**Revision Rhinoplasty — My Honest Experience Nine Months Later**

I purposely waited nine months after my revision rhinoplasty to write this review because I know noses take a very long time to heal, settle, and change. I wanted to give Dr. Reish and my final result a fair amount of time before reviewing either.

For some background, I am a self-proclaimed perfectionist when it comes to my nose. I had my first rhinoplasty in my twenties to remove a hump, but nothing was done to the tip. About ten years later, I had a second rhinoplasty to create a perkier, more refined tip. I was fairly happy with that result, but the width of my bridge was never addressed and my tip would still droop and flare when I smiled. After years of Photoshopping my nose in pictures, I finally decided to pursue a revision with Dr. Reish.

First and foremost, **Dr. Reish himself has an incredible bedside manner.** He is kind, empathetic and extremely accessible. He gives you his personal cell phone number, personally checks in, and has continued responding to my calls and texts throughout the past eight months. That level of accessibility from a surgeon deserves five stars on its own.

So why the three-star review?

Dr. Reish's revision rhinoplasty was approximately three times the price of several other quotes I received. I chose him because of his reputation and expected that premium to translate into both an exceptional result and a very elevated patient experience.

Unfortunately, the office experience leading up to surgery fell considerably short of that expectation. Communication was difficult, emails often went unanswered, and I ultimately flew from Florida to New York without necessary medication because I wasn't informed that it couldn't be shipped to Florida. A nurse finally called to review my surgery instructions the day before surgery while my plane was literally taxiing for takeoff. I also drank water the morning of surgery because I had not understood the pre-op instructions. Thankfully everything worked out, but for an out-of-state patient paying this level of fee, I expected much more proactive communication and coordination.

The actual surgical journey was also more complicated than I anticipated.

Seven days after surgery, my splint was removed and I was terrified to discover a significant open wound on the bridge of my nose with very little explanation. It eventually healed into a noticeable indentation that also developed a blue discoloration.

This is where I have to give Dr. Reish credit.

He was incredibly kind and responsive and allowed me to return to his office multiple times so we could work on correcting it. For me, that meant additional flights and hotel stays, but he remained committed to fixing the problem. At nine months, I would say the indentation is now about 98% resolved. I ultimately had laser treatments in Florida to address the remaining blue discoloration, although Dr. Reish offered to perform those treatments himself had I been local.

As for the nose itself, there are things he did **beautifully**. My bridge is no longer wide, which was one of my biggest concerns, and I think he did a phenomenal job refining it.

There are also things I wish had gone differently.

When I originally flew to New York for my consultation, I brought photos of noses Dr. Reish himself had done that represented the look I hoped to achieve. I tried to show them to him, but he dismissed the photos without really looking because he felt he knew exactly what my nose needed. In hindsight, I wish we had spent more time discussing those images and specifically what I loved about my existing nose.

The perkier tip I had achieved with my second rhinoplasty is now gone. My new nose isn't unattractive and I recognize that it mostly works with my face, but it changed my look more than I expected and has taken some getting used to. I personally think the slightly perkier tip I had before fit my strong features better.

Now that the indentation has almost completely healed, my remaining concern is that my nostrils are noticeably uneven. Ironically, one reason I finally committed to a third surgery was because my career puts me in front of cameras and in photographs much more frequently than it used to. The asymmetry isn't terribly obvious in person unless I point it out, but unfortunately it is much more noticeable in photos and video—which was precisely what I was hoping to improve.

So, as long as I stop allowing anyone to photograph me, my new nose is great. ha

If the nostril asymmetry could be corrected, I would probably rate the surgical result four out of five stars. The bridge looks beautiful, the wound and indentation have almost completely resolved, and overall my nose mostly fits my face. I simply wish the tip were a little perkier and, most importantly, that my nostrils were even.

I genuinely feel bad giving Dr. Reish three stars because **I really like him as a person and appreciate how available and compassionate he has been throughout a difficult recovery.** He didn't disappear when there was a complication—he continued to see me, communicate with me, and work to make it better, and that matters tremendously.

But when considering the entire experience—the cost, the pre-operative communication, the complication, additional travel, and a final result that still has visible asymmetry—I can't honestly give the overall experience five stars.

Thank you, Dr. Reish, for standing behind your work, fixing the indentation, and answering my many texts and calls throughout this process. I just wish that, for the premium price I paid, the overall experience and final result had been a little closer to perfect.