants- they're near your collar bone in the beginning and then drop into place. No clue if any of this is correct- but after extensive research this is what I have come up with.
August 10, 2014
I'm quite surprised your primary surgeon is not offering to revise your nose at no extra charge. Although you agreed to a certain margin of error, it is I think fairly common practice to revisit the nose a year later and touch it up surgically if the client is not completely satisfied and the doctor agrees a better result can be achieved. My surgeon has "touched up" my tip twice since my primary. Although this last one was THE last one. My tip dropped lower than was ideal as well! So I know EXACTLY how you feel and what you are hoping to accomplish through a revision. I wanted my nose to have a subtle upturn. Because you're a guy, you can get away with more of a tip drop than I could, but that doesn't mean that you have to like it. It just means you will probably hear a lot of people tell you it's fine. :-)
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August 11, 2014
It seems like your surgeon was very willing to make sure you are happy- that is definitely a sign of a great surgeon. I am so lucky to not need a revision but I know quite a few people who are struggling with the decision to go forward with one or not. Can I ask you why you chose to do your revision with the same surgeon? Were you nervous at all that he wouldn't deliver your expected results again? Did you just trust that with more guidance re what you'd like he would give you your desired results? Also, were your revisions under local anesthesia? Thanks so much, I think I know more than a dozen people who will benefit from you answering these questions and I appreciate you being so open and honest :)
August 12, 2014
Hey miss! Those are excellent questions! Sorry for the delayed response. There was never a question as to whether or not I'd continue to work with my surgeon. He's one of the best in the world. I considered both revisions to the tip as necessary "touch ups" to achieve the best possible result. I felt that at this point I'd learned how to perfectly articulate my desired result. The first surgery, I had no idea what to ask for in terms of thinking ahead to how the nose might heal unsatisfactorily, and what I wanted to avoid. Does that make sense? There was never anything wrong with my original nose, I just wanted to further refine it. I think cases like mine can almost be the most difficult in terms of achieving satisfaction. The only thick skin I have is on the tip of my nose (of course!), and I didn't heal optimally. The first revision didn't meet either of our expectations, and the second revision exceeded them! He said during our check up yesterday that the rotation of my nose (what I was worried about) was now "textbook". My revisions were under general anesthesia. I hope I've answered your questions!
August 13, 2014
Hi angie. Thank you for your comment, I was wondering if you could inform me a little as to how the recovery process for these "touch ups" was in comparison to what you experienced healing after your primary. Thanks in advance.
August 14, 2014
Hey Perry! I'm happy to answer any questions you have. My first surgery was a septorhinoplasty, so I experienced a little bit of bruising (though not that much), and my face swelled! The swelling in my cheeks was actually worse than the bruising. For my first and second surgeries, I was "climbing up the pain ladder" so to speak, reluctant to dive into the painkillers. For the third, I stayed ahead of it. That made a lot of difference! As a result, my third surgery (second touch up/revision) was almost comfortable. The most discomfort/pain I experienced was in my ear, where cartilage was grafted for the tip and alar rims. So the biggest differences for me were as follows: - No bruising or swelling of the face. -Less pain (I stayed ahead of it with painkillers, about two a day). - Cleared to resume exercise after only 2 weeks (I dance, do Bikram, teach Pilates/dance. My daily routine involves a fairly intense regimen of dance based exercise.) I'm sure it's different for everyone, but that was my experience. I dare say I almost enjoyed this last recovery! I assume it varies for everyone based on what kind of work is done to the nose. My concern for you is the functional aspect. If you are experiencing difficulty with the functionality of your nose then that needs to be addressed. It's one thing for your surgeon to be unwilling (unfortunately) to address aesthetics. It's another thing entirely for him to dismiss any functional issues. Both these concerns could be addressed with a revision. I'm not encouraging you to have another surgery, but I am definitely suggesting you seek out other professional opinions. Take a few consultations with surgeons who specialize in revision, and go from there.
August 12, 2014
You look really great with your nose as it is right now, although I can definitely understand wanting to get breathing issues fixed! Best of luck to you