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Revision Rhinoplasty and Removal of 8 yr old Malar Cheek Implants-Ottawa, ON

UPDATED FROM NIKKI613
1 year post

Had some Perlane injected

NIKKI613
$8,000
Hi,
I haven't provided an update for a long time. I just left Dr Brownrigg's office. My cheeks had been looking pretty deflated for a few months now. Dr Brownrigg injected 2 syringes of Perlane into my cheeks (1 in each side). The difference is amazing. He spent time checking different angles of my face to make sure it went into the right places. I am really pleased with the results and the time he took to make sure I would be happy.

NIKKI613's provider

Peter J. Brownrigg, MD, FRCS (C)

Peter J. Brownrigg, MD, FRCS (C)

Certified Facial Plastic Surgeon

NIKKI613 rating for Dr. Brownrigg:

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Replies (5)

September 16, 2015
How long do they say Perlane generally lasts? By the way, like most people have already indicated Nikki, you are indeed pretty. You might want to think about investigating into BDD problems. It may just save you more unneeded costs in cosmetic surgery.
September 18, 2015
I have to agree. You really are very pretty and the 'imperfections' you describe, well we really don't see them, we just see a very good looking young lady who ought to make peace with herself and be proud of how she looks. Doctors always have a vested interest in playing on your insecurities - remember, it makes them a LOT of money.
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September 20, 2015
it is not BDD, maybe a little ocd, she is very pretty, but does have real things that bother her, and that is what matters, how we feel about ourselves, i am constantly being told the same type of things, and am currently seeing someone to help "fix" how i see myself...maybe they should poke my eyes out, lol
January 10, 2016
I wonder if already naturally beautiful women end up being harder on themselves than average. It makes sense since other people would place so much emphasis on a gorgeous person's looks and features that pressure may subconciously build about protecting and maintaining such beauty. It's like bodybuilders who become obsessed with keeping and continuing to build their muscles (I'm married to one). OCD could be the culprit too (I have OCD) and BDD is a form of it.
September 18, 2015
I have to agree. You really are very pretty and the 'imperfections' you describe, well we really don't see them, we just see a very good looking young lady who ought to make peace with herself and be proud of how she looks. Doctors always have a vested interest in playing on your insecurities - remember, it makes them a LOT of money.
November 1, 2015
You are absolutely gorgeous to look at.
May 13, 2016
love ur lip girl!! what did u do on ur lip?
i only had lip lifting.. not satisfied... :(
May 13, 2016
Thanks. I haven't done much beyond some articol 10 yrs ago and temporary fillers 4 years ago. Before I touched my lips my top lip was a straight line and so so tiny. With the temporary fillers like juvederm etc I just kept going back for more gradually.
May 13, 2016
oh.. so only fillers? not lip lifting or implants?
love your fuller lips!!
June 2, 2017
I agree. Good looking people can be harder on themselves as they age. First, they've been used to the admiring glances, compliments and advantages of being good looking all their lives. As they start to lose that and become invisible, it bothers them more than someone who never had the added benefit. You miss what you had, not what you never had. In my experience, people often have tiny imperfections that bother them, yet others don't really register. Also they have bigger things like balding, big nose, crooked teeth that are noticed. I've had a lot done for my own, unique reasons. My childhood experience, insecurities and impact of imperfections may have been a big factor. I now fix what I don't like if not too risky and I can afford it. If I was this lady, I might consider fat transfer with someone more known for it. Arthur Swift in Mtl, and Trevor Born in Toronto. I saw Dr Swift who I believe charges less. They have to keep re-injecting your cheeks with fat every 8 weeks because as much as 30% is reabsorbed and flattens. I went back for multiple refills over 1.5 years and I think I maintained some improvement. If you really want to be sure, you need to go to the best sometimes. Look at their work and experience in that area. Dr Brownrigg did a brow lift for me and there was no result, huge scars, lots of lost hair, no after care instructions to preserve permanent loss of hair on the scar tissue. I wasn't happy. He did other work I was satisfied with, however. He has a light touch. Doesn't want to over correct.
UPDATED FROM NIKKI613
1 year post

Update with respect to revision rhinoplasty.

