Treatment Provider

Andrew Jacono, MD
Board Certified Facial Plastic Surgeon
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EXHAUSTED

I'm exhausted. I can't breathe, I can't sleep. I wake up every day feeling no better than when I went to bed. If I sleep on my side and put ANY pressure on my nose, it squashes my nasal passages and I essentially sleep suffocating. I feel like I only have 40% of my previous air supply. He narrowed my nostrils too much, so now I don't have as much air coming in as previously. Additionally, there is a bone sticking out on my bridge that somehow affects my breathing - according to Jacono, this popped out (this was what he tried to fix previously with a hammer, unsuccessfully). Another note is that after flattening the bump on my nose, he didn't do something that he's supposed to do - rebuild my bridge. Now my nose feels unsupported, flat, and I’m not getting enough air.
All in all, he went wrong in a dozen ways. This was not diligent and professional craftsmanship. It makes me wonder if he had someone else perform the procedure, or maybe he's just not as good as he claims he is. Or maybe he just rushed through it and didn't care.
Either way, I didn't spend my life savings at the time, $15000, for supbar work, for him to rush through, or to be done by a surgeon in training. This is A LOT of money. I spent double what I should have for this type of procedure because I expected to receive better quality of service, attention to detail, and a final result. I have NOT. The past 6 years have been miserable. The first 2 years I was anxious and not happy, but I forgave many of the issues as I kept excusing them as I was still in the healing process. It's now 2018, the procedure was 2012, and I can honestly say that this experience has been the worst in my life. I think about my nose every single day, every day that I wake up and I can't breathe, every morning when I go to the bathroom and wash this stupid face. I have to drag my feet to go to the gym and exercise because doing cardio is currently miserable. When I breathe in too heavily, my nostrils collapse and I can't breathe, so I can't even run. I used to run every day. I used to hate missing a day. Now I hate running.
I'm just generally exhausted since I'm obviously not breathing/sleeping as I should be. Which is really strange, because my main purpose in getting this procedure done is to address breathing problems. That's the reason I sought out an ENT double board certified. Aesthetic benefits were secondary, as long as I COULD BREATHE. Now I can't breathe, in fact, it's worse than when I started. AND I feel UGLY, embarrassed, anxious, about my appearance. I'm also anxious because I CAN'T BREATHE and this has become a serious health issue. I don't have the money to run around for revision plastic surgery and I also have a number of family issues that I've had to address. This has taken so much of my life, it's insane.
SIGH.
I am ready to start looking for a revision to finally address years of issues by this reckless doctor. Any insight, information, assistance is greatly appreciated. I'm in the NY/NJ area but willing to travel for the right doctor. Thank you for all your help.

My nose today

This is what Dr. Jacono promised in the simulation and what I see in the mirror today.
As you can see, there is a clear issue in the bridge - it's crooked and unsightly and my tip is terribly swollen. Months (or maybe more than a year) after the procedure, he acknowledged that the bone came out of place and tried to ram it back in with a hammer (not kidding!). He anesthetized the area and jammed it back in, but this was temporary and useless.
To address the swelling in the tip, Dr. Jacono advised that he would inject a strong steroid, however, I received 2nd, 3rd, and 4th opinions and they all advised against it, as it was more than 2 years after the procedure. They likely wouldn't help at that point and it could also possibly do damage to the quality and integrity of my skin.
Another thing to note - I realized that Dr. Jacono never advised me to do anything after my surgery to address the swelling, other than just squeeze my tip once in a blue. I believe some are told to apply pressure every night in a consistent way, is this right? Shouldn't he have taken special care to do so, considering my thicker skin?
So, here we have:
poor workmanship, poor judgment, poor practice. STAY AWAY.

This is what Jacono's work looks like

4+ years later

swollen, shapeless tip
nostrils uneven
bridge is gone and crooked

It's also nonfunctional, can't breathe out of this stupid thing.

I'm interested in revision but I'm scared and horrified of making it worse. What do I do?

Provider Review

Board Certified Facial Plastic Surgeon
630 Park Ave., New York, New York
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