POSTED UNDER Rhinoplasty Reviews
I did a ton of research, and I was very confident in my doctor, but this happened :(
UPDATED FROM laura_lee
10 months post
Breathing problems, crooked nose, asymmetrical nostrils/nostril collapse, twisted columella, and bumps and indents.
laura_leeMarch 9, 2015
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.
UPDATED FROM laura_lee
4 months post
Facing Reality
laura_leeSeptember 11, 2014
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.
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.
Replies (5)
September 11, 2014
i feel your disappointment. When they tell you 5% of people need a revision they lie, otherwise if they told the truth no one would get surgery. I was told the same thing and guess what im in the 5% too. I find it hard to believe that we all total only 5%!! I wish u all the best in the 8 months to come, ive already started saving for my revision but i dont know when ill find a dr i can trust. Thank you so much for sharing your story

September 11, 2014
I agree that the percentage of regretful patients is much higher than surgeon's and their office staff (sales people) admit. Even here on RS, current rating of Worth It states 84%. (used to be 78%) Well, even if that were true, that's about 2 out of 10 people that regret their rhinoplasty...sounds like Russian roulette to me. Now, how many of these over the top fantastic Worth It reviews with no photos or much details are real? My guess would be that a more accurate percentage of unhappy patients would be at least 40%. It's all about the money. Many surgeons use us for practice and to pay their bills.
September 11, 2014
Thanks for sharing yours! I appreciate knowing there are others out there who did their research and also had less than happy results. It is surprising, but Im guessing as time goes on, I will notice more and more people who wish they hadnt had surgery. I wanted surgery so bad, maybe I focused too much on all the positive reviews!
September 12, 2014
I agree that it would be about 40% its a real gamble. Too many dependant factors to get a good nose from this surgery.
September 12, 2014
You're only 4 months post op - that's not enough time to know if you need a revision or not. Swelling fluctuates due to several factors (salt intake, climate, altitude etc) wait at least a year before you resign to the first procedure being a failure. Be patient :)
September 12, 2014
Princess :) Thanks for your thoughts! I appreciate you trying to make me feel better and hopeful, but I am ready to face reality.
The issues I am having will not change over the next few months. That advice works for some, but unfortunately, time is not going to help my nose. My collapsed nostril is not going to suddenly shape itself, and the dent and the large lump of cartilage on my bridge are not just going to disappear. The problem is as the swelling goes down, more issues are being revealed. I am currently trying to lay flat when I sleep and eat extra salt because my nose looks better swollen (it kinda hides the dent and the bump). I do not see this as a failure... I knew my nose wouldn't ever be perfect. I am just saying there are a lot of new issues that are showing up (and shouldn't be for the amount I paid and the amount of experience/great reputation the doctor has). It is disappointing, but I can now start saving and looking forward to a revision.
September 17, 2014
Awww I am really sorry that your surgery was botched! I didn't see all of the pictures you posted (I guess my phone didn't load them).I was hoping it was just a matter of impatience, I am going to be 24 months post op in December and I am still experiencing a great deal of swelling, which my surgeon assures me is due to the thickness of my skin (which he told me would be the case pre op), but you are absolutely right, that isn't the case with you. I'm glad that you seem to be optimistic about a revision and hope you find/have found a wonderful surgeon. Though I am still swollen, I would not hesitate to recommend Dr.Spencer Cochran (from the Gunter Center) if you're interested. He specializes in and exclusively does rhinoplasty. He's located in Dallas (I live in LA) and you can find his reviews on this site. I was very nervous about altering my face and he put me at ease and my results, though not yet 100% look natural, my own brothers cannot tell I have had work done (and I didnt tell them). Thanks for sharing your experience and I am sending you love and light for your next procedure :)
September 17, 2014
I wouldn't go with Dr. Spencher Cochran myself. He was one of the docs I researched for a revision and unfortunately he had quite a few negative reviews.
September 17, 2014
I suppose we all have different experiences. I think a lot of people looking into rhinoplasty do not have realistic expectations, or want results that wouldn't look good regardless of who performed the surgery (Jenifer Aniston's nose isn't best suited for everyone's face lol). We took the 3D photos and I began to describe to him what I wanted as he adjusted my image on the screen in front of me. I told him I basically wanted a smaller version of my nose, and stressed to him it was not my desire or intention to have a more European looking nose. He honored my vision and I am pleased, I also breathe better than I ever have in my life- I had no idea just how bad my air intake was until then.
I chose him based on reviews I read on here and was referred to him by a few other surgeons in the DFW Area who were not comfortable doing ethnic rhinoplasty. When I researched him I found very few negative reviews (but that was over 2 years ago and I was not looking into revision, from my limited knowledge scarred tissue is more difficult to work with so that is a whole other ballgame).
In my experience he is a skilled surgeon and if you know what you want and are firm then I think the odds are exponentially in your favor. But good luck with whomever you choose :)
September 17, 2014
I think that's the key right there. Revision is one of the most difficult surgeries to perform. The fact that you had a primary done by him gives you a greater chance at success. I'm happy you were able to achieve your desired result Rhino. The thing about this site is a lot of doctors have paid help / marketing agencies that put up fake reviews on their behalf so I tend to take reviews the majority of which are put up without photos and have a brief summary with a grain of salt. I try to get my information from multiple sources like ratemd, yelp, realpatientratings, etc...

