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POSTED UNDER Revision Rhinoplasty REVIEWS

Wanted Re-rhinoplasty and 3 Top Plastic Surgeons Talked Me out of It - Wayne, NJ

ORIGINAL POST

It all started when I was in the face with a golf...

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suzeeveronica
$300
It all started when I was in the face with a golf club when I was 12. When I was 16 my mom took me to a top plastic surgeon in NYC named Dr. Pamela Lipkin, she is extremely well known, and well, I didn't have much worry at the time. When I came out of surgery I noticed at my first post-op appointment that my septum was coming out of my left nostril. didn't care so much because my nose looked amazing. Although when I went in for a post-op and mentioned my concerns, instead of giving me input on how it can heal the best and why my septum was popping out of the left side of my nose, she went into her files and got pictures of celebrities including Farrah Fawcett, claiming she did her nose. showing me her file to make sure I knew she was oh so amazing and famous. I was pretty disgusted and mortified being 16 and just wanting my nose to be FIXED, it was scary, I didn't chose to be hit by a golf club and having my septum pushed to the right side of my face. The whole situation was just unsettling and dissapointing.

As time went on (I'm 24 now) the septum has shifted and my cartilage on the tip bulged out to the left. I have been seeing plastic surgeons in NJ/NY for a couple years seeing my options. Most of them didn't want to do anything about it, most of them wanted to jump right into open surgery. Then I heard about this Dr. Ganchi in Wayne, NJ, not to far from where I am. I saw amazing reviews and I went in for a consult.

Let me just say I've seen about 20 "top" plastic surgeons over the past 10 years since my nose injury (it was bad) and Dr. Ganchi was the first to actually sit with me FOR AN HOUR and go over in detail what is going on with my nose, and what about it bothers me the most. He didn't rush me into anything, he explained my options saying that he could file down the bone to make it look less zig zagged, but anything else he could do would probably cause more damage, and he thought my nose was fine the way it is, but did see my concerns. He fiddled with my nose for a bit, and realized what was happened. My nose was shifting the opposite way that it was deviated when it was broken. He gave me my options, but basically said... "I don't think it is right for you to get surgery, I think we should try Kenalog injections to reduce the amount of scar tissue that built up and see how that works out." So I took his advice and scheduled the appointment for today.

After meeting with him, he had me sit with a woman who sat with me and talked for about 2 hours. It was mind blowing how open and kind she was, we talked about body acceptance, and how sometimes you have to embrace the flaws, trying to remind me that my nose still looks beautiful even if it didn't heal perfectly over the years. They even gave me a free chemical peel for the day I came into to get my Kenalog injections.

So today I had the peel, and the injections. The injections HURT so bad, probably because of how long its been since the scar tissue formed, and how sensitive my nose STILL IS even 8 years after surgery. Everything went well, and as soon as I got in my car I realized that the area of the cartilage that had bulged out had ALREADY gone done a tad, even though he told me I wouldn't see a result for months (if any and he warned me of that since its been so long.)

Anyways, I'm feeling good about the whole situation, and if I go to my post-op appointment and he tells me there is not much else he can do, it will be okay, because at least he tried. And he told me that he will do his best to figure something else out for me. :)

suzeeveronica's provider

Parham Ganchi, PhD, MD

Parham Ganchi, PhD, MD

Board Certified Plastic Surgeon

suzeeveronica

suzeeveronica rating for Dr. Ganchi:

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Replies (14)

