August 6, 2025 • 41 mins
Have you ever looked in the mirror after surgery and thought… “Did I just make the biggest mistake of my life?” If so, you’re not alone—and this episode is for you.
This week on Plastic Surgery Uncensored, Dr. Rady Rahban sits down with his lovely rhinoplasty patient, Leeor, just three months post-op. What started as fear and doubt after her cast came off—complete with a silent stare and a pit in her stomach—evolved into trust, transformation, and finally, confidence. In this brutally honest conversation, we unpack:
🎧 Listen now—and don’t forget to subscribe, share with a friend, and leave us a review if you’ve ever felt uncertain in your surgical journey.
Connect with Dr. Rady Rahban:
🔗 Instagram: @drradyrahban
🔗 YouTube: Rady Rahban
🔗 TikTok: @radyrahbanmd
🔗 Facebook: Dr. Rady Rahban, MD
🔗 Website: www.drradyrahban.com
🔗 Podcast Archive: Plastic Surgery Uncensored
✨ 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:
This week on Plastic Surgery Uncensored, Dr. Rady Rahban sits down with his lovely rhinoplasty patient, Leeor, just three months post-op. What started as fear and doubt after her cast came off—complete with a silent stare and a pit in her stomach—evolved into trust, transformation, and finally, confidence. In this brutally honest conversation, we unpack:
- The emotional rollercoaster no one prepares you for after rhinoplasty
- Why the cast reveal moment isn’t always filled with tears of joy (and why that’s OK)
- The soufflé effect—Dr. Rahban’s favorite analogy for nose healing
- The difference between aesthetic rhinoplasty and reconstructive rhinoplasty (and why it matters 10 years from now)
- The critical role of your support system—and how the wrong person by your side can derail your recovery
🎧 Listen now—and don’t forget to subscribe, share with a friend, and leave us a review if you’ve ever felt uncertain in your surgical journey.
Connect with Dr. Rady Rahban:
🔗 Instagram: @drradyrahban
🔗 YouTube: Rady Rahban
🔗 TikTok: @radyrahbanmd
🔗 Facebook: Dr. Rady Rahban, MD
🔗 Website: www.drradyrahban.com
🔗 Podcast Archive: Plastic Surgery Uncensored
✨ 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
Mark as Played
Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:06):
Welcome to another episode of Plastic Surgery and Centered. I'm
your host, doctor Roddy Raban, and we have a fantastic episode.
Yes I say that every time, because every time it's
a fantastic episode. And aside from me being fantastic, it's
because our lovely guests, and Leor is here as our
guest today, and we're very excited to have her because
(00:29):
she is a wonderful, wonderful patient of mine, but more importantly,
she's going to help us dive into rhinoplasty, sort of
the deep some of the more challenging parts of rhinoplasty.
And I thought today's episode was really apropos because the
whole point of the podcast in general is to create transparency,
(00:50):
knowledge and awareness. Some of the information is very very
positive and some of the information is very very cautionary,
but it's always the truth. And so we're very excited
to talk about your journey. So let's just dive right in.
You're how old, twenty seven, wonderful, and we did a
(01:11):
septor rhino plassy sept rhinoplasty and you are how many
months out?
Speaker 2 (01:17):
Almost three months?
Speaker 1 (01:17):
Almost three months? Okay, So for anyone who knows anything
about rhinoplasty. You're still in the eye of the hurricane,
and we'll get into that, because that's really the gist
of this whole episode is about when we say the
journey of rhinoplasty, what time frame are we talking about?
And when you place an inappropriate time frame on an
(01:43):
occurrence in life, it can make or break that experience.
So if you are stating a perfect example is I'm
dating somebody and I should know within the first two
or three weeks if I'm going to marry them, that's
an inappropriate timeframe to place on an event. As a result,
(02:04):
you'll never get married because ninety nine point nine percent
times in three weeks you have not fallen in love. However,
if you say it's appropriate by you know, six to
twelve months for me to have an idea, then more
people and it's the same relationship, except you let it
breathe longer, longer, got it. So rhinoplasty is one, if anything,
that's the thing with rhinoplasty that I dislike most. I
(02:26):
love the outcomes, I love the surgery. I hate the waiting,
and I don't have to wait nearly as long with
anything else I do. Besides rhinoplasty, and no patient understands
it till they're in the train.
Speaker 2 (02:41):
Oh yeah, absolutely, So you.
Speaker 1 (02:43):
Did your rhinoplasty septo rhydoplasty, we'll get into that in
a minute, almost three months ago. And you look gorgeous
and we're happy to have you. So that means you're
super happy. But but well, let's dive right in. So
when a patient is due homework, let's back up a
little bit. Actually this why did you wait till you
(03:04):
were twenty seven? And by that I mean most people
who get rhino PLASTI not all Actually on Friday, I
did a facelift, eyelid, brow lift, blah blah blah, and
a rhinoplasty on that patient and she was sixty, So
it's not all patients, but most patients get it from
sixteen to let's say twenty three, twenty four. So not
(03:26):
crazy you're twenty seven, But why did you? Why did
you wait till twenty seven?
Speaker 2 (03:31):
So was something that I knew that I wanted from
around like late teens. I saw some friends go through
the experience. I didn't love their results. I also saw
a video of the actual surgery. You know that freaked me.
Speaker 1 (03:43):
That idea.
Speaker 2 (03:45):
So I figured, like my whole life, I said, like,
if I were to actually do it, I want to
find someone who will give me like a nose that
matches my face versus like some people with some surgeons
give everyone the same nose. I wanted to be really natural,
to look like myself, to really you know, one with
my face.
Speaker 1 (03:59):
Yeah.
Speaker 2 (04:00):
And so it wasn't until like I found someone who
I saw so many before and offers and I said, hey, okay,
this guy seems to know what he's doing. That guy
down the street.
Speaker 1 (04:11):
Why didn't you go to him? Shit, I feel bad now, Okay,
So essentially the reason you didn't do it is the
same reason everyone doesn't do their nose. Yeah, fear exactly
so well, everybody has fear for surgery. No, no, no, no.
The fear associated with a terrible nose job is exponentially
higher than the fear of a terrible breast dog right.
Speaker 2 (04:32):
A breast doog. You can hide it under a baggy shirt.
