POSTED UNDER Rhinoplasty Reviews
Primary Rhinoplasty with Dr. Cochran - Dallas, TX
UPDATED FROM Doro77
3 years post
Three and a half years after
$8,700
Hello, I haven't been here for over a year but honestly, much hasn't changed with my nose.
I am still undecided about the surgery. Can you believe it? I am weighing the pros vs cons. Better profile, better angle, wider front, bulkier tip, bridge side bump, lower upper lip.
Yes, after rhinoplasty your upper lip will sink lower, showing less of your upper teeth when smiling or talking.
I am posting a few cropped pics of myself that other people took as these seem to look different from selfies. I think they are more truthful.
It seems like my nose has many faces based on the swelling and its severity as well as angle and me wearing makeup. It always looks better when I wear heavier brow or eye makeup.
I will appreciate your comments.
I am still undecided about the surgery. Can you believe it? I am weighing the pros vs cons. Better profile, better angle, wider front, bulkier tip, bridge side bump, lower upper lip.
Yes, after rhinoplasty your upper lip will sink lower, showing less of your upper teeth when smiling or talking.
I am posting a few cropped pics of myself that other people took as these seem to look different from selfies. I think they are more truthful.
It seems like my nose has many faces based on the swelling and its severity as well as angle and me wearing makeup. It always looks better when I wear heavier brow or eye makeup.
I will appreciate your comments.
Doro77's provider
UPDATED FROM Doro77
1 year post
19 to 21 months post op
Not very much has changed - I must be one of those rare cases who still get swelling on a regular basis at almost 2 years post op. My nose can swell up within minutes and unswell the same way. In the morning I wake up with a lot swelling, and by the evening the nose gets slimmer, however, not the slimmest I have seen it. From observing, when I am totally relaxed for example when painting, my nose gets nicely defined and relatively slim. When I get cold standing outside in cool weather, and them inside, a lot of the swelling goes down within that short period of time. Living in Central Texas, this is not going to be the case most of the time though :)
When does my nose swell up within minutes? When I get stressed out, during cardio activities, gardening, cleaning up, and during my periods.
I have attached a few pictures below to show my nose how much the swelling fluctuates. One day the nose is ok, and the next it looks like a potato. Then next evening, it's totally slim.....
I am not sure how to handle it other than wait it out. I went to see an ENT that was recommended to me by my plastic surgeon, Dr Cochran. The ENT scheduled me for a ct scan that revealed normal results - no swelling of my sinus walls or any unusual water retention. I do not need to take my steroid nasal sprays anymore. This basically explains that my swelling is related to healing and not to allergic reaction or problems with sinuses.
I am scheduling myself for a 2 year post op in May and will consult a revision with my surgeon. I will ask for the hump to be filed down and also supratip reduced. I will keep you posted how the consultation goes.
When does my nose swell up within minutes? When I get stressed out, during cardio activities, gardening, cleaning up, and during my periods.
I have attached a few pictures below to show my nose how much the swelling fluctuates. One day the nose is ok, and the next it looks like a potato. Then next evening, it's totally slim.....
I am not sure how to handle it other than wait it out. I went to see an ENT that was recommended to me by my plastic surgeon, Dr Cochran. The ENT scheduled me for a ct scan that revealed normal results - no swelling of my sinus walls or any unusual water retention. I do not need to take my steroid nasal sprays anymore. This basically explains that my swelling is related to healing and not to allergic reaction or problems with sinuses.
I am scheduling myself for a 2 year post op in May and will consult a revision with my surgeon. I will ask for the hump to be filed down and also supratip reduced. I will keep you posted how the consultation goes.
Replies (5)
April 4, 2015
Hi did your doctor use spreader grafts, that may explain the widening on the front view.
April 9, 2015
Yes he did! When I asked him if they can cause the wide appearance he said most unlikely because they are so small. I have heard other people saying they had the spreader grafts removed after the primary and the nose became much slimmer. This is something I am considering. I also wonder if my surgeon used something to augment my radix - the top of the bridge because the nose appears to sit much higher between the brows than it used to.
April 5, 2015
When your nose is slimmer it looks nice and I say she doesn't need revision. It's weird that you get these swellings at 20 months post! Have you asked your surgeon why the swelling is persistent? I look forward to read about your follow up next month. Thanks for the update.
April 9, 2015
When the nose is slimmer it is acceptable to me, but I still feel the heaviness between my eyes and the one sided bump is there. I am not sure why I get that swelling. My surgeon didn't know either and that's why he had sent me to the ENT. The ENT said it is partially because of my enlarged turbinates which allow a lot of allergens into my nose. However, the CT scan didn't reveal anything unusual.
February 2, 2016
Funny you mentioned your period effects the nose swelling... I think that of myself too. OR, I think... do I just become overly sensitive to the nose issue & obsess it is getting fatter! LOL. You look beautiful btw. I would love to have your new nose--- want to trade? :)
April 5, 2015
I dont mean to be negative but i wouldnt go back to the same surgron for a revision if u feel they did not deliver the first time
April 9, 2015
I understand and have been considering other surgeons as well. I have to do more research because so far I haven't find a board certified and ENT rhinoplasty specialist whose before and after pictures I like to at least 85%. The other thing to consider is the cost of revision. It might run well above 11,000 compared to 2,000 for hospital fees if I go with my primary rhinoplasty surgeon. Are there any surgeons you like?
