May 26, 2026 • 36 mins
What happens when a “simple” nose job turns into years of regret, anxiety, and feeling like you no longer recognize your own face?
In this deeply personal episode of Dr. Rady Rahban’s Plastic Surgery Uncensored, Chloe shares the emotional reality of undergoing not one… but THREE rhinoplasties before finally finding relief. What started as a minor concern about breathing and subtle refinement quickly spiraled into a devastating revision journey filled with pressure, poor surgical planning, permanent implants, asymmetry, breathing problems, and the crushing feeling of being “botched.”
This episode goes far beyond before-and-after photos. Dr. Rahban and Chloe unpack the red flags patients often miss: rushed consultations, being upsold additional procedures, lack of informed consent, trusting hype over research, and the dangerous emotional toll of living with a face that no longer feels like your own.
But this isn’t just a cautionary tale — it’s also a story about hope, advocacy, and what happens when reconstruction is approached with honesty, strategy, and true expertise.
If you’ve ever considered rhinoplasty… if you’ve had surgery you regret… or if you’re terrified of making the wrong decision with your face, this may be one of the most important episodes you listen to.
Topics covered include:
• Revision rhinoplasty complications
• “Botched” nose job recovery
• Medpor implants explained
• Why some rhinoplasties collapse over time
• The psychology of cosmetic surgery regret
• How to properly research a plastic surgeon
• Red flags during consultations
• Rebuilding confidence after a bad outcome
• Why natural-looking results matter most
This is raw, honest, emotional — and packed with lessons every patient needs to hear before going under the knife.
✨ If you enjoyed this episode of Plastic Surgery Uncensored:
✔️ Subscribe on Apple Podcasts, Spotify, or wherever you listen.
✔️ Rate & Review—your feedback helps more people find us.
✔️ Follow Dr. Rady Rahban across all platforms for daily insights, behind-the-scenes, and patient education:
In this deeply personal episode of Dr. Rady Rahban’s Plastic Surgery Uncensored, Chloe shares the emotional reality of undergoing not one… but THREE rhinoplasties before finally finding relief. What started as a minor concern about breathing and subtle refinement quickly spiraled into a devastating revision journey filled with pressure, poor surgical planning, permanent implants, asymmetry, breathing problems, and the crushing feeling of being “botched.”
This episode goes far beyond before-and-after photos. Dr. Rahban and Chloe unpack the red flags patients often miss: rushed consultations, being upsold additional procedures, lack of informed consent, trusting hype over research, and the dangerous emotional toll of living with a face that no longer feels like your own.
But this isn’t just a cautionary tale — it’s also a story about hope, advocacy, and what happens when reconstruction is approached with honesty, strategy, and true expertise.
If you’ve ever considered rhinoplasty… if you’ve had surgery you regret… or if you’re terrified of making the wrong decision with your face, this may be one of the most important episodes you listen to.
Topics covered include:
• Revision rhinoplasty complications
• “Botched” nose job recovery
• Medpor implants explained
• Why some rhinoplasties collapse over time
• The psychology of cosmetic surgery regret
• How to properly research a plastic surgeon
• Red flags during consultations
• Rebuilding confidence after a bad outcome
• Why natural-looking results matter most
This is raw, honest, emotional — and packed with lessons every patient needs to hear before going under the knife.
✨ If you enjoyed this episode of Plastic Surgery Uncensored:
✔️ Subscribe on Apple Podcasts, Spotify, or wherever you listen.
✔️ Rate & Review—your feedback helps more people find us.
✔️ Follow Dr. Rady Rahban across all platforms for daily insights, behind-the-scenes, and patient education:
- Instagram: @drradyrahban
- TikTok: @radyrahbanMD
- YouTube: @Rady Rahban
- Facebook: @Rady Rahban
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Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:06):
Welcome to another episode of Plastic Surgery on Censored. I'm
your host, Doctor Roddy Raban, and I'm super excited about
today's episode. I'm excited number one, because we're talking about noses.
I love noses. Number two, I'm excited because we have
a fantastic guest who has graciously agreed to come and
talk about her journey, but a complicated journey. So I'm
(00:28):
always extra grateful because when people have complications from their surgeries,
they often don't want to talk about it, and as
a result, they feel shameful or whatnot, even though it
has nothing to do with them. It's they're shitty doctors
and at the end we can't share their stories. So
whenever I have a guest who had arguably a complication
or about outcome and they have the courage to come
(00:50):
on the show, I'm always grateful. So I want you
guys to all listen in as we're going to dive
deep into noses, revisions, etc. Welcome to the show, Chloe,
Thanks you young lady, and I were How far out
are you from your tertiary? Tertiary is your third time revision? Rhinder?
How long about? How far are we out?
Speaker 2 (01:11):
Two and a half months.
Speaker 1 (01:12):
Yeah, about almost three months. And there's so many aspects
of your journey that I think are important. And I
remember when I met with you, what I liked about
you was you were feisty and you were pissed. Why
I bring that up is because so many times when
people have revisions or they have had bad things happened
(01:36):
to them by other doctors, they sort of shy down
and sort of somehow take responsibility for it because the
doctors will make them oddly believe that they were somehow responsible,
where in reality, and you are like, no, this is
not right. This was completely jacked up, and I'm not
okay with it. And I like that because in your instance,
(01:59):
that is accurate. And I like the fact that you
had some you know, fighting you about it because I
know that your parents rightfully so are like, it's okay,
you know, let's fix it, let's move on. And I
do agree with that. But I like when patients have
a little fights to them because at the end of
the day, you shouldn't even you shouldn't have been in
this situation you're in. So let's back up. You're a
(02:20):
young girl, seventeen. I think you had your first rhinoplasty.
I did two out of my four nieces right around
that age. So you go in, you have a rhinoplast,
and for all tons of purposes, it was pretty good,
nothing terrible. Maybe it wasn't amazing, but it wasn't terrible,
and you kind of lived with it, and everything kind
(02:43):
of goes along. And like all noses, all noses, over time,
they change and they don't look exactly the way you
like them to look. And normally the story is, oh,
you went into some terrible doctrine, you know, some strip
all in Vegas. This is a as good as it
can get. While you're in the consult with her, your
(03:08):
nose comes up. Right, You weren't prepared. You didn't go
there to have your nose done. You were just there
to support. And your nose comes up. And the fact
that your number one issue is I couldn't breathe well
through my nose. And number two is like, if I
could have anything I wanted, I wouldn't mind if my
nose was a little smaller and more refined. Yes, not
(03:30):
a crazy desire to breathe and maybe have a little
cuter nose. So your nose comes up. You're a little
like uh, and the doctor's like bam, dives in and
he's like, oh, yeah, for sure, no problem. I can
fix your breathing and we'll do a little this and
a little that, and I'll make it better. And then
(03:50):
next thing you know, they're examining your breasts. You're being
told that you need fat transferred from your thighs to
your breast. And I remember you telling you're like, I
was very uncomfortable with the way this was going down. Correct, yes,
because at the end of the day, you didn't go
there asking for this. You were being examined in a
(04:14):
way that made you uncomfortable, right, you really, how tall
are you five?
Speaker 2 (04:19):
For?
Speaker 1 (04:20):
How much you.
Speaker 2 (04:20):
Weigh one hundred and twenty or less?
Speaker 1 (04:23):
So you're super tiny, fit young lady. And the idea
or notion that somehow we're gonna grab fat out of
your thighs made you very uncomfortable because you're like, wait,
do I have fat thighs? Which you absolutely don't. And
so next thing you know, you're having a revision rhino
plasty and in a weird way, it kind of happened
to you unexpectedly. Am I describing this situation correctly? Or
(04:48):
am I missing something.
Speaker 2 (04:49):
No, yes, you're explaining it correctly. But I did have
the idea of getting my boobs done one day, just
not at the same time ever as I would get
a rhinoplastic right and yes, and then we'll say the
men part.
Speaker 1 (05:02):
Yeah, so you're so okay, no problem. So issue number one,
I like to stop and point out the issues for
the people listening who want to avoid the journey of
our patients. When we bring revision patients on the show,
the whole idea is they are going to share their
experience and be vulnerable so that you, if you haven't
had surgery, don't go through what they did. So issue
(05:24):
number one is, never ever have a curb side consult.
A curb side consult means the primary consultation is for
something else. And all of a sudden, you just trying
to throw that in there. Did you ever have a
formal consult with this doctor about your nose before having surgery?
