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POSTED UNDER Rhinoplasty Reviews

Rhinoplasty Part 1: Just Got My Cast Off - Vancouver, BC

UPDATED FROM sarah_tonin
4 days post

Middle of Day 5 Post-Op: Slept in bed last...

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sarah_tonin
WORTH IT$7,200
Middle of Day 5 Post-Op:

Slept in bed last night, so I slept much much better. Still have some swelling in my eyes and cheeks, but it's gradually going down. There's still swelling in my tip and more in the left side than the right, so my nostrils are still uneven BUT they're looking a little better today. My fiancé washed my hair again and then I took a shower and then cleaned my face afterwards, very carefully. For the first time since before the surgery, I blow dried my hair and applied some makeup. I'm also dressing in actual clothes instead of PJs, as I'm about to step out to run a few errands. Then it's home for more Glee and relaxing on the couch! I feel much more like myself today, and even though my nose is still pretty swollen, I love what I see in the pictures I took today! :)

Btw, a big thanks to CollagenJunkie for chatting with me on FB earlier and keeping me feeling positive, it meant a lot! :)

To continue to part 2 of my Rhinoplasty story, please click here.

sarah_tonin's provider

Thomas Buonassisi, MD

Thomas Buonassisi, MD

Board Certified Facial Plastic Surgeon

4.7 | 227 Reviews
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Replies (5)

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February 23, 2013
The more your rest, the quicker the healing will go. You have been somewhat active and it is really better to just chill out, keep your head elevated, and sleep whenever you can. I know it is hard because you might not be a homebody, but you have to rest as much as you can. I probably sound like a nagging mom! I'm sorry. Just think of me as a concerned nose sister. ;) Enough lecturing. Your upper lip swelling should go down a lot after 7 days and probably be completely gone shortly after that. Day 3-5 are tough days for most people so hopefully after this, you will turn a corner.
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February 24, 2013
Hahaha don't apologize for the advice! I wish I'd have read it sooner because you're completely right, I've been overdoing it the past few days and sadly today was no exception! My fiancé and I grabbed ice cream and then walked around a bit to get some gifts for a friend, and then went to a friend's for about an hour. I had to cut the hangout short because I could feel myself suddenly become physically exhausted, and I was like, "Damnit I've done it again!"
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February 24, 2013
I hope you have an awesome day 6!
February 23, 2013
Its really coming along nicely. I've noticed that usually by about day 5 or 6 people start feeling a lot better. Thats really not too bad. Dont worry too much about the nostrils. They are a tiny bit uneven, but its hard to tell. My nostrils (pre-surgery) are a tiny bit "not matchy" because I think I might have a deviated septum. I really dont even care about that though. I only care about my nose being too wide, too long, and having a small bump. I think that the things you were really hoping to address were resolved through your surgery. Everybodies noses are looking really good! Its just getting me more fired up to take the plunge myself. You are all great for sharing your stories and pictures!
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February 24, 2013
Thanks very much! I'd like to think that the worse is over in terms of feeling gross and sick, so hopefully I'm not eating my words tomorrow haha I'm not too worried about my nostrils because I can tell where there's a lot of swelling and so I imagine they'll even out a bit more over the next couple of months. But even if they don't, it still looks fine the way it is now :) It's something I'm sure only I'd really notice. Do you have a date already scheduled for yours? :)
February 24, 2013
Not for surgery, no. I have a consultation on Tuesday. I am worried that he'll be a great surgeon who I love and then find out that he doesnt do enough rhinos on a regular basis to make me feel comfortable putting my face in his hands. He specialises in breast, body contouring and facial cosmetic surgery, but I dont know if that means rhino too or not.... Was your surgeon a super duper rhino specialist? Tell me what kind of things you know about how much experience and expertise your surgeon had in rhino...
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February 24, 2013
Yes, my PS is a nose specialist. For all my consultations, I went in with a list of what I wanted, what I didn't want, photos of noses I liked and didn't like, a list of pre-existing factors I have that could potentially affect my outcome, and 43 questions. Would you like me to send you the list of questions? Some of them might seem random but I really wanted to make sure I covered all my bases and ESPECIALLY asked all the questions that would ensure that I knew my PS was qualified. What I found out about Dr. B from all my questions was: -He performs approximately 150 (between 100-200+) rhinoplasties a year (Note: when asking how many rhinoplasty procedures the surgeon performs a year, the answer should be 50 or more) -How many years he's been certified -He listed the many boards he's certified under (I didn't write them all down but they're listed on his website) -Whether he performs open or closed rhinoplasties, or both -If he's ever been disciplined by the board and if so, why. (For the record, he hasn't been) -How many revisions of his own work, on average, he performs per year (his answer was about 5%) -I asked if he could look at a portfolio of before and afters of his work that weren't just the "perfect" results. As my review mentions, he specifically went out of his way to show me exactly that. -What his policy is on revisions -The type of anesthetic he uses and why -What his routine is and appointments are like for postoperative care -How to get in touch with him or his staff after hours (he provided me with his cell number in case of emergency) -Who would administer the anesthesia the day of the surgery -What structural changes he intended to do on my nose -Policy on refunds -Whether or not they offer financing -In his years of experience, how accurate his results are compared to the digital imaging Those are the kinds of things I made sure to learn of the surgeon himself. There were many other questions I prepared regarding the actual surgery haha Hope this helped!
February 24, 2013
I literally have 98% all of those questions on my list already - I have been doing HELLA HOMEWORK, believe me. I'll add the ones about after hours contact phone number and the accuracy between digital imaging and actual results - those are good ones. I've checked all the credentials listed on the website to make sure they are true and all of that. If you want to send me your list of 43 questions feel free! Thank you!
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February 23, 2013
Thanks for honestly posting all your ups and downs, and for the detailed picture updates. I had surgery 3 days after you. You inspired me to post my own story on RealSelf as I recover too. Let's all get better together. :)
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February 24, 2013
Wow, really? Thank you so much, it really is amazing to know that I helped you decide to write your own review! I can't wait to read it, is it already up? If you had surgery 3 days after me, that means you're very fresh out of the procedure; how was it? You doing alright? :) And not a problem, I prefer the reviews that go into depth and show the reality of the situation, not just the highlights. They are the most informative and helpful for me :)
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February 24, 2013
I wrote my post yesterday, so RealSelf will probably approve it next week - just in time for another update! My surgery was pretty intense, and I'm on an emotional rollercoaster. But when I see how you and everyone has also gone through this, I have faith that I'll start to feel like myself again soon. :) The dirty hair and face is bothering me too! LOL. I have stitches on my scalp, so I don't want to risk washing yet, but I'll keep looking out for ideas.
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February 24, 2013
Oh no, why do you have stitches on your scalp??
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February 25, 2013
No worries! With some types of ethnic rhino, the nose is built up. This is done with either an implant or human tissue from the head or the ribs. I chose to go more natural by using my own tissue. It's harder to do, but safer in the long run.
February 24, 2013
Random question but how did you wash your hair? My surgery is on Monday and one of the many things I worry about is dirty hair :)
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February 24, 2013
Not random at all! :) That's a very common question around here! I personally had my hair washed in my kitchen sink; I have tall chairs and a removable sink head, so I sat on the chair and leaned back so my head was in the sink and my fiancé washed and conditioned it. But there are plenty of other ways! I've heard of people covering their casts with plastic bags or Saran Wrap and washing their hair as normal in the shower (although I would worry that I'd still wet my cast this way). Another method I was recommended that I heard work really well is taking a bath and having someone wash your hair and wet and rinse it with a bucket or container :) Hope this helps!
February 24, 2013
CollagenJunkie, your awesome! ;) You already are looking better. It looks like it's going to be amazing! By the way...your eyes are so beautiful!
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February 24, 2013
hahaha yeah she is, isn't she? :) And thank you! I assume that last part was meant for me - if not, I feel silly, and my apology for potentially sounding arrogant haha
February 24, 2013
haha yes that last part was for you! I thought I wrote it differently than it came up but for some reason it didn't come up the way I added it. oh well you got the idea! ;) hah
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February 24, 2013
Hahahaha well thank you, you are very very sweet!
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February 24, 2013
LOL awkward... haha thanks for the shout out! And yes she does have beautiful eyes!!!!
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February 24, 2013
D'awwwwww thanks hahaha
UPDATED FROM sarah_tonin
4 days post

