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POSTED UNDER Rhinoplasty REVIEWS

Breathing problems after primary rhinoplasty

ORIGINAL POST

I am 6 months post op after having rhinoplasty...

Tessa16
$9,500
I am 6 months post op after having rhinoplasty with Dr. Grigoryants. Since my cast removal I have had a hard time breathing through my nostrils. Now six months later I cannot breath AT ALL through my left nostril and barley on my right one. On top of it all I am unhappy with my results, my nostrils have asymmetry and it seems like the size of them did not change. Overall my nose looks more harsh, wider, and uglier than it did with the tiny bump I had before. In the begininng although my nose was very straight and swollen for some reason it looked so beautiful on my because the nostrils were flattened and the nose was lifted (will provide photos) over time the shape is looking worse when the swelling continues to go down. I prefer my old nose at this point. I traveled to see this doctor because of his AMAZING reviews. When complaining about my breathing after 3 months I flew out to see him and he only spent 5 minutes with me only to tell me to use a nasal spray. After using the nasal spray nothing had changed so I emailed him complaining about my breathing and the results so far. He seemed upset that I was bringing this to his attention and told me to use nasal strips or come see him in the summer (the only time I can take off of work). My nose bleeds every time I gently blow it, it feels like there is a huge booger in my nose 24/7 and it is extremely hard to sleep, workout, or do normal daily activities. After researching other patients who have similar experiences and seeing other surgeons responses I now this is not normal post op. Since my consultation I felt rushed and because I traveled my surgery was paid for and I put my trust in someone I admired for many years when researching a surgeon. From the way his responses looked, he seemed upset with me complaining about my nose and breathing problems. I will be flying out to see other surgeons in the L.A area for second opinions in the summer. At this point I just want my breathing to be back to normal so I can sleep properly, workout, and feel healthier than I do now. I will see him in the summer.

UPDATE: here are some photos since so many of you have had a ton of concerns and others who are post op with him. At 6 months post op I am going to be patient as much as I am suffering I will go and see what he has to say. A lot of girls on here are warning me that he will make an excuse to make me wait years to hope I loose hope and leave him alone or tell me he think the nose looks good to avoid having to do a revision or blaming the results on the phone camera, because of my breathing condition I do not think he would let me suffer for another year if this doesn't get resolved also even if a surgeon thinks a nose looks good it is about making the patient happy. I want to speak with him in person and ask him what my options are as a patient of his and see if we can come to an agreement to tackle the issue. I researched this surgeon for 3 maybe 5 years before going with him and I don't want to believe that a surgeon on his reputation would ignore a unhappy patient. I want to believe the glass is half full with Dr.G. I will update this review in the summer once I see what he says and my options. Because of the high volume of messages here are my photos attached.

Tessa16's provider

Vladimir Grigoryants, MD

Vladimir Grigoryants, MD

Board Certified Plastic Surgeon

Tessa16 rating for Dr. Grigoryants:

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Replies (13)

April 29, 2017
I'm sorry you're dealing with breathing issues - I have them as well following an unsuccessful surgery. It's a big hit on quality of life, affecting sleep and overall health. Sometimes I start running out of breath when I'm chewing my food. It's good that you're planning to get opinions from other surgeons. I hope you are able to get your breathing restored.
May 1, 2017
I'm so sorry to hear that you're going through this as well. It's absolutely a nightmare I hope your breathing is restored as well xx take care
May 1, 2017
Please keep us posted on results. It's a good thing your voicing your concern on here. It's a real shame Dr.G doesn't respond to your concerns. It's really bad for his reputation as a Good Doctor. Now I'm thinking he isn't so great
May 1, 2017
I will. Today has been rough I can't breathe at all and I'm currently at my university suffering to study for my exam. He hasn't checked on me or has followed up. I'm nervous if he even does offer a revision another girl messaged me and scared the crap outta me that he does a method that his father passed down to him that is not even recommended because of the complications it creates that ruins the functionality of the nose and that another surgeon helps with some of the rhinoplasties which is why 50% of patients have functional issues and the rest are ok, idk I'm pretty shook up if this is even true I don't know what to believe or what's going on. All I know is that this is not swelling and something is wrong and I'm scared for Dr G to fix it if he is the one who did it in the first place.
May 4, 2017
I'm having breathing probs too.
Nose really bad after my primary.
Nostrils asymmetric. Nose cartilages sutured wrong so blocking airways. Bony base was reduced incorrectly.
Need to find revision surgeon.
May 5, 2017
I'm sorry to hear that :( I wish you best of luck and hopefully you get everything fixed!
June 25, 2017
Can you post a before photo? In truth it is really difficult to assess whether someone had a good or bad result without seeing their initial starting point. Your nose, while unappealing to you now, may be a tremendous improvement from where you started. It's hard to evaluate the pics without that context.
July 5, 2017
I can post a before photo soon as soon as I get on my iCloud as my new phone only has new pics. Sorry to disappoint It's really not as bad as you think I had a tiny Hump and that's it. You can see from cast removal to now how much it's changed and currently it's gotten even worse. Dr.G is probably the worst surgeon I've come across and I've learned my lesson after speaking to multiple surgeons even they are appalled on his technique and what he did to me functionally. I'm not telling you to evaluate me I'm sharing my experience. For most girls you guys only care about the before and after pics but when you are unable to properly breathe it doesn't matter how much better the after picture is. Regardless I will post a picture but it's not much different than the after.
November 2, 2017
Is that scar tissue in your nostril?
UPDATED FROM Tessa16

