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POSTED UNDER Revision Rhinoplasty Reviews REVIEWS

Revision rhinoplasty with rib graft-Dr Ion, London

ORIGINAL POST

What I had on my face before my first rhinoplasty...

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Kat005
$12,500
What I had on my face before my first rhinoplasty was called nose, but for sure it was not one. After op it went from 1 to lets say 5, and it was such a huge improvement for me that I was happiest in the world. However it still bothers me and now I feel mentally ready to try to improve it once more.

Kat005's provider

Lucian Ion, FRCS

Lucian Ion, FRCS

Specialist Registered Plastic Surgeon

4.5 | 200 Reviews
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Replies (13)

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February 19, 2016
Hello,
You commented on my story so I thought I would comment on yours. I took a good long look at your after pics of the first rhinoplasty you had, And i have to say, I see nothing wrong or even unattractive about your current nose. It looks like a VERY good nose especially for what I can see of your face. If I had your face with that nose, I would never consider revising it. That is a dangerous risk to take. You are lucky your first surgery left you with such a great result. You may not be so lucky the second time around. Once you reduce the nose too much it makes it a much harder, more complex problem to reverse. I would suggest continuing on with life as your nose is now, just think, the possibility to revise it is never going to go away, that door can always be opened, BUT if you Rush into it and end up with a bad result, that door will slam shut for what may very well be forever. That said, I don't want to stop you from doing something that you really think is right. But if I were there with you in person, if I was your sister or friend, I would grab you and tell you to your face that your nose is fantastic and you shouldn't mess around with it. I would probably follow you to the doctors office and drag you out of the waiting room lol. So please, think it over. Is it worth it?
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February 19, 2016
Thank you for commenting on my story! To tell you the truth, everyone in my family were also 1000% against my primary, for them it was sth unimaginable how I could go and fix the problem, instead of living with it all my life. So family being against is not key factor for me. They are normally against everything;) the key factor is what nose of "departure" you have. Here I completely agree with you-one should fix it only for major deformities and problems of functionality. Now in the cases when the nose of "departure " was fine and the nose of "arrival" is deformed, you have no choice but to fix it, as it is simply your new nose of "departure", (yes, I know, it is more difficult to fix). So at this point you are where I have been before my primary (I do not dare to confront our emotional states, because it is not relevant, you have your dark place, I had mine) and your only way forward is the revision, as it was primary for me. Your deformity has explanation, as has mine now (I have inverted v deformity, over resected dorsum in combination with low radix, bulbous tip and most probably lots of scar tissue inside). Your after nose does not even seem terrible to me neither! I still think you are beautiful and I am convinced that nobody would look twice on you on the street! But you are not good with it. As I am not good with mine. It can be fixed. Its risky, but this is how we go forward.
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February 19, 2016
I agree, and now that you state your problem areas in rhino terminology, I understand your qualms. I still think your nose looks natural and fitting to your face and I would kill to have that. So I just had to let you know, not trying to persuade you one way or the other. The decision is ultimately yours. I hope both of us are able to move forward, like you said. Thank you for your input on my nose as well. I wish you the best of luck.
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February 19, 2016
Thanks! Same to you!
May 18, 2016
Your nose perfect now, if you do it again you mite end up with those Micheal Jackson kinda noses ... and trust me those are not mostly because of bad plastic surgeons but the nose being revised and revised. I think sub conciously you have just not come to terms with the fact that you have a beautiful nose now. It mite stem from having low self esteem and emotional scars with your last nose. It's perfect and you're look so beautiful.... just remember to tell yourself that every morning and stop obsessing.
May 18, 2016
Is**
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April 3, 2017
Thank you Renaaay:) I hope I won't end like MJ;)
July 27, 2016
Hiya! I know exactly what you are going through as i have had a less than perfect rhinoplasty recently. I was just wondering whether you could let me know who your surgeon was? I am looking for revision surgeons was wondering if it was one of the ones im going for!
April 2, 2017
No need to do anything to your nose. It looked wide before , not it's narrow and cute.
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April 3, 2017
Thank you, it is indeed better than it was, but still so many problems. The pics you see here are 10 years old, they were taken after my primary in 2007. I'll be having a revision with Dr Ion soon.
April 3, 2017
Ohh. Ok misunderstood. He's a good surgeon just make sure you tell him what you want. Btw don't deprojet your nose , it can make it wider. Wish I had a nose like yours in the last pic :)
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April 3, 2017
Yes, I agree, I do not want it too deprojected. However my nose is really overprojecting, I will add my morphs soon, I think the improvement he proposed is optimal
January 21, 2020
Hi Kat, how did the surgery go?
UPDATED FROM Kat005
1 year pre

Searching revision rhino specialist

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Kat005
So now I am in research for someone I could trust my nose to once again. I spoke to my original surgeon (will not post his name here, I think its enough to know he is from my very small country, where very few rhinoplasties are carried out every year, so no chances for mastering it, however in my opinion he's very good), but he did not feel he could help me further, so I expanded my research worldwide.

And being not so limited financially (fortunately) I am very limited time wise and absolutely cannot afford numerous consultations, even if they are very advised... I decided I could manage 2-3 consultations during this year, with the operation hopefully next autumn... Hopefully.

