Primary Rhinoplasty 7 Years Later Needs Revision - Orange County, CA

I am a RN and now needs a revision to my original rhinoplasty done in 2006. I originally went to Dr Sadati in 2006. After seeing 4 plastic surgeons, he was the one I was most comfortable with for a primary rhinoplasty. I wanted my bridge to be smaller and the tip was bulbous. So I also wanted the tip to be smaller. Overall the procedure and follow up care went well (except a couple of little things).
I went to all my follow up appointments. I was about 70% happy with the rhinoplasty except that I felt the tip was not as refined as I would like. He said to wait a year, I did wait but it didn't change much. I decided I was overall happy with it at the time and he reassured me it looked great. I also was not wanting another surgery to correct it!
Well 7 years later in 2013 I decided that I needed to see a specialist in Rhinoplasty revision since now my tip is prominently more bulbous which worsened 3 years after surgery and the bridge is so narrow it makes the tip look bigger. They basically just don't match anymore.
when I was seen by the specialist, he said my bridge was over reduced and the tip was bulbous. that I need revision to improve support of my bridge which is now sloping down due to weakness in the middle ( he states due to over reduction).
Now I am contemplating a revision after a few years of being unhappy with my nose. It has slowly changed over the years and now it needs to be fixed. I wanted to add this to his reviews so that patients are aware that the photos show the follow up of 1 year, not 3 years or more which is when I started noticing a problem.
I do not feel comfortable seeing Dr Sadati for the revision since it seems the procedure was overdone and now I need to fix it. The Dr and staff are friendly (back in 2006) and I do not have a complaint about him. In fact he made me feel the most comforatble. But I thought this should help patients seeking any rhinoplasty to know this is a risk.

I just saw a specialist yesterday who is very well known for rhinoplasty revision. He was my 2nd doctor I have seen to find out if I should get a revision done.

He stated that the bridge was over reduced which appears too small. Due to this my tip appears to bigger than it really is. he also noticed my breathing difficulty and noted that the sides of my nostrils have "collapsed" and I needed something called a spreader graft to keep it open so I can breath better. Over the last few years, I have noticed the side closing in more and I could feel a piece of cartilage poking inside my nose, and now I know why!
He also stated he would need to reconstruct a bridge for me made of diced cartilage in a sheath. This is so upsetting since I went in originally for a large bridge an now I will be spending thousands to correct this problem. I am very disapointed but I feel like I have to do this for my breathing and aesthetic reasons.
I have a couple more appointments with other revision specialists. So I will update then. I hope this helps others in the same situation.

So I saw a third specialist who wanted to do a new procedure on me to fix my bridge. I also felt the 3 rd specialist was not so happy about answering questions regarding the newer procedure which was a cartilage fibrin for the dorsum instead if cartilage with fascia which has been used for years successfully . After I asked to speak with a patient who had this new procedure done I was advised by his patient coordinator that was not possible and the "bottom line" is that I will heal the same with the new procedure. I felt that is was odd that they would not allow me to speak to a patient who had the newer procedure done. My conclusion was either the doctor was wanting to use me as. Guinea pig for this procedure or he was not comfortable with the fascia procedure since the improvement I needed was minimal. I felt uncomfortable with the consul attain and decided to go with my second consultation Dr Rollin Daniels who has a lot of experience with the middle eastern nose.
Over all the office was nice and clean and he was pretty friendly. I knew the person I was going to choose to do my surgery I would have to feel 100% confident in their skills and also feel like they listen to me. Unfortunately I decided to go with another doctor