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    Old 03-10-2006, 10:38 AM   #1
    Peepers
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    Question For those of you who have had rhinoplasty...

    I'm wondering how common it is to need a revision rhinoplasty after your first surgery. If you've had rhinoplasty, could you please reply & let me know whether or not you have had (or still need) a revision?

    I had mine done last June, and will be getting a revision done in May. I was really disappointed that I'd have to do it again, and my husband is angry with the dr for not making me happy the first time (honestly, it doesn't even look like I had anything done - the dr even said so himself). So I'm just curious as to how many other people have had to go through this.

    Thanks!

     
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    Old 03-11-2006, 05:27 PM   #2
    FitChic
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    Re: For those of you who have had rhinoplasty...

    i am actually going for my first rhinoplasty in a week......hoping that this will be my only rhinoplasty and i am confident in my doctor taht it will be.............are you going to the same doctor that you went to the first time? is he charging you again since it was HIS mistake?

     
    Old 03-15-2006, 06:25 PM   #3
    jennifer_row
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    Re: For those of you who have had rhinoplasty...

    I heard that about 1 in 10 people get revisions. I don't think they are usually cases like yours where they don't notice a difference. I think they are just simply unsatisfied with their results.

     
    Old 04-18-2006, 12:52 PM   #4
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    Re: For those of you who have had rhinoplasty...

    I had a nose job- and it did require a revision- a little bump showed up on the ridge and he just had to file it down. I know two other poeple that had nose jobs and they also had to get minor revisions. Its no big deal. Rhinoplasty is just not a precise science.

     
    Old 04-18-2006, 08:28 PM   #5
    DanCrandy
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    Re: For those of you who have had rhinoplasty...

    I had rhinoplasty done in NYC in 1988 to remove a bump in my nose, which I was happy with.

    After about 10 years, one of my nostrils started to partially collapse.

    I went to a surgeon in Huntington NY to correct the problem.
    I financed the surgery and I'm still paying for it.

    I asked for a "before and after" portfolio, and the consultatant said they don't show them to potential plastic surgery candidates.

    That made me feel a little unconfortable, however, I proceded to have the surgery, being that the doctor was reccommended by a family member who "heard good things about the doctor".
    I asked the doctor to correct my nostril and shorten my nose a little more.

    The nostril was corrected, however, It didn't look like my nose was shortened at all.

    I went back to the same doctor after about a year, and under local anesthisia, he attempted to shorten my nose. During the surgery, he was interupted several times by the staff
    and left me alone each time. There appeared to be a problem with an irate patient in the waiting room.
    It seems he rushed the procedure, and there was some pain.
    My nose looked shortened, but out of proportion.
    Well, after a few months, I also noticed that my nose was crooked.
    I went back to the doctor to discuss this with him and he acknowledged that it was crooked, but not that noticable.

    after about another 6 months, I noticed that the tip cartillage is visible like a ball tip (visible tip cartilidge).

    Now I am going to go to a very well known surgeon in CA for a consultation.
    This doctor in CA has a HUGE before and after portfolio with very impressive
    outcomes.
    That's what I should of looked for in the first place.

    I would not go to any surgeon that does not have before and after photos to show the potential patients.

    Keep in mind that every revision will produce scarring, which will make any more revisions more difficult.

    DC

     
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    Old 04-20-2006, 12:38 AM   #6
    angela5503
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    Re: For those of you who have had rhinoplasty...