(05:46):
Only the pre but it was it a formal consult
where let's let me rephrase that. You know, you and
I had a consult. We sat down and I said
blahbi blah blah bay blah, this that the other risk
benefits the whole shebang took almost an hour. Did you
have one of those with this doctor.
Speaker 2 (06:03):
No, only the pre op right before the surgery, right.
Speaker 1 (06:05):
So, but the pre op is just a hashing, a
rehashing of this. So essentially your consult was that moment
when you were there for her surgery. Right. So that's
the first error when people ask me in you know,
there's hundreds hundreds of times where I'm in the office,
(06:27):
I'm seeing someone and someone else is in the room
with them, and they asked me a question about a
surgery and I'm like, yeah, I guess we could do
that or whatever. Every one of them forced them to
have a formal consult. My mother in law. I did
my mother in law's facelift. She lives with us. I
see her every day. When she wanted to do her facelift,
(06:49):
I brought her into the office and did a one
hour formal consult. You always have to have a formal
consult in which you and the doctor talk about your
surgery and no other surgeries, and go over the risks,
the benefits, the game plan, draw out things, talk about
your history, what was done in the first surgery, Like
I asked you what was done in the first surgery.
What was done in the second surgery? Was it open?
(07:10):
Was it closed? So that was number one. So nonetheless,
you do you go in, you're gonna you do your
preoperatch is the day before and the next thing you know,
you're on the You're about to be like they give
you the drugs, ready to go into surgery, right, and
all of a sudden, next thing, you know, before you're
getting wheeled into the operating room, the surgeon re emerges
(07:31):
and says, Hey, while we're we're about to go in,
you know what I'm gonna do. I'm going to chop
up this material, permanent permanent plastic and put it in
your nasalabial folds. Did you even know what the hell
that was?
Speaker 2 (07:48):
Well, he never described it like that.
Speaker 1 (07:50):
Well, go okay, so tell me what. So tell me
what because you told me this and I was like what,
So you're about to get wheeled in. They already gave
you some drugs. You're a little loopy. And what happened.
Speaker 2 (07:59):
Well, first at the prep we briefly discuss like, would
you maybe your nasal labial folds are pretty deep, like
medpor would help that, And I was like, I don't
even know what medpoor is, but like, let me think
about it. Sure, think about it till the next morning,
which I'm obviously under a lot of pressure and like
stressed already about going in. And then I am administered
(08:20):
value and yeah, he comes to mark up my face
and then he's like, have you decided on the medpoor?
And at that point it was not only peer pressured
into me, but like yeah, I was just like, okay,
you trust your surgeon. Sure, So I was like, if
you think this is best for me, then yeah, let's
do it. Do it. I never knew what the plast
(08:41):
I never knew.
Speaker 1 (08:42):
Right, so you were not well informed, not as well.
The second issue I have is that if I'm about
to do anything to you, I am obligated, not only
just because it's a legal obligation, morally, I'm obligated to
inform you. Right, So hey, I'm going to do X,
Y and Z, and then we call that being addically informed.
(09:04):
So if I'm about to put a medpoor in your mouth,
let me back up. Medpore is basically a foreign device.
It's a material. I just call it plastic because it's
easy for people to understand, and we use it as
an implant like silicone. So what was being suggested to
you is that you at twenty three have to your
(09:27):
deep nasal labia folds, and that if you mince up
this powder, make this plastic into powder, that you can
put it in there and lift it up. You know,
people use a little bit of filler, for example, in
their nasolabial fold, which is transient and temporary, but this
is a permanent, basically implant that goes in your mouth
(09:48):
to lift up your nasalabia fold. In general, I think
that's insane, just surgeon to surgeon. I think putting in
this material through the mouth, which can get infected, is insane.
This material, dicing it up and can never be removed
fully because it becomes like incorporated in your body is insane.
And frankly, I just think the aesthetic of obliterating someone's
(10:10):
nasal labia fold at twenty three is insane. That all
being said. Nonetheless, so here you are. You get wheelded
last minute, as you said, you felt pressure to be
like umm, okay.
Speaker 2 (10:23):
And sorry really the sergeant said it would make my
nose like stay up basically, like it wouldn't fall down.
Speaker 1 (10:30):
Are like right? So the explanation. Yeah, the explanation that
you were given is that the metpoor that's placed in
your nasolabial fold somehow will support your nose. Yes, that's nonsense.
The nasal labial fold is its own structure. It's the
line that connects from the corner of your nose to
your mouth, hence the term nasolabial. And in some people,
(10:52):
absolutely not you. It's very deep, and in some people
absolutely not you. Like Asian patients, they're maxilla, their bone
is really weak and the nose sits really deep into
the face. So in maybe those patients you want to
prop up the nose or push the nose out. None
(11:13):
of that applies to you. So, yeah, that's pretty nonsense.
So you go and you do your surgery. You wake
up and like most patients, you don't really know what
your nose looks like for two weeks. At some juncture,
your cast is removed, and what happens.
Speaker 2 (11:32):
I'm extremely swollen, Like I notice my nose, but I
didn't notice how drastic that it was asymmetrical and my
nostrils were completely not aligned. I go to Idaho where
it's super cold, and I was able to be less
swollen and I'm like, oh my gosh, Like, first of all,
(11:55):
I don't look like myself.
Speaker 1 (11:56):
Right, So you go back to Idaho, Yes, and what happens.
Speaker 2 (12:00):
My face was able to swell down a bit, but
my lips were gigantic. My whole face was like a
puffer fish. So I'm more so worried about my whole face.
But then I'm like, oh my gosh, my nose is
asymmetrical too. I am freaking out. But I'm also like,
I need to trust the process, right, right.
Speaker 1 (12:18):
Because you know that rhinoplasty, it's not uncommon. Free. Let
me ask you a question. How long did the surgery take?
Speaker 2 (12:24):
Eight hours?
Speaker 1 (12:24):
Eight hours? Wow, that's a long time. We do heart
transplant in eight hours. How long did our third time
revision take?
Speaker 2 (12:33):
Three hours?
Speaker 1 (12:33):
Three hours? Okay? Great? And then how long did you
have to be in a recovery center of some sort.
Speaker 2 (12:40):
A week and a half and recovering for probably five
to six months? Like did not look like myself?
Speaker 1 (12:46):
Okay when we did your third time revision? How long
did you stay in a recovery center?
Speaker 2 (12:51):
No time?
Speaker 1 (12:52):
Zero? Like you went home? Like okay, that was that.
So I want you to understand these things because they
become much more obvious to you after you have a
point of reference. Right, so you have like you did
your primary, you did your revision. Well, maybe this is
what revisions are like. Maybe revisions are eight hours. No, maybe,
I you know you your revision is like whoa, the
(13:15):
recovery is way worse because you were only two months out.
You look amazing.
Speaker 2 (13:20):
And I was barely bruised, barely swollen in ours and
I look like myself. I didn't look like myself for
six months, right, so I think especially because the mentor,
I looked like adult, like fake cabbage pat stuff.
Speaker 1 (13:32):
Yeah, I think you're right. You couldn't break its mile here.
So here you are trusting the process because you have
no other choice. And swelling is going down. Swelling is
going down, and to your horror, it's getting more crooked.
To your horror, your nostrils are getting more asymmetric, and.
Speaker 2 (13:54):
And I'm like, oh my gosh, I don't know what
I'm going to do with my face. So I go
in two months later or maybe a month after, and
I was like, my nose is crooked. This is two
months actually because I was so swolln Like I said,
I couldn't even really see, And the surgeon is like, no, no, no,
just trust the process like it's still healing, like it's
(14:15):
going to straighten out.
Speaker 1 (14:16):
And so that's right. There a lie every person in
the world. What improves with time is swelling. What doesn't
improve with time is crookedness. Crookedness gets worse. Just FYI,
whatever it is at two months, it's worse at five months,
it's worse at a year.
Speaker 2 (14:32):
Yes, And before this surgery, my nostrils were never different sizes, Like,
I don't think my nose was crooked.
Speaker 1 (14:38):
Right, you would know, you would know, right, you would
know if your nose was jacked up before. So okay,
And so.
Speaker 2 (14:44):
The surgeon puts cortisone shots in my nose and he's like,
I don't know what would courtizone do.
Speaker 1 (14:51):
Well, it's going to help with the swelling. It's not
going to fix your nostrils, and it's not going to
help with the crookedness.
Speaker 2 (14:55):
Yes, he said it would help with the nostrils and
the crookedness and with the swelling, But it did nothing.
