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Very Disappointing

I was very insecure about my nose and chin while growing up as a teenager. I had been researching getting plastic surgery from my late teens and by the time I was 22 I felt ready to have it done. I was particularly insecure the way my nose was "humped" and wanted a straight masculine nose with a slightly refined tip. I emphasized to Dr. Fisher I wanted a "straight-straight masculine nose" many times out of fear of having a ski slope nose I have seen done on other males (and females). Dr. Fisher reassured me that he wouldn't "scoop out" my nose as he put it. I still remember thinking the term "scoop" was interesting because typically I think of scooping as something related to ice-cream and not noses.

However to reinforce what I wanted I gave Dr. Fisher a visual representation of my expectations (words can only go so far). I brought my macbook into his office and on Photoshop Elements I warped my nose and chin into the desire I wanted. I still remember him joking that he should hire me to do this for other patients. Again, he reassured me that nothing drastic would be done. This made me feel at ease at the time knowing I had a surgeon who seemed to understand what I wanted and that this was going to be a natural non drastic change. I signed my consent forms and agreed to surgery. Dr. Fisher shook my hand, and I thought I had made a good decision.

After surgery, when I had my nasal cast removed I was totally confused at what I was looking at. From the frontal view the nasal bones along bridge of my nose seemed to disappear into my face, and most shockingly the tip looked fatter and asymmetrical. From the profile view my nose did not have the straight masculine look I wanted, but instead had a slope that I repeatedly said I did not want. The left side of my nose looked bulbous whereas the right side of my nose seemed more indented after surgery. Dr. Fisher said this was a good result and my old nose was "goofy". I was trying to hold back tears, until I couldn't.

I understand a digital computer simulation does not guarantee that exact result, however I feel it gives the surgeon a good idea of where and what to operate on as well as give the surgeon my expectations. However after the surgery my radix area (where my nose meets my forehead) was unchanged in my before picture and after the surgery it was sloped. Additionally there is more columella/nostril show, something I didn't want or expect. Also after surgery Dr. Fisher told me he "fixed" the area where my nose meets my upper lip. We never talked about that before surgery. I remember being 22 just crying thinking he just did whatever he wanted after I went under anesthesia.

At another follow up appointment I cried again and told Dr. Fisher I didn't like this look. He sent me to another surgeon to get a second opinion about the outcome of the surgery. After being charged a consultation fee the surgeon basically told me my result depends on what Dr. Fisher and I talked about before surgery.

At another appointment he suggested sending me to a clinic to have dermal fillers injected into my nose to help with the sloped appearance. But I was confused why was I going to have temporary dermal fillers put into my nose when I had this surgery to have a permanently straight masculine looking nose. I also feared having it done because I thought what else could happen after having this surgery. I wanted a board certified plastic surgeon for a permanent straight nose, not a nurse or tech to do temporary fillers. So I never got the fillers done.

My chin implant seemed to be an improvement from the frontal view however from the profile view my lower lip angle (where the lip meets the chin) looked increased and I do not like this look. I feel the lower lip angle actually makes my chin look weaker in profile. After about a year of having the chin implant in, I felt a popping sensation on the left side of the implant while eating. The left lateral wing of the implant was loose. Several months later while eating dinner the right lateral wing of the chin implant did the same thing. It didn't deviate a lot from my jaw a lot and I was afraid to see Dr. Fisher again so I have lived with it.

I had friends who were excited for me about having plastic surgery however afterwards it was clear that the look in their eyes indicated they did not think this looked good and were very eager to change the subject. I didn't need their validation, a mirror told me what I already knew. I was told more directly by a brutally honest immediate family member "this is what you get for having plastic surgery". I was ashamed and embarrassed of both the result of the plastic surgery and the social stigma of having it done and so I suffered in silence, until now.

Writing this review has been physically exhausting and emotional. I hate writing this. I wish I was writing to tell you how happy I am with my result and how wonderful Dr. Fisher is. However this is real life, and this is my result.

Provider Review

Board Certified Plastic Surgeon
2000 Richard Jones Rd, Nashville, Tennessee
Overall rating