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I posted some pictures; they are 9.5 months post...

I posted some pictures; they are 9.5 months post op. I was supposed to have the revision on my tip on March 19th but I didn't go through with it. I came into the office expecting everything to go like it did the first time. However, my PS came into the room and asked if we can think about if my revision is really necessary and for us to look at some of my pictures to see where we came from. Before we looked at the pictures, he also mentioned how he is hesitant on doing the revision because he had a scare with another patient he revised a nose on. He thought the skin on the nose for the other revision was turning into dead skin... I guess skin can die. He became worried and worried the same could happen to me. He also worried, if he operated on my tip and removed the prominent part that sticks out, that something else would come out not good. He felt like the risks wouldn't be worth it. I of course became worried, and thoughts came racing through my head: would my revised nose be worse than it currently is, would my skin die, what would the revised nose look like? So he said it would be up to me. I came into the office expecting to get it done, but once he told me all of his worries, I had second thoughts and freaked out. My husband didn't think it would be worth the risk. So we went home without having a revision done.

However, today as I am thinking about my choice I think I made the wrong decision. I feel I should have gone through with it. Another part of me feels like I shouldn't have gone through with it because it could turn out worse. My PS told me if I change my mind, that I can come into his office while he is still in practice and he will revise it free of any charge, no matter how long I wait.

So, as some of you are reading this post, I'd love your feedback on my nose. I strongly feel my left side is pointy and prominent and it doesn't look too good from the front. However, at certain views: 3/4 views, it looks good. It showcases my PS's great job on my profile. Sometimes, I wonder if I shouldn't have ever gone through with this. I guess it's easy to look back and wonder how everything would have turned out had I taken a different path.

Hi everyone. I have received several...

Hi everyone. I have received several messages/questions regarding my PS's work so I figured it would be easier to update. He seems to be a popular doctor in St. Louis.
It has been 8 months since my rhinoplasty and I'm still unhappy with the results. My nose has a pointy side/end at the tip on one side which makes it look slanted/crooked/just not right. I'll try to post updated pics of it so everyone can see. My nostrils are still uneven and he said that was there to begin with so he can't change anything. Too bad it wasn't brought up/pointed out before my initial surgery. I guess this is one of the those situations where I have to choose my battles.
It was at the six month mark after my surgery, Dr. Nayak agreed that he needed to revise my nose since it didn't heal as well as he'd liked. I have my revision scheduled on March 19th. He is not charging me anything for the 10 minute procedure on my tip, however, I'll have to be under for about an hour or so. In addition, I'll have to take off a few days from work which will be an inconvenience. Dr. Nayak said the revision shouldn't be as hard of a recovery compared to the original surgery and I won't need to wear a cast, only tape for a week. I'll have to get opened up so I'll have to get stitches removed again. He said he would only work on the tip. I will have a pre-consult with him/his staff two weeks before the surgery over the phone. Since I have already gone through this procedure, there's no need to have me come in.
I'm glad he is revising the nose because I feel really self-conscious about it, especially when taking pictures because it reminds me of what it looks like. Recently, I have been positioning my face side ways so they see more of the profile view, not head on as the curvature is more apparent. However, the point that really made me upset was when I was washing my hands in a public restroom and the walls were encased in mirrors. I caught myself in the mirror at the 3/4 view and it became apparent to me how much the nose shifts towards one side due to the tip.
This whole experience has put a damper on for the last six months and I'll be glad to have this fixed and put it behind me. Due to the revision, I had to put my life on hold with some life choices. My husband wasn't too happy to hear we had to wait to have a baby in order for me to have a revision. However, he has been a good sport about it. He agrees that a revision is necessary and is glad as well that we do not need to pay anything out of pocket to fix this mistake.
I'm looking forward to putting this in the past. I think Dr. Nayak can fix my nose since he has fixed far worse. I do feel he is an expert and am glad he is trying to make this situation better. I am a bit scared to go through the surgery again because of my initial experience of removing the cast and being displeased with the look of the nose. I'm hoping I don't have to experience that again. Part of my feels like I might not experience it though because the point on the tip didn't become as apparent until the three week mark after surgery due to the swelling. Another part of me wants March 19th to come already so I can get it over with and see what my "newer" nose looks like. I want to move on and not think or worry about my nose. Until then, I'll be waiting for the time to pass.
I'll post updated pics later on.

I am 4 months post op now. Recently, I went to my...

I am 4 months post op now. Recently, I went to my PS to get a steroid shot for the swelling in the middle of the nose- there was a bump of swelling in the middle which prevented my nose from looking smooth from a profile point of view. It helped with the swelling and hopefully it will stay like that. I really like my profile and am very happy with it. However, I'm not too crazy about my front. My nostrils are still uneven and I have noticed how the definition on my sides is not the same. On my left side, the defined line seems to be straight and it ends with a prominent rounder edge. My right side is more relaxed and doesn't have a definite line like the other side. I have noticed when I take pictures and I smile, my nose looks like it leans towards my left side which seems to be more defined. Also, a few days ago, I had a red bump come up by the incision mark inside the right nostril. I called my PS's office (on a Saturday) and the nurse told me my PS wasn't in the office but she'll pass the note along to him. He called me in less than five minutes and prescribed me an antibiotic. I also sent him a picture of my nose to make sure everything else was ok since the red and inflammed bump was by the incision mark. He thought it was an ingrown hair which might have gotten infected. It seems to be getting better but I think I'll try to go in the office to make sure everything is ok since the bump is still there but the tenderness is almost gone. I think it is great that my doctor takes the time to be proactive when things like this arise but I am disappointed with the outcome of the front so far- I'm praying and hoping it gets better with time but I feel time has only brought out more concerns.

Provider Review

Board Certified Facial Plastic Surgeon
607 S. Lindbergh Blvd., Frontenac, Missouri
Overall rating
Doctor's bedside manner
Answered my questions
After care follow-up
Time spent with me
Phone or email responsiveness
Staff professionalism & courtesy
Payment process
Wait times

I still need to see the final product after the revision on the tip before giving it a rating. I'm giving it more time before I rate the procedure and if needed revise the rating for the doctor. However, so far Dr. Nayak has been very helpful and willing to see me as needed.