POSTED UNDER Revision Rhinoplasty REVIEWS
consultation went well
ORIGINAL POST
Planning my revision rhino
MsplatinumSeptember 11, 2019
$18,000
Approximately 11 years ago I had my nose done by Dr Theodore golden. I was sold on the closed procedure and his website . Real self wasn't even really a thing then. Anyway it was quite a journey he took down a bump and he did moved my nasal bones. This was under twilight anesthesia so I have some memories of the procedure and to be honest it slightly traumatized me. For the past 5 years or so
I've been unhappy. It took 3 years to see my primary results and it took a long time for me to accept my "new" not so improved nose. The profile is not better because it's slightly too scooped for me, my nasal bones are not symmetrical and my tip is pronounced which makes my nostrils look "stuck on". Now On top of this I cant breath well. I would say I'm at 30% breathing. Exercise and sleep are troublesome and for years I thought I was just tired for no reason until I found breath right strips! I consulted with many surgeons over the year but chickened out each time. I had two kids in between all of this. I hate taking photos with my kids because I'm reminded of the mistake I made. It's not horrible but it's definitely not an Improved from before the procedure. I consulted with Ghavami, Fleming and profiles in Beverly Hills 5 years ago. I chose not to do it because none of these surgeons felt right with me and my husband was not so supportive then. Over the years I looked at many surgeons and narrowed it down to John Hilinski and Aaron kosins. Dr hilinski is a good doctor but to be honest he said his revisions on his own revisions was 15% and that really through me. A bit more research about him using silicon 1000 has totally turned me off to him. His pricing is good but I'm not sure he is passionate about this anymore. Lastly I consulted with Dr. Kosins. I really liked him and I like his noses. His price is high and he puts potential rib graft on his plan in case he needs that cartilage. To me that's not a negative thing because I want my doctor to do everything needed. Dr Kosins is honest in saying we don't know exactly why we will find until we open the nose, optimistic but also that makes it hard for me to imagine what my face will look like!! My main hesitation comes from the feeling that I know what this entails in recovery and I have to mentally prepare myself. I know where my breathing issues stem from exactly and my nose will need to be widened some in the upper area to lift that a bit. My nose is still slightly deviated and so the will need to be corrected. And lastly my tip is unrefined. At the end of the day I have to be mentally prepared. I really like the piezo took Kosins uses!! He does have a 6 month wait which is ok but it's hard to prepare that far out when I need someone to travel with me. I do believe I have septal cartilage but if he needs to use rib I am not sure what that would feel or be like so I'm trying to gather more info!! Any advice or info here is super helpful to me also anyone who wants to dm me and talk more i would truly appreciate you!
I've been unhappy. It took 3 years to see my primary results and it took a long time for me to accept my "new" not so improved nose. The profile is not better because it's slightly too scooped for me, my nasal bones are not symmetrical and my tip is pronounced which makes my nostrils look "stuck on". Now On top of this I cant breath well. I would say I'm at 30% breathing. Exercise and sleep are troublesome and for years I thought I was just tired for no reason until I found breath right strips! I consulted with many surgeons over the year but chickened out each time. I had two kids in between all of this. I hate taking photos with my kids because I'm reminded of the mistake I made. It's not horrible but it's definitely not an Improved from before the procedure. I consulted with Ghavami, Fleming and profiles in Beverly Hills 5 years ago. I chose not to do it because none of these surgeons felt right with me and my husband was not so supportive then. Over the years I looked at many surgeons and narrowed it down to John Hilinski and Aaron kosins. Dr hilinski is a good doctor but to be honest he said his revisions on his own revisions was 15% and that really through me. A bit more research about him using silicon 1000 has totally turned me off to him. His pricing is good but I'm not sure he is passionate about this anymore. Lastly I consulted with Dr. Kosins. I really liked him and I like his noses. His price is high and he puts potential rib graft on his plan in case he needs that cartilage. To me that's not a negative thing because I want my doctor to do everything needed. Dr Kosins is honest in saying we don't know exactly why we will find until we open the nose, optimistic but also that makes it hard for me to imagine what my face will look like!! My main hesitation comes from the feeling that I know what this entails in recovery and I have to mentally prepare myself. I know where my breathing issues stem from exactly and my nose will need to be widened some in the upper area to lift that a bit. My nose is still slightly deviated and so the will need to be corrected. And lastly my tip is unrefined. At the end of the day I have to be mentally prepared. I really like the piezo took Kosins uses!! He does have a 6 month wait which is ok but it's hard to prepare that far out when I need someone to travel with me. I do believe I have septal cartilage but if he needs to use rib I am not sure what that would feel or be like so I'm trying to gather more info!! Any advice or info here is super helpful to me also anyone who wants to dm me and talk more i would truly appreciate you!
Msplatinum's provider
Replies (20)
September 17, 2019
I am in the same boat as you - I wish I had seen Dr. K for my primary - not sure I hate my nose enough to do a revision though. There are so many unknowns - even in the most skilled hands. I may not heal right or my cartilage may not be good enough, etc, etc. It’s a tough choice, but I think Dr. k has very consistent results. If you like his noses, you will probably be happy.
September 21, 2019
Hi Msplatinum,
If you need nasal strips to breathe better, then you might have nasal valve collapse. If you have health insurance, then an ENT doctor should be able to fix it and is covered. However, your doctor might say the rhinoplasty caused the collapse and then it might not be covered by your insurance.
September 21, 2019
Hi yes but I don't trust ENT with my face how do you suspect an ENT would repair it ?
September 22, 2019
Hi Msplatinum,
A nasal valve collapse is a functional issue and all work is inside the nose with no external changes to the nose. A piece of cartilage such as from the septum is used to prop the valve open so when you "inspire," your nasal airway will remain open. You can google "nasal valve surgery Becker ENT" for more information.
