POSTED UNDER Asian Rhinoplasty Reviews
Indian Ethnic Rhinoplasty - Dr Julian De Silva (Hammersmith, London) London, GB
UPDATED FROM nehaob
1 year post
18m Sadly NO Improvement. Waste of Money!
$11,500
Hi All,
Apologies for the radio silence. I wanted to wait before I said anything further. It's now been 18m since the operation with Dr JdS... Here is the breakdown:
1) My side profile bridge is straight, as I mentioned many times above, however when I run my finger down it I feel a clump of tissue / scarring between the join of the bone and the cartilage. If you look closely, in certain light and angles you can actually see ANOTHER bump. Ie - the very slight dorsal bump that was on the bone has now been replaced by a small clump of tissue further down my nose...
2) NOTHING has changed with regard to the tip. It is bulbous. It is round as it has always been. Shows up from far in photos. For Dr JdS who bangs on about celebrity features, this lack of attention of detail to me is laughable. I have made myself busy with work to basically avoid feeling depressed about how I paid a premium for substandard service. This is truly the biggest regret of my life.
3) As we all know, absolutely nothing was done about the 'over projection' of my nose, that is, the surface area of my nose compared to the size of my face. This is because Dr JdS did not offer to reduce my nostril size or reduce the height of my nose. If you actually read my detailed post you will realise that he instead offered to put a chin implant, which was not even a concern of mine = It shows you how he just wanted to do quantity over quality.
_ _ _ _ _ _
I dont know how many times I can repeat myself. Nothing I can do or write on realself can change the results. Every time I log on to this website I hope I can finally write something positive. But the facts are the facts. I cannot lie to myself. This is what has happened to me. This is my experience. There are some on this site who are lucky with their experience - but that's my POINT! - You have to be lucky... Its not a guarantee! This is what I wish I knew as an ethnic person.
I would still not recommend JdS. He is great at talking calmly and seems methodical. But ultimately, this is my body, I know what he did and didnt do... Its all in the details above. He simply does not know how to adjust ethnic noses! I just hope that some one can benefit from this. Please read my post above. 18m on and substandard results? Really? Would you really pay ~8k for that? No. You shouldn't, no one should feel mislead and lost as I did.
Now that it is 18m, I can firmly say in all honesty: I would never do this again. The surgeons here apply their own beauty standards on other people. The surgeons here ignore requests from patients and when the results disappoint they just say 'its because your ethnic skin' and 'everybody is different'. What I SHOULD have done, is try to find an ethnic girl who was treated by an ethnic surgeon ie someone who can relate to common aesthetic desires and learnt from that journey, rather than going to someone who shamelessly name drops celebs.
This journey has been exhausting and disappointing. Again, as I mentioned above. Literally no one noticed a single improvement of my nose. Not even my damn family. I had to sit there and describe millimeters before they politely agreed. The only noticeable difference between now and before Feb 2016 was the fact that my nose balloons in the morning before calming down by lunch, when before it didnt.
A friend on this website who went to JdS before I did has now undergone a revision surgery. Unfortunately her issues were actually worse than mine. So I can understand her concerns. But now that I am also coming up to 24m I will start re-looking at options. Perhaps go abroad as these caucasian surgeons don't know what they are doing when it comes to ethnic patients. If any of you have gone through my journey with me and have found a better surgeon or rhinoplasty specialist who has a good track record PLEASE do let me know! I hope that my details above were of use to some of you, and I would greatly appreciate any tips you have come across!
The nose and ears are examples of parts of the body that continue to grow. I have learnt a lot on this journey and also have first hand experience of how and where communication, skill and therefore trust breaksdown. Equipped with this experience, I am a little more hopeful for the future. I will demand a clear understanding from whoever I speak to next.
The search begins.
Apologies for the radio silence. I wanted to wait before I said anything further. It's now been 18m since the operation with Dr JdS... Here is the breakdown:
1) My side profile bridge is straight, as I mentioned many times above, however when I run my finger down it I feel a clump of tissue / scarring between the join of the bone and the cartilage. If you look closely, in certain light and angles you can actually see ANOTHER bump. Ie - the very slight dorsal bump that was on the bone has now been replaced by a small clump of tissue further down my nose...
