24 Yo. Profile Balancing (Rhinoplasty + Chin Aug. + Fat Grafting) - West Hollywood, CA

I'm somewhat pleased with my face up front but I've always loathed my profile since I was in high school. Taking pictures makes me uncomfortable and candid profile pictures always depress me because my profile is so ugly. I do have a great jawline and high cheekbones but they are flat anteriorly and thus my midface sags making me look kind of tired for my age. I've been wanting to balance my profile for 10-11 years now and I'm biting the bullet. I've scheduled my surgery for Oct. 22 with Dr. Gary Motykie. I consulted with one prior surgeon but he did not morph my pics and came off as arrogant and left me with more questions than answers. Dr. Motykie morphed my pictures to exactly what I wanted on first attempt and I'm so excited to have him fix my face . I know these are morphs but if he can give me results like this I will be extremely happy. The only procedure I'm nervous about is the fat grafting as I have thin skin and I'm worried the fat will cause lumps and unevenness.

Hi all,

Just an update. I just had my pre-op appointment with Dr. Motykie for my procedures this morning. His office is located in a nice part of west Hollywood only a few minutes walk from Beverly Hills. The office was nice, clearly upscale and posh. Modern / minimalist decor. His logo/branding signature "M" is pretty ubiquitous throughout the office.

Upon walking in I was greeted by Diana, who was responsible for coordinating my payments and online consultation. She was warm and friendly, as well as the other lady I cannot remember her name - she takes your pre and post op photographs. I was handed my pre op packet containing consents / disclaimers/ agreements / safety disclosures and whatnot to read and sign. I saw quite a few of Dr. Motykie's patients walk in with their casts on for what I presume was their one day or one week post op visit. To my surprise they had very little bruising .

Diana went to the back and I was later greeted by Marisela, who was equally friendly and helpful. She prepared my prescriptions and gave me a brief overview of the medications and some instructions. She also suggested the pharmacy next door as a convenient place to have them filled prior to my surgery.

Wait time was not too terrible I think I waited about 30-45 min to be seen . My appointment was at 9:30 AM on a Wednesday so not sure how much of a factor that was.

I was later taken to the back by the afotementioned lady, she asked me a few questions in regards to medical history and allergy medications and then instructed me to pose for the pre op pictures against a black velvet background. She used a professional dslr high resolution camera for these. After a quick 5-10 min she later stepped out and Diana came in and asked me several more questions in regards to allergies and medical history. After a few minutes she stepped out and told me Dr. Motykie would be seeing me soon after. I waited about 30 minutes or so, it wasn't terribly long but certainly lengthier than the typical doctor visit. However once Dr. Motykie came in it was immediately apparent why this was the case. He takes his time with each patient. He walked me through each of my procedures and told me what he would do. He also made sure I had all questions addressed in regards to any procedures I was having done. For the rhinoplasty he asked me to list the top 3 things I wanted addressed with my nose. I mentioned I wanted the hump reduced, my tip to be made more refined and symmetric, and my nostrils to be symmetric. I also inquired in regards to the chin implant sizing and shape, he told me he would size me during surgery but generally for men he likes to align the bottom of the chin to the lip overhang, he also stated that for me he would utilize an extended anatomical implant for it to provide a seem less count our with the rest of my jawline. I also asked many questions about the fat transfer as that was the procedure I was most anxious about due to the unpredictable nature and worries of being overfilled. We went over carefully of where I wanted the volume and we both agreed on the same thing - my central midface was a bit deficient, he also assured me that I would not be overfilled, the goal was to make me look proportional and balanced. Furthermore he also gave me the option to morph the high resolution pictures overnight to emphasize the fat grafting and also encouraged me to make a list of things I wanted or forgot to mention or things I did NOT want and bring it to him prior to my surgery the next morning.

The consultation lasted about 30 - 45 minutes for me and I felt it sufficiently thorough to assuage any worries. As I was the first patient scheduled the next morning he also had the anaesthesiologist pop in real quick and do a brief questionnaire for the next morning.

I found Dr. Motykie very personable . I liked that he had a sense of humor. But most of all I was very pleased with his view on aesthetics and emphasis on facial balance and proportion. I truly get like we came to a good meeting point where both our visions were aligned and that he provided solutions for meeting halfway should it have been otherwise. Overall I felt my pre op appointment with dr Motykie was excellent and a relief given I was somewhat worried I would walk out of there feeing like he was not the "one" despite me having done an online consultation, paid the fees, requested time off and all the other logistics expenses.