End of Day 4 Post-Op: Didn't sleep very well...

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sarah_tonin
End of Day 4 Post-Op:

Didn't sleep very well during Night #3. Woke up around 7am briefly and didn't feel like eating (I'd have to remove my braces and then thoroughly clean them before putting them back in, and since I switched to my next set of Invisalign trays last night they were still right and sore), and since I have to eat something with my pain meds, I just took one extra strength Tylenol instead and went back to sleep. Well, I woke up a few hours later with my nose hurting slightly, my teeth hurting a LOT (from the braces), and an upset stomach. Tried to eat some crackers and drink some water but wound up vomiting. Moved from the recliner to my bed and wound up napping all afternoon. I was much comfier there so my fiancé insists that I sleep there instead from now on and he'll continue to sleep on the couch for a while. I felt bad but he really is such a sweetheart. When I woke up I still felt iffy, but I was able to eat more food and keep it down. Spent the rest of the day lounging on the couch and watching Glee lol Didnt post pictures today cause there's not a huge difference from yesterday.

My bruises under my eyes are really yellow now; there's still a bit of swelling around my eyes but most of it (minus my nose) is now in my cheeks. Hopefully it goes away soon cause it's that really subtle swelling where you don't look silly per say but you can tell your proportions are off. My tip is still really swollen, obviously, and the skin is super oily and gross. I can only imagine how wonderful the rest of my skin on my nose will be once the cast comes off. I have full feeling in my upper lip but I can't really smile showing my top teeth still, which sucks cause I'm a person who has big toothy smiles ALL the time. I also find that whenever I laugh or raise my eyebrows, I don't feel any pain but the obvious tugging which I force myself to stop, just to make sure I don't pull any stitches. From what I can tell right now I have some feeling in the top of my nose; if I touch it lightly I can feel everything.

