My name is Liz and this is a documentary detailing my experience from initial consult to final result (more)

My name is Liz and this is a documentary detailing my experience from initial consult to final result as I undergo my third, and hopefully final, revision rhinoplasty procedure.

My first 2 surgeries were just horrible. As soon as the bandages where removed I could tell it wasn't going to turn out go. This time I am going with a specialist. I chose Dr. Paul Nassif to finally fix what the others had messed up.

This is my story....

-----Partial Transcript-----
LIZ
So, it?s less than 24 hours before my surgery. I haven?t had my nose done in eight years, so I?m excited for Dr. Nassif to fix it! I?ve seen his work and I really think he?s the one that?s going to be able to do the job. My trust is in his hands! I?m really looking forward to taking off the bandages next week and being happy with what I see for once. So here we go!

The first time the doctor made my tip too narrow and I didn?t look like myself. The second time the doctor made my tip too wide, and actually took out extra bone from the side of my nose. That didn?t need to be taken out .

My initial consultation with Dr. Nassif was fantastic! He treated me liker his own daughter, and was very caring and thorough. He went over everything!

DR. NASSIF
Liz came into me for a revision rhinoplasty. She told me that she?s had two previous rhinoplasties. She was unhappy with the way her nose appeared on her face. She felt it was asymmetric, the tip was kind of bulbous, or ?large appearing?, especially when she looked up, this view, it was very asymmetric. And so, her whole goal was to make it look better, hopefully make it her LAST surgery, and also to help with her breathing.

LIZ
My desired outcome would be to put the bone back inside my nose and to make the tip more narrow so it?s just not so bulbous, That?s really it, and to make it just EVEN. It?s not even right now, so that?s the goal!

DR. NASSIF
With my examination of Liz, I found that most of the septo-cartilage, which is the septum inside here between the two nostrils, which is a great source of cartilage was GONE! The next thing we can go to is the ear. The problem with the ear cartilage is that it?s too soft and too curved, and if you want to do something strong for the nose and give it really good shape, you can?t use the ear. So, we had a talk about using rib cartilage.

DR. WYATT
Obviously we need tissue to help with your inter-nasal procedure and the cartilage down here is ideal. You don?t need the cartilage and some of the boney structures down here. You?re not going to miss it.

DR. NASSIF
Liz understood exactly what we needed to do. The Decision was made to harvest rib cartilage and then go ahead and perform the revision rhinoplasty

I?m really ready for this surgery. I?m just getting more excited than nervous! Wish me Good Luck! Here we go!

DR. NASSIF
One of the things that?s very important about revision rhinoplasty that you always have to consider is; What are you going to find in there? Even though you can feel the nose, you can palpate it, you can look at it, and you can guess what the other doctors have performed; your first up-hill battle is to see how much scar tissue you?re going to be able to identify with. So when you have to open up the nose, you have to remove the scar tissue, identify it: what?s there, what?s present, what?s been removed. Then after you do that, and you have cartilage now ready for grafting, or fascia, or perichondrium, you have to start rebuilding it. Rebuilding it (cartilage) is the second big stage after we?ve already carved everything; we?ve carved the cartilage. In that scenario when I?m playing with the nose, in regards to staring at the profile, staring at the front of the nose, I go back and forth and look inside and outside of the nose to make sure it?s as symmetric as possible. That takes a long time?

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Tags: Revision Rhinoplasty, Nose Surgery, Tip Too Narrow, Asymmetric, Bulbous Tip, Ear Cartilage, Rib Cartilage, Harvest Rib Cartilage, Nose, Fascia, Perichondrium, Grafting, Cartilage
Categories: Nose Surgery, Nose Job, Rhinoplasty, Reconstructive Plastic Surgery
Body areas associated with this video: Face
Products used in this video: Rib Cartilage Harvest, Rib Pericondrium Harvest, Rib Cartilage Carving, Revision Septoplasty, Septal Batton Graft, Turbinoplasty, Open Revision Rhinoplasty, Osteotomies, Spreader Graft, Medial Crural Overlay, Rim Grafts, Infratip Lobular Graft
Places recommended in this video: Spalding Drive Cosmetic Surgery & Dermatology
People recommended in this video: Dr. Paul Nassif

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