Today marks exactly one month since my rhinoplasty...
Today marks exactly one month since my rhinoplasty. The profile looks awesome from both sides and I can tell some swelling is subsiding.
But now it's like revenge of the crooked nose. A week ago I started looking in the mirror and thinking it was still slightly crooked. I dismissed these fears but I cannot any longer. My nose STILL veers slightly to the right like it did before! Granted, the tip looks a whole lot better, and this crookedness is not as pronounced as it was originally. But it remains.
The photograph I've uploaded to illustrate this was taken using Photobooth, so the image is reversed. But you can follow the line of light along the bridge of my nose and see how it curves to the right. You can also see more shading on the right alar base. I really hope this is just uneven swelling. When I press the sides of the bridge I definitely feel some give. I will update as time goes on.
Nearly six months post-op, and my nose is still...
Nearly six months post-op, and my nose is still very swollen and hard at the tip. When I press it right on the tip it's pretty much solid, it doesn't give way like a normal nose. All the pain is completely gone. Unfortunately, the left side is still my good side. The right side is still curved too much down. It appears as though the doctor removed the same amount from both sides of my nose, when really he should have removed more from the right side than from the left. I'm going home in December, so I'll see him then and see what he recommends. STILL, it is a vast improvement from the old nose! I may just leave it like this too. Who knows.
My nose has changed a lot. I'm not sure what to...
My nose has changed a lot. I'm not sure what to think anymore. A lot more swelling went down, so the curve to the right is even more pronounced. He didn't take enough from the left side of the bridge is what happened (not from the right as I had initially stated). Also there's a strange indent on the left side of the bridge at the very top, almost where my nose reaches my forehead. I've been looking at photos of people who went to other doctors in my area that cost half as much and have perfect noses and I'm wondering if I made the right choice. The tip has dropped but it's not too bad--it just looks like a completely different nose than one month after surgery. And I'm pretty sure it's still swollen in the tip too because it still looks pretty bulbous.
I'm getting a little worried now. Sixteen months...
I'm getting a little worried now. Sixteen months later and the swelling has gone down significantly in the bridge to the point where, front on, it looks almost identical to my before shot, minus the dorsal hump and downturned tip. When I visited my doctor in December he said the left side was very swollen and gave me cortisone shots. I just found out that excessive swelling can turn into scar tissue! I really hope this was just a case of a too-conservative nose job (like he didn't remove enough from the left side), rather a good one that I messed up by not addressing swelling sooner.
Revision at eighteen months!
I haven't mentioned this in any of my other posts, but for the past eighteen months I've noticed this odd congestion. A continuous post-nasal drip/mucous in the very back that I started noticing more and more after the surgery but that I could not necessarily pinpoint as a consequence of the surgery. I told my primary caregiver about my congestion and when Nasonex didn't really do anything she put me in for a consultation with an ENT specialist. Keep in mind this is all within the military healthcare system.
That specialist did something Dr Jacono never did: he looked inside my nose and discovered a band of scar tissue in one of the nostrils that was trapping mucous. He said we could do a surgery--and he would also revise the appearance! I was elated. He said shaving down the bump on the left side would be no problem, and he would also take a look at the left tip and try to make it even with the right. He wasn't sure it would even work because it might be all scar tissue but I wanted to go for it. Additionally he said he would straighten the septum, making this surgery a septorhinoplasty.
I got my cast off yesterday and I am very pleased thus far. It's swollen and huge but it looks straight. Immediately after my first surgery, I still noticed that the right side curved more and I preferred the view from the left. That is no longer! As of now I would feel comfortable being photographed from either angle.
I was right in my earlier assessment that Dr Jacono was too conservative with my first surgery. I don't know WHY, but he neglected to shave the bump on the left side, and he didn't remove enough cartilage from the tip. Yep, my new surgeon said that once he opened up the tip he saw that it was just cartilage on the left and no scar tissue and it wasn't a problem to remove some of the cartilage. I can't believe I almost considered not even having him go in there! He also used dissolvable stitches--amazing! The incision looks great and it's been just over a week.
I almost wish I had waited a little bit longer and gotten the first surgery done in the military. They would have done it because of my septum. But things happened the way they happened and I'm not going to waste time dwelling on what should have been.
Some additional notes. Dr Jacono and I sat in his office and he used a computer to digitally edit my nose into a desired result. He gave me a printout of the before and after, and I was able to see other work he had done, and look him up online. Not so for the military doctor. He took photos and we looked at them and discussed the issues but I got no morph of what to expect and they weren't allowed to show me pictures of other patients due to HIPAA. (They said no one else had ever asked, which I found odd.) When I looked up the military doc online I found a linkedin profile and that was about it.
I realize that I'm going to have to wait an additional eighteen months or even longer to see the final result and I am prepared for that. Now I know, firsthand, how much a nose can really change!
Seven Months Post-Op from the Second Surgery
Hello, again. Argh. How would I describe my nose at this point? Muddy. Lumpy, especially on the left side. No real defined lines. I tried to find a good photo to display it. I hope it is still slightly swollen.
I know that I will definitely have to go under again for the third time. The cartilage has collapsed in the front, impeding my breathing. If I have to close my mouth, it is very loud and labored. I can stick pens and other pointy objects inside my nostrils and move the cartilage out of the way to improve my breathing--otherwise, it stays down and blocks the airway. So frustrating.
One Year Post-Op, Third Surgery
This month marked the one year since my third surgery. I can breath much better now and as the swelling goes down I am satisfied with the appearance.