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Hello, I had a closed primary rhinoplasty done...
I had a closed primary rhinoplasty done 1yr 6 months ago. I have witnessed many changes in my nose appearance in that time. Ultimately I am not happy with the results. I catch myself in a reflection or in a photo and I find myself unrecognisable at some points. As with many rhinoplasty patients - I have good days and I have bad days... Sometimes I don't mind my nose and just live with it... And others especially this winter.. I found myself covering my nose with my scarf because I felt really embarrassed and self conscious about its shape.
I have contacted my surgeon and he agrees that he may have over resected my nose and that I seem to have excess scar formation in the bottom lower third. My operation was fix my broken nose which had a break at the top third, to remove my dorsal hump and generally make my nose more appealing to the eye. It has been a very emotional journey. I am already aware that I do not scar/heal very well as when I had a Breast Augmentation my scars did not heal very well and I had to get steroid injections for hypertrophic scarring.. Which made the scars not raised anymore but they are still very visible and red, even 4 years later.
My surgeon has suggested that I have a small procedure under local anaesthetic to trim away the excess scar tissue in the lower third and apparently I can use a mirror to see if it is too much/too less immediately in the room.
I have googled everywhere (as we all mostly do) and I have found such contradictory information. Many surgeons suggest a graft to be placed in the bridge upper third to balance out the rest of the profile.. However my surgeon said that that would not look very good and could potentially make my nose look large and unflattering. I worry that more will be taken away and it will still not resolve my nose to be straight and whether that is even possible using the technique of trimming.
I hope doctors could shed some light on this... I do have a slight aversion to grafts as I feel that is a MAJOR operation with input and I hope not to need that. But at the same time, I am worried that I will still not get a straight/ attractive/normal profile even if the lower part is trimmed...
As mentioned previously I have a history of not scarring very well, so I specifically chose a surgeon who would adopt the closed approach on me as not to have the potential of an unsightly scar on my nose
I am booked in next month to have the procedure... If anyone can advise me before hand would be much much appreciated.
Thank you
X
Provider Review
After a failed primary with Rajan Uppal I searched high and low for a Revision Rhinoplasty specialist. As anyone who has had a failed Rhinoplasty can contest - the last thing you want to deal with is another failed procedure with the costs and grave emotional implications that unsatisfactory surgery gives. Therefore, I made sure to follow Lucian’s previous patients with an eye of a hawk!! What struck me, mainly from the reviews from this site, was his demonstration in producing consistent results. Specifically, in his revision Rhinoplasty patients. I am thrilled with my results and I am still not at the end of my journey just yet - am writing this at 8 months post op. I found Lucian to be very charming, softly spoken, understanding and didn’t ‘over-sell’ himself in terms of what I could realistically achieve. I feel the saying “Under-sell but over deliver” feels accurate in describing how I felt towards Lucian. Interestingly, when I was recovering from surgery, my swelling and bruising was no where near to how bad it was after my primary Rhinoplasty. I find this interesting as when I researched online, Revision Rhinoplasty can increase swelling and bruising more than the first time round. I can not thank Lucian enough.. the few years that I spent covering my nose with my scarf and positioning myself so that people couldn’t see are behind me.. and I have been able to move my focus onto other things in life without the appearance of my nose being a thorn in my side. Thank you so much Lucian, once again. X x