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POSTED UNDER Rhinoplasty Reviews

Never Thought I Would Do This, but Here I Am - Glendale, CA

20 days post

3 weeks post-op

WORTH IT$8,500
As you can see I have changed my rating from "Not Sure" to "Worth It". As time is progressing and I am getting used to my new nose, I am quite happy with the outcome. My nose is not a 100% perfect, as is the case with some of the other girls that had their noses done by Dr. G, but it is a huuuuge improvement. I have to say though the transition to this new look was pretty tough on me emotionally, so be prepared for that if you are considering this surgery. There are things that change on a daily basis (e.g. swelling that shows up and then subsides, etc.), so this process does require patience, but overall, I do believe that Dr. G is as good as it gets when it comes to rhinoplasty specialists. Don't get me wrong, I feel a little uneasy about making this statement prematurely, since I know things will change over time, but must say that I am quite pleased at the moment.

icantbelieveiamgoingforit's provider

Vladimir Grigoryants, MD

Vladimir Grigoryants, MD

Board Certified Plastic Surgeon

Replies (5)

June 11, 2014
I'm happy that you are now liking your new nose. I have a surgery scheduled with Dr G and I am kind of worried about the fake cookie-cutter nose look also. Could you please post more photos of the before and after from the from and sides? Did he do anything with your columella? Thanks.
June 16, 2014
Hey Margaret, i know how you feel. I had the same concerns as u. One side of my columella used to droop so he just sutured it back place so its more symmetrical - i dont think he took anythinf away from it. I had that same concern - i was worried he'd take too much away from my collumella. I have some issues at this point - a small bump on the bridge (not sure if its swelling), some uneven swelling, my nose is a tiny bit lopsided (but it was pretty crooked to begin with, so its still much better), i have some uneven swelling and to me it looks like i have this slight 'block-like' look but my family says it looks good, so maybe im just being too picky
July 2, 2014
Ok, well try to look at the positives vs negatives. I feel you're not thrilled with your result, but maybe you're your worst critic. I think it looks pretty good in the photos. Keep us updated.
June 11, 2014
June 16, 2014
I have that grooving along the bridges as well. Its from fracturing the bridge and narrowing it. It still really bothers me.
June 20, 2014
I hope you're recovery is going well! I just wanted to check in and see if you're happy thus far?
June 30, 2014
Hey, thanks a lot for check up on me. That's really nice of you. I am doing better and starting to enjoy my new nose. It no longer feels foreign to me. Right now there are just a few issues. The main one is a small bump on the bony part of the bridge and some residual swelling. I'll update my review when I get a chance. I hope you are still doing well also :)
July 2, 2014
Hi I saw one of your reviews you wrote about Dr. Naficy, I am curious to know your thoughts as I can't make my mind up about surgeons and would love your thoughts. I am scheduled to see him this week. Now, i'm just not so sure. You are right about the reviews. Ugs...my nose is really big and i just want to find someone who can get the job done. Thanks for sharing!
July 18, 2014
Hey, sorry, I guess I am too late at this point. I haven't been on here in ages. I cancelled with Naficy for many reasons and I can't say I regret going to Grigoryants, although, just recently, I started having issues with my nose after surgery. I am hoping that the issues I am facing are just swelling, but only time will tell. I guess there is no perfect surgeon out there and there are just too many variables that go into achieving a desirable result.
July 18, 2014
HI thanks for your response. After doing my research with three top seattle surgeons, i decided to go with him in the end. It was a really hard decision and something I have just kind of been praying about. I agree with you, there is just no perfect surgeon out there, one just has to hope for the best!
16 days post

Quick update

Hi guys, I just wanted to write a quick update because a lot of people have been pm'ing me and I having trouble keeping up with responding to comments on here because I've been busy. First of all, for those of you concerned about Dr. G's skill or competence, please don't be. He did not give me an ugly nose, nor do I have a botched nose job, it's just not what I had in mind. As time is passing by and my brain is adjusting to the new look, it's becoming easier to accept it and to kind of like it even, at times.

