Rhinoplasty is a Crap Shoot - Orange County, CA

I got a nose job on my giant Jew nose back in 2002. It was an improvement anything would have been I mean it looked like a clown nose. However, it is far from perfect. It collapsed on one side and became crooked as time went on.
I recently had a revision by the same doc which was in his words a simple alar graft. I had high hopes but it hasn't turned out so well. The scar tissue has madd it very flat on that side and the graft is showing through my skin. The other side of my nose is severely dented and makes for a large shadow. I wonder sometimes if I should have just kept the darn Jew nose I was born with.
Anyway, I am finding after reading hundreds of experiences and doctors opinions that nose jobs are a major crap shoot. It's funny to me to see that most people that are happy with their nose jobs are usually people who have recently had it done. They haven't had time to have their nose collapse, twist etc.
Doctors always have the same lines for people that are unhappy. Oh it will get better it's just swelling or it's easily fixable. It also seems that every doctor has many horror stories that go along with their work. No doctor has a perfect record. Some worse than others. For doctors who don't have complaints I have found they have just started their practice or have gag orders. As the old saying goes if its just to good to be true it probably is.
I guess my situation could be worse I could have started out with a perfectly good nose that I ruined. I have seen that many times on this site. So many people have perfectly good noses that they went and had screwed up. At least I can honestly say my nose was always a mess.
I guess my point is the whole nose job thing is a scam. The 74 percent of the people that say it's worth it. Well I say just have them wait a few years and see how happy they are in the years to come. If you are considering a nose job please think about why you are doing it. If it is for something very minor like a little bump or its just a little bit big. DON"T DO IT. Every doctor says they can help they just want your money. They all have the same canned lines and sorry they are all full of it. I really doubt that 74 percent of people are actually happy with their results especially in the long run. I am sure the numbers are much much lower. You don't know how many people work for these doctors who are leaving reviews for them. The photos they show on their websites are most likely photo shopped and they usually show results only one year later. I just really think the WHOLE BUSINESS OF NOSE JOBS IS A SCAM!!!!
Doctors promising things they know they cannot deliver. Anyways I needed to vent. I am sure I am going to get people saying I am so happy with my nose job etc. etc. And I say I am happy for you albeit jealous. But I do think these are the rare cases. Not the norm.

Well I worked up the nerve to visit another revision doctor. Dr. Frankel in Beverly Hills. He says I need spreader grafts because of mid-vault collapse. This is the second doctor who has told me that so I am starting to believe its true. I am upset about the diagnosis but I think I am more upset about my original doctor who obviously knew what was wrong with my nose but didn't tell me. I hate being treated like an idiot !! When I told them what the other doctors said he got mad at ME! Guess it's my fault it's collapsed. He also claimed I have thin skin which I knew was a lie and was confirmed by other doctors. I actually have thick skin. Guess he doesn't want to spend the time and money to fix it. I wouldn't trust him again anyway. But I think the jerk should pay for my revision surgery. I wrote him a scathing letter telling him he should pay for my revision with another doctor. If he doesn't he'll be sorry he treated me like an idiot. I wonder with my nose being so big originally how the hell he managed to take SO much off it collapsed?

So does anyone have any experience with spreader grafts? I have heard lots of negative things about them. Any positives?

This piece is entitled warning signs. I have analyzed my situation very thoroughly. I believe, in retrospect, of course there were many warning signs I missed. So for those of you considering a nose job or revision these are the things that were red flags. Some obvious some more subtle.

1. Doctor only performs the closed approach. My nose needed an open approach from the start. I realize now my doctor doesn't even do open nose surgery! From my extensive research closed surgery is for less complicated problems. If they only do one approach their skills are lacking.

2. The doctor's assistant,or receptionist has a bad nose job. I don't think I met my doctor's assistant until after my surgery so this one is not my fault. But my doctors main assistant has a bad nose job, looks something like mine. I assume he did her nose. So look at your Doc's employees noses. During my original consult I was introduced to another assistant who was beautiful not the one with the botch job. Very tricky of them.

3. The pictures on their websites only show profile before and afters. The profile is quite easy to improve while the front view is much more challenging. My doctor mainly shows the profile shots and not many front shots. Don't trust a doctor that doesn't show all views in their before or afters. Furthermore, his pictures are very outdated. He has the same rhino pics on there since I had my surgery in 2002 and probably before.

4. Does not do computer imaging. My doctor said he didn't do this because patients came out disappointed. Okay folks this was an obvious one but in my dazed ignorance I missed it.

If anybody wants to add some warning signs or comment feel free. Thank you.