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POSTED UNDER Rhinoplasty REVIEWS

Bulbous Tip - Michigan

ORIGINAL POST

My surgery is in 4 days and I'm on the fence as to...

Denver917
WORTH IT$6,700

My surgery is in 4 days and I'm on the fence as to whether I'm excited about this or scared. I've met with the doctor twice and he's not easy to talk to at all. I'm trusting him and using him based on the pics on this site and in his book of work that I saw when I met him. Also because he doesn't have any negative reviews...that I could find. He's located very close to my parents home where I will be recouping and he's also so much more affordable than the docs in NYC where I lived while searching for a doctor. At this point I'm concerned maybe I didn't do enough research and that's solely because communicating with him as to what I want and what he's going to do is like speaking to someone who doesn't understand my language.

He's a total character and salesman for sure. He likes to parade patients and possible patients in front of each other to show that he does get business so you should use him. He even showed me his calender so I could see he gets booked. Effective but tacky. I told him many times I'm happy with his work. The theatrics aren't necessary but he's used to doing this so I kind of feel like just another nose to him. He has this odd big brown chair in his office that you sit in while he sits in a tall stool next to you for inspection. I also didn't find his head office manager to be that nice. She seems kind of sick of the job and has dealt with more than enough women who are insecure about their appearance.

The reason why I'm getting this done is obvious in the pics. I have a small bridge and the tip is what some would call a "button nose". Cute when you're young but when you're 37, it's just a bulbous nose that's getting bigger. Golden advised me that I shoudn't have high expectations with a dramatic change. I will be swollen and will probably look the same as I do now for the next 6 months to a year. I understand and want it done regardless but he's not very good at telling me the positives I should expect. Fear of litigation maybe? I just want to know the good things I will expect. I asked him what exactly will he be doing to minimize the tip and he kind of talks in circles and he's all over the place instead of being direct. At this time, I had already booked my surgery date which costs $1500. Why didn't he tell me I shouldn't expect a change before I handed him over a thousand dollars? He only does closed procedures. I don't know the negatives to a closed procedure but if all you want is an open, he's not your guy.

I don't want to come across as negative but I notice that many reviews on him and other doctors don't involve much info on what the doctors are like to communicate with so I thought it was important to put that out there so you can prepare youself if you"re on a search for a doc at the moment. I have had laser surgery on my eyes and bunion surgery on my foot and both doctors were very direct and calming. The feather in Golden's cap and the reason why I am going with him is the fact his pics look great and I want to chalk his poor social skills up to the hope he's an artist and is very certain what he's doing and that I will be happy.

I picked up my meds which you must do three days before surgery so you can start applying an ointment inside the nostrils as a prep for surgery. The other meds are an antibiotic and an OTC to counter-balance the bacteria from the antibiotic. I didn't want to do antibiotics since I've never taken them but this is an absolute must since any infection (especially near the brain) is not to be taken lightly.

I wish I was more excited about this but I'm neither here nor there. I'm more nervous than excited. I haven't been insecure about my nose my whole life like many women but I'm definitely seeing it getting more round and looking like the head of a penis as I get older. I'm coming up on 40 and just want to ward off what comes with age. I see it turning into my dad's nose and...well, who wants their dad's nose? Many women have large humps they've wanted to take care of their whole life so I am definitely a different kind of patient than most.

I will post pics and document the experience in the coming week. Wish me luck!

Denver917's provider

Theodore A. Golden, MD (retired)

Theodore A. Golden, MD (retired)

Board Certified Facial Plastic Surgeon

Denver917 rating for Dr. Golden:

Overall rating
Doctor's bedside manner
Answered my questions
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Replies (12)

August 13, 2012
A closed procedure will make for quicker healing, possibly less swelling and no visible scars, definitely a positive! Seems like he's giving you accurate info on the healing process, it is possible that your nose will not look much different for the first few months with the final result not visible until about a year after the procedure, although a closed approach is expected to heal faster than an open one. They say it is important to feel comfortable with your surgeon, but if you are confident in his work and feel you are both on the same page as to the outcome that you want then I would agree that you can look past his quirky antics and trust his skills. I am in the early stages of the healing process and one thing I think will be important to remember is that some post op feelings of regret are a possibility, especially when you're not seeing some sort of improvement right away (i.e. removal of a moderate to large dorsal hump) and the discomfort and swelling and thought of having spent so much money for a small change in your nose was maybe not worth it all. It is great that he is preparing you to not expect to see much in terms of results right away for that reason. If you really have thought this through, you may or may not have these feelings of regret and if you do you'll quickly get over them. Just want to put that reminder out that they are normal (i had a couple of rough days! and crying slows down the healing/reduction in swelling process). You may be very lucky though and see early on improvement given that you are undergoing a closed approach. Best of luck to you!
August 13, 2012
Hey there! Your story caught my eye because we are in very similar situations. I actually just moved back from New York (lived in Park Slope, BK) to Michigan for a job. Dr. Golden is performing my rhinoplasty this Friday (8/17) ... When is yours exactly?

