|
|
Rank: Newbie
Groups: Member
, Private Contributor to Miss J's message board
Joined: 1/26/2012
Posts: 10
Points: 30
|
Sarah,
I believe I've read that fillers won't help with functional problems, as they don't add any underlying strength to the nose...but I'm no expert. Maybe you could try emailing some docs that frequently use fillers?
|
|
Rank: Advanced Member
Groups: Member
Joined: 6/4/2008
Posts: 6,566
Points: 19,579
|
Thanks. I have tried fillers in the nasal base area and it helps quite a bit but never had fillers in the actual nares. I am a bit scared of that.
|
|
Rank: Advanced Member
Groups: Editor
Joined: 7/11/2008
Posts: 6,176
Points: 14,606
|
i like G grafting technique. with my surgery with him my breathing got really improved , besides rearranging all the grafts he also trimmed the turbinates slightly ( that really helped to open up my airway.)
|
|
Rank: Newbie
Groups: Member
, Private Contributor to Miss J's message board
Joined: 1/26/2012
Posts: 10
Points: 30
|
Kk25 - I've gathered through your post here and previous ones that you had a quite lovely revision done by Dr. G. :) Would you mind if I PM you with a few questions (or I'm happy to also post them here if you're more comfortable with that / would like the information to be available for others also currently considering Dr G)? Many thanks in advance!
|
|
Rank: Newbie
Groups: Member
, Private Contributor to Miss J's message board
Joined: 2/21/2011
Posts: 61
Points: 183
|
Sarah W wrote:Thanks. I have tried fillers in the nasal base area and it helps quite a bit but never had fillers in the actual nares. I am a bit scared of that. Sarah , When you had fillers in the base was it to the center of the base, the outer edges of the base, or all the way across the base. What kind of filler did you use and how long did it last? I'm thinking that would be a pretty painful area to be stuck with a needle.
|
|
Rank: Advanced Member
Groups: Member
Joined: 6/4/2008
Posts: 6,566
Points: 19,579
|
I think it was all the way across, under( as in between the nose and skull) the nostril area. It opened up my nostrils which are long and narrow and weak and made them rounder. It was fantastic as I could breathe normally and yes, really painful. One time I had it without local anesthesia and tears were pouring down my face with the pain. But the pain only lasts a short time.
I had Restylane Sub Q the first time, then another HA whose name escapes me and Modalis the other times. They are all Hyaluronic acids
The sub Q and other HA lasted a very short time as in a few weeks. The Modalis lasted a few months.HTH
|
|
Rank: Newbie
Groups: Member
, Private Contributor to Miss J's message board
Joined: 2/21/2011
Posts: 61
Points: 183
|
I've never heard of Modalis. Can't find any info on it.
|
|
Rank: Advanced Member
Groups: Member
Joined: 6/4/2008
Posts: 6,566
Points: 19,579
|
Modalis is a new(ish) HA used for areas requiring volume. It is supposed to last up to 2 years. I had some last May and most of it is still there, so 9 months is pretty good for me as everything else lasts weeks only.
It is available in NZ Australia and Canada. Not sure about the US. It is placed using a cannula not needle
|
|
Rank: Newbie
Groups: Member
, Private Contributor to Miss J's message board
Joined: 2/24/2012
Posts: 12
Points: 36
|
Hi there,
Another newbie here and still learning how to navigate through the forum... :)
A quick introduction - I had a rhinoplasty over 2 years ago which turned out to be pretty unsuccessful. I tried to make myself not pay much attention to it and move on but unfortunately kept seeing my nose change over time more and more and not for the better. Finally I decided to consult other surgeons in search of some answers as the whole thing has been extremely upsetting and stressful. One of the local PSs I consulted referred me to Dr. Guyuron, saying that considering my extremely thin skin and the issues I need fixed, I should forget consulting any NY/NJ area surgeons and go see Dr. Guyuron. That pretty much kickstarted my quest for a revision. I have since seen Dr. Mennick (and wrote him off), Dr. Le (still waiting for morphs/quote) and of course Dr. Guyuron. Here are some of my main issues:
-overcorrection/overressection on the left side (dorsum)
-sharp (side view) and overall "done" looking tip due to visible asymmetrical shield graft
-the entire tip seems to be slightly curving to the left
-impaired breathing on the right side pretty much since day 1 after the primary
-breathing on both sides has worsened over time due to nasal vaults not working properly (Dr. Guyuron's words)
-extremely thin skin
That is pretty much my story and where I am right now in a nut shell. At this point I feel the most confindence in Dr. Guyuron although still have some doubts/hesitation. I have had a facetime conversation with him to go over the drawings and my CT scan. Frankly it left me a bit more confused :(
I have been trying to find some B&As of Dr. Guyuron's patients' with similar issues to mine but haven't had much success. I feel stuck and am just not sure if I should keep consulting more surgeons, I read some good things about Frankel in CA, or stick with Dr. Guyuron and just keep asking for explanation/clarification until I'm confident we are on the same page. I guess I'm looking for any word of advice and for somewhat of a support system as it's become harder and harder to talk to anyone close about this whole thing..not that I blame them.
