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POSTED UNDER Rhinoplasty REVIEWS

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

ORIGINAL POST

I apologize in advance for the length of this post...

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sarah_tonin
WORTH IT$7,200

I apologize in advance for the length of this post - i have a few month's worth of stuff to talk about (lol). please bear with me...

I already have an account on realself that I am using for another kind of review, and I made the mistake of putting up photos there without editing out parts of my face or tattoos I have. Then I realized that I can't delete them (as far as I know). So I made this new account so I can document my experience with rhinoplasty and upload photos with my eyes and tattoos covered - I'm not ashamed of what I'm going to get done, but I only want the few people I've already told to know. The rest, if I can get away with not having to say anything, I'll be happy with that. Chances are, I'll eventually close this account after all is said and done, as this seems to be the only way to delete reviews, lol. I just want a place to document my experience and get support and have potential questions answered, and as well, maybe help out others who have similar questions or thoughts. I've found this website very helpful in making my decisions regarding surgeries, and so I figure maybe my review can help at least 1 person. But once I'm all healed up from the surgery, I'd rather delete it altogether. I don't like the idea of all my photos and stuff being accessible to everyone, forever - it freaks me out, haha.

My story pretty much begins the same as everyone else's.. I had a decently cute nose up until I was about 8, and then certain things started to become more noticeable, such as a small bump in my bridge and a crooked nasal bone (mostly noticeable on the right side of my nose). I wish I could blame this on breaking my nose or something, but alas, that's never happened. My mom has a nice nose, and the fact is, I just inherited my dad's nose. Everyone in my dad's side of the family has a nose with "character", let's just put it that way. My dad's nose suits HIS face, but that's also because he's a man, lol. I'm proud to look like a pretty equal combination of both my parents, except for my nose - it's not feminine at all.

My main problems with my nose are: it's too long, the tip is too big and droops a LOT (especially when I smile or talk), the small bump on my bridge, and the unevenness. I do have a misaligned jaw, and so my nose (like my mouth) tends to (very slightly) sway more to the right side of my face. My nostrils are also uneven, and this is most noticeable if you look at my right profile. Currently, it feels like my nose on my right side of my face literally is taking over my face, whereas my nose is little more gracious when looking at my left profile. I would still want to change it even if both sides looked like my left, but at least I'd be less self-conscious overall of my current nose.

I'd already broached the topic of plastic surgery with my mom and dad this past summer because I made the decision to get a breast augmentation next year. Nothing big; I'm barely over 5 feet and don't weigh much, so I know that anything larger than a small C cup would look silly on my frame. Overall, I love who I am and I'd say I'm about 85% comfortable in my own skin. The only things about me that I never really liked were my small breasts (I have a bit of a muscular body so they never seemed to fit my frame, and as I'm a small person, they make me feel sometimes like I have the body of a 13-year-old, despite being in my early twenties), my nose, my crooked teeth, and my butt. My teeth I am currently straightening out with braces, and I believe in exercising to improve your health and figure, so I know things like my butt and thighs are fixable by my own doing, I just need to maintain the self-discipline. But the fact is, my breasts and nose can't be improved by any other means than plastic surgery. I personally believe that, so long as you do it for the right reasons and aren't endangering your health, plastic surgery is just as acceptable as doing OTHER things to change parts of your body, such as braces, or makeup, or dying your hair. Plastic surgery just has a negative connotation attached to it, which is why it's criticized by lots of people. It's very unfortunate. That's also part of the reason why I'm discussing these things here, but will delete my review once I'm all healed up and ready to stop talking about it; I'm doing this for my own reasons, but I don't exactly want people I know to stumble across this, recognize me, and then give me lectures, lol. Hopefully people here understand where I'm coming from..

Anyways, when I finally made the decision (after years of thinking about it) that I'd get a breast augmentation when I turn 22 next year, I told my fiance, my mom, and my dad. My fiance kept telling me that he loves me the way I am now, but he understands that if this is what I feel I need to do, he'll support me. He hasn't judged me at all about it. I was nervous to tell my mom, since she's the closest person in my life and who I tell absolutely everything to. I also care WAY too much about her opinion. She was a little surprised, since I'd never mentioned this topic to her before, and at first she was skeptical. But after I showed her all the research I'd been doing and would continue to do (I'm not the kind of person who does things half-assed; I do my homework to a tedious extent), she slowly came to my side and was supportive. The one thing she told me though was that she didn't want me turning into one of those girls who gets hooked on plastic surgery and suddenly I don't look like the same person anymore. Because I know this won't be the case, I assured her that wouldn't happen. Telling my dad was even easier, because he just laughed and told me it's my body and whatever I do to it is my choice and he just wants me to be happy.

