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POSTED UNDER Rhinoplasty REVIEWS

Not Happy. - New York, NY

ORIGINAL POST

$15,600 is what I paid out of pocket. $12,000...

Myturn728
$15,600
$15,600 is what I paid out of pocket.
$12,000 for the "cosmetic" part that the insurance wouldn't cover.
$3,000 for the operating room
$600 for the anesthesia.
My insurance will be paying Dr. Rizk for the Septoplasty, Turbinate reduction, and whatever else he may submit for. The Dr.'s office is asking for $22,000. Now that, plus my $15,600 equals 37,600??? Ok so you tell me if I got my money's worth:
I am 11 days past my surgery. I know about "swelling", I've read all about it. I just don't think that whats left of my nose can be blamed on swelling. There's too damn much left. Way more than I wanted. It should be smaller.
I was told my nose would be shorter, narrower, closer to my face, as well as straighter, deviated septum corrected, dorsal hump shaved down. One of my main concerns was the tip area being too wide and bulbous. The doctor agreed "it's to big". So I paid for tip work. Not seeing much of a difference there, are you? Again, I know all about "swelling", but from countless hours of reviewing before/after photo's on realself, I'm just not convinced swelling can be blamed for this still LARGE nose.
Please be honest with your opinions, don't worry about sparing my feelings. There's nothing you can say to me that I haven't said to myself, and then some. I know the doctor had a big job to do, well that's why I picked a reputable, big job kinda doctor, and took pout a loan to pay for his expertise. So far, I really don't think I got my money's worth.
Unless "swelling" really is to blame, but to be honest, I"m not holding out much hope for that kind of miracle. Sooo disappointed. :(

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Sam Rizk, MD

Sam Rizk, MD

Board Certified Facial Plastic Surgeon

4.4 | 119 Reviews
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Replies (17)

April 16, 2014
I am sorry but you have no clue how much your nose changes within a year. You are jumping into conclusion way too soon. And not everyone is the same. Swelling is worse for some and better for others. If you think reading is enough to judge your nose in 11 days than you have not learned much. If after 6 moths or 1 year you still don't like your nose than you are justified to blame the doctor but in your case you sound silly. Sorry to be so blunt.
April 16, 2014
Hey, I hope you're right. But for $15,600, + the 22K he's submitting to my insurance, I'll sound as "silly" as I damn well please.
April 16, 2014
The price no doubt is very high but this surgeon is known to be this high. To me your nose looks better and the fact that he did conservative work is outstanding. Trust me when I say this, rhinoplasty is successful when it's done conservatively if too much done your nose may collapse. Rhinoplasty is the most unpredictable surgery ever! Swelling is a [RS bleep], takes forever, you don't even realize how much you are swollen. Rizk. Is known to give faminent noses so I would be patient and give it 6 months before even thinking of judging.
April 16, 2014
Well, seeing as it's my money, and my face, I didn't really appreciate you telling me my feelings were "silly". However, I am appreciative of your input otherwise, and I truly hope you are right. I will try to be more patient. I don't have much of a choice anyway, do I. On the upside, I can breathe fabulously, whereas I could not breathe out of my left nostril before. But if we're being honest here, I went to HIM for the cosmetic aspect of what I needed. If I cared only about airflow, I would have gone to an ENT five minutes from home, and wouldn't have paid a dime. Anyway, thank you for your feedback.
April 16, 2014
I am sorry when someone so upset over their nose at 11 days post op it does make you look and sound silly. Unless your nose is off your face 11 days I'd not enough to say anything other than its swollen. Being that I have been dealing with a bad rhinoplasty I can tell you people like me would die for your conservative nose job and the ability to breathe. Having a bad nose job or what is also called botch job is the most stressful and depressing thing to ever have to go through. So you need to take a deep breath, wait, and enjoy your life. Your conservative nose job looks pretty darn good at 11 days and your nose will shrink a lot in the next 6 months to one year. Rizk is not known to produce a botch job but certainly far more expensive than anyone I know. However after going through what I have gone through that price is peanuts compared to all the depression this nose has caused me.
April 16, 2014
Ah, now I get it. I'm sorry you've had a bad experience, really I am. But that doesn't make me "silly" my dear, even if my dilemma seems to pale in comparison to your own woes. I won't dismiss my own feelings, my own experience, my own expenses, etc, as "less than" anyone else's! Yet again, I DO appreciate your advice, and your compliments, and your "other side of the coin" perspective :)
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April 16, 2014
I don't think your feelings are silly. I can easily see what you mean and, for such a price, I would also want to see my dreams come true rather than such a subtle change. I do not wish to hurt your feelings but u asked for honesty. It does look better. Just seems the things you mentioned are true. We don't know for certain if some could be swelling so try to stay positive and watch for changes. But that said, if changes aren't enough after 6 months I would insist he revise his work for no cost because u paid so much and he has his reputation. This is your face. Make him answer for the money!
April 16, 2014
You obviously have not gone through a surgery. It IS swelling. And to say such a thing to some one about something you know nothing about is silly. Her nose looks good for 11 days and super swollen. Conservative is good!
April 16, 2014
Thank you!! :)
April 16, 2014
Kpeton, thank you! I thanked you earlier, but it sank below a different comment. Lol :)
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April 16, 2014
I have had maxillofacial surgery among others. I know what swelling is, and while you're right it's too early to see final results, it is not too early to see overall that her big changes have not been made. Hopefully you're right and we are wrong, for the OPs sake.
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April 16, 2014
ok, hopefully you're right but you should still not minimize someone's feelings as "silly."
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May 9, 2015
the result is probably 25% larger than the final result. i say that from experience. but it does take a full year to resolve. i had a tip fix that made my tip more bulbous! I am so tired of these egomaniac doctors who get angry if you do not fall down in worship if you dont like the result!
April 16, 2014
Ah, now I get it. I'm sorry you've had a bad experience, really I am. But that doesn't make me "silly" my dear, even if my dilemma seems to pale in comparison to your own woes. I won't dismiss my own feelings, my own experience, my own expenses, etc, as "less than" anyone else's! Yet again, I DO appreciate your advice, and your compliments, and your "other side of the coin" perspective :)
April 16, 2014
You just have no idea what kind of nightmare a bad rhinoplasty is. I am not a lone. The average of bad surgeries is over 30%. Consider yourself lucky.
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May 9, 2015
omg thats high! thats top dollar in nyc! i am considering him for tip revision, do you have any photos?
August 15, 2018
Where are the pics?
UPDATED FROM Myturn728
12 days post

