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POSTED UNDER Rhinoplasty Reviews

Male - Septo / Rhinoplasty - Gothenburg, Sweden

UPDATED FROM sean99
2 years post

2 years post-op

sean99
$5,000
Hi,
It has been 2 years since my last surgery. I've been getting regular steroid injections to prevent uneven healing and permanent swelling from scar tissue build-up. I will continue with the steroid injections until I feel satisfied that there won't be any more swelling.
I have developed a small hump on my nose, but I don't mind it at all. In fact, I think it gives my nose a bit of character.
I am still getting fractional laser treatment to smooth out the skin. These photos are from today, after a session of laser treatment.
On a side note. My breathing has become drastically worse. The skin on the side of my nostrils have become weaker which makes breathing through my nose harder. There is a new treatment for nasal valve lift that I am considering. The treatment is outlined here (not sure if outgoing links are allowed https://www.ncbi.nlm.nih.gov/pubmed/25536134)
Other than that, I am happy I went through with this, and Dr Thomas Westin takes really good care of me, even 2 years after my surgery.

sean99's provider

Dr. Thomas Westin

sean99 ratings

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Very professional and seems knowledgable.

Replies (3)

October 14, 2017
You look great! Very natural. What is your background?
October 14, 2017
Thank you. My background... if you are asking for my ethnicity, I’m Persian
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November 5, 2017
Hey man your result is very nice. You write you are still receiving steroid shots. Do you know what dose/strength your surgeon is injecting? Is it 10 or 40? Next month I am getting my tip revision and part of the aftercare will be also steroids. Thanks!
November 5, 2017
Hi, I’m still getting the lowest strength. It definitely works, and I prefer using the lowest dose every 6-8 weeks than going with a heavy dose and risking things going wrong Wish you the best! Good luck! Keep us updated.
December 1, 2017
Your nose profile looks like what you'd see in a Greek statue, very nice
UPDATED FROM sean99
1 year post

Quick update

sean99
Been doing regular injections and laser therapy. Keeping things at bay.

Replies (1)

February 19, 2017
The scarring from your reaction looks gone in these pictures and swelling less! Are you happy? I'm having a tiny bump shaved down off my right side on March 7th. It was there before my surgery, but my doctor thought the fascia graft would conceal it. Unfortunately, it didn't, so he said he can do a simple procedure in his office under local to smooth. I hope I don't completely swell right back up again. Ugh! Anyway, nice to see an update!
February 19, 2017
Hi, the scars get less visible with every laser treatment. I can still see them and they bug me. As far as swelling goes, I'm mostly happy about the shape of my nose. There is one part of my nose (left side / supratip) that is healing unevenly. But we keep injecting steroids there every 6-8 weeks. But I must say, overall, I am way happier this time than last time. Had a look at your pics again. You have a really pretty nose. Hope you'll get the results that you want! Good luck.
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February 19, 2017
You obtained a great result man, I would be very happy about it. Aren't you scared of the risk of getting dents by getting so many steroid injections? What does your surgeon do to prevent/minimize this risk?
February 19, 2017
Thanks. We're still only injecting the lowest possible dosage, every 6wks. There's no way of knowing what would have happened without the injections. But efter the first surgery, my nose kept getting bulkier and bulkier due to scar tissue build up. So one could come to the conclusion that the injections are keeping down the scar tissue build up.
February 19, 2017
Did you end up getting the injections?
February 20, 2017
My doctor has suggested a small, very diluted shot in my tip the same day as my in office revision. He said it will resolve the last of the swelling in the tip. Some days my tip look really refined and others it swells a bit. It's so crazy how long the healing process is for this surgery! Do the injections hurt?

Thank you very much for the compliments. I posted a few more pictures today from days when my swelling is down. I think this is close to my final result. I'm afraid the little revision will reset the swelling clock 6 months, but what can you do, lol!
February 20, 2017
The injections do hurt. My doctor usually uses super fine needles, but you can still feel it, like a normal shot. This last time he used another type of needle - I think he said it helps spread the solution better. Those hurt more, and actually left a tiny red dot for a day or two. By the way, here in Sweden they only allow the lowest dosage of steroids in the injections. Which I think is a good thing.
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February 22, 2017
No not yet, my surgeon did not want to give them but I still have this annoying swelling in the tip. In March I see another rhinoplasty specialist that will try to determine the cause and when it is scar tissue he will inject some steroids. Indeed, as you say, the lowest dose to see if it helps resolve the last bit of swelling.
UPDATED FROM sean99
1 year post

After second laser treatment

sean99
Right after my second fractionated laser treatment + PRP. I'm a firm believer of this treatment to smoothen out skin. It has done wonders with the scars and blemishes on my nose. The PRP promotes healing, but is somewhat disputed as a treatment.

I have also had three rounds of steroid injections. Going back for a fourth round of injections in a week or so. Also going back in 6 week to re-evaluate whether I need more laser.

Replies (3)

January 14, 2017
I wrote that I have had 3 rounds of injections, but it's in fact only two rounds.
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January 15, 2017
Your nose looks great.
January 15, 2017
Thanks.
January 20, 2017
Thanks so much for sharing this. Not enough guys post their photos regarding swelling, etc. It has been a crazy journey for me and I never realized how just a few millimeters can make such a difference in appearance.
January 29, 2017
You are so right. Those few mm can make all the difference. One thing I learned from my primary surgery is that some swelling can be permanent, if it's due to build up of scar tissue in the area between the bone and skin. I had 3-4 mm of build up that made my nose bulky and generally big. This time we're injecting steroids into that area to keep the swelling to a minimum. Good luck with your healing process!