Has anyone heard about Jeoffrey Tobias? He's supposed to be a very good revision rhinoplasty MD.

Hi can you let me know of anything you hear. I am also looking for
a good revision rhino Dr in the NJ area. I saw him on the news that he was one of the best.
Thanks

Hi
I am also looking for a revision of a bad nose job and I have seen many good reports on Doctor Tobias. Please let me know if you go for a consultation.
I will bew traveling from PA if I decide to see him.

His web site is very good and he comes with glowing recommendations.
I hate what the doctor did to mine years ago. That was before what they knew what they were doing. I have hatead it for years. Please let me know what you find out.

Hi --
I will be seeing Dr. Tobias on Friday August 13th, and I'll let you know what I think and what he says -- my nose is a difficult one.

Hi Jaquiline What is wrong with your nose? My was done years ago and it is tilted up and I donot believe that it looks good on my face. I am so anxious to hear what you think. I have seen the Doctor on Tv and I was quite impressed. I had an appointment last year, but could not make the trip. I do plan on having some type of revision. I am tired of hiding behind my glasses. I hope that you like him. Maybe we could get a package deal. I will be thinking of you on that day. I know what it is like to think that you did something to make you feel better and yet it turns out to be a disaster. I have regretted my decision about my nose for years.

Hi Beverg,
My nose is just a combination of turned up but also too wide at the tip, so it's very difficult for surgeons to fix, since by narrowing the tip they will make it turned up even more. I've been told by several different surgeons that it's almost like a revision, in that the Dr. will have to weigh the two (up-turn and wideness) carefully to not make it worse . In some ways, I look like I've had a bad rhinoplasty already :) Hence my search for a very experienced surgeon. Also, I'm getting married next summer, so I really, really don't want to go through with the surgery unless it seems like the Dr. will get it right the first time. As far as your situation, I will definitely keep you posted and let you know the details of what he says & I will ask him some Qs on revision rhinos to, to see if I can find anything out for you. I really think that if you're unhappy, there's no time like the present to change things for the better. While doing research the other revision rhinoplasty MD I came across is Dr. Nassif of the Spalding Ctr. in Beverly Hills, CA. He's world-renowned. Stay positive and hang in there!

Hi Jacq
I will be thinking and rooting for you. I hope that you get good news.
I am working on my Doctorate at Penn State and I will soon be finishing it.
My next goal is to have my nose looked at. Congrats on your pending marriage and I will say a prayer for you. I know how it feels to look at something eveyday that bothers you. Other people think that I am crazy and I was once told by a doctor that I was OCD about my nose and he told me to go see a pschiatrist. It is my nose and my face and I know that I am intelligent enough to know when I am unhappy. This message board has given me so much confidence in my feelings. I hope that you hear great news and I will be more than happy to take this walk with you. Keep me informed

Bev :angel:

Hi --
I will be seeing Dr. Tobias on Friday August 13th, and I'll let you know what I think and what he says -- my nose is a difficult one.

Hi Jaquiline
Did you visit with the Doctor on Friday and what was your opinion of him?

Did you see the post about Doctor Toriumi in Chicago. He is rated one of the best in the world? Check him out of the web

I was thinking of you on Friday

Bev

Hi Bev,
You are so sweet! Because of a deadline at work I had to cancel and reschedule for the 30th. In hindsignt it actually makes sense -- am glad I didn't go on Friday the 13th :) ! I did see the post on Dr. Toriumi and am interested in him now also. I was a little alarmed by the post from the person who was unhappy with her result from Tobias. I know that not every procedure goes perfectly, but she wrote that it was a "simple procedure" and that he still was not able to do a good job. I am going to research more NY doctors, and I will post my results on this thread once I've got something worth sharing. Hope all is well with you and thanks for thinking of me :)!