Front view

Myturn728

Replies (63)

April 16, 2014
I feel at this point in your recovery which is really early that your nose does seem to be as projected as it was pre-op. Was deprojecting your nose discussed in your consultation? You really need to give yourself up to 18 months for all of your changes to take place to your nose. But, I would get in touch with your Dr. & ask him about your profile & what you can expect in terms of your nose getting closer to your face with time. I know that bridges & tips tend to swell quite a bit post op but I don't know as much about deprojection. For what you paid for this surgery you deserve the time & consideration for your Dr. to answer your questions & concerns. Maybellineo
April 16, 2014
Noses take up to 6 months to drop. Initially they are almost always over projected. It takes time to drop. Usually 6 months but it will start dropping at about 3 months. Unless he did Thong N Groove which is when the tip gets stitched to the septum than it won't drop as much.
April 16, 2014
Yes, we discussed bringing my nose closer to my face. I discussed it with him each time I saw him. Thank you for your advice :)
April 16, 2014
Hi I'm at the 11 day stage right now and feeling the same as you did. I know it hasn't been much longer but has anything changed for you since you posted this? Ie. have you seen much of a reduction in swelling? Or had any feedback from your doctor?
April 16, 2014
Tomorrow will be day 14 Lily, so not much has changed at all. My next appointment with my doctor is in July. I told him last week at my cast removal that I felt my nose was still too big. He said it was "swelling". It's going to be a frustrating waiting game. As I said in my review, I'm not holding out much hope that the "Swelling" is the main culprit here. I think he didn't take enough off. If I'm wrong, I'll be happy to eat my words, but I just don't think I am. I'm trying to move on, not think about it so much. It sucks.
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April 16, 2014
Hi there. Sorry you're going through this. I can totally understand your frustration. when I had my primary in 2001 that's how I felt about the width of my nose as it got wider than before!! I was devastated and the surgeon kept telling me it would get better with time. Unfortunately it got worse and then the tip collapsed. Last month I had a revision and I could tell immediately after cast was off that my nose had a better shape and was much smaller. I'm 3 weeks post op and my nose is very swollen. I have a medium skin thickness - if that makes a difference - so I know it will take some time before my nose reaches its final shape. I think it's way too early to judge your results. Honestly in your last photo the tip does look much smaller and the base is less wide. The bridge looks straight and I don't know if you asked for a slope on the bridge but it does look much better than the pre-op photo. For the projection, I would ask the surgeon if he had done any deprojection as it's still sticks out a bit. I think your nose will change in the next few months so this is NOT your final result. I would also communicate all the concerns with your surgeon. Please keep us updated.
April 16, 2014
Thanks Zoo :) My only solace will be if this really is "swelling", and I get a smaller result. He was supposed to "deproject" my nose. It doesn't look like he did. Odd since he had no problem telling me my whole nose was "too big". It is still too big. We'll see. I'll post photo updates, and I'll take things one day at a time. Thank you for your encouraging words. I'm glad your revision went well :)
April 16, 2014
(PS, both the surgeon and I agreed that a "slope" would not look too good one me, so we went for the straight-look)
April 16, 2014
I hate to be the person to be the bearer of bad news, but in my experience I could the deprojection right away (after cast removal). I think by almost 2 weeks P/O that the shape of the nose won't change (tip notwithstanding). If you touch the bridge of your nose and feel hard bone instead of edema than that will most likely be your final result in that part of your nose. Rizk is not known for making smaller, cute noses, but for his more Roman style, larger noses.
April 16, 2014
CoutureGirl, you are 100% wrong. De-projection does NOT happen in two weeks. Whoever told you that has no idea what they are talking about. Nose changes for 1 year if not more but de-projection happens within 3 to 6 months. The nose WILL change a lot during that time and after 6 months. Where did you get an idea of 2 weeks? That's is so far from the truth and wrong on every level. You need to study and research before you tell people such wrong information. You will only get a good idea of your nose within 3-4 months and a much better idea at 6 months. The nose will still continue to change and the tip will retain swelling the longest time. Based on the skin type of a person is how long swelling will be retained. I am baffled with lack of information and misinformation on this thread and on this website.