I keep doing my hyperbaric chambers. I'm like, I it
wasn't even the swelling. At this point, I'm like, my
face is messed up. I look botched first and foremost. No,
first and foremost, my nozzls are crooked and my noses asymmetrical,
(15:15):
and I looked completely botched. And I'm like, I'm a
twenty three year old girl. Obviously this is like heartbreaking.
Speaker 1 (15:23):
Devastating, devastating. So you're trying to manage this, and I
imagine you're very This is the part that I think
is really people lose. You went in to fix yourself,
make it a little bit better, it's significantly worse. And
now your panic struck in because you're only twenty three.
But guess what if you were forty three, you still
be panicked. It's your face and it's a very scary
(15:47):
place to be and people usually get kind of depressed.
And because they become self conscious. Who am I going
to go tell no one's going to feel sorry for me.
Who's gonna feel sorry for you? I mean, why did
you even mess with your nose? You should never touched it, right,
There's not a lot of sympathy for people who are
getting esthetic surgery that goes bad. Like if you were
getting a gallbladder removal and you had a complication, my god,
(16:08):
you'd have hundreds of people feel bad for you. If
you were getting your hysterectomy and something went terribly awry,
everyone would feel bad for you. But if you're getting
cosmetic surgery and it doesn't go well, one really gives
a shit because it's kind of like, well, shame on
you for even touching yourself, you know, Oh you're so
vain or whatever, which is just sad, but it's just unfortunate.
So time is ticking by, and what happens. You've definitely
(16:32):
lost faith in this surgeon. That's for sure. You're not
going to go back to have so well for sure.
And at some point, what did you decide? What happened?
Tell me what the next phase was.
Speaker 2 (16:43):
I like kept trying to be like I never went
back in because I'm like I went in twice to say, like,
my nose is crooked. And then it started the whole
process of me being like, this surgeon can doesn't have
the capability to fix my nose corre. So I start
going on a hunt and researching for a surgeon who
(17:03):
can fix my faith. Right. I also at this point
have had three sinus infections like that I felt. But
then probably six months later I go in to see
a surgeon or a surgeon who specializes in the inside right,
and he says, I have sinus sitis. Is that a
sinus yes, yeah, of course, okay, but also the fact
that we're going to take out my tonsils, and like
(17:25):
do I just didn't understand it. And this is a
time where I didn't feel like I had a sinus infection, right,
So okay, I get these X rays done and I'm like,
I'm beyond confused. I speak to our family friend, who
is a.
Speaker 1 (17:39):
Really yeah, so your family and the interesting is your
family friend, very close friend of your family is a
plastic surgeon. But I happen to know very intimately an
amazing surgeon. First question is like, well, why didn't you
go to him? Well, because family friend didn't want to
go there because if something had gone wrong, it would
destroy your family relationship. So you went to him and said, hey, listen,
this is what I'm being told. I went to this
(18:01):
E N T. They told me I've signed you situs
and they want to take my tonsils on. I went
to this other guy and so he was like, wait,
what the no, no, no, no, no, none of this
is true, right. It was all over the place, and
he's the one that sent you to us.
Speaker 2 (18:16):
Yes, right, he wrecked. He said, do you specialize in noses?
And I should come to you for a consultation. And
then that's when I started doing research and listening to
your podcast and being like, oh my gosh, I really
think you can fix my face. But I also heard
that you might not do a third time rhinol classic.
Speaker 1 (18:33):
Right, So that's very I want to rehighlight what you
just said. I listened to your podcast, very helpful when
on your gallery seems like you know what you're doing.
And then I then I heard that you might not
do a third time revision rhinoplasty. Why would I not
do a third time revision rhinoplasty? Is my objective is
to only operate on you if I can make you better.
(18:54):
I don't need your money. I don't want to be
a hero. I don't want to make you, who's already
unhappy the terrible situation ten times worse than you are. Right.
And so what happens is that when you do your
nose the first time, no problem. The second time it
makes it a thousand times more difficult than the third time,
because a scar tissue constantly building and God knows what
(19:16):
the last guy did. So as a result, I'm very
picky because I only want to do things that I
can help you with, and so we actually have a
screening process. We actually see patients photos and make sure
that in reality I can help them before they come
from Idaho or Venezuela or China or wherever, because why
would I drag you here if I can't make you
(19:39):
for sure better? But because of our relationship with your
family friend and my dear friend, I said, just bring
her in and let me take a look at her.
And I was like, what happened? We did a one
hour console, which was nothing like the first time you
had had it done. And I told you I can
(20:00):
help you, but I can't guarantee that your nostrils will
be symmetrical. I can't guarantee that your nose will be straight.
I can't guarantee anything, but I can guarantee that I
think I can make it better. And in regards to
this med poor thing in your mouth, I've never put
one in, but I certainly am willing to try to
(20:21):
take it out, so long as you recognize that you know,
I don't know that I can take all of it out.
One of the main reasons I agree to operate on
you is you seemed very reasonable. Often patients who are
getting their third time revision become so challenging, particular, difficult, nitpicky,
(20:45):
and they're the worst patients to operate on because there's
no way on earth you're going to make them happy.
And I remember saying, I'm not sure. I'm not sure.
You're like, I'm okay. If you can make it any
bit better, I'm okay. So you know, part of the
reason I operate on you was because of your or
willingness to be easy going about this. If you were
like really wound up, I wouldn't have done your surgery,
(21:07):
even if even even if I was sure that I
could make it better, because what I would be the
new target, Right the last guy got out of jail
and there's a saying, no good deed goes unpunished. I
go to try to make it better, and now I'm
your new target. Right. So I did it because you
were very level headed when it came to this, despite
(21:28):
the fact of your nose, in my opinion, terrible outcome, terrible, terrible.
And I did it because I thought you would be
the type of person that I could make happy.
Speaker 2 (21:37):
It was, Yes, it was a terrible outcome before I
came to it.
Speaker 1 (21:39):
Right, Now, you have this juxtaposition, right, you had your
first surgery, the second, your first consult your second consult
now with me the third. So what were the feelings
and what happened then?
Speaker 2 (21:49):
So I'm pretty sure you saw my opera port is that? Yes,
first consultation and you go through everything, and then you
took out this amazing list of that you wrote or
that you showed me, which you're usually problems with noses, right,
and checked off all the problems that I had didn't
even know, like the over rotation, all these terms that
(22:11):
I was like, I'm so happy with this. I'm so
unhappy with this. Why does this look like that? Like
I didn't know why, and you explained it in such
great detail and made it make sense, like even the
foundation of how it's like a house, like how you
would rebuild all of that. Yeah, And after the consultation,
I was with my mom, I'm like, I one hundred percent,
I feel sure I want to go with him, Like
(22:34):
I feel like it would be the best outcome for
my face, and I fully trusted you, Like yeah.
Speaker 1 (22:41):
And that's important juxtaposition, because we developed a relationship. You
can't develop a relationship with a doctor without spending time
with them. I don't care how famous they are. If
I don't sit with you and talk to you and
engage with you, how do you know that I can
help you? Like you can't, like you just can't. I
(23:05):
have to sit down and talk to you. And there's
no substitute. And then we did another pre op where
I was there, so we had a lot of time.
I'm all this over, and yeah, I think the things
that had gone wrong were all very classic. Number One,
your nose was overscooped, like your bridge was way taken down. Two,
your nose was over rotated. It was turned way up
(23:27):
too high. Three your tip was tiny, right, it was
just they made one point out of your tip. Four
your nose was crooked, it was going all the way
to the right. And five your nostrils were totally asymmetric.
And here you and six you couldn't breathe. So here
you are, twenty three beautiful young lady, and what are
you gonna do? Just stay like this? It's just not acceptable.
(23:50):
So we did your revision surgery two months ago. Remind me,
I borrowed ear or faster or ear. So like we
say over and over and over again. In order to
do modern day modern day, meaning the last ten to
fifteen years, modern day rhinoplasty, structure must be added to
(24:12):
the nose to create a stable, strong foundation. Otherwise noses
shift and change and move. You can't build a structure
by removing things. So did I take temporalists? I take stuff,
just ear cartilage, right, and we built you and tried
(24:33):
to add in areas that were deficient and rearrange things.
And as I said, derotate your nose and add to
your bridge, and so on and so forth. So here
we are two months later, and I'm really happy.
Speaker 2 (24:51):
It's first of all, I look like myself.
Speaker 1 (24:53):
Oh and we took and I took out ninety oh
so this metpoor thing. I had to open up the
inside of your mouth, go onto your gums, go through
your gums, and up to the corner of your mouth.