After the pre op appointment I was led by Diana to her back office where she showed me some of the chin implants that would be used. She also gave me a brief run through of everything and ensured I left comfortable and pleased. She also handed me a "goody bag" containing a spa robe, a little bag containing some skin products, a bottle of arnica, and some probiotics - all with Dr. M's branding of course. She also handed me my receipts from my online payments and my Written prescriptions as well as pre op and post op care packet all in a nice folder.

Overall the experience was excellent and of quality. All the staff recognized me and acknowledged me without having to introduce myself which was a nice touch. I am not sure why some other reviewers rated their consultation poorly as I found everything excellent, Diana and the team were responsive and were fast in turnaround time - I was able to consult online from my initial email to having the surgery scheduled all within a months time (included pre op medical clearance and lab work etc).

I also thought it was extremely convenient they are located literally like 20 steps from a pharmacy where I was able to fill my prescriptions and get some saline spray and other post surgery conveniences.

I'm excited and absolutely looking forward to my surgery tommorow morning at 9:00 am. I hope the results are equally as excellent as my experience with all this so far. I'll keep you guys posted ! Estimated total surgery time for my procedures 2.5 hours.

Hi All,

I had my procedures done today. I was instructed to go in around 8:30-8:45 am as my surgery was at 9 am. I walked in with my friend but the front desk was unattended and we waited a good 15 or so minutes before anyone came out and handed me some more paperwork to sign. I was later taken to the back and given my OR garments by Diana and instructed to change and wait for the OR nurse and Dr. Motykie to see me. I waited a good 15 min or so before the photographer lady came in and took several more high quality pictures. Afterwards, the research nurse came I and walked me through all the procedures, medications, and post op care instructions. She also asked more questions about medical history etc. the anaesthesiologist came in after another 20 min and did another brief questionnaire - prior anaesthesia experiences, meds, etc. after about 5-10 min he stepped out and the nurse continued. Dr. Motykie later came in , reviewed everything , provided newly morphed pictures for further fat transfer appreciation and examined my face one last time. One of the surgery nurses later came inane escorted me to the OR - only a few steps away from my prior room. The bed was set, the anaesthesiologist conversed with me and before I knew it I was awake with bandages and a cast on my face.

Thus far I think the toughest part has been the dry throat after anaesthesia . It felt pretty terrible for me but I managed. I was a bit " hangry" as I had not eating anything in 16-18 hours or so ( I wasn't hungry much day prior) . The nurses brought me back to consciousness, though not sure if I was just cranky but I felt the older surgery nurse a bit hard of hearing and not as responsive as I would have liked. She was on her phone texting and talking to the other nurses but overall it was fine. I was a little frustrated my best friend and caretaker was a little late to pick me up and to top things off the uber driver was a bit incompetent and had limited English proficiency. I got to my hotel very much annoyed though I suspect the long fasting period + post surgery throat pain was not much help.

Anyways, surgery day went well. Not quite the excellent experience of the day prior but certainly still good.

Here's an overview of my experience so far:

Chin implant : i already love the chin despite the swelling I think the improvement is truly instantaneous. There is numbing/ tingling of the lower lip and chin. Which does not hurt but does feel a bit odd. Dr. Motykie utilized an intra oral incision at the gum/ lip junction so there shouldn't be any scarring.

Fat grafting : I noticed the increased volume in the exact areas I requested. My cheekbones look nice and defined/ contoured and I can tell it'll look great once the swelling reduces. There is so light bruising in the under eye/ upper malar area but nothing major. Dr. Motykie also utilized an intra oral approach for the insertion as this avoids the scarring and also reduce any chance of lumpiness and also easier to "blend" the fat. The fat was removed from a love handle area as that's really the only place I have much fat. There's a small hole at the site and minor bruising. I do feel slightly sore there like hitting the weights at the gym.

Rhinoplasty: Dr. Motykie noted my nostrils were uneven possibly due to a deviated septum, though he was not too sure and noted he would look when he's performing the surgery and address any deviation or turbinate enlargement which he said he would bill the insurance if the was he case and return the fees that would be covered which is nice. I like that he ensures that the nose is not only aesthetically pleasing but also functional. When I awoke from surgery I noticed I could breathe quite well , which pleasantly surprised me .

I will also add that I did not have any nausea or dizziness after anaesthesia and have been feeling better and better by the hour. My throat feels fine and I'm 4 hours post op. I managed to eat some lentil soup and potatoes just fine.

Bleeding had not been too bad but the swelling has increased slightly in particular the grafting area and the jawline area. Also, he did not place any stints. My rhinoplasty was also closed using intra nasal techniques.


Currently just resting at my hotel and laying low. I will post another update tommorow.