I went to Dr Samuel Becker for septoplasty and turbinate reduction because I had a deviated septum. It was a purely functional surgery and no external changes to my nose whatsoever. However, there was a bunch of pre-op work to be done though, such as blood work, CT scan of sinus, EKG and permission from my primary physician. Since my health insurance provided coverage, all told I paid less than $1k. The surgery took only an hour. Now I can breathe better through my nose and it's cleaner too - less mucous.
Thanks.
A nasal valve collapse is a functional issue and all work is inside the nose with no external changes to the nose. A piece of cartilage such as from the septum is used to prop the valve open so when you "inspire," your nasal airway will remain open. You can google "nasal valve surgery Becker ENT" for more information.
I went to Dr Samuel Becker for septoplasty and turbinate reduction because I had a deviated septum. It was a purely functional surgery and no external changes to my nose whatsoever. However, there was a bunch of pre-op work to be done though, such as blood work, CT scan of sinus, EKG and permission from my primary physician. Since my health insurance provided coverage, all told I paid less than $1k. The surgery took only an hour. Now I can breathe better through my nose and it's cleaner too - less mucous.
Thanks.
September 22, 2019
Hi. I obviously know there is a functional issue on top of my form issue. An "ENT" is who caused it in the first place. The problem is no one knows if I have much septal cartilage. There's a risk my nose can collapse if i let just any ent start taking from a septum that isn't there. I'd rather just do it at the same time the right way with a doctor who can open my nose and see what is happening.
September 22, 2019
Dear Msplatinum,
I would agree with you that if you were to have revision rhinoplasty that it would be a good time to fix your functional issue as well. Having said that, if after your revision and your nose looks acceptable but you still can't breathe well, then perhaps you should consult with a highly qualified ENT doctor who does functional nasal surgeries hundreds of times a year.
One knock I would have on Dr Aaron Kosins is his years of experience - only 6 years! He is still a very young surgeon. He needs to get his practice in first before he is really good.
I think you should consider going to a revision rhinoplasty specialists. Rhinoplasty is the most difficult of all cosmetic surgeries and some doctors jokingly say revision is 10 times more difficult than primary rhinoplasty. In revision, there is limitation to what you can do to the nose because of the presence of scar tissue and depleted blood supply. Some revision surgeons to consider could be Dr Steven Denenberg (Omaha, NE), Dr Rod Rohrich (Dallas, TX), Dr Lucian Ion (London, UK), etc. Please be careful. Thanks.
I would agree with you that if you were to have revision rhinoplasty that it would be a good time to fix your functional issue as well. Having said that, if after your revision and your nose looks acceptable but you still can't breathe well, then perhaps you should consult with a highly qualified ENT doctor who does functional nasal surgeries hundreds of times a year.
One knock I would have on Dr Aaron Kosins is his years of experience - only 6 years! He is still a very young surgeon. He needs to get his practice in first before he is really good.
I think you should consider going to a revision rhinoplasty specialists. Rhinoplasty is the most difficult of all cosmetic surgeries and some doctors jokingly say revision is 10 times more difficult than primary rhinoplasty. In revision, there is limitation to what you can do to the nose because of the presence of scar tissue and depleted blood supply. Some revision surgeons to consider could be Dr Steven Denenberg (Omaha, NE), Dr Rod Rohrich (Dallas, TX), Dr Lucian Ion (London, UK), etc. Please be careful. Thanks.
September 22, 2019
Hey thanks. I was 95% sure i was going with kosins and then he basically got really frustrated with some follow up questions and was answering concerns I didn't have. It was strange. I guess revision patients can be frustrating but still I definitely just was trying to understand my recovery process. I am actually going to consult with Rohrich next. Hilinski is an ent also but his photos on his site are almost too perfect! He did have a few bad reviews but he seemed to work with the patients to try to help them and solve the problem. Very tough decision thanks
October 11, 2019
Thank you for continuing to post about your experience. I was wondering if you’ve had your consultation with Dr. Rohrich and, if so, what did you think?
February 14, 2021
In my opinion, the girls on Rohrich’s Instagram sound very unnatural when he’s asking them about their noses. It’s almost weird how much he pressures them to say they love their noses on live camera. Ick. Let the patient decide for themselves if they like it.
April 17, 2022
Hi! Did you end up choosing the right surgeon? I am currently in the same boat and would like to know what happened- thanks!
September 22, 2019
Thanks for your review. I too had a very bad revision in 2006, and have only now start to look for a skillful surgeon to do another revision. It's taken me this long because I was and still am traumatized from that botched surgery. I contemplated on Dr Ghavami, tell me why you didn't consider him?
September 22, 2019
He was very nice, he was just a bit pushy and just "oh trust me you will look amazing" and I just didn't feel right about that.
December 5, 2019
Kosins does good job. He does not have enough experience. I would caution against using him. I like Dr Rod Rohrich. His website does only show couple of after photos. I am in need of a revision too and below are some of my criteria:
1. Good reviews. At the same time, I understand a surgeon who does complex revision surgeries and been in business for 20 plus years is going to have couple of bad reviews
2. I like to see after photos with front, side, three quarter profile
3. board certified
4. many years of experience with revision rhinoplasty (I like Kosins but he lacks experience)
Please message me if anyone knows of a good doctor. I am terrified to do a bad surgery again
1. Good reviews. At the same time, I understand a surgeon who does complex revision surgeries and been in business for 20 plus years is going to have couple of bad reviews
2. I like to see after photos with front, side, three quarter profile
3. board certified
4. many years of experience with revision rhinoplasty (I like Kosins but he lacks experience)
Please message me if anyone knows of a good doctor. I am terrified to do a bad surgery again
Good luck with your planning!