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Old 03-16-2010, 06:09 PM   #11
 
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before:

after:


How long will the swelling last for? My surgeon said it should resolve in no more than a year. He said it's only about 6-7% swollen at this point, I can't imagine with that little swelling there would be any significant changes that I can look forward to in the future.


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Old 03-16-2010, 06:12 PM   #12
 
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Default open rhinoplasty

And to the above question, yes, it was an open rhinoplasty.

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Old 03-16-2010, 06:37 PM   #13
 
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Significant improvement post op can definitely be seen in the profile shot , however the projection of your nose is still signficant. That would be a major concern for me, personally. At approximately 1 year major swelling should be gone. The thing is a lot of times it takes up to 2 years for your nose to "settle". Total recovery will also depend on the exact type of surgery or surgeries you have had. What type of change are you looking for? I can understand your concerns, and I take them quite seriously. Like I asked you before, have you spoken and/or visited your surgeon?

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Old 03-16-2010, 06:50 PM   #14
 
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Thanks for your reply. I actually don't really mind the projection of my nose. I know it's technically considered not to be ideal but I kind of like it. What specifically bothers me is that the tip lacks definition; it looks overly round in the front photos and I think the size is too big compared to the thinness of the bridge. Do you agree with these observation? Also, do you think these two issues (roundness, size) would diminish with time, or am I at an end point? I also believe that there is minor asymmetry in the frontal view. Like I said, my surgeon said that there was about 6-7% residual swelling and to wait a year before considering revision. But I don't believe 6-7% swelling, whenever it resolves, could significantly contribute to any visible changes in the nose, although I know I could be very wrong.

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Old 03-16-2010, 07:23 PM   #15
 
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I must tell you, you have a very angelic, almost modelesque appearance in your after profile shot. I am not trying to quell your issues with a compliment, I just had to tell you that. I am a medical professional times two, but image has a lot to do with my profession.

Now, back on topic, I am glad the projection does not bother you. Angularly speaking, the degree of projection is obtuse, and you said YOU are OK with it, which is all that matters.

I would wait until 13-15 months to really make any judgement, minimally. You also have to wait for your nose to settle, as I stated in an earlier post. Yes, I agree the tip looks bulbous in comparison to the pencil thin bridge. I do not know how your surgeon arrived at the "swelling percentage", because it looks like more than 6-7% to me from the photos. I must say again, there is marked improvement when viewing the before and after profile pics with a trained eye.

Wait it out for another 3-5 months and see how things are. Do you have any more followup appointments with your surgeon in the near future? If there's any uncertainty or dissatisfaction on your part, I would hope so.

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Old 03-16-2010, 07:23 PM   #16
 
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Quick question ... do you feel comfortable expressing yourself to your surgeon? Do you trust him or her? Feel like you are and/or have been in good hands?

There is an important reason why i am asking you these ?s ...

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Old 03-16-2010, 07:52 PM   #17
 
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Thanks again for your reply, you've been very helpful. And thanks for the compliment
I have asked my surgeon if the tip will get smaller, and he says that it may. My plan was to listen to his suggestion to wait 1 year (which will be at the end of May) to consult with him again about it. I may wait until the end of the summer (15 months like you said) just to be sure that my dissatisfaction is not due to swelling. I do feel comfortable with him, yes. I feel disappointed that my tip looks so bulbous because that was the MAIN concern I had going in to the surgery. All of the photos on his website show very refined tips post-op, so I can only hope that this is just swelling for me. How is it that you can tell that the tip is swollen, and not just bulbous because of the underlying structure? Just curious.

You mentioned my profile, may I ask you if you think submalar implants / lower blepharoplasty and a chin implant would improve the flatness I have in the mid face / receding appearance of my chin? I was also thinking of consulting him about these two issues if/ when I go to consult with him about tip revision.

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Old 03-16-2010, 08:12 PM   #18
 
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I do not forsee the tip getting THAT much smaller, but wait it out. ~15 mos should be sufficient and reasonable.

Your chin is the only procedure I would consider (just my opinion). And if you did you get one it should be small, as to not disparage your soft and flowing visage. You do not need eye work or cheek work. A cheek implant would ruin the fluidity of your face/features. If you do not mind me asking your age? You look very young, and you are asking about many procedures.

Also, if you are unhappy with the outcome of the nose, logic would tell you to find another surgeon. Have you thought about this?

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Old 03-16-2010, 08:26 PM   #19
 
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I'm 21, going on 22. Here is a picture with better lighting. I think you can see the eyebag/ flatness better:



The reason I would go back to the same surgeon is because I he knows what he did during the surgery, so it might be easier to correct in that sense. Also, the reason I chose him in the first place is that I really liked the appearance of the tips in all of his after photos, so I think his aesthetic is similar to what I am looking for. It may be that he underestimated the reduction that would be needed? I'm not really sure. If you would like I can PM you the surgeon's website, if you would like to see what I am talking about. I would appreciate knowing what you think about his post-op rhinos.

I agree, a small chin implant would be the best way to go, nothing too drastic.

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Old 03-17-2010, 07:57 AM   #20
 
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As I said, I'm definitely no expert in these matters. I can just offer one person's opinion. As I understand it, you're asking about further revision to the tip, and chin implants.

First off, I think the overall results here are superb. From the front view, I have to say again, I see nothing that it would even occur to me to change. As to the profile, I agree with robyne that the after picture is quite striking. I do see what you mean about reducing the tip, but only because you raise it as a concern. That is to say, I only know what to look for because you point it out.

Swelling-wise, I imagine every person is different. I remember having minimal swelling, and pretty much figuring after a month or so that "what you see is what you get." I'm guessing that, if you're dissatisfied now, you'll still be dissatisfied later. As has been suggested, however, I'd certainly let the healing run its course, whatever the actual swelling percentage may be.

Chin implants, I can see why you would consider it, though I wouldn't consider it crucial. I always balked at suggestions of toting silicone beneath my lip. I've heard of inserting human tissue (again, I'm no expert), which sounds marginally less intrusive. I'm happiest with my current planned solution of actually adjusting the bone in the chin; it sounds the most "natural." But that's a big undertaking (and for me will be incidental to jaw surgery). And again, it comes back to personal taste.

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