That Dr. had no bedside manner, was condescending, and told me there was nothing wrong with my nose structurally; he handed me a mirror and said since I could see my breath on it, I could breathe. I said of course I can or I would be dead but I would actually like to be able to breathe in to my diaphragm (never can when ran, exercised and/or did yoga and needed for better posture). I found Dr. L to be warm, caring and of course he had the expertise like the OHSU Dr. Thus, while having the surgery 3 hours away was not my first choice I went for it. His staff was very professional and organized and the 2.5 hour surgery went well (average cosmetic procedure is 1 to 1.5 hours).
I was told to expect at least 50% improvement in my breathing which has been exceeded and its probably closer to 90% when I am laying down. l was also told the procedures might not have any effect on my allergies but they have improved (perhaps due to turbinate reduction). The first week after the surgery I had a cast on my nose and had a LOT of blood drainage and was on heavy prescription meds (two weeks actually given my procedure was more invasive than most). The second week things were much easier but I was more black and blue (and yellow) than most including all the way down around my jaw line so when I was out people looked away (assumed I was beat up). Tried buying cover-up makeup but my skin was so dry from going off flax seed and fish oil weeks prior as directed (effects blood clotting) that my skin was too dry.
The staff was happy to answer questions anytime; went back twice; once to get cast off 7 days later and then for follow up at 30 days (then was permitted to start lifting weights again). My last visit will be between 6 months and a year when I think best; my nose is still tender if the tip touches something with more than feather light impact but it has been lessening. As for aesthetics; I know it’s a bit wider due to the cartilage and tip bridges but no one else does as when people see me they ask if I changed my hair. Thus, no material change in appearance though I wish I would have ended up with a more delicate nose (may get a bit smaller as can take up to year for all swelling/trauma to subside). People in my family do see the change in the profile as bump is gone but don't notice unless I bring it up; probably because the front seems the same. In closing I certainly learned that its best to have at least 3 consults and not to just rely on internet recommendations as while Dr. L is world renowned, I would not have known that from viewing this site or a couple others as the online reviews are limited. Some of the cost noted below was paid by my insurance.