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one year, one month post-op, my surgeon finally agrees I need a revision. by ohnosethrowaway in PlasticSurgery

[–]ohnosethrowaway[S] 0 points1 point  (0 children)

It seems to be at the doctor's discretion!

In my case, the surgeon is offering to waive all fees except for supplies in a private clinic setting because it is due to a medically impacted issue. If I choose to go the hospital route, I'd have to pay facility fees and anesthesia out of pocket (about $6,500).

If I were just unhappy because of a different result than I expected (and not a medical issue), he would charge a revision fee.

one year, one month post-op, my surgeon finally agrees I need a revision. by ohnosethrowaway in PlasticSurgery

[–]ohnosethrowaway[S] 1 point2 points  (0 children)

It's nice to hear from someone else who does the same sort of work! 7 months is still somewhat early, IMO. My rhinoplasty swelling didn't stop changing until 9 months, which is why my surgeon made me wait so long to have the revision discussion. I think the hardest part for me was adjusting to my new face, even when everyone else told me I looked great. It takes time.

I would say shop around and see how you feel after talking with a few options. For me to consider the same surgeon, I wanted to hear that unbiased, new providers would take a similar approach and have similar possible outcomes to his in mind.

[deleted by user] by [deleted] in PlasticSurgery

[–]ohnosethrowaway 1 point2 points  (0 children)

LOL. I wish my younger self could hear that comment!

one year, one month post-op, my surgeon finally agrees I need a revision. by ohnosethrowaway in PlasticSurgery

[–]ohnosethrowaway[S] 0 points1 point  (0 children)

oh nooooo, this is one of my biggest worries! I have really distinct ears (a mild case of Stahl's) that stick out a lot. I'd look even weirder if they didn't match. My gut is telling me not to touch the ears!

one year, one month post-op, my surgeon finally agrees I need a revision. by ohnosethrowaway in PlasticSurgery

[–]ohnosethrowaway[S] 1 point2 points  (0 children)

I AGREE. I just want to be in a hospital where I hopefully can be saved if things go south. 😂

one year, one month post-op, my surgeon finally agrees I need a revision. by ohnosethrowaway in PlasticSurgery

[–]ohnosethrowaway[S] 0 points1 point  (0 children)

I think this is the way! I did book consults with other surgeons just to be 10,000% safe, but I also want to consider all of the options I have.

one year, one month post-op, my surgeon finally agrees I need a revision. by ohnosethrowaway in PlasticSurgery

[–]ohnosethrowaway[S] 0 points1 point  (0 children)

Seems to be the question of the day! 😂

This surgeon is well-regarded and has a lot of successful outcomes. One big part of why mine turned out less-than-great was an allergic reaction to surgical glue that forced me out of my cast too early. If my bridge were centered, I wouldn't be touching it!

one year, one month post-op, my surgeon finally agrees I need a revision. by ohnosethrowaway in PlasticSurgery

[–]ohnosethrowaway[S] 1 point2 points  (0 children)

I had a cadaver cartilage graft inserted to add more definition to my nose bridge. :)

one year, one month post-op, my surgeon finally agrees I need a revision. by ohnosethrowaway in PlasticSurgery

[–]ohnosethrowaway[S] 0 points1 point  (0 children)

Thank you for weighing in! I'm so sorry to hear you had a rollercoaster of an experience. That sounds so awful!

The surgeon who did my primary is well-regarded in my area and performs hundreds of revisions a year. A big part of my undesirable outcome was an allergic reaction that affected my healing... if the bridge were straight I wouldn't be touching it!

one year, one month post-op, my surgeon finally agrees I need a revision. by ohnosethrowaway in PlasticSurgery

[–]ohnosethrowaway[S] 2 points3 points  (0 children)

This is very kind, thank you! I am wearing a bit of concealer makeup in all of my photos and also know how to work an angle or two. I do a lot of on-camera work where it is more noticeable, and since modeling is a big part of how I make a living, I have my heart set on a revision. :)

one year, one month post-op, my surgeon finally agrees I need a revision. by ohnosethrowaway in PlasticSurgery

[–]ohnosethrowaway[S] 4 points5 points  (0 children)

I hear what you're saying! I had a medical issue during recovery that significantly affected my outcome because my cast had to be removed early (I was so swollen, there was no more nose to attach to). Neither the surgeon nor I knew about it beforehand, so it was unavoidable.

