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POSTED UNDER Rhinoplasty REVIEWS

In LOVE with My Natural New Nose - Chicago, IL

ORIGINAL POST

I remember how hard it was to find reliable...

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snownose
WORTH IT$5,100

I remember how hard it was to find reliable information on Dr. Shah during my preliminary research, so I hope this review can help others during such a critical and uncertain time. Where do I begin? I guess I could start with why I decided to change my nose. Somewhat wide and long with a little hump, it was never my favorite part about me. So when I got the opportunity to change it in time for my upcoming wedding, I took it! I met with two other plastic surgeons before deciding on Dr. Shah -- one in Chicago and another big shot doc in LA. Dr. Shah was the only one who took the time to really listen to my concerns, patiently answer endless my questions and discuss the procedure in such depth to ensure I was completely comfortable moving forward.

Over the course of THREE consultations, he scrutinized my nose meticulously and worked with me to generate multiple digital morphs. The time he took with me showed not only his attention to detail, but his commitment to his patients and achieving the best possible outcomes. After the third consultation, I was convinced this was the doctor for me and booked my surgery for open rhinoplasty on February 7th.

SURGERY - I underwent open rhinoplasty on February 7th. The surgery was originally expected to take no longer than 2 hours, but because my nose proved more deviated than anticipated, it went to 3 hours. POST-OP It's been 11 days since my surgery and 4 days since the split came off.

Here's a bit about my post-op experience thus far, starting with recovery. RECOVERY (DAYS 1-7) Like other patients, I'd say I felt more "uncomfortable" than in pain. Just like I had a really bad cold and a migraine. Day One was ok; I threw up while leaving the surgery center but fared well at home. Then, Day Two and Three came. Those were the worst. I just sat in my recliner falling in and out of consciousness while the swelling got worse and worse. I was breathing out of my parched mouth, sitting in darkness, not able to talk, go on the Internet or watch TV, just waiting for my boyfriend to bring me up an ice pack every 20 minutes. Because of the mouth breathing, I had a very tough time sleeping and would wake up every 40 minutes either needing to pee or feeling like my tongue was going to crack in half. I was miserable.

But from Day Four on, things got easier and easier. I got more self-sufficient, could start eating more normal foods and even started sleeping uninterrupted. RECOVERY TIPS: - Live in a recliner for the next week. This keeps your head above your heart, thus reducing any swelling. - Have a glass of water WITH A BENDY STRAW next to you at all times. Mouth breathing makes your throat extremely dry. - Have a helper with you for the first three days, as you most likely will not feel like moving. My boyfriend brought me all my food, walked me to and from the bathroom, and made sure I got my ice packs and medications on time. He's the best. - Try to take it easy and not to freak out about what your nose/incisions look like. It's so premature, it's not worth the worry. - Use frozen peas in a surgical glove as a cold pack - Have ChapStick or Aquaphor on you at all times - Be prepared to sleep in a recliner for a week. It sucks. -

Sustenance: tons of mashed potatoes, apple sauce, Jello, pasta without sauce, SHAMROCK SHAKES, and ... sliced turkey. Hey, you gotta get your protein somehow. - Girls, buy DRY SHAMPOO, because you're not going to be able to get your hair wet until the splint comes off 5-7 days later. - Use a Clarisonic to help wash your face around the splint SPLINT REMOVAL (DAY 7) Because I had an open rhinoplasty, the doctor needed to remove both the splint and the stitches on my septum. This wasn't exactly painless, but it was over in about 4 minutes. I still have a few dissolvable stitches inside my nose but should soon go away.

FIRST IMPRESSIONS When my new nose was unveiled, my initial reaction was a pretty standard one: "Holy crap, IT'S SO SWOLLEN!" I actually found it more funny than alarming; from the front, I looked like Cindy Lou Who! However, I knew this was a very early, undeveloped impression of what would later be a very different, more refined and defined nose. My profile view is gorgeous, however -- feminine, refined. The hump, though reduced, is still somewhat visible. I asked the doctor about this. He said the bump is only skin deep. The skin is so used to being draped over a hump, it takes some time for it to conform to the new straight bone. So once the swelling subsides, the "bump" will as well.