Hi Jaq

:wave: I was sort of upset once I read that post, but it is good to hear all sides and have an open mind. That doctor in Chicago sounds good.
At least you know to now ask the tough questions. I know because of people like you and the others who have who have posted that I am not alone in the way I feel. I will be waiting anxiously for your appointment and I will once again have you in my thoughts. Please keep me informed. I respect your opinion

Best wishes from Happy Valley the Home of the Nittany Lions.
Take care

I just wanted to say that I am writing on these boards only because I feel, after the experiences that I have had, that it is really important to exchange information and experiences. It is really hard to figure all of this out - which doctor to use - and it is certainly impossible by yourself. It is especially complicated in the case of rhinoplasty because the final results are not really known for a really long time. For me, I was moderately satisfied (not thrilled) for a long time after surgery by Dr. Tobias. I knew that some of the things that I had hoped to change were not dramatically altered but I felt that overall my nose was improved. Only after more than a year when the assymmetry and pointiness really became obvious did I become really dissatisfied. I should point out that I am less than a year recovered from surgery with Dr. Toriumi so there is no guarantee that some undesirable characteristics won't emerge. However, my nose now looks better than it ever has, by a lot. Even soon after surgery with Dr. Tobias, my nose never looked symmetrical - I always felt like it looked like two different noses - one from each side. Anyway, I really hope that sharing my story has helped some.

Hi Elle
I am so glad that you are posting to this board. I agree that this is the best way to share our knowledge and experience. Your experience is helping me examine this process. I had never heard of the Doc in Chicago until you mentioned him. I was impressed with his credentials and your recommendation will help me to decide. Do you live in or near Chicago or are you near Doctor Tobias? Either way, I will have to travel. Thanks so much for your imput.. .

I live in Chicago which makes it more ironic that I travelled to NY/NJ to have my first surgeries with Dr. Tobias when Dr. Toriumi was right in my own city! I was really taken in by all of the positive media attention that Dr. Tobias seemed to get and so I thought that he was really good. Unfortunately, I think that he just doesn't have the surgical skllls that he claims. I also didn't have any knowledge of Dr. Toriumi. Anyway, I have read a lot of information and personal experiences on the internet and it really seems to me that there are two names that get mentioned all the time for revision rhinoplasty - Dr. Gunter (TX) and Dr. Toriumi (IL). I can only vouch for Dr. Toriumi - and I really feel that the emphasis that he has shown in following up with my case is very encouraging. He really wants to make sure that I am happy at the end of this. Dr. Tobias never cared whether he ever saw me again. Anyway, I came very close to never visiting these boards again because I thought that I was happy and done with it all. But I realize now that maybe I can help someone else and I can only hope that that happens. I just know that pain of it all and the true happiness of finally looking on the outside the way that you feel on the inside! ;)

Hi Elle

When you went out of town for your surgeries where did you stay and how long did you need to stay. I think that I am now leaning toward Doctor Toriumi. These are just little facts for which I am curious. How much does Doctor Toriumi charge for the procedure?? Thanks for all of your comments. They have been extremely helpful.

For my first surgeries, I stayed at a hotel in NJ - near the hospital - each time for one week. I was directed to the hotel by Dr. Tobias' office. If you visit Dr. Toriumi, the office staff could suggest a hotel where you can stay during recovery - it is not uncommon for people to travel for surgeries like this. My surgery with Dr. Toriumi ended up costing a little over 10000 dollars. The amount that your surgery costs though depends on your particular case. I know his fees vary considerably depending on various factors. Hope that helps some.

HI Elle

I hate to seem nosy, excuse the pun, but what was the total that you spent on your nose. What was wrong with it or what didn't you like about it to begin with. When I look back, I see that I am so sorry that I ever touched mine. It was something that bothered me, but I should have moved on and let it go. For 25 years now I regret the decision and I have actually lost sleep over it.
I am sharing this with you because I know you understand what I am going thru. You know what it does to your mind and confidence. With all the changes in procedures I am willing to take another chance of making a change.

