pros and cons of rhinoplasty?

#61
It's been two weeks since my surgery. Breathing has vastly improved and the swelling on my bridge has gone down but my tip is like a clow nose lol it's actually red aswell with all the dryness! Also have this weird asymmetric swelling goin on which makes my nose look slanted so a little worries about that. Profile is my fav!!!
Everyone who has seen me has said even with the swelling it's a huge improvement but not my mum my mum prefers my old large crooked roman-esque nose. Lol I just don't understand.
 
#62
The only downside to rhinoplasty is if you get a doctor not equipped enough to handle it.

Just do research and get the best before getting it done. I did that for my second one and was so glad I did. And if any ent says outside might need surgery too, know an ent can't do it and go straight to a plastic surgeon.

My advice through my experience.
 
#63
Zahzah said:
It's been two weeks since my surgery. Breathing has vastly improved and the swelling on my bridge has gone down but my tip is like a clow nose lol it's actually red aswell with all the dryness! Also have this weird asymmetric swelling goin on which makes my nose look slanted so a little worries about that. Profile is my fav!!!
Everyone who has seen me has said even with the swelling it's a huge improvement but not my mum my mum prefers my old large crooked roman-esque nose. Lol I just don't understand.
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It's way too early, it will go down. I'm a little over 6 months out and I still need swelling to go down. I have a follow up appointment in one year. take pictures of your nose once a week and you will see subtle differences.
 
#64
Zahzah said:
It's been two weeks since my surgery. Breathing has vastly improved and the swelling on my bridge has gone down but my tip is like a clow nose lol it's actually red aswell with all the dryness! Also have this weird asymmetric swelling goin on which makes my nose look slanted so a little worries about that. Profile is my fav!!!

Everyone who has seen me has said even with the swelling it's a huge improvement but not my mum my mum prefers my old large crooked roman-esque nose. Lol I just don't understand.
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I had my nose done along with my admires and deviated septum and had barely any swelling. I also had no bruising. However, the right side of my tip was numb/slightly numb or tingly to the touch for at least a year!
 
#65
Dallas_Girl said:
The only downside to rhinoplasty is if you get a doctor not equipped enough to handle it.

Just do research and get the best before getting it done. I did that for my second one and was so glad I did. And if any ent says outside might need surgery too, know an ent can't do it and go straight to a plastic surgeon.

My advice through my experience.
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The revision rate for even the best surgeons is 10-20%. I didn't realize it was so high before surgery. I went to a top surgeon and still need a small revision (shaving the bone down on one side with possible second osteotomy). We all tell ourselves that it won't happen to us or that if we go to the BEST surgeon it won't happen, but it still can. Unfortunately, even if you've healed well from surgery before, you may not heal well after rhinoplasty.

Some forms of rhinoplasty are more predictable than others. A tip-plasty without osteotomy (bones broken) may be relatively reliable. However, having an osteotomy as I did can increase your risk for complications. My bones didn't heal properly although they looked fine after cast removal and now I still have soreness many months later.

While it's important to do your homework, know that you may still need a "touch up" as 10-20% of all rhinoplasty patients do within 2 years after surgery. The lowest revision rate that I've ever heard of is 7% for one particular surgeon but he uses silicone filler to correct asymmetry and doesn't consider that a revision. Be prepared for it to not be a one-step process. Although I know 5 colleagues that had perfect surgeries with my surgeon, my nose was the one that didn't heal well. Even the best surgeons have patient that don't heal well. It's a myth to believe that going to the best, most experienced surgeon will ensure that you heal without problems.
 
#66
L etoile said:
The revision rate for even the best surgeons is 10-20%. I didn't realize it was so high before surgery. I went to a top surgeon and still need a small revision (shaving the bone down on one side with possible second osteotomy). We all tell ourselves that it won't happen to us or that if we go to the BEST surgeon it won't happen, but it still can. Unfortunately, even if you've healed well from surgery before, you may not heal well after rhinoplasty.

Some forms of rhinoplasty are more predictable than others. A tip-plasty without osteotomy (bones broken) may be relatively reliable. However, having an osteotomy as I did can increase your risk for complications. My bones didn't heal properly although they looked fine after cast removal and now I still have soreness many months later.

