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POSTED UNDER Rhinoplasty REVIEWS

Disappointed with my Primary Rhinoplasty with Grigoryants

ORIGINAL POST

I was looking to have my nose just slightly...

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Bteam33
$11,000
I was looking to have my nose just slightly refined and my profile brought down to a more femine appearance. I never had a hump or anything obviously "wrong" with my nose, but it did appear a bit large in high definitiom photos. At the time i was modeling and needed more refinement to look better in close up photos.

My experience with Dr. Grigoryants was pretty bizarre. I was flying in from out of town and so had paid for the surgery 2 weeks ahead od time as instructed. He never offered me any digital morphing or anything but i has sent him photos of my nose and what i has wanted done to it. He said via email that what i was looking for would be quite easy for him to do. However, upon arrival to his office in Glendale for my pre-op visit the day before my surgery, he made the comment that he didn't think i needed a rhinoplasty. I had already paid for the surgery and would have only received 60% back (even thoigh it wasn't me wishing to cancel). I told him that was pretty disappointing seeing as i has just flown completely across the country to see him specifically. He then admitted he thought my nose was "small" and that it would be hard for him to get in there. On a side note, i have super model friends with much much smaller noses rhan myself who have undergone rhinoplasties. I have pretty wide nostrils compared ro them, so i still to this day don't know whAt he was talking about. There's even photos on his website of girls with my thinner and "smaller" noses than myself. I became ailent realizing i had just been robbed of 11k and that's when he said "i'll see what i can do".

The surgery itself went fine with the exception of the anerhesiologist openly hitting on me both before and after suegery. This made me quite uncomfortable as i had traveled there all by myself and was handling the entire surgery ordeal on my own. I had several of the nurses tell me that he was the best and i was going to love my nose. They even mentioned that they had seen similar cases to mine before and that i had nothing to worry about (even though i wasn't expressing any doubt or hesitation to them).

I met with Dr. Grigoryants again right before the surgery (i was the very first surgery that day). We went over the game plan again which was to narrow the base of my nose and nostril area and slim up my bridge a bit. He also recommended that i take some cartilage from my head (not ear as is typical) and put it on the upper bridge give my nose a longer and higher look. This sounded great so i agreed.

I woke up from surgery all alone and Dr. grigoryants never once came in to check on me, even though i heard him check on several patients that were seperated by curtains immediately next to me. Instead i had the anesthesiologist come in to tell me that everything went great and he then continued to ask me if i was single. Very bizarre considering the circumstances, i know.

Flash forward to having my cast taken off. The nurse who took it off was very gentle and i appreciated her throughout my experience. She's the one who works the closest with Dr. Grigoryants in the office. She has a very pretty nose and is even show on his website as one of his patients. Dr. Grigoryants came in for approximately 5 minutes and said my nose looked great and that the swelling would continue to go down. Before he tried taking off, i complained that i couldn't breathe at all out of one side of my nose and i thought there was some dried blood clotting up in there. He looked inside (for the first time, mind you) and said he saw what i was talking about and then proceeded to take tweezers and completely yank the clot out of my nose very quickly and roughly. I never has the nose stilts put in my nose, btw.. Which i always assumed happened to everyone. He then turned to the nurse and told her not to teach me to tape my nose, which again is usually normal protocol for nose surgeries. She made kind of a strange face when he said that, so i assume it wasn't a normal thing that happened there.

I flew back home the next day and waited for my nose to start healing. Everything was fine until the swelling eventually did go down. It became very apparent that one side of my nose was much more shaved (on the bridge) than the other and the tip was becoming quite uneven. About a year later, i emailed the doctor about my concern, because the side that was overshaved was also somewhat painful at times. He reassured me that it could take as long as 2 years for all of the swelling to go down. So then again at the 2 year mark i emailed him and told him i was expeeiencing the same issues. Part of the reason i chose Dr. Grigoryants to begin with was because he supposedly did free revision surgeries for his patients. I was expecting him to offer this solution but instead he told me to fly in for a kenalog shot which is supposed to thin the skin and make the nose appear smaller.