And as I expected, it was like imagine, just powder,
like like crushed salt. Salt is the best description. So
(25:14):
I scooped out I'd say ninety five percent of it,
but as I told you, some of it had just
no way to get it out. But it did what
it needed to do, which is it allowed your smile
to come back to normal. And I think your nose,
as bad as it was, the fact that your naser
labial folds were obliterated was the thing that was making
(25:36):
it seem really odd.
Speaker 2 (25:38):
Yes, right and so unlike myself.
Speaker 1 (25:41):
Right, And so we took that out and fix it.
So go ahead. So then so you're out two months
now obviously.
Speaker 2 (25:49):
Well, something I wanted to highlight was like, because you
described it like how you're going to build it with
each step, even if you need to take ear or
rib I was like, Wow, this makes a lot of
sense to me because my biggest worry coming in and
like trying to fix my nose was I don't want
to be forty years old and fifty and even thirty
in ten years and be like, I don't trust that.
(26:09):
First of all, what is in my nose is okay,
Like the plastic of the mentor might infect my face.
Speaker 1 (26:15):
I don't know sure.
Speaker 2 (26:16):
I was, so I had no idea what was internally
in my nose, and I knew it wasn't a good thing.
I was also smelling plastic for a month or two
months after the surgery, and yeah, I didn't want to
be older and be like even more.
Speaker 1 (26:31):
I have to do that exactly.
Speaker 2 (26:33):
So sorry, what was the question?
Speaker 1 (26:35):
No, but you brought up a very very good point.
I think this is important. You brought up the point
that I didn't realize. I knew I was unhappy. It
was obvious it was affecting my self esteem. I didn't
realize how unhappy and how much I focused on my
nose until I got it fixed, right, Like, you don't
(26:56):
know until that noise goes away how much that noise
is annoying. Like you hear noise, it's constant, and the
noise goes away and you're like, oh my god, I
did so tell me a little about that in terms
of like, once your nose was better and you look,
you're confident, you didn't realize how much of that was
taking up your time.
Speaker 2 (27:15):
Yeah, well, it would be constantly like no matter if
I was at with friends, like wherever I was, I
would constantly feel like people are staring at how asymmetrical
my nose was. I would ask people. People would be honest,
they're like, yeah, your nose look super crooked, And I
internally would feel like crushed and so angry at the
same time. And now even a month after, like yeah,
(27:37):
four weeks after the surgery, I saw multiple of my
friends and I'm like, do you notice anything with my face?
And they're like no, and like, what do you mean?
They're like, you look amazing. I'm like, I got my
nose done, right, and they didn't notice that. I like,
I looked like myself. Before I looked like crazy, botched,
and now I look like beautiful how I was like
originally before I was messed up. They notice and then obviously,
(28:02):
like when I was like I got my nose done,
They're like, oh my gosh, it looks so much less
like Pinocchio, Like it looks so beautiful, especially this side.
I don't know how you got it to look so elegant.
Speaker 1 (28:11):
And yeah, and it's really interesting. What's really interesting is
you underscore, which is the com which is what it
always is. They were staring at your nose when it
looked abnormal, yet you had it fixed, and they were
unable to see that it was fixed because it was normal.
Speaker 2 (28:26):
Yeah.
Speaker 1 (28:26):
Nobody pays attention to something that looks great. They look
at things that look terrible, right, So you think these
people who've been staring at your nose for at least
a year, who have said to you your nose looks
I'm sorry, I love you, you're my best friend, but
your nose looks terrible. You think they would be the
first person to be like, oh my god, your nose
(28:48):
looks so much better, but they didn't even comment because
it looked normal. And when you look normal, you just
don't pay attention, like it's just not relevant. What do
you want me to say? It looks good, that's amazing, right.
That just shows you that that's what our brains are
designed to do, is just notice baseline normal. We always
pick out the abnormal thing, not the normal thing. And
(29:11):
the other thing that you had mentioned to me, and
you said why I want to be on the show,
was that for other people who were feeling desperate to
have some hope, that someone not necessarily me, but that
to not lose hope and to keep searching that someone
(29:32):
can help them get out of that dark, you know, unhappy,
self conscious place that having box surgery takes you, right,
isn't that what you had said to me? Yes, So
why don't you elaborate a little bit on that for me?
Speaker 2 (29:47):
When I had gone to even like two consultations before you.
I was like, yes, I think that i'll feel better
and look better, but like I can't fully trust.
Speaker 1 (29:56):
So the reality is that you know, here you we
probably at six months after your rhinoplasty. You're looking at
yourself in the mirror, and I can't imagine you're not
just like freaking out. So you could have just said, well,
this is my new life. I just you know, it
is what it is. But you're like, no, I'm going
to keep I have to fix this. And so for
(30:19):
a lot of people, they lose hope and they just
surrender and they just say, fuck it, it is what
it is. You know, I should have done the first one.
I should definitely shouldn't have done the second one. I
should learn my lesson and not go and fix it anymore.
Just leave it is. You know, the enemy of good
is better. I'll just leave it alone. But what you
were telling me was like, I'm so happy that I
didn't just roll over and just leave it.
Speaker 2 (30:42):
Be so happy. And I think it's important to do
like a deep dive and lots of research, which I
also messed up on with the prior surgery. Like I
didn't do my research. I didn't look at stuff in
depth like I did with you. And before I got
this done, like I saw all your revisions. I saw, oh,
how you changed people, and like they looked not worse
(31:03):
some of your patients, but like they hadn't messed up
noses as well. And I'm like, wow, if he could
fix their nose, I'm sure he could fix mine and
at least make me ninety percent happier illustrator. And like,
as you explained to me, I'll never one hundred percent
be like have symmetrical novels. But I'm okay with that,
and I'm okay to look like I'm even Yeah, I'm
(31:24):
so beyond happy that I could feel fixed. And yeah,
that's why I don't think anyone should lose hope.
Speaker 1 (31:29):
Yeah, and I think definitely that's the case. And I
think you were to highlight one more thing. This is
every time I have a revisional patient with me, this
is what they say. The first time I did my surgery,
I didn't do enough homework. If you wanted to get
your nose done, you were sat behind a computer and
you would have started researching people. Instead, you kind of
got swept into the current right, so she went to
(31:52):
someone for something she thought was going to be good.
You never had the opportunity in your revision surgery where
the third time, even though you were recommended to me
by our mutual friend, you did your own homework. Did
you just come here because he said come here, and
you just showed up in my office and you sat
down and like, well, my dad's friend said this is
the guy. No, no way, you really did a deep dive.
(32:15):
You're like my I learned my lesson. I got burned
the second time. I'm not going to do that again.
And look at the difference it makes when you do
your own homework. No one can do the homework for
you but you.
Speaker 2 (32:31):
And I think it's a problem when a plastic surgeon
is like specializing in everything and says that they can
do everything the best, Like I personally don't think that's true.
Speaker 1 (32:42):
Yeah, I think the reality with that is it's funny
you should mention that because I am that guy. Actually
I am the guy that does everything. But I think
the difference is that I think at the end of
the day, no matter what a surgeon says he or
she can or can't do, they must back it. Up
with results. So let's say you came to me tomorrow.
(33:03):
You're like, hey, doctor Rubon, I'm thinking of doing my
breasts and I'm now your nose. Doctor. You go to
my gallery. I love doctor Rubon. He saved my life.
I trust him with my life. And you go to
my gallery. Either one of two things are gonna happen.
You're either gonna go wow, these are terrible results, in
which case, no matter how much you love me, I'm
(33:25):
not the right guy. Versus you go there and be like,
holy shit, these breasts are amazing. This guy is super talented.
He did an amazing nose for me, and his breastwork
is amazing. Well, then the guy's amazing at breastwork. There
is no rule. The rule is anything anyone is says
they can do, they have to put the evidence out.
(33:49):
They need to say, here's fifty examples of earpinning. Here's
fifty examples of chinnogs. Here's fifty examples of breast dogs,
breast lifts, reductions, body lifts.
Speaker 2 (33:59):
So many.
Speaker 1 (34:00):
Any time when patients say I got botched, and you
go back and look at the surgeon's work, it.
Speaker 2 (34:05):
Was terrible, And a lot of their work is watched
I later saw reviews and on Yelp. The main point
is this sergeant watched my face.
Speaker 1 (34:14):
Right. So what I'm saying is if you if which
is too late now water under the bridge, had you
just spent the time you normally would have, you would
have probably figured that out right, you would have avoided
this unfortunate situation. But at the end of the day,
all that ends well is great, you're here, you're happy.