Starting to get a little worried about what ill look like on Tuesday when this cast comes off, but forcing myself to remember the table pictures and remembering that all my family and the majority of my best friends are all in Ontario and won't see me for several months anyways, so for the most part, the majority of the people who'll see me in the gross, swollen stages that is the next couple of months won't be in my life by the time school is over with in April lol

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UPDATED FROM sarah_tonin
2 days post

Day 3 Post-Op: I slept much better last night! I...

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sarah_tonin
Day 3 Post-Op:
I slept much better last night! I found that if I rest the u-shaped pillow on my arm and lean my head against it, I sleep much more comfortably, as opposed to having it around my neck. I slept from about midnight until 5am and then woke up because I had to go to the bathroom. I noticed that I could open my eyes a bit wider than the previous evening, and when I checked in the mirror, my eyes were a tad less swollen. It's still pretty swollen but it's also moved down into my cheeks so my face looks a little puffy today. Then I iced and went back to sleep until 9am, iced some more, took some Traumeel, and went back to sleep until noon. When I woke up I felt well-rested but really gross because my hair and face was super greasy. Thank god for my wonderful fiancé; we maneuvered in the kitchen sink and he washed and conditioned my hair, and then I gently washed my face (careful not to get the cast or my nose wet). I felt MUCH more refreshed afterwards, and felt good enough to go out.

We went to the SPCA, since we adopted a second kitten from them a month ago and wanted to give them a picture of her in her new home. We stayed for a tiny bit to play with some of the stray cats, and then I started to feel a bit nauseous and a bit sore. I hadn't taken my antibiotics or pain killers today, so we finished our errands, came home, and I took them. Now I feel much better. I probably over exerted myself this afternoon, so I'm spending the rest of the day relaxing and watching Harry Potter films haha Brendan is making homemade meatballs tonight at my request - mmmm! I still can't open my mouth very wide to chew, so it's good that they're chewy and soft.

My bruising is doing well! Under my eyes it is turning yellow so I think the worst of it is done with. The inner corners of my eyes are still red, as well as a thin line on the too of my eyelids, but other than that, that's it. I've been using the saline mist in my nostrils to try and clean some of the dried blood, and while there's still a good amount of blood in there, it's better than yesterday. Im also using polysporon around my nostrils and on my stitches (on my septum). I keep worrying that they'll get infected or something so I keep asking Brendan a million times a day, "Can you look again? Are you SURE they aren't becoming infected?" He just laughs and keeps saying no, they're fine (he's medically trained so he knows better than I do).

My tip is still very swollen and so my nostrils are still uneven but they look a tiny bit better today. I'm reassured that its the swelling making the uneven because the left nostril is smaller than the right and it's the left side of my tip that's more tender than the right.

I uploaded some new pictures too :) In the last two, my smile looks VERY right and unnatural; it's the most I can do right now, but the important thing is that it shows how my tip no longer droops when I smile :D I was looking in the mirror and smiling at different angles and it doesn't move at all right now, which I'm ok with. I look at the pictures and I know my tip will get smaller as it heals but so far I like what I see :) I also am keeping in mind that of course, I haven't seen the rest of my nose since its covered in the cast, and I'm sure it'll be swollen and shapeless and unattractive when I see it in 4 days, but I'm not too worried about it. Surprisingly, I've been really positive, mentally, since this whole thing happened. Hopefully it'll stay that way.

Anyways, let me know what you think!

Replies (3)

February 22, 2013
Yay day 3! I felt once I made it to day 3 it was way better. It's good you are Feeling positive, I thought I would have post surgery depression or something as I read so many people get down afterwards but never had it at all!! I think it's the excitement at the end of the rd. you are also lucky u got a table photo aswell to put your mind at ease :)
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February 22, 2013
I was worried that my swelling would be even worse today, considering I heard it peaks by the third day and I couldn't imagine it being worse than yesterday. I'm really thankful it went down in my eyes today! I'm glad to hear that you didn't get any depression either! I totally agree, it helps to have gotten the table photos, they're very reassuring :)
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February 22, 2013
Haha they so need a "like" button for photos! Lookin' good, I can already tell your result will be fantastic! You have a great attitude, that makes for a much easier recovery!
February 22, 2013
haha I totally think every time I see a photo or comment and always want to "Like" it then I'm like..."oh wait! I'm not on facebook!" ;)
February 22, 2013
haha I meant "I totally think THAT every time I see a photo or comment!" ;) I always forget one word when I write on here! hahah I'm such a dork.
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February 22, 2013
Hahahahaha you both are just awesome. You should add me on FB! If you don't mind befriending weirdos like myself :P
February 22, 2013
hahaha
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February 22, 2013
But in all seriousness, thanks to you both for the kind words :)
February 22, 2013
You look fantastic already! I already love it haha! :) Stay positive girl!