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Sarah,

Good point - attaching some (cropped) photos here. On the top row are my current nose at rest, current nose while smiling, and morphed nose while smiling, in that order. Bottom row is current nose at rest, followed by my morph on the right.

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I'd prefer not to share the names of my first 2 doctors, mainly because I don't think they're all around bad doctors - I think they probably do great body work. Just not good for noses!

I must say though - I've never seen either of their names mentioned on any of these boards for any face work. Or really ever mentioned here at all. Neither of these guys specialize in facial work (stupid me). Nonetheless...if anyone is thinking about getting their noses done with doctors from the south that aren't really well known and especially aren't known for their rhino work (which I wouldn't recommend anyway, haha), PM me who you're thinking of and I'll let you know if it's one of prior guys...

sabar28 attached the following image(s):

I agree with Sarah. Perfect is the enemy of good enough, and your nose looks quite nice as it is. I wouldn't touch it.

-Jon

i can't really tell the difference in the profile between the actual and the morph - it's that subtle.

from the front, I'm going to go out on a limb here relative to the prior comments and say that although it doesn't look bad, it does look a little pinched around the tip and narrow overall... which is in line with your comments. I'd be really careful though, about the "waviness" part - noses are rarely perfectly straight and that's not what jumps out at me... what I see is those deep alar creases, and weak/small ala. I don't even think your tip is bulbous - I think the alar creases are making it look that way. So the good news is, in the hands of a good revisionist, just correcting those creases/the tip/the ala is a much less risky exercise than redoing the entire shaft.

Thanks for the kind words and thoughts...wanted to add a few clarifying points about my situation, as I now realize my first entry didn't make it too clear.

Overall, my nose is actually fairly good. I think overall the shape and size of my nose are pretty well suited to my face - which y'all have picked up on :) Chris you really hit it on the head with your description - not a mess but not fluid. My main complaint would be the contour issues around the tip - tip's this weird ball shape especially on one side, captured better with this photo I'm uploading now (DO NOT COPY), and doesn't look natural. Asymmetry is more noticeable in these 3/4 pictures, as is indented scar. My nose also bellows in and out with I breathe (I can't breathe through my nose with exertion), and I get constant mucus crusting inside my nose that I have to clean out several times a day - gross.

In terms of what I'd hope to get out of surgery - I listed a lot of small things that are 'nice to haves' - but what I'm really hoping for are - more natural looking tip / creases around it (contour to match my left / better side would be enough), some improvement to middle region symmetry (50% improvement would be enough), any reduction to my indented scar, and some improvement to my nasal function (hopefully no more mucus problems / slightly better breathing.) If I could see that level of improvement - though it wouldn't make my nose perfect, I'd be completely satisfied and call it a day. Curious to know if you guys think this is a reasonable expectation - we are our own worst critics and maybe some of you guys are onto something when you say it may not be worth the risk of surgery? Things like the profile enhancements are nice but by themselves definitely aren't worth doing surgery over, and if my profile wasn't successfully changed at all, and the tip was the same size, and the nose was still a little crooked - I'd be totally okay with that. As an FYI I've lived with this current nose for years - and have noticed the contour to worsen over time and am just worried that it'll just look progressively worse, especially as I'm still pretty young.

Menick (who seems like a guy who's not a chronic overpromiser) seemed pretty confident in being able to deliver a 'very good improvement' - and I'm hoping to hear the same from Guyuron. Based on these additional pictures and my expectations...going back to my original question, do you think these are the appropriate type of doctors to address my problems (sounds like I've gotten a vote of confidence on Guyuron :D), and is there anyone else you'd recommend I speak with about this kind of more 'finesse' work?

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sabar28 attached the following image(s):

Sabar- you are really lucky that your revision didn't turn out badly, especially since you went to someone who isn't a revision specialist. I agree with the others that your nose isn't in desperate need of a revision, but also agree with Chris K and Sarah W that Guyuron is your man.

My bet is that Guyuron will recommend an alar spreader graft.

Hey Sabar- glad you spoke with G in person and liked him. It has been so long since I have thought about a revision that I forgot about the crural strut grafts. Those will work great on a nose like yours. I have had them for 13 years and they have held up well.

I would feel perfectly safe allowing him tomdo a revision otoplasty, as well. It is much simpler than rhinoplasty and he works with ear cartilage all of the time with his revisions on noses. It really is the perfect time to get your ears fixed if he is going to be using your ear cartilage for the revision. My doctor (Gunter) gave me a free otoplasty when he used my ear cartilage for my revision. Maybe Guyuron will cut you a break on the otoplasty cost if he is using your ear for the grafts?

Otoplasty is not really a complex op in the sense you have to go searching around for 'specialists'. A good PS can do one. I had one under lidocaine; left ear was sticking out more than right so I had it pinned back more. Was awake the whole time.

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NOTICE:

I'm having COMPUTER PROBLEMS and can hardly get on the internet or get to my e-mail. It's taken me like 6 hours just today to try to post this message. So, no e-mails or PMs to me until I can remove this message. I have no idea what the problem is. It started with Google Chrome not loading any pages for me. TT helped to uninstall but ran out of time and it would not re-install. CAn't explain the computer problem other than to say I'ts hard for me to access the net or my site.

MissJ - you are far braver than I; I don't think I could ever do any operation while fully conscious :D
Mike - did you find that the alar struts improved your breathing as well? Also, Mike, when you were researching revision docs back in the day...how did you narrow down which surgeons were best suited for your type of issue?

I just visited an ENT who confirmed my nasal collapse (at exertion) but said that surgery to correct these breathing problems is no guarantee and that he usually recommends people to leave it as is. He also said that if I were really looking to get something done I should go to...drumroll...the T. That's certainly not happening - asides from the mixed reviews on him, I think his general aesthetic and price range would make the surgery not worth it for me. He wasn't familiar with the plastic surgeons I've consulted with, but that's no surprise, as he's not in the PS field himself at all.

I'm even starting to have second thoughts as to whether or not I should have something done at all...I'm kind of terrified that if I go in for something, it'll end up worse (I'd even be okay if it came out the same - kind of like a 'hey I tried.'), and particularly that it'll end up too big for my face. I guess these are good questions to ask in my follow-up consult with Dr. G in a week or so. I don't want to trade in 'okay' for 'worse.'...but at the same time would hate to wonder 'what if' my whole life. I know no one else can answer whether or not I should get this done except myself - but for others in a similar situation...how did you know when to pull the trigger?

I wonder if fillers can correct the nasal collapse on exertion as I have the same problem myself? Not enough air getting through my nose so I have to mouth breath all the time which has its own problems.