I flew in immediately for this shot, eager to finally resolve this issue. During our meeting he told me my nose looked normal and he had no idea why inwas complaining. He them proceeded fo ask me if i had a humo before and i said no (obviously he didn't remember me at all). After that he said oh well it's "so much smaller" now then and more narrow. I stayed silent, as this simply wasny true. I had developed a very distinct bump on one side of the tip of my nose and the bridge was obviously uneven. He said this was all normal and maybe i just needed an additional year of healing (yes 3 years total). I was sent away without the shot that i had just flown all the way in from the other side of the country to get. Obviously very upset about this, i shortly after called into the office and explained my disappointment to the staff. They were very rude to me over rhe phone and said that if the doctor says my nose is normal then it is and i should just "get over it". I emailed the doctor about how his staff treated me and my disappointment with a wasted trip to see him and he told me to come in and that he would do the shot. Well the shot helped slightly but the unevenness was still quite apparent (if not more so now) and the bump became even more distinct. Obviously at this point i realized something wasn't right. I spiraled into depression for the next year, realizing i had ruined my face and made a huge mistake choosing this doctor. I noticed one of the revision rhinoplasty patients he has formerly had listed on his website suddenly disappeared and then i saw that exact same patient's before and after on another doctor's website when i began looking for revision surgeons. I find that very dishonest and wrong, as i'm abaolutely certain it was the same parient because she has a very complicated and unique case.


I'm now post op 3 days with another doctoe in the area and i can't comment on if it was a success at this point or not, but my new doctor did find it highly bizarre how my last surgery went down. He said tissue is typically never taken from the head (only from behind the ear) and that he felt no cartilage at all when he touched my bridge. He thought maybe whatever he did put into my nose might have drifted down and causes the distinct bump on the tip. He also said it sounded like Dr. grigoryants was inexperienced and might have gotten cold feer before my surgery.

I find it funny that Dr Geigoryants knows who my new doctor is because i had mentioned to him that i would be having a revision with him. Dr. Grigoryants said "oh i'm sure Dr -blank- can fix it. He's one of the best". I thought maybe they knew each other or something, but when i mentioned to my new Dr that it was Dr. Grigoryants had done my primary, he didn't seem to know who he was at all.

I've heard from other patients Dr. grigoryants staff has a habbit of harassing people who leave bad reviews for him on real self. Well all i have to say is bring it on. I have endless photos and emails exchanges with Dr. Grigoryants outlining every single thing that i've addresssed here and i would be more than happy to share this info with anyone that might question my sincerity in this review. Notice i didn't even mention who my new doctor is, so as to not make this look like a fake review trying to leas people elsewhere.

I had a playmate friend of mine refer me to Dr. Grigoryants in the first place and she lTer admitted to me that she had done this intentionally to be mean to me because she was mad at me at the time (horrible i know). She later admitted that [RS bleep] models are advised specifically not to go to Dr. Grigoryants because he's ruined more than a few noses before and he's not very good at highly detailed work like the one i needed.

I'll post 3 before photos of my nose before any surgery and then 3 of it after. Nose the bump on the tip and the unevenness on the bridge.

Bteam33's provider

Vladimir Grigoryants, MD

Vladimir Grigoryants, MD

Board Certified Plastic Surgeon

Bteam33

Bteam33 rating for Dr. Grigoryants:

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Answered my questions
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Replies (41)

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October 10, 2016

Thank you for sharing your experience. I hope you find support in the community. 

