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Revision done! My columella is back!

Had revision surgery yesterday with Dr sylaidis. No cast on so already stoked with the result! Can't wait until the swelling reduces and I see the final result. Swelling at the front is due to the medpore sheet that was put on that side. It should look less crooked once it heals. Also had soft tissue added to fill in the dents. Happy already, I wish dr sylaidis did my primary surgery

Before photos


Revision booked for different surgeon

Ok so haven't done an update in a while.. it's almost been a year since my surgery and I'm now booked in for a revision with Dr sylaidis at Adelaide Plastic Surgery. For those who aren't aware, 4 weeks after my surgery, I was in a bad car accident (what are the chances!). Anyway, the other driver was at fault so long story short the revision is mostly covered by insurance but after the accident, my nostril started to collapse and there was an obvious bend in the front of my nose. I went back to Dr Zac who proceeded to tell me that yes it was crooked and a bit caved in but 'it's not that bad'. He also added that if most of his patients had just this as a problem they would be quite happy... says a lot about his other patients results, yikes !?
His solution was to massage the inside of my nostril with a cotton bud and to use 'dissolvable injectable fillers' which he advised would dissolve in 2 months... both solutions that were not permanent. I should also note that My breathing is terrible now and he suggested no solutions for that problem. I walked out of my appointment in tears and felt as though when I started crying I was quickly hurried along and out the door. At that point I didn't go back to see Dr Zac again. The insurance company and myself have a lot of trouble getting my medical info/reports from them as well so it seems that when you leave, they are of no help.
I've added some photos and what I notice (in all/a lot) of his work is that Dr Zac removes the columella. Mine was meant to be slightly lifted, instead it's now gone completely and Dr sylaidis isn't sure he will be able to fix it. Because of this, it looks quite witchy and unfeminine. From certain angles it looks like my tip is hanging low because the support below it is gone. Dr sylaidis also noted that my cartlidge has in fact collapsed and been pushed over (due to the force from the airbag). The only way to fix this along with my breathing is revision surgery using a medpore graft to rebuild the cartlidge. I'm also not happy with the pinched look - not discussed prior to surgery, Dr Zac just did it. My nostrils also look almost unattached in one place and quite droopy and saggy. One of them is also very harsh and looks like it's been cut and therefore looks like it is no longer rounded at the top. My profile is also still too big, he didn't shave enough down. So overall not happy with the surgery, the second follow Up consult where my concerns were actually brought up and the fact that I cannot get my medical reports from the surgery to assist with my revision. I've also noticed the difference in forms that need to be signed before surgery... at Norwood day surgery there was a lot of legal forms, not just one, to sign which basically say you can't sue them. Adelaide Plastic Surgery have only one form and it's just to acknowledge the risk involved.
Dr Zac also didn't show me any photos at my consult but Dr sylaidis had numerous photos. He was also willing to show me the worst, he kept photos so that he could be honest to people about possible outcomes.. and the worst wasn't even that bad. I've also found out that the photos on Norwood day surgerys website are super old, some over 5 years.. there is no current work and not many in total at all. Price difference is also phenomenal, I thought $15k was normal, apparently I could have had Dr sylaidis do my surgery in half the time for half the price and the outcome seems like it would have been 10x better. Will be making a new review for Dr sylaidis in may when I have my revision, fingers crossed this is the last.
But if you want my opinion on Dr Zac, don't waste your time, your money or your emotions on this doctor.
I wanted to take my photos down but I've chosen to keep them up to hopefully help someone else.

Provider Review

Specialist Otolaryngologist
424 New South Head Road, Double Bay, Sydney, New South Wales
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