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Not the Experience I Hoped for

ORIGINAL POST

Not the Experience I Hoped for

AM123Bert
$22,000
I have to say that I did not have the same glowing experience that everyone else seems to have had. Aside from running late for appointments when I was visiting from out of state, and also never really making me feel secure and understood - my nose just doesn’t look great. I came in with a complex revision rhinoplasty case, it was crooked and upturned and he told me we could make it much better. It was absolutely and undoubtedly a challenging rhinoplasty, but none the less I was expecting better. The nose is in fact wider from the front than it used to be, and from the side the tip is droopy and over extended. I was extremely clear that I wanted a smaller nose and that I was so frustrated that the first procedure had not achieved this - If anything my nose is now slightly bigger than it was before, just in a different way. When I smile it looks very witchy from the side and is not the elegant and feminine nose that we had discussed. I’ll admit that it is marginally better than the botched nose from before, but for the amount it cost and the emotional investment I was of course hoping for much more than a marginal improvement. Im only glad I didn’t tell people I was getting a procedure, I’d be embarrassed to admit to friends that this is what a second rhinoplasty has produced... of course the original nose was so much better! I’m 6 months into recovery and I know that the swelling will go down a little more, but that won’t change the shape and structure which does not suit my face.
I will also add that when the assistant took the bandages off (saying nothing helpful like it looks great... or all is looking good) she left the room and I was left alone in there for 40 minutes until the dr came in. I walked to the mirror and saw that it hung so low you could not see any nostrils and burst into tears and felt like a fool and ugly and distraught. Why would anyone leave you alone for that long after removing bandages! Finally the dr arrived and informed me that it was excessively swollen and calmed me down... a bit, but there was little warmth or reassurance and frankly it was quite traumatic. Thankfully now I can indeed see nostrils but it was a horrible 40 minutes I won’t forget.

AM123Bert's provider

David A. Hidalgo, MD

David A. Hidalgo, MD

Board Certified Plastic Surgeon

AM123Bert rating for Dr. Hidalgo:

Overall rating

Replies (5)

June 25, 2020
Thank you for sharing your experience. If it makes you feel any better I think your nose now looks amazing and very natural. It does look like a big change, and trust me swelling can take a very long time to settle. I don't think it looks witchy at all. I have had a similar journey with an upturned round tip after my primary. The second surgery was an improvement but was made too narrow and a tongue in groove has made it imobile. I hope with time it keeps getting better for you and you like your results more and more :)
July 15, 2020
Thank you that's very kind! It does make me feel better :)
June 26, 2020
Are you sure he actually changed the width? I am having the same issue but I think it's bc our columellas hung down it gave the appearance that it was thinner than it really is. If that makes sense. Bc if you look at your before and take the part that is hanging down off it looks the same as far as width goes
June 28, 2020
I care deeply for my patients so it is always disturbing to me when my efforts as a surgeon fall short in their eyes. Sometimes patients present with very complex cases. The above post describes one where the first surgery was performed quite to the contrary of current principles of rhinoplasty. Judging from the “before” pictures posted, the bridge of the nose is collapsed to create a severe “ski-slope” deformity and the tip is left rounded and pushed out too far (see side view dressed in white). The tip also appears twisted to the side and the nostrils left asymmetric.

Correcting pre-existing problems like these is immensely challenging. It often entails a procedure lasting as long as 5 hours, taking cartilage from the septum to rebuild the top of the nose and restoring the tip by setting it back while also reshaping it. The “after” side view picture dressed in black objectively demonstrates a remarkable improvement despite the poorly contrasting background in the photo.

Assessing the results of such extensive surgery at 6 months is premature. Final results are not established for 12 to 18 months in most cases. Moreover, phone pictures magnify the structure closest to the lens, in this case the nose, adding another element of distortion. Most surgeons I know, like me, work hard for patients and take great pride in our work. A public flogging for perceived failures is not the recommended follow-up method for a complex process engaged in together. All it does is make surgeons like myself more reluctant to repair botched surgery in the future.

- Dr. Hidalgo
February 17, 2021
This is hardly a "public flogging". That is overly dramatic. I am sure that you realize that revision rhinoplasty is quite an emotional rollercoaster for patients and they want to connect with others who can understand. This is also how prospective patients research surgeons.
July 13, 2020
I too had a horrible experience with Dr. Hidalgo ! He gave me a botched breast augmentation (implant too large and unsymmetrical). He assured me things would get better once the swelling subsided, however, seven years later and they still look horrible. Please check out Dr Geoffrey Tobias. His practice is exclusively dedicated to rhinoplasty and he did an excellent job on my ethnic rhinoplasty. Hope this helps :-)
December 21, 2020
He sounds too defensive and agitated. This is hardly a "public flogging". This is how prospective patients connect with others who have had similar procedures. This is one of the only ways that patients can do unbiased research and see real results that have not been altered or omitted. I hope that your results improve as you heal.