Speaker 1 (04:35):
Even the fear is ten that of a terrible facelift
or a terrible eyelid. There's something about rhinoplasty. It's central nose,
it's right in your face. There's something about it that
when it goes awry, it's very difficult to conceal. It
alters the way you look in such a dramatic way,
(04:57):
good and bad. That ninety nine percent of patients that
I have consults with when we dig and dig, it's
the fear of looking Michael Jackson s or their friend
in high school, or their aunt or their cousin or whoever.
That really is the trepidation. Otherwise they would have signed up. Shit, God,
(05:18):
I hate my nose. From the age of like fourteen,
I knew I hated it.
Speaker 2 (05:21):
Yeah, okay, So.
Speaker 1 (05:23):
Here you are, you're mulling along. You're mulling along it
obviously to you, your nose wasn't terrible. No, it just
wasn't exactly what you like. And in your instance, interesting,
your biggest issue was the width of your nose, yeah,
rather than which is customarily the side of your nose.
Although you did have a bit of a hump and
all those things, But in my estimation is that you
(05:45):
just had a very broad nose and you have a
very small face with small features, and it was just
why yeah, correct, Okay, So here it is, you're like, finally,
like fitt, I'm going to do this. Obviously, that correlated
with you and I connecting right as you're saying is like,
I didn't just do it because it was time and
I had the money. I didn't do it just because
(06:06):
my nose broken it looked terrible. I didn't do it
just because I was in a relationship where I was
getting a new job. You did it because you're like
you were constantly kind of perusing, perusing. You're like, oh,
these results consistently look good to me. Yeah, that's the key.
Surgeons have styles, and patients have preferences exactly, and patients
(06:31):
select surgeons, or at least they should, based on their outcomes. Now,
one huge mistake that patients make is to select based
on notoriety. So and so is a celebrity doctor, So
and so did so and So's nose okay, and so
what what about all the other noses? And many times
(06:55):
when I do revisions, and I do a lot of them,
in having conversations with patients like how did you get here,
one common theme is I didn't really dig that much.
My friend had her nose done, it looked great. I
wouldn't have had my nose done. Well, that's crazy. If
I were to have a no job. And what I
tell patients when they come to consultation is the number one,
(07:17):
number one predictor of you being happy is for you
to go through whatever doctor you select. Literally, open up
their gallery, grab a cup of coffee or tea, sit
there and scan all their photos and if you can
walk away saying, you know what about eighty percent of
these seventy five percent of these, I don't mind. These
(07:38):
are pretty decent. You are safe. What happens is you
patients select it, oh, number seventeen. So when patient come
to my office and they bring me number seventeen, it
makes me baddy. I'm like, you're not ordering this from Amazon.
Seventeen's irrelevant, her face, her scan, her nose. Well you
want to do is say, generally speaking, this doctor's word
(08:00):
seems attractive to me. Then the probability that this doctor's vision,
artistic prowess, their style will correlate to you. When you're
asleep and you wake up all of a sudden, you
want to know why your nose is ski slope. It's
because thirty eight like eighty percent of their noses were
ski slope. I don't understand why my tip is so
(08:23):
small because eighty percent of their noses were that way.
I'm not sure why my nose is so overrote. Again
and again, it's very seldom that if person gets a
nose job, the nose looks terrible. And eighty percent of
that doctor's work was like, nothing like it. It just
doesn't happen. So you did the homework, You're like, Okay,
this guy seems to embody the style that I like.
(08:46):
So we meet, we have a consult, consopt goes very well.
I think you felt like, oh, okay, this all makes sense.
I tend to be very Sally would say, I'm deflating.
Tend to be very transparent.
Speaker 2 (09:02):
Yeah, would you agree?
Speaker 1 (09:04):
Okay, yes, So what that means is like I I
go out of my way to make sure I don't
feel that my consults are salesy.
Speaker 2 (09:14):
No, it was not salesy at all.
Speaker 1 (09:16):
So I'm very like, you can expect this. It's going
to take twelve to For example, I say to you
how long will it take to heal a year? I
say twelve to eighteen months. Eighty percent of your swelling
goes away, which means I say, how many followups do
you have?
Speaker 2 (09:30):
You have three or four follow ups?
Speaker 1 (09:31):
One week, two week, six week, one year, two year,
three year, five year. What the what am I seeing
you for? Two year, three year five? I don't need
to see you at five years. If you had a
breast dog, would I see you five years out? No? Well,
why are you seeing me? Because noses are their own animal.
They have nothing to do with any other body part. Nothing.
(09:53):
Because when you look at noses and I use who
would I use? I pull up Belahadide. I use it
in every consult. I have nothing against Baladi. I don't care.
It's irrelevant. But hers is a perfect example. And I
show her nose job at one year, and because we
have eight billion photos of her, and I show her
no job ten years later. The two of those noses
(10:15):
are unrecognizably different. And what I try to explain to
patients is that noses evolving, and if your nose isn't
done structurally, which we'll talk about, then the likelihood that
it evolves in a way you don't like is far
greater than if you do it structurally, and it evolves
more stable. So I tend to be and then I'm like,
(10:35):
what did I tell you about the risks? I tell
you bleeding infection, scars, breathing, and then I write in
bold letters. I always circle it three times. I write asymmetry, irregularities, contrue, deformity,
(10:56):
Your nose will not be perfect. I write that in
bold letters at the end of every consult, and I
circle it, and I go into this whole shebang about
everyone uses photomorph and makes this cute nose and then
you get all excited, and then you put it on
your refrigerator, and then you send it to your friends
(11:16):
and you get all and everyone overlooks. The results may
very part of the bottom of the page. And I'm
doing the exact opposite in my consults. I'm discouraging you.
I'm making you like So then by the time they
get to Sally, she's like, well, how did it go?
Speaker 2 (11:30):
And You're like, uh, I don't know.
Speaker 1 (11:35):
And so I was like, okay, well let's start doing
some damage control. It's a wonder I have any patience.
So we did all that with you. So your consult
was incredibly thorough and very transparent. Yeah, okay, so good.
You were educated and you were ready. We end up
(11:56):
doing your rhinoplasty, okay. And so you had done a
ton of homework, you had a very thorough consult. I'm
arguably brutally transparent. CAST comes off.
Speaker 2 (12:13):
Very disappointed, freaking freaking out to say the slightest.