October 10, 2016
Hmmm. Interesting... I am sorry you are going thru this, the way things happened are very similar to the ways things happened to me, (like he did not visited me after surgery) but I am loving my results and I am almost (no yet) 6 months post op. I am not in love to my front view (I want to think still swollen) but I definitely love super super super love the profile, is perfect. No one can tell I got surgery, but well, I guess as a normal person (not model although before I was a model) it is okay.
Maybe is not as bad as you think, we usually think and see every little defect in ourselves because we see ourselves everyday, but someone else will not notice.
I hope this revision gives you the best looking nose you are looking for!
I think, Vladimir is the best surgeon if you are looking for a "natural look" not something very tiny or upturned, he did an extremely natural job on me, luckily that was exactly what I was looking for, I did not wanted a smaller nose or anything upturned or "perfect" because I wanted to look like me but better. People did not noticed I got surgery, and they still not notice. I uploaded photos to my Facebook and everybody was like "wow you look so different you are another person" someone else said "you look very fake and operated" but that exactly same people that said that when they saw me on person they were like, "what happened?? you look so different in person I can barely tell any difference or signs of surgery" so seems like in pictures I look different but in person everybody has been like it looks so natural, not even one person in 6 months said: beautiful nose, is it operated? NO ONE. they just don't put attention to my nose, is like whatever you were born like that, doesn't look perfect doesn't look operated and there is the beauty normal people like me looks for. (but we do not work in the model/fashion world)
I understand you, as a model obviously you have to be "perfect" and I am sorry things did not go well for you. I hope your nose turns beautiful, and please keep on mind, than if you have a "natural not perfect" look you are going to look beautiful, look at Giselle bunch her nose is ugly and she look so pretty, and the list goes on.... Maybe you are seeing things we can not see, Will be nice to see a picture of your whole face that way we can see if looks bad or good and be honest with you.
I wish you the best, and I am sorry for your bad experience, do not take it personal, the doctor is a very busy person and that is his personality, but when I went there, there was a line of 20 girls waiting for see him, that tells you something. Is such a sad thing you had this experience.
Thanks for sharing your experience, It is good for people to have different points of view.
I hope you feel better with this revision, let me know your comments. Thank you
October 10, 2016
Was this a revision or a primary rhinoplasty?
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October 12, 2016
Primary. There was nothinf wrong with my nose other than the base was slightly wide. I wanted my nostrils brought in slightly.
October 11, 2016
I'm so sorry, that sounds awful :( I'm scheduled for rhinoplasty with Dr Grigoryants early next year but I'm now I have serious doubts.
October 11, 2016
He said that he didn't think I needed one either. I wonder if that means it's going to look worse afterwards.
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October 12, 2016
Wow! Interesting. I would beware. I've heard he does really good noses if the tip is already in good shape. I had the opposite problem. A good bridge but a wide tip. I hope this helps!
UPDATED FROM Bteam33
3 years post

Update

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Bteam33
Here's some license photos i dug up. The before is before any work at all had been done on my nose. The second set of license photos was approximately 3 yeara post-op primary rhino with Dr. Grigoryants. I feel my nose actually looks bigger/wider in the after photo and although it's hard to tell in the before photos (sorry about the blurriness it's an old photo) i can promise you there was no bump on my tip beforehand. My new surgeon felt the cartiladge Dr. G placed on my bridge to make it longer somehow drifted down into my tip making my entire nose messed up looking. This would also explain why when i pressed this bump, my entire tip area would move to the side. it was incredibly painful to the touch. The last photo i includes is approximately 2 years post primary rhinoplasty with Dr. grigoryants. I posted so you can get a better idea of what the bump looked like on my tip before it was fixed.

I'm not posting my new doctor's name for now because i want my review to be taken seriously and not look as if i'm just posting this to steer you all to another specific Dr. Please don't ask my in PM either because, again, i don't want to appear to be a fake reviewer. I'll be posting a review for that doctor in 2-3 months when i have a bettee idea of the results. So far it looks amazing at 10 days post and the bump is gone. My tip doesn't move which feels amazing and my nose is overall just more proportionate ro my face.

I would also like to point out that i've had other work done on my face since the pre photo was taken, so if my overall face looks better in the after photos it's because i had an eyebrow transplant and my cheek area also worked on. Just pointinf this out so you don't get distracted from the nose/balance of my face. Dr. G worked on my nose before any of these additional procedures, FYI, so that shouldnt influence your judgement of the nose.

I hope this helps!

Please feel free to sens any additional questions. I stand by my review here and i was extremely patient with Dr. Grigoryants waiting a full 3 years (like he advised). At one point i even offered to pay him full price for an entirely new surgery to fix the problem. Not to sound bragadocious, but money is no issue when it comes to my looks. He denied there was any problem to fix. Perhaps he realized he would only continue to worsen the issue. I think he is a very nice man and i appreciated being able to email him directly. He was always very quick to respond. It's my own personal opinion that he would do good nose work on eastern european type women who have naturally very narrow and small nostrils/tips and only need bridge work alone. He seems to do really good rhinoplasties when there's a humo ALONE to be removed, i've noticed. My advice is to go elsewhere if you have a wide tip or nostrils you're looking to fix.

Replies (25)

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October 16, 2016
Sorry about the typos above! Typed this up pretty quickly. Let me know if any one needs any clarification. Typos: Years** Included** me** better** to** pointing** send** hump**
October 17, 2016
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October 17, 2016
Dr. G just messaged me to inform me that he doesn't use a non-disclosure, but an arbitration agreement. You also agree to a non-jury trial, aka the inability to have the work be judged by your peers.