The thing was, once I told them the truth about my decision to want to get that, rhinoplasty was soon to follow in my head. Just as long as I'd wished I had slightly bigger boobs, I'd likewise wished I had a smaller, more feminine nose. But since I just told my parents about the breast augmentation, I felt I'd be pushing my luck if I opened up to them about wanting to fix my nose as well. Especially since my mom has expressed her concern that I'd become "hooked". The truth was, these were the only two surgeries I ever cared to get; I'm more than happy with everything else on my body, and I really don't want any other plastic surgery. But I worried that, because I was only discussing it NOW, despite thinking about it for years, it might appear to her to be a sporadic decision, and perhaps "proof" that I was already getting ahead of myself. I spent about 3 months doing research on rhinoplasty, reading reviews, looking at pictures, and researching surgeons in Vancouver. The only person who knew was my fiance. When I first told him, he didn't quite understand why I wanted to get it fixed. Well, I mean, he DID, but he personally doesn't see the flaws that I see in it. Ahh, the perks of having a wonderful man who literally loves everything about you, lol. However, same as the other situation, he just hugged me and told me that he'll support my decision because he knows it'll make me happier and more confident, and I'm doing it for ME and for no one else. What I like is that he's GENUINELY supportive; he doesn't begrudgingly support me but is critical about it. I am very lucky to have him.

I wound up feeling compelled to tell one of my bridesmaids over the phone, because I'd booked a consultation with Dr. Denton and I was feeling morally guilty about keeping this information from my mom, as we tell each other everything. Like my fiance, she didn't think rhinoplasty was necessary, but she was kind about it. She DID think I should tell my mom though, and so, nervous and shaking on the phone, I told her. I explained everything to her - how much research I was doing, that I was booking consultations with two surgeons (the one with Dr. Denton and another one with Dr. Bounassisi in late December), and that I understand why this might worry her but that I wasn't going to have anymore plastic surgery after these two operations, because these are the only two I want. To my surprise, she told me that she already expected I'd tell her I wanted to get rhinoplasty, because apparently I've told her several times throughout my life that I disliked my nose and wanted it fixed. She told me that she was less surprised by this than when I told her of the breast augmentation. LOL, go figure! So she's completely on board and fine by it all, because she trusts me and my judgement. She knows if I don't feel 100% safe, I won't go through with it. I haven't told my dad, though, or any of my other close friends. I would like to imagine that perhaps none of them will notice, and then I can get away without having to tell them.

I had my consultation with Dr. Denton on Monday, November 5th, and was very impressed. I went in with about 40 typed up questions, a list of my likes and dislikes in nose jobs I've seen, pre-existing conditions of mine he should know about (like my misaligned jaw), my own expectations, and pictures. I'd heard from a couple reviews that the odd person felt rushed by him, as though he didn't have time for all of their questions. This certainly was not the case with my experience; he patiently answered all of my questions and even let me refer to him jokingly as "Doc". I pretty much covered any question you can and should ask at a consultation; if anyone is interested in what Dr. Denton's answers were (everything from pre-op questions, to surgery questions, to post-op care questions), just message me and I can message you all the questions and his answers. He felt my nose a bit and agreed with my observations. He also told me that I have thicker skin, so that'll be in my favour for the surgery. He told me that the nature of my concerns was pretty mild, and so more than likely he won't resort to open rhinoplasty, but closed, which I like because then I won't have any visible scars. He also told me that he uses Twilight anesthesia, as it results in the lowest chances of nausea post-surgery. The idea kind of freaks me out; can anyone who's undergone Twilight anesthesia tell me a bit of what it was like, to ease my fears? Lol :P

I told him that what I would like done to my nose is: shorten the length, reduce the size of the tip a bit, get rid of the bump, even out my bridge, upturn the tip a bit, and give the bridge a slight curve. I told him what I DON'T like is too pointy a tip (I still want a bit of roundness), piggy snouts, and too much of a curve. He assured me that my desires are achievable with my nose and shouldn't be difficult to produce.

