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Old 06-04-2011, 06:04 AM   #21
 
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So I ended up going with Sam Naficy for my revision rhino..

Reposting my review from realself here..

Simply put, from my results I think Dr Naficy is an amazing surgeon.. The entire shop is extremely well run with great attention to detail. Everybody knew what they were doing and were doing it well. I had a revision rhino and deviated septum correction surgery with Dr. Naficy after what I consider a messed up primary closed rhinoplasty with a highly regarded LA surgeon with 30 years of experience... It's 2 weeks after the surgery now and the result has already exceeded all my expectations. The columella incision healed so well in 5 days after the stitches were taken off i couldn't see anything at all. I had some concerns about that and couldn't believe it myself. The recovery was actually easier this time around, not sure why, I think the incisions were closed better. There was almost no bleeding even in the first two days. Now I'd definitely strongly advise anybody against closed surgery. There is more swelling from open surgery but it goes down in a couple weeks and on. My previous surgeon did something strange to my nose so that it appeared kind of OK on the outside but internally all the cartilages were completely asymmetric and displaced. With closed surgery they simply don't see what they are doing.. and often guess.. and just do minor adjustments rather than doing it right. My original surgeon tried to correct a bump by crushing my lateral which in the end turned out to be due to greater alar.. Trust me, you don't want minor adjustments, you want it to be done right. Also after I talked to 6 different surgeons for revision (LA and Seattle) I listened carefully to the approach they wanted to take and Dr Naficy just made the most sense. In the end he under-promised and over-delivered. Dr Naficy completely rebuilt my nose (as it was a total mess on the inside) and I can feel it's much stronger structurally now (a great thing). Very impressive. I think it also helps if you do your research and understand what you want and communicate it. Also no matter what you do, choose a surgeon who specializes in Rhino and does lots and lots of it (at least 2000 rhino surgeries under the belt).

It really appears that rhino is a very difficult thing to be good at. There are not many great rhinoplasty surgeons out there and the thing is you don't know who is good and who isn't. After my first mess up I did a lot of research and picked what was the best. You don't want anything but excellence in this case. The subject matter is such that "just good" is not good enough so I went with the best. I had some reservations with the fact that he tried to set my expectations a bit on the low side (as I was perhaps overly specific and some other surgeons were outright telling me directly what I wanted to hear) but in the end it made the most sense, you don't want someone over-promising.


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Old 06-04-2011, 10:23 PM   #22
 
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I also decided to go with Dr Naficy too and I am 10 days post op with a revision rhinoplasty (my first was open) and a septoplasty. My entire experience could not have been better. I am from out of state, so I flew out to see him for our first meeting. We did a phone pre-op. I met with him the night before surgery and the morning of. I have 3 small kids at home, so I actually flew home 3 days after my surgery (with his permission and the name of a collegue he respects in my town if I have any problems - and he did disolvable sutures for me to make it easier). So, I unfortunately did not get to meet with him for my week follow-up.

But, I am so pleased already. I am very swollen still, (embarrassingly so on the first day the cast was removed) but every day, I can see minor changes and I can see the beautiful nose it will become when it is healed. He had to take cartillage from my ear to help rebuild my nose from my first rhinoplasty (which actually was more painful than the nose surgery). He also helped smooth out some scars I had from my original surgery. He was able to address problems that other surgeons wouldn't (like my hanging columella - I was either told that it was supposed to be that way, or if they tried to fix it, I would end up with a pig nose). Dr Naficy fixed it, and it is perfect and not a pig nose at all.

I am looking forward to flying back to Seattle for my 1 year follow-up pictures because I think the comparison is going to be amazing! Seriously, if my little kids end up wanting a rhinoplasty when they get older, they are going to him! He better still be practicing (they are 6 and younger). :-)

Every single person I came into contact with was extremely nice. My recovery was way easier than the first one too (but my first was 20 years ago with nasal packing - yuck!). The day of surgery, I didn't even take a nap. I just sat in the hotel, watching TV, talking up a storm with my sister (who thought she was going to be able to finish her book because I would be too out of it).

