Closed Preservation Rhinoplasty

Hi all! I just received a closed preservation rhinoplasty with Dr Elyassnia in San Francisco. I was really amazed and wowed by his technique during my initial consultation. He was very personable, explained why and how he does certain things and it was fascinating to learn about. He started out the consultation after taking pictures, asking me why or why I did not like certain features on my nose. He would then draw out on a picture of me that was printed moments before, what he would update or change. It was a far far better consultation than I had with a previous surgeon who was very apathetic about what I wanted so I was super excited.

I'm currently ongoing through the process and wanted to share here!

The closed preservation rhinoplasty was very new to me and so far my healing journey has been pretty good! I had no bruising at all. Minimal swelling. It's definitely due to the fact that the nose isn't "flipped" open and the pieces all put together like in an open rhinoplasty. He works through the inside of the nose, only pulling out what is necessary and not rearranging as much. I think this helps keep your natural nose structure and might be better for aging.

I get my cast stuff off next week so will have more updates then.

Whooo! 7 days post. I’m so happy it turned out so perfect. And there’s still so much swelling to go down. I went to work today and no one noticed.

I definitely obsessed over my nose the past 7 days (I had too much time on my hands haha) but looking back I had nothing to worry about. I left a lot of the dried blood alone and it definitely distorted my view of my nostrils which made me think they were uneven. But today taking the cast off and cleaning it all up went great, and I’m so thrilled.

So if you’re going through the same I would say give it time and don’t spend too much time worrying about every little thing. Dr. Elyassnia knows what he’s doing and I’m excited to continue to see improvements in the results!

Also the fact that I was able to go to work right after was super great. I’m a big fan of the preservation rhinoplasty he does and highly recommend!! Will post another update in a couple weeks when a lot of swelling has gone down

2 weeks post op! It’s been a busy week and amazing to see how much the swelling goes down even in the span of a few days. I actually flew on Day 8, and all was fine. I got a massage too which was cleared by Dr. E.
I stated to blow my nose gently this week but am super gentle in washing my face and taking my makeup off. My skin was peeling like crazy after the splint came off so I exfoliated a few times gently, and moisturized a bunch. Still not able to completely breath though my nose comfortably at night (as in, take a deep breath) - I’m still swollen inside my nostrils so I’m sure that will go down in the next few weeks.
I really don’t know where else any swelling can go down because I’m so thrilled already! I’m very excited about this whole experience. Another follow up is next week.