April 16, 2014
Based on your review you went to Dr. G who does a ton of Tongue N Groove which makes the nose stay in place that is where you got no de-projection. Even with that technique a nose will drop a few ml. With that technique your nose will stay hard as a rock for the rest of your life. That is because your tip gets stitched to the septum and sometimes they will extend your septum to keep your nose in place. That is the reason your nose won't go further down. Although many surgeon use that technique not many do it as hard of a stitching as Dr. G does. Don't get me wrong he is a good surgeon but trust me I know what I am talking about. That technique is his #1 in more than 80% of his surgeries.
April 16, 2014
Thanks for the info, my nose happens to look amazing at 6 weeks post-op (as most G patients do). At my 4 week p/o appointment two weeks ago, Dr. G. said there was hardly any swelling left over the bridge of the nose. Lastly, your comment regarding hard noses is incorrect as bot of his assistants (at least 2 and 4 years post op each easily manipulated their noses and it was very evident that they were not "hard" as you suggest). Lastly, there are so many noses on this site that I would be SO unhappy with (which people seem to be thrilled with-- baffles me) and sitting in Grigoryants waiting room (3x)-- I haven't seen one nose that I thought was not aesthetically pleasing.
April 16, 2014
oops, "lastly" twice….
April 16, 2014
Here is the answer to the question in which you asked the doctors about stitching techniques and the answers are quite interesting and not exactly as you suggest. http://www.realself.com/question/chicago-il-tongue-in-groove-vs-cartilaginous-columellar-strut
April 16, 2014
There are plenty of unhappy Dr G patients so don't think he is perfect. And it all depends on what you consider nose that is manipulated. I didn't say you cannot move it I said its hard and its the technique he does and he is not the only one that does it. At 4 weeks no way your nose is not swollen anymore. I promise you what you see right now is not your final result. I am not saying it will get worse I am saying it will get smaller and it will refine a lot within the next 6 months and 1 year. Some noses may get worse it all depends on what was done. I would laugh at any Dr. that would tell me my nose was not swollen at 4 weeks post op. Its not possible. Take pictures every month and compare them with the prior pictures. I guarantee you it will change. On another note can you post your pretty nose so we can see the results and no swelling? Your review doesn't have pictures. Dr. G has some really good results, some so-so, and some are not great. There is no doctor on this planet that has 100% good results and happy patients. Not possible not in this industry.
April 16, 2014
I did not say that he didn't say it was swollen-- I said that my BRIDGE was not swollen. My tip, of course is swollen. I have sent my photos to quite a few people who have messaged me privately as I am not one to publicly put photos on a website. Clearly you had a bad result with one suturing technique (as I have read all of your questions to the doctors). I'm sorry that you were unhappy with your rhino.
April 16, 2014
Oh, and I am now 6 weeks p/o and of course he said it would get smaller as the tip swelling reduces and the nose "settles"-- I'm looking forward to it :)
April 16, 2014
sweetie that was my question and there is a reason I asked that question. And no I don't have TNG and I know more about it then you would ever care to know. Every doctor will tell you that TNG will make your nose hard sometimes it will be harder than others depending on the way they stitch it up. Dr. G does very tight stitching and they become far harder than others surgeon. He does it because he is trying to make that sculptured tip of yours. I personally consulted with Dr G and he himself said he does TNG on most of his patients.
April 16, 2014
Also I don't see how any of those answers have anything to do with what I just said about nose being hard? I think you need to do more research and let me know 1 year from now if your nose is what it was before the surgery and that its not stiff. And if you tell me your nose is not stiff today I will be laughing.
April 16, 2014
okay, honey. Well given all of the questions you asked the doctors it seems that you know a little and think you know a lot. Anyway I am sorry that you have had such poor results and have had to resort to fillers in your nose and other "fixes". I am very happy with my nose and how it looks at this point and am excited to see how the finished product looks in a year. Best of luck to you with your unhappiness with your nose.
April 16, 2014
