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POSTED UNDER Rhinoplasty Reviews

Need a revision, but he was Cool, Calm, Collected, Compassionate

UPDATED FROM rayadverb
1 year post

1 year later - 2 weeks out from revision

$10,500
I have my revision scheduled for 2 weeks from today. The swelling is down significantly, and most people have no idea I got work done, but the asymmetry is still pretty prominent and my breathing isn't where I'd like it to be. For example, when I tell my close friends I need to get another surgery, they don't ask me "why" - the difference from left to right side of my nose is pretty obvious. That being said, my profile is gorgeous, and if you were to "split" my nose in 2, each half is a great nose on its own ;)

I am trusting Dr. Parhiscar to touch up what needs to be done - the alar base asymmetry, the collapse of the valve, and potentially the lack of supra alar crease that may be a result of rotation of the tip. Keep your fingers crossed for me. Everything I read is basically warning me that revisions are Very Complex And Complicated, so hopefully this one is comparatively smooth. See you on the other side!

rayadverb's provider

Afshin Parhiscar, MD

Afshin Parhiscar, MD

Board Certified Plastic Surgeon

4.8 | 111 Reviews
PROFILE
Overall rating

Replies (4)

I hope your revision went well and that you are recovering
Hi. Is there an update?
Hi, do you have an update on your revision?
Could you post an update please after the revision?
UPDATED FROM rayadverb
1 month post

6 weeks out, still can’t breathe and unevenness of the nostrils

So, not feeling great. Still can’t breathe very well through either nostril. If I keep my mouth closed I can get air, but not much, and feel out of breath. I went in for my post-op and he said everything looks structurally fine, and we just have to wait (?) but now it’s getting to the point where I don’t know how much longer I can breathe through my mouth 24/7. I emailed a few times and he said to take a decongestant.
The unevenness of the nostrils that’s looking more and more permanent is what’s starting to drive me insane. He said in the post-op that we may have to physically fix it, and said “I know recovery was rough for you”, but I don’t know what that means? Like we have to do a revision? I have to go through that recovery hell again? We can just do something easy? When i look at straight-on selfies of me i want to cry. I told him at the post-op that I’d do it again even if the unevenness didn’t go away, but now that so much of the swelling is gone it’s even more obvious based on nostril size. Overall, I don’t feel reassured, and it’s 3:45 AM and I woke up because I couldn’t get enough air.

Replies (5)

Go to another doctor. Don't make the same mistake twice. It can be fixed its called alar base reduction.
I can’t afford to pay double for a complete revision!
I am so sorry you are going through this. You need to get your money back. This looks like a medical malpractice issue. I looked this doctor up and looks like he has been sued before.
Has your breathing improved at all and did you reduce your turbinates ?
My breathing has improved somewhat, but the unevenness has not. I have another appointment with him next week and if he can’t offer me appropriate reassurance or solutions, I’ll start looking into revision surgery with another doctor. I’m really upset and disappointed. I was so optimistic.
Have you and your surgeon come to a solution?
He is going to do a revision in March. The swelling has gone down significantly, so the asymmetry is simultaneously more and less obvious.
Hey there, I had a consultation with this doctor as well for rhinoplasty. I am curious how are you doing currently? I saw the pics you posted. Is it healing properly and any breathing problems still? Your review is so helpful and I wish you easy recovery :)
Hi! Overall, the swelling going down is kind of night and day for comparing and contrasting. A month vs. 3 months vs. a year is pretty wild. The scarring is overall healed really well, and you can't tell for the most part unless you're looking - which no one is - and I sunscreen religiously anyway. I'm getting a revision in 2 weeks to fix the small issues that would eventually be big issues, and Dr. Parhiscar has been really cool about everything. So we'll see how it goes.

My breathing is still not great, and I do a lot of mouth breathing, which is frustrating. It's like having a cold... on one side of your face... for a year.
Can you give us an update?
Hey! I posted some updated photos.
Your asymmetry is very concerning. Your nostrils were not this asymmetrical before surgery. This doctor did my nose in 2017 and left terrible alar base scars for me. I hope you are doing better with healing and would love to see an update.
I don’t really know what to do. I was also very concerned about the scarring, but they’re not horrible. I have my revision in March… the asymmetry is the same, the breathing is the same (from “fine” to “can’t breathe” depending on circumstance). My nostrils were not this asymmetrical before surgery, you’re right. I’ll try to post a photo later today. Did you do anything about the scarring?
Hey unfortunately no im stuck with the scarring. This doctor really ruined my life I am so insecure about it.
UPDATED FROM rayadverb
1 month post

One month post-op

There's some narrowing that I haven't adjusted to - my breathing is still a bit skewed, and my left nostril is swollen. That side has healed more dramatically this whole time though, I got a gnarly black eye on that side and my eye swelled up to the point where I couldn't see, and it took a million years to be able to breathe even remotely out of that nostril. Regardless, I still can't really catch my breath going uphill. I think it's an adjustment as the swelling goes down.

The biggest and most obvious factor is the asymmetry of the nostrils. My left nostril is lower than my right, and it's become more obvious as it heals. The doctor noticed, and basically said, if it's like that in a few months, we'll fix it, which is reassuring and pretty much what you can expect from any doctor. It's not like they can be like "oh, while you're here, hop under the knife". I believe that he'll make it right in the end, but it is frustrating because recovery was REALLY hard on me, emotionally and physically, and I paid a lot of money for an "even" nose. I don't care if "most people's faces are asymmetrical", I didn't want mine to be. However, it's not distractingly prominent, and overall, I'm ecstatic I finally went through with the procedure.

Replies (2)

You’re posts are super helpful. Were your nostrils uneven before surgery?
Everyone’s nostrils are uneven to an extent, but I did have a lot more skin on my left nostril and he said he likely compensated for that in the rotation. Nothing even remotely this noticeable - check out my “before” pictures for a better idea.
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