life changing - multiple bad rhinoplasty surgeries and bad brow and s-lift

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I've had 3 surgeries with Dr Jacono and they have...

I've had 3 surgeries with Dr Jacono and they have all been bad. The first one where he took a significant amount off the length of my nose without consent was followed by my nose collapsing. I just had the 3rd surgery where he was supposed to lenghthen my nose, even out the sides and fix the are that was collapsed has left me with more uneveness on one side and the length is not even noticeably longer.

I have not been able to get used to the length of...

I have not been able to get used to the length of my nose even after he supposedly lengthened it. Unfortunately, it does not look any longer. My nose continues to be blue. Jacono never mentioned circulation to my tip as a risk. I'm left with a blue nose that may never recover. I also had an s-lift and brow lift which I didn't mention above. I'm left with significant asymmetry which has become more and more apparent as the swelling has gone completely down. I look hideous.

So the first picture is pre op and the second...

so the first picture is pre op and the second picture is the digital image he did for me and what we agreed on. The 3rd

So the first picture is preop. The picture right...

So the first picture is preop. The picture right next to it is the digital image of what we agreed on. As you can see there is NO change in length. The 3rd picture is after the first surgery. My nose is significantly shorter uneven and very unnatural looking. You can see the asymmetry in my face. It has become even more apparent two years out. Good luck if you have surgery with andrew jacono. Your face is in his hands. Unfortunately I can't cover mine up with clothing. Can you cover yours? You better hope so. I'll post some more photos that show the asymmetry better soon. I hope this helps you think twice.

Bad surgeon-generous term

Tara A thanks for your comments. It has been emotionally devastating. I will post someone pictures of the asymmetry of the facelift. It is hard for me to even look at myself so it was not easy posting these pictures. If these pictures don't convince people NOT to have surgery with andrew jacono, the ones of me a year after surgery will.

more pictures- you decide whether it was worth it

Just in case you are still considering Andrew Jacono for surgery.

are you in good hands?

I thought I'd give examples of just what kind of care you'll receive from Andrew Jacono. So in my first few surgeries, Andrew Jacono will rush in and say "what are we doing today?" Does this sound familiar? It happened for most of my surgeries and it is not to make small talk but because he really has no clue. You see, he hasn't taken notes during your consultation and he certainly hasn't looked at your file. I actually complained to Diane Spira that he doesn't take notes after one of my consultations so during one of my last consultations, he pulled out a drawing of the sinus passages of a nose that he had doodled - "see I took notes". I'd hardly call those notes, I should have run the other way. In my last consultation, I brought up (again) that I was unhappy with the lines down the side of my face and those radiating from my mouth (we had done fat transfer to my face in my last surgery and it did not do anything). And he says "the only way we can treat this is with fat transfer". Of course he had not referred to my file before walking in the room. So if he takes notes during your consultation don't count on him actually referring to them. This lack of attention or thought is the way he operates. Don't think for a moment, he will actually put any thought into what he is doing and how it will look on you. He just does and it doesn't matter what the outcome is. So after my 2nd rhinoplasty with jacono, I having been through this 2 times before, was panicked about how the base of my nose looked. After not sleeping all night, I called his answering service. His on call doctor says "I don't know what happened in your surgery, I was busy with my ". Again, this is an example of the type of care you will get. Don't think Jacono has actually briefed the on call doctor as this would require time and forethought and of course don't expect to get a call from him to see how you're doing- this is completely out of the question. He can't take time out of his tweeting and self promotion activities to give his work a second thought. And recently, my nose has been blue. He never mentioned this as a risk. However, when I got out of surgery, I had a prescription waiting to help my circulation. If he had mentioned it as a risk, I might NOT have gone through with the surgery. The blueness has not gotten better and I'm worried. So I call Diane Spira to tell her my concern and to ask her to ask Jacono what I should do. I don't live in the area so it would require seeing someone else. Her response was that he did not need to give me an answer because I have "trashed" him online. I told her that was unprofessional and in my mind he still has a duty of care as a doctor. You really can't make this stuff up. I hope this helps anyone trying to figure out if Jacono is the doctor for them. That's if my pictures haven't already sent you running. I wish I had run the other way.

I've had 4 consultations with doctors about my asymmetry...

I've had 4 consultations with doctors about my asymmetry and nose. For the asymmetry, nothing can be done permanently. It will require ongoing Botox to bring my brow down and fillers for the lines and depression on my face. Worst of all, I can't live with this nose. It remains blue. No doctor will touch it now, most have said I need to wait two years. I can't live with this nose.

My life remains changed for the worse

Another interesting thing about Jacono. After my last surgery where he was supposed to lengthen my nose, even out the sides and fix the side of my nose which had collapsed, he bragged that he spent 3 hours on the surgery. Like this was a significant amount over the usual amount of time takes. I heard from another woman whose doctor spent 6 hours to lengthen her nose. Of course I my surgery he shaved one side but not the other and he bearly lengthened the tip. He certainly did not do what we discussed and my nose is now deviating to the right. In addition I think he made my nose wider higher up on my face which makes my nose more the focus of my face. His surgery was a drive by, incomplete and dine with little to no thought - it would have taken too much time to do it right-not that he has the skills to do it right.