Then came the digital imaging. I have to admit, I was the most excited for this. I really didn't like seeing my nose blown up on his computer screen, lol. He edited the front of my nose first, and at first, I wasn't sure whether I liked it or not. He mentioned that, due to the contrast and it being a flat image, it's difficult to fully see, but rest-assured, my tip would still be round and not pointy, which was nice to hear. Then he edited the right side, profile, and I have to admit, I was kind of horrified at first. Though he was doing exactly what I wanted with it, my initial thought was, "THAT'S NOT WHAT I HAD IN MIND AT ALL!" I instantly wondered if I was making a mistake. But the longer I looked at it, the more I noticed how much more it fit my face, softened my features, and gave me a more feminine look. The more I looked at it, the more I was starting to love it. All of a sudden, it dawned on me: it's not that I didn't like the new nose; it's that I've been so used to looking at MY nose for the last 21 years. Whether or not I like it, it's what I've been accustomed to. So seeing myself with a different nose was startling and foreign, which I misinterpreted as dislike. But I'm actually in love with the digital imaging of my nose. When he edited the left side, it solidified these feelings. By that point, I was sold, and knew in my heart that I was going to do this. Also, it was nice to see the very real possibility of no longer having a "bad" side; though aspects of my nose would still be (slightly) uneven, that would make it look more natural. The important thing was that, though both sides will obviously look a bit different, both sides look wonderful in their own way. I like the idea of not having a self-conscious angle or side anymore. I also liked how Dr. Denton was honest about there still being small aspects where my nose would be uneven - I respected his honesty, and more so the fact that he referred to these imperfections as "what makes us human", as opposed to lying to me and promising me things he couldn't achieve.

With the taxes and the cost of the anesthetic and surgical fees, my cost would be around $6800. I knew it'd most likely be around that much, but it still took me by surprise and slightly disappointed me, only because I hate the idea of spending that much money, lol. I feel pretty confident that I want to go with Dr. Denton, but I still want to have my consultation with Dr. Bounassisi in December. His receptionist was a little more helpful over the phone, and apparently one perk is that Dr. B has a larger number of employees, so you get more post-op care. A downside is that Dr. B is more expensive, so I'll wait to see what quote THEY give me.

I'm getting married next August, and I want to have my breast augmentation in the fall, so I've decided that, no matter what, I'll get the rhinoplasty in April of this coming year, as soon as I'm done the exams for my final semester of University. It'll be my graduation present to myself. The nice thing about that is that my mom won't be coming into town until mid-June for my graduation ceremony, and it takes approximately 6 weeks for your nose to be considered "healed" (to the extent that you can touch it like you would've your old nose, without the worry of pain or hindering the healing process). So I'll be in the clear by the time she arrives, so she doesn't have to see my nose look all wonky. Another perk is that it'd be healed for about 3.5 to 4 months by the time my wedding arrived, so it would look more or less more natural by then, and then others won't suspect anything (hopefully).

Okay, that's my story up until this point. Sorry it took so many words to say it, lol. I appreciate being able to record my journey here, with so many understanding and supportive people going through the same things. I will update after I have my consultation with Dr. Bounassisi next month. Have a happy holiday!

sarah_tonin's provider

Thomas Buonassisi, MD

Thomas Buonassisi, MD

Board Certified Facial Plastic Surgeon

4.7 | 227 Reviews
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sarah_tonin

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Replies (9)