Speaker 1 (12:18):
I knew that, and I know when patients are freaking
out because there's only going to be one of two reactions.
CAST comes off and literally one of two things happen.
Either the patient is ecstatic teary eyed, I can't believe it.
Oh my god, the bump is gone. It's straight da da,
(12:38):
or they're silent.
Speaker 2 (12:40):
Yeah, and they weren't complete silent.
Speaker 1 (12:42):
You weren't screaming, you weren't yelling, you weren't crying, you
weren't doing anything. You're just like And I know, after
twenty years, having done thousands of these, when a patient
is silent, they're not really processing it. In other words,
they're not whoa, that's not what whatever was in your brain,
it never was seared in your brain, was not correlating
(13:03):
to the image.
Speaker 2 (13:03):
That you just like all everything that you hear and
like the very thorough console and it's all logical. On
the second you see it, that all goes out the window,
and you're having an emotional response, It all goes out
the window.
Speaker 1 (13:13):
Right, And the reason it does so is because every
single post you saw on social media, every single reveal,
and I don't mean most, I don't mean the majority,
every single reveal is with tears of joy and oh
my god and quivering while they're looking in the mirror
(13:33):
and hugging it. Oh my god. Right, and you're thinking,
WHOA like this is not the experience. We're in deep trouble, right,
because if I'm not having that experience, this is a
bad bad.
Speaker 2 (13:47):
Right, I'm s did I make a huge mistake?
Speaker 1 (13:49):
So what was the things that we're running through your mind?
So a huge mistake, huge mistake.
Speaker 2 (13:54):
My tip is so high, it looks so narrow. I
look like, you know, I walked out of some nosejob
fo with like some super like LA knows no offense
to that. But that's not what I was looking for.
And I was just worried, like I made this massive,
massive cost.
Speaker 1 (14:09):
And you didn't say anything because naturally patients they're a
little bit in shock. What are they going to say?
Usually every once in a while someone's incredibly verbal, meaning communicative,
but most people are just in silence. So you looked
at your mom, and your mom looked at you, and
I was saying this to you before I think, and
we're going to highlight this and table it. But your
mom was critical through this process. Why because your mom
(14:31):
looked at you and it's like, okay, all right, you know,
tough mode, it's gonna be okay. And everyone you're just
looking at her and disbelief. And I'm like, and I
knew immediately, yeah, And all I said to you was,
don't worry about it. It's swollen. And there's a reason
I don't allow patients to take a photo of themselves.
In that moment, every patient's like, can I take it?
Because I'm about to put a cast back on you,
(14:52):
right yeah. And everyone wants a photo, good or bad.
They want a photo because they want to look at it.
They want to go home and be like, oh my god,
what did it look like? I don't remember? And I
won't allow you. No patient is allowed to take a
photo the first week because whatever your nose looks like
at that day, I love it, I hate it. It
(15:13):
will not look that way in a week. So for
you to take a picture of a moving target is
of no use. All it does is generate anxiety and
more apprehension. I put on your cast tape you up
close it all up, tell you, give it a moment
and let you go. So you walk out the door
(15:36):
and off you go. You come back the second week,
the girls have already taken off your cast. Come on in,
and I can tell and you've had a minute to
simmer with it, because I was in the room, I
was running around, I was taking my time. So you
sitting there with no one in there, staring at your nose,
and while it looks better, it's still not what you
had anticipated. It's still pointing up a bit, still narrow,
(15:59):
still all the things that make it look typical la done.
Speaker 2 (16:03):
But we're already like on the right trajectory you had
told me, even if you hate it a little bit
less than you hated it last week.
Speaker 1 (16:10):
Right you? So clearly my favorite thing in the world
is the art of communication. I love that. So I
have spent years and years coming up ways to explain
things to patients. So with noses, we expect this, or
at least I do, and I've come up with isms.
One of them is all you need to know. And
I told you that last week. Is that from last
(16:32):
week to this week, if when the cast comes off,
all you say to me is it's one percent better.
That means that this is going in a desirable direction
and not a worsen direction. I didn't say you like it.
You still hate it. Worst decision you ever made in
your life. I hate you, doctor Bond. I'm want to
(16:52):
kill myself. All that is fine, but at least it's
a little better. Yeah, so comes off, but you're still
so anything.
Speaker 2 (17:01):
It's still like Super and Shock. You know, you have
one face for twenty seven years and then all of
a sudden you have a different face. So Super and
Shock hated it less, but I was still like, okay, like,
let's see where this goes. Like you had told me
when I was, you know, in shock, at that one
week appointment. You said, listen, the train has already left
the station. You're on the train. You can choose to
(17:23):
make yourself miserable. You can choose to not make yourself miserable.
The choice is yours, right, So.
Speaker 1 (17:28):
That has to do with the fact that you and
I are on a journey. Yeah, it's done, Like, yeah, sure,
if I could take it back, I would and I
would have never done. It's not relevant. We're here, it's done.
This is done. Your nose is not going anywhere. So
you can either trust the process and believe in your homework. Right,
(17:51):
You didn't just randomly pick me off some goddamn billboard.
You went through a process. That is the process you have,
you used for twenty seven years to make big decisions
in life. What job you take, what major you are,
who you date, this is your decision making and historically
(18:12):
you're batting ninety some odd percent. You're a capable person.
You can trust your process. Don't even trust me. I'm irrelevant.
You chose me. So you can trust your process and
let this play out, or you can kick and fight
and scream and yell and have the current take you
there anyways, except you'll be exhausted and flabbergasted.
Speaker 2 (18:33):
But you'll get to the same result. You're gona end
up the same place, and either you're relaxed or you're frantic.
Speaker 1 (18:38):
So that you said was very good. It helped, It
resonated with you. And then the other thing I said
to you is something about some soufle.
Speaker 2 (18:44):
Yes, So you said, if you're making a souflee and
the recipe says you need one hour in the oven
and you take it out, it for six minutes it's
not gonna taste good. It's not gonna taste like a souffle.
It's gonna taste like shit.
Speaker 1 (18:56):
Excuse me, no, but that's exactly what you said. It
tastes like shit.
Speaker 2 (19:00):
So and you told me this is six minutes out.
It takes a full year to heal. You're at six
minutes right now. You had surgery six days ago. I'm
telling you, as a surgeon who's been doing this for
twenty years, you're in a great position for six days
out of surgery and not sort of like calming down.