We got you ninety five percent of the way there,
(34:36):
We removed ninety five percent of the medpoor. You look gorgeous.
You're not even out of the woods yet in terms
of you're not even You're still swollen, and it's only
going to look better. And we're just happy for you.
And I'm really happy for you because you're sweet, you're young,
and you have all your whole life ahead of you.
And it would have sucked ass if you had to
live with a jacked up nose for the rest of
your life, because I assure you it would ruin your life.
(34:59):
You would be self conscious forever.
Speaker 2 (35:01):
It was already yeah, it was just within a.
Speaker 1 (35:04):
Year at any rate. I mean, I think that's another
I think the message is to take home for everyone
listening is do your own homework. Do your own homework,
Do your own homework. I mean, it's just as simple
as that. I am. Out of the thousand revisions I've done,
maybe one percent of them are in patients who did
an extensive amount of homework and they still got botched.
(35:25):
In which case, well then it was just lightning strikes.
When lightning strikes, there's nothing you can do about it
at any rate. Thank you for coming on our show.
We're so happy to have you. And as always, if
you enjoy our episodes, if you like our podcast, I
need you to do me two favors. One is, I'd
love for you all to go and write us a
(35:46):
positive review. Positive reviews help us feel good about being
here on a Sunday. Sally Chacone is here in the background.
She's my you know, my wing woman, and she's here
waiting for your reviews to come in. And then the
second thing is, if you like our shows, share it
with the family members and friends that you love because
(36:07):
you think that they're figuring things out and you don't
know what they're about to do that you wish that
they had read or listened to our show. So disseminate
our podcast, and that's it. Yeah, that's a wrap for
this week's episode of Plastic Surgery Uncentered. I'm your host,
doctor Roddy Yurban, and we look forward to seeing you
guys next week
Welcome to another episode of Plastic Surgery on Censored. I'm
your host, Doctor Roddy Raban, and I'm super excited about
today's episode. I'm excited number one, because we're talking about noses.
I love noses. Number two, I'm excited because we have
a fantastic guest who has graciously agreed to come and
talk about her journey, but a complicated journey. So I'm
(00:28):
always extra grateful because when people have complications from their surgeries,
they often don't want to talk about it, and as
a result, they feel shameful or whatnot, even though it
has nothing to do with them. It's they're shitty doctors
and at the end we can't share their stories. So
whenever I have a guest who had arguably a complication
or about outcome and they have the courage to come
(00:50):
on the show, I'm always grateful. So I want you
guys to all listen in as we're going to dive
deep into noses, revisions, etc. Welcome to the show, Chloe,
Thanks you young lady, and I were How far out
are you from your tertiary? Tertiary is your third time revision? Rhinder?
How long about? How far are we out?
Speaker 2 (01:11):
Two and a half months.
Speaker 1 (01:12):
Yeah, about almost three months. And there's so many aspects
of your journey that I think are important. And I
remember when I met with you, what I liked about
you was you were feisty and you were pissed. Why
I bring that up is because so many times when
people have revisions or they have had bad things happened
(01:36):
to them by other doctors, they sort of shy down
and sort of somehow take responsibility for it because the
doctors will make them oddly believe that they were somehow responsible,
where in reality, and you are like, no, this is
not right. This was completely jacked up, and I'm not
okay with it. And I like that because in your instance,
(01:59):
that is accurate. And I like the fact that you
had some you know, fighting you about it because I
know that your parents rightfully so are like, it's okay,
you know, let's fix it, let's move on. And I
do agree with that. But I like when patients have
a little fights to them because at the end of
the day, you shouldn't even you shouldn't have been in
this situation you're in. So let's back up. You're a
(02:20):
young girl, seventeen. I think you had your first rhinoplasty.
I did two out of my four nieces right around
that age. So you go in, you have a rhinoplast,
and for all tons of purposes, it was pretty good,
nothing terrible. Maybe it wasn't amazing, but it wasn't terrible,
and you kind of lived with it, and everything kind
(02:43):
of goes along. And like all noses, all noses, over time,
they change and they don't look exactly the way you
like them to look. And normally the story is, oh,
you went into some terrible doctrine, you know, some strip
all in Vegas. This is a as good as it
can get. While you're in the consult with her, your
(03:08):
nose comes up. Right, You weren't prepared. You didn't go
there to have your nose done. You were just there
to support. And your nose comes up. And the fact
that your number one issue is I couldn't breathe well
through my nose. And number two is like, if I
could have anything I wanted, I wouldn't mind if my
nose was a little smaller and more refined. Yes, not
(03:30):
a crazy desire to breathe and maybe have a little
cuter nose. So your nose comes up. You're a little
like uh, and the doctor's like bam, dives in and
he's like, oh, yeah, for sure, no problem. I can
fix your breathing and we'll do a little this and
a little that, and I'll make it better. And then
(03:50):
next thing you know, they're examining your breasts. You're being
told that you need fat transferred from your thighs to
your breast. And I remember you telling you're like, I
was very uncomfortable with the way this was going down. Correct, yes,
because at the end of the day, you didn't go
there asking for this. You were being examined in a
(04:14):
way that made you uncomfortable, right, you really, how tall
are you five?
Speaker 2 (04:19):
For?
Speaker 1 (04:20):
How much you.
Speaker 2 (04:20):
Weigh one hundred and twenty or less?
Speaker 1 (04:23):
So you're super tiny, fit young lady. And the idea
or notion that somehow we're gonna grab fat out of
your thighs made you very uncomfortable because you're like, wait,
do I have fat thighs? Which you absolutely don't. And
so next thing you know, you're having a revision rhino
plasty and in a weird way, it kind of happened
to you unexpectedly. Am I describing this situation correctly? Or
(04:48):
am I missing something.
Speaker 2 (04:49):
No, yes, you're explaining it correctly. But I did have
the idea of getting my boobs done one day, just
not at the same time ever as I would get
a rhinoplastic right and yes, and then we'll say the
men part.
Speaker 1 (05:02):
Yeah, so you're so okay, no problem. So issue number one,
I like to stop and point out the issues for
the people listening who want to avoid the journey of
our patients. When we bring revision patients on the show,
the whole idea is they are going to share their
experience and be vulnerable so that you, if you haven't
had surgery, don't go through what they did. So issue
(05:24):
number one is, never ever have a curb side consult.
A curb side consult means the primary consultation is for
something else. And all of a sudden, you just trying
to throw that in there. Did you ever have a
formal consult with this doctor about your nose before having surgery?
(05:46):
Only the pre but it was it a formal consult
where let's let me rephrase that. You know, you and
I had a consult. We sat down and I said
blahbi blah blah bay blah, this that the other risk
benefits the whole shebang took almost an hour. Did you
have one of those with this doctor.
Speaker 2 (06:03):
No, only the pre op right before the surgery, right.
Speaker 1 (06:05):
So, but the pre op is just a hashing, a
rehashing of this. So essentially your consult was that moment
when you were there for her surgery. Right. So that's
the first error when people ask me in you know,
there's hundreds hundreds of times where I'm in the office,
(06:27):
I'm seeing someone and someone else is in the room
with them, and they asked me a question about a
surgery and I'm like, yeah, I guess we could do
that or whatever. Every one of them forced them to
have a formal consult. My mother in law. I did
my mother in law's facelift. She lives with us. I
see her every day. When she wanted to do her facelift,
(06:49):
I brought her into the office and did a one
hour formal consult. You always have to have a formal
consult in which you and the doctor talk about your
surgery and no other surgeries, and go over the risks,
the benefits, the game plan, draw out things, talk about
your history, what was done in the first surgery, Like
I asked you what was done in the first surgery.
What was done in the second surgery? Was it open?
(07:10):
Was it closed? So that was number one. So nonetheless,
you do you go in, you're gonna you do your
preoperatch is the day before and the next thing you know,
you're on the You're about to be like they give
you the drugs, ready to go into surgery, right, and
all of a sudden, next thing, you know, before you're
getting wheeled into the operating room, the surgeon re emerges
(07:31):
and says, Hey, while we're we're about to go in,
you know what I'm gonna do. I'm going to chop
up this material, permanent permanent plastic and put it in
your nasalabial folds. Did you even know what the hell
that was?
Speaker 2 (07:48):
Well, he never described it like that.
Speaker 1 (07:50):
Well, go okay, so tell me what. So tell me
what because you told me this and I was like what,
So you're about to get wheeled in. They already gave
you some drugs. You're a little loopy. And what happened.