    I had first surgery over 30 yrs ago and my nasal bone was over reduced so my tip looked bulbous.I had several revisions by the same doctor because at the time I didn't know there was such a thing as a revision specialist.My nose has been a contorted mess ever since and I've been mortified to go any further. My son had rhino recently because he had a good size hump in his nose and he also wanted tip refinement. After surgery he still had a ridge on his nose and it was pushed to one side. He went for revision from the same guy because the P.S. agreed to do it at his cost( a poor reason ).I had told him before the first surgery to accept the result and be satisfied as to not go down the same road I did, but I totally understood why he wanted to do it again as the result was a worse looking nose than his original. Luckily for him his nose was straigtened to an acceptable degree(still not as before original surgery)but much better and the hump was brought down a little more. As far as the tip of his nose ,it was never refined in the least ,but my son heading my warning is going no further. My point is find a doctor who does a lot of revision work and has got photos to show you. A doctor who won't show a portfolio is a definite NO GO. Good Luck.

     
    Old 06-13-2006, 04:55 AM   #7
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    Re: For those of you who have had rhinoplasty...

    I've had three nose surgeries with three differrent surgeons and three bad outcomes. The bridge of my nose was a bit flat (I am asian), so I needed an implant. The first surgeon put a silicone implant, and it resulted with an off centered nose (the tip of the implant pointed to one side and the end pointed to the other) and an underprofected tip. The second surgeon removed the implant and replaced it with cartillage from my ear. The result: overprojected tip, flared out nostrils (like pig noses), asymetrical bridge (one side is wider than the other) and the bridge looked as if it was parallel to my face (the end and the tip were almost at the same height); and there was a bump on one side of the nose (he told me that it was a "loose cartillage"); and my ears were uneven (one sticked out more than the other) because he took cartillage from the top of only one ear.

    I was so disgusted, and after looking of my own pictures in the past, I realized that my original nose was so much better than any of the two surgeries. So I asked a third doctor to just remove the implant and be done with it (I would not let the previous ones touch my nose again). When I woke up from the procedure, he told me that he had to put "medpore" implant in because the second surgeon had removed bone from the bridge of my nose to put the cartillage on, so if he didn't do that, I would have had "no nose". And he assured me that "medpore" implant is better than silicone because it's softer and has pores so that the scar tissues would fill in the pores and help stabilize the implant. There's some truth to that (I read articles on medpores).

    the currrent nose looks like a triangular blob in the middle of my face, the bridge looks as if someone has tried to flatten it by smashing it, and the nostrils flared out even more than before. the only good thing is that from profile, it looks pretty nice, the nose gently curves from the area between the eyes to the tip, unlike the two previous ones.

    I am not happy with it, but the doctor said because the scar tissues had filled in the pores and looped around the implant, so he said it was very difficult to remove. If I am unhappy with the result, he would "rash" (?) it off with a surgery knife, so I should better learn to "live with it".

    I went to a fourth doctor this week. He didn't think removing it would be a problem, and he promised to do some revision. So I am concerned whether or not he understood the problem of medpores. I asked him if he had removed medpore implant before, he said he did, but I had a feeling he wasn't truthful (I looked in his eyes when he gave me the answer). I am still nervous though I have scheduled for a surgery next month with him (moronic me?). He seems experienced as a rhinoplasty revision physician (or so his website says), and he quoted the price more than twice any of my previous surgeons did (13K as opposed to 5K). But higher price doesn't mean better result, right?

    I waited from four to six years for each of the procedures, so we are talking 15 years of bad noses here.

    I sometimes wish I had never started it.

    Last edited by isme; 06-13-2006 at 05:04 AM.

     
    Old 07-13-2007, 10:57 AM   #8
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    Re: For those of you who have had rhinoplasty...

    Quote:
    Originally Posted by DanCrandy View Post
    I had rhinoplasty done in NYC in 1988 to remove a bump in my nose, which I was happy with.

    After about 10 years, one of my nostrils started to partially collapse.

    I went to a surgeon in Huntington NY to correct the problem.
    I financed the surgery and I'm still paying for it.

    I asked for a "before and after" portfolio, and the consultatant said they don't show them to potential plastic surgery candidates.

    That made me feel a little unconfortable, however, I proceded to have the surgery, being that the doctor was reccommended by a family member who "heard good things about the doctor".
    I asked the doctor to correct my nostril and shorten my nose a little more.

