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Breathing problems, crooked nose, asymmetrical nostrils/nostril collapse, twisted columella, and bumps and indents.

I cant believe all the issues that have shown up since swelling went down. I would take my old nose back in a heart beat. I wish I never would have had a rhinoplasty.

Facing Reality

Today is an emotional day for me. I finally faced the fact that I will have to do this all over again. I am going to have to have a revision in the future, and after two consultations, it sounds like it will have to be an open rhinoplasty again. I really did not want to go through this process twice. I mean I guess I dont have to do this again, but since I hate my new nose more than my old nose, I dont feel I have a choice. It is devestating to have friends and family tell me "its not that bad". I mean I love honesty, but I paid thousands for this nose. I want to hear its "pretty, or cute, or much better"!

I am heartbroken. I did a lot of research, and thought that I picked a great doctor. He is an ENT and board certified in plastic surgery. I liked his before and after photos, and I really felt like he cared about his patient's results the first time I met him. Since then, and since the surgery, I have seen different sides of him (a rushed and doesn't have time for my questions side, and a not so confident side).

Over the last few months, I have been hopeful. Because of all the swelling, it was easy to tell myself my nose would eventually get narrower, smaller, and the nostrils would even out some how. 4 months later and it is actually getting worse. Since getting a few steroid injections, some swelling has gone down... just enough to see there is a dent on the top left of my nose and below that there is a large lump of cartilage. My nose looks so lumpy and bumpy now. Ever since I got the splint off, I have been worried about my nostrils. The columella was not straight and my right nostril was bigger and a different shape than my left. That has not changed. Now I have 3 or 4 issues that need fixed, and I wonder about what else will be revealed as the swelling goes down. With my original nose, at least it was straight and my nostrils were symmetrical.

My original doctor offered to do a touch up and try to straighten out the columella and do an alar base graft (or however that is worded) to support the left nostril that is collapsed and has a notch in it. But, I have gone to see a few other doctors in the mean time because I am not sure I trust the original doctor to do the touchup. Add to that, unless I want to pay more outrageous hospital fees, the touch up would have to be in office (no anesthesia, just numbing meds and some drugs :/) I dont think I can handle that. I dont think my doctor messed my nose up on purpose. I think he is a good person and has obviously made other patients happy with his work. I guess I am just one of the 5% everyone talks about that for one reason or another, has to get a revision. My original doctor did not sound confident to do the touch up for me, and was saying things that felt like he was trying to talk me out of it... that makes me both angry and nervous. On one hand I feel he should fix what he did, or at least make it better, but on the other hand, I do not want to take the risk. It could actually end up worse!

So, I guess I will be waiting about 8 months to get a revision with a more experienced doctor, which, on the plus side, gives me time to save up again, but on the down side, makes me want to cry. I am beyond shocked that this turned out worse than my natural nose. I didnt have any breathing problems and really it seemed like an easy fix according to all the consultations I went to.

I have been posting some of my better photo angles because this is embarrassing and I really thought my nose would turn out better than it has, but it is time to face the facts, and be honest about this. Here are some updated pics. Its not a good angle on anyone, but it really shows the issues Im having. I do not recommend Dr. Deutsch because I think my nose has more issues now that before surgery and because he doesnt seem to care.

Let me end on some positive points: I do like my right side profile more than my old right side profile. I do not have any breathing problems (although, I didn't to begin with). And finally, this is not some kind of inoperable disease, it can and will be better someday :) I am excited for the day I can look in a mirror or walk down the street and not think about my nose at all!! I don't need a cute little perfect nose like I once hoped for, all I want now is a more symmetrical nose without any lumps or bumps.

Front Comparison

I used to edit my nose in almost every pic, so it is hard to find a true before pic of me. I think this one looks like my natural nose. If I did edit it, I did a crappy job lol. I can see my nose is shorter and less harsh looking. It is rounder and softer and if the swelling would just go away, I might like the front as much as I like the side profile. I have a wedding at the end of this month, so I really hope it gets more definition and more symetrical before then! I wonder if my old college roommates will notice?!

Provider Review

Board Certified Facial Plastic Surgeon
Norfolk, Virginia
Overall rating
Doctor's bedside manner
Answered my questions
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