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26 Year Old, Rhinoplasty - a Decade in the Waiting, Finally Happening! London, GB

ORIGINAL POST

My large nose has always felt far too LARGE for my...

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Wanderluster89
$12,000
My large nose has always felt far too LARGE for my petite frame - dominating and looming over my other features like some mad nasal dictator!

I've tried it all - from continuous contouring to shameless photoshopping - but in the pursuit of a more permanent solution 2 months ago I decided enough was enough.

After weeks of research, much of it thanks to Realself and RateMDs.com, I chose Dr Julian De Silva. His dedication to the natural look, use of innovative procedures and his artistic flair made me keen to find out more. So, I booked a consultation.

I remember sitting in the waiting room feeling incredibly nervous, awkward and vulnerable (v. unlike me)... "what was I supposed to say?" "what if the doctor says nothing can be done?" "arghhhhh"

But the minute I spoke with Dr De Silva he put me as ease, his calm nature and reassuring non-judgemental manner filled me with confidence.

To my consultation I took along photos of myself where I had contoured my nose with make-up. Dr De Silva and I discussed what could be done and after examining my nose and listening to my requests he gave me an estimated 90% improvement! I was thrilled.

My main fear at this point was that Dr De Silva uses twilight sedation rather than GA. But after listening to the benefits and watching videos of his other happy patients talking about their experience of the operation I feel okay about this now.

SO! I have booked the procedure for the 26th of February!!! I CANNOT believe this is happening - it all feels very surreal.

I have my pre-op appointment this Thursday (28th January) and I am determined to take along solid visual representations of what I am after (my controlling, perfectionist nature showing itself!)

I have spent many an hour these past 2 weeks on discoverbeauty.com manipulating photos - which I've added - and I am now getting very EXCITED!

If anyone has any advice at this point I'd love to know! And I shall update you all after my pre-op!

Wanderluster89's provider

Julian De Silva, MD

Julian De Silva, MD

Oculoplastic Surgeon, Specialist Registered in Ophthalmology

Replies (2)

January 25, 2016
I just had rhinoplasty after dreaming about it for years. It's the biggest disappointment I ever thought I'd have... I did all my research and waited almost 7 more years before I decided to proceed. I just had it done on January 14th, 2016 and the one thing I was not prepared for was depression. Make sure you talk to your Dr about what you can expect to feel after the rhinoplasty. Do a little research on that piece of it so you can educate yourself and mentally prepare yourself for what you will see. I was not prepared. To make things worst upon questioning my Dr after surgery why he made my bridge higher when I asked him not to my Dr told me when he was shaving down my hump my nose collapsed. Please discuss this with your surgeon as well. It's very scary. I've been having anxiety over it since he told me. I wake up in sweats after only sleeping for 2-3 hours. I can't stop worrying about my nose collapsing now. Best of luck to you.
January 30, 2016
Best of luck he seems like a great doctor and makes really subtle changes
UPDATED FROM Wanderluster89
11 days pre

Pre-op done - 12 days to go!

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Wanderluster89
12 days to go and it' starting to feel very real now.

I had my pre-op appointment with Dr De Silva a couple of weeks ago - this time I took the opportunity to really speak with him regarding the details. As he was last time Dr De Silva was gentle, calm and realistic. I explained to him my touched up photos were the IDEAL but that I understood the limitations.
We discussed the following changes:
- alar base reduction to improve facial proportions
- narrow bridge
- reduce hump; go from convex (pollybeak) to slightly concave (curved) profile
- refine tip and thin skin here to increase definition

I have emailed Dr De Silva today with my final "dream" pictures and my final lingering questions (mainly around post-op scarring)...it's taken me so long to send through the FINAL pictures as I have been obsessing over them. It was certainly a relief to hit that 'send' button!

Replies (0)

UPDATED FROM Wanderluster89
11 days pre

post-op recovery kit

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Wanderluster89
The anticipation is killing me! To keep myself occupied I have started to put together my post-op recovery kit, so far I have collected the following:
- arnica tablets
- high dose vitamin C
- a C shaped neck cushion
- cotton buds and hydrogen peroxide
- anti-bacterial wipes
- surgical gloves (to fill with water and freeze to ice swelling)
- straws
- intensive lip balm

Is there anything I've missed out??

Replies (13)

February 14, 2016
Hey good luck on your surgery maybe try arnica cream is well ? And soft yoghurt drinks /mash . If you dont mind me asking what if your qoute for sugery , as I want to get mine done my dr julian de silva next year best wishes . :)
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February 14, 2016
Thanks! I am quite a easy brusier so may be worth investing in some arnica cream too.

Not at all - my full quote (so including my 2 pre op consultations, op itself and follow up care) all came to £8K

Good luck if you go ahead with your procedure!
I'll keep posting about mine!
February 14, 2016
Thank you , its so nerve wrecking though , what type of rhinoplasty are you having , asian etc ? Thats alot of money but I guess dr de is very good ).!? Did you consult with others sorry asking so many Q's lol :) !!!
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February 15, 2016
Hey, that's okay! Happy to help.
I'm having primary rhinoplasty and I am Asian. It is a lot of money for sure but with something like this I thought I'd rather invest in the best I can find.
I looked at many other Drs but didn't go to any other consultations but I emailed many and considered it carefully before choosing Dr De Silva.
February 15, 2016
Hi. I had a revision rhinoplasty with Julian de Silva 7 months ago and I'm so happy with my results!!!!!!!! Like you said he's an artist and an expert on noses.. the only thing is be prepared for swelling.. both short term and long term.. If you have thick skin like me it takes even longer for the final details to show.. Skin has to shrink wrap around the new structure and that can take time. Just be positive and relaxed.. You're in the best hands of a great surgeon.. Good luck !!!!!!!
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February 15, 2016
Hi, thank you! Really glad to hear that you are so happy!