Even at only 10 days post-op, I highly recommend Dr Naficy. I already look better and considering how swollen my tip still is, I think he is going to make me look great! I already told my husband that I predict a lot less pictures that I force him to delete (which I did all the time due to my ugly nose) and I might actually end up encouraging pictures! :-)

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Old 02-08-2012, 12:00 AM   #23
 
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Has anyone else been to Naficy since this thread was last updated? I had a consultation with him last week and am interested in more information.

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Old 02-09-2012, 02:01 PM   #24
 
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Default Seattle nasal surgery

I had surgery for a deviated septum 7 years ago, and I haven't returned to work since. I am now on disability. I was told I would be back at work in 2 weeks. Hasn't happened.

If you have a deviated septum, and you cannot breathe, then I would consider the surgery. For me I had chronic sinusitis, a sinus infection at least once a year. I actually had pain in my cheeks of my face with fatigue. I saw 20 doctors for this. I saw 5 ENTs. They are supposedly specialists in the head and neck. They never looked at my neck. I did have neck problems. They said they would remove the turbinates, and while they were in there they would fix my deviated septum. The bridge of my nose, the area behind my eyes, my lower forehead, has had throbbing pain since then. I consider this decision to be the worst I ever made in my life. Every two months after the surgery I showed up at the doctor's office complaining about the pain. He said some people take longer to heal than others. Finally after a year he did a CT scan of my sinuses and it showed that I developed scar tissue under the left eye and that a great deal of bony fragments and pus were never drained after the surgery. He should have done the CT scan within 2 months of my surgery, not waited one year. I had to then undergo a second surgery to remove the scar tissue, bony fragments and pus behind my eye.

Six years later I learned that my neck issues were probably to blame for the pain in my face. If you go see a sinus surgeon, they will recommend surgery in their own myopic view. You really need to ask yourself do you NEED this surgery? You need to make certain that you absolutely know there is no other reason you could have the problems you do.

If you are considering a nose job: I find ethnic looking noses beautiful.

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Old 02-09-2012, 02:27 PM   #25
 
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Default Seattle facial plastic surgeons review

I met with three Seattle facial plastic surgeons considering a face/chin/neck lift. Dr. Portuese was the first. I felt he had the best website of all the Seattle facial plastic surgeons. The reason I felt this way about his web site is that it was laid out well in an easy-to-read-and-find manner, he has a video of himself speaking, so you get a sense for who he is, he has good diagrams of how each surgery is done. However, when I met with him, I felt he had a laisse-faire approach to discussing my surgery, my questions, and my face-specific concerns. On at least 5 questions he minimized my concerns. This is a huge red flag for me. 235 miles away. I felt that my concerns were not addressed to my satisfaction. When I called to ask to speak to him, I was told he doesn't take phone calls from patients!!!!! How is this going to work when you are recovering, there is a problem, and you want a surgeon to answer your questions? I am tired of receptionists relaying informing (correctly or incorrectly, you never know), and then the receptionist, who has no medical training, calling you back. I did like that Dr. Portuese has so many before and after photos. I do think his patients have a natural look. Another concern about Dr. Portuese is that he recommended dermabrasion. I asked if he had a patient who would talk to me about recovery from dermabrasion. I asked his surgical assistant, also, could someone who had dermabrasion speak to me about it. They never contacted me about any patient willing to talk about dermabrasion. If this is such a successful method of removing wrinkles, why wouldn't anyone offer to talk about it? Do you think if a woman had a fantastic facial treatment, she wouldn't share it with a stranger? I couldn't find one positive review of dermabrasion on the internet. The same is true for fractal dual laser treatments for removal of wrinkles (Offered by Dr. Tim Heffernan): I couldn't find one positive review of that either.

