Female w/ Boxy/Bulbous Nose (Dr. Oakley Smith) - Canada
1 year post op
My nose is still sensitive when I bonk it or my shirt hits it when I dress, but otherwise I feel great! Last check up booked for September.
3 Months Before/After Photos
Saw Dr. Smith for my 3 month post-op and had photos done- nice surprise as I thought this took place after one year.
Dr. Smith was pleased with the result and opted for two injections into the sides of my tip to help with either swelling, or tightening skin- both? I had my eyes closed and can’t say it hurt too much. My nose is still partially numb, so it felt less of a prick than a flu shot would. Apparently these shots can take awhile before any effects are noticeable. My mom seemed to think my tip looked less puffy a couple days after.
Dr. Smith told me he did as much work as possible while keeping my nose structurally sound, and I believe him. I have no doubt in my mind he was the best surgeon for the job. He also mentioned my septum was severely deviated and he straightened that out.
You’ll notice from the basal view (underneath) my nostrils are uneven but less than they were before. The only thing I care about is its general triangle shape and am quite happy with this result. Before I started researching rhinoplasty I assumed any surgeon could transform any nose into a perfect, symmetrical one, but I realize now it’s all about improvement. My nose was super asymmetrical pre-surgery, and less so post. I also recall Dr Smith noting my nose was a “structurally interesting” and stubborn- one that would be resistant to change.
My nose still feels harder in the mornings and tender- hurts if I accidentally bonk it. Still healing. But I also notice good things- drinking a glass where my bridge doesn’t press against the rim, standing directly under light and having my nose not stick out like a beacon, etc. etc. Lost a nice pair of sunglasses when they slipped off my sweet new slope so that was kind of unfortunate... but another reminder my nose changed for the better :)
I think these photos highlight changes great, but also are kind of unflattering. I mean this in the sense that in “real-life” I find my nose blends much more into my face than these photos might lead one to believe.
I actually completely forgot to ask about an alar base reduction (we got chatting) but I assume if it was a plan of action Dr. Smith would have brought it up. I might email his assistant and ask anyway as I don’t see him again until the winter. I’ll probably post photos or an update in a month or two, we’ll see!
Thank you for your comments, as always!
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Quick Update
Received a bunch of messages, have been a bit busy with school/work/life. In short- saw Dr. Smith for my 3-month post op which went well, got two injections into my nose to help with swelling/skin tightening (I think). Still very happy with my nose :) I’ll post photos next week!

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