2) NOTHING has changed with regard to the tip. It is bulbous. It is round as it has always been. Shows up from far in photos. For Dr JdS who bangs on about celebrity features, this lack of attention of detail to me is laughable. I have made myself busy with work to basically avoid feeling depressed about how I paid a premium for substandard service. This is truly the biggest regret of my life.
3) As we all know, absolutely nothing was done about the 'over projection' of my nose, that is, the surface area of my nose compared to the size of my face. This is because Dr JdS did not offer to reduce my nostril size or reduce the height of my nose. If you actually read my detailed post you will realise that he instead offered to put a chin implant, which was not even a concern of mine = It shows you how he just wanted to do quantity over quality.
_ _ _ _ _ _
I dont know how many times I can repeat myself. Nothing I can do or write on realself can change the results. Every time I log on to this website I hope I can finally write something positive. But the facts are the facts. I cannot lie to myself. This is what has happened to me. This is my experience. There are some on this site who are lucky with their experience - but that's my POINT! - You have to be lucky... Its not a guarantee! This is what I wish I knew as an ethnic person.
I would still not recommend JdS. He is great at talking calmly and seems methodical. But ultimately, this is my body, I know what he did and didnt do... Its all in the details above. He simply does not know how to adjust ethnic noses! I just hope that some one can benefit from this. Please read my post above. 18m on and substandard results? Really? Would you really pay ~8k for that? No. You shouldn't, no one should feel mislead and lost as I did.
Now that it is 18m, I can firmly say in all honesty: I would never do this again. The surgeons here apply their own beauty standards on other people. The surgeons here ignore requests from patients and when the results disappoint they just say 'its because your ethnic skin' and 'everybody is different'. What I SHOULD have done, is try to find an ethnic girl who was treated by an ethnic surgeon ie someone who can relate to common aesthetic desires and learnt from that journey, rather than going to someone who shamelessly name drops celebs.
This journey has been exhausting and disappointing. Again, as I mentioned above. Literally no one noticed a single improvement of my nose. Not even my damn family. I had to sit there and describe millimeters before they politely agreed. The only noticeable difference between now and before Feb 2016 was the fact that my nose balloons in the morning before calming down by lunch, when before it didnt.
A friend on this website who went to JdS before I did has now undergone a revision surgery. Unfortunately her issues were actually worse than mine. So I can understand her concerns. But now that I am also coming up to 24m I will start re-looking at options. Perhaps go abroad as these caucasian surgeons don't know what they are doing when it comes to ethnic patients. If any of you have gone through my journey with me and have found a better surgeon or rhinoplasty specialist who has a good track record PLEASE do let me know! I hope that my details above were of use to some of you, and I would greatly appreciate any tips you have come across!
The nose and ears are examples of parts of the body that continue to grow. I have learnt a lot on this journey and also have first hand experience of how and where communication, skill and therefore trust breaksdown. Equipped with this experience, I am a little more hopeful for the future. I will demand a clear understanding from whoever I speak to next.
The search begins.
nehaob's provider
UPDATED FROM nehaob
7 months post
Ethnic Rhinoplasty Needs 18m...?
It has been 7 months since my surgery. Every time I visit JdS he extends the timeline to see the final results. The elusive 'steroid injections' do not work. I feel they are just a placebo, especially as JdS himself said he doesnt want to use them too much (but he did not offer any further explanation as to why he wanted to limit the injections) I suppose he doesnt want to waste his resources on me as Im not worthy enough, also my nose is clearly a lost cause so whats the point, ey!?
IF THE SWELLING DOES NOT SUBSIDE BY 12 MONTHS I WANT JdS TO PROVE WTF HE DID TO MY FACE!
I had an open-rhinoplasty procedure. This type of procedure is used for 2 reasons:
1) If you are just shaving the hump and not dramatically altering any other dimensions.