You told me at the end of the recipe. You know,
in a year, if you don't like it, we can
talk about that then if you don't like su fleas,
you don't like su FLEs. But right now we're at
(19:22):
minute six.
Speaker 1 (19:23):
Yeah, and I think it's very important because, as I
said to you before, it's all about framework. I can't
tell you if I love this guy. It's only been
four dates. Well, you're not supposed to tell me if
you love this guy. That's why you're panicking. You're not
supposed to love it. The problem is, despite our very
earnest consult despite all the homework you did, there's still
(19:45):
a lot of mixed signals. And why this episode and
why you're being here and sharing your experience is critical
is we have to shit, We have to shed light
on the other side of the coin. Yes, lot of patience.
Cast comes off. They love it every week. It's like,
I love it more, I love it even more, Oh
(20:05):
my god, and it's exponentially better. But we have no
shortage of patients in whom the experience is a bit tumultuous.
Their face doesn't is unrecognizable to them. There's a morphing
of their mind and their body. The noses at six
minutes and it does look a little piggy. It does
(20:26):
a little piggy, not crazy piggy, like the ones you
see online. And you're like everyone's When someone forwards me
a photo, it makes me want to cry. The cast
comes off, and I'm talking. The nose is literally like
one hundred and seventy degrees and you're just like, this
poor girl's life is ruined, far from but in your
eyes it was over. Yeah, because everything settles. So you
(20:50):
have to have.
Speaker 2 (20:51):
A which I knew, which I knew. Brains your brain's
not working exactly.
Speaker 1 (20:56):
So so here we are our dialogue worked in that
it didn't make you like your nose. It made you
less anxious about not liking your nose.
Speaker 2 (21:08):
It made me, you know, it made me relax a
little bit, just to say like, Okay, okay, it's a process.
He's not freaking out. If you were freaking out, yeah
about what I made, it taks worse and it's just
knowing that, well, let's let's see where this goes. Let's
trust the process. Let's relax a little.
Speaker 1 (21:23):
The most important factor was your mom. And I'll explain
you why. If I want everyone to listen to this,
this is the best advice you're going to hear. If
you are going to take someone as your advocate through
your surgical journey, your face lift, your breast, dog, your
tummy tuck, your earpinning, whatever, make one hundred percent certain
(21:49):
that that person is reliable, stable, and calm. I'm going
to repeat it. If you are going to take someone
as your patient advocate, it along with the journey, make
sure that person is not hyper, a shit starter, and
(22:12):
panic tendencies. Because that person is the person that you
are going to turn to when things aren't right, and
they need to be a calming force. I cannot tell
you how many times in twenty years the person they
chose to be as their advocate worsens the situation by
pouring gasoline on a tiny, little smoldering flame, only to
(22:38):
make it into a massive forest fire. Your mom could
have a major situation ten x worse by panicking with
you and oh my god, you're right, it doesn't look good,
or she did, and it's not something that can fake.
That's why I'm telling you make sure that's their personality,
because even if they want to fake it, you can
tell by looking at them that they're panicking. Your mom
(23:01):
was like, it looks good, it's fine, it's going like.
She wasn't bullshitting you. She was very calm, and that
was very helpful for you and for me indirectly because
it gave you the breathing room to let this do
what it was going to do. She didn't fix your nose,
she didn't lie to you. She just didn't add to
(23:21):
your aggravation. She didn't feel like one hundred percent. And
I have had patients who I pull aside and they're like, honestly,
I don't have a problem with my breast nose to
but it's my dad, or my mom, or my boyfriend
or my wife that are making this situation worse. So
do not bring people that are going to make matters worse.
(23:42):
If things aren't the way you want them to.
Speaker 2 (23:44):
Do, you need like a calming support system one hundred percent.
Speaker 1 (23:47):
So time is taking, time is taking, time is taking.
So I see it one week, panic, see you two
weeks panic minus one, and then I see you it's
six weeks because that's the next follow up. Yeah, right,
So I walk in the room and I see a
smile on your.
Speaker 2 (24:02):
Face, right crazy, and I'm.
Speaker 1 (24:05):
Like, okay, all right, don't know what to make because
I don't know where you'll be in your train journey, right,
And then I come in and what did you say
to me?
Speaker 2 (24:15):
I like it.
Speaker 1 (24:16):
It's better. It's better, It's much better.
Speaker 2 (24:20):
Better. It has good days and bad days. But I
think there's also an element of like that chok wears off.
You get used to what you're seeing in the mirror.
Then you start getting used to what you're seeing in pictures,
and you're like, okay, like I like it. It matches
my face, it looks good. Your friends, your family are
telling you, like, wow, it looks this. It looks not
like they're giving you their opinions too, and you start
to Okay, I like it, like I'm into it.
Speaker 1 (24:40):
So now you're beginning to get out of the clouds.
Things are starting. You don't love it. It's not like
every moment of every day that's your dream, knows, But
what it is is it's doing what we said it
was doing. Yeah, it's following the exact trajectory that we discussed.
It's getting better week after after a week, it's becoming
(25:02):
more the way you expected. Your brain is simultaneous because
two things are happening. One is it's actually looking better
because the swelling is going down and your brain is
adapting to the Let's say the nose was perfection right
out of the cast, you still would have freaked out
because your brain was not ready to see this face
(25:23):
without that nose. And those things are happening. So at
six weeks, when a smile is on your face, I
know we're out of the danger zone because I know
that at eight weeks, at three months, at seven months,
at twelve months, it's only going to get better because
the nose is those two processes, my brain adjusting and
(25:43):
the nose getting better are getting better and better in
that regard, and so at some point what's crazy is
that you forget that you ever did this, and it
is so much faster than you anticipate, and you were
telling me that, like, yeah, happened with that.
Speaker 2 (26:04):
I was having dinner with a friend this week who
I have known since I was zero, like truly we
grew up together, we went to preschool together, everything, and
he asked me, what are you doing this weekend? And
I mentioned I was coming here to talk to you,
and he goes, oh my god, I completely forgot even
has this done? Like it just looks like you, right,
which in my eyes going from oh my god, what
did I do? To my face? I feel like my
(26:24):
tip is up here to being like, oh, this is
just you, which is exactly what I wanted. So I
was like, great, amazing, in my eyes, this is a win,
and this is what I wanted, like I didn't want.
