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30s Female, Revision Rhinoplasty for Pinched Tip, Hanging Columella

UPDATED FROM PDags
1 year post

Eighteen months later...

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PDags
$20,349
Hi all, so I am updating my review. It has been a year and a half since my revision rhinoplasty with Dr. Pastorek and overall I am generally satisfied with the improvement. The change was very conservative and subtle but I do feel like my nose tip is less pinched. My nostril symmetry is improved but not completely symmetric, I did need to have some filler placed by the surgeon to even out the edges of the nostrils a couple months after the surgery. The surgery was very costly but the recovery was amazing as it was closed. To be frank, I am relieved that my nose looks definitely better and not worse, since in doing my research in revision rhinoplasties I saw some cases where people had two or three revisions, and I'm just glad that at this point I can live with my nose as it is and don't cringe in disgust every time I see it in a photo. That's a win, right?! So, all in all, I feel like my nose looks significantly less "fake" and "done" even though I don't "love" my nose, and I given that I know how difficult a surgery this is, I am genuinely extremely happy to put my nose hatred in the past and move on with my life.

PDags's provider

Norman J. Pastorek, MD, FACS

Norman J. Pastorek, MD, FACS

Board Certified Facial Plastic Surgeon

PDags

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Replies (3)

December 14, 2018
I like it , pretty and natural
December 14, 2018
It looks so natural!! Congrats!
January 19, 2019
I like it! I think it looks natural. My nose looks like a generic rhinoplasty nose. Your doctor did a good job
UPDATED FROM PDags
2 days post

Photos Day 1

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PDags
Day 1 I felt OK, pain was very manageable, just iced with frozen peas in a ziploc as much as I could and took it easy, listening to podcasts since I wanted to be able to close my eyes and ice and doze off as I felt. My eye swelling was pretty bad, I looked like the Beast from Beauty and the Beast because my eyes and area in between my eyes and cheeks were swollen to a bit of a squint. Slept well during the night, again on the couch, elevated. The little dribbling of bleeding mostly stopped by this day. I felt well enough to go up to the roof deck of my apartment building and get some fresh air. I wore a ball cap just in case anyone saw me, but no one really did.

Replies (4)

September 20, 2017
So happy for you! Hope you are doing well. I am interested in how your results are now, do you plan on updating us on your new nose? In the cast it looks amazing! I really want to get mine fixed I have the pinched nose and hanging collumnella from a previous surgery and I'm not sure what I need to fix that. What type of grafts or techniques did you need done to yours?
March 12, 2018
please update
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March 28, 2018
yes can u update pls
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December 13, 2018
Hi all, so I am updating my review. It has been a year and a half since my revision rhinoplasty with Dr. Pastorek and overall I am generally satisfied with the improvement. The change was very conservative and subtle but I do feel like my nose tip is less pinched. My nostril symmetry is improved but not completely symmetric, I did need to have some filler placed by the surgeon to even out the edges of the nostrils a couple months after the surgery. The surgery was very costly but the recovery was amazing as it was closed. To be frank, I am relieved that my nose looks definitely better and not worse, since in doing my research in revision rhinoplasties I saw some cases where people had two or three revisions, and I'm just glad that at this point I can live with my nose as it is and don't cringe in disgust every time I see it in a photo. So, that's a win, right?!
UPDATED FROM PDags
2 days post

Day 2

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PDags
Day 2 - This was the day the doctor and nurse said my swelling would be the worst, but I felt like it had actually started to go down compared to Day 1 post-op. Pain came and went, I iced some more throughout the day, mostly read, watched TV, and did light housework. I feel like the Vitamin C and Arnica are helping. I also am avoiding salt and drinking lots of water and eating lots of healthy fruits and veggies. Of course my nose is covered with the splint, but I can see the columella that was raised, so I'm really happy about that. Also, my nostrils look more symmetric.

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