2) If you dont know what you are doing or have never dont ethnic rhinoplasty before.
There is literally NO DIFFERENCE to my front view which was ALWAYS F'ING LARGE!
This is so unfair and I am running out of patience.
Here is a warning to all the other South Asians out there:
ASK TO SEE THE RESULTS OF OTHER ETHNIC PATIENTS LIKE YOU FIRST BEFORE CHOOSING THE SURGEON. DO NOT MAKE MY MISTAKE!
IF THE SWELLING DOES NOT SUBSIDE BY 12 MONTHS I WANT JdS TO PROVE WTF HE DID TO MY FACE!
I had an open-rhinoplasty procedure. This type of procedure is used for 2 reasons:
1) If you are just shaving the hump and not dramatically altering any other dimensions.
2) If you dont know what you are doing or have never dont ethnic rhinoplasty before.
There is literally NO DIFFERENCE to my front view which was ALWAYS F'ING LARGE!
This is so unfair and I am running out of patience.
Here is a warning to all the other South Asians out there:
ASK TO SEE THE RESULTS OF OTHER ETHNIC PATIENTS LIKE YOU FIRST BEFORE CHOOSING THE SURGEON. DO NOT MAKE MY MISTAKE!
Replies (5)
H
September 21, 2016
After 18 days I will be eight months, there is a little improvement, but I think I will need two years for the swelling to subside. Still, have the dent and fullness in the tip
N
September 22, 2016
I think they should mention this to ethnic clients from the start. They should say 18-24m otherwise we have too high expectations. These surgeons are too concerned with business by saying they have shorter recovery times etc. Just say the facts! This industry is too concerned with white / caucasian clients, when there is so much more genetic diversity in this world.
L
December 19, 2016
Initially you seemed very happy with the result and you said the hump was reduced and the tip was defined how you like. You were happy it was natural looking. I don't understand what you don't like now?
N
September 4, 2017
That was the 'immediate reaction' post which I was more lenient in review as I knew (hoped) there would be swelling masking the final result. But what I did not realise was the fact that 18m later the tip was not as defined as I would have liked it. The slight hump is now straight, but see my latest post for the full details.
L
December 31, 2016
Hello. Firstly, thank you for such a detailed and pedantic account of your journey. I am South Asian myself and your experience has actually deterred me from consulting Dr. De Silva. Have you undertaken any steps since to revise your nose? Completeing a lot of research on finding a good ethnic rhinoplasty surgeon in London, which I have tried to be more thorough about given all the points you have made. In face, I made an account exclusively to message you! Please could you recommend any other surgeons for my rhinoplasty? I've ruled out Dr. Uppal after seeing numerous bad reviews on Rhino. Dr Kalpesh Patel is the only qualified surgeon I have come across so far who could give me the results I need. Will be waiting eagerly for your reply! x
R
January 1, 2017
I'm Indian and had a consultation with Dr. De Silva. I found him and his staff to be pleasant, however he didn't seem to be as knowledgeable about ethnic rhinoplasty as he makes out. After seeing the results he's had, I wasn't impressed. Quite frankly it was a waste of £250. After agonising over researching surgeons, I came across Lucian Ion. I have now had 2 consultations with him and am thoroughly pleased. I would definitely recommend you looking into him, if you haven't already x
L
January 4, 2017
Hi Rkaur92! Thank you kindly for your correspondence. Yes I have come across Lucian Ion too. He has all the correct qualifications and on his website states he is completing ongoing research on Rhinoplasty. Have you spoken about this with him? I always worry if some information is inaccurate. And did you ask to see before and after photos of Rhinoplasty he has completed on South Asian girls? That is key too! x
R
January 4, 2017
I don't remember specifically asking about his ongoing research, however he spoke very knowledgeably about new techniques and what is achievable with them. I know he's also a member of BAAPS. I personally wouldn't consider somebody who wasn't, which is another reason I was disappointed in De Silva. He went through quite a few before and after pictures which were relatable to me. A big concern for me was that I thought I had quite thick Indian skin which may be hard for him to shape. He assured me it wouldn't be and that Indian skin isn't the thickest he works with. He then showed me some before and after pictures where he had operated on patients with very thick Indian skin (thicker than mine), and Afro Caribbean skin too which is thicker than Indian skin. He also showed me the predictions he gave patients before showing me the end result so I could see how accurate his morphs were. I found that really helpful to fully understand what was possible and to be reassured he wasn't selling me on a result which isn't achievable. x
L
January 9, 2017
That is because he did his training and fellowships in America, where the number of rhinoplasty are significantly higher. It's not like it was a third world country. Which he has also worked in mind you. I'm glad you found a surgeon that feels right for you, but another person would look at Lucian Ion's before and afters and say they were mediocre. Or meet him and not be impressed like you were not with Dr De Silva. Everyone should do what feels right for them.