While it's important to do your homework, know that you may still need a "touch up" as 10-20% of all rhinoplasty patients do within 2 years after surgery. The lowest revision rate that I've ever heard of is 7% for one particular surgeon but he uses silicone filler to correct asymmetry and doesn't consider that a revision. Be prepared for it to not be a one-step process. Although I know 5 colleagues that had perfect surgeries with my surgeon, my nose was the one that didn't heal well. Even the best surgeons have patient that don't heal well. It's a myth to believe that going to the best, most experienced surgeon will ensure that you heal without problems.
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Who said anything about myths?? I was sharing my experience. I wouldn't want anyone to go through what I went through so I was sharing my thoughts through my experience.

My first doctor was an ent who claimed she could do the surgery and ended up in more pain because she jacked my nose up more and caused my nasal cavity to collapse.

I simply was sharing that research needs to be done first.
 
#67
Dallas_Girl said:
Who said anything about myths?? I was sharing my experience. I wouldn't want anyone to go through what I went through so I was sharing my thoughts through my experience.

My first doctor was an ent who claimed she could do the surgery and ended up in more pain because she jacked my nose up more and caused my nasal cavity to collapse.

I simply was sharing that research needs to be done first.
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I was agreeing with you but also stating that having a good surgeon doesn't mean that everything will turn out perfectly. You stated that "The only downside to rhinoplasty is if you get a doctor not equipped enough to handle it" and that's a common myth I run across. Even great doctors have bad results and people need to be prepared to be one of the 10% that needs a revision. :smile:
 
#68
Never said everything would turn out perfect with the best surgeon.

But if you are going to do this, one wants to be in capable hands and minimize the risk as much as possible.

And again, my statement was my opinion and experience. Not sure why that is being called a myth. It's not like I heard from a friend who heard from a friend. I personally lived through it.
 
#69
Dallas_Girl said:
Never said everything would turn out perfect with the best surgeon.

But if you are going to do this, one wants to be in capable hands and minimize the risk as much as possible.

And again, my statement was my opinion and experience. Not sure why that is being called a myth. It's not like I heard from a friend who heard from a friend. I personally lived through it.
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Sorry, I thought you were the poster that stated "The only downside to rhinoplasty is if you get a doctor not equipped enough to handle it". I must have mis-quoted! We both know that there are many downsides not necessarily related to the doctor. :smile: Sorry again!
 
#70
So things are improving saw my surgeon on Monday said everything looks fine and there's nothing to be concerned about at the moment which is good.

Bad points on rhinoplasty
Obviously not turning out as you expect is one. I think people need to be aware that with rhiniplasty you should go in to see an improvement not perfection ( not sure what a perfect nose is)
My surgeon did warn me that u need to wait 9-12 months to see the final nose but I still don't think they prepare you fully for all the swelling and the werid asymmetric swelling that goes on with the nose.
Revision is my fear or my nose won't be straight but we can only wait n see. I feel I choose the right surgeon I trust him and feel comfortable with him so if things don't go to plan during healing I don't feel id blame him I think it will just be how the Cooke crumbles.
As you said even the top surgeons sometimes have the less than ideal results.
I think it's important for surgeons to be honest about their revision %
 
#71
Also I think it's best to go to a surgeon who is ENT but also facial plastic surgeon who ONLY does noses.
Don't go to someone who's an ENT but only does the inside and don't go to a plastic surgeon who is jack of all trades but dosnt specialise in noses.
My initially consultation was with an ENT he was confident is sorting the internal situation out but the outside he wasn't. Although he was honest and refered me to a couple of Plastic surgeons with ENT background.
I think it's important to go to several plastic surgeons and for me it was very important to go to someone who understands my ethnical facial structure.
 
#73
Yes, I'd definitely suggest trusting your rhinoplasty to a doctor who specializes in them -- not someone who performs rhinoplasties one day, then breast augmentations another day. One thing I've noticed is that rhinoplasty and chin augmentation often go hand in hand, so don't let that detract from a potential doctor if they perform both. Sometimes both procedures are needed to properly balance out the face.
 
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