I am 52, and look about 45-47. I then met with Dr. Phillip Young who says he is a plastic surgeon, but he really wants to promote filling your face with fat. He showed me a picture of a woman who was my age, 52, and showed me before and after. Well he is off his rocker. This woman was 52, but she looked 72. After the facial fat injections, she looked 71 & a half!!!!! I told him this. If you fill your face with fat, you will have a fatter face period. He never discussed facial plastic surgeon, and he robbed me of $175.00 for this privilege. The other surgeons are only asking for $75 for a consultation.

I then met with Dr. Morikami at Virginia Mason. His medical assistant got all of my background, and when he came into the room, he slumped into a chair a long way from me, and again, a laisse-faire approach. He never addressed me by name. He did, however, address the area that Dr. Portuese and Dr. Young minimized or didn't address at all. I had previous sinus surgery and feel like my face feels differently on one side than the other and I wondered if that would interfere with a successful face lift. He thought I should see an ophthalmologist, and I did upon his recommendation. It turns out that I have a blocked tear duct, probably a trauma suffered during my previous sinus surgery. And now I find out the tear duct needs a protracted surgery and recovery period, forget about my facelift! I have made an appt with Dr. Naficy next month.

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Old 02-09-2012, 02:31 PM   #26
 
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I like ethnic-looking noses. I don't want everyone in America to look the same. There is history that goes with your genes. Just another viewpoint.

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Old 02-10-2012, 01:28 AM   #27
 
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Quote:
Originally Posted by columbiariver View Post
I like ethnic-looking noses. I don't want everyone in America to look the same. There is history that goes with your genes. Just another viewpoint.

Hi thanks for your response-- I am caucasian and my nose isn't particularly "ethnic looking. " I met with Dr. Naficy recently and he was very helpful and seemed to understand my concerns. I don't think the closed approach is best for my nose, and that is Dr Portuese's speciality.

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Old 02-28-2012, 02:48 PM   #28
 
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Default Price of rhinoplasty?

I really admire Dr Naficy's work from his website before and after. He has an eye for beauty and subtly. I spoke to the very nice person from his office around cost and it was more than I was expecting. The cost of a primary rhinoplasty, everything included, is close to $10,000. Additional septoplasty work could bring it to $12,000 - $15,000. I had saved around $8000 so will need to take some more time to save up. Is this usual?

I'm now thinking I could look into surgeons in California instead. Would they all be around the same price? I mean, it's my face so of course I'd like an excellent surgeon. But $10,000 was higher than I expected.

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Old 03-18-2012, 07:16 AM   #29
 
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"The cost of a primary rhinoplasty, everything included, is close to $10,000. Additional septoplasty work could bring it to $12,000 - $15,000. I had saved around $8000 so will need to take some more time to save up. Is this usual?"
I also contacted his office, and I was told a primary rhinoplasty would cost me around $10,000 (I have a slightly crooked nose, nothing major) and the rest amount/for septoplasty would be billed to my insurance ($15,000!!). That brings the total cost to a whooping $25,000. I knew he was more expensive than other doctors and I was ready for that but $25,000 doesn't make any sense. I responded and asked to clarify the price, and in case we didn't understand each other I said again I wanted to have two procedures done in one day. I just didn't understand why charge me (directly and via insurance) twice for ie anesthesia/operation room etc if I want to have everything done at once? There should be some price break, right? I never heard back. I read so many good reviews about these people, I don't know what happened?

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Old 03-19-2012, 10:37 PM   #30
 
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Hi, I just wanted to let you guys know that I am having my primary with Dr. Naficy this month, it will be almost 10k. I was told that my insurance will be charged for some work concerning my nasal valve collapse but that I will not be responsible for anything it does not cover. They said I could have additional information about this-- I will probably ask for something in writing the day of surgery so that I will not be responsible for anything but the cosmetic costs. I don't really mind that my insurance will be billed since it will not affect what I will have to pay.

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