Speaker 2 (07:59):
Well, first at the prep we briefly discuss like, would
you maybe your nasal labial folds are pretty deep, like
medpor would help that, And I was like, I don't
even know what medpoor is, but like, let me think
about it. Sure, think about it till the next morning,
which I'm obviously under a lot of pressure and like
stressed already about going in. And then I am administered
(08:20):
value and yeah, he comes to mark up my face
and then he's like, have you decided on the medpoor?
And at that point it was not only peer pressured
into me, but like yeah, I was just like, okay,
you trust your surgeon. Sure, So I was like, if
you think this is best for me, then yeah, let's
do it. Do it. I never knew what the plast
(08:41):
I never knew.
Speaker 1 (08:42):
Right, so you were not well informed, not as well.
The second issue I have is that if I'm about
to do anything to you, I am obligated, not only
just because it's a legal obligation, morally, I'm obligated to
inform you. Right, So hey, I'm going to do X,
Y and Z, and then we call that being addically informed.
(09:04):
So if I'm about to put a medpoor in your mouth,
let me back up. Medpore is basically a foreign device.
It's a material. I just call it plastic because it's
easy for people to understand, and we use it as
an implant like silicone. So what was being suggested to
you is that you at twenty three have to your
(09:27):
deep nasal labia folds, and that if you mince up
this powder, make this plastic into powder, that you can
put it in there and lift it up. You know,
people use a little bit of filler, for example, in
their nasolabial fold, which is transient and temporary, but this
is a permanent, basically implant that goes in your mouth
(09:48):
to lift up your nasalabia fold. In general, I think
that's insane, just surgeon to surgeon. I think putting in
this material through the mouth, which can get infected, is insane.
This material, dicing it up and can never be removed
fully because it becomes like incorporated in your body is insane.
And frankly, I just think the aesthetic of obliterating someone's
(10:10):
nasal labia fold at twenty three is insane. That all
being said. Nonetheless, so here you are. You get wheelded
last minute, as you said, you felt pressure to be
like umm, okay.
Speaker 2 (10:23):
And sorry really the sergeant said it would make my
nose like stay up basically, like it wouldn't fall down.
Speaker 1 (10:30):
Are like right? So the explanation. Yeah, the explanation that
you were given is that the metpoor that's placed in
your nasolabial fold somehow will support your nose. Yes, that's nonsense.
The nasal labial fold is its own structure. It's the
line that connects from the corner of your nose to
your mouth, hence the term nasolabial. And in some people,
(10:52):
absolutely not you. It's very deep, and in some people
absolutely not you. Like Asian patients, they're maxilla, their bone
is really weak and the nose sits really deep into
the face. So in maybe those patients you want to
prop up the nose or push the nose out. None
(11:13):
of that applies to you. So, yeah, that's pretty nonsense.
So you go and you do your surgery. You wake
up and like most patients, you don't really know what
your nose looks like for two weeks. At some juncture,
your cast is removed, and what happens.
Speaker 2 (11:32):
I'm extremely swollen, Like I notice my nose, but I
didn't notice how drastic that it was asymmetrical and my
nostrils were completely not aligned. I go to Idaho where
it's super cold, and I was able to be less
swollen and I'm like, oh my gosh, Like, first of all,
(11:55):
I don't look like myself.
Speaker 1 (11:56):
Right, So you go back to Idaho, Yes, and what happens.
Speaker 2 (12:00):
My face was able to swell down a bit, but
my lips were gigantic. My whole face was like a
puffer fish. So I'm more so worried about my whole face.
But then I'm like, oh my gosh, my nose is
asymmetrical too. I am freaking out. But I'm also like,
I need to trust the process, right, right.
Speaker 1 (12:18):
Because you know that rhinoplasty, it's not uncommon. Free. Let
me ask you a question. How long did the surgery take?
Speaker 2 (12:24):
Eight hours?
Speaker 1 (12:24):
Eight hours? Wow, that's a long time. We do heart
transplant in eight hours. How long did our third time
revision take?
Speaker 2 (12:33):
Three hours?
Speaker 1 (12:33):
Three hours? Okay? Great? And then how long did you
have to be in a recovery center of some sort.
Speaker 2 (12:40):
A week and a half and recovering for probably five
to six months? Like did not look like myself?
Speaker 1 (12:46):
Okay when we did your third time revision? How long
did you stay in a recovery center?
Speaker 2 (12:51):
No time?
Speaker 1 (12:52):
Zero? Like you went home? Like okay, that was that.
So I want you to understand these things because they
become much more obvious to you after you have a
point of reference. Right, so you have like you did
your primary, you did your revision. Well, maybe this is
what revisions are like. Maybe revisions are eight hours. No, maybe,
I you know you your revision is like whoa, the
(13:15):
recovery is way worse because you were only two months out.
You look amazing.
Speaker 2 (13:20):
And I was barely bruised, barely swollen in ours and
I look like myself. I didn't look like myself for
six months, right, so I think especially because the mentor,
I looked like adult, like fake cabbage pat stuff.
Speaker 1 (13:32):
Yeah, I think you're right. You couldn't break its mile here.
So here you are trusting the process because you have
no other choice. And swelling is going down. Swelling is
going down, and to your horror, it's getting more crooked.
To your horror, your nostrils are getting more asymmetric, and.
Speaker 2 (13:54):
And I'm like, oh my gosh, I don't know what
I'm going to do with my face. So I go
in two months later or maybe a month after, and
I was like, my nose is crooked. This is two
months actually because I was so swolln Like I said,
I couldn't even really see, And the surgeon is like, no, no, no,
just trust the process like it's still healing, like it's
(14:15):
going to straighten out.
Speaker 1 (14:16):
And so that's right. There a lie every person in
the world. What improves with time is swelling. What doesn't
improve with time is crookedness. Crookedness gets worse. Just FYI,
whatever it is at two months, it's worse at five months,
it's worse at a year.
Speaker 2 (14:32):
Yes, And before this surgery, my nostrils were never different sizes, Like,
I don't think my nose was crooked.
Speaker 1 (14:38):
Right, you would know, you would know, right, you would
know if your nose was jacked up before. So okay,
And so.
Speaker 2 (14:44):
The surgeon puts cortisone shots in my nose and he's like,
I don't know what would courtizone do.
Speaker 1 (14:51):
Well, it's going to help with the swelling. It's not
going to fix your nostrils, and it's not going to
help with the crookedness.
Speaker 2 (14:55):
Yes, he said it would help with the nostrils and
the crookedness and with the swelling, But it did nothing.
I keep doing my hyperbaric chambers. I'm like, I it
wasn't even the swelling. At this point, I'm like, my
face is messed up. I look botched first and foremost. No,
first and foremost, my nozzls are crooked and my noses asymmetrical,
(15:15):
and I looked completely botched. And I'm like, I'm a
twenty three year old girl. Obviously this is like heartbreaking.
Speaker 1 (15:23):
Devastating, devastating. So you're trying to manage this, and I
imagine you're very This is the part that I think
is really people lose. You went in to fix yourself,
make it a little bit better, it's significantly worse. And
now your panic struck in because you're only twenty three.
But guess what if you were forty three, you still
be panicked. It's your face and it's a very scary
(15:47):
place to be and people usually get kind of depressed.
And because they become self conscious. Who am I going
to go tell no one's going to feel sorry for me.
Who's gonna feel sorry for you? I mean, why did
you even mess with your nose? You should never touched it, right,
There's not a lot of sympathy for people who are
getting esthetic surgery that goes bad. Like if you were
getting a gallbladder removal and you had a complication, my god,
(16:08):
you'd have hundreds of people feel bad for you. If
you were getting your hysterectomy and something went terribly awry,
everyone would feel bad for you. But if you're getting
cosmetic surgery and it doesn't go well, one really gives
a shit because it's kind of like, well, shame on
you for even touching yourself, you know, Oh you're so
vain or whatever, which is just sad, but it's just unfortunate.
So time is ticking by, and what happens. You've definitely
(16:32):
lost faith in this surgeon. That's for sure. You're not
going to go back to have so well for sure.
And at some point, what did you decide? What happened?
Tell me what the next phase was.
