Need answers
I’m a 19 year old male looking for some answers. I broke my nose about 3 years ago and I ended up with a disproportionally large dorsal hump. I was refereed to a cosmetic surgeon in order to correct the problem. He made it look like the surgery would be no big deal, and so I went through with it. I was mostly satisfied with the result, however there had been a collapse in one side of the lateral cartilage, causing the other side to protrude unnaturally. At the time I was unaware that the protrusion was caused by a collapse, so when I pointed out the deformity to the doctor, he offered to “shave off” the “excess”. He also said that my septum needed to be straighten because it was deviated, and that some excess bone on one side of the dorsal area needed to be filed down. Again, he made it seem like those things were no big deal. So, being naive about rhinoplasties at the time, I went through with the revision. The results seemed to be satisfactory at the first, but after 6 months it became clear that the surgery had created more problems than solved, if any at all. The tip of nose lost support, resulting in it looking droopy. The nose also looks pinched now, which it never did before. At the same time, “removing the excess bone” was nothing more than scooping out dorsal area a little more. Of course, the collapsed cartilage was not addressed at all, and the deformity caused by it is just as much present.
I’m not sure what to do now.
I’ve been very depressed and angry at the fact that the second surgery had been such a failure. To recap, here are what the problems my nose is facing: collapsed lateral cartilage, pinch, lack of support at the tip and slightly scooped out dorsal area, not to mention the nose has been operated twice. Is asking to correct all those problems too much? How complex, if possible at all, would such a surgery be? I need an honest answer as to what I can hope for. At any rate, can you suggest a surgeon? I live in Toronto, but I’m ready to go anywhere in the States or Canada.
Thank you very much
Rhinoplasty in Miami?
I’ve been researching online for a little while to find a good plastic surgen for rhinoplasty in the Miami area and one that I came across that looks pretty good is Bal Harbour Plastic Surgery. I don’t know how to tell if it’s a good place to go to though, so what do you think? I think it’s a pretty good fit but I’m not sure. Here’s the link.
http://www.balharboursurgery.com/rhinoplasty.php
Prepping for a Revision
Hi all,
I’m scheduled to get my revision rhino with Dr. Schoenfeld in DC next week and I’m starting to get really freaked out about the whole thing. How did you prepare yourself — mentally, physically, space-wise, for your revision?
Thanks!
Dr. Paul Nassif for revision
Does anybody know if Dr.Nassif is a good choice for a reconstruction of the nose. I have an appointment for a revision with dr.Davis in two months but I’m not sure since I’ve read some bad things about him…like the way the nose collapse and the tuch up that he always have to do $$$$ and since I leave in montreal i can’t afford those tuch up and those trips. Have you heard good things about Nassif. Anyhow I will keep you update with my revision … I can’t wait !!!!!!!!!!!!!!!!!!!!!!
( sorry for my english 
:) )
Post Rhinoplasty Breathing
Hi, I am 9 days post op with my first Rhino surgery. Those who have had the procedure, how long after surgery did you get your normal breathing back. Also, how many of you had perm. breathing loss as a result of your surgery? I’m kind of stressing out right now. Need you help!! Thanks so much!
Ear cartilage grafting gone bad
Per your request, I’m posting photos of my nose before any surgery, after my primary and after my revision. It pains me to see my post-revision photos–the bridge is so big now. I absolutely hate it. It looks ghastly on my face. I thought it was all swelling at first and that my bridge would shrink back to a more acceptable width–boy was I wrong. After this experience, to me, ear on the bridge is a no-no. I didn’t even know my PS was going to graft my bridge, but that’s a different story. And, yes, I had a little not-so-great tip work done too, lol. But I can live with that. It’s the bridge that is bothering me. It looks so harsh on my face. I want to be careful and not say ear is bad for the bridge in all cases, but perhaps mine was just not the right one for ear. I don’t know. Do you think this is easily fixed? I heard from a few PS’s that bridge grafts can be removed, but I wonder what level of expertise that requires? Would you do the re-revision if you were me?
External valve collapse and hanging columella
I’m hoping someone who has dealt with these issues, or had any luck in researching can help me.
I’m a surfer, snowboarder, mtn biker — and the collapsed valve issue is starting to drive me wild. I’ve never had great breathing, but now it’s gotten significantly worse. Talking to the general public isn’t much help, they all think you breathe through your mouth all the time. However, A) It’s not healthy to do that and B) most people use a combo of mouth and nose. My nose works at about 30% on a good day. I have noticed it’s much worse since my last surgery. I believe a big part of the issue to be that my surgeon probably removed too much cartilage in the lower 1/3. My passages always feel tight, and narrow. The hanging columella also bothers me. It wasn’t right from the gate — and I think the cartilage was mishapen when it went in.
Please let me know if anyone has sim issues, and what kind of luck you’ve had in reasearching or talking to surgeons about how to fix these? I’d just like to get my breathing back and move on!
I had a septoplasty in 2003, where they attempted to fix my deviated septum, and did a small rasp on the nasal hump I had. I broke my nose as a kid, and probably got hit in the face quite a few times after that with soccer balls, kickballs, you name it 
Anyways, the septoplasty failed to correct the deviation — and the surgeon took too much on one side, collapsing my nose, which led to a saddle deformity/mid-vault collapse scenario. Had it fixed again in 2007. A lot of the cosmetic issues were fixed, although new ones were created. But, the biggest issue — is the breathing. I feel the surgeon removed too much cartilage and made the nose too small! I have spreader grafts in already, and they’re not doing the trick. May need to have a batten graft in the right side to help with the external valve. Any suggestions or info appreciated!
P.s. Old nose is the boxer nose. New nose is straighter, smoother. Still a few bumps, which I don’t mind. I just want the collapse and hanging columella fixed. I like the quirks of non-perfect noses and have come to appreciate this full circle.
gretchen with bump old.jpg (26 KB)
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