NIKKI613
Dr Brownrigg has not taken any after pictures but I have gotten to see my before pictures in his office.
My nose has improved slightly. It is a bit straighter. There are still enough issues to cause me to be seeking out a second revision.
My tip was not refined and my bridge is wide and asymmetric. The other issue that I still have post revision is that my nose is still crooked.
I don't want to be unfair to Dr Brownrigg because I have noticed some improvements. I just don't believe the improvements are worth the amount I paid.

Replies (5)

August 11, 2015
Hi Nikki: I haven't made many posts on this site but you are so beautiful as you are. We are our own worst critics. Be happy with yourself because you are gorgeous!!!!!!
August 12, 2015
You are very pretty! You look like a model! Im sorry that it didnt go so well when the cheek implants were removed. I guess it would have been better to get the fat transfer. But you had your reasons for not wanting to do that so dont beat yourself up over it. Im glad the fillers are helping to improve the area though. Im sorry your still not happy with your nose either. You should read my review. Ive had my nose worked on a bunch of times all by the same surgeon and the results were not good. I went almost a year ago to get another revision by a different surgeon this time though. My nose looks better but still wish it was more shaped and defined etc... I totally agree with you on why do some people get lucky and get amazing results and others have not so good results. So frustrating!
August 16, 2015
U look great..I've been considering some fillers but I'm a little scared..lol...
August 18, 2015
I agree with the others, you look beautiful. I'd love to have your nose. Obsessing over tiny flaws and chasing perfection is a highway to unhappiness. Fillers are one thing, but I don't think further nose revisions are a good idea. Surgeons will probably tell you the same, unless they just want your money. Step back from the mirror for a while. Enjoy being young and pretty!
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August 27, 2015
Thanks for review has put me of cheek implants and will stick with filler even tho I absorb quickly. Have you considered sculptra?
Can anyone tell me what the fat pads are that Nikki had removed and why they would be removed? I'm guessing to make room?
January 10, 2016
Buccal fat pad reduction or removal is for people who complain about having "a baby face," or "chipmunk cheeks," or for people who want more cheek contour (angular, sucked-in cheek look). The buccal fat pads are located lower on the cheek (below the cheekbone and above the jaw bone - adjacent to your molar teeth). Consequently, bucal fat removal can make a face look more aged as time passes as the face naturally continues to lose it's youthful fat padding.
January 10, 2016
The reason Doctor's don't usually recommend Buccal fat removal along with cheek implants is to avoid the steep step-off affect that can take place at the under-edge of the malar or submalar implants. Buccal fat helps keep the overall cheek looking youthfull, full and softly sloping instead of harsh and boney.
UPDATED FROM NIKKI613
1 year post

After the touch up yesterday

NIKKI613

Replies (5)

July 4, 2015
You look good. I had a bad experience with cheek implants. They are still in.
I'm having trouble finding someone to take them out.
Do you know what type of implants you had? Mine are porous so my tissue has grown into them. They say that there can be major nerve damage with the removal. Have you noticed any of that?
July 29, 2015
Ive heard about the nerve damage risk to but sooner or later the cheek implants have to come out or be exchanged, or atleast need a touch up with fat transfer or fillers to make the aging face fuller. I really think it was unwise of me to get them done even if they look good and 100% real. My dr is pretty old and hes like only one who can remove them for me (i live in Sweden) so Im going to remove them in september hopefully. I really hope my cheeks dont sag after the removal. Its only been 2 months now. The best thing you can do is to find an experienced surgon who has done several cheek implants. And if you believe in God pray to him that no nerve damage will be done. Good luck dear!
July 14, 2015
Well I don't know if you will listen to me but I think you are phenomenally pretty and if you looked like me you would be devastated so please know that to the average person out there, you have it all! But I get we are our own worst critics. I will be following this review because I have always, always, always wanted a wider face, and I go back and forth from wanting cheek implants to not wanting them. Fat transfer looks to be not the greatest at this time because of complications, like lumps and too much or in the wrong places, or it doesn't last, or it does and then you age badly like a person with way too much fat in the face that sinks to the chin area (Lara Flynn Boyle -- I think that's what happened with her so it all just sank to chin from gravity.) Our faces can only support so much and even if you look good a week later, it's about how things look years later. So Voluma seems a good middle option. Also I had to laugh when you said incredibly stupid at 24 -- we all are! Thank God I didn't get into plastic at that age and was always too broke....guess not much has changed after all.
July 14, 2015
Lol, thanks for your comment. I do appreciate the compliment though.

