9/28/2023 0 Comments Job hurtWhile minor primary surgeries to the nose (say, shaving off a bump) mainly have successful outcomes, more extensive interventions require commensurately more surgical skill. Thinning skin can expose hitherto concealed cartilage grafts, while contracting scars might compromise the nasal structure.Įven though plastic surgeons concede that the operation is complex, much of the popular literature enthusiastically suggests the inevitability of a positive result and minimises, omits or misrepresents the risks. Other changes can manifest themselves decades after the original surgery. ![]() Post-operatively, the patient may not breathe as well as they once did. The broad bridge of the swollen nose resolves into a twist, the opposite of the smooth straight line the patient was after. What was indiscernible in the swollen tip is now exposed as lopsided or dented. Most patients eagerly await the resolution of the swelling as a kind of final unveiling of their beautiful new nose but sometimes they are stunned, as I was, by the revelation of all that went wrong. What can be truly distressing, however, is the discrepancy between expectation and outcome. When I was first considering surgery, I was apprehensive about both the pain and the recovery period (how long before I could re-enter the world looking normal?), yet I found both easily manageable. Typically, when individuals seek plastic surgery, they are so invested in the transformation that the relatively short period of discomfort seems worth it. ![]() The degree of pain and post-op swelling and bruising depend on the individual’s own threshold for pain as well as the extensiveness of the surgery (rhinoplasties vary from minor to major interventions. Once the initial post-op edema subsides (relatively quickly), some swelling may persist for many months. Patients are bruised and swollen and their noses are packed with gauze, but it looks much worse than it feels. With rhinoplasty, the most unpleasant part tends to be during the initial aftermath. Patients considering a nose job necessarily have a range of concerns, and it’s indisputable that surgery will cause physical discomfort. Some acknowledge that the new nose isn’t identical to the perfect nose they anticipated, but are pleased nonetheless. If you go online to discussion boards that focus on rhinoplasty, you will find abundant accounts by delighted patients extolling their surgeries as life-changing. Still, most patients are very pleased with their outcomes. ![]() After two revision surgeries, I resigned myself to the fact that there were mistakes that could not be reversed, even by a very talented surgeon. As time went on, the tip started to droop due to lack of support. In chiselling the tip, the surgeon had removed too much of the lower nose, which left me feeling as though part of my face was missing. I was left with a lump on one side of what had been a straight bridge and a flat columnella (the piece between the nostrils). ![]() My parents encouraged me to narrow the wide tip and, although initially hesitant, I was open to what seemed at the time like a minor intervention. For Jewish Americans like me in the 1970s, nose jobs were fairly common, especially on the two coasts. Photograph: FlickrĪs a teenager, I had a nose job that went badly awry and required revision, a journey that was emotionally and financially draining. Advertisement from the 1930s for the Trilety nose shaper, a nose-shaping device.
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