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November 23, 2012
I just had my rhinoplasty on Nov 8th with Dr. Denton! He is very knowledgable and friendly, I highly recommend him :) Good luck to you
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November 26, 2012
I have been keeping up to date on your review - your new nose looks amazing and it really gives me faith in Dr. Denton :)
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November 24, 2012
Hey, thanks for sharing your story. I had an open rhinoplasty with Dr.Buonassisi two weeks ago and went under twilight anesthesia. I assure you that there is nothing to worry about, no need to fear. I'm not one to be scared of surgery, so I actually really enjoyed being under twilight. I felt no pain at all but was concious the whole time and could hear and talk to the surgeon/nurses. I could tell when he was knocking on my nose to break it and when he was filing down my hump. I was told to get gravol to reduce the nausea after the surgery but I only took 1 pill for the whole recovery but never even felt nauseous in the first place. I had very minimal bruising and no pain throughout my recovery. I'm 2 weeks post op and my nose looks great, I'll admit after the cast removal I wasn't thrilled but after the swelling went down I loved it. I definitely recommend Dr. Buonassisi, him and his staff were really helpful and excellent. If you go on my profile you see my review. Its funny, it seems like 1/5 people on the realself rhinoplasty are from Vancouver. Anyways, good luck with your decision and message me if you have any questions.
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November 26, 2012
I have been keeping up with your review, it's been very informative! And I love your photos; your new nose looks great
November 25, 2012
Good luck with your consultation. Keep us posted! I gotta tell you though, that your skin is beautiful, and your hair looks super cute, in every style and color!
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November 26, 2012
Awwww thank you! That's very sweet of you to say!
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November 26, 2012
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November 27, 2012
Thanks for sharing and I hope recovery goes smoothly. I'm about to have my nose done at the end of December. I'm super excited. :D I understand about being concerned with telling people about the surgery. At the end of the day, if it IS something you want, I think it doesn't matter why and other people's input doesn't matter either. ;-) ..and it sounds like you have a great support system! FYI Love your photos! You look great now and "after."
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January 24, 2013
I was 100% certain I'd replied to this back when you originally responded! D: I'm so sorry! It's two months delayed, but thank you so much, I really appreciate it. I've been keeping up with your review, and I really hope things have been going well with your recovery. How are you liking your nose now? I know in your most recent update, there were some things you were unhappy with. I'm sure you look great!
UPDATED FROM sarah_tonin
2 months pre

I had my consultation with Dr. Thomas Buonassisi...

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sarah_tonin
I had my consultation with Dr. Thomas Buonassisi on Thursday (December 27, 2012). It was a very strange experience - one that my fiance shared with me. The first fifteen minutes or so of meeting Dr. B, I felt pretty certain that I was going to go with Dr. Denton (I went into the consultation almost completely certain that I wanted to go with Dr. Denton anyways). Anyways, before the consultation, his secretary Mandy took the photos of me. Right away, this was different than it was with Dr. Denton. At my first consultation, they only took front and profile pictures; at my second consultation, the staff at 8west took front, profiles, and 3/4 shots. When we first sat down with Dr. B, he immediately began discussing all the options of the surgery - potential risks, complications, being realistic about the outcome, etc.

Then he started morphing my photos with the software, and I'm not going to lie, that was kind of frustrating at first. It actually seemed frustrating not only to me, but to the Doc as well. We had a difficult time understanding what the other was trying to say for the first little bit - he didn't understand why I was being so picky about what he was doing to the images, whereas I didn't understand why he didn't seem to get where my anxiety was coming from. But that wasn't really the case; it was just a huge miscommunication. The turning point was when he was explaining to me HIS approach to rhinoplasty, which sounded slightly more conservative than Dr. Denton's, but not in a negative way. I finally stopped and asked him point blank to edit the photos the way that HE thinks would look good on me, and I really did like what he showed me. The changes he has in mind would be minor (since he thinks my nose isn't that bad to begin with), but when they all come together, it still produces the same effect I originally wanted: a more feminine nose with a more upturned tip and smaller bridge, while still looking natural. He and I were finally on the same page, and once we both understood each other, the rest of the consultation was a lot more fluent.

I have to be very clear on this: I am not IN ANY WAY saying that Dr. B is "better" than Dr. Denton. I personally really liked "the Doc" (as I called Dr. Denton when I met him); he was very personable, professional, and took the time to answer all of my questions. And his secretary is adorable (she even sent me a little letter recently, thanking me for seeing them and reminding me that I can contact her any time I have questions). So again, I'm not insinuating that one surgeon is better than the other. I would've been just as happy going with Dr. Denton - however, there were several clinching factors that made me decide on Dr. B:

(1) the consultation took about 3 times as long as it did with Dr. Denton. Although the Doc took the time to answer all my questions patiently, he did have to get going after about 20-30 minutes. I was Dr. B's last patient of the day, and even when I worried that I might be annoying him a little bit, he patiently sat with me for about an hour and a half, discussing every possible thing to do with the surgery and my personal thoughts and questions.

