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Dr. Constantian Fixed My Droopy, Crooked Nose

UPDATED FROM smkkms
3 months post

Original nose, pre-revision and post revision pics

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smkkms
WORTH IT$8,900
I love when people post before and afters so I scanned a couple pics of my original nose along with the doctors pre-op pics. Like many people I didn't keep the really unflattering pics so not much to choose from.

smkkms's provider

Mark B. Constantian, MD, FACS (retired)

Mark B. Constantian, MD, FACS (retired)

Board Certified Plastic Surgeon

smkkms

smkkms rating for Dr. Constantian:

Overall rating
Doctor's bedside manner
Answered my questions
After care follow-up
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Replies (5)

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March 25, 2015
Your new nose is perfect!
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March 26, 2015
Does your surgeon have a time machine in his office?! You look younger than when you started! That's amazing! You are beautiful
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March 26, 2015
She does! I think when your nose is elegant and fits your face it makes you look younger. Her post revision nose is also nicely upturn and that's one of the youthful features.
March 27, 2015
Love the side-by-side pics! Re: looking younger - she does look amazing, and I wanted to add that (assuming all heals well and grafts stay stable etc) these reconstructed noses with the strong cartilage struts like hers tend to "age well". With normal aging the face bones shrink, the upper jaw/maxilla loses bone, cartilage weakens then the nose droops since the foundation beneath shrinks. But that solid strut and other framework will likely keep the nose tip up and out despite bone loss within the face.
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March 30, 2015
I wish! I think what you're seeing is my phone's not so great camera combined with more flattering light than the harsh office light of Dr C's office. Ahhh, the magic of photography. One of these days I'll take a photo with my regular camera and you'll see!
March 26, 2015
Your post-revision nose looks truely stunning!
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April 2, 2015
wooow...I don't know which feature to notice first: your marvelous eyes, your beautiful skin or your gorgeous nose. Really you look magnificent!!! Do you still tape your nose every night? I was wondering if I still tape mine too, I have 5 weeks post-op! Thank-you for your review and your pictures!
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April 9, 2015
Thank you, that's too nice! I have never taped my nose, my doctor didn't tell me to. Part of me wishes he had, because I would like to see what it looked like with less swelling, but I'm also kind of glad I don't have to worry about doing it correctly!
May 1, 2017
It's been a long time since you posted here and I was wondering how your nose is holding up all these years later?
UPDATED FROM smkkms
3 months post

2 1/2 months out post-op.

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smkkms
Still swollen, but changing. Took some pictures earlier today to document the healing process. Was pretty happy. The I banged my really nose hard tonight, and am a little freaked out right now. It's so swollen.

Replies (5)

March 21, 2015
I thnk you look absolutely beautiful!!
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March 22, 2015
thank you very much!
March 21, 2015
Did he use any type of grafts to support the tip?
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March 22, 2015
yes, he did, but I don't know the details other than it's mostly ear cartilage.
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March 22, 2015
oh, wow, the swelling is **much** improved from your last set of pics! About hitting your nose: I think it feels like you hit it harder than you actually did because the tip is still rock-hard and your nerves are tender. I opened a cabinet door on my face and I swear it felt like an electric shock! If it didn't start bleeding, then I think you're OK (even though losing ground with welling resolution NEVER feels OK, and it sucks that you banged your nose, I'm sorry that happened),
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March 22, 2015
You're right, the tip is still rock-hard and it still doesn't move like a normal nose, which does make it more sensitive. Today it was quite swollen, & there's a red spot on the side that that I hit, but some of the swelling could have been from the crying, too. It definitely didn't bleed and I think it'll be ok. Thanks for the much needed perspective!
March 22, 2015
You look so amazing!
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March 25, 2015
thanks, I appreciate it!
March 22, 2015
Your nose looks AMAZING for being 2 1/2 Months out!
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March 25, 2015
thank you!!
UPDATED FROM smkkms
1 month post

One month since surgery! Before and after smile pics.

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smkkms
It's been a month and I wanted to celebrate by posting I'm some old pictures of my droopy nose when I smiled. My smile is mostly back to normal and my nose tip stays put when I smile :-)
Nose is still hard and swollen, and the swelling is in different places on each side. Dr. C had to do different things to the left and right sides, and despite the uneven swelling my nose is less crooked than it was before surgery.
Some one commented today that I look different, it's been several months since I've seen her. Then she said, "it must be because you're wearing your hair up." Anyone have any good non committal answers for that situation?

Replies (4)

February 1, 2015
You look wonderful! The stiff smile will eventually go away or feel normal,
February 1, 2015
Also re: the comment from your friend - unless she has photos side by side she probably doesn't realize at all that your nose has changed. Enjoy it :) Lovely work.
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February 1, 2015
Thanks very much! And I think you're right - not everyone hyper focuses on noses, right?
February 1, 2015
My own brother (who knew about the surgery but lives far away) looked me over several months later and was confused, said I looked exactly the same as before even though the nose was changed very much. When I showed him pics he then remembered. Even people you know very well don't necessarily carry around a mental image of you and they adjust very quickly.
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February 1, 2015
myrica -- same with my boyfriend. He said he maybe can see a difference in the tip. Then I showed him before/afters and he remembered what my bridge looked like. Funny how we don't really memorize people's features that well. I try to imagine 10 people's noses/ears/chins/etc with whom I work with in detail and I can't really. Besides, I'm sure the last thing people think about is our noses :D.
February 1, 2015
Ok now I'm convinced . I honestly do not like dr c gallery however your nose is amazing . I have a packet ready for the long distance consult and was debating if I should send or not . After seeing your pics convinced . You look so good !!!
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February 1, 2015
Thanks!! I would definitely recommend consulting with Dr. C! And I agree that his webpage doesn't have the best photos of his work. When I went to his office he showed me a lot more picture of noses he felt were close to my situation which was reassuring. I'm due to go back April 1st for another follow up. I'll post about that when it happens. Feel free to pm me with any questions at all. That's what's so great about this site - all of the information sharing that we can do!
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February 1, 2015
Wow, what a difference!! Your nose looks beautiful! And that's the best comment one can get in my opinion -- such that they notice you look better but can't pin point it on anything specific.