DAY 11 I'm currently on Day 11, and my nose has already started to de-swell. I can't say I'm 100% happy with the results just yet, but I can appreciate the overall shape, which is SO improved. My profile is amazing, and I can already see that once the skin begins to "shrink wrap" to the new underlying structure, my beautiful new nose will emerge. I will continue to keep you posted as my results mature! All in all, I have no regrets. When RealSelf asks me "Was is worth it?", I base my response not only on the cost of the surgery but the physically and emotionally rough recovery period thereafter. And despite it all, my answer is yes! To be able to live the rest of my life not worrying about how my nose looks in pictures, or trying to put my makeup on in just the right way to make it look smaller, or feeling self-conscious of my profile every time someone looks at me from the side, it is definitely worth it.

snownose's provider

Anil R. Shah, MD

Anil R. Shah, MD

Board Certified Facial Plastic Surgeon

4.6 | 374 Reviews
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snownose

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Replies (5)

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February 20, 2012

What an awesome, comprehensive review! I wish they could all be like this. LOL! Thanks so much for sharing your experience and your tips for recovery. The dry mouth is so stinkin' awful and I love your tip about lip balm and bendy straws. I agree. Very crucial.

I'm glad you can see the light at the end of the tunnel now. I bet your nose is going to look fabulous. When is your wedding?

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February 20, 2012
Thanks, Angiemcc! I hope other people find my review as helpful as you do. Now comes the hard part: THE WAITING GAME! It's tough to be patient with the swelling, but I'm optimistic my nose will be beautiful in time for my August wedding. Six months to go!
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February 21, 2012

Oh my goodness, you are a PRETTY girl! And your nose looks just perfect. Great results!

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February 21, 2012
You're so sweet. Thank you!
February 21, 2012
Great results!
UPDATED FROM snownose
15 days post

It's officially been 2 weeks since my surgery,...

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snownose
It's officially been 2 weeks since my surgery, which seems like a good time to update my review.

So far, everything is progressing (albeit slowly). The tip of my nose is incredibly swollen, as expected, but apparently I'm the only one who really notices; I returned to work today with a ton of excuses at the ready: "I'm just well-rested." "I have a cold." "I cut my hair." "My hair grew." But I never had to use them! No one said a word. No one gave a suspicious glance. I felt like I was on The Truman Show.

I still have verrrry slight, stubborn bruising on my upper eyelids, but it should be gone by the end of the week. In the meantime, I can easily cover it up with concealer.

Replies (17)

February 21, 2012
Wow, you look amazing! Great result :-)
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February 21, 2012
Wow, you look awesome! It really softens your appearance. Can't wait to have mine done :(
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February 22, 2012
Thanks everyone! Things are still very swollen 2 weeks post-op, and it's going to keep shrinking as time goes by! Every morning when I look in the mirror is like Christmas -- always a surprise :)
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February 23, 2012

You look amazing! I love the results! and no one mentioned anything to me either! I was waiting for an excuse as well--people just do not notice sometimes or just cant pinpoint it!
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February 26, 2012
Haha, it's amazing, right? The swelling also makes the sudden change less drastic, which is a blessing in (very puffy) disguise. My new nose will slowly emerge over time, and it'll be so gradual, no one will ever know! Buwahaha.
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March 4, 2012
I know and I had a TON of swelling! So I def know where you are coming from!
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February 26, 2012
I enjoyed reading your post! So funny how nobody notices but so dramatic to us! I was at the hair salon a week post op and was waiting for someone to say, did you get a nose job? Lol! I guess those are the best kind, improve your appearance without losing your face. I think your results look great. I am very happy with my nose as well, just waiting on that shrink wrap thing to occur too. I look at progression pics online and it is truly amazing how different the nose is at even 90 days post op. Only gets better from here. Congrats on your results!
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February 28, 2012
Aw, thank you! I enjoyed reading your post, too ("...light at the end of this booger-filled tunnel" ... lol!). I think my nose is starting to do the shrink wrap! Woo-hoo! I'll share pictures at the official 4-week mark to see what you all think :) Only one more week to go!
UPDATED FROM snownose
1 month post

Happy anniversary to me and my nose! I can't...