More pictures

Tessa16
Here are some more pictures I took today on the train. This is a little over 6 months post op. What a horrible job. i can't say I like one thing about my nose right now. Thank you to all the girls on here for being so supportive and sharing your experiences. It's tough.

Replies (20)

May 5, 2017
Omg I am so sorry girl. That's awful! However, he [RS bleep] alot of noses and a common co mplain from him is breathing issues...lota of bad scams from him and he makes lots of people delete their reviews and also pays websites off to delete him..you should do more research you will see this.

Talk to Dr Richard zoumalan in la. He is much more skilled and talk to other doctors bc frm what I read about Dr g he will NOT help You. If anything he will pay you off to take this photo down.
He's a one size fits all doctor and everyone gets the same nose with him. He has a cookie cutter method that can give great results on some and horrible results on others. I'm sure he would do my nose lol but my nose is not anywhere near the type of nose that would look good with his result.

I'm sure by now you have support from alot of his other patients who have the same issues as him.
May 8, 2017
Thank you dear I am researching everyday. I just want my breathing back to normal there is nothing worse than having functional problems. This has become a nightmare even if my nose was perfect (which it is far from) I would still wish to have my old nose back if that means breathing again. He definitely did something wrong, such a shame.
May 9, 2017
I do t know where you are located, but you can get second opinions in your local. If you have insurance and are in the states you can go to your primary for the breathing issue and get a referral to an ENT. An ENT can look inside your nose with a camera and diagnose what is obstructing your breathing. If it's something beyond what an ENT can do to fix your problem he can refer you to someone who can, which will likely be a plastic surgeon. They can atleast tell you what is required to fix it. Perhaps, and this isn't likely, but there is something that can be done to help you breath better when your sleeping before having another surgery.
I do think it would be prudent to know what exactly is obstructing your breathing prior to communicating with Dr. G again. Also, it's a good idea to know how it needs to be fixed through consultations to make sure Dr. G's thoughts are in line with this.
I'm very sorry your having breathing issues. I a, currently going through the same thing almost a year post septorhinoplasty. I haven't had a good nights sleep since. My surgeon, after being terribly dishonest and unaccountable did recently admit to my breathing being obstructed and the asthetic results being "disappointing". She also offered to revise the nose to fix these issues, but I'm afraid to let her do another surgery because of trust issues now.
I also want to note that I am not a Dr. G patient.
May 10, 2017
Thank you for letting me know I will be going to a couple of ENT doctors in my hometown. Dr. G said he would look inside my nose when I go see him. But unfortunately I do not trust him to give me an honest opinion. 6 months is more than enough time to possibly communicate there may be another issue to the breathing and blaming it on swelling and telling me to use a nasal strip is unethical. as a surgeon he should be transparent. He should have told me that he would investigate why this could be happening instead of making the patient feel like this is normal. After talking to a couple surgeons I now know I have every right to be upset because this is abnormal for a patient 6 months post op in fact my breathing should have been improved as the months pass by. Instead my nose bleeds, and I am pretty much breathing though my mouth as of now. I apologize you are going though this I would look into another surgeon I would not feel comfortable letting the same surgeon who gave you functional issues to re operate on your nose.
May 10, 2017
I'm not sure if I'm right, but I have a strong feeling based off of my experience that when plastic surgeons screw up in the O.R. they avoid directly discussing the issue in hopes that the patient is naive and also an effort to make sure their own words can't be used against them in litigation. This is atleast what my interpretation I had with my experience with my surgeon. I remember while the cast was on my nose and my stitches were still there looking in the mirror and having concern over the crescent moon shape my nose had and the assumetry in the nostrils. When the cast came off it was very apparent for about 24 hours and then major swelling took place that concealed it some and made me feel like all would turn out well. By the time I was one month post op this visually returned as well as jagged bone protruding from my dorsal area. I could still breath, which made me feel safe. Fast forward to 4 months post op and I couldn't breath through the right side normally and the issues I previously mentioned were visibly becoming more profound as well as a pea sized hard lump on the right side nostril protruding into the nostril. Of course these issue compounded and new ones began to crop up by the time I hit 6 months. At every post op appointment I brought up my concerns and pain and my surgeon said "its swelling", "you need to massage and pull on the nose", "everything is healing beautiful". Anyhow, I knew this was a load of you know what, but