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POSTED UNDER Rhinoplasty Reviews

Rhinoplasty, Chin Augmentation, Buccal Fat Removal, and Facial Fat Graphing. West Hollywood, CA

UPDATED FROM Indiratempest
8 years post

Update to the Fat Grafting

Indiratempest
WORTH IT$14,000
Hi Everyone,
It's now been 8 years since my surgery. My nose is still looking amazing and I definitely think it was well worth the money spent, although it did take a couple of YEARS for my swelling to resolve so I could breathe normally. My chin implant still bothers me from time to time, and I still think it might be slightly too large. It does make smiling a little more difficult than it used to be, but I think I'm the only one that notices. The buccal fat removal has become less favorable over time. In certain lighting my face looks very hollow and I probably wouldn't get this surgery if I could go back in time. Lastly, the fat transfer.... While most of it looks good, my under-eye area started to develop lumps as time went on (well, honestly the right side always had a lump, which I had somewhat brought up in other reviews). The older I got the more predominant the lumps became and it was starting to make me look very tired. Recently I went to see a nurse about getting fillers injected to even out the area. Upon looking at my under-eye, she guessed that there might actually already be filler placed underneath my eyes rather than fat, due to the consistency of the area. Instead of injecting filler, she recommended that we try a shot of hyaluronidase to try and dissolve the substance first. Low and behold, the lumps are FINALLY starting to go down after 8 YEARS! I'm so grateful, but also very irritated at the thought of this doctor possibly injecting filler under my eye and telling me it was all a fat transfer.

Indiratempest's provider

Gary Motykie, MD

Gary Motykie, MD

Board Certified Plastic Surgeon

Indiratempest rating for Dr. Motykie:

Overall rating
Doctor's bedside manner
Answered my questions
After care follow-up
Time spent with me
Phone or email responsiveness
Staff professionalism & courtesy
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Replies (2)

May 31, 2023
Yes, Buccal Fat removal was something I truly regret I had done about 10 years ago. If Dr. M wouold have only have told me that as I age it will go hollow, I most likely would not have done it. I am now 69 and it is something I have to deal with. I look drawn and it does not look good at all - very aging! I am going to try to see a Dr. I chose to see if he can fix it with fat - will see.
August 25, 2023
You look beautiful & so happy everything went well for you!! Thanks so much for sharing and providing such a thorough review.
UPDATED FROM Indiratempest
4 months post

Just Because

Indiratempest
And just for fun...here are a couple more pictures from today 4/9/15.

Replies (5)

April 10, 2015
Wow! Looks great. Beautiful!!
April 10, 2015
Thank you!!!
April 15, 2015
You look amazing. How old are you if you don't mind me asking? The reason I ask is because doctors usually aren't willing to do buccal far removal unless you are in your late twenties or early thirties but you look so young
April 17, 2015
Haha I know, I have a baby face! I'm 27 (will be 28) in a couple months. My mother also has a full face so I knew I was going to have it forever.
April 15, 2015
Great results. Congrats!
April 17, 2015
Awww thank you!
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April 16, 2015
I love your results, you look amazing.. One question.. I'm thinking about getting my nose job in the future, but honestly, I'm really scared.. How much was it just for the nose procedure?
April 17, 2015
Thank you! I believe the nose by itself would have been $7,500. I'm not going to lie, it was the most painful part of the procedure. That bone breakage was no joke...BUT I'm really happy with the results and I'm very glad that I did it. Let me know if you have any specific questions about rhinoplasty.
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April 17, 2015
Gracias for replying
April 18, 2015
You're welcome :]
April 17, 2015
I wonder if anyone would respond to this. I was knocked out by a Dr.'s before and afters. But after a while I started getting that strange "it's too good to be true" feeling. Every "after" photo looked like a perfect nose. And the overall result looked like a model. No matter how difficult the nose looked in the "before" photo, the "after" photo looked almost impossibly perfect. Huge, bulbous noses transformed into small, precise, miracles of beauty. Normally one does not encounter perfect faces except for one feature (in this case, the nose). Defects usually come in bunches for genetic reasons. People with over-large noses often have receding chins and even foreheads. But these "before" pictures showed beautiful girls who had only a bad nose., Hmm. Made me wonder if the "before" photos were photo-shopped, which would have been clever. Put a bad nose on a beautiful face and then show the actual unretouched "after" photo - and presto. An amazing result. I suppose there is no serious law against such fiddling other than "false or misleading advertising: - quite a minor infraction. Especially when compared to the big money altered gallery photos can generate. Plastic Surgery practices do have high overhead and have to generate income., Anyone with thoughts on this?
April 18, 2015
Hahahaha, if you are referring to my pictures then that is quite funny since I had a nose job, chin implant AND fat transfer to achieve my end result. I had a bad nose AND a receding chin. If you read the photo descriptions it will clearly tell you which ones have been photoshopped, as I call them a rendering, and which photos have not been touched. Most of these photos were taken with my iphone and are of very poor quality. I understand your concern though, as I was very nervous to get anything done because I had assumed the same thing.
April 18, 2015
I believe that for their galleries, the dr's select the best angle for the photos and make sure that the photos are taken in great lighting, however, I do not believe that they photoshop the results in the pictures...that would be illegal and would create lawsuits against them.
UPDATED FROM Indiratempest
4 months post