Thanks everyone for "listening" and any thoughts are welcome ;)
|
|
Rank: Newbie
Groups: Member
, Private Contributor to Miss J's message board
Joined: 9/29/2010
Posts: 90
Points: 270
|
Hey Jerseygirl -
I had a friend who had issues with thin skin. She ended up going with Dr. Sivad in FL (name is spelled backwards) for a revision and AFAIK is very happy with the results. You may want to consider checking him out.
Can I ask why you wrote off Dr. Menick?
-Jon
|
|
Rank: Advanced Member
Groups: Editor
Joined: 7/11/2008
Posts: 6,176
Points: 14,606
|
sabar28 wrote:Kk25 - I've gathered through your post here and previous ones that you had a quite lovely revision done by Dr. G. :) Would you mind if I PM you with a few questions (or I'm happy to also post them here if you're more comfortable with that / would like the information to be available for others also currently considering Dr G)? Many thanks in advance! Sabar, I feel like my case is very different from most people due to starting point, with G I had augmentation rhino, added maybe 1/5 inch projection to the nose, softened up tip slightly,raised the bridge, also had turbinates reduced.
|
|
Rank: Newbie
Groups: Member
, Private Contributor to Miss J's message board
Joined: 2/24/2012
Posts: 12
Points: 36
|
Hey Jon,
I know it may sound silly but I just didn't get the feeling that he is the guy for me when I saw Dr. Mennick. The things that bother me about my nose (aesthetically) the most all have to do with asymmetry and overall overdone look, particularly the tip. Dr. Mennick did see those all those things but they didn't
bother him enough to want to fix them. He didn't think it would be worth the hassle and risk to touch the tip and if he were to do my revision he would just add an ear cartilage graft to the left side to even out the asymmetry along the dorsum. As far as my breathing, he didn't think it would get better unless he did an entire reconstruction with rib (taking the whole thing apart and putting it back together) and definitely didn't think I should do that. He wasn't interested in seeing any of my before photos and was very quick with me overall. I could be completely wrong but I kind of got the feeling he just wasn't very interested in my case. He said: "Look, you are a pretty girl and noone is going to refuse taking you out to dinner because of an uneven nose" ;) kind of a goofy thing to say to someone who just travelled across the country in search of hope..but I don't hold it against him. I do believe he is one of the most skilled surgeons in the world and damn near God when it comes to creating a whole new nose, I just think some people are more detail-oriented then others, and I certainly am myself so this time I am looking for a match. And meeting Dr. Guyuron only reinforced that. His attention to detail and symmetry was very comforting to me :) There are just some things that I am not 100% sure of...he wants to straighten my right bone which I'm afraid might make the nose look too thin and trim the right turbinate. I'm also quite not looking forward to the whole ear thing, fascia and possibly rib if he needs it as my PS used all of my septal cartilage to create all the grafts he stuffed it with.
As for Dr. Sivad, I considered consulting him until I met with Dr. Le and saw some photos of Dr. Sivad's patients that came to him looking for a revision. I do greatly appreciate the recommendation though. I read some good things about Frankel in CA but can only imagine his prices since he is supposed to be doing a lot of work for the elite.
|
|
Rank: Newbie
Groups: Member
, Private Contributor to Miss J's message board
Joined: 2/24/2012
Posts: 12
Points: 36
|
Hey kk25,
May I ask you if Dr. G used ear cartilage or rib to augment/raise bridge and increase projection? Thank you.
|
|
Rank: Advanced Member
Groups: Editor
Joined: 7/11/2008
Posts: 6,176
Points: 14,606
|
jerseygirl wrote:Hey kk25,
May I ask you if Dr. G used ear cartilage or rib to augment/raise bridge and increase projection? Thank you.