Speaker 2 (16:43):
I like kept trying to be like I never went
back in because I'm like I went in twice to say, like,
my nose is crooked. And then it started the whole
process of me being like, this surgeon can doesn't have
the capability to fix my nose corre. So I start
going on a hunt and researching for a surgeon who
(17:03):
can fix my faith. Right. I also at this point
have had three sinus infections like that I felt. But
then probably six months later I go in to see
a surgeon or a surgeon who specializes in the inside right,
and he says, I have sinus sitis. Is that a
sinus yes, yeah, of course, okay, but also the fact
that we're going to take out my tonsils, and like
(17:25):
do I just didn't understand it. And this is a
time where I didn't feel like I had a sinus infection, right,
So okay, I get these X rays done and I'm like,
I'm beyond confused. I speak to our family friend, who
is a.
Speaker 1 (17:39):
Really yeah, so your family and the interesting is your
family friend, very close friend of your family is a
plastic surgeon. But I happen to know very intimately an
amazing surgeon. First question is like, well, why didn't you
go to him? Well, because family friend didn't want to
go there because if something had gone wrong, it would
destroy your family relationship. So you went to him and said, hey, listen,
this is what I'm being told. I went to this
(18:01):
E N T. They told me I've signed you situs
and they want to take my tonsils on. I went
to this other guy and so he was like, wait,
what the no, no, no, no, no, none of this
is true, right. It was all over the place, and
he's the one that sent you to us.
Speaker 2 (18:16):
Yes, right, he wrecked. He said, do you specialize in noses?
And I should come to you for a consultation. And
then that's when I started doing research and listening to
your podcast and being like, oh my gosh, I really
think you can fix my face. But I also heard
that you might not do a third time rhinol classic.
Speaker 1 (18:33):
Right, So that's very I want to rehighlight what you
just said. I listened to your podcast, very helpful when
on your gallery seems like you know what you're doing.
And then I then I heard that you might not
do a third time revision rhinoplasty. Why would I not
do a third time revision rhinoplasty? Is my objective is
to only operate on you if I can make you better.
(18:54):
I don't need your money. I don't want to be
a hero. I don't want to make you, who's already
unhappy the terrible situation ten times worse than you are. Right.
And so what happens is that when you do your
nose the first time, no problem. The second time it
makes it a thousand times more difficult than the third time,
because a scar tissue constantly building and God knows what
(19:16):
the last guy did. So as a result, I'm very
picky because I only want to do things that I
can help you with, and so we actually have a
screening process. We actually see patients photos and make sure
that in reality I can help them before they come
from Idaho or Venezuela or China or wherever, because why
would I drag you here if I can't make you
(19:39):
for sure better? But because of our relationship with your
family friend and my dear friend, I said, just bring
her in and let me take a look at her.
And I was like, what happened? We did a one
hour console, which was nothing like the first time you
had had it done. And I told you I can
(20:00):
help you, but I can't guarantee that your nostrils will
be symmetrical. I can't guarantee that your nose will be straight.
I can't guarantee anything, but I can guarantee that I
think I can make it better. And in regards to
this med poor thing in your mouth, I've never put
one in, but I certainly am willing to try to
(20:21):
take it out, so long as you recognize that you know,
I don't know that I can take all of it out.
One of the main reasons I agree to operate on
you is you seemed very reasonable. Often patients who are
getting their third time revision become so challenging, particular, difficult, nitpicky,
(20:45):
and they're the worst patients to operate on because there's
no way on earth you're going to make them happy.
And I remember saying, I'm not sure. I'm not sure.
You're like, I'm okay. If you can make it any
bit better, I'm okay. So you know, part of the
reason I operate on you was because of your or
willingness to be easy going about this. If you were
like really wound up, I wouldn't have done your surgery,
(21:07):
even if even even if I was sure that I
could make it better, because what I would be the
new target, Right the last guy got out of jail
and there's a saying, no good deed goes unpunished. I
go to try to make it better, and now I'm
your new target. Right. So I did it because you
were very level headed when it came to this, despite
(21:28):
the fact of your nose, in my opinion, terrible outcome, terrible, terrible.
And I did it because I thought you would be
the type of person that I could make happy.
Speaker 2 (21:37):
It was, Yes, it was a terrible outcome before I
came to it.
Speaker 1 (21:39):
Right, Now, you have this juxtaposition, right, you had your
first surgery, the second, your first consult your second consult
now with me the third. So what were the feelings
and what happened then?
Speaker 2 (21:49):
So I'm pretty sure you saw my opera port is that? Yes,
first consultation and you go through everything, and then you
took out this amazing list of that you wrote or
that you showed me, which you're usually problems with noses, right,
and checked off all the problems that I had didn't
even know, like the over rotation, all these terms that
(22:11):
I was like, I'm so happy with this. I'm so
unhappy with this. Why does this look like that? Like
I didn't know why, and you explained it in such
great detail and made it make sense, like even the
foundation of how it's like a house, like how you
would rebuild all of that. Yeah, And after the consultation,
I was with my mom, I'm like, I one hundred percent,
I feel sure I want to go with him, Like
(22:34):
I feel like it would be the best outcome for
my face, and I fully trusted you, Like yeah.
Speaker 1 (22:41):
And that's important juxtaposition, because we developed a relationship. You
can't develop a relationship with a doctor without spending time
with them. I don't care how famous they are. If
I don't sit with you and talk to you and
engage with you, how do you know that I can
help you? Like you can't, like you just can't. I
(23:05):
have to sit down and talk to you. And there's
no substitute. And then we did another pre op where
I was there, so we had a lot of time.
I'm all this over, and yeah, I think the things
that had gone wrong were all very classic. Number One,
your nose was overscooped, like your bridge was way taken down. Two,
your nose was over rotated. It was turned way up
(23:27):
too high. Three your tip was tiny, right, it was
just they made one point out of your tip. Four
your nose was crooked, it was going all the way
to the right. And five your nostrils were totally asymmetric.
And here you and six you couldn't breathe. So here
you are, twenty three beautiful young lady, and what are
you gonna do? Just stay like this? It's just not acceptable.
(23:50):
So we did your revision surgery two months ago. Remind me,
I borrowed ear or faster or ear. So like we
say over and over and over again. In order to
do modern day modern day, meaning the last ten to
fifteen years, modern day rhinoplasty, structure must be added to
(24:12):
the nose to create a stable, strong foundation. Otherwise noses
shift and change and move. You can't build a structure
by removing things. So did I take temporalists? I take stuff,
just ear cartilage, right, and we built you and tried
(24:33):
to add in areas that were deficient and rearrange things.
And as I said, derotate your nose and add to
your bridge, and so on and so forth. So here
we are two months later, and I'm really happy.
Speaker 2 (24:51):
It's first of all, I look like myself.
Speaker 1 (24:53):
Oh and we took and I took out ninety oh
so this metpoor thing. I had to open up the
inside of your mouth, go onto your gums, go through
your gums, and up to the corner of your mouth.
And as I expected, it was like imagine, just powder,
like like crushed salt. Salt is the best description. So
(25:14):
I scooped out I'd say ninety five percent of it,
but as I told you, some of it had just
no way to get it out. But it did what
it needed to do, which is it allowed your smile
to come back to normal. And I think your nose,
as bad as it was, the fact that your naser
labial folds were obliterated was the thing that was making
(25:36):
it seem really odd.
Speaker 2 (25:38):
Yes, right and so unlike myself.
Speaker 1 (25:41):
Right, And so we took that out and fix it.
So go ahead. So then so you're out two months
now obviously.
Speaker 2 (25:49):
Well, something I wanted to highlight was like, because you
described it like how you're going to build it with
each step, even if you need to take ear or
rib I was like, Wow, this makes a lot of
sense to me because my biggest worry coming in and
like trying to fix my nose was I don't want
to be forty years old and fifty and even thirty
in ten years and be like, I don't trust that.
(26:09):
First of all, what is in my nose is okay,
Like the plastic of the mentor might infect my face.
Speaker 1 (26:15):
I don't know sure.
Speaker 2 (26:16):
I was, so I had no idea what was internally
in my nose, and I knew it wasn't a good thing.
I was also smelling plastic for a month or two
months after the surgery, and yeah, I didn't want to
be older and be like even more.
Speaker 1 (26:31):
I have to do that exactly.
Speaker 2 (26:33):
So sorry, what was the question?
Speaker 1 (26:35):
No, but you brought up a very very good point.
I think this is important. You brought up the point
that I didn't realize. I knew I was unhappy. It
was obvious it was affecting my self esteem. I didn't
realize how unhappy and how much I focused on my
nose until I got it fixed, right, Like, you don't
(26:56):
know until that noise goes away how much that noise
is annoying. Like you hear noise, it's constant, and the
noise goes away and you're like, oh my god, I
did so tell me a little about that in terms
of like, once your nose was better and you look,
you're confident, you didn't realize how much of that was
taking up your time.