Even if it is stiff in a year at least it will be a beautiful nose :) I don't generally "play" with my nose so I am not too concerned about that. Of course my tip is stiff today as I am only 6 weeks p/o and the tip stays stiff the longest. Like I said, I am very pleased with the result of my nose and I have the means to go to anyone I would have cared to go to and saw quite a few prominent surgeons before choosing Grigoryants. You aren't the only one with information (contrary to your belief ;))
April 16, 2014
you are so silly I have had bad results not due to suturing technique.... you are really uneducated in this procedure. Your bride IS swollen sweetie trust me on this one. It doesn't go away in 4 weeks, 3 months yes maybe even 80% of it by 2 1/2 months but not 4 weeks. You can read all my questions you want I hope they will educate you, however you have no idea why I asked what I asked. Be happy you are still happy with your results.
April 16, 2014
I am not going to go back and forth with you any longer. I understand that you think you know a lot about this procedure-- that seems suspect given the fact that you have had two bad rhinoplasties. Your reading comprehension skills are also severely lacking. I said I am currently 6 weeks post op, not 4 weeks post op. I am going to go ahead and listen to the well-respected surgeon who did my nose instead of some wannabe internet doctor. Thank you for your vast insight-- I was wondering what medical school you attended and where you did your residencies? I did read your questions and laughed at how the surgeons basically told you that you should not worry about suturing techniques, instead, to find a doctor who is well-regarded.
April 16, 2014
I am truly happy for you but you don't appear to me someone with enough knowledge but hopefully you never will have to do any research on fixing your nose. BTW that tip should be movable within 3-6 months if not it will stay this stiff and with TNG it will be stiffer than your original nose. But its all irrelevant since you love your nose. I would have been happy with a stiffer nose but a good results. Count your blessings you may not have to deal with this and can move on with your life. And BTW I am not the only one that knows enough most of us who had a surgery already and had a revision or about to have one know far more than anyone who had their primary. If knew than what I know now I would not have been in the situation.
April 16, 2014
I appreciate your honesty CourtureGirl and I agree with you, unfortunately. I only disagree with your saying "Rizk is not known for making smaller, cute noses, but for his more Roman style, larger noses." I assure you, if he was indeed "known" for making "larger" noses, I would have steered clear of him. There are many before/after pics on his site where the noses went from huge to MUCH smaller.
April 16, 2014
Sweetie I didn't have two bad rhinoplaties, let me make sure I make this straight. You have no idea what I had and didn't have and yet you assume. Otherwise I am done with you. Good luck! I hope your nose turns out as good as you want it and stays that way years from now.
April 16, 2014
I will laugh at you when you are back at this sight few years from now. Happy healing!
April 16, 2014
It's actually called a "site" and I am sorry for you that you wish ill upon others. Must be sad to be you.
April 16, 2014
I wish you nothing but the best but if you read about noses you will learn that they change throughout your life and once you have a rhinoplasty you have a very high percentage to needing it again. Its obvious you not been doing your research.
April 16, 2014
CoutureGirl: This is Myturn728's review. I am sure she doesn't care about Dr.G's noses or whoever you went to. Maybellineo
April 16, 2014
CoutureGirl: This is Myturn728's review & I am sure she doesn't care about your Dr. G result. She didn't go to him for her surgery. Maybellineo
April 17, 2014
I didn't bring up my Dr.'s name-- another poster did
April 17, 2014
I disagree that rizk makes larger noses--from pics it looks like his style is long, narrow, and with very little Projection and a cutesy tip. I agree that projection probably will not change much, but the bridge height, width, and tip might shrink by a millimeter on all sides when swelling goes down. Be patient it's a long wait.
April 17, 2014
Do not take close up pictures, especially now. They use different lenses in the movies, so actor's faces and noses look fine even from a close up shots. It doesn't work this way at home with our cheap cameras. Ask someone to take your picture, you will see real yourself, not distorted image of you. Anyway 11 days is too early, you have a lot of swelling. I am sorry but it's crazy to say that shape wont change in two weeks. I am 9 mo post op and I know I have a few more months to go, there is still some swelling (I had open surgery), the tip is numb and hard to touch but things are getting better. My nose is changing every day. Doyourresearch is giving very good advise.
April 17, 2014
Thank you svir. I'm actually in the stage where I don't want to take ANY pictures right now. Figure I'll give it some time, and stop obsessing. I'm tired of it driving me nuts :)
UPDATED FROM Myturn728
19 days post