September 12, 2014
I'm sorry to read about your disappointment. I sympathize with you and I can totally relate to your situation. I'm glad you had consults with other surgeons. I wouldn't recommend you go to your primary doctor for revision because as you said it might turn out worse. If he didn't get it right the first time he won't be able to fix it the second time. Revision is more complicated as you well know. You still have time to save and find the right surgeon. Please keep us posted.
September 13, 2014
Thanks, Zooster! It is nice to know others have had revisions and are happy with the outcome. It gives me hope!! I do think that my original doctor is capable of fixing the crooked columella and making the nostrils more symmetrical, but because there are now 2 other issues (and who knows what else will happen as the swelling goes down), I have decided not to get anything done until I can do it all at once. I had no idea this process would be such a long and emotional journey. Had I known it would take 2 surgeries to fix my nose, I wouldnt have had the first one, but at least now I know what to expect and I know I am strong enough to handle it. Cheers to you to making it through your revision!!
September 13, 2014
Did the unexpected hospital bill ever get resolved? Just a error on in billing? Sorry to hear that you'll need a revision but you have lots of support here on this site. Best of luck to you.
September 13, 2014
Yes, it did, thanks for asking! My doctor ended up calling the hospital and fixing the mix up. That was a very stressful few weeks! I guess I can be glad I have a nose with some issues rather than a 40K bill, but still, I hope someday to have neither! I am happy to have this site to ask questions and support others. My husband has been a huge blessing through all of this emotional drama, so I know I can do this with his support and the support of realself peeps :) Thanks
September 29, 2014
I'm so sorry to read that... I know it must be hard, but as you said it can be solved, so be positive and strong. Good luck!
UPDATED FROM laura_lee
2 months post
Front Comparison
laura_leeJuly 3, 2014
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?!
Replies (5)
July 3, 2014
You look so good!! Your nose doesn't look swollen to me, but I get it. My family keeps telling me that my nose doesn't look swollen but I sure can feel it! My bones still feel fragile, and my right eye is really puffy, especially in the morning. This sure is a long process isn't it!
July 3, 2014
You are very sweet. Thank you. Ha! Yours doesn't look swollen to me either! Oh my gosh, yes... This process has already taken twice as long as I expected. It is definetly teaching me patience. Is your tip still hard inside? I wonder when/if mine will ever be flexible and soft again.
July 4, 2014
Yes, my tip is still really stiff and my upper lip still feels weird. My nostrils are starting to even out, but I'm still dealing with congestion. Patience, patience and more patience. :-)

July 3, 2014
I like your new nose. The tip looks more refined!
July 4, 2014
Thanks. That is kinda funny to me cause I feel like my current tip has almost no shape, but I know it will get better with time. You are looking better and better yourself! Congrats!

July 3, 2014
Much softer looking! Feminine!
July 4, 2014
You really are a beautiful person inside and out! I think a lot of girls who end up with great results like you would just peace out because they got the support and answers they wanted and ended up with a dream nose. You amaze me how you continue to support everyone in their journey. Thank you :)

July 4, 2014
You look great! I agree with kpeton--softer and more feminine!
July 4, 2014
Thank you! Your swelling is looking much better as well. What is the incision scar like under your nose? Mine is still bumpy and swollen. Do you still have a scar there or any sign your nose has been messed with? PS Yay for being able to smile :D

July 4, 2014
My scar is slightly raised when I touch it, but mostly it just appears to be a red line. Someone would really have to be looking and know what to look for to tell that it's a surgery scar. I think my biggest giveaway is my smile is different. I'm going to see some of my husband's family today and I decided not to say anything about my surgery. I'm curious to see if I get any funny looks or they ask me what's different!
July 8, 2014
That's great! My scar is still a bit bumpy and swollen. If I were to do this over again I would pay closer attention to the scars in after pics while I was doing the consultations. I never even thought this would be an issue!
July 7, 2014
The new nose gives you a softer prettier appearance - I have a big nose and noticed that sometimes it makes me look kind of mean LOL...
July 8, 2014
Haha, yes, I know what you mean! I used to get told that people thought I was going to be a snob until they actually got to know me. Also, I was often asked what was wrong when I was feeling perfectly happy and content. Guess I just didn't have a nice "resting" face. I agree my new nose helps me look "softer". Thank you for your opinion!
Replies (5)