Take Care
Bev :wave:

I honestly can't recall exactly what the total cost of the surgery with Dr. Tobias was. I know that it was around 4000 on my end (plus around 1000 for anesthesia) and I had a deviated septum so they billed by insurance some. The second Tobias surgery was free except for anesthesia (and hotel and expenses.) The Toriumi surgery was between 10 and 11 thousand for everything, including anesthesia and the surgical center. He charged me less because my insurance wouldn't pay for anything since the surgery was purely cosmetic. (I should say that I have been reading some stories about Dr. Michael Sachs and I almost feel bad saying anything bad about Dr. Tobias when at least my nose was entirely normal and functional after surgery with Dr. Tobias. It just didn't look as good as it should have.) Overall, I have never really regretted my decision to alter my nose. I did a lot of soul searching before embarking on this journey and I feel that it has been worth it. Even though it has been a longer, more difficult journey than I had originally thought. I am happy now - happier than I would ever have been with my original nose. And I have learned a lot about myself and about beauty and vanity. Originally, my nose was very large overall - it stuck out very far and was a little beak-like. It was also very wide from the front. The projection was what bothered me the most - I couldn't even look at my profile. Dr. Tobias thinned my nose and overall reduced the size somewhat but didn't reduce the projection. Over time, my nose became very uneven as the cartilage was not symmetrical. If you had looked at my nose from the top, downward, it was very very uneven and this caused me to look very different from different angles. In addition, I developed noticable pointiness. The assymetry, the pointiness, and the projection caused me to think it was worth a second surgery. The second surgery improved my nose overall again but also created new and undesirable characteristics. Where I never had a droopy tip, now I had one. And more pointiness in the bottom of my nose . The projection was finally better and I thought that I could live with my new nose. But then I saw a bunch of pictures of myself and the additional length and pointiness really made me less attractive. So I sought a new surgeon and did more research. I was terrified going into surgery but it all went better than I could have hoped. I wasn't in as much pain as before and when I got the bandages off I looked immediately better although still very swollen. My nose is still a little sore and swollen even now. I am very optimistic though about the outcome because I really like the way that it looks. In every sense, it is the nose that I had hoped for originally. It looks entirely natural and fits my face perfectly. It like my profile and I am grateful every day that the pointiness is gone -I hated that! Anyway, that's my story. :wave: I should also add that I think that you shouldn't be afraid to make a change now if that's what you really want. I'm definitely glad that I took the chance one more time.

I notice that everyone seems a bit confused about dr tobias. He is supposed to be one of the worst doctors to go to. I have heard some of the worst stories about him and I have met him myself. Please avoid this consultation fee...let me save you the time and money.

Hi

What did you not like about Doc Tobias??? Did you have your nose done by someone else?? I am so glad that you posted your comment. It is very helpful. I am so glad that people are voicing imput and helping me to make my decision. My surgery will be a revision.

Thanks SO MUCH elle for all of your input on this board -- you've got a lot of great advice!!! :) You may have just saved me from a disaster.

I've wanted to change my nose for many years, and have always said I would do it before my wedding day (which has now actually been planned for July of 2005!!! :D ). But life had been so incredibly busy and I never made the time. I've done research on and off for all these years, and Dr. Tobias was what I had come up with. However, after the several bad posts I don't even want to go for my consultation. :confused:

I really just want to refine the tip of my nose, which is wide and a little "up." The thing is, I have a deadline in mind -- I am getting married next summer (July of 2005). After all of the advice and information on this board, I'm interested in Dr. Toriumi, but his first surgery opening isn't until Feb 2005! Plus, I live in Boston, MA, so it's quite a trip to IL, though I am willing to go anywhere to get it right the first time. From your experience, do you think 4 months is enough time to heal from swelling etc? Do you know if Toriumi good at the type of refinement I'm thinking of? Am I totally nuts to even consider doing something like this before my big day? I know I can do this after my wedding, but I was hoping to fulfill the wish I've had for years and years...

