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Hello, I am writing a review to contribute to the...
I am writing a review to contribute to the rhinoplasty forum, specifically asian rhinoplasty. Before I had the procedure, I could not find any reviews on asian rhinoplasty and not too many before and after pictures either.
The reason for my wanting a rhinoplasty was because I had a flat and wide nose, and it was red on the nostrils a lot. I did not have a bump like most people, and this is unique in the Asian culture as well. The tip of my nose curl down instead of pointing up. Most people tips point up.
I did very little research. All I did was looked up pictures of asian rhinoplasty before and after. I wanted to get it over with, because I had the courage at that time. I consulted with one surgeon, who asked me very little questions. I told him I want a very conservative change. He said that he could make my nose more harmonious with my face. He wanted to do osteotomies, alar plasty, and raise the tip up by 3 mm. The surgery seem simple from the way it was described: break the bone on top, reset it, use a columellar strut to raise the tip and reinforced it, and cut the tissue of the nostrils and sew it back. It would take me 5 days to recover.
Since this was my first and only rhinoplasty consultation, I trusted the doctor. He never asked me what I like about my nose. He didn't ask about social history, the reason why I want rhinoplasty, or discussed other conservative options with me. When he suggested thinning the nose out as well, I foolishly agreed. He did this on the day of the surgery, minutes before IV was inserted into my hand.
I thought that I would look 90% the same after the surgery. However, I came out with a completely different nose. I would say that my nose looks 50% the same now. When I woke up from the surgery, my surgeon giggled and said "It's a cute nose." And that's when I knew I had made a mistake....
I followed his instructions, and as the months went by, I could see that my nose was very different, and that I had made the biggest mistake of my life. I became depressed, angry, and I was very upset with my surgeon.
My surgeon placed several grafts that were never discussed and sutures the domes of my nose together. I suppose this was "thinning out the nose" meant. Several days after the surgery, he said he would take all the grafts out if I wasn't happy in 6 months. Then at the one month appointment, I pointed out a purple crease on the right side, he said it was a normal alar crease. I asked him if it could be fix, and he told me "Please don't make sew a graft on there just for a few millimeters of difference." This is a complete change from saying he would take everything out. Then at 2 months I asked him what did he do to my nose, he said he put some sutures, and then said he would take it out if I am that unhappy with it. At the 3 months recall, I asked for my operative notes. When I read it, I found out about the extra grafts, and asked him why he placed it without my permission, he basically said that he doesn't have to let me know how he would operate on my nose. I complained that my nose looks tight when I smile, and he said that addressing my smile is not something that is required in rhinoplasty. I complained many other things too, but he basically did not address it. There two suture sticking out the sides of my columellar now that I complained about and he said he doesn't see anything. I get pimples around these sutures and I'm currently on antibiotics for it, hoping that it doesn't spread deep before I can get a revision. My septum is deviated, but when he looked at it, he said my septum never changed from before. I can't breathe out the left nostril very well.
My rhinoplasty is a disaster. I am doing better now at the 9 months mark and looking forward to getting a revision by another surgeon. I have learned a lot from this experience. I learned that I liked my old nose, and I don't really care how pretty I am, as long as I am healthy, I am happier. I would rather not undergo an elective surgery and risk poor results, severe psychological effects, and possible other surgeries to correct it. Also, I don't like fighting with my surgeons, and having my concerns and feelings dismissed. There were times that I felt like I had no one to turn to for help, and I was very sad because of that.
So for me, rhinoplasty is not worth it.
Provider Review
Facial dr. No thorough communication. Embellished experience. No emotional post operative support or education. Never even show me any of the after pictures until I requested it. All my questions and concerns were dismissed afterwards. I asked for a revision and to undo the sutures and grafts and he told me that my nose would warp and I might become a career plastic surgery patient, like Micheal Jackson. He never educated me before hand on the emotional, psychological, and physical effects of plastic surgery and rejected me post operatively when I had a hard time dealing with the results.