patient27

Do you know what was involved in the surgery in re positioning the bones/your chin? How long did it take till you could chew or speak without pain again?

 

I should have asked--did you need your jaw wired shut after the reduction?

Did you get a zygomatic cheekbone reduction as well?

 

Can you talk a little bit about it?

-Who did you go to?

- How much did it cost?

- What was done? Did you need to wear braces or get your jaw wired shut? If you had a nose job in the past, did you nose, breathing or pain change? Did your skin droop?

I am not really interested in going to Korea at this time.

I'm confused because jaw surgery actually resetting bone has risks that are well established for widening the nose, changing teeth, etc. and requires straightening teeth first, but a jaw reduction seems to be something different (with its own risks). It's not done often enough in the U.S. for there to be many patient reviews of it.

 

So did using a "tourism agency" help? How much was jaw surgery? Did you need to wear braces at any point?

It looks like it went well.

 

Edmund Kwak has the worst reviews for rib cartilage rhinoplasty I've ever read when speaking to patients on Realself, and Thomas Le has the best. http://www.realself.com/review/baltimore-md-revision-rhinoplasty-revision-rib-grafts

I think Steven Pearlman is an expert too but I have only read of him using rib to make the nose more functional....not prettier.

 

I've read good reviews and bad reviews in that long Asian rhino thread and his reviews on Yelp are AWFUL. I hate to say it but I really want an American doctor, but no American doctor will put goretex in me AND reconstruct my valves.

 

Hi. What did he do for you? Did he use Goretex?

 

I need to talk to someone. I'm going crazy.


I was a stupid idiot and let someone take out an important implant. I was also injured. I'm ruined. I can't breath through my nose. It's twisted to the left and all the skin is in my valves.

 

I had an implant in my tip that was literally holding up the sides of my nose. It moved and I think my own nasal cartilages were moved with it, plus my septum.

I'm scared, it's basically like my nose is broken, with bone. Tissue broke.

I am okay with Medpor or Gortex but am scared about Gortex moving.

I read one good review on Realself. Anyone know more about him?

 

It depends on if you have your columnellar strut (I can see my scar now because the strut is pressing against the skin...so awful) and if your surgeon is skilled and gives you a good anti scar gel.

I can see it but people have to really look.

 

I'm so sorry.

Listen, we can't help you if we don't know what your surgeon did. Did he break bones? Is there anything in your nasal tip? Is there silicone in there? Ear cartilage?

Is the nose hot?

Are you on antibiotics? Where did you get the surgery done? That could be redness because of swelling or where the nasal tip cartilages were changed.

Find a surgeon to do a revision and replace the implant with silastic. You don't have to take out the ear cartilage but you need to treat what might be an infection.

I have no implant in my nose but I notice my swelling is worse at night.

You really need your operative notes.

 

Are you the person I see in your avatar?

Please--do not get rhino. You're so gorgeous.

If someone screws up, it's so, so not worth it. You will regret it the rest of your life. I had a horrible nose before, and because I went to morons, I regret it unless you get something very conservative. If you get it wrong, each time you go back and have to test your nasal structure, skin and bone again you lose ground. It's especially bad if you need stuff added IN to your nose.

Plus often "tip refining" involves things that can go wrong like surgeons rotating the nasal cartilages to shorten the nose's overall length and elevating the tip/columella show without telling you.

Do your research on techniques used for your problem, but seriously...I'm planning on a fourth rhinoplasty with an implant and mostly just wish I had gotten it right with my primary. (I had filler put in my nose for a bridge.)

I would not touch that nose until you 50 and it's sagging due to age or something. You nose looks perfect. It already fits your face.

 

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Hi.

What Dr. Kim in Brooklyn? Tae Ho Kim?

Did you have plastic surgery with Tae Ho Kim or another doctor? I'm interested in a revision.

 

"For those the kind people who have had surgery and are still around this forum to help out us noobies, please, if you could share your overall feeling about your results? Are you happy that you did it? Did it go as you expected or were there surprises? If you could do it again would you do it again the same way, or is there anything that you would change/ do differently?"

Life changing because I was stupid and didn't realize you can have a great outcome if you are informed, but so many things can go wrong. In my case--starting with the first so so surgery at 18--they did. People take it for granted all the details and with each revision you have to explain more or find a better person to listen to you.

