Revision Rhinoplasty Done by David Roberts in London

Hi, it looks like your problem is that the skin has shrunk revealing scar tissue. Unfortunately scar tissue is a much more likely problem with revisions, as remaining scar tissue can become inflamed. Have you gone back to see him to get some cortisone shots? That can help with the scar tissue- at least softening it. Your nose doesn’t look too bad. The lump looks sort of like a mole, my mum had one on the tip of her nose from squeezing a spot of all things! It was permanent but she was still a pretty lady! Think before considering any more surgery

Hi Im currently having fillers in my nose and getting a revision with David Roberts later in the year. Do you have any before and after photos?

Was it a revision or primary? I am considering him as a doctor so your story would help me make an informed decision. Thanks

Hi, it was a primary surgery. I have written a review and just posted an update. I was in WhatsApp contact with FlowerPower and her photos are the main reason I went with him and didn't see other surgeons. Please feel free to ask me any questions.

Hi, why do you need fillers and revision? Did David Roberts file your bridge down too much also? I can share before and after photos on WhatsApp but am not quite ready to post them on here. I will do soon though.

Hello. I am so sorry to hear that you did not have a good result . I am due to see dr Roberts in March. Would it be possible to see a photo ? Sorry to ask as I know how distressing this must be for you. I am just so concerned that I My have made the wrong decision . Thank you

*ignore the tiger was a typo!

Hi sorry for the late reply. I'm not sure why he doesn't have a profile. When I went to him before the op he said he stays off social media. Did you go and see him in the end?

Hi Morenita,

I just replied to you on my review - sorry I didn’t realise it was you. So yes I had actually booked with him but cancelled...The reviews on here made me very worried about using him especially after he didn’t rely the risks to me. Who are you considering booking with now?

*relay

Hi Rachael, thank you for feeding back on this. I'm not sure who to use now. The thing is I never even considered I would be in this position because like with you, he didnt talk about the risks with me. It's so hard to deal with an outcome that was foreseeable but you were never warned about no matter how many questions you asked. I have seen Santdeep Paun and Niall Kirkpatrick but I really am at loss as what to do now because the bone has been shaved down so much and this so far removed from anything I ever expected. What did you end up needing grafts for?

I'm glad you ended up going with someone that went through the risks with you and hope you're happy with the result.

Hi Morenita I am so sorry that you are in this position. I also considered Santdeep Paun but I was really pleased with my consultation with Dr Townley and so I cancelled. Paun has a lot of really good reviews, how did you find the consultation? Did he say that he thought he could help you?

Thanks Rachael. I thought Santdeep Paun was thorough, honest and ethical. I didn't see any of his results though so have no idea about those. He said he could rebreak the bones and take them back out. But the thing is Roberts has over shaved the bone, my nose is never going to look like it used to without grafts or fillers for life. I also have to think about cost - the fact that I'd be paying for two operations i.e. £14k when, if Roberts had been honest and open about the risks, I wouldn't have even have had one.

Perhaps ask if you can see some before / after pics, there should be some on here too? If he thinks a graft could work perhaps go for that over fillers as fillers will entail a lot of upkeep and in the long run will cost more. I have a graft in the end to stop my tip dropping and along the sides to keep it straight - sorry I just noticed that you asked this before but I missed this.
I know it’s such a lot of money to pay out for but if it makes you happier it will be worth it.
Did Roberts accept that he had made a mistake?

Hi Rachael, you were very smart to see another surgeon so that you could see Roberts wasn't telling you about the risks. If I had seen another surgeon, it would have helped me see that too but I naively believed he was the best (Tatler, past patients etc). He admits a) the bone is sunken on one side and b) there is a gap between my cartilage. He admits that my bone needs to be rebroken and taken back out on one side and that I need I need filler or a graft on other side . He admits that he didn't ever warn me of the risk of needing a filler or graft before the first surgery (only the possibility of a steroid injection) or needing rebreak the bone. He agrees that from the before photos that my bump was cartilage and bone and that he only addressed the bone. But he won't admit this outcome was foreseeable, which doesn't make sense to me. It is obvious even to me as a layman that if you only address the bump in the bone and not the cartilage then the cartilage will bulge over the bone. I now remember I specifically asked him in my second consultation if I would need grafts (another dealbreaker for me) and he said no. He could have said "well, unless the bone is shaved down too much", which is what has happened. I think there are three reasons this has happened 1) He didn't analyse my nose enough before the surgery. 2) He was so confident in his ability that he believed it precluded him from the risk of over-shaving the bone and needing to address it with a graft 3) He didn't err on the side of caution when shaving my bone. I am now in a situation that he never prepared me for and he knew before the op that I didn't dislike my nose, so this is so totally unnecessary. I went to him from a small refinement in my nose and I end up needing to put things in it to make it look normal again. And it's not because I didn't ask about the risks - I even specifically asked about the need for grafts.

Sorry for the long reply. I just went to see him and he's only just admitted that I need a graft (before he said it would be addressed by rebreaking the bone and making it wider). I feel so misled into having the surgery given all my questions beforehand. He says that he didn't tell me about the filler because I didn't specifically ask about it but I did ask about the grafts.