Thanks for the comments

Myturn728
To those of you who are writing encouraging words to me, thank you. I appreciate it.

Some are saying "hey, it's better than your old nose".

Yeah, no kidding. Considering how horrendous my "old nose" was, that wasn't really an amazing feat to accomplish.

As you can probably tell, I'm still quite angry, so I'm not going to be posting on here much, because I don't think my angry "outbursts" are going to help me or anyone else. I have good days where I'm not so angry, and bad days like today. I expect that's going to be the norm for me for a while! Bottom line is, it sucks to go through this whole experience, pay twice as much as the "average" rate, and walk out of there with a big nose.

But despite my anger, rest assured I am trying to move on. I'm sure there will be a reduction in "swelling", but I'm not going to kid myself. Whatever happens in the 'end', and I know that will be many months from now, I'll deal with it, and I'll have it fixed, one way or another. That's all I'll say about that for now.

And for those of you who have chosen my review as a forum for your petty arguments, WTF? Go elsewhere please.

To those of you who have been kind and encouraging, again, I truly appreciate it.

Best of luck to you all on your own procedures! :)

Replies (11)

April 22, 2014
I think you have the right attitude about it. When I was really angry with my results, I would just tell myself that I would eventually get it fixed and that helped me calm down. Good luck to you and I hope that in the coming months, you start to like your results:)
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April 23, 2014
Hi Lalaland310. Have you decided about your revision? Pls let me know if you need anything. Good luck.
April 24, 2014
Thanks lala :)
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April 24, 2014
I haven't had my surgery yet but I know swelling causes great changes! Don't lose heart. Im so sorry you're going through this.
April 24, 2014
Thank you Roz :) Best of luck with your surgery!
April 24, 2014
Well, your face says it all. You clearly are unhappy with the result, and I'm sorry to hear that. I'd honestly say your old nose was by no means horrendous, and there are definitely clear changes already happening. In the 4th and last photo, your new nose is narrower and tip is more refined, and gives your face a softer and more delicate appearance. You may not see any difference head on as yet because there is clearly a great amount of swelling. Give it some time, a nose job is severe trauma to the bone and cartilage tissues, and the inflammation is the body protecting itself. I've heard noticeable and definite shape takes roughly a year to show up. All the best and hope you feel a greater sense of acceptance as time wears on. (Ps. Is Rizk really charging 30K?? I'd be so pissed I wouldn't go to him on principle, highway robbery! He better pack my nose with gold for that amount of cash.)
April 24, 2014
Thank you so much, minorwhite :)
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April 25, 2014
Hang in there, girl. I'm sorry your post was hijacked, but I do hope that once this simmers down you'll come back and give us an update.
April 25, 2014
You're not far out in pre-op...my nose pretty much changes and shrinks daily and I am at 2 months post op....there's still a lot of changing to do. I look at photos of my 3 week post op and I can see a huge difference in swelling between then and now. I also had irregular swelling which has mostly subsided. Patience really is important. Give it time before reaching a full verdict on your nose. I'm really starting to like mine now as the shape is settling in a bit. I had a rhino/septoplasty, turbinates, etc. Hang in there :)