I currently have an excruciatingly painfully twisted nose due to injury and the surgeon I went to took out the implant holding me together (it never needed to come out, just be reset, and I was too lazy to tell my surgeon this, so he shoved cartilage in me crooked) without looking at the nose to make sure it was straight. He didn't listen to me.

That's a big thing--a lot of them don't. They can make things worse through neglect.

My life is over and I wish I had never gone to a Korean surgeon in the U.S. No offense to people here.

 

Me too.

It makes me feel hopeless, especially considering so many surgeons, even well reviewed ones, are butchers. They don't steal your money--they steal your health, body and pain too.

 

You're so pretty. Macprincessx

Are you having trouble breathing? Most people don't see it.

Here's the thing--I had my septum used for rhinoplasty and apart from the rhinoplasty being awful, for a month after having my septum shifted, I thought I was going to die.

If you are breathing well--e.g., your nostrils collapse when you inhale and you can get a good breath--I would not touch that beautiful nose.

If you do please go to a well-reviewed ENT/surgeon just for a consult to look in your nose,feel all around (including the bridge--I have valve collapse, I wish my last surgeon had for me), ask about nasal drip, if you breath well while sleeping, make him feel the bones, and make him watch you breath. Do a lot of research on what patients have to go through and what can go wrong first.

ETA: Please, PLEASE look at all reviews--including negative ones--before you go into surgery when you do consults.

I would research first, go to consults with your issues on a pad, write down surgeon answers, and then get a good look at the techniques/grafts they suggest using. If you are a primary patient, you have a BARELY-deviated nose. Ask the surgeon to straighten you nose along your septal midline, but make him watch you breath first so he doesn't go too far.

(Seriously--I had a straight septum, a butcher surgeon messed me up.) Please check if you have a deviated septum or deviated nose.

I say this....if I had a face and nose like yours, I would not let a surgeon touch me. You are beautiful and it isn't worth what can go wrong.

 

Find a skilled surgeon that can meet your goals. Mine are to: debulk my skin, rotate my droopy tip a little, and elevate/support that tip 1-3 mm. But I am a revision patient.

I think you need to read every single review you can, get everything that can be done to you IN WRITING (cartilage graft types use and placement, scar tissue removal, implant type insertion--you want to know it all, step by step...I let some butcher really mess up my nose cuz I didn't ask) before open rhino. Don't go to some quack that will keep you open 4 hours and shove in a rib graft.

 

When I had a much better surgeon and used an implant strut, it healed. Now, with septal shield graft, no.

Try NewGel plus E or Avene's Cicalfate (helped me a lot) on the scar. It has nothing to do with being happy. Good luck.

 

I don't think you can do fat graft for the nose instead of fillers. If you have a skinny nose...be careful with fillers in nonsurgical procedure, it can mess up you nose.

 

I can't post a thread, but I have to post a warning--DR EDMUND KWAN IS A BUTCHER.

I spent three consults with him, he promised to debulk my deviated nose, remove a crooked implant.

All he did was remove the implant, chop up my septum. He didn't even remove the scar tissue in the sides of the tip, and he SEWED ME UP DEVIATED. I was screaming from the surgery table to make the sides symmetrical, I kept trying to show him in the five minutes he spent with me before surgery.


This was my third rhinoplasty.

He doesn't just lack bedside manner. In the three or four times he saw me, he never ****ing seemed to remember me and the fact that he didn't debulk even the lower scar tissue....what the hell?

Dr. Kwan is a lazy unprofessional that sewed me up deviated, didn't do a tenth of what a normal revision surgeon would, and literally and does as little work as possible--meaning, unless you remind him, he'll move an implant without even removing the scar tissue. He doesn't look at the whole nose, even during surgery.

DON'T USE HIM.

I feel so, so stupid because he also cut up my septum when I didn't need it resected.

I should have used Dr. Richard Weistrich or someone. Don't use Kwan.

I don't know what I'm going to do, I'm worried he won't revise me.

 

Hi. I'm looking for advice on medpor implant removal (placed in septum to "uplift" tip). I have thick skin, had a medpor implant in my tip and the nose looked great till I hurt myself. Now it's the old nose plus a big tube of scar tissue due to the injury changing shape/causing prolonged swelling.

Did anyone here have a similar experience--medpor implant removal, replacement, and an attractive, feminine outcome after open rhino?

I am looking at Dr. Edmund Kwan based on great Real Self reviews, Thomas Romo, Anthony Sclafani and Stephen Pearlman, but there some HORRIBLE reviews of all these doctors, or worse--no reviews at all.