Like I said before, I can definitely appreciate the positive changes Dr G made to my nose (removed the hump, reduced the nostrils and brought symmetry to it), it's just that not everyone aesthetic taste is exactly the same and I feel like I should have been more clear in terms of what I want before the surgery. One of my biggest concerns was the artificial appearance and the upturned tip - these two are slowly getting better. A lot of people who have gone through this procedure messaged me over the past few weeks (before and after the surgery) and even sent me their post-op pictures. I was able to see how their noses have progressed through time and that they looked very different from the 2 months mark to the 4 months mark and even more so by 1 year, so I not losing hope that once everything is settled, I will come to love my new nose.

Also, keep in mind that the amount of meds I had in my system affected my mood and thinking. Now that I am out and about, getting proper nutrition and drinking lots of water, I am starting to feel better emotionally and am ready to face this recovery, which, as they say, may take up to a full year or even longer.

Again, I still think that Dr. G is one of the best surgeons out there and I am not just saying that. I have seen a lot of really botched nose jobs on realself and to be honest, I would rather go to Dr. G and end up with a nose that wasn't exactly what I was hoping for than to go to another surgeon who isn't as experienced and risk ending up with a botched surgery. At least if I ever decide to change anything about my current nose down the road, I feel like I'll have a good starting point and will require only minor adjustment. There is still a long way to go and only time will tell how I will feel about it down the road. I will most likely wait a month or so to update you again, but might post some new pictures before then.

Replies (3)

June 5, 2014
are you going to post a before surgery pic?
June 9, 2014
I removed those pictures due to some insensitive comments made. I will likely post them later. really busy these days
June 9, 2014
ok
June 6, 2014
Hun most would kill to have a nose like that! Dr. G just did mine and I LOVE it! Hes amazing!
June 9, 2014
yes, he did do a good job, I was just freaked out to see such a big change. It took time to get used to it. You look unbelievable! I still think he did a nicer job on your and RoxZ's nose than on mine (like I wish he deprojected mine a little more. I was a little disappointed, since it wasn't huge to begin with), but overall, it's a biiig improvement, as I mentioned in my latest update :)
June 6, 2014
Great!I am glad that you are feeling better now and I am sure it will only get better everything.Just in case,if you will ever consider doing something more to your nose,watch dr Cardullo from N.Y and dr Martin Stepanyan from Glandale.I was browsing and found those two who seem to have great natural results.Waiting for updates!Take care!
June 6, 2014
Lol. Did you not see the botch job that Ciardulo did -- the girl posted recently.
June 6, 2014
No.Which girl?I have seen one and it looked great.I also looked on his site.The noses look natural.The same with dr Stepanyan
June 6, 2014
http://www.realself.com/review/white-plains-ny-rhinoplasty-happy-the-results
June 6, 2014
I cannot access the link...
June 7, 2014
copy and paste it...
June 7, 2014
O.K. Thanks
June 10, 2014
Referring to someone's review as "the botch job" with an LOL is incredibly rude and insensitive. Glad you are happy with your results but everyone has different experiences with their own surgeons and seeing as this is a supportive community, it would be nice to see more acceptance and less judgement.
June 11, 2014
The "LOL" was before the comment. Therefore suggesting that one would be "laughing out loud" at the suggestion that one should see Ciardullo. The person herself refers to her nose as a "botch job". This site happens to be called "Realself" which one would interpret as less "kumbaya" and more "real".
June 11, 2014
Allyson, I would just ignore her. It's quite difficult for some people to learn to be tactful and sensitive.
11 days post

Not feeling so good..

Hey guys.. I am feeling kind of depressed these days. I keep wondering why such an experienced and talented surgeon made my nose look so artificial when that was one thing I kept mentioning I wanted to avoid. I guess that's just my luck.. I have not made up my mind about Dr. G just yet. It is easy to get angry and want to blame the surgeon, but I am still very early in my recovery process so I cannot really rate him just yet. Just based on the fact that he made my nose completely straight (this is one thing I hope stays the way it is) using closed rhinoplasty is very impressive. I consulted with many rhinoplasty specialists all over North America before choosing Dr. G and he was one of the few that suggested a closed approach to fix the asymmetry. On top of that, even the surgeons that proposed the open technique said they can't promise that it will be completely straight, so that part definitely impressed me..