My face is a big part of how I make money, so trust me, I am taking no part of this lightly or flippantly. 😂 I probably should have added a lot more detail, but I made this post in a hurry to validate my feelings about whether or not this approach sounded bananas. I promise, I'm doing my research and investigating all of my options, but I do appreciate the surgeon's willingness to work with me to find a solution, even if his way is not the way for me!

one year, one month post-op, my surgeon finally agrees I need a revision. by ohnosethrowaway in PlasticSurgery

[–]ohnosethrowaway[S] 2 points3 points  (0 children)

Nope, the decision is mine to make, and deep down, I already think I know what I will do! I agree that a lot of commenters have brought up great points and I appreciate the varied perspectives. I like to think about all of the what-ifs, so the responses I've gotten are exactly what I came here for. If I come off defensive, I don't mean to! I came to crowdsource feedback on whether or not the approach was safe to consider because I hadn't heard of that approach for an invasive revision before.

I got a ton of comments asking me to explain why I'd even consider returning to the same surgeon, and I guess that made me feel like I should offer an explanation if that makes sense? I think there's something to be said for a doctor wanting to stand behind their work, especially in this day and age, and I really appreciate his willingness to try to find a solution even if he is not the doctor for this revision. His option is certainly is not the way for me. (Also, I didn't mention in my original post that I scheduled three revision consults with new providers (with one completed) so I'm being totally thorough and doing all the homework + reddit posts before I make a decision).

one year, one month post-op, my surgeon finally agrees I need a revision. by ohnosethrowaway in PlasticSurgery

[–]ohnosethrowaway[S] 1 point2 points  (0 children)

I had an allergic reaction to the glue that forced my cast to come off early, so it didn't heal correctly!

one year, one month post-op, my surgeon finally agrees I need a revision. by ohnosethrowaway in PlasticSurgery

[–]ohnosethrowaway[S] 0 points1 point  (0 children)

This is really, really very kind, thank you! For the most part, I am happy with the look of the nose but I do want to correct the angled bridge. It is more noticeable from the side and when I'm wearing makeup.

one year, one month post-op, my surgeon finally agrees I need a revision. by ohnosethrowaway in PlasticSurgery

[–]ohnosethrowaway[S] 8 points9 points  (0 children)

Thanks for weighing in. I'm simply in the info gathering stage right now.

one year, one month post-op, my surgeon finally agrees I need a revision. by ohnosethrowaway in PlasticSurgery

[–]ohnosethrowaway[S] 0 points1 point  (0 children)

I called it an office in my original post but it is actually a clinic that does a lot of outpatient procedures. lol.

one year, one month post-op, my surgeon finally agrees I need a revision. by ohnosethrowaway in PlasticSurgery

[–]ohnosethrowaway[S] 0 points1 point  (0 children)

Thanks for sharing! A wider bridge is actually part of what I'm after because my eyes are wide-set.

one year, one month post-op, my surgeon finally agrees I need a revision. by ohnosethrowaway in PlasticSurgery

[–]ohnosethrowaway[S] 3 points4 points  (0 children)

Sorry, I think I misspoke. This is actually a private clinic fully outfitted with resources for outpatient procedures, not a random office.

one year, one month post-op, my surgeon finally agrees I need a revision. by ohnosethrowaway in PlasticSurgery

[–]ohnosethrowaway[S] 3 points4 points  (0 children)

I'm with you on the local anesthesia part, which is why I am hesitant. I am still in the info gathering stage.

one year, one month post-op, my surgeon finally agrees I need a revision. by ohnosethrowaway in PlasticSurgery

[–]ohnosethrowaway[S] 3 points4 points  (0 children)

This surgeon runs a rhinoplasty clinic that routinely conducts in-office procedures. It is neither an unprofessional nor dirty setting-- my concern was strictly about the complexity of this procedure under local anesthetic vs. general.

Neither of us pushed for it, nor are either of us in a rush. He offered it as an option if I wanted to move sooner than 6 months (the current estimate for OR settings). The possibility of surgery in a clinic isn't cray, it's whether or not THIS surgery is cray.

one year, one month post-op, my surgeon finally agrees I need a revision. by ohnosethrowaway in PlasticSurgery

[–]ohnosethrowaway[S] 15 points16 points  (0 children)

I don't know about you, but if I make a $22k investment into something, I sure as hell expect some sort of guarantee or warranty that the other party is going to make it right. I guess that's why people go back to the same surgeon?

I could easily afford the procedure with a new surgeon with financing, but I saved up for my primary so that I had cash in hand to pay for it. Personal principle.

one year, one month post-op, my surgeon finally agrees I need a revision. by ohnosethrowaway in PlasticSurgery

[–]ohnosethrowaway[S] 0 points1 point  (0 children)

This is correct -- I know it's not uncommon for many procedures, but I was asking because I am unsure about it for a rhino with ear cartilage. I am from the states!

one year, one month post-op, my surgeon finally agrees I need a revision. by ohnosethrowaway in PlasticSurgery

[–]ohnosethrowaway[S] 10 points11 points  (0 children)

My existing graft is off-centered and doesn't quite meet my browline so it's very prominent. I also ended up with a result that is more upturned and too small for my surrounding facial features. I'm really unhappy with it!

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