Still devestated

So it is 7 months post op and my nose continues to be blue. The shape of my nose continues to change - lumpy is the only way I can describe it. He left more cartilage on one side then the other and it looks like he made my nose look wider higher up which is not what we discussed. It seems like he focused more on making my nose look wider then what we discussed which was to lengthen my nose. I don't think my nose was lengthened at all. I told him the length was the most important issue- he took off from the length without consent as you can see from the before and after picture he did for me prior to surgery. In addition, I see a bump of cartilage starting to come through on the tip. Of course it is right on the tip and in the center of my nose. I'm sure it will be more pronounced as time goes on. He really has not skills. I hope people read these posts and understand they should look elsewhere. There are too many of us out there who have been truly disappointed and devastated by Jacono. I have trouble getting up in the morning and I spend most of my time alone. I hope this serves as a warning to anyone considering him for surgery.

Still blue

My nose is still very blue and uneven. Jacono never mentioned the risk. I tried to capture a shot of the lump of cartilage he has put on the very tip. His lack of skill is spalling. Not only did he take half my nose off but he's left it asymmetrical and lumpy. I look like I had a terrible accident. It has been over 10 months since my surgery. I'm worried about what else will show through.

A year later and my life has still been ruined by Jacono

It has been a year since my last "surgery" with Jacono. In the last procedure he was supposed to lengthen my nose as he took off ALL of the cartilage from my nose in the first surgery. We did not even speak about the length and he did this and not what we actually talked about- he doesn't take notes or listen. So he said he could lengthen my nose. He put spreader grafts in my nose which have only made my nose look shorter. There is bump right in the middle of my nose as well. I assume it is a stitch or cartilage coming through. My nose has been blue over the past year and remains blue. I've included a photo. He did not mention this as a risk. I don't think I was a good candidate at the time for lengthening as my skin was too tight and I don't think he actually had the skills to do this. So a year later and I have a blue nose and my nose is no longer and I have a bump right in the middle at the tip. Not to mention, that I have a lot of asymmetry from the slift and the brow lift. I have to get botox to make my right brow come down and fillers for the depression on the left side of my face. No one can do anything about the left cheek which is higher and the lines going down the sides of my face. I hope that anyone considering him thinks twice. He should not be doing surgery.


I thought I'd show my profile. My nose looks like it was cut off. No projection, flat, uneven sides and generally lumpy. You can't hide your face and when a doctor takes so much off the length, it is irreparable no matter what any doctor tells you. This doctor took all the cartilage off my septum and we never discussed length. Don't take a chance with him.

Still devastated by Jacono

It's been 16 months since my last surgery with Jacono. My nose remains blue. Over the last few weeks, I have had someone try to rub off the blue pen on my nose, ask me why my nose is blue and tell me my nose has dirt on it. My nose has not gotten any better. I feel very self conscious. On top of this, there is little left of my nose. Once long now short and fat. And there is something protruding from the tip- right in the middle. Then, there is the shape-the tip looks flat- like it was sliced off- no projection. This and then there is the asymmetry on my face - nothing really works - I've tried Botox and fillers. Then there is the elongated look of my mouth from the pulling caused by the slift. I look hideous. I am so self conscious. I never want to leave my apartment. I truly hope that anyone considering Jacono, reconsiders. He has ruined my face and life.

Still blue in many ways

Nothing has gotten better. Only worse. As the swelling has gone down, all the unevenness in my nose is more visible and of course, my nose is still blue.

brow lift - 5 years later

I thought I'd update my review. As you can see the asymmetry is obvious. after 5 years (you can imagine how high they were originally). One brow higher than the other and this is even after botox helping relax my brow. I have to have botox every 3 months to try to bring the brow down. My brows were symmetrical before (some doctors have asked). They are also too high and in addition to the rhinoplasty. have changed the way my appearance. 2 doctors said I did not need a brow lift but I guess Jacono sold me on the idea and I was naiive. Having your brow lift reversed apparently only works 50% of the time.

2 years since my surgery

my nose remains blue. It usually looks like it is dirty. The skin is in bad shape. Jacono never mentioned this as a risk. I still have a lump of cartilage in the middle of my nose. Not to mention how uneven my nose is. A careless and rushed survey by an incompetent surgeon who is more concerned about his Twitter account and his PR than his patients.


My right brow higher and lines down my cheek from s-lift where the skin was pulled unevenly. Like a purse string which has left ripples as on doctor described

Desperate measures- you tell me

I noticed when you google Jacono 4 1/2 stars -387 reviews come up under his his name under for the link to his website. The link brings you to his website and of course there is no data source. I guess he is rating himself over and over and he thinks his clients are not too smart. I also noticed on another site a teenager gave him a good review for rhinoplasty and when you click on her profile there is a restaurant review which sounds like it was written by an adult. I also noticed 3 negative reviews were taken down from this site. I'm not sure why. Meanwhile he has a steady stream of one or two posts per month some with little detail, no pictures, they sign up on this site the day they post and then never post again. Desperate measures. Meanwhile he has ruined my face and I am not alone.

Another Bad Development - expected with Jacono

Just when I thought it couldn't get worse it did. I guess progressively worse is what happens with Jacono. The ear cartilage he put on the left side of my nose is no longer in place and a result, I have a dent on the left side of my nose at the tip. Of course at the tip, Just like the lump of cartilage he left front and center at the tip, it is noticeable.
Of course nothing is worse than the fact that he shortened my nose drastically without even a discussion about the length. Also the s-lift after the swelling went down all of the irregularities and asymmetry came through and similar with the brow lift. Please don't consider him for surgery. I urge you to find someone else.

Seems even bluer

my nise seems to be getting worse. I am forever changed and devastated.
Great Neck Facial Plastic Surgeon


1 out of 5 stars Overall rating
1 out of 5 stars Doctor's bedside manner
1 out of 5 stars Answered my questions
1 out of 5 stars After care follow-up
1 out of 5 stars Time spent with me
1 out of 5 stars Phone or email responsiveness
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