I think the main thing that makes me feel really sad is the fact that my new nose is not the "type" of nose I asked for and this is unlikely to improve with time (whereas as the artificial look might). I gave him an idea of what I wanted by showing him some photos of other people's noses, but he had his own vision. Then again, I was also not a 100% clear on what I want so I do believe that I was to blame (at least in part) in that regard. So many people told me not to worry and to trust his aesthetic taste that I didn't think this was going to happen. I just wish I could go back in time and tell him not to take so much away from my tip, to give me more of a slope (instead of the half slope, half straight look I now have from certain angles) and lastly, I wish he deprojected my nose a little more as well.

Despite all I am saying, I know my 'before' pictures make you think that this is still a great result, but I do have some more flattering pictures of my old nose and it actually looked really good from a couple of angles. I wish I could prove this, but most of the pix from which i would have to cut out my nose have been on social media and I am really paranoid when it comes to being public about this surgery (although if my nose continues to look this fake, everyone will find out eventually anyway). I just wanted it to look symmetrical and good from all angles, not to get rid of what I already liked about it. I believe I already mentioned this somewhere, but at this point, I am feeling like I traded one set of issues for another. I used to have a crooked nose and the crookedness made it look "witchlike" from the right side, but now that side looks completely artificial instead. Don't get me wrong, I think he did an amazing job straightening my nose, I am not going to argue with that, but my nose looks very plastic.

Although my pictures are not clear and it is generally difficult to demonstrate what I see in the mirror with photos, you may be able to pick up on a couple of things 1) my nose looks 'oversculpted' as I mentioned - I feel like he took all of the fatty tissue out and now it's just cartilage underneath my skin. I read that surgeons sometimes 'defat' the tissue when performing rhinoplasty.. I think that really sucks because people actually get fat injections or fillers to correct an overly sharp nasal tip appearance.. 2) I have 2 completely straight lines running down the sides of my nose, which look like I have an overly obvious implant inserted. I forgot to mention, but he used spreader grafts to correct the pinched appearance of the middle part of my nose and now my nose looks prosthetic. I thought that because he was going to use my own tissue it will look natural, but from what I read it appears that spreader grafts can create an implant-like appearance.

All in all, I know that sounded like a really negative message, so I am hoping I didn't scare away any of Dr. G's potential patients. Although I am not happy right now, I still think he is a very skilled surgeon and is really worth considering. I am posting these updates to show people that rhinoplasty has it's negative sides too and to track my own progress. You may be lucky and have a really easy recovery as well as a great result or you may be like me and feel really uneasy throughout the process. I think that the risk of having an unsatisfactory outcome exists with any surgeon, so Dr. G is still a surgeon I would consider if I were someone else reading my own review. Also, I actually really liked his bedside manner and I felt like I was talking to a friend who wanted to help me every time I met with him. I hope that he is still like that when I see him next week and discuss my concerns.. From the stories I read, I know that some surgeons become quite nasty when you start to criticize their work, so I hope this won't be the case with him. I really don't want to go for a revision, but I want a natural looking nose. If I do end going for a revision, I will most likely go to him, but will be extremely specific in terms of what I want, unless I can find someone else who is just as highly recommended.

Replies (5)