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June 27, 2014
Your nose after the injection looks amazing!! Almost unbelievable!
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June 27, 2014
Thank you! It looks even better today. Really excited about it.
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June 27, 2014
I'm glad you didn't have a revision!! Congrats.
June 16, 2018
Are your 2 photos from before and right after or before and current?
June 27, 2014
happy for you ! I just don't get it . did you have fillers ?
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June 27, 2014
The Kenalog injections are corticosteroid injections and their propose acts in an opposite way. Instead of filling areas (which I didn't want because the right side of my nose where it goes in is the side I like the best post surgery) They just inject the areas where there is bulging to attempt to break down scar tissue. This would only work if you've had shifting after an actual rhinoplasty. And thank you!! Hopefully other women would try this out before going straight into a re-rhino which could possibly cause more issues. (Not always though which we see on here) my issue was extremely unique so I think that's why a lot of the surgeons I've seen for a re-rhino didn't want to have to deal with it. There isn't much you can do for shifted cartilage.
June 27, 2014
Thank you for the clarification, you look amazing, and you are very lucky to have the improvements you have now without having to go under the knife again.thank you for sharing photos.
July 26, 2014
I messaged you and would be really grateful for any advice you have; sorry if we've talked before. That thing you noted about a surgeon not offering kenalog till a patient had paid them thousands to go through surgery again was really (horribly) resonant and I'm amazed you found someone willing to help. I am reconsidering surgery to get scar tissue removed and fortunately my problems aren't so bad that surgeons tried to talk me out of it, but at the end of the time, I've suspected kenalog would have helped me enormously.
July 26, 2014
*end of the day
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June 28, 2014
Wow, it's so great that you had this option! Do you know if you'll have to get more injections? Thank you so much for sharing here on RealSelf!
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July 4, 2014
At this point it doesn't look like I need more, but i'm going back in September to make sure. :)
July 4, 2014
Wow. Amazing what kenalog injections can do! This was worth the wait! It's a good thing you consulted with so many doctors!
March 9, 2015
@suzeveronica: how can you tell where the scar tissue is and where natural tissue is? Where did he inject you? How is your nose now? Did he warn you about dents or anything else that can go wrong?
June 16, 2018
I’m curious about how to know if it’s scar tissue as well
UPDATED FROM suzeeveronica
6 years post

15 Years and 3 Consultations Later and It Only Looks Worse

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suzeeveronica

I had a rhinoplasty at 16 in 2005. Right after the surgery I noticed my septum was coming out of my nostril. The surgeon yelled at me when I brought it up. I have seen 3 surgeons since and only one has offered to help by injecting steroids into the one side that is more bulbous to try and even it out. Is it so bad that I should keep looking for someone willing to fix it? Or is it all in my head? Nobody notices until I mention it, but I notice every time I can’t breathe or when I realize both sides of my face are completely different.

Replies (5)

September 6, 2020
I am so sorry that this happened to you. Was your nose ever straight after the third surgery, or was this how it looked when the swelling went down within the first year? No, it is not at all in your head (not to be puny ;) ). It is no wonder you can't breathe. Your septum is very "S" shaped. Have you had any imaging to see what is going on internally? It's hard to exactly tell from the pictures, but amazingly it looks like the tip of your nose is still in the center of your head despite your "S" shaped septum. Your columella is slanted, your nostrils are misshapen, and then the end of your septum being off to your left is blocking your left nostril. None of this will improve, including your breathing issues, without surgery. Healing, anesthesia recovery and recovery in general are so much easier when you are still young. People on this site can help you find a good surgeon who can fix your nose, if that's what you decide to do. Good luck!
March 10, 2021
I’m 70 yrs old and a nose job when I was 40. My nose is similar to yours and I have trouble breathing. I’ve been to at least 5 specialists ... 3 said don’t do (too much scar tissue or other reasons) 2 said they would do. It’s scary but I’m looking to find a top notch doctor in the field that specializes only on the face and who has done many revisions. Keep us posted if you find someone and proceed with the surgery. I will do the same! Good luck to you
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March 21, 2021
I think ur nose looks fine. You will never have a perfect nose after revision rhinoplasty. Rrally ur nose looks fine. Could u postca pic of ur whole face front and profile. I would appreciate it. Dont get any more surgery! Really be glad with what u have. I wished i had not had additional nose surgeries. It just got worse. I do think a lot of it is in ur head. Ur nose looks good! It is fine! I had an ENT in chicago tell me leave ur nose alone. I didn’t listen! Had surgery and now im f-cked. U can only have so much surgery on ur nose. I wish i had ur nose!! Please post additional pics. Kind regards, AA
March 28, 2021
Do something about it. Breathing affects everything! My doctor told me he would put a steroid in my nose where I have a hard spot, no empathy for what I’m experiencing. I say research like crazy, but do it. Good luck!!
June 8, 2021
I can Honestly sympathise with you. I have had 5 Rhinoplastys And my nose is a mess. I don't know who to go to for help
It destroys your life.