Jersey girl,he used what i had in the nose (rib)
|
|
Rank: Newbie
Groups: Member
, Private Contributor to Miss J's message board
Joined: 9/29/2010
Posts: 90
Points: 270
|
Thanks for the info on Dr. Menick. I know others have had similar experiences. Sounds like serious reconstructive work is really his forté. jerseygirl wrote:Hey Jon,
As for Dr. Sivad, I considered consulting him until I met with Dr. Le and saw some photos of Dr. Sivad's patients that came to him looking for a revision. I do greatly appreciate the recommendation though. I read some good things about Frankel in CA but can only imagine his prices since he is supposed to be doing a lot of work for the elite. As far as Dr. Sivad goes - that's interesting. I believe Dr. Le trained under Dr. Sivad, so it seems strange that Le would be performing revisions on Dr. Sivad's patients. I consulted with both Le and Sivad and think I would have chosen Sivad between those two. Regarding Dr. Frankel - his price quote for me was a little under $20K. On a 1-5 scale of complexity, my nose rated a 4; all revisions are either a 3, 4, or 5. The consultation costs somewhere around $200 IIRC. Hope that helps. -Jon
|
|
Rank: Advanced Member
Groups: Member
Joined: 1/20/2009
Posts: 494
Points: 1,500
|
Jerseygirl, There was a girl on Look your best who was very happy with Frankel and as I remember he didn't charge that much.Maybe check with his office.Here's a link to her post on her revision: http://tinyurl.com/7gfg9jw
|
|
Rank: Newbie
Groups: Member
, Private Contributor to Miss J's message board
Joined: 2/24/2012
Posts: 12
Points: 36
|
Thank you so much everyone!
Thanks Kk25, I'm curious whether dr. G proposed the augment for you or did you specifically ask for it? I feel like I could use some build up but he seems to think that “my face won’t tolerate it” since it would look less feminine and he definitely seems to like a more feminine nose on a female. I personally do like a slightly stronger nose (which is what I had) which is why I didn’t want such an aggressive job in the first place but I’m wondering if I should listen to him and go for the best possible result with the least involved (rib, more grafts, etc..) approach.
|
|
Rank: Newbie
Groups: Member
, Private Contributor to Miss J's message board
Joined: 2/24/2012
Posts: 12
Points: 36
|
Jon,
I agree with you about Mennick…
As far as Le/Sivad you are right – he did study under him, but I think his aesthetics coupled with possibly being out of prime led to some pretty aggressive results. Le kept saying how really nice of a guy Sivad is and how much respect he would always have for him while we were looking through the photos and he must have showed at least 3 cases of Sivad’s, one of which he advised to go back to him for revision, not sure why.
Wow, $20K is quite a number ;( and the idea of having to go through all the surgery and care in CA is not that appealing. I’m sure he is worth the consult though. I think S&L are somewhere in the area as well. Read good things about them and their photos are some of the best I’ve seen. I wish they had more experience then a few years. Do you mind me asking who you went with if you did? Thank you.
|
|
Rank: Newbie
Groups: Member
, Private Contributor to Miss J's message board
Joined: 2/24/2012
Posts: 12
Points: 36
|
Hi watchthemoon,
Thank you so much for the link, I remember reading about her consults I think a little while back. It’s nice to see someone get a successful revision and put this behind her. Unfortunately I couldn’t view the photos as she changed the passwords and only allows you to view them after you PM her. I haven’t joined that board therefore not an active member so cannot pm her ;( but I looked at the photos again on Frankel’s website and they are very nice.
|
|
Rank: Newbie
Groups: Member
, Private Contributor to Miss J's message board
Joined: 9/29/2010
Posts: 90
Points: 270
|
jerseygirl wrote:Jon,
Do you mind me asking who you went with if you did? Thank you.
Hey Jerseygirl - I went with Drs. S & L. About one year post-op now. You can read about my experience in the thread just below this one, entitled "Revision Rhinoplasty Specialist." Hope that helps. -Jon
|
|
|
Guest |