I'm not expecting my review to be helpful for everyone. However, I don't believe ad hominem attacks have a place in a review either, aleak0526. Any logical individual would realize this isn't exactly the appropriate place for it. If my review isn't helpful for you, if might still be for someone else. So maybe focus less on yourself and more on the bigger picture here in the real self community?
October 17, 2016
I too had work done by Dr. G & hey I love my new nose, everything about it including the tip HOWEVER last time I checked Dr. G IS human and RealSelf IS a place for people to express THEIR opinion about THEIR surgery. This person has posted pix and explained her perspective in detail so this isn't a fake review. Feel free to bully people who write fake reviews because that's messed up, but to bully someone who has an opinion you don't agree with is wrong and you should be ashamed of yourself. I don't know either of you but I can't stand bullies. This chic is allowed to be dissatisfied, who are you to tell her otherwise? You don't know her OR the doctor personally so what does it matter to you?? People can make their own decision about this doc based on ALL of his reviews. Anyone basing their whole decision on just one review should not have surgery in the first place. And at 3 surgeries a day, the doc ain't going hungry so chill out alrak0526.
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October 16, 2016
October 17, 2016
Wait what? His patients sign a legal document that says we can't post full face negative reviews? What does that mean? Like people can post negative reviews but aren't allowed to post pix with it?? I don't remember seeing anything like that, was it falsely presented as something else??
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October 17, 2016
Again, i was confused about the type of agreement he made me sign. I will go back into my paperwork and find exactly the wording. I'm studying for law school, so i probably notice things others don't.
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October 17, 2016
Dr. G just messaged me to inform me that he doesn't use a non-disclosure, but an arbitration agreement. You also agree to a non-jury trial, aka the inability to have the work be judged by your peers.

I will go back and check the exact paperwork to find out what wording i remember because i don't think the arbitration was the only one.
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October 17, 2016
Dr. G just messaged me to inform me that he doesn't use a non-disclosure, but an arbitration agreement. You also agree to a non-jury trial, aka the inability to have the work be judged by your peers.

I will go back to verify all of this. I take photos and keep copies of all paperwork i sign.
October 19, 2016
I don't remember signing anything like this at all! I'm 8 months post op with him and not too sure about my results. There wasn't too much to sign and that's why I remember. Plus I read everything before signing it. Is this something new?
October 17, 2016
Did he used spread grafts in your nose?????
October 17, 2016
Lol-You need to chill out! I can express my opinion and defend whomever I choose! Obviously u have no idea who I am so feel free to call me a bully. Like I care ha.
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October 17, 2016

I'm jumping in here as this conversation is going off track. As a reminder to everyone, please keep RealSelf's  Code of Conduct in mind when commenting. It's expected that every member participating in the community is respectful towards all members and no personal attacks or insults will be tolerated. 

Thank you!

October 17, 2016
If you didn't care you wouldn't be responding ha. It's people like you that keep others from posting and helping people make informed decisions. You have no place here with your malicious posts. I can't stop you unfortunately but I can post comments to show others that they have support against "internet tough guys" aka bullies aka you :-*
UPDATED FROM Bteam33
3 years post

Highlighted the bump

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Bteam33
Since some people seemed confused ehat bump i'm referring to. I went ahead and zoomes into the area and circled exactly where the bump projects out. Please compared to the same photo posted without the highlighted purple circle. I'm happy to look for additional photos if it would be helpful. I'm typically pretty busy so i apologize if i'm not super quick to respond here.

Replies (16)

October 17, 2016
October 17, 2016
October 22, 2016
THANKS for your post :) !!! Did you allready found a surgeon to fix it :)?
October 31, 2016
isnt this very easy to fix with fillers?
November 1, 2016
Yeah but I doubt she wanted to spend 10,000 to have to go back and fix it again.
November 1, 2016
Unfortunately cutting the cartilage on the tip evenly is not an easy task unless cut by a precision machine which does not exist. I have a very bulbous tip which is why I have been reticent about a rhinoplasty for 20 years. This doctor's work is some of the best I've seen tbh and still not perfect...
November 4, 2016
this seems like an easy fix, your nose looks wonderful