Thanks for the advice too...in preparing myself for a long "true" reveal post swelling!
I feel very confident with my choice of Dr De Silva.
How didn you feel when the cast was removed and you saw your new nose for the first time?
February 15, 2016
You had revision rhinoplasty and chin implant?? Sorry was just reading the profiles and saw yours.
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February 16, 2016
Hi Wanderlust. I almost went with Julian. I'm excited for you as he has excellent results and your morphs look super cute!

If you are a bruiser I'd recommend you get GOSH powder complete cover mineral foundation from Superdrug (if they do your shade) because it covered my facelift bruises better that Lycogel after my rhinoplasty. (Look under my profile for my reviews if you like).

I had my FL recently via twilight sedation and although it sounds scary it honestly isn't. It can feel like only a few minutes have passed (and you won't have that horrible sore throat from the breathing tube).
Bromelain tablets - helps healing and reduces inflammation.

Here is my "Really useful list"

Straws. Makes drinking so much easier.
Lip balm. Your lips will crack within a few hours.
Antiseptic Sore throat spray. You'll need it with GA.
Spoons in the freezer. Takes the puffiness from under eyes.
Clothes you can get on and off without having to put over your head.
Slipper socks to provide grip to the stocking foot bottoms.
Blender for Home made soups.
No hot food, drinks or spice. Luke warm or your nose will run/gush.
No excess salt or sugar. It will slow healing.
Natural live yoghurt.
Travel pillow for keeping your head in place as you sleep.
Audio books. You may not be able to read for a few days if you rely on glasses.
Gauze and micropore tape to change your drip pad.
Q-tips & Hydrogen peroxide to gently clean your scars.
Netti pot for sinus irrigation.
NeilMed NasoGel Spray.
Keeping a good sense of humour, you will heal!
Playing "the recovery game"

The Recovery Game goes like this; Pick a list of Celebs who have all had the same work done. Each time you look at your bandaged self in the mirror say "Oh look, I'm [name cleb]. It just helped remind me that I'm following in the footsteps of the Hollywood elite.

Any questions, ask away!

X Biene
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February 16, 2016
Hi Biene,
That's very sweet of you to say, I am so excited - really feel like the morph makes SUCH a difference to my face.
I am very keen for the natural look though...I have a large forehead and big cheeks so don't want to risk ending up looking like a cartoon character!!

I looked at your pictures too - WOW your nose looks great! And I was shocked to see that it kept refining and improving for 2 years (i know we are told this but it's still surprising to see by how much it changes!)

Thanks for your list too!
I have a question - obviously after 2 weeks you will still be swollen but did you feel confident going out by this point?

I have a tip for bruises too - try orange concealer - if hides dark blues and purples even better than skin tone concealer :)
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February 16, 2016
Hi Wanderlust,
Thanks, I'm thrilled with my nose, but I'm sure Julian would have done a great job on me too, I must confess I have nose envy with a few of his "afters" on here.

You've clearly thought out what you want and I think that helps the surgeon no end.

I don't think I'd have noticed the changes in my nose as much if I'd not seen it in the before and after of my other surgery. Rhinoplasty is not an operation for the impatient when it comes to final results!

At 2 weeks post op I was out with Hubs and friends for a Valentines/Birthday dinner and club night. Granted, I had makeup on, but even Hubs didn't spot anything had changed (he still hasn't, I'm convinced he only looks at my breasts because he's not noticed my new face either!).

Thanks for your tip on covering bruising, although I've become a bit of an expert over the years! I even included a colour wheel in my facelift review (https://www.realself.com/review/london-uk-facelift-time-bray-babe?ymal=1#) oh and I have more tips on avoiding bruising and swelling.
If you can stand doing a low-sal diet it definitely helped me.
Also you can try (I'm just going to copy/paste this bit)

"Serrapeptase enzyme – I took it first thing with water and no other tablets or anything else (it needs to be on an empty stomach, which means 2 hours before eating but also at least 4 hours after eating. If you don't the enzymes will just digest your food, not travel beyond to where we need them to work for tissue repair.

Glucosamine, MSM, Chondroitin - again to help with tissue repair (if you are still on the diet avoid the one with added ginger)."
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February 16, 2016
Ah amazing! Thank you! I'm not too worried about the bruising -it's the swelling that I really want to get a handle on (especially as I have thick skin!)

Given all the swelling and bruising - how did you feel when you looked in the mirror as soon as the cast was taken off? I feel like this will be the most exciting/nerve wracking bit!
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February 16, 2016
I knew when my cast came off that it was only a tiny glimpse of what was to come. I think I said "oh, ok!".
Then I was grossed out by my sticky nose and blackheads that had formed under the cast...
Basically on cast off day; focus on the profile and ignore what is happening to the tip.
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February 17, 2016
Good advice! Thanks very much!