I'm not an expert so I massaged and did everything under the sun to minimize swelling. I quit around 6 months and tried to address the issue with her, but she blew me off. I'm right on top of year now and point blank told her we need to talk about all the things wrong with my nose today and how they can be fixed! Of course she didn't directly name all the things wrong, because she continued not to think about me as a human being, but a litigant. She literally responded by asking me what I thought was wrong. After I told her she tried to blame this on allergies. That bombed for her, because I have been seeing the nations leading ENT. I don't have allergies! She quickly changed subject and stated "when surgical results are disappointing the surgeon is equally affected." This actually offended me, but I refrained from commenting on it. I could go on and on about the grossly unempathetic and dishonest conversations, but the point is I should have nipped it in the bud right at 6 months and began looking to other doctors to tell me what is wrong and how it can be fixed.
I am looking at other surgeons, but I'm having a hard time with blindly trusting a surgeon after being so misled and mistreated. So far I really am leaning to Dr. Denenberg. The biggest reason is he is the only plastic surgeon I have found to actually have honest integrity with empathy as well. His judgement and work experience impress me as well. I of course still have doubt and I'm sure I'm going to until my nose is fixed and years have passed perfectly fine.
Let me know how you make out in your appointments with ENT's. It ought to help atleast let you know what is wrong medically speaking. I have found knowing to be very helpful with processing and moving forward for selecting surgeons.
May 28, 2017
As the nose shrink wrapped the columella retracted inward . That is one thing that's really affecting the way you're looking at your nose . That changed the nostrils and look of rotation too . I hope you can get this resolved somehow. I can't believe he's not acknowledging that. Your nose is only 6 months post op, it shouldn't look so small already . He removed too much tissue . I hope the best for you . I've talked to a lot of grygoriants patients and they complain about the same things. Especially nostrils start to retract because he does alar base on everyone, even if they don't need it . It's rare that he doesn't .
May 30, 2017
Thank you so much yes a lot of his older patients are reaching out and it's crazy how many people are going through the exact same issue. If this was only on yelp I would have reconsidered if this was such a big issue with his patients.
June 1, 2017
That's crazy. Sadly I see a few in IG going through it now with warped nostrils and they are hoping it's swelling:/
July 9, 2018
If too much tissue is removed from the nose, does anyone know if that can be fixed? My doc made my nose thinner without my consent
May 28, 2017
Ur nose looks good, u just have very thick skin and allergies so that's why the inside of ur nose looks swollen, it's allergies. Also , with thick nasal skin , the outcome may not be pleasing to the patient but honestly ur nose looks nice.
May 30, 2017
I agree with g56donut .. the person above her sounds like the excuses plastic surgeons tell you.. allergies and thick nasal skin? Her nose has had way Too much cartilage removed and columella is retracted . Doctor g is an agreesive surgeon and half of his noses look way overdone. Thick alar creases . Look at his gallery on his site. They're 50/50
May 30, 2017
You're welcome gsdonut ... and I meAnt to write half his noses have deep alar creases which makes the tip look pinched. That is from too much cartilage removal, and nasal base reduction . Please tell people the truth because when you don't, it just makes them more frustrated like you're not understanding them. Trust me , they know their own noses, and how much it's changed better than all of us. These people need support not for us to be dishonest and tell them they look great . They get enough dismissing of their feelings from the surgeon . They don't need it from us too
May 30, 2017
I've spoken to a couple surgeons in my area and have gotten second opinions and it's unfortunately not allergies. While I have thick skin which takes longer to heal the breathing problem is not due to that either. But I will explain that once I speak to Dr. G about what the other 3 surgeons have told me.
May 30, 2017
Tessa, I'm happy you reached out to get multiple opinions. I hope the surgeon's were relatively conclusive so you atleast know the facts about what is going on with your nose. I also, hope that the problems are fixable. I'm really thinking of you. I know what it's like to be in your shoes and how much it takes to get out. I. Pulling for you.
June 1, 2017
What surgeons have you spoken with???? I recommend Dr zoumalan in b hills. Very skilled and trained with noses I think u would be pleased!
June 14, 2017
Personally, I believe plastic surgeons "sugarcoat" things when they place their reputations and concerns for litigation in the wake of poor surgical performance before the needs of the patient. It's wrong for sure, but thank goodness there are plenty of doctors to turn to for facts and opinions when this happens.
May 31, 2017
That's scary how you had a beautiful result and then 6 months later, it completely changed. Is the breathing issue from a result of scar tissue inside your nose?
UPDATED FROM Tessa16

