Rhinoplasty Revision with Dr Grigoryants
My nose isn't exactly deformed or botched, but...
Rhinoplasty Revision surgeons
Feel free to recommend others to me since I just started researching doctors. I'm Willing to travel anywhere in the US.
I'm wondering if I should consult with anyone else on the East Coast before making my decision. I love some of Dr Grigoryants work but he is all the way in California so I'm not sure how I feel about a "virtual" consult.
I truly want to have this surgery done before the summer and I want to make the right decision... Any input or recommendations on other doc's would be much appreciated!
Dr Pearlman quoted me $16,500
Dr Grigoryants quoted me $14,500
Dr Frankel quoted me $17,500
I'm meeting with Dr Kassir in a week for consultation. After that appointment, I really need to make a decision and book my date because I don't want them to fill up. I need my date in the spring.
Any input on these doctors for revision rhinoplasty, good or bad,would be very much appreciated.
I'm going to post some pics if anyone can recommend an iPhone app to block the eyes and mouth ?
Here are some pics
My primary rhinoplasty was so conservative that my nose almost looks the same. I expressed that I wanted deprojection and to straighten my bridge which has a bit of a C shaped appearance as well as some irregularities (bump on one side as you can see) and a little dent on the opposing side of the bump.
So far I think I'm going to schedule with Dr G only because he actually produces results. I don't think his signature upturned look would suit me because I have a big head LOL.. But, I've also seen him produce some nice refined straight results. I guess it's all a matter of what the patient wants combined with what he feels suits your facial structure... Any advice?
I just want a nice smooth straight bridge. Doctors I've consulted with have suggested spreader grafts made of cartilage. Doctor Grigoryants suggested this as well.
Flight and Stay booked
Q-tips (A LOT!)
Neosporin / Vaseline
Roll of tape (for glasses)
Maybe some extra gauze
Cough drops + throat spray
Stool softener - OTC
Other than that, I'll be grocery shopping the day before my pre-op appointment and picking up my meds at the office.
The one thing I'm on the hunt for is a good portable or small humidifier. Since I'm traveling, I'll have to pack it in my carry on. Most of them are pretty big... I didn't use a humidifier during my primary and that was my only mistake.
Can anyone recommend a good smaller sized humidifier that I can take with me?!! Thanks :)
1 week until my revision with Dr G!
I heard the pre op appointments with Dr G can be very rushed. This is what happened during my primary and I can't allow this to happen again. I will have to bring a list of questions so if my nerves get the best of me, I can refer to the list to make sure I cover all bases.
I'm just saying my prayers and trying to get organized at this point. I'm just keeping myself as calm as possible. Any advice is greatly appreciated. :-)
3 days away from surgery !
24 hours until surgery! Pre op later today.
I have a little list of questions to ask but just not sure about bringing the pictures or not... Any advice ?!
Well here I am the morning of my revision with Dr G. I have been tossing and turning all night. I leave in 1 hour for the hospital. He said we will chat again before surgery. I want to ask if he can take a pic post op in the OR so I can see the profile view (like he does for some pt's) I'm not sure if he automatically does that or they request it.
Here goes nothing! :)
I took my antibiotic w applesauce and threw right up
Tried taking the anti nausea after and threw that up
The pressure from throwing up made my nose bleed a lot
My left ear started dropping blood down my neck due to pressure throwing up
Office told me to hold off on all meds since I keep throwing up
Praying to get through this
I've never thrown up after anesthesia before
Holding my ears to stop the bleeding and hospital gave me 2x2 gauze squares which are tiny not the 4x4s so I'm putting them side by side wish I bought my own
I feel like complete crap
Does anyone know anything about the ear cartilage grafts? Is it safe to rinse the area with water? Dr G said I can begin to clean gently around the area tomorrow. Not today.
I'm just afraid the scar will end up more prominent on that side if it remains irritated..... Any advice???