Again, thanks so much for your time and advice -- it's much appreciated!!!!! :)

Jaquiline,

I hope that sharing my story has helped some. It is such a difficult thing to figure out! Unfortunately, I can't tell you for sure whether your nose would look acceptable for your wedding if it was only four months after surgery. I really think that good rhinoplasty looks acceptable in only a couple of weeks but it doesn't look nearly as good as the final result. And whether that would be good enough for wedding pictures - I really can't say. I personally would think it would be okay to have surgery four months before your wedding if you were okay with knowing that you would still be somewhat swollen. (There are things that you can do to minimize the swelling too - no salty foods or alcohol for the the weeks surrounding the surgery.) Anyway, your wedding is far enough away that I would suggest that you have a few consultations with recommended doctors and ask them about your concerns. Then you can make the right decision for you. Best of luck!!

A good friend of mine had revision rhino with Dr Tobias and her nose was terrible. I saw photos of her 1st rhino and I thought it was fine. She convinced herself that the revision was better than her 1st surgery but people who didnt know she had rhino would say "she is cute but she needs a nose job."- It's messed up. She went back to him for a 3rd revision and he did a bit more refinement, but it basically looks the same - still kind of big. I love my friend and she's beautiful no matter what, if she's happy that's all that matters, but asthetically I feel her nose is still bulbous and too large for her face. She's tried to convince me to use him for my surgery-no way.

I think that it is really hard to admit that your surgery results are not what they should be. And in the case of a nose job, it is particularly difficult to even judge it when it takes so long for the final result to really be known. If someone had asked me soon after my surgery with Dr. Tobias if I was happy, I would have said yes. I would also have said that my nose was not everything that I had hoped but that I understood that there were limitations about what could be done. I know so much better now. But it is a really difficult process. That's a lot of the reason that I am writing on these boards - because I don't want other people to go through what I went through when so much of it could have been avoided had I gone to a good surgeon to start off.

Which surgeons do you recommend? I had a consult with Dr. Sherrell Aston. A friend of mine had her nose done with him and you would never know she had anything! She is a gorgeous girl but in her before pix she's very average. The only prob is he won't show b4 and after pix- I'm skeptical about trusting my face with only ONE reference. Dr. Toriumi is in Chicago and I'm in NYC and his list is SO long to wait not to mention the travel. i won't be able to see him until Feb and that's just the consult. Any word on Dr. Kanodia in LA?

You need to look at rhinoplasty 4 you. There are many people who share stories along with pics. There are plenty of people who talk about their surgical experiences and they have pics to prove it.A very good surgeon recommended seems to be Dr. Davis in Miami. There are also pros and cons on different docs.
Check it ou!
Very useful

:wave: Hi Bev and everyone,
Thanks so much for all of your advice and input -- you all have really saved me a lot of pain and suffering by giving me your honest opinion about Dr. Tobias. Bev: Thanks for your kind thoughts and for your help! I have done some research too and have found a lot of great info on Dr. Toriumi -- he's featured on the cover of Chicago Magazine's "Top Doctors" report. I have also found a few "surgery journals" on the web from two of his patients and not only did they describe/show pics of excellent, artistic and fitting rhinoplasty results (one had a nose very similar to mine -- very difficult), but there were nothing but glowing comments about his staff. I have also found a site called "yes they're fake" (do a search on google). The title of the site is a little silly, but it offers a great amount of information, boards and tons of surgery journals. As with this board, the folks on it are really supportive too, and I think it's worth a look. I'll keep you posted with any further info I find, but for the moment it seems like I'll be travelling to Chicago (I live in Boston) to get the surgery w/ Toriumi. His first opening was in March of 2005!!! So, I'll be waiting until after my wedding. Probably not a good idea to make such a drastic change prior to it anyway... ;)
Thanks you guys -- you're awesome!!!! :)

Hi Jaq

I am so glad that you are waiting for surgery!! Maybe we could go together. You have become a new friend and confident to me and I thank you so much....
I wish nothing but the best for you...Maybe we could travel together and share a hotel suite. for our healing :bouncing: ...Keep that in mind...You need to get married and I need to finish my Doctorate degree..

