The day of surgery was very smooth. I was nervous on the operating table but the anesthesiologist knocked me out pretty quickly. I don't remember any pain at all when I woke up, and the nurses Lisa and Irina were really nice and took care of me, letting me sleep there for a few hours there before going home. For the week that I wore my cast there was no pain at all, just slight discomfort and numbness. I was surprised how little a broken bone and healing cartilage actually hurt. I could also see right away that the hump was gone and the bulbosity looked very much reduced.
Dr. Loeb removed packing on the third day, and took the cast off the following Monday. My nose looked a bit swollen but the improvement was immediate--hump gone and a much nicer tip. I should mention that when you are swollen you look a bit 'piggy' and upturned, but this goes down in the next week before you can really appreciate what your nose looks like. I must say that less than 2 weeks after surgery, I really love my new nose. Even though I have thick skin, Dr Loeb managed to make the bulbous mass of cartilage on my tip look much more sculpted. The bump is almost completely gone (there is still some swelling) and there are still a few months to go before it looks even better. It is not an over sculpted nose; it matches very well with my face and looks natural. Privacy is important to me so if you want photos please PM.
Overall, it was a wonderful experience (and believe me I am very sensitive to flaws and inefficiencies of doctors. I was scared of surgery and pondered the advantages and disadvantages for a long time before deciding on my rhino.) The nurses were very thorough and compassionate with me, even calling my boyfriend after surgery to tell him I was fine, and Dr Loeb was kind and patient with me before and after the operation. I really appreciate his honesty and integrity. He is not your typical Park Avenue surgeon who only cares about maximizing profit. He also does not carve a Real Housewives™ nose on your face but considers what you started with and what would look best with your features without being unrealistic.
My advice to anyone considering a rhino is to choose very carefully your surgeon. (I have heard great things about Grigoryants and Slupchynskyj for revision patients, and less than stellar testimonials about Rizk and Tabbal, who are extortionately expensive.) Make sure that a doctor who pushes for an open surgery has a very good reason for that choice. It is so important that you can trust this person--after all, the center of your face lies in their hands. Figure out what is a realistic expectation for your nose and voice all your concerns before surgery. From my experience, I can highly recommend Dr Loeb as a great and honest doctor.