Rhinoplasty, 25 Years Old. London, GB
I've hated my nose since I was a teenager, but...
and reassuring. I liked him as a person and felt like he was being honest. He told me I have a wide bridge but it doesn't seem wide because my nose projects out so much and that the nose will need to be broken in order to narrow the bones once the bump/hump has been filed down. I was quite surprised by this as the idea of breaking the nose freaks me out a bit. He said he only performs open rhinoplasty, which also concerned me as I am worried about a scar, but he assured me
it allows for more accuracy and enables him to make proper measurements, and the scar is a thin line that will be unnoticeable once it fades. He also asked whether I would like it to be straight or slightly curved. I initially wanted it straight but have since thought it might be better with a slight curve- I'm still undecided on this as I worry about having a ski slope nose, but I equally don't want it to be rigidly straight and masculine. Anyway, the consultation went well and by the end I felt he was the right surgeon for me so booked to have the procedure 2 weeks later on 27th Jan. The only thing that slightly concerns me is that he did not show me any computer imaging, or even a sketch of what it would look like as he said it gives unrealistic expectations. He has however said that he will make sure it is proportional to my facial features and looks natural. I'm desperate to have the surgery, but at the moment I wish I had a clearer idea of what to expect. I've seen quite a few before and after pictures and they all look very natural. As well as straightening the bump, and narrowing the bridge, he said he will lift the tip slightly.
Front view before photos (Rhinoplasty in 2 days)
not in any pain really, just have that stingy feeling in my nose that you get at the start of a bad cold. Think I'm still a bit anaesthetised though. Feeling quite good but I know the worst is yet to come. Ivo came to visit me in recovery and then again in my room, and he said he will come in again tomorrow morning. Said the surgery went well, and weirdly that I have a small nose?! Never thought I'd hear that. I suppose once the jump was filed down it wasn't that big. Gonna take some Ibuprofen for my nose discomfort. Also, might need to change my pad under my nose already as blood is dripping onto my lip... Nice. Have uploaded some pics.
Bit of a scare
Post surgery- they've gone from
Neat and symmetrical to further apart and wonky. Of course this worried me a lot and they rang my consultant as I requested to see him. Apparently he said its not possible for the nose to snap or move and that it could be swelling but not to worry and he will see
me in the morning. I did become very upset and concerned as
all I could see was the nose bent to the side, but after I calmed down and the doctor said he didn't think it had moved, I realised it did initially look slightly to the side and could be the cast. Not sure what to think but need to take my mind off it now. Have attached photos (initial pictures with blue pad under nose and the white ones are where I think
it has moved to the side slightly?).
Anxious: Nostrils have become uneven
be able to determine this so early on, and even if he can, whether he can put the stitch back in now, or whether I will have to wait for 6-12 months to consider revision? Feeling v anxious at the moment. Will update later today once I've seen my consultant. Photos attached.
Apparently just swelling
More pics of swelling
Day 3- swelling pictures
I can feel the cast slightly loosening now and it looks a bit crooked, I can feel the sticky glue from the cast/tape around the edges of the cast when I touch my face, think it's ready to come off now. It's also frustrating me because I can't see the shape of my nose and it looks really chunky and shapeless because of the cast, so I don't know what to expect.
My eye bruising is slowly fading but very very slowly- I know bruising is supposed to be gone for the majority of rhinoplasty patients after 1 week, so slightly concerned that I still look this bad. My nose has finally stopped dripping blood though, which is a relief.
I just really can't wait for tomorrow now, and hoping I'll be happy with the shape.
Close up of eye bruising
Cast removal day- mixed emotions and MASSIVE swelling.
HATE the front view- but I'm desperately hoping this is just swelling. My bridge is so wide and the whole nose is really chunky and bulbous, and just looks like a blob on my face. But as I've bruised and swollen so badly around my eyes during recovery, hoping I've just had an extreme reaction and it'll go down. Also, as he broke the bones and did tip work, I've heard this can increase the amount of swelling.
Really like the profile views and some 3/4 angles as although the bump is completely gone (minus a tiny bump that I'm gonna hope is swelling for now), it still looks like my nose and I still look like me. from the left side, I look weird due to swelling high on the bridge that makes me look like an avatar/Star Trek alien.
Really don't know what to think at this stage as I think it's so swollen I can't really judge the shape properly.
Feeling pretty anxious as it looks bigger from the front than it did before! I really hope the bones were narrowed enough, and this is mainly swelling!
Have put some photos up. There were some far worse front view ones that I couldn't face putting up as they were so hideous, so imagine what you see but twice as bad and that's what it looks like in real life!
Cast removal photos!
some reason, so I'm adding them here.
Been comparing photos and it's really obviously deflated since cast removal day, so hoping it'll continue to do so over the best week as its still quite swollen (but much better).
Under eye bruising is still lingering but seeing daily improvements and they're fading as well as shrinking. The jaw bruises and yellow cheeks are quite persistent though, really hoping they'll be gone soon!
I can feel a little bump on the right side of my bridge that I think is bone and you can see it slightly from 3/4 perspective, but not really from profile. Hope this is just swelling but don't think it is, it's not bothering me horrendously and hopefully will be less obvious once my nose settles, but I'll just wait and see. Either way, it's much better than it was.
Nose also looks a bit crooked/s shaped from the front in some
lighting but it was always slightly like that, and I don't mind too much. Will see what it's like once swelling subsides as probably have some uneven swelling too.
Overall really happy that it's getting better each day. And less freaked out by the horrible front view, as its not so horrible anymore! Still hoping for it to shrink significantly more, but confident it will now that I've seen how quickly it's already improved in the past few days!
Day 11 comparison photos
Before & After profile
Day 12- not feeling hopeful.