Take Care
Bev

Hi everyone,
I'm so glad I found you guys. You all sound so "nice". I actually got to this site by following a link from Rhinoplasty 4 You- that is a very good site. there are some very nice people there too and you can get a lot of information. I recommend that you check it out. Someone there was suggesting Dr. Tobias and I've been looking for a doctor in the NY Tristate area because I live in NYC. From what I've read here so far though, I don't think he's a doctor to go with. I'd like to say that I've seen a lot of positive feedback (and actually I don't think I've seen anything negative) about Dr. Richard Davis in Miami from patients of his on that site. They say he is very skilled, very nice and caring, and not expensive and I believe he does not charge anything for the consult. The only thing I've found out recently that I don't really like is that he does open rhinos and that really scares me. What are your opinions about that? Also, I'd like to hear more about Dr. Pensler- he sounds good too. And how is it with the traveling? I know you're not allowed to fly anytime soon after surgery, right? I guess I would have to get to where I'm going by car- if I decide on any of these long-distance doctors. By the way, just to let you know a little bit about myself- I had a rhino/septoplasty almost two years ago and I'm not happy because while I can breathe much better, the aesthetic change in my nose is so minimal that I'm still stuck with the nose I've HATED for almost all my life. I know you guys can understand how I feel and it's soooo good to be able to talk with people who can understand you. Everyone else tells me there's nothing wrong with my nose and that I should just leave it alone but I can't leave something alone that so affects the way I feel about myself. Anyway, I can't wait to hear from anyone who wants to write back and I wish all of you good luck!
Diana in NYC

Hi Di
I was looking into Doctor Becker in Sewell New Jersey!! Have you ever heard of him???He has good education and good credentials. He is close for one thing. I ive in PA and I will also be traveling. I am still reading the posts from everyone from both boards and I have personally emailed some of the members. My nose was done about 25 years ago and I have never been pleased, but I just put up with it. I have recently been impressed with the new techniques and I am honestly glad that I waited so long to maybe make a change. The techniques are must better now and surgery has come a long way. If you are not happy with your result and I suggest that you look into making a change. Dr, Davis does sound great and professional...I am still investigating all my options..You have come to the right place to share your nose misery...I think about mine every day.....People look at me and say "What's wrong with your nose?" They do not know what I have been internally going through for the past 25 years....Please check in wih us and let us know how you are doing.. We are more than happy to offer assistance and listen to others who are having the same experience....

Bev G (pa)

Hi All,
Sounds like a plan, Bev -- would love to have a compadre to share the room cost and healing time. I don't really talk to anyone abt. my nose and wanting to have surgery, so I really appreciate the support.
Diana: As far as the difference between "open" and "closed" surgery, "open" just allows the MD to see more clearly what's going on, and it allows for more, shall we say, detailed work. Usually there is a (are) very small incision(s) made at the base of your nose, by (or in between, or both) your nostrils. A "closed" rhino is basically exactly what it sounds like -- it can be performed when the case is less difficult by operating w/o incisions for lifting the skin. I've had both suggested by different doctors. Although it might sound a little scary, "open" is what I will opt for, since I really want/need the most careful work possible. I have not had a rhino yet, and I think (as I'm sure many on this board would agree) it's definitely worth getting the surgery right the first time, so do your research and be VERY diligent & careful picking your surgeon. As someone else on the board has said, it's only a few hours of the surgeon's time, but your nose is on your face for the rest of your life. Good luck!!!

