Treatment Provider

Oakley Smith, MD, FRCSC
Certified Facial Plastic Surgeon
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Hi team, Long time lurker and first time poster....

Hi team,

Long time lurker and first time poster. I'll be having rhinoplasty with Dr Smith in T-minus 3 weeks. I chose Dr Smith after a consultation- he was thoughtful and informative- particularly on realistic expectations.

I especially appreciate the latter- I had a consultation years earlier with a surgeon who had asked me what "kind" of nose I wanted. After visiting with Dr Smith, I realize a) such a nose is probably not possible for me and b) I needed a nose to suit my face. I trust that he will do to the best of his ability to improve my nose.

My nose now is bulbous and large with a small hump on the sides of my bridge. After Dr Smith checked me out, he said my nose was structurally "interesting" and that it would most likely be resistant to a lot of change. Hopes for this procedure:
- narrow tip (triangular instead of boxy)
- sloped profile
- remove bump

I still can't believe I'm going through with this. I'm so excited. It's an awkward topic with my parents but for the most part they're cool with it. My friends have been very supportive.

Post Op Days + Photos

Hi gang,

Had my surgery- it all went well. Dr Smith’s team was super nice and the nurse took great care of me afterwards. I hung out in post-op care for an hour, then switched rooms to hang with my parents for another hour.

I was amazed to wake up and breathe through my nose- great feeling! That would be the stents.

I iced on and off yesterday (2 minutes every 20) before an early bedtime. I was quite comfortable but woke up every few hours to try to pee (which is the only drag- you totally can’t!) and clean my nose. I sleep in a recliner with a U-shaped traveler’s pillow.

Bruising is mostly under my eyes but hidden by my cast. A TON of swelling between my eyes. I look like an Avatar.

Pros:
- No pain (I’m keeping on top my meds)
- Less bruising than I thought (more bruising occurs later on apparently)
- Can breathe through my nose!
- Triangular shape from bottom view

Cons
- Difficulty urinating
- Gauze tape is irritating my cheeks

I know I’m still swollen and squishy but I already love the shape Dr Smith has given me! More pics to come... for now, icing and napping. I’m using peas and this awesome ice-mask thing.

Post Op Day 5 (Quick Update)

Swelling is migrating down my face into my cheeks (left my forehead!). My bruising is way less and turning "highlighter yellow.”

Pros:
- Less swelling
- Bruising fading
- Taking less pain meds (switched to Tylenol)

Cons
- Nose is stuffy and a bit stingy inside (freezing wearing off?)
- Nose feeling itchy under cast

I bonked myself on the nose during the night and oh ma god did that hurt! Ended up taking an oxycodone for that, but otherwise all seems pretty well! I’m not looking forward to getting my stents out on Thursday as I assume that’ll really sting/induce more swelling. Front teeth are still bit numb but I’m starting to feel a bit more “normal” now.

In the meantime I’m working from home and watching Netflix.

Provider Review

Certified Facial Plastic Surgeon
2349 Queen St. E, Toronto , Ontario
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