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My Self Esteem is Worse Than Before my Rhinoplasty
I took 2 years to write this review because I dislike confrontation and because I didn't want there to be an argument over the validity of my concerns due to post-op swelling.
I had my closed rhinoplasty with Dr. Grigoryants in December 2022. I will go through my concerns in chronological order.
During my consultation, I made it clear that I didn't mind my frontal view or my tip. My primary concern was a dorsal hump visible on profile view. I wanted a straight, natural, unoperated look. I specifically mentioned that I did not want a scoop / curve. Dr. Grigoryants said he could accomplish this with a closed approach, and that he would also "refine" my tip. Although my tip was not a concern for me, I agreed.
At the end of my surgery, he told me that he opted for creating a "small curve" despite my request for a straight profile because it was more aesthetic. Looking back, I now find this slightly unethical given that regardless of what he thought "looked better," he should have abided by his patient's request while they were unconscious in the OR. He could have discussed this difference in aesthetic opinion during the consultation, the pre-op, or at bare minimum, immediately prior to surgery; but he should have left the final discretion to me since it is my nose.
During my initial cast-off appointment, 1 week post-op, after having been given very clear instructions to be extremely gentle with my nose during healing, one of Dr. Grigoryant's nurses ripped my cast off my nose (which was glued to the skin) with a single, rough pull. I cried and grabbed the table in pain. I was shocked that I was instructed to be extremely delicate with the newly healing tissues and bones, yet this woman immediately caused a potentially traumatic, and extremely painful injury only 1 week post-op. In most videos I have seen at cast-off appointments, the surgeons delicately detach the cast from the skin using adhesive remover and carefully remove it. It has been 2 years and I can still vividly recall the pain and trauma of that rip. I always wonder if that trauma during the early healing process is partially responsible for the concerns I will list below.
Immediately after removal, I expressed concern about the wideness of my bridge. It is very box-like, with sharp ridges on the lateral borders. It does not resemble a pyramid as most natural noses do. Dr. Grigoryants explained that it was due to swelling and it would improve. The profile was extremely curved compared to what I had asked for, but at that point, that wasn't as much of a concern as my distress over my frontal view.
As the healing progressed, I noticed asymmetrical swelling and a bulge on the left side. I immediately reached out to Dr. Grigoryants about this concern, as well as the wide bridge mentioned above. He agreed to meet with me only once outside of my standard post-op appointments and assured me it was all swelling and it would resolve with time. He laughed at the photos I sent him in my emails and made me feel like my concerns were silly.
As months passed, the asymmetry and left-sided bulge never disappeared. The wide, box-like bridge remained as well. I emailed him 3 more times in that first year and asked to meet with him to address these issues. He told me each time that he was unavailable to see me.
At my 1-year follow-up, the issues mentioned above were still present. He looked at my nose, told me I was still swollen, and told me the asymmetry would resolve. I thought it was very telling that he walked into my appointment with his camera, looked at my nose, and walked out without having taken any photos. He knew that this was not a good result, but he refused to acknowledge it to my face.
At this point, I felt defeated. I realized he would not acknowledge that he yielded a subpar result (which I would have respected him for), and since, according to him, there was no problem, he would not make himself accountable for any resolution.
I began attending consultations for a revision rhinoplasty as my self-esteem was greatly affected by the frontal view of my nose and face. The surgeons I met with told me that I should not have been a candidate for a closed approach, and that malpositioned cartilage in my tip was responsible for the left-sided bump. It will cost me approximately $40k for a revision rhinoplasty.
At my 2-year follow-up, Dr. Grigoryants once again looked at my nose, and told me that, at 2 years, I still have swelling in my tip that is causing the asymmetry and the persistent left-sided bulge. If you research, you will see that the majority of swelling is gone within the first 6 months following a rhinoplasty, and only trace swelling remains after that. At this point, I knew that he knew that he was being disingenuous with me. We both knew this was not swelling, but rather malpositioned cartilage, and yet did not want to acknowledge it, lest he be held responsible.
I have been saving since my first surgery to eventually be able to afford a revision rhinoplasty with a more reputable surgeon. I am hoping to address the wide bridge with sharp ridges, left-sided tip bulge, and newfound breathing issues I have since the surgery. I now snore loudly, have been told I have noisy breathing what at rest, and have less air-flow through my left nostril than 1 did before. I never had breathing or snoring issues before my rhinoplasty.