R
B
May 15, 2017
I agree, following the morph Lucian ion did for me, I wasnt overwhelmed by the outcome and I also belive how comfortable you are with your surgeon matters too..
H
January 8, 2017
What happened when you asked De Silva about the surgery? Did he ever confirm only a hump was shaved off?
N
September 4, 2017
Thanks for your question - He said he did supposedly narrow the tip. He would have had to do that in order to put in a little graft to support it. However, as we have found out, even at +18m mark there is very little change to the definition. Even if he apparently did do some edits it simply just was not enough! This was poor judgement IMO. As a surgeon he should have known how much to tighten in order to compensate for the 'south Asian skin'.
C
January 12, 2017
thank you for your posts, its very helpful, and very sorry to hear about your experience, will not be using him as l would like to narrow my nose width.
N
September 4, 2017
Hi, thanks for the feedback, yes for sure I can understand. To narrow the width of the nose requires a lot of skill and goes above what JdS can provide if you are an ethnic person. If you are not ethnic, you may get better results. He did not once offer to reduce the width of my nose, he only slightly reduced the hump. Thats it. I hope your search leads you somewhere better.
UPDATED FROM nehaob
3 months post
Trust Your Instincts!
From my post on the 12th of February titled 'Immediate Reaction' I said the following:
"So in summary, I am hoping after the swelling has gone down over the weeks, I will be able to see the improvements that his work brought to my nose. I would hope that the width of the bridge at both the top and bottom should eventually settle and narrow! As there’s no point doing open rhinoplasty if all I got was a slight hump reduction."
And based on my more recent posts, it appears that the following weeks DID NOT show a change in the top and bottom of my bridge. My gut reaction was right! All I got was a slight hump reduction. I initally wrote my concerns down so that I was able to go back to it and confirm whether or my concerns were out of place - but they sadly were not. My instincts were right.
As it was my first cosmetic procedure I was too distracted by all the swelling in my face to accept the fact earlier in my recovery that all I basically got was a minor hump reduction.
Dr JdS did you not read my file notes? Do you just blindly walk into your client operations! No one outside my immediate family know I even got a rhinoplasty!?!? You shaved off millimeters off the hump only, is that called 'balance' to you? Why did you do an open surgery in that case?
If you could not apply certain techniques as a surgeon, you should not coax patients in and do what you want to them in theatre! If you couldnt be bothered to attempt to slim the width of my nose I want my money back!
For all those with ethnic backgrounds out there who are considering Dr JdS, please read my detailed account above. This is not right or fair! There are other girls on this site with an ethnic background that have similar issues, I am not an unusual case it seems...
ALL I WANTED WAS A NORMAL NOSE! I did not ask you to emulate someone elses nose, I just wanted a slimmer, refined nose. Why was that so hard for you to understand? I feel so let down by the whole system. There is no protection for patients it seems. This industry is so hit and miss. Even someone as methodical as me has suffered the negative effects of dismissive surgeons who dont realise how much this means to clients.