(2) Dr. B was willing to show me photos of rhinoplasty procedures that had "errors". When I say "willing", I mean that he came forward on his own and told me he wanted to show me these things. He went through before and after pictures of several past patients whose noses (in my and his opinion) looked fantastic, but that there did exist some (very) small problems (such as unexpected bumps in the bridge that came on by swelling during post-op; or visibility of where the bones broke due to the patient having thin skin, etc.). He showed me these photos to point out that although it's like 95% the case that my nose will turn out either exactly what I was hoping for or better, there was still the chance for small errors like this to occur, since no surgery is perfect. This honesty REALLY impressed me.

(3) He has an eye for this sort of thing. The way he's able to view all of the individual aspects of what needs to be changed on the nose in relation to the OTHER parts that need to be changed - along with the overall facial features of the patient - is very impressive.

(4) You can tell he puts the well-being and best interest of the patient first.

(5) Although we started off on strange terms, by the end of the consultation, I felt completely comfortable with him - but more importantly, I felt safe in putting my trust in him. So much so, that the idea of going with any other surgeon just didn't feel RIGHT anymore.

That was the deciding factor. Weirdly, I felt momentarily bad for realizing that I wasn't going to go with Dr. Denton (as if my choice would hurt his feelings or something, lmao). But ultimately, it had nothing to do with one necessarily being better than the other; it had everything to do with the simple fact that my gut told me that I only fully trusted Dr. B to perform this surgery for me. But for the record, Dr. Denton is just as wonderful of a surgeon and I'd recommend him to anyone, too.

After the consultation, he retook the photos of me for his records (since the original ones were blurry), and then my fiance and I sat back down with Mandy for another half hour and went over what the costs would be, etc. It was there that I made the decision to go ahead with Dr. B and take the leap and set the date. So I paid the initial fee and my surgery is officially booked for Tuesday, February 26. I don't look forward to paying the $1500 soon, once everything they need is filled out and sent back to them from my end, nor am I excited to pay the REMAINDER of the amount - but c'est la vie! Other than that, I'm not worried at the moment about the actual surgery. I'm really just excited, though I'm sure I'll grow nervous when the time actually comes.

Another thing about the cost: I was originally thinking that the only thing that would deter me from going with Dr. B would be the cost, which I was warned was going to be higher than I was quoted with Dr. Denton. But in reality, it was really only about $300 more, which to me, isn't enough of a price difference to let it determine my decision. Okay, back to the general info about my surgery: unlike Dr. Denton, who said he'd perform a closed rhinoplasty on me, Dr. B will perform an open surgery. He says he'll do this because it will give a more precise surgery, with better results, and will ensure that my tip will heal properly, and not risk collapsing back down into its natural droop. I'm okay with this; the only thing that worries me is when I'd have to have the stitches removed, as I've never had this done before and I've heard it hurts. :S I'm a wuss when it comes to anticipating pain - I always imagine it'll be worse than it actually is. Also, as Dr. Denton said he'd do, Dr. B will put me under Twilight Anesthesia. I thought I'd never been under it before, but when I described the kind of anesthesia I was put under when I had my wisdom teeth removed, he told me that that is what Twilight Anesthesia is. So apparently I've had it before! I just remember nothing about the experience, haha. Hopefully this experience is just as easy.

Anyways, the only thing I'm still waiting on is the images he altered on the software. Once I'm emailed those (I'm going to try and get them next week if they don't send them to me first), I'll upload them here.

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UPDATED FROM sarah_tonin
2 months pre

Also, how do you add the doctor to the review? I...

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sarah_tonin
Also, how do you add the doctor to the review? I typed in his name, but it didn't bring up his photo or anything in the review - or that option to rate the different categories with the star review?

Replies (2)

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December 29, 2012
Goodluck with your surgery. Dr. Denton's images look great!! I can't wait to see Dr. B's! Either way your nose will look amazing :) keep us posted & btw the longer the story & the more detailed ones are better. In my opinion those are the ones I learn the most from :)
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January 24, 2013
Hi, I apologize for taking so long to reply. Thank you very much for the well wishes :) I really appreciate it. And thanks for the comment about liking the length of my posts haha ;) I was beginning to get a bit self-conscious about them!