You know, you notice someone like the first thing you
see is their nose. It's just like, oh, this is
leor this is great, nice to see you. Let's have dinner. Right,
So I'm very happy about that.
Speaker 1 (26:42):
So and that is what those kinds of events are
incredibly calmning because they take you down yet another notch,
then yet another notch, which is, oh not only do
I'm loving it? People are not even remembering or recognizing
And how long has it been? Almost three months? It's nothing.
So in the Soufley analogy, you panicked at six minutes,
(27:04):
all we are is at ten minutes. Look at the
transformation in a one hour recipe from six to ten minutes.
You know your nose will have fully arrived, honestly at
eighteen months, two years, three years. We say a year
because if we told you that, you would be like, yes,
ninety percent of it is cooked. At one year you
(27:24):
won't even remember the nuances after that. But as a surgeon,
I know your nose changes because I know because we
see that change for the bad in patients who have
maybe more classic noses. Right, so that changed that. That
actually is a segue too, So what kind of nose
job did you have? Because all those jobs are not
(27:45):
created equally. There is what you look like at one
year and what you will look like at ten years.
And even if you grow to love your nose, it
started out shitty, it looks great at one year. There
is no guarantee that in ten years you'll still like it.
What do you mean? What does that even mean? What
(28:06):
do you mean I'm not gonna like it? Well, because noses,
unlike your ears and breasts, and things change way more
dramatically than other things. Why because the nature of a
traditional nose job is as follows. Hi doctor, I'm here
(28:26):
because I don't like my nose. Great, tell me what
bothers you? Well, I have this big bump. Two, my
bones are really wide. Three my tip is fat and broad.
Four my nose is droopy. Okay, no problem. And then
we surgeons go and start to make your nose smaller,
get rid of the hump, take some of the carlage
(28:47):
out of your tip, so the thing together, break the bones,
and everything I'm doing is reducing the size of your nose.
Correct Your before nose is twelve point two percent bigger
eight point nine percent bigger than your current nose. Yes
(29:09):
or no? Right, So number one, what you expect is
that you're breathing should be shittier. And as a result,
when you go online and you read about unhappy people's
number one is always I hate the way it looks.
And number two as I can't breathe. One is I
don't like it too, as I can breathe. The reason
they can't breathe, even though they win in possibly with
good breathing, is that the technique that is traditionally and
(29:33):
still used is about making the nose smaller. This is
a tube. You made the nose smaller. Now the inside
is smaller, you're not able to breathe. That's very important
for you to understand. Hence why I do every rhinoplasty. Hey,
doctor vroon, how's my I don't like the way my
nose looks. How's the breathing amazing? You're getting breathing surgery.
(29:54):
Oh you're upselling me. No, you're getting breathing surgery. Why
Because I'm going to make your nose smaller. And what
I I want you to tell me afterwards is my
breathing is no better, but my breathing is no worse.
And so we do a septoplasty and an inferior terminant
in every single human being, because I want your breathing
to be unfazed by the fact that I made it
somewhat smaller. Now, the key, the cornerstone, the most important
(30:17):
thing for people to understand is a traditional rhinoplasty leaves
the nose weaker. Yeah, so you and I are in
a building. Architect comes and says, this overall building's way
too big. I need this building to be a bit smaller.
How about ten percent smaller. So I now have to
go and remove beams. I need to take out some footing,
(30:40):
some foundations, some arches, some bolts. Now the building is smaller.
This building is now a percentage weaker, and with the
next earthquake, I'm going to have some issues. So noses
are structures. They're literally buttresses and beams and whatever. And
(31:00):
when we do a traditional rhinoplasty, they're now weaker. So
when you now look at celebrities, the one I use
is Bellaheadee, and you watch the transition. Their nose begins
to collapse and a traditional oh my god, look at
that Michael Jackson type nose is over time. Right, you
get a little notching in the nose, the tip rotates
(31:20):
up and gets super stuck. The middle area gets vanished
and disappears. So the technique that I use in every
rhinoplasty is reconstruct Your nose is no different. And what
that means is that I make your nose smaller. Great,
And then I take structure where what structure? Cartilage from?
(31:44):
Where'd you get it from your septoplasty? Which septoplastic the
one I did so your breathing would be better? Oh okay?
And then I make little grafts. I cut it up
in little pieces, and then I insert it into your
nose in the areas that I we by making it smaller,
so I reinforce your nose with your own cartilage, so
(32:07):
that when I see you at ten years, your nose
hasn't changed from when I did it.
Speaker 2 (32:13):
You can still breathe.
Speaker 1 (32:14):
You can breathe. It didn't whittle away into some little,
tiny little nose. It structurally sound, it doesn't move. It's stable,
so that I refer to as reconstructive rhino PLASTI. That
is a difference between shaving your hair as a haircut
and having a two hour, beautifully executed haircut. The two
(32:36):
are haircuts. One is using a razor and one is
using shears. So yes, they're rhino plastis, but they're very,
very different in terms of outcomes and longevity. No, and
as a result, it stays a little stiff, it stays
a little swollen, it stays a little numb for a while.
(32:57):
Now you are going to see that your nose looks
better than worse, better and worse, better and worse, better
and worse, and then you'll get to you're going to
get to the top of the roller coaster. What month
is that?
Speaker 2 (33:15):
Seven?
Speaker 1 (33:15):
Seven months roughly is when you get to the top
of the roller coaster and then it's downhill from there.
And what that means is that the changes of swelling
and smaller and starts getting lesser and lesser, and your
nose becomes more and more and more and more stable,
and less and less numb, and less and less stiff
and less and less swollen, right, and the discomfort from
tapping your nose becomes less and less. Yes, So that
(33:38):
is what you have to expect. But you're still in
the eye of the hurricane.
Speaker 2 (33:42):
Yeah, I'm well aware, and I've seen, you know, seeing
those changes in such a short period of time. It's like, okay,
I know to expect that there is more change to chromic.
This is not the final outcome, but just go with it.
Speaker 1 (33:52):
Yeah, But the key to it is now you're in
a place of mental health stability. In other words, everything
from here on out as gravy because you now realize, oh,
I like it. It's already been told to me. Then
it doesn't even look like I did it. While that's
so reassuring, so you like it. It's being received the
(34:13):
way you like. So here on out everything is just
sort of oh, it's twelve percent.