Hi sorry for the delay. Don’t feel it’s your fault for only seeing one surgeon; I only saw one for my first rhinoplasty and would have only seen Roberts had I not read the reviews on here. In admitting that your nose now needs further work, due to his mistakes, I’m assuming he agreed to waive his fee for revision? (you would still have anaesthetist and hospital fee) but guessing you wouldn’t want to risk going to him again?

I also went to see Roberts due to the recommendation in Tatler - what are they basing their top review of him on as I can find any of him anywhere?

Hi Rachael, thanks for your reply. I just feel so cheated into having surgery in the first place. It's so hard to forgive myself for the level of trust I put in him. Yes, he has waived his fee for a revision but he said I have to decide if I can trust him again. It's also horrible because a week before my surgery I got worried after seeing kmp112's comments and photo and his past patient just dismissed it as 'oh it's a revision, it's harder' etc but now I myself am in need of a revision. I've no idea where the Tatler recommendation comes from either but it did give me a completely false sense of security. A girl on here from the States said that, in the US, the 'top' surgeons in the US with magazine articles etc are just the ones that spend more money on marketing. I really don't know how it works in the UK though. How is your recovery going? Hope things are still looking good?

Stop blaming yourself - you read a review where he was named top nose surgeon in the UK, had a consultation where he appeared to be confident in what he was doing and so went ahead. When a magazine like Tatler says this is the man to go to you think that it must be pretty reliable. And I thought the same. Yes good thank you swelling is slowly coming down - there’s more this time as it’s a revision and I had more work done than the first time round so having to be patient! Dr Townley has emailed to see how I am which is really nice. I’ll keep you posted on how it goes. I really do hope you’re ok. This whole process can be very stressful and it sounds like you’re having a horrible time. It will get sorted though, you just need to find someone that you can put your trust in again

Thanks for your understanding Rachael. I'm happy to hear that your results are still looking good. And that is really nice Dr Townley has checked up on you. Finding a surgeon who genuinely cares about you as a person is so important. Roberts didn't even check up on me after he was told I was extremely depressed as a result of the outcome. And that was before I'd even complained to him and wrote my negative review. I hope the swelling settles down very soon and you're ecstatic with the final result x

Good Morning,
That’s really unprofessional of him, you were his patient and he should have been checking that you were ok, particularly when he heard that you were upset with the result.
Please keep me updated on how you get on and try and stay positive. Always here if you want to chat! I really do think you will find someone you can help you. Thanks for your kind wishes, will keep you updated on my results too x

I know and what's worse is that he showed me signs of this before surgery but I misinterpreted them. At my second consultation, my mum told him that she found it hard to trust surgeons as I had a terrible experience with non-cosmetic surgery previously and I had needed several revisions to fix it. He didn't even flinch. He just said something like 'I specialise in revisions....people come to learn from me'. At the time I (incredibly naively) interpreted that as 'he's that confident he can improve my nose' otherwise he would use the opportunity to warn me of the downsides of this surgery. But actually now I realise he just didn't care. In my opinion, an ethical doctor would think 'this person has already been through hell, I don't want to cause her further trauma so I should make sure her fully aware of what could go wrong'. I saw him for a third time and again still no warnings just more confidence. I know I was stupid to not see this as a red flag but really he just had me fooled, probably because he isn't a plastic surgeon he's an ENT and the head of dept on the NHS. I remember when I was having doubts thinking 'but he's not like **** (the first surgeon that performed the non-cosmetic surgery) but actually that past experience that had haunted me every day for more than a decade pales in significance to this experience. I am actually an incredibly private person and have never been on any social media before but I'm posting so much personal detail now because I do not want anyone who was as naïve and trusting as me to go through something similar. Thank you so much for your messages Rachael, we'll keep each other updated x

He definitely should have said there could be complications. I appreciated that so much with Dr Townley - he said it wouldn’t be perfect as no nose is and whilst he believed he could improve my nose there is always a small chance that something could go wrong. He gave me all of the facts so that I could make an informed decision. Roberts just said that I had a nice nose already and it was a small improvement that he could make. So very similar to you. You are making a difference on here as you helped me so thank you very much. I hope that you are ok now health wise following your previous surgeries, it sounds like you have a had tough time. Yes absolutely, please do stay in touch x

I know - that's all I needed, to be made aware of everything so I could make a fully informed decision and wouldn't have the right to say to him 'why did you not once mention this as a possible outcome before even when I specifically asked about grafts?'. I would prefer to be able to say 'it's awful this happened but you did warn me about this' but the fact is I wouldn't have gone ahead with the surgery if he had warned me. I'm so grateful that you've also shared your consultation experience with him and contrasted it with another surgeon's. At least that will show people to see more than one consultant. Thank you for your encouragement, you seem like a lovely person. x

So sorry for the delay busy weekend!! Exactly - then you would not have gone ahead and would have saved yourself all of this upset.
No problem at all, it’s been lovely chatting to you :) keep in touch and stay positive x