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Nightmare Revision Rhinoplasty by Dr. Stanley Jacobs

In this review, I will share my direct experience & opinions, as is my confidential right as a patient, in the hopes that it might help others in choosing the best doctor for facial plastic surgery.
The biggest mistake of my life was having surgery with Dr. Jacobs. He is the worst surgeon, in fact the worst doctor, I have ever encountered. I wound up with a botched nose visually and functionally. Before surgery I was a confident, successful person in the prime of life. I had no functional problems with my nose and enjoyed top health. When he was done with me, my looks and ability to work or fully enjoy life were markedly diminished.
I met him for something unrelated to rhinoplasty, but he brought up my nose (red flag). He proposed surgery to improve it but not change my overall look. Having had positive experiences in the past with other doctors, I trusted him. Dr. Jacobs initially comes across as nice and was admittedly quite good at creating a convincing computer morph. I learned the hard way that those factors are nowhere near enough when choosing a surgeon to operate on your face. The outcome of trusting him was disastrous. My experience with Dr. Jacobs taught me that untalented surgeons do exist. I believe he lacks the skills and artistic eye needed to deliver quality results.
My nose was left disfigured requiring a full revision by another surgeon. It has cost me more than double what I paid Dr. Jacobs including over a year of lost income & other ongoing damages. My career has suffered immensely. Photoshop/filters can only hide so much. I will never look as attractive as before; my best hope is to look less deformed and at least function normally. What Dr. Jacobs did to my nose bore no resemblance to the morph, and in fact “leveled down” my looks so badly that friends, colleagues & loved ones repeatedly expressed concern over what was done to me.
Some of the serious issues his surgery left me with include:
-Permanent visible crater/dent on nose tip
-Crooked, badly grafted cartilage sticking out in various locations
-Widened/bulbous ugly nose on frontal view
-Semi-paralyzed upper lip
-Persistent dripping/runny nose
-Overly-reduced/deformed nostrils
-Bumpy bridge; didn’t smooth bones as proposed
-Pollybeak deformity
In sum, he turned my nose into a nightmare.
I repeatedly tried to get complete answers from Dr. Jacobs often to no avail, which in turn forced me to have to repeat myself. He then chastised me for the number of emails exchanged (even mere pleasantries; he literally went through and counted emails) and said if I was so unhappy with his work then I should go talk to a psychiatrist, which is flatly outrageous. He seems adept at denial and deflection. Never have I experienced such egregious, unprofessional conduct as with this doctor.
The best way I can describe his behavior is that he seems to carefully protect himself from liability. Rather than admit and take responsibility for the objectively obvious failures of his work, he was embarrassingly self-congratulatory, to the extent that he claimed he “knocked it out of the park.” Meanwhile, friends suggested I go on the show “Botched.” I am left wondering if Dr. Jacobs meant he knocked the ball out of the park, and into my face, perhaps.
Once I requested & received my records, I never heard from them again. All the “we are here for you” niceties vanished once it was clear I was unhappy with his work. The overall conduct again smacked of liability avoidance rather than quality patient care. I began seeking professional opinions from other surgeons, including a world renowned rhinoplasty expert who immediately recognized numerous problems & informed me a full revision surgery was needed.
Another red flag was the lack of truly excellent photo examples of the specific procedure Dr. Jacobs proposed. He’s pitching the surgery, he should be able to provide abundant proof of his abilities. He had some from limited angles that didn’t show much detail but seemed ok to me at the time due to my naivete. However, one disturbing example haunts me: It was of a patient whose results were so bad that I thought he ruined her face. I’d even shown it to a friend & we both noted how bad it was. Right then I should have declined surgery. But his staff said that patient wanted that look, so I unwisely dismissed it. Before/after photos, very clear ones of all angles, need to show many, many consistently stellar examples of what the doctor is proposing. If they can’t, or they make excuses of any kind for not having them, run. Great surgeons can and do provide this easily.
I’ve also since learned that Dr. Jacobs is not a member of the gold standard in plastic surgery, The American Board of Plastic Surgery.
Rather than rely solely on my words, I will include some photos to the best of my ability while protecting my privacy. If this is what Dr. Jacobs considers "knocking it out of the park” for rhinoplasty, what might he do to your face?

Provider Review

Board Certified Facial Plastic Surgeon
166 Geary St, San Francisco, California
Overall rating
Doctor's bedside manner
Answered my questions
After care follow-up