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snownose
Happy anniversary to me and my nose! I can't believe it's been one month already. When I went in for my two week follow-up, the doctor told me I was still extremely swollen -- much more swollen than he'd expected. He said at two weeks, I was where he expected I'd have been at one week. Slow healer, I guess.

I just went in for my ONE MONTH follow-up tonight, and since my tip swelling still hadn't progressed very much, Dr. Shah gave my nose a kenalog injection (a steroid) to encourage the swelling to come down a bit. It suppresses growth factors (or some medical jargon like that) and slows collagen production. He said according to his past patients, it could take anywhere from 2 hours to 2 weeks to take effect. So I'm hoping for something less bulbous soon :) It didn't hurt too badly; just a pinch, similar to the feeling of getting your stitches out.

Nonetheless, I'm still very happy with my results. The frontal view still needs some time to deswell, but the profile views are SO CUTE. I'll post some updated pictures soon!

Replies (20)

March 8, 2012
hi snownose, you look great! I have been following your review and am happy to know you have received great care with Dr. Shah. I was wondering was it easy to get in touch with him via email or phone after the procedure?
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March 9, 2012
Hi cpyoung! I'm so glad my review has been helpful to so many people. Regarding Dr. Shah's accessibility, I've been able to get in touch with his staff via email extremely easily, and they're always super fast to respond. Luckily, I've had an uneventful recovery so far, so I haven't had to get in touch with Dr. Shah beyond the regular scheduled follow-ups (two weeks, then one month, then two months, etc). I do remember reading from other reviewers who said he returned their phone calls quickly -- even on a Sunday night. He has a voicemail set up at his office for afterhours calls and is paged to respond to emergency voicemails immediately. I feel like his aftercare is fantastic. He's really committed to getting a perfect result even after he's already taken your money. I just got my kenalog (steroid) shot today to help accelerate the deswelling!
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March 10, 2012
Hey snownose that's crazy that you were in Dr. Shah's office last night, because I was too! I hope your kenalog injection works well I'm sure you already look stunning though :)
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March 10, 2012
Ahhh! How weird! I was the chick with the swollen nose chatting with the receptionist :) Good luck with the first few days of recovery! Days 2 and 3 are the roughest, and then, you're in the clear. Keep us posted!
March 10, 2012
Hi snownose, happy to hear that Dr. Shah was easily accessible after the surgery. I really want to make sure that there will be someone to help if I have any problems or concerns after the surgery. I'm starting to relax reading the good reviews of Dr. Shah :) I'm happy your recovery has been uneventful but it's still nice to know he's there if something did happen. Was your steroid shot a regular part of the recovery or because you had more swelling than normal?
March 10, 2012
Sorry I just saw you answered my question about the steroid shot in your review thanks :)
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March 10, 2012
No worries :) Dr. Shah has been amazing. When I first decided to go with him, I was nervous because I couldn't find a lot of reliable reviews, positive or negative, about him online. That's why I decided to share my experience on RealSelf, and I'm so glad my post could help you!

It's been only two days since the steroid injection (which Dr. Shah recommended because my swelling was stubbornly persistent; steroid injections are fairly common with rhinoplasty patients), and the tip of my nose has already improved a ton. My sister and Mom both agreed it seemed to have changed overnight. I can't stop looking at it in the mirror. It's a great feeling :)
March 11, 2012
Thanks for writing such a complete an informative review.
I think your after pictures look great - you look like Evangeline Lilly in the profile view. Also you look much younger in the after pictures (I'm not sure how old you are, but I think you look like early 20's in your after pics).
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March 11, 2012
Thank you! I'm glad my review could help so many people. Haha, I've never been told I look like Evangeline Lilly (only Giselle Bunchen and Cheryl Cole), but Evangeline has a much cuter nose, so I'll take it! And I'm actually almost 30!!!, but I look like I'm 20. It sucks.