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POSTED UNDER Revision Rhinoplasty REVIEWS

3rd Revision Rhinoplasty for Deviated Nose

ORIGINAL POST

Hi everyone. I finally decided to write my journey...

4thandlast
$5,600
Hi everyone. I finally decided to write my journey from now on in the research of a surgeon for my revision rhinoplasty. I've had 3 surgeries in the last 2 years, the last one was 1 year ago. All of them with the (supposedly) top surgeons of Spain, and quite expensive too.
The last dr reconstructed my hole tip with ear cartilage, along with spreader grafts, spiral extension grafts... Mayor work. The result is not bad from the profile, but it's really deviated and asymmetric on the front view.
In looking for a really specialized surgeon anywhere in the world that can finish the job and give me the symmetry and refinement I'm looking for. Initially I thought about Lucian Ion in the UK, but I gave up on him due to the long wait list (about other 6months) and some of his work in men that I've seen and I don't like too much on the front view.
I'll surely need rib grafts in this occasion. If anyone has any ideas about good surgeons or anything else you may want to comment, feel free to write here or send me a message.
I'll upload some pictures of my current nose and morphs I've done of what I want. To protect my privacy I only included the nose, not the face, so you don't see the asymmetry as well as I'd like, but I hope it'll give you a good idea of how it is!

Replies (24)

June 24, 2017
My top picks are Dr Swartout in California ; Dr Thomas Le in Maryland; Dr Lucian Ion in London; and Dr Richard Davis in Florida.
Why are you concerned re Dr Ion? Feel free to PM me.
June 25, 2017
HI.,AVOID DR DAVIS. please read his reviews here on realself and see how many lives he has damaged. you are in a critical situation and you do not need any one messing your nose up any further. please read his reviews on here and see for yourself
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June 24, 2017
Wow. 3 surgeries in the last 2 years... so basically it was the first surgery that didn't go right and the last 2 were to try to fix it? Sorry to hear about your nose issues. I just had surgery #3 and it feels so surreal that I'm even in this situation. Hope you find the right guy. Travel wherever you have to when you find the right guy for the job. It's your face and your future! All the best to you!
June 24, 2017
Well, it's almost 3 years. The first one was a complete disaster, the surgeon removed all cartilage, and I'm trying to fix it ever since. I'm travelling anywhere! I want to do it in September. How did your last surgery go? Finally fixed your nose?
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June 24, 2017
Sending you PM
June 26, 2017
Thanks for sharing your story here! From your photos, it seems like you wouldn't need that intensive of a procedure. Have you tried consulting with other surgeons to see how they would approach your surgery?
June 28, 2017
Thanks for your comment. Although it is true that it doesn't look like a mayor deformation, it's actually quite deviated when you see the whole face (not posting it for privacy). The nose is deviated 12° from the midline, if that says somerhing. In any case I agree with you that it's not a ruined horrible nose, but it requires another rhino with rib grafts after all... Enough to make me worry a lot and affect my life. Any minor technique can always go wrong! Most surgeons I've contacted told me it's a really complicate surgery with rib. Do you have any recommendations of drs? Thanks!
June 28, 2017
I would go to Dr Davis from Miramar Florida, although there is a waitin list too.
June 29, 2017
Check our Professor Pietro Palma in Milan. He is a top surgeon specialising in rhinoplastied only. He teaches many of his peers. By the way, your nose does not look that bad:)
UPDATED FROM 4thandlast