Speaker 2 (34:17):
Better, cool, awesome, yeah.
Speaker 1 (34:20):
Only better. So I think it's really important for people
to understand this because again, we would love nothing more
for this to come off the cast and it's tears
of joy and we never look back. But you are
not the minority. You're not some rare case. I wouldn't
say you're the majority, but you certainly aren't like, oh yeah,
this happens to me once a year. No, no, this
(34:42):
happens more often than you think. We just don't post
this shit on Instagram, right because why post like we're
not going to post a cast reveal and you're like,
look like it goes and be like all right, yeah
that one's not going up that one, Yeah, go ahead
and delete that, right, So who's going to post that
kind of reveal for you to see? But we need
(35:04):
to have this dialogue because the more people realize that
it does can start out. Now you have three months
you still hate it. Starting to have a little bit
of a problem. You're out a couple of months out
and it doesn't look right and it's still really piggy
and stuff you're gonna have. You should start being a
little bit more. Will it change, Yes, but it's unlikely
(35:26):
to get where you need it to go. But cast
comes off that is finger and soufle a. It's raw
and nasty and it tastes like shit, So that's to
be expected. Now you're an expert, right, You're an expert
because you went through the journey. It's your journey. No
one else can take it from you. And now I'm
(35:48):
your best friend and I come to you and I'm like, oh,
I want to do my nose. And you have this
unique opportunity now to download your suggestions advice cans. So
what would you say two friends that want to get
their noses done, good, the bad, the ugly. What elements
do you think are important from the minute of starting
(36:08):
their homework to the very end? Because I think in
come a year from now, you will remember any of this.
Believe me, Even as intimate and stressful as this is,
I'm gonna ask you quit. Yeah, I don't. I don't
know it was. I just remember I was a little
bit freaked out. But it looks great and I don't remember.
You will forget all this, So what you want to impart, I.
Speaker 2 (36:28):
Would say, do a rigorous homework process which detailed what
for you aside from like the surgeon, and you know
what they're known for, what you know, problems they've had,
anything that you're looking for, Like in the surgeon, like
you said, like grab a coffee, go through their entire
gallery and see what the patterns are in the gallery.
And if you like them, amazing. If you don't like them,
might not be the surgeon for you. Okay, I would
say that. I would say prepare yourself emotionally. It is
(36:51):
an emotional process. It is not the cast is off. Okay, great,
I'm going to go to a wedding. I'm gonna go
to this. I'm gonna go to that. There's a good
chance you won't like it, and that's fine. But to
have a good support system and your friends and your family,
whoever's around you, whoever's you know, whoever you go to
for that type of advice, and to stay calm and
to know that it's your choice. If you want to
(37:11):
freak out or not to trust the process, and to
just really like pick a doctor that you know you
trust their work.
Speaker 1 (37:18):
I think really it's important also for your for your
doctor to pick someone in the event that you're unhappy
and they don't gaslight you. So so let me take
you back to the day that cast comes off. Your
cast comes off, you're emotional. I take it personally. I'm
annoyed that you're annoyed. And then I start sort of
(37:41):
acting out because I'm a person to you know, right,
I'm a person and people have personalities. And instead of
sort of giving you the advice that I gave you, Hey,
you know it's you know, you know all the things
that I told you, and in that calming you, I
start to kind of get hostile. What do you mean
(38:01):
you don't like it? It looks amazing, which is if
you read most often the case right, because I spent
all this time major this nose and now you're unhappy.
And many surgeons, when patients express dissatisfaction, they get defensive,
and that does what to your process, no, because.
Speaker 2 (38:20):
Then you're you're having a hostile experience. Just to be
on the same team.
Speaker 1 (38:23):
It's going to make your experience one million times worse.
Speaker 2 (38:26):
Yeah, because now you're unhappy with your results. Your surgeon's like, oh,
what do you mean? This is great? And in your
eyes this is not great?
Speaker 1 (38:32):
Right, And so it's very important that in addition to
the work you like, the temperament or the approach or
the philosophies or whatever goddamn word you want to use
their behavior of your surgeon, because in the event that
you happen to be that unfortunate one percent, two percent,
three percent, five percent of their patients that are not happy,
(38:53):
what are you going to what dialogue are you going
to have? Is that person going what is that person
going to be opened to your criticism or your concerns,
because more often than not, doctors don't like the idea
of having put an energy into a patient and now
they're being critical or criticizing or complaining. So, yes, you
(39:15):
want to like their work, and yes you have to
take responsibility, but you better have someone that's going to
go on the journey with you, like the person you
chose to be by your side. Your surgeon is that
other person. And you know, I could be telling you
other kinds of advice which would have actually worsened you,
of course, So I think that's really important. How you
figure that out is things like this podcast, Like, you
(39:37):
can't figure that out from a you know, just looking
at how many likes someone has. You got to get
the temperament of your surgeon and figure it out.
Speaker 2 (39:47):
Yeah, absolutely, agreed, agreed, agreed.
Speaker 1 (39:50):
All right, Well I think that was actually very helpful,
don't you think I think so? Okay, Well, great, that's
a wrap. I guess we're going to depart with two requests.
Number one request is if you like our show, which
I imagine you will because you've been in listening here
about forty five minutes, please go and write us a
(40:10):
lovely review. And I don't mean tomorrow or when you
get a chance. I mean end the episode, grab your phone.
Go it's kind of confusing, find the thing, write it
us a great review. It makes everyone so happy. Everyone's
putting a ton of work and effort behind the scenes
to put these episodes out, and we do so for
your joy, and when you show us that you're joyful,
it makes us keep wanting to do it. The second
(40:31):
is share this with everyone you love, because I can't
tell you the number of times people are like Oh
my god, I didn't know my sister was going to
do that, or no one told me. My best friend
went and did this and didn't tell me, And you're like, god,
if only they would have listened, And you think they're
going to come tell you, but they're not. So you
should share this amazing resource with everyone you love and
(40:51):
tell them to download and subscribe in the event that
they do something without you knowing. All right, guys, that's yeah,
another amazing episode of plastic Surgery on Censored. As always,
I'm your host, doctor Roddey Raban. See you next week.