In response to your concerns about open vs closed rhinoplasty - I have had both - and I was terrified of the open - before I had it. I was pleasantly surprised afterwards to realize that it wasn't such a big deal. I had a few stitches between my nostrils afterwards and a small scar was visible for a couple of months - not something anyone would notice though. Now, after almost 6 months, I cannot see any scar at all. I would definitely recommend that you not worry about open vs closed - just find a good surgeon! :)

Hi everyone,
Thank you so much for your responses. I haven't decided anything yet- still doing research. Wow Bev- 25 years! That's a long time! For me 2 years is too long because even though I waited a long time to do it the first time, once I did it and it didn't come out the way I wanted, there is no way I can have that kind of patience. I believe I did hear of Dr. Becker, if it's the same one they mentioned on Rhino 4 You- but I don't really remember what I read, I believe there were some negative comments. I haven't had a chance to look but I will. I would really like to be able to go to someone closer- if it's NJ I could just go there and come home, I wouldn't have to sleep over, but so far the only really promising doctors seem to be Davis and Pensler, though I haven't heard as much about Pensler and I need more info. Have you had a chance to find out anything about Becker?
Thanks Jaquiline and Elle for your reassurance about open and closed. I never would have even considered open because I always heard about closed and how open is rarely necessary. I'm not even as concerned about scarring as I am about the procedure itself. It sounds so drastic! But I will do some reading about it. Good luck to you Bev and Jaquiline- maybe we can come up with the best surgeon by putting our heads together. And Elle- do you have pictures posted anywhere? I don't know too much about this site yet- is there an option for posting? Take care and hope to hear from you soon.

Diana :wave:

I'm not sure how I would point you to any pictures of me on the internet - it seems like I am unable on this site to state any specific websites. I don't have a website devoted to my nose surgery either - I am a private person and I have not been public with everyone that I work with about my surgeries - so I would be hesitant to have pictures posted on the internet talking about my surgeries. If there were some way you could contact me in confidence - I do have pictures on the internet in the news from something completely unrelated - I don't even know though if discussing this violates the rules of this website and I really don't want to do that when I feel it is a very helpful website - even when completely anonymous. I don' know what else I can add. :) Let me know if you have any ideas.

Hi Elle

Keep it private and to yourself.. I know how you feel..I do not discuss mine with anybody--not even my family

Hi Elle,
It's okay, I was just asking out of curiosity- only if it was something you wanted to share, not something that I absolutely must see. I understand you're wanting your privacy- I talked about my nose more openly before my first surgery but now after, and especially with not being happy about the results, I don't really feel like talking to anyone about it either (outsiders that is) because they just don't feel it the same way as those who are in the same situation. That shouldn't really be though because everybody has their own thing that affects them, not necessarily a physical aspect, but whatever it is, the effects are the same. I guess it's hard to imagine that something that doesn't bother you could bother someone else so much but it makes me crazy when people can't seem to see the bump (one doctor called it a hump, which sounds even worse! and which actually it is) and the crookedness in my nose and they say that it's fine. That's just unbelievable to me.
Bev, I was just looking at the other site briefly and I saw mention of a Dr. Glasgold in NJ who seems interesting. I looked at his site and I will do some more research on him. Will let you know of anything I find.
Diana

Hi Di

I also keep nose to myself..People think that I am crazy and they just don't get it..It bothers me. I don't talk about it because I do not want people to think of me as being vain. I am not vain at all..It was just something that bothered me and at the age of 25 I decided to make a change and I have regreted it since then. Here I am 51 and still thinking about it..It is draining and exhausting..I am glad that I found this board to share my feelings..
Let me know any info that you found out about the doc..

Take care everyone
Bev

Wow, I think that we who have posted on this board can all understand the psychological aggravations of not liking your nose! It is really difficult! For me, the hardest thing was that my mother was very judgemental about people who were "vain" and so I have never even been able to talk to her about my surgeries for fear of her judging me! So I am well aware of some of the psychological problems that come along with all of this! Most people don't pay much attention to others and so it only makes sense that most people wouldn't notice how your nose is not what you want it to be. In the end, you must make yourself happy. When you look in the mirror or go out into the world, the way you feel about yourself matters! But I must add, that it is important to realize that no one (and no nose) is perfect. You must make peace with yourself - but if you have done that (like me) and you still wanted to change your nose - then go for it! And don't let anyone make you feel bad about it. I don't talk about it with very many people (only close friends, my sisters and husband) but I am okay with myself, inside and outside. That's what matters.