Speaker 2 (27:15):
Yeah, well, it would be constantly like no matter if
I was at with friends, like wherever I was, I
would constantly feel like people are staring at how asymmetrical
my nose was. I would ask people. People would be honest,
they're like, yeah, your nose look super crooked, And I
internally would feel like crushed and so angry at the
same time. And now even a month after, like yeah,
(27:37):
four weeks after the surgery, I saw multiple of my
friends and I'm like, do you notice anything with my face?
And they're like no, and like, what do you mean?
They're like, you look amazing. I'm like, I got my
nose done, right, and they didn't notice that. I like,
I looked like myself. Before I looked like crazy, botched,
and now I look like beautiful how I was like
originally before I was messed up. They notice and then obviously,
(28:02):
like when I was like I got my nose done,
They're like, oh my gosh, it looks so much less
like Pinocchio, Like it looks so beautiful, especially this side.
I don't know how you got it to look so elegant.
Speaker 1 (28:11):
And yeah, and it's really interesting. What's really interesting is
you underscore, which is the com which is what it
always is. They were staring at your nose when it
looked abnormal, yet you had it fixed, and they were
unable to see that it was fixed because it was normal.
Speaker 2 (28:26):
Yeah.
Speaker 1 (28:26):
Nobody pays attention to something that looks great. They look
at things that look terrible, right, So you think these
people who've been staring at your nose for at least
a year, who have said to you your nose looks
I'm sorry, I love you, you're my best friend, but
your nose looks terrible. You think they would be the
first person to be like, oh my god, your nose
(28:48):
looks so much better, but they didn't even comment because
it looked normal. And when you look normal, you just
don't pay attention, like it's just not relevant. What do
you want me to say? It looks good, that's amazing, right.
That just shows you that that's what our brains are
designed to do, is just notice baseline normal. We always
pick out the abnormal thing, not the normal thing. And
(29:11):
the other thing that you had mentioned to me, and
you said why I want to be on the show,
was that for other people who were feeling desperate to
have some hope, that someone not necessarily me, but that
to not lose hope and to keep searching that someone
(29:32):
can help them get out of that dark, you know, unhappy,
self conscious place that having box surgery takes you, right,
isn't that what you had said to me? Yes, So
why don't you elaborate a little bit on that for me?
Speaker 2 (29:47):
When I had gone to even like two consultations before you.
I was like, yes, I think that i'll feel better
and look better, but like I can't fully trust.
Speaker 1 (29:56):
So the reality is that you know, here you we
probably at six months after your rhinoplasty. You're looking at
yourself in the mirror, and I can't imagine you're not
just like freaking out. So you could have just said, well,
this is my new life. I just you know, it
is what it is. But you're like, no, I'm going
to keep I have to fix this. And so for
(30:19):
a lot of people, they lose hope and they just
surrender and they just say, fuck it, it is what
it is. You know, I should have done the first one.
I should definitely shouldn't have done the second one. I
should learn my lesson and not go and fix it anymore.
Just leave it is. You know, the enemy of good
is better. I'll just leave it alone. But what you
were telling me was like, I'm so happy that I
didn't just roll over and just leave it.
Speaker 2 (30:42):
Be so happy. And I think it's important to do
like a deep dive and lots of research, which I
also messed up on with the prior surgery. Like I
didn't do my research. I didn't look at stuff in
depth like I did with you. And before I got
this done, like I saw all your revisions. I saw, oh,
how you changed people, and like they looked not worse
(31:03):
some of your patients, but like they hadn't messed up
noses as well. And I'm like, wow, if he could
fix their nose, I'm sure he could fix mine and
at least make me ninety percent happier illustrator. And like,
as you explained to me, I'll never one hundred percent
be like have symmetrical novels. But I'm okay with that,
and I'm okay to look like I'm even Yeah, I'm
(31:24):
so beyond happy that I could feel fixed. And yeah,
that's why I don't think anyone should lose hope.
Speaker 1 (31:29):
Yeah, and I think definitely that's the case. And I
think you were to highlight one more thing. This is
every time I have a revisional patient with me, this
is what they say. The first time I did my surgery,
I didn't do enough homework. If you wanted to get
your nose done, you were sat behind a computer and
you would have started researching people. Instead, you kind of
got swept into the current right, so she went to
(31:52):
someone for something she thought was going to be good.
You never had the opportunity in your revision surgery where
the third time, even though you were recommended to me
by our mutual friend, you did your own homework. Did
you just come here because he said come here, and
you just showed up in my office and you sat
down and like, well, my dad's friend said this is
the guy. No, no way, you really did a deep dive.
(32:15):
You're like my I learned my lesson. I got burned
the second time. I'm not going to do that again.
And look at the difference it makes when you do
your own homework. No one can do the homework for
you but you.
Speaker 2 (32:31):
And I think it's a problem when a plastic surgeon
is like specializing in everything and says that they can
do everything the best, Like I personally don't think that's true.
Speaker 1 (32:42):
Yeah, I think the reality with that is it's funny
you should mention that because I am that guy. Actually
I am the guy that does everything. But I think
the difference is that I think at the end of
the day, no matter what a surgeon says he or
she can or can't do, they must back it. Up
with results. So let's say you came to me tomorrow.
(33:03):
You're like, hey, doctor Rubon, I'm thinking of doing my
breasts and I'm now your nose. Doctor. You go to
my gallery. I love doctor Rubon. He saved my life.
I trust him with my life. And you go to
my gallery. Either one of two things are gonna happen.
You're either gonna go wow, these are terrible results, in
which case, no matter how much you love me, I'm
(33:25):
not the right guy. Versus you go there and be like,
holy shit, these breasts are amazing. This guy is super talented.
He did an amazing nose for me, and his breastwork
is amazing. Well, then the guy's amazing at breastwork. There
is no rule. The rule is anything anyone is says
they can do, they have to put the evidence out.
(33:49):
They need to say, here's fifty examples of earpinning. Here's
fifty examples of chinnogs. Here's fifty examples of breast dogs,
breast lifts, reductions, body lifts.
Speaker 2 (33:59):
So many.
Speaker 1 (34:00):
Any time when patients say I got botched, and you
go back and look at the surgeon's work, it.
Speaker 2 (34:05):
Was terrible, And a lot of their work is watched
I later saw reviews and on Yelp. The main point
is this sergeant watched my face.
Speaker 1 (34:14):
Right. So what I'm saying is if you if which
is too late now water under the bridge, had you
just spent the time you normally would have, you would
have probably figured that out right, you would have avoided
this unfortunate situation. But at the end of the day,
all that ends well is great, you're here, you're happy.
We got you ninety five percent of the way there,
(34:36):
We removed ninety five percent of the medpoor. You look gorgeous.
You're not even out of the woods yet in terms
of you're not even You're still swollen, and it's only
going to look better. And we're just happy for you.
And I'm really happy for you because you're sweet, you're young,
and you have all your whole life ahead of you.
And it would have sucked ass if you had to
live with a jacked up nose for the rest of
your life, because I assure you it would ruin your life.
(34:59):
You would be self conscious forever.
Speaker 2 (35:01):
It was already yeah, it was just within a.
Speaker 1 (35:04):
Year at any rate. I mean, I think that's another
I think the message is to take home for everyone
listening is do your own homework. Do your own homework,
Do your own homework. I mean, it's just as simple
as that. I am. Out of the thousand revisions I've done,
maybe one percent of them are in patients who did
an extensive amount of homework and they still got botched.
(35:25):
In which case, well then it was just lightning strikes.
When lightning strikes, there's nothing you can do about it
at any rate. Thank you for coming on our show.
We're so happy to have you. And as always, if
you enjoy our episodes, if you like our podcast, I
need you to do me two favors. One is, I'd
love for you all to go and write us a
(35:46):
positive review. Positive reviews help us feel good about being
here on a Sunday. Sally Chacone is here in the background.
She's my you know, my wing woman, and she's here
waiting for your reviews to come in. And then the
second thing is, if you like our shows, share it
with the family members and friends that you love because
(36:07):
you think that they're figuring things out and you don't
know what they're about to do that you wish that
they had read or listened to our show. So disseminate
our podcast, and that's it. Yeah, that's a wrap for
this week's episode of Plastic Surgery Uncentered. I'm your host,
doctor Roddy Yurban, and we look forward to seeing you
guys next week
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