I think cheek implants are one if the trickiest procedures to maintain long term results. Since I can't rewind the last decade and the decision to get my cheek implants, I just have to move forward with what I have.

Plastic surgery is obviously not something you do on impulse, as I used to.

Have you tried or considered having a thick filler put in your cheeks to see if you like that look?
July 29, 2015
First of all I want to tell you that you look incredibly beautiful but i bet you already know that lol anyways i had cheek implants put in 2 months ago and it looks great. Im turning 26 and my face is naturally round so it looks very natural on me NOW but Im already worried about the long term affects , like how my face will change with age and the implants might get infected etc. Im considering a removal 3 months post and I really hope they havent stretched out my skin tissue at such an early stage. So please advice a felllow sister on what you think I should do, you wrote that you regreted removing your cheek implants. Was the fat transfer not good enough to rebuild your face? Or were you aiming for higher cheeks? Sorry for my 21 question. Your review has been really helpful and made me think twice about removing the cheek implants.
July 29, 2015
Hi, so I probably didn't make it clear in my review because I was all over the place at the time but I didn't get the fat transfer.
I was considering leaving the implants in and getting a fat transfer to camouflage the asymmetry.
Since the prospect of a fat transfer frightened me at that time I decided to have the implants removed with out a fat transfer.
I highly doubt that a dr would combine implant removal with fat transfer during the same surgery. I think the tissues need to heal first.
From what I've heard 3 months isn't long enough to cause major issues post removal. But I'm not a dr. The main reason my cheek implants were not going to ever look right is because I had my buccal fat pads removed prior to getting my cheek implants. This combination if procedures almost always results in premature aging and other unflattering effects, so much so that many drs no longer recommend these two procedures together on the same patient.
If you still have your cheek fat pads (buccal pads) you will have less unflattering results from the removal.
Hope this helps. Feel free to ask me anything else!
July 29, 2015
Thank you girl! You really helped alot. Im almost 100% sure i will remove them 3 months post op now but i havent talked to my dr yet. Did you feel like your cheek sagged after the removal of the cheek implants or were you only concerned about the lack of cheek fat pads after the surgery?
July 29, 2015
My cheeks sagged a lot and still do. Not having fat pads just amplified the problem.
I'm heading to toronto for some consultations.
I'm ready to do the fat transfer now and also to have my nose fixed.
If you don't like your implants the sooner you remove them the better. Make sure to ask your dr about scar tissue though. How much has formed etc because that could make a big difference. You don't want to heal asymmetrically.
July 29, 2015
I love how my cheek implants look but i dont want to risk future complications. Its always best if the same surgon removes them because they know how they put them in. Im considering fat transfer after about 3-4 months post removal. My dr is old so i better get it done before he retires and its also better to remove them sooner like u said. The office is closed otherwise i would have called them already. I have to mid august.have u found a dr who can perform fat transfer yet?
July 29, 2015
Wait til* mid augusti
July 29, 2015
Yes, I have a few drs in mind. None in Ottawa so I'm gonna drive 5 hours to Toronto. There are soooo many different techniques with fat transfer and I wanna make sure I'm going to a dr who uses the best technique.
I feel sick when I think about the money I have waisted on bad surgeries.
Just handing thousands over to drs who did not have the skill or experience to get the job done right.
August 1, 2015
We should all be lucky enough to look like you! I hope things work out but damn girl, you are just stunning!
August 4, 2015
Thank you Terri, but I really want to fix the things that are still bothering me after spending lots of money.
I want to be able to feel confident with out makeup and only certain camera angles.
August 4, 2015
I understand and I wish you well. Thank you for sharing your story with us as you have helped many! Take good care! Terri
August 5, 2015
Thanks!!!
August 14, 2015
You look great!
August 17, 2015
Thanks.