Consuming surgeons

4thandlast
I've been consulting some surgeons for the revision and it's pretty discouraging. I've contacted the best Turkey ones and flew over there, and they lose interest in the surgery as soon as they see how complex my case is. My advice to anyone thinking about Turkey is just don't, unless you're an already pretty girl with a pretty straight forward rhinoplasty so they can upload it to their website. Really disappointed about the surgeons there
I've also contacted a couple of surgeons from netherlands, but they stopped replying too after seeing my photos.
I've consulted about a dozen of other less known surgeons in some countries, most of them willing to do the procedure, but I don't think they're among the best.
Also contacted some doctors from the US, like Toriumi, Lamperti... That tell me it would be a surgery with close to no warranties, but with quotes of 20-30k. Are we crazy? Are you going to charge me 30k for a couple of hours of surgery and don't even give me any hope about the procedure? This is what I call a Mafia. I think the US is out of the question with policies like these... I hope one day the laws will change and will make surgeons vulnerable so we can avoid the horrible stories of those botched or undergoing multiple revisions. It's disgusting.
Despite all I'm given my last chance to it, I'll be seeing a surgeon in Beverly hills this week, we'll see.
Also I'll be flying to Milano next week to have a consultation with Pietro Palma. I hope he's as great as they say he is.
I also update another pic about my nose deviation if anyone is interested.
Take care

Replies (24)

August 28, 2017
Sorry the title was meant to be consulting, not consuming
August 29, 2017
try korea, i will go there as well
September 1, 2017
I know nothing about Korea tbh, do you have any names?
September 2, 2017
I know not much as well :D
But i will go there soon to get some information and if they convince me i will do my rhinoplasty this trip. The before/after pictures in some clinics/hospitals are amazing.
September 2, 2017
btw your nose looks pretty good compared to mine :(
September 2, 2017
Good luck with that. I hope you find a good doctor and finish your rhinoplasty journey. I personally don't trust online pictures, but you're going personally over there so there's no problem!
August 31, 2017
Good Luck with the consult! Prof Palma is the go to guy for Revisions in Europe IMO.
September 1, 2017
Thanks! I have my hopes on him. You looked pretty happy about him, could you give me more info? Cost, how pleased you are... Etc?
September 2, 2017
I'm 15 months post op now and really happy.

I was hyper focused on the very marked deviation but he also highlighted and addressed issues I hadn't noted; a slightly retracted columella, tip dropping when smiling amongst other things. I also needed another Septoplasty. Not all surgeons offering Rhinoplasty are able to adequately or safely deal with that aspect of surgery, if at all. I met one plastic surgeon here who couldn't/wouldn't straighten my Septum which was an integral part of correcting the deviation (yours is extremely mild compared to my pre-revision nose). They say "as the Septum goes, so goes the nose". I don't know if that has any relevance to your case but my advice to anybody seeking revision would be to make sure you have a surgeon who excels in both the functional and cosmetic aspect of Rhinoplasty.

I think Professor Palma will be honest with you about what can or can't be safely done. Good Luck!
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August 31, 2017
I am not an expert but your nose does not seem to be very complicated case. Why it is hard to find a good doctor? Try Lucian Ion in London even if it is a long waiting queue.
September 1, 2017
While I agree that I don't need a total reconstruction again, fix a crooked tip can be challenging, so I'm not going to risk it. Ashley multiple procedures the nose becomes more and more unpredictable, that's the main complication right now. If I were a primary I'd have a much better chance.
I'd like to have surgery now in September, Ion is not going to make the cut unfortunately
September 1, 2017
Try Lucian ion in UK AND dr BENJAMIN swartout in Beverly Hills. You can call and talk to him for free and even see him for a free consult.
September 1, 2017
I know Ion but not the other one, did you have surgery with any of them?
September 2, 2017
I saw him in July for a consult and spoke to him on the phone a few times. I see ion in November.it will be between the two for me. I need to get this next surgery right. I'm sorry you are going thru this as well.
February 13, 2018
Yes!!!
UPDATED FROM 4thandlast

Consultation with dr Palma

4thandlast
I update the review to say that I finally went to see dr Palma all the way to Milano. Even though it was a really expensive flight+consultation (220E) I decided to give it a go since he's supposedly so famous about Rhinoplasty.