Dr. Tobias did my rhino with very poor results. I've been researching revision for five years and am going to pick between Toriumi and Dr. Denenberg in Omaha. Good luck!

Tobias did my primary about six weeks ago. My nostrals are totally uneven. I hate them and now am embarassed to be seen this way. I did not have this issue prior to the procedure. I am now looking for a doctor for a second opinion and revision in six months. I would not recommend Tobias to anyone.

I guess I will post one more time about my experiences. Dr. Tobias messed up my nose. The more I see the results of my revision with Dr. Toriumi, the more I am sure that Dr. Tobias doesn't know what he's doing. Over time, my nose after surgery with Dr. Tobias looked worse and worse. As the swelling subsided, the misplaced cartilage became more evident and my nose got pointier and less symmetrical. Now, after surgery with Dr. Toriumi, my nose looks better all the time. Please, if you read these boards, trust the opinion of the patients here!

I feel mixed about his Before/Afters, and I was hoping you guys could help:
( url removed ) click on the direct link to patient photos.

What I like is he seems to be really good at correcting asymmetries. What I don't like is the fact that half of the noses don't look significantly better from dead on than they did before. It's like he hardly changes anything from the front.

Do you guys know anything more about Dr. Toriumi? Is he any good?

elle-- why was your surgery so expensive? was it a revision rhino?

Dr. Tobias did my rhino with very poor results. I've been researching revision for five years and am going to pick between Toriumi and Dr. Denenberg in Omaha. Good luck!


Krista, I am looking at both Toriumi and Denenberg for my revision. I have had 4 surgeries and each one ends up leaving me with a worse nose. I live here in Austin, Texas and am willing to travel anywhere. I broke my nose and tried to get it repaired and noone seems to be able to. I'm looking for the best revision doc. Can anyone help?

Thanks

I had my nose done by Dr. Tobias apprx. 8 weeks ago. I am very unhappy with it. My nostrils are very uneven. They looked deformed. I know there is swelling involved, but this is not due to swelling. I am now very afraid of how the rest of it will come out. I am now looking for a revision doctor. I was recommended to Dr. Lawrence Reed, but he is not available until October. I am so unhappy. I cry every night. I have lost weight and am not in good shape.

I would strongly advise you to keep looking.

Hi,

Just wanted to answer the question that was posed to me as to why my surgery was so expensive. (Sorry about the long delay getting back to you but I don't visit these boards often anymore since i am now finally happy with my nose!) My surgery was a revision - a second one in fact. Dr. Tobias did my first surgery and a revision when he agreed with me that my nose didn't look good. After the revision, I didn't go back to him. I didn't think he could fix it. I gave him a chance to fix it and he didn't. That's it. At some point, you have to realize that he is just not good. So I went to Dr. Toriumi and I am happy now. My surgery was expensive but truly it was a bargain. Surgery with Dr. Toriiumi - 11000 dollars (or so). Good self esteem and confidence in yourself - PRICELESS!
Btw, somebody asked me at some point what exactly was the problem with my nose. Initially, my nose was big, bulbous, projected and bumpy. After my first rhinoplasty, my nose was still projected, narrower but really uneven. After my first revision (with Dr. Tobias) my nose was less projected but the tip became droopy and pointed. My nose didn't look natural at all! Finally after surgery with Dr. Toriumi my nose is not too big, the tip is rounded and even. One thing that I will say is that it takes a long time for the swelling to come down - even now after 1 and a half years, I can still see the swelling lessening. Dr. Toriumi warns of this. He says that after so many surgeries, my nose is only 60 percent healed after 1 year. That is a long time but truthfully my nose looks good now and has looked good ever since the surgery. It improves over time but the changes are subtle. Well, that's my story. Hope it helps someone. :)