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Three Month Update (a little late)
I do still seem to see a slight unevenness/asymmetry in the tip (with the shape being a little different on one side and the nostril on that side seeming to appear a little higher than the other one), but I think Dr. P thinks it's still too soon to really evaluate that (he said I still have some swelling). If what I see now is still apparent at 1 year, I will see what he thinks and if he would recommend any little "adjustment" (using a filler, I'm guessing), but assuming that what I'm noticing doesn't get any worse, even if he thinks he can improve it, I might decide to just leave things as they are as it seems very minor right now and I still feel extra cautious/conservative about doing anything further (I just don't want to risk any unintended consequences--my experience with that from my first surgery made a lasting impact on my attitude toward all of this!).
He did take a first set of post-op photos (though not the complete set of all the different views, as he said it would be better to wait until more swelling dissipates to take the "oblique" views), but I haven't seen them yet, so I'll need to email him to ask him for a copy. I am very curious to compare them to my pre-op photos, since even though I've had photos taken of me since June, you can't really get the same sense of comparison unless you're comparing very similar shots in terms of distance, lighting, etc.
My next update won't be until January, but I'll try to check into my account here every now and again before then in case anyone has any questions about my op/results and/or Dr. P.
Six Weeks Post-Op (and things are still good!)
I asked him about the slight asymmetry in my nostrils (including the small "dent" or "notch" in the "soft triangle" area on one side) and he saw it , but he said that it could still change over time, so it's too early to make any definitive assessments (which I anticipated it would be). But, on the positive side, he said that it's not likely to change _a lot_ in either direction (worse or better), so that helped to ease my mind about something really pronounced developing. (Right now, the unevenness is so minor, that if even it just changed a little for the better, that might be enough to eliminate the issue completely.) Also on the positive side, he mentioned at least two possible types of minor, in-office "tweaks" that he could do to address whatever issue may remain at 6 months to a year (things to make the nostrils appear more even from the front view and/or to "fill in" the little notch/dent on one side). I'll just have to wait and see and actually, the issue is so minor now that as long as it doesn't get worse, I think I might opt to just leave it as it is and not even get any "tweaks."
All in all, I felt really good after this visit. Sometimes I can let my anxieties about what might develop in the future run rampant (probably reading too many "horror stories" on RS), and Dr. P definitely put my mind at ease. I really do have complete trust in everything he did (and didn't) do in my surgery, and I fully trust his responses to all my post-op concerns and questions. This is such a huge difference from my post-op visits after my 1st op, when I lost more and more trust in my doc with each visit!
So, I imagine my next update will be in early September, when I go for my 3 month post-op appointment and he will take my first set of "after" pics. But I'll try to check back here now and again before then in case anyone has any questions for me.
Nice experience today :-)
I'm still a little concerned about a small difference in my right nostril...even before the cast came off, I noticed that it is now slightly smaller and a little differently shaped than the left one, and since then I've noticed that it pulls inward more with breathing (both visibly and in terms of how it feels) noticeably more than the left one does. It also sometimes feels less "open" in its upper corner where the septum is, almost like there's something obstructing it or stuck in that area or like it's slightly "pinched," and there's a little indentation on that side of the tip that isn't there on the left side. So I hope to ask Dr. P about that at my next visit in about 2 weeks. (I say hope, because it is a pretty minor thing and I don't want to come off as too nit-picky or like I'm being critical of his work--I absolutely trust his skill and what he did in my op 100%, but I know that even with a great surgeon, some effects of surgery and/or healing are not always completely predictable.) Assuming that what I'm noticing doesn't become more pronounced over time, I'm really not worried about the "worm's eye" view of my nostrils or even the small indentation/asymmetry on one side (my husband said no one would notice it unless I pointed it out, since he didn't notice it until I directed his attention to it, even though of course he's looked closely and carefully at my nose at several points since my cast came off) . My only concern would be I started to feel like my breathing was significantly compromised on that side (like if the nostril opening starts to collapse more with breathing and/or its overall shape becomes more narrowed). So I would like to get his opinion on whether he thinks it might get worse with time or not.
But the main purpose of this post was to report something that really put a smile on my face, so that is what I want to emphasize! :-)
Provider Review
I am so grateful to have found Dr. Pearson. In researching my revision rhinoplasty, I met with a total of 5 different surgeons and Dr. Pearson clearly stood out as the best choice. He has excellent training and experience, and, so far, I have been happy with every stage of my interactions with him (from multiple initial consultations and the final pre-op appointment to the day of surgery and my initial post-op appointments). I'm still very early in my healing, but I'm already very happy about my initial results and am optimistic that the final results will also be excellent. Due to my bad experience with my primary surgery (with a different doctor), I'm sure I haven't been the easiest patient at times, but Dr. Pearson has been very reassuring. Dr. Pearson specializes in facial plastic surgery only and is passionate about rhinoplasty/revision rhinoplasty. You can tell that he enjoys the challenge of understanding a patient's individual situation (nose anatomy, any past surgeries, etc.) and formulating a customized plan to address the patient's concerns. While some doctors seem to just be merely "doing a job" when you meet with them, Dr. Pearson is different. He's sort of like one of those auto enthusiasts who love working on cars in their spare time (to make them both perform better and look better), except that his passion is for improving noses! :-) He takes time to fully answer all your questions and I never felt "rushed through" any of my appointments (this seems to be a rarity in healthcare today). Furthermore, his answers always inspire trust and confidence. He pays attention to the details and is dedicated to working with his rhinoplasty patients to make sure that they understand every stage of the process. He also listens carefully to the patient's goals and clearly communicates his plans for how to achieve those goals. I have also found his office staff to be friendly and helpful.