I couldn't be more disappointed. I was the first patient of the afternoon and the dr came 40 min late to the clinic, so I waited there while the patients after me started to come. After asking me some questions about my previous procedures he asked me what I wanted to be done, briefly explored my nose and then proceeded to take a lot of pictures of my nose. At the end he didn't say much, he only told me he would study them and get back to me via email, that my case was a really hard case and would only operate if there was a high probability of success.

The whole consultation didn't even reach 30 min, after paying a lot of money and flying to a different country. I was not expecting such a rushed thing, but I guess I should have expected it when I went in 40 min late. I did not expect to spend most of my consultation time getting pictures so he could analyze them later on. I won't criticise much about how he works, as he's the professional, but if the most important part of that important trip was only to get my pictures, why do I need to go over there, instead of just reviewing the pics I sent through the email?

It truly felt like I just wasted a lot of money, but I decided to wait for the email and see, maybe he would send me an outstanding analysis of my nose with morphs and such, and I'd be blown out by how meticulous he is, as other reviews point out.

A few weeks later the email came in, he briefly told me my case was too hard so he would not operate it. That's it. I have to say that he is polite and nice in the face to face communication, I don't inted to bring him down or anything, but I can't recommend anything else about it if anyone is lloking for reviews about him. Although I agree the honesty of saying he can't fix my case and not destroying my nose out of greed, it totally feels like completely wasted money.

Back to square one

Replies (8)

September 20, 2017
Hi really sorry to read this.
Are you able to put this to bed now? Is it just too risky? I hope you fine peace it's so terribly disappointing after one bad rhinoplasty yet alone going for a fourth I really can't imagine. I am currently saving to see Lucian however I'm torn between learning to live with this mess or to risk it again. How do we move on it's the million dollar question there are some greedy unethical doctors in this world! Like most of us on here wish to god I'd never touched it! Do you now have to just respect what these top doctors are saying?
September 24, 2017
You're totally right, some doctors are just... I'm still researching, I know I won't stay with this nose, so I'll have to eventually risk it with one even if it's the last thing I do. Ion looks good, I think he could probably help you.
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September 24, 2017
Look at Tamer Şakrak , I know you said no to Turkey but he seems pretty good, from his pics on fb and instagram. I emailed him myself and sent him my pics he told me what he would have to do from the pictures I sent him and I was surprised that he said the same as the doctor here in Canada. I’m gonna need an ear graft. He sent me the cost and how long I would have to stay and they would pick me up and even make arrangements for my hotel. So he’s on my list just from his results that I’ve seen and the way he answered all my questions. So I don’t have to fly there for just a consultation! Try him you never know. And my nose looks a lot worse then yours! Mine is lower on the left side and the tip twists to the left! I’m not rushing into it cause I’m really scared of another bad outcome. This took over my life. So I’m searching still and I would love to get it fixed now but I don’t want to make another mistake. Good luck
September 25, 2017
Hello,
I hear what you are saying - but the fact ion has such a long wait though, is that not encouraging as it means lots of people are going to him so he gets lots of practice! Thought I see your comment re front view.some of the best work I’ve seen is by Gary motykie however I’m so sceptical as there is so much flase advertising its frightening! If they are not photoshopped then they are amazing! Have you seen him?
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September 25, 2017
No I haven’t seen him. I haven’t made a decision to go to turkey yet cause I’m scared. Like you said never know of the false advertisement. I want it done like right away but just can’t rush into it like I did last time and came out really bad. I’m still depressed and I don’t like going in public! Anyways look at Tamer Şakrak’s instagram he’s pretty good I think and you can email him with your pics and he will tell you what you need done and how much it will cost you.
September 26, 2017
Yes strange since your case does not look that complex although I am not a doctor of course. Amongt the docs you have seen and who have agreed to operate you, what came up as the most likely plan for your nose: graft, if yes which ones, no graft at all, close or open mode? From what I see on the pics, its looks more like a repositionning than grafting
October 11, 2017
If you don't want to rush into it this time then perhaps Dr Ion will be worth the wait? Also have you looked into Spencer Cochran in US?
October 12, 2017
I also would consider dr Swartout in LA.