    The nostril was corrected, however, It didn't look like my nose was shortened at all.

    I went back to the same doctor after about a year, and under local anesthisia, he attempted to shorten my nose. During the surgery, he was interupted several times by the staff
    and left me alone each time. There appeared to be a problem with an irate patient in the waiting room.
    It seems he rushed the procedure, and there was some pain.
    My nose looked shortened, but out of proportion.
    Well, after a few months, I also noticed that my nose was crooked.
    I went back to the doctor to discuss this with him and he acknowledged that it was crooked, but not that noticable.

    after about another 6 months, I noticed that the tip cartillage is visible like a ball tip (visible tip cartilidge).

    Now I am going to go to a very well known surgeon in CA for a consultation.
    This doctor in CA has a HUGE before and after portfolio with very impressive
    outcomes.
    That's what I should of looked for in the first place.

    I would not go to any surgeon that does not have before and after photos to show the potential patients.

    Keep in mind that every revision will produce scarring, which will make any more revisions more difficult.

    DC
    Did you have revision surgery in CA. Are you pleased with the outcome? And who is the Dr. in CA? I am considering rhinoplasty revision and any input would be much appreciated. Thanks!

     
    Old 07-13-2007, 11:19 AM   #9
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    Re: For those of you who have had rhinoplasty...

    I just had a primary rhinoplasty with Raymond Konior in Chicago, and I am very pleased with outcome. However, for revision, I heard that Mr. Toriumi in Chicago is the absolute best, when I was researching doctors, I heard the most positive things only, and when I called to schedule a consultation, he was booked half a year ahead - I've never heard that before!!! So maybe he is worth the travel.

     
    Old 07-18-2007, 09:05 AM   #10
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    Re: For those of you who have had rhinoplasty...

    Hi,
    I had rhinoplasty in 1983, ( I was 18 ) and was quite satisfied with the outcome. Over the years, the shape of my nose changed and became very ugly, so in 2005 ( 22 years later! ) I had a revison with cartilage implant from my ear. The result was 90% ok, but last year my surgeon decided to cover the bridge with synthetic tissue because my skin is thin, and indeed this gave me an even better look.
    Good luck to all revision candidates,
    Madeleine

     
    Old 07-18-2007, 09:13 AM   #11
    kotitka
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    Re: For those of you who have had rhinoplasty...

    Oh, I have debated whether to have surgery or not, because I heard stories that nose can change shape and deform over time...I was very hesitant.
    But, I have a so much better breathing, it's worth it (I had a badly deviated septum since my nose had been broken at birth), plus, considering the possible consequences, I asked to have a minimum of changes, like, just to smooth out the bump, not reduce the nose or anthing like that. I don't have the pretty tiny doll-like nose I kinda always admire in models, but it's appropriate for my face, breathes nicely and improved my self-esteem so much!

     
    Old 07-20-2007, 08:01 PM   #12
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    Re: For those of you who have had rhinoplasty...

    I have posted before several times about my rhinoplasty and I happened to be looking at the board because I am having my eyes done soon when I saw the rhinoplasty posts. First of all, it is very very common to have revision rhinoplasty. It is by far the most common cosmetic surgery to have revised. I had two surgeries with Dr. Tobias (NJ) which did not achieve good results. I gave him one chance to fix it and then I went to Dr. Toriumi (Chicago) which I am finally happy with. My nose now looks the way that I thought it should after the first surgery. It isn't absolutely perfect but no one would ever know I had a nose job or think I needed one. So that seems very good. I did have to have cartilage taken from one ear on my most recent surgery and my ears still look the same as before. I would be worried if that wasn't the case. I would definitely recommend Dr. Toriumi if you want revision. I know the wait is long and he is expensive, but it is still cheaper and faster than another revision!!! After several surgeries, it becomes more and more difficult to fix a nose so you really must carefully consider the outcome!

     
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