April 10, 2015
yes I understand that but...better to be safe and poorer than sorry. I once had a botched breast aug and had the opportunity to repeat and only pay anesthesia fees. I went to another doctor to get a second opinion and he noticed flaws the first surgeon completely missed and I went to him for my revision even though I ended up paying thousands more dollars. I've never once regretted my expensive decision which could've been more expensive had I underwent a second failed surgery with the first surgeon and THEN looked for another revisionist. I went to David Edwin Kim for my primary and I like my result but I don't know how he does with revisions. Thomas Le and Guyuron are names that are brought up when people speak of revision doctors. Check out MMH for more possible surgeons to look at.
April 9, 2015
Interesting to see how your nose size fluctuates. It does look significant and I would be also questioning why that happens. It's great to hear that your cat scan came back without any problems. Curious to hear what you decide about a possible revision.
April 9, 2015
I am actually looking into other revision surgeons as well, but I haven't found anybody yet whose esthetic I agree completely. Going with other surgeons would definitely be a strain on my budget for the surgery, travel, possible checkups...I am starting to be a little skeptical if Dr Cochran will be able to fix the nose because I had been emailing with some of his other patients who had the same problem and weren't happy with the revisions he did either. They said the nose got scooped to the other side and a lot of asymmetry got created :(
April 9, 2015
I would also be disappointed. Your profile looks great, but your post- rhinoplasty front view is wider than your pre surgery pictures. Overall, you look great.
UPDATED FROM Doro77
1 year post
17 months post op
I am considering a revision.
I do not like the front view of my nose very much. There is a heaviness around my eyes caused by the wide bridge with a bump on the right side. My supratip is bulky and my tip lacks definition it used to have before the surgery. My profile looks better after post op, but I miss my front view. Not sure if it helps to mention - my husband likes my nose and says there is no difference at all (??), but my parents and sister miss my slimmer nose from the front.
I do not like the front view of my nose very much. There is a heaviness around my eyes caused by the wide bridge with a bump on the right side. My supratip is bulky and my tip lacks definition it used to have before the surgery. My profile looks better after post op, but I miss my front view. Not sure if it helps to mention - my husband likes my nose and says there is no difference at all (??), but my parents and sister miss my slimmer nose from the front.
Replies (5)
November 8, 2014
I think your nose suits you. You are very pretty. Good luck with whatever you choose to do.
November 8, 2014
I think you look great too. I also believe that you probably are not seeing final results yet.
November 9, 2014
Thank you so much! There are positives and negatives from my outcome, and maybe I need to get used to my more changed look without looking back so much. Sometimes when I see my old pictures, certain angles make me just so happy I don't have that projection anymore, and then there are angles that I liked better :)
November 9, 2014
Personally, I think your nose is beautiful. People would kill for your results! Love the last pic you posted. Just remember that swelling and scar tissue become worse with each surgery to your nose and you run the risk of ending up with an even wider nose. Good luck with your decision. Either way it's only YOUR opinion that matters! :)
November 9, 2014
Thank you, Wynter! I am worried about the scar tissue and swollen nose again. From other doctor Cochran's patients I heard that after they had certain issues fixed, the outcome was slightly better, but not enough to make them happy :)
Something to consider.
November 9, 2014
If youre getting a revision i highly recommend going w another surgeon whose had experience narrowing noses. I dont trust going back to the same doctor who didnt deliver the first time and i speak from experience. I know its a lot of money but at least consider consulting with others to get a 2nd opinion
November 10, 2014
You are so right about the noses looking wider. I was just comparing Kim Kardashian's nose how it has evolved over the time, and I don't like the new look. The nostrils are too flared out, the tip too round. Before the latest revision, her nose was slim and elegant. I wonder if she purposefully asked to have it widened, doubtfully, or it is just a result of a third or fourth revision. If I go for a revision, it will be with somebody who has great before and afters of similar noses like mine.
November 10, 2014
EternalRhino, I am sorry this has happened to you, too. I appreciate your advice and I did take it. I am looking into revision reviews about other plastic surgeons out there. Rather pay an extra cost, but have the nose that suits me better. Thank you!
November 10, 2014
booked his last month and he so far booked till Jan) anyways he has many many pics on his website and many patients here on realself.com. from looking at 1000s of pics i could see this doctor does the best for his patient in care and overall appearence. You can tell he doesn't just ex. scrape off a bump but he makes sure the nose fits the face(custom nose lol), you can see these people look alot better. But like I said you are beautiful :)
November 10, 2014
Hey Doro, you are beautiful girl but I do know what you mean about the tip. My nose is actually a bit bulbous too and feel that getting it refined will give it a bit more feminem apearence and to balance out my face, for ex. i think my nose is too big (specially when I smile) for my mouth. I have a consultation with Dr. Grigoryants in Los Angeles in Jan ( I booked his last month and he so far booked till Jan) anyways he has many many pics on his website and many patients here on realself.com. from looking at 1000s of pics i could see this doctor does the best for his patient in care and overall appearence. You can tell he doesn't just ex. scrape off a bump but he makes sure the nose fits the face(custom nose lol), you can see these people look alot better. But like I said you are beautiful :)
November 10, 2014
Hi, thank you for your support. Lol, actually Dr. Grigoryants makes beautiful noses and is definitely somebody to consider! If I ever decide to go for a revision, I will probably schedule a consultation with him. Just like you said, he doesn't make cookie cutter noses, but adjusts them to suit the face. I hope you will share some pictures from before and after.
Replies (5)