3 Months Post Op

Indiratempest
Hey everyone! It's been a while since I updated with some photos. I wanted to wait to update because while I was swollen I kept going back and forth about whether I looked better or not. Well, over 3 months post op I can happily say that I look better! Here is my evaluation of my operation today:

1. Nose - I would give it a 4.5 out of 5. It looks significantly better, however, it is still crooked and leans a bit to the left. This isn't a huge deal but the Doctor did say that he would straighten it out.

2. Buccal Fat Removal - 5 out of 5. My buccal fat removal looks great and did wonders for my over all appearance. No complaints here!

3. Chin Implant - 3 out of 5. I just don't think it helped my jaw line the way I was hoping it would. I still think it could have a bit more projection and have the sides filed down to make my chin look sleeker. In some pictures, I don't even notice the implant at all. On the plus side, it's not affecting my smile nearly as much as it was last month. Last month my smile looked totally pained, but I think my skin is finally starting to stretch out a bit.

4. Fat transfer - 4 out of 5. Although it really helps to give my face a better shape, I'm only giving it a 4 because one cheek is still lower in volume than the other and my old acne scars are still very visible. Granted the doctor said he would "Try" to fill in the scars, so I can't hold him too accountable for that. Plus he really doesn't determine how my face is going to hold onto fat. But I still think some areas could do with a bit more.

All and all I say this was totally worth it! What do you think?

Replies (5)

April 9, 2015
No way, I love your new chin. I really see an improvement in fullness and it looks great. Everything looks great wow :)
April 10, 2015
Thanks so much! That means a lot!
April 9, 2015
Fab!
April 10, 2015
Thank you!!
April 9, 2015
You look significantly younger in your "after" photos. I think your doctor did a great job and you look very pretty! You remind me of Kate Hudson. ;)
April 9, 2015
Or maybe Hillary Duff. Yes, definitely HD.
April 10, 2015
Haha thanks! Well those are both pretty girls so I'll take it! lol
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April 9, 2015
You look definitely younger to me in your after pictures. It may be just less make-up and a different hair-style... Just kidding! Your new nose is gorgeous :)
April 10, 2015
Haha or maybe a little of all 3 :P. Thank you for the compliments!
May 25, 2015
Looks great. Dr. Motykie just did my nose last Wed Can't wait to see my new nose
September 4, 2015
Oh awesome! Let me know if you end up liking it!
October 18, 2015
Hi how are you? I just sent you a private message, but I think my email was cut in half. Can you please tell me what your email address is, I would love to speak to you about your procedures. It would help me so much, I had mine done 4 weeks ago and for me so far it has been the wosr time of my life. Thank you for your time!! I look forward to hear from you!!
October 18, 2015
This message was for @indiratempest thank you again
October 18, 2015
Vergo, are you talking to me?
Emily K
October 18, 2015
Hi Emily I was actually talking to indiratempest because I got the same things done like she did with dr. Motykie as well, and it's been 4 weeks and I still can't recognize myself, my nose is upturned and short and the naistrois are uneven.... It's been very though for me this past 4 weeks:(!! How did yours turned out?
January 12, 2016
Hi Vergo,
I'm sorry, it's been a while since I have logged in. Would you still like to talk? I know you are passed the point of no return now but it might be good to have someone listen and give advice?