Also feeling pretty awful about my front view which is still hideous- and worse than before surgery in some photos. As the swelling has gone down the bump in my nose has become slightly more pronounced which is disappointing. This also makes my nose look really crooked from front view- I don't know if it's lopsidedly swollen or if it's the bone itself that's wonky, but it's really obvious in some light. I know it's early in recovery but it's not really improving.
Need to tell myself to stop analysing it in the mirror and photos but I can't resist!
Really want to speed up the decrease in swelling ASAP as I am desperate to feel okay enough to go out properly and see friends, which I don't want to do right now.
On the plus side, bruising is getting loads better and I think it'll be gone within the next few days to a week. Gonna hope for a better improvement tomorrow.
Bump on nose- swelling or bone?
Day 14- bump getting worse
Day 14- profile view
Day 15- nose distorted
Have booked an appointment with my surgeon for a week's time. Want to find out what is causing this- I think it's either callus formation (though I don't know if you can grow these this early, as I saw the bump slightly on cast removal so it would haveto have already formed by day 8??) or the hump was only properly filed down from the profile and bits were missed on the side, hence why the profile is perfect and only the 3/4 and front view is still affected by it.
It's really bothering me and I just want to get it filed down ASAP, but know you have to wait at least 6 months to a year for a revision. I'm hoping it would only be a minor procedure that could potentially happen a bit earlier than that, but will have to wait and see what Dr Gwanmesia says when I see him.
Other than this, my front view is improving daily as the swelling goes down and I think it'll look much better once the bump is gone. And all other angles are a vast improvement, so I'm still very happy I went through with the surgery. Just annoying I seem to have formed this huge bump!!!
1 months post op
However, I will still honestly record my progress and any concerns. I've certainly felt encouraged when reading other people's stories and think they're really helpful for people considering/undergoing plastic surgery.
Anyway, I went to see my surgeon on Monday last week and explained my concerns about the large bone edge I can see/feel on the right side of my nose, and the wide dorsum. Unfortunately he didn't acknowledge the bump and said he couldn't see it. He was very dismissive of my concerns and put it down to swelling, which he believes will improve with time. He also said he wouldn't consider any revision surgery until at least a year post op as it isn't in the patient's interests to do it any earlier. This was disheartening to me as I really hoped I could get the bone shaved down in less time than that. I was really disappointed after the consultation but have since tried to look less in the mirror and not analyse it too much. I'm gonna try and compare swelling on a monthly basis instead of every day now!
Have uploaded my before and 1 month post op pics. Sorry for the ridiculous editing I've done for anonymity!
Swelling or Polly beak??
Really hope this is just swelling that will subside but it's freaking me out! It doesn't look that bad from the profile view, it's mostly visible from 3/4. I could live with how it is now but my main fear is that it will get worse and worse as time goes on!
This healing process is proving to be very long and stressful!
7 week update - not happy
My tip is still v swollen. I emailed may surgeon a few days ago but he hasn't responded- I'm really concerned about scar tissue building up in the supratip as there is a lump on one side and my tip almost looks bigger now. It also makes it look asymmetrical.
Still happy with my profile but it's more swollen than 1-3 weeks post cast removal when it looked a bit smaller.
Really wondering if I should get an injection to reduce swelling/scar tissue but I don't think my surgeon recommends it?
Hopefully it's all just swelling and it'll improve as time goes by but I'm not liking the front view at all right now.
Front view picture
What has gone wrong?
Nearly 1 year on - extremely unhappy with result.
from various other patients of his who have experienced the same treatment. I would advise anyone considering him NOT to go ahead
with surgery. I am now looking into revision with Lucian Ion and wish I had just gone for my primary with him in the first place. Consultation booked with Mr Ion in early March.
How do I change my review to 'Not Worth It' ?
Some photos of my botched Rhinoplasty by Ivo Gwanmesia
Couple more photos I took at 3 months post op
11 months post op photos
Front view - HUGE
Morph I created
I may have made it too small, not sure! Even looking at this morph is making me realise what a terrible job Ivo has done on my nose - if the bones were narrowed correctly I would look a million times better..
Before surgery front view - so much better before!!!
Re-adding photos but blocking out eyes.
If I could do it all again I would have gone to Dr Lucian Ion the first time around, and paid extra for an expert to make my nose look good from all angles.
Started another review to document my revision journey with Lucian Ion
Before any surgery and after first rhinoplasty
Mr Gwanmesia is a rude, dismissive, unpleasant man who ruined my nose and refuses to acknowledge responsibility. I have booked a consultation with Lucian Ion to try and fix what Mr Gwanmesia has done. Mr Gwanmesia appeared conscientious during the initial consultation, until he had secured my money, at which point he became a horrible, intimidating man with no interest in my welfare whatsoever (I have heard similar testimony from at least 3 other patients). He has raised his voice (I would go as far as to say he shouted at me) on a number of occasions, brought me to tears during my 2 post op consultations, and actually said to me: 'you need to take your review down, do you have any idea what this is doing to my reputation?!'. I am miserable with my result, and he has not once listened to my concerns - I was continuously fobbed off with consultations that consisted of a cursory glance at my face from across the table, followed by 'you cannot tell the result until one year', after which I was practically pushed out of the room and told I was being dramatic. I stopped going to consultations because I wanted to wait until one year, when he could no longer use that excuse. It is now approaching one year post op, and my emails requesting a consultation to discuss revision had been ignored for weeks, until I threatened to publish an honest review on Real Self, after which he miraculously found the time to respond promptly with a suggested date, but made it clear that it would be no different to before, when he said (and I quote from his email): 'you cannot just decide a time of your own choosing and demand a revision'. He is an amateur plastic surgeon and a bully, and I entirely regret my surgery with him.