Indian Ethnic Rhinoplasty - Dr Julian De Silva (Hammersmith, London) London, GB

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 Ie - the very slight dorsal bump that was on the bone has now been replaced by a small clump of tissue further down my nose...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.
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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.

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!

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.