Terrible outcome - do not use

Intro
I'm starting this review to keep track of progress of my revision rhinoplasty that I had on 2022-01-06. I'm currently 7 days post operation and have uploaded some pictures of pre-op vs post-op. I'll continue to keep this updated with more pictures as frequently as I can as the swelling reduces.

Rhinoplasty History
I had 3 Rhinoplasty procedures before, the main goal of all of those Rhinoplasty procedures was always the same, to straighten the nose and fix the dorsal aesthetic lines. I was unfortunately not able to achieve this in any of them. I had some other refinements I wanted but the main thing I would have been happy to achieve is a straight nose with nice dorsal aesthetic lines.

Overall Social Experience so far
Overall the social experience so far has been quite good. Dr. Reish and his team are extremely nice and well organised. I received messages from Dr. Reish on two occasions after my operation to see how I was feeling, that was nice to know I can reach him at any time and it showed he cared.

List of pre-op issues
Below is a list of the following things I discussed in 2 consultations and before the surgery with Dr. Reish that I would like to see improvements in:

- Crooked nose
- Dorsal aesthetic lines are off and are unpleasing, especially in daylight of strong lighting (camera flashes are bad)
- Bridge was too wide
- Tip was too wide/bulbous and drooped somewhat when smiling, wanted more refinement
- Hanging columella
- A bump near the tip
- Breathing issues, nasal collapse completely on the left valve and somewhat collapsing on the right nasal valve
- General asymmetry on the frontal view

Cast Removal
I had my cast removed on 2022-01-13 and as expected the nose is extremely swollen.

Overall Experience with different views
Frontal View: Extremely swollen, really hard to tell anything about the tip changes or bridge changes at this point, it's currently larger than ever so I believe we will have to wait at least 6 weeks to start seeing some of the swelling come down and get a bit more refinement. I do notice that the nose still leans to the right and the dorsal aesthetic lines are not as pleasing as I’d hoped, they look to be the same as pre-op currently, I've discussed with Dr. Reish and he suggested to wait until the swelling reduces to see improvements in this area.

Profile View: From the profile view the slope of the dorsal looks much nicer, the hanging columella was also addressed in the surgery. There is a slight bump at the top of the bridge which can be seen in the pics, I discussed this with Dr. Reish and he noticed it as well and we are hoping it's swelling at this point.

Breathing: When my nose was cleaned out at the cast removal, I had the best breathing I’ve had since I injured my nose causing it be deviated/crooked in my teens. A few hours later it seems to be blocked again and I’ve been told not to blow it for 2 months. I’ll pick up some nasal spray and this should help with clearing it out and show us the breathing improvements. I had spreader grafts and batten grafts inserted due to the collapsing, so I’m hoping that this issue is now fixed and will get better in the long term when swelling reduces.

Overall Summary
Overall I'm really hoping that the bridge becomes narrower, tip gets smaller and more refined and the nose gets straighter with pleasing dorsal aesthetic lines over the next few months. I'm not sure if this was worth it yet but Dr. Reish is extremely re-assuring and is available to discuss all issues in our follow ups. I'll keep everyone here posted.

Adding an image that shows the crookedness, width and asymmetry really well for now. The tip is really large and so is bridge.. I'm not fully convinced that swelling will sort out the issues I'm seeing here, but let's see.

Adding one picture of the bump on the bridge, I think it's a bit more pronounced today as perhaps the swelling has subsided a bit more. The bump wasn't there pre surgery for anyone wondering. We can monitor how it changes over the next few weeks.