June 1, 2014
I think you need to take a deep breath and give it time. As you know and as everyone says, you will not see final results for months. Your nose happens to look beautiful (by the way). I feel like if you ask strangers a leading question that they will tell you what they think you want to hear (in re: to how your nose looks i.e. overly sculpted etc). To be talking about a revision at 1.5 days post-op is putting the cart waaaay before the horse! I would give it 3 months before you decide that it is too sculpted/straight etc etc. I'm sure your meeting with Dr. G will make you feel better!
June 1, 2014
Thanks, I know I am sounding neurotic, but I can't help it. It may be a little unfair to Dr. G for me to be writing these things so early in my recovery, but I really do feel this ways at the moment and need to talk to others for reassurance. I hope people reading my review do understand that rhinoplasty recovery is a process and won't judge solely based on what I say so early on. I am also trying to keep my updates somewhat neutral by talking about the positives as well. Like I said, I really like him as a person and think he is very skilled. I just don't understand why RoxZ's nose and your nose looked so natural so early in the recovery process and mine looks so plastic. I know the revision talk is crazy right now, but I started thinking about the things I would want to change if I was to go through with it down the road. Obviously it is waaay to early to be thinking about that. I am looking forward to seeing him. Hopefully, it will look better by then :)
June 1, 2014
oops 1.5 weeks* apologies
June 1, 2014
Oh, and the spreader grafts are used so that your nose does not collapse later and to open airways. The "grooves" appear to be swelling over the bone and you will end up with more slope once swelling subsides!
June 1, 2014
I hope so and thanks for your help, as always :)
June 1, 2014
Hi! It's really normal to feel this way. Not everyone falls in love with their new look instantly. It's such a huge adjustment. I am a Dr G. patient. It's been over 2 years since my primary. I also had a revision with him. I think that some of the concerns you have will get better with time. The overly sculpted look will diminish and things will start to look softer and take on the contours of a natural nose. I also have spreader grafts and I remember a month after my surgery my mom asked me what those lines going down the sides of my nose were. That eventually went away too. Unfortunately my nose became crooked after the surgery( wasn't prior to it) but it sounds like your nose is very straight which is really important because I could tell my nose wasn't straight immediately after. My best advice is don't compare your recovery to others. There are so many variables that contribute to your own individual healing. Some of my issues got better with time and some didn't. Expect changes even a year after your surgery. Your skin will continue to shrink. It's a very emotional recovery so keep that in mind plus your nose is straight now which is difficult to achieve. I hope with time you will become happy with your results!
June 1, 2014
Thank you for your message. I agree with you in terms of comparing my recovery to others, but it's the only way I can get some insight on what to expect. I also agree about the symmetry - I am happy about how straight it is. I have been crying a lot over the past couple of days and got a migraine today. My nose also hurts from the crying it puts pressure on it, so I am really worried about distorting my results, but sometimes I just really need to let it out. I know I sound like a wussy, but I just miss certain things about my old nose so much. How long did it take until your nose started to have a 'softer' look to it and for the lines to go away? Also, how did he react when you told him you are not happy with your result after your first surgery and that you want a revision?
June 1, 2014
I will PM you.
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June 1, 2014
Aww, girl, I'm soooo sorry you're going through this! Like everyone else has said, its going to change a lot over the next year. I hope i continue liking mine and yours evolves into something you love! From your photos i like it! but it's how you feel that matters. Don't lose hope yet!
June 1, 2014
thanks dear, a year is a long time haha, but what can I do other than wait. enjoy your gorgeous new nose! :)
June 1, 2014
I'd give yourself time toget used to the new appearance. I am VERY sensitive to "done" looking noses and trust me, yours does not look like one of them! I think you're probably just not used to the new appearance yet and the nose is still swollen/healing, hence why it looks prosthetic to you. It will look more natural over time. The feeligs of nostalgia over your old nose are completely normal and many people can relate. Again, you just need to give yourself time to recognize your reflection as "you" but trust me it will happen!
June 1, 2014
thanks, but like I said it's very difficult to portray what I see in the mirror with a phone camera and poor lighting. It looks pretty good in dim lighting even in real life - you can't see all the grooves and the distinct lines running down the sides of my nose as much in dim lights, but in natural light it looks plastic. I am hoping this is just temporary though. I am definitely feeling nostalgia over my old nose - not all of it, but parts. I am not blind to the improvements in the symmetry and profile appearance though, but I just wish he didn't reduce the width of my tip so much. Thanks a lot for your message. I really appreciate you trying to cheer me up :)
June 1, 2014
I totally get it. I'm sure things will get better- I hope you continue to appreciate the good and come to accept whatever it is you don't love. Sending you positive vibes.
June 2, 2014
Thank you and I am hoping it gets better also