"So in summary, I am hoping after the swelling has gone down over the weeks, I will be able to see the improvements that his work brought to my nose. I would hope that the width of the bridge at both the top and bottom should eventually settle and narrow! As there’s no point doing open rhinoplasty if all I got was a slight hump reduction."
And based on my more recent posts, it appears that the following weeks DID NOT show a change in the top and bottom of my bridge. My gut reaction was right! All I got was a slight hump reduction. I initally wrote my concerns down so that I was able to go back to it and confirm whether or my concerns were out of place - but they sadly were not. My instincts were right.
As it was my first cosmetic procedure I was too distracted by all the swelling in my face to accept the fact earlier in my recovery that all I basically got was a minor hump reduction.
Dr JdS did you not read my file notes? Do you just blindly walk into your client operations! No one outside my immediate family know I even got a rhinoplasty!?!? You shaved off millimeters off the hump only, is that called 'balance' to you? Why did you do an open surgery in that case?
If you could not apply certain techniques as a surgeon, you should not coax patients in and do what you want to them in theatre! If you couldnt be bothered to attempt to slim the width of my nose I want my money back!
For all those with ethnic backgrounds out there who are considering Dr JdS, please read my detailed account above. This is not right or fair! There are other girls on this site with an ethnic background that have similar issues, I am not an unusual case it seems...
ALL I WANTED WAS A NORMAL NOSE! I did not ask you to emulate someone elses nose, I just wanted a slimmer, refined nose. Why was that so hard for you to understand? I feel so let down by the whole system. There is no protection for patients it seems. This industry is so hit and miss. Even someone as methodical as me has suffered the negative effects of dismissive surgeons who dont realise how much this means to clients.
Replies (5)
R
May 13, 2016
Z
May 14, 2016
Dear Nehaob
Thanks so much for your detailed and informative review. I really hope you are able to recover your money and if you still have the will, to eventually get the nose you originally visualised from another surgeon. I followed your posts with interest as I too am from an ethnic background and have an initial consultation with Dr JdS coming up this week. I also have an appointment with Dr Lucian Ion in June. Having read some previous posts regarding post-op swelling with JdS I was alt easing leaning more favourably toward Ion but your post has precatically sealed the decision. I wonder if it is possible to cancel an appointment and get the £225 fee back? Relatively quite high to begin with I though.
I wasn't sure if you had posted any pics or if you had any you would be willing to share. I will understand if you don't want to given the outcome.
All the best to you and thanks again for your post.
Zanadee
Thanks so much for your detailed and informative review. I really hope you are able to recover your money and if you still have the will, to eventually get the nose you originally visualised from another surgeon. I followed your posts with interest as I too am from an ethnic background and have an initial consultation with Dr JdS coming up this week. I also have an appointment with Dr Lucian Ion in June. Having read some previous posts regarding post-op swelling with JdS I was alt easing leaning more favourably toward Ion but your post has precatically sealed the decision. I wonder if it is possible to cancel an appointment and get the £225 fee back? Relatively quite high to begin with I though.
I wasn't sure if you had posted any pics or if you had any you would be willing to share. I will understand if you don't want to given the outcome.
All the best to you and thanks again for your post.
Zanadee
N
May 14, 2016
Hi I know that you can cancel you appointment with him and they will refund you but you need to cancel it at least 48 hours prior to the consultation.
Z
S
L
September 25, 2016
its a cheek this £20 booking fee for cancelling within their stipulated 48hrs. And £225 for the consultation is also too steep. I think all the aura of the exquisite specialist around this surgeon is hot air. Don't trust the majority of patient reviews for this surgeon on RS - they mostly have no pictures, which contrasts with the many other surgeons' patient reviews on RS that have an abundance of patient pictures that give them authenticity. Be very wary of the patient reviews on here for this surgeon, something does not seem to fit
R
October 17, 2016
Did you not see all the positive reviews though? I saw this review before my rhinoplasty with jds and I couldn't of cared less. This was the only bad review. Picky patient? Who knows you don't know the woman. I would of had a consultation and made your own decision. I did and it's great. My nose went from ugly, droopy and huge to a small nice lifted nose!