So.
I contacted almost all the surgeons from my "wish specialist list" via email sending them my pictures and asking if I seemed a good candidate for revision or better leave my nose alone. To be precise, two of them were not in Europe, but simply wanted to hear their valuable opinion. All of them were very kind to respond me and in all of their opinions my nose can be somewhat improved. As one Dr put it-I have good reason to be optimistic. And I am. To a certain extent of course, more optimistic-realistic.

The list I gathered was mainly "inspired" by all kinds of forums as I find them a great source (not that I trust 100% of reviews of course) for finding out the experiences of real people. So if anyone curious I considered
Dr Toriumi in Chicago - quoted ~25000 usd all in for my revision (plus 2-3 weeks stay in US). For now I no longer consider going to US since I feel the follow ups would be a problem to me.
Dr Hosnani in Tehran - his gallery is out of this world. And he specialises in thick skin patients just like me. There must be many more super good rhino specialists in Iran, however I found very few due to lack of English websites. He quoted me 3300 usd full service pack plus ~9 days of hotel seperately. Might need to use ear graft. Spoke about 60% improvement he feels he could deliver.

And my top 3 I found in Europe I feel I want to consult in person:

Dr Trenite in Amsterdam-super experienced, wrote numerous books on rhino, quoted me up to 9000 eur all in (with rib graft most probably).

Dr Robotti in Bergamo Italy - did not give his quote, but from experience of the others it could be ~10-13000 eur (will precise the quote later). He feels he would need to use the rib graft. And he thinks I can be optimistic:) his gallery is fantastic.
Other two revision specialists in Italy I consider are Dr Palma in Milan and Dr Sciuto in Rome. If I would manage to squeeze 3 consultations in one short visit to Italy, I would love to see them as well.

Dr Ion in London - offers 3d imagining, uses innovative operation techniques, part of them invented by him, offers good after care. Already booked a consultation. To be honest my intuition pushes me towards him very much. And being a woman I take it seriously:) if he agrees to take my case and we find a consent, I might stop my research there.

Thats about it for now. I contacted few other revision specialists, all of them fortunately cite the same problems and offer more or less the same solution, which is great.

Will let you know how things proceed.

Good luck in your researches if you are searching and fast healing to those already post op!

Replies (19)

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February 8, 2016

Thank you for sharing these details of your search! What, specifically, are you hoping to change about your current nose?

I'll be following along on your journey, so please keep the updates coming. When do you consult with Dr. Ion?

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February 9, 2016
Kat, if you haven't found yet THE surgeon, please contact by email Dr. Steve Denenberg, Omaha, NE. He'll give you minute details about what he finds after you send him the pictures and your comments. You have nothing to lose, and he's very patient and very honest. I'm in the last stages of our email exchange and I'll then go in person. Best of luck to you!
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February 9, 2016
Dear Angie, thanks for your welcome:) well, my biggest concern is my tip overprojection... As I was told it can be addressed by a combination of augmenting the bridge-radix and/or deprojecting the tip. To be honest word "augmentation" freaks me out as I already have a big nose. But I totally understand it can be necessary, as I have depressed radix, due to which my nose seems even more overprojected than it is. Then I would love at least a slight reduction in bulbousness of the tip on the front view (not much can be done due to thick skin I have). And lastly I would love to have a narrower bridge on the front view. Drs mentioned that I have inverted V deformity, but this bothers me the least. I am very particular about what I want, but even after reading tons of material on rhino, I have no idea how they could achieve that:) I will keep updating, as I found this site super helpful, I want to share my experience as well. Oh, and I will be seing Dr Ion in May.
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February 9, 2016

I'm so glad you've found RealSelf helpful! :) May will be here before you know it!

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February 10, 2016
Yes:) getting ready for it with BIG list of questions...
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February 9, 2016
Dear Silasolfamiredo, actually Dr Donenberg was the FIRST surgeon I considered for my revision but then I concentrated on Europe. But I will contact him, as any new opinion is welcome for me. Thanks for advice! And please let us know on how you proceed!
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February 9, 2016
Sorry, Dr Denenberg!
UPDATED FROM Kat005
8 months pre

Revision Rhinoplasty with Dr Ion, London

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Kat005
After very lengthy research I've chosen Dr Ion to perform my revision rhinoplasty and now all I have to do is wait. 3 months left to go. Not too excited since I know how risky this procedure is, however want to try to improve my nose which still bothers me 10 years after my primary. The main factor why I chose Dr Ion is that he does not abandon his patients if something goes wrong. I'm 

Replies (8)

March 7, 2017
ON your last picture you've written Dr Ion, but you don't made a surgery with him yet? I see him on monday and I already had nose surgeries before. He seems to be very good, I like what I saw to other patients. I think you made a good choice ;-)
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March 7, 2017
No, I've had a primary with another surgeon 10 years ago, and Dr Ion will do my revision in June:) yes, he seems very good. Good luck with your consultation! Let me know how did it go!
December 8, 2017
Hi, anyone can send me the private email of Dr Ion please? I would like to send him photos of my nose, from the front and the sides. A surgeon referred me to Dr Ion to do the operation with rib graft. This is my email address hebachalabi06@yahoo
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December 8, 2017
I do not think anyone has Dr Ion’s personal email. And he seems to not be accepting new revision patients.
December 9, 2017
I am sorry he is not accepting revision patients at this time
June 2, 2018
is this forever of for now ? how come no more revision appts
June 2, 2018
Ava17 he started doing revisions again
June 2, 2018
gosh Kat you have done lots of research. where are you based and what made you go with Ion