Welcome to another episode of Plastic Surgery and Centered. I'm
your host, doctor Roddy Raban, and we have a fantastic episode.
Yes I say that every time, because every time it's
a fantastic episode. And aside from me being fantastic, it's
because our lovely guests, and Leor is here as our
guest today, and we're very excited to have her because
(00:29):
she is a wonderful, wonderful patient of mine, but more importantly,
she's going to help us dive into rhinoplasty, sort of
the deep some of the more challenging parts of rhinoplasty.
And I thought today's episode was really apropos because the
whole point of the podcast in general is to create transparency,
(00:50):
knowledge and awareness. Some of the information is very very
positive and some of the information is very very cautionary,
but it's always the truth. And so we're very excited
to talk about your journey. So let's just dive right in.
You're how old, twenty seven, wonderful, and we did a
(01:11):
septor rhino plassy sept rhinoplasty and you are how many
months out?
Speaker 2 (01:17):
Almost three months?
Speaker 1 (01:17):
Almost three months? Okay, So for anyone who knows anything
about rhinoplasty. You're still in the eye of the hurricane,
and we'll get into that, because that's really the gist
of this whole episode is about when we say the
journey of rhinoplasty, what time frame are we talking about?
And when you place an inappropriate time frame on an
(01:43):
occurrence in life, it can make or break that experience.
So if you are stating a perfect example is I'm
dating somebody and I should know within the first two
or three weeks if I'm going to marry them, that's
an inappropriate timeframe to place on an event. As a result,
(02:04):
you'll never get married because ninety nine point nine percent
times in three weeks you have not fallen in love. However,
if you say it's appropriate by you know, six to
twelve months for me to have an idea, then more
people and it's the same relationship, except you let it
breathe longer, longer, got it. So rhinoplasty is one, if anything,
that's the thing with rhinoplasty that I dislike most. I
(02:26):
love the outcomes, I love the surgery. I hate the waiting,
and I don't have to wait nearly as long with
anything else I do. Besides rhinoplasty, and no patient understands
it till they're in the train.
Speaker 2 (02:41):
Oh yeah, absolutely, So you.
Speaker 1 (02:43):
Did your rhinoplasty septo rhydoplasty, we'll get into that in
a minute, almost three months ago. And you look gorgeous
and we're happy to have you. So that means you're
super happy. But but well, let's dive right in. So
when a patient is due homework, let's back up a
little bit. Actually this why did you wait till you
(03:04):
were twenty seven? And by that I mean most people
who get rhino PLASTI not all Actually on Friday, I
did a facelift, eyelid, brow lift, blah blah blah, and
a rhinoplasty on that patient and she was sixty, So
it's not all patients, but most patients get it from
sixteen to let's say twenty three, twenty four. So not
(03:26):
crazy you're twenty seven, But why did you? Why did
you wait till twenty seven?
Speaker 2 (03:31):
So was something that I knew that I wanted from
around like late teens. I saw some friends go through
the experience. I didn't love their results. I also saw
a video of the actual surgery. You know that freaked me.
Speaker 1 (03:43):
That idea.
Speaker 2 (03:45):
So I figured, like my whole life, I said, like,
if I were to actually do it, I want to
find someone who will give me like a nose that
matches my face versus like some people with some surgeons
give everyone the same nose. I wanted to be really natural,
to look like myself, to really you know, one with
my face.
Speaker 1 (03:59):
Yeah.
Speaker 2 (04:00):
And so it wasn't until like I found someone who
I saw so many before and offers and I said, hey, okay,
this guy seems to know what he's doing. That guy
down the street.
Speaker 1 (04:11):
Why didn't you go to him? Shit, I feel bad now, Okay,
So essentially the reason you didn't do it is the
same reason everyone doesn't do their nose. Yeah, fear exactly
so well, everybody has fear for surgery. No, no, no, no.
The fear associated with a terrible nose job is exponentially
higher than the fear of a terrible breast dog right.
Speaker 2 (04:32):
A breast doog. You can hide it under a baggy shirt.
Speaker 1 (04:35):
Even the fear is ten that of a terrible facelift
or a terrible eyelid. There's something about rhinoplasty. It's central nose,
it's right in your face. There's something about it that
when it goes awry, it's very difficult to conceal. It
alters the way you look in such a dramatic way,
(04:57):
good and bad. That ninety nine percent of patients that
I have consults with when we dig and dig, it's
the fear of looking Michael Jackson s or their friend
in high school, or their aunt or their cousin or whoever.
That really is the trepidation. Otherwise they would have signed up. Shit, God,
(05:18):
I hate my nose. From the age of like fourteen,
I knew I hated it.
Speaker 2 (05:21):
Yeah, okay, So.
Speaker 1 (05:23):
Here you are, you're mulling along. You're mulling along it
obviously to you, your nose wasn't terrible. No, it just
wasn't exactly what you like. And in your instance, interesting,
your biggest issue was the width of your nose, yeah,
rather than which is customarily the side of your nose.
Although you did have a bit of a hump and
all those things, But in my estimation is that you
(05:45):
just had a very broad nose and you have a
very small face with small features, and it was just
why yeah, correct, Okay, So here it is, you're like, finally,
like fitt, I'm going to do this. Obviously, that correlated
with you and I connecting right as you're saying is like,
I didn't just do it because it was time and
I had the money. I didn't do it just because
(06:06):
my nose broken it looked terrible. I didn't do it
just because I was in a relationship where I was
getting a new job. You did it because you're like
you were constantly kind of perusing, perusing. You're like, oh,
these results consistently look good to me. Yeah, that's the key.
Surgeons have styles, and patients have preferences exactly, and patients
(06:31):
select surgeons, or at least they should, based on their outcomes. Now,
one huge mistake that patients make is to select based
on notoriety. So and so is a celebrity doctor, So
and so did so and So's nose okay, and so
what what about all the other noses? And many times
(06:55):
when I do revisions, and I do a lot of them,
in having conversations with patients like how did you get here,
one common theme is I didn't really dig that much.
My friend had her nose done, it looked great. I
wouldn't have had my nose done. Well, that's crazy. If
I were to have a no job. And what I
tell patients when they come to consultation is the number one,
(07:17):
number one predictor of you being happy is for you
to go through whatever doctor you select. Literally, open up
their gallery, grab a cup of coffee or tea, sit
there and scan all their photos and if you can
walk away saying, you know what about eighty percent of
these seventy five percent of these, I don't mind. These
(07:38):
are pretty decent. You are safe. What happens is you
patients select it, oh, number seventeen. So when patient come
to my office and they bring me number seventeen, it
makes me baddy. I'm like, you're not ordering this from Amazon.
