Get the real deal on beauty treatments—real doctors, real reviews, and real photos with real results.Here's how we earn your trust.

POSTED UNDER Revision Rhinoplasty REVIEWS

27, Male. 3 Previous Rhinoplasties. Hate my Nose. Trouble Breathing, Want a 4th Surgery to Finally Sort It out - Manchester

ORIGINAL POST

Hello all, I am hoping for a lot of help and...

markcookson
Hello all,
I am hoping for a lot of help and opinions here from fellow patients and surgeons.
My story is a long one but one that I have not shared and want to so that I can finally get it resolved.
I'm a 27 year old Male from Manchester in the United Kingdom. I had my first Rhinoplasty in 2009 which was a Septorhinoplasty done on the NHS. I had a blow to the nose playing football when I was a child which for years caused me severe migraines. Ultimately when I was 21 doctors advised that I have a Septorhinoplasty to fix a deviated septum as well as the surgeon saying he would shave down a little of my bone.
After swelling had gone down a few months later their was a problem with the appearance of the nose. I went back to the surgeon after a year and he said he would do a revision. After the revision he told me that Gristle had formed in the nose which he then removed. However, after a few months had passed the revision was a complete mess up. He had filed down the bridge of my nose so flat it appeared that I had half a nose from a profile view and flat and squashed in from a front view, I had bad open roof deformity. As well as this a scarring appeared on the bridge where the skin was damaged in surgery. Although my breathing had improved and migraines and headaches disappeared.
But I hated my nose because it looked the complete opposite of my natural nose. It was well and truly ruined, I had gone from having a strong masculine nose to a very feminine nose. I left it for around 3-4 years before going back to the surgeon stating to him that I hated it so much and that it had affected me a lot. He agreed to do a 3rd operation to try and resolve the appearance of the nose.
However, following the third surgery a lot of the issues were not resolved, I still hate the appearance of the nose so much, my natural nose was slim and refined but now it looks fatter all over and bulbous on the tip as well as flat and indented on the bridge, it is not straight and very deviated which has made my breathing far worse than it was originally with migraines and headaches returning with a vengeance.
All the surgeries were performed on the NHS.
I just want to get this finally sorted so I can get on with the rest of my life. I will be wanting to have it revised again on the NHS but with a different surgeon. I want to choose very wisely and know everything before I go ahead with it.
The skin on the bridge of my nose is scarred and more red in appearance than the rest of my face. I would like to be advised if this can be sorted out to improve the appearance of the skin either with creams or lasers, and if I should see a dermatologist if I have another revision.
I will upload all photos of my journey so you can see to help me out. Sorry for the long read and many photos.
Thanks,
Mark Cookson

markcookson's provider

NHS, e.n.t

Replies (35)

March 9, 2015
careful with that red skin, another surgery could cause necrosis
March 10, 2015
Hi. I am in a similar position to you. Three surgeries for a crooked nose and septum and wish I had left it alone. I have skin damage from an infection, redness and visible veins. At least with my original nose I didn't have to worry about grafts showing through and problems with my skin. My surgeries triggered rosacea which has exacerbated my nose redness or caused it, I'm not sure. I'm looking into laser treatment to reduce the redness. If I was you, I would ask the hospital for a copy of your surgery notes and take these to see a private surgeon for a consult so you can get a second opinion before you have any further surgery. If you do have another surgery it has to be the last one. Maybe try a consult with Basim Matti, Simon Withey or Lucion Ion, all based in London. Consults aren't cheap but it would be worth it. I spent over a £1000 on consults for my third surgery and ended up going to the US. It's a nightmare. Good luck.
March 10, 2015
Thanks for your reply. I know if I go ahead with it this will have to be the last surgery. Looking to hear what some surgeons on here can say for advice.
March 10, 2015
it's no substitute for a face to face consultation. I know they are expensive but it is worth it. You won't get much feedback on photos they will recommend in person consults.
March 10, 2015
Ok thank you, I would be willing to have as many consultations as I can but as all my previous work was done on the NHS I would rather have consultations through that process, very difficult to pick out a revision specialist on that route though.
March 10, 2015
Your nose looks great by the way. Do you think the redness on my nose is from a graft which I had put in my last surgery?
May 20, 2015
I would totally agree it is worth having a private consultation. I just had a revision rhinoplasty privately after an original nhs one and at my consultation the surgeon (Mr Srouji) was very honest with me about what could and could not be done and gave me confidence he would not operate unless he felt improvement was likely. My understanding is that he also does NHS work specialising in reconstruction so might be worth asking. ..
March 11, 2015
Hello - I think you should see Dr. Pearlman in NYC.
March 11, 2015
He does great strong men's noses.
User Avatar
March 14, 2018
saw in today
March 11, 2015
Sorry to hear about your struggles and let me tell you that I completely understand ur disappointment and frustration. Nothing about my rhino was an improvement and now I can't even wear sunglasses because I get headaches. The skin on my bridge is so sensitive than nothing can rest on it :( my nose skin is just so ruined and looks like an old woman's nose! Not sure what the surgeons are like in the uk but I'm waiting and saving my money to get a revision done in America. It seems like that atleast a few surgeons have a lot of experience with predominately doing revisions. I hope u find a surgeon u can trust and get the results you want. Look forward to seeing your updates :)
March 11, 2015
Hi Mark, could you tell me who your surgeon was? as one of my possible choices is based in Manchester.
March 12, 2015
Hi, I would not like to disclose this, but it was through the NHS with a E.N.T surgeon not a cosmetic surgeon. So if you are not going down this route you have no need to worry. If I could do it all again I wouldn't go through the NHS and would have made sure my surgeon was registered with the British association of plastic surgeons.
March 13, 2015
The ones I'm considering all do nhs, but also private. I've seen some of Ian Mackays work and it's pretty impressive, unfortunately he is retired now, but he was listed as one of 'the three' for nose surgeons in the UK , and he was both nhs and private . From my research, some of the best nose surgeons do private and nhs. I guess it's because they do a lot of them, but that's not to say that all of them get good at it, it's a case of finding the right one. I'm not considering cosmetic surgeons who do everything, just because they are excellent at boob jobs, does not automatically mean they have a good eye for nose jobs, and a lot of the best before and after photos on this site and LYB, were all done by ent surgeons. It's a shame you won't inform everyone of who your surgeon was, as that is the purpose of this site, but would you mind private messaging me? I'm considering Tim Woolford and David Roberts. Tim is listed in Tatler magazine as best for noses, and David worked with Ian Mackay, who was also in Tatler magazine and considered as amazing for rhinoplasty