I'm completely confident in his abilities and I think we're both in good hands! I've e-mailed him and his staff a dozen times with questions and they've always answered nicely/quickly. I'm greatful that he does closed procedures because there are no scars and you'll recover quickly .. and I'm sure he's perfected his technique over his 30 year career.

I have a review on here that I started and will be updating once I actually go in for the surgery. Good luck and keep us updated!
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August 13, 2012
Best of Luck!
August 13, 2012
Hi! When is your surgery?? Your review so far is right on re: Dr. G. I have a consult today and next Monday with 2 other Docs. Also I'm now having my mom tell me don't do it! Yikes! I'm a 44 yr old wife and mommy...but my moms opinion can still 'get' me!
Update me on your date.
August 13, 2012
Good luck with your Dr. G consult today! I have my surgery with him on Friday and couldn't be more excited!
August 13, 2012
Actually my consult is with William Sabbagh today. I've been to Dr. Golden twice already. Just wanted a few other opinions.
UPDATED FROM Denver917

So, had the nose done today. I showed up and the...

Denver917
So, had the nose done today. I showed up and the nurses were very kind and did a great job keeping me calm through it all but frankly, I wasn't nervous. I had bunion surgery 3 wks ago and I knew what to expect with anesthesia. My head is foggy and two hours being home and I'm still grabbing furniture to steady my walk.

Dr. G was very accomodating today. I asked him to show me what the plan was and hen showed me everything he wanted to do. However, he recommended breaking the bridge so that I would keep a narrow bridge versus shaving the top and getting a flatter or squared nose. Since I already felt my bridge was a bit narrow, we stuck with shaving it in order to give me some width instead.

All around I think this was a great experience thus far. Dr G ended up being better than I thought he would be. I also feel a lot of people aren't their best early in the day (we started at 8am) after coffee versus there attitude after five consultations.

I'm a little woozy and it comes in waves. I don't think I'll be sick but it's not a pleasant feeling. Probably would have been best to take a nap after sugery...like now.

Will post pics later. Right now, no bruising so your not using anything other than bridge tap and a nostril diaper. Uneventful.

Replies (2)

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August 15, 2012
I COMPLETELY understand your thoughts about Dr. Golden. I had a Rhino last July and was left still w/ an ugly bump on my nose so I had Dr. Golden do my revision in April so i am 4 months post-op. He is totally all over the place, quirky, cocky, and doesnt seem like he listens. I think its just do to the fact that he;s been doing this for years and knows what he is doing and has delt with insecure people complaining about their noses. As of now, I am pretty happy with my result, but not 100%. I complained multiple times to dr. golden how I hated my tip and how it looked big and bulbous to me. He said my tip was fine and refused to do tip work on me. Supposively one side of my tip had higher cartilage then the other (which i never noticed. but w/e!) and he took some of it out to level out my tip. I know there is prob some swelling in my tip from him doing that procedure but i still think it looks big. I kinda came to the conclusion that i think tip-work is not his thing... i came across someone else on here who mentioned the same thing i did... its like he almost tries to avoid doing tip work UNLESS it needs to be done...hmm...
August 16, 2012
Actually, based on his pics, I'm happy with his tip work and that's why I avoided others. When he first looked at me, he almost turned me down but the more he inspected, he saw what I was talking about. I have a feeling I'm going to look good. He shaved down my bridge. I hope I see a difference because many shaves don't show much of a difference and it would be nice to have that lice slope he does but I just decided that I'd rather not break it. My tip is my biggest issue and I didn't want to deal with a lot of the handicaps that come with breaking the bridge. Recover is longer, painful, can easily deviate and youll need to return for and a correction, black eyes. Just didn't want to go through all that if it wasn't an issue for me.
UPDATED FROM Denver917

I Posted an update but for some reaso it didn't...

Denver917
I Posted an update but for some reaso it didn't upload.

This is the day aer surgery and all is well. My nose hurts, which is to be expected, and my throat kind of feels weird but I'm not worried about it.

The slightest touch to the nasal pad is painful so whatever you do, don't touch it and while putting shirts on, hold them far from your face, just an FYI.

The first nit was like many who have posted to RS. I woke at 5:30 am and changed my nose pad since there as enough blood loss to do so. I took a Tylenol and went back to sleep. Laying on your back if your a side sleeper is annoying but your subconscious kicks in and I doubt you'll toss and turn.

I'm noticing mood swings, partially due to headache. One minute I'm relaxed and next minute I'm cranky, and Inot a cranky person so it's bothersome for sure. I dread the day he has to pull the stitches out. From reviews I've read and based on the tenderness of my nose, it's going to be tougher than the surgery itself and Dr G didn't make bones about it. He said it will be uncomfortable. Which in doc speak means it will be a painful experience.

Looking forward to taking the nasal pad off. It's just annoying but if I'm still dripping, it needs to be there.

Will keep you posted.

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