Update/old nose

Tessa16
For those who wanted to see my old nose. Here it is. Again not that much improvement especially now having functional issues. My breathing has not improved at all since my review. I'm extremely unhappy and will be writing a yelp review soon.

Replies (9)

July 6, 2017
Your original nose isn't to far removed from what I was trying to achieve on my primary. Well, atleast the profile view.
It's been a while since we chatted, but has your nose stopped bleeding? Are you still having feelings of crusty boogers blocking your nasal passages?
July 6, 2017
Nose bleeding has minimized but still occurs. Right now it's just feeling plugged up. It's not allergies too someone commented saying it's that I've never had allergies in my life. but still suffering everyday I can't believe it's been this long with feeling like this everyday.
July 6, 2017
I don't want to play doctor, because I'm not one, but have you had an endoscope since your procedure. In particular not with Dr. G? My nose bleeds, which were small trickles are from septal perforation, which y surgeon was aware that I had, but decided to lie about it. I only ask, because the nose bleeds combined with functional issues could be a symptom of this.
July 6, 2017
You do have a little overdone on each area of your nose which is making it look extreme, but your columella got very retracted after the surgery , and it throws off the whole balance of the face. Makes it too short and wide from the front. That's your biggest problem. Wow, according to this pic your nose needed less than minimal work. Thanks for posting the before so we can see. He's so extreme sometimes. Why do all the stuff he did to this nose?
July 6, 2017
Yes it's extremely harsh looking especially in photos the indent that my nostrils have has gotten worse with swelling reducing. I will post more pictures soon.
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July 6, 2017
Sorry to hear that you're going through a hard time. Been through it myself. I have to say that I am not at all impressed with Dr. G. After seeing several of his reviews, before and afters, and personally meeting some of his patients I genuinely think he is way overhyped. Hope you find an answer to this - I'm confident you will!
July 8, 2017
Thank you so much. I totally agree with you.
July 7, 2017
I'm sorry to hear about the issues you have had after your rhinoplasty. Have you reached out to Dr. G? Can you go back to his office and have him take a deeper look to assess what may have caused your results? Additionally, have you tried contacting other plastic surgeons to get their opinion on what may be causing your issues and next steps?
July 8, 2017
He emailed me after I posted this update right away asking when I am coming to see him. I am extremely busy and I have flown out to see him before waste more money on top of my surgery for a flight only to be in his office for 5 minutes after waiting 20 minutes. I don't want him to touch my nose after the hell I've been through. I don't really see the point of visiting his office unless I get compensated for the damage he caused. Otherwise I am content with speaking to other surgeons and getting a revision within the next couple of years to correct his damage.