POSTED UNDER Revision Rhinoplasty REVIEWS
Polybeak Deformity/inverted V? Not Sure What to Do - Windsor, GB
ORIGINAL POST
Hello, I had a closed primary rhinoplasty done...
RhinoquestJune 16, 2016
$9,000
Hello,
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
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
Rhinoquest's provider
Replies (27)
June 17, 2016
I would recommend getting some other opinions. I'm not very familiar with British surgeons but in this forum I keep seeing Dr. Ion's name keep popping up---seems like a lot of people hold him in high regard and have been quite happy with his work. Good luck. :)
June 17, 2016
Hi i'm sorry to hear about your experience.
Although im not a doctor, looking at your photos, i think the only resolve is a graft. You don't want to keep reducing the front part/tip of nose to align with the back as you will end up with a too small nose not in proportion with your face. The back needs to lift to some extent with a graft. Grafts can come from inside your ear and is not major surgery, or from the septum itself if appropriate again not major or from your ribs. But i am not sure that they can do this as a closed procedure. Maybe best to get further medical consultation with other drs before taking the plunge.
Whatever you decide i hope it all works out well for you in the end.
Although im not a doctor, looking at your photos, i think the only resolve is a graft. You don't want to keep reducing the front part/tip of nose to align with the back as you will end up with a too small nose not in proportion with your face. The back needs to lift to some extent with a graft. Grafts can come from inside your ear and is not major surgery, or from the septum itself if appropriate again not major or from your ribs. But i am not sure that they can do this as a closed procedure. Maybe best to get further medical consultation with other drs before taking the plunge.
Whatever you decide i hope it all works out well for you in the end.
June 18, 2016
Thank you for messaging.
I put up a message for doctors to answer still awaiting someone to respond! I really didn't want to get grafts because it does sound major. Although I do agree with what you said about taking more away and it being smaller - my thoughts exactly. Aaahhh so confusing.
Thank you.
X X
I put up a message for doctors to answer still awaiting someone to respond! I really didn't want to get grafts because it does sound major. Although I do agree with what you said about taking more away and it being smaller - my thoughts exactly. Aaahhh so confusing.
Thank you.
X X
June 25, 2016
Yes i know its not easy especially when you have had bad experience already. If it was my nose i would go with a graft because once you take away more from nose, harder to put back nose and will need bigger grafts. Make sure you get a few consultations with different Drs before you make final decision. Its not major surgery if taken from anywhere, but do discuss further whether on here with other Drs directly.
Wish you the best with it. x
Wish you the best with it. x
June 18, 2016
Hi there.
You should post this as a question for the doctors. You have insufficient bridge to your nose and need to have this built back up. The small procedure will not work I'm afraid.
I hope this helps.
You should post this as a question for the doctors. You have insufficient bridge to your nose and need to have this built back up. The small procedure will not work I'm afraid.
I hope this helps.
August 11, 2016
Hi dear, I can definetely recommend dr Ion. You can check my before and after pics on my review. He's really amazing. Best of luck [RS bleep]
August 12, 2016
I am going to book a consultation with him, everyone keeps on recommending him. Love your pics by the way, and incredible with the swelling. When I came out of my primary rhinoplasty I had two massive black eyes with pockets of blood in them - literally pockets, if I had got a pin they would have popped blood everywhere! (Sorry for the graphics, but you know what I mean) your nose looks lovely and the scar part is in perfect alignment!! Thank you, I'll look out for your further posts. X X
August 12, 2016
Haha yes You can see a pic on my review of how I looked after my second rhinoplasty. It was horrible. I do have to say I've been taking a lot of supplements which might have helped with the swelling. I haven't seen a lot of swelling on dr Ion's patients in general though. Guess he's just very gentle. Good luck with your consult! [RS bleep]
I've consulted surgeons and they have all said that I need to have the bridge built up to balance out the bottle third, as well as trying to take some of the scarring away on the lower third. None of them has suggested solely trying to reduce the lower part to match the top half. They all said I need to accept that I will have a bigger nose if I want it to look better.
I haven't heard of the technique your surgeon is describing. Could you consult with a few others to get second opinions? It might be that the technique will work, but maybe best to get a few views??
I was thinking that surgeons would suggest the same thing... Can I see your pics?
X X