I had my closed rhinoplasty with Dr. Grigoryants in December 2022. I will go through my concerns in chronological order.
During my consultation, I made it clear that I didn't mind my frontal view or my tip. My primary concern was a dorsal hump visible on profile view. I wanted a straight, natural, unoperated look. I specifically mentioned that I did not want a scoop / curve. Dr. Grigoryants said he could accomplish this with a closed approach, and that he would also "refine" my tip. Although my tip was not a concern for me, I agreed.
At the end of my surgery, he told me that he opted for creating a "small curve" despite my request for a straight profile because it was more aesthetic. Looking back, I now find this slightly unethical given that regardless of what he thought "looked better," he should have abided by his patient's request while they were unconscious in the OR. He could have discussed this difference in aesthetic opinion during the consultation, the pre-op, or at bare minimum, immediately prior to surgery; but he should have left the final discretion to me since it is my nose.
During my initial cast-off appointment, 1 week post-op, after having been given very clear instructions to be extremely gentle with my nose during healing, one of Dr. Grigoryant's nurses ripped my cast off my nose (which was glued to the skin) with a single, rough pull. I cried and grabbed the table in pain. I was shocked that I was instructed to be extremely delicate with the newly healing tissues and bones, yet this woman immediately caused a potentially traumatic, and extremely painful injury only 1 week post-op. In most videos I have seen at cast-off appointments, the surgeons delicately detach the cast from the skin using adhesive remover and carefully remove it. It has been 2 years and I can still vividly recall the pain and trauma of that rip. I always wonder if that trauma during the early healing process is partially responsible for the concerns I will list below.
Immediately after removal, I expressed concern about the wideness of my bridge. It is very box-like, with sharp ridges on the lateral borders. It does not resemble a pyramid as most natural noses do. Dr. Grigoryants explained that it was due to swelling and it would improve. The profile was extremely curved compared to what I had asked for, but at that point, that wasn't as much of a concern as my distress over my frontal view.
As the healing progressed, I noticed asymmetrical swelling and a bulge on the left side. I immediately reached out to Dr. Grigoryants about this concern, as well as the wide bridge mentioned above. He agreed to meet with me only once outside of my standard post-op appointments and assured me it was all swelling and it would resolve with time. He laughed at the photos I sent him in my emails and made me feel like my concerns were silly.
As months passed, the asymmetry and left-sided bulge never disappeared. The wide, box-like bridge remained as well. I emailed him 3 more times in that first year and asked to meet with him to address these issues. He told me each time that he was unavailable to see me.
At my 1-year follow-up, the issues mentioned above were still present. He looked at my nose, told me I was still swollen, and told me the asymmetry would resolve. I thought it was very telling that he walked into my appointment with his camera, looked at my nose, and walked out without having taken any photos. He knew that this was not a good result, but he refused to acknowledge it to my face.
At this point, I felt defeated. I realized he would not acknowledge that he yielded a subpar result (which I would have respected him for), and since, according to him, there was no problem, he would not make himself accountable for any resolution.
I began attending consultations for a revision rhinoplasty as my self-esteem was greatly affected by the frontal view of my nose and face. The surgeons I met with told me that I should not have been a candidate for a closed approach, and that malpositioned cartilage in my tip was responsible for the left-sided bump. It will cost me approximately $40k for a revision rhinoplasty.
At my 2-year follow-up, Dr. Grigoryants once again looked at my nose, and told me that, at 2 years, I still have swelling in my tip that is causing the asymmetry and the persistent left-sided bulge. If you research, you will see that the majority of swelling is gone within the first 6 months following a rhinoplasty, and only trace swelling remains after that. At this point, I knew that he knew that he was being disingenuous with me. We both knew this was not swelling, but rather malpositioned cartilage, and yet did not want to acknowledge it, lest he be held responsible.
I have been saving since my first surgery to eventually be able to afford a revision rhinoplasty with a more reputable surgeon. I am hoping to address the wide bridge with sharp ridges, left-sided tip bulge, and newfound breathing issues I have since the surgery. I now snore loudly, have been told I have noisy breathing what at rest, and have less air-flow through my left nostril than 1 did before. I never had breathing or snoring issues before my rhinoplasty.
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