The day of cast removal he had to manually drain one of my ears. The one that began bleeding after surgery when I was throwing up, collected a lot of blood in the concha. I think he made an opening inside the ear because I have a scab there now. But he squeezed as hard as he could and it hurt so bad. The 3rd time, I had to grab his arm because I just couldn't take it. He squeezed it a few more times then I had to hold it with guaze and press down while he removed the splints and stitches - that was NOTHING pain wise because all I felt was my ear burning. There's still a small bubble which will have to be drained by an ENT if it doesn't reabsorb by itself. It's very small though and I see it going down so I'm praying it heals nicely. The stitches behind my ears are still in place and are supposed to fall out on their own.
There is a stitch sticking out from my left nostril which my friend pointed out to me today at lunch. I'm going to trim it. The incisions below my nostrils are red and I'm planning to use a scar serum on them. The bruising under my eyes is fading. There's still bruising on the bridge of my nose which will probably go away within a few days.
On the plane ride, my left nostril was burning and I felt a weird sensation inside of it. I did use Afrin nasal spray right before take off. This feeling lasted about 30 mins towards the end of the flight and then subsided. Other than that, I felt ok on the flight. Just had an extremely dry nose by the time the plane landed!
I'm using saline spray a few times a day and keeping the nasal rim moist with Vaseline. No stitches have fallen out yet. When do they start falling out?
There's an area inside my right nostril which is sensitive. It looks like a little pimple but I know it's part of the incision that was made inside. I have the same incision in the other nostril but it's lying flat and not sticking up. I'm thinking there might be a stitch under the skin there or it's just inflamed. I'm using antibiotic ointment on it per Dr G's recommendation. So I'm hoping that area settles down.
I'm just being very patient. Revision cases result in more swelling due to scar tissue being in the way. It takes a lot longer for things to settle. I have medium skin so hopefully I'll see some more definition come through in the next week or 2
My nose is swollen and appears crooked and curbing to 1 side much more drastically than it did before the revision. I emailed Dr G with some pics, questions, and concerns. He replied and told me "the nose is unevenly swollen and to update him again in 5 months.
I guess that means he thinks my results will be seen around 6 months. At this point I'm back to work and just plan to watch my results progress slowly.
I haven't consumed alcohol or began exercising again yet. I think I'll wait another 2 weeks for those things.
Just waiting waiting waiting for this swelling to come down and even out....
I'll post pics as things improve because most angles look a bit odd on photos!
The incisions under my nostrils are pinkish and seem visible to me. I get nervous when I'm talking to people because those are the only hints of the surgery. I'm pretty short though, so most people are looking down at me and not up. Nobody has said anything.
The skin on my nose is still flakey and oily too, but improving a lot. Swelling is slowly coming down and I plan to start back up at the gym this weekend (4.5 weeks post op).
Question: has anyone noticed a sore feeling on the sides of the nose/nostrils when they raise their upper lip or scrunch up their nose? It happens sometimes but not all the time. I'm not sure if it's swelling or due to the nostril reduction. It's not painful, just sore feeling on the sides when I scrunch my nose up or make a "KISSY face" sometimes.
I was at a social gathering and a friend grabbed my nose and told me I had a clown nose and sort of like honked my nose a few days ago. This made me so mad more because I was afraid it damaged something. I was 2 days shy of 4 weeks post op, so I'm sure it didn't. It sort of hurt when they did it, and the comment really upset me. I've never been told that before in my life since my profile view was mostly what stood out and they were looking at me straight on. Maybe the swelling is making my tip look rounder than I thought?
8 Weeks PO
I'll have to have laser treatment on one of my alarplasty scars since it's healed in a hypertrophic scar.
Any advice is appreciated. Thank you. :)
Ultimately, this revision was not worth $14,500, recovery time, on top of travel expenses and down time. I had NO grafts, osteotomies, or collapse from my first rhinoplasty. I'm not sure why my cost was so high and my result so minimal. Dr Grigoryants does an amazing job on a lot of people; unfortunately I didn't experience those results. My nose looks the same with a slightly improved profile. The tip still seems over projected, the front view is dented on 1 side, overall front view is very asymmetrical (lumpy curvy lacking definition). He's awesome at noses for the most part, but I think revisions may not be his strong suit. Maybe he tries harder on certain patients than others, but I paid SUCH inordinate amount of money for minimal results. I'm happy for everyone who gets it right the first time! Do your research. :(