N
May 15, 2016
For a 'multi-billion dollar' industry - Its shocking how its so hard to find fair + consistent surgeons?
S
June 2, 2016
I have recently booked a consultation with Dr.JdS and I think I might actually cancel after reading your reviews. I have an ethnic nose too. I didn't know his price range went up to £8'000 either. That's a lot! Plastic surgery is very stigmatised in my community and I'm very afraid to come out with results I won't like or worse- regret! Your review is the last straw that broke the camel's back. I don't think I'll be undergoing any surgery.
I very much appreciate it when people like you actually take the time to write reviews. It does help you reflect on your thoughts but it also guides other people who're considering surgery. So thank you! =D
I very much appreciate it when people like you actually take the time to write reviews. It does help you reflect on your thoughts but it also guides other people who're considering surgery. So thank you! =D
S
June 2, 2016
I thought I might add, you shouldn't regret anything. If you went back in time without knoweldge of the future, you'd still want to do it with JdS. It was a point in your life and you had to walk passed it. If your nose still functions appropriately and if it is even the slightest improved (or the same), you shouldn't dwell in regret. Many people come out with worse looking noses or major complications!! If you still hate it, save some more money and go under the knife! If you realise now that actually, your nose suits you best or going under the knife isn't worth the money- keep it =D
N
August 3, 2016
Dear serray, thank you for your kind words. They have helped me put things into perspective a lot. You are right, it could be worse. Ive read other stories on this site and my outcome has not been as bad. BUT for the amount I paid, I thought atleast 2/3 items in my original first post above would be addressed. Unfortunately only 1/3 has been addressed - and this is after 6 months.
But I will take your advice. I will move on, and not dwell, its unhealthy for healing times too. Yes my nose still functions properly and I am grateful for that. Im very happy that the effort I took to write the review has been useful. This is what I did it for - for other people who are in a stage in their life when they are considering an operation.
Thanks again. Good luck and all the best.
But I will take your advice. I will move on, and not dwell, its unhealthy for healing times too. Yes my nose still functions properly and I am grateful for that. Im very happy that the effort I took to write the review has been useful. This is what I did it for - for other people who are in a stage in their life when they are considering an operation.
Thanks again. Good luck and all the best.
5
June 22, 2016
Hey! Literally the struggle of trying to find South asian rhinoplasty reviews is insane! I mean it must be just as common for us as anyone else, but no one seems to write about it..
All the "Asian Rhinoplasty" reviews relate to East Asian reviews who have complete different 'problems' in relation to their nasal structure!
So I am Bengali, from London but moved to Australia! I have just booked in to get rhinoplasty done in the Philippines for September just after my 21st..
Sad to hear your surgery didn't achieve what you wanted! But you can always get a revision (Consider South east Asia- Amazing surgeons 1/2 of UK price)
Would be nice to see some before/after pics perhaps as my problems are very similar to yours, I just want a more petite feminine nose with a better side profile!
All the "Asian Rhinoplasty" reviews relate to East Asian reviews who have complete different 'problems' in relation to their nasal structure!
So I am Bengali, from London but moved to Australia! I have just booked in to get rhinoplasty done in the Philippines for September just after my 21st..
Sad to hear your surgery didn't achieve what you wanted! But you can always get a revision (Consider South east Asia- Amazing surgeons 1/2 of UK price)
Would be nice to see some before/after pics perhaps as my problems are very similar to yours, I just want a more petite feminine nose with a better side profile!
Replies (5)
Just wanted to ask, did he not meet the aesthetic requirements? Is your nose the same as before? Also, in terms of swelling, how is it now? Is it okay, in terms of, it's gone down etc and it looks like your normal nose (I understand that you wanted to feminise your nose, but leaving the aesthetic requirements aside) but just want to know how the swelling is? Has it gone down that it looks like your before nose? Also how is it function-wise now?
Just want some opinions on the Dr.
Many thanks.