Seventeen's irrelevant, her face, her scan, her nose. Well you
want to do is say, generally speaking, this doctor's word
(08:00):
seems attractive to me. Then the probability that this doctor's vision,
artistic prowess, their style will correlate to you. When you're
asleep and you wake up all of a sudden, you
want to know why your nose is ski slope. It's
because thirty eight like eighty percent of their noses were
ski slope. I don't understand why my tip is so
(08:23):
small because eighty percent of their noses were that way.
I'm not sure why my nose is so overrote. Again
and again, it's very seldom that if person gets a
nose job, the nose looks terrible. And eighty percent of
that doctor's work was like, nothing like it. It just
doesn't happen. So you did the homework, You're like, Okay,
this guy seems to embody the style that I like.
(08:46):
So we meet, we have a consult, consopt goes very well.
I think you felt like, oh, okay, this all makes sense.
I tend to be very Sally would say, I'm deflating.
Tend to be very transparent.
Speaker 2 (09:02):
Yeah, would you agree?
Speaker 1 (09:04):
Okay, yes, So what that means is like I I
go out of my way to make sure I don't
feel that my consults are salesy.
Speaker 2 (09:14):
No, it was not salesy at all.
Speaker 1 (09:16):
So I'm very like, you can expect this. It's going
to take twelve to For example, I say to you
how long will it take to heal a year? I
say twelve to eighteen months. Eighty percent of your swelling
goes away, which means I say, how many followups do
you have?
Speaker 2 (09:30):
You have three or four follow ups?
Speaker 1 (09:31):
One week, two week, six week, one year, two year,
three year, five year. What the what am I seeing
you for? Two year, three year five? I don't need
to see you at five years. If you had a
breast dog, would I see you five years out? No? Well,
why are you seeing me? Because noses are their own animal.
They have nothing to do with any other body part. Nothing.
(09:53):
Because when you look at noses and I use who
would I use? I pull up Belahadide. I use it
in every consult. I have nothing against Baladi. I don't care.
It's irrelevant. But hers is a perfect example. And I
show her nose job at one year, and because we
have eight billion photos of her, and I show her
no job ten years later. The two of those noses
(10:15):
are unrecognizably different. And what I try to explain to
patients is that noses evolving, and if your nose isn't
done structurally, which we'll talk about, then the likelihood that
it evolves in a way you don't like is far
greater than if you do it structurally, and it evolves
more stable. So I tend to be and then I'm like,
(10:35):
what did I tell you about the risks? I tell
you bleeding infection, scars, breathing, and then I write in
bold letters. I always circle it three times. I write asymmetry, irregularities, contrue, deformity,
(10:56):
Your nose will not be perfect. I write that in
bold letters at the end of every consult, and I
circle it, and I go into this whole shebang about
everyone uses photomorph and makes this cute nose and then
you get all excited, and then you put it on
your refrigerator, and then you send it to your friends
(11:16):
and you get all and everyone overlooks. The results may
very part of the bottom of the page. And I'm
doing the exact opposite in my consults. I'm discouraging you.
I'm making you like So then by the time they
get to Sally, she's like, well, how did it go?
Speaker 2 (11:30):
And You're like, uh, I don't know.
Speaker 1 (11:35):
And so I was like, okay, well let's start doing
some damage control. It's a wonder I have any patience.
So we did all that with you. So your consult
was incredibly thorough and very transparent. Yeah, okay, so good.
You were educated and you were ready. We end up
(11:56):
doing your rhinoplasty, okay. And so you had done a
ton of homework, you had a very thorough consult. I'm
arguably brutally transparent. CAST comes off.
Speaker 2 (12:13):
Very disappointed, freaking freaking out to say the slightest.
Speaker 1 (12:18):
I knew that, and I know when patients are freaking
out because there's only going to be one of two reactions.
CAST comes off and literally one of two things happen.
Either the patient is ecstatic teary eyed, I can't believe it.
Oh my god, the bump is gone. It's straight da da,
(12:38):
or they're silent.
Speaker 2 (12:40):
Yeah, and they weren't complete silent.
Speaker 1 (12:42):
You weren't screaming, you weren't yelling, you weren't crying, you
weren't doing anything. You're just like And I know, after
twenty years, having done thousands of these, when a patient
is silent, they're not really processing it. In other words,
they're not whoa, that's not what whatever was in your brain,
it never was seared in your brain, was not correlating
(13:03):
to the image.
Speaker 2 (13:03):
That you just like all everything that you hear and
like the very thorough console and it's all logical. On
the second you see it, that all goes out the window,
and you're having an emotional response, It all goes out
the window.
Speaker 1 (13:13):
Right, And the reason it does so is because every
single post you saw on social media, every single reveal,
and I don't mean most, I don't mean the majority,
every single reveal is with tears of joy and oh
my god and quivering while they're looking in the mirror
(13:33):
and hugging it. Oh my god. Right, and you're thinking,
WHOA like this is not the experience. We're in deep trouble, right,
because if I'm not having that experience, this is a
bad bad.
Speaker 2 (13:47):
Right, I'm s did I make a huge mistake?
Speaker 1 (13:49):
So what was the things that we're running through your mind?
So a huge mistake, huge mistake.
Speaker 2 (13:54):
My tip is so high, it looks so narrow. I
look like, you know, I walked out of some nosejob
fo with like some super like LA knows no offense
to that. But that's not what I was looking for.
And I was just worried, like I made this massive,
massive cost.
Speaker 1 (14:09):
And you didn't say anything because naturally patients they're a
little bit in shock. What are they going to say?
Usually every once in a while someone's incredibly verbal, meaning communicative,
but most people are just in silence. So you looked
at your mom, and your mom looked at you, and
I was saying this to you before I think, and
we're going to highlight this and table it. But your
mom was critical through this process. Why because your mom
(14:31):
looked at you and it's like, okay, all right, you know,
tough mode, it's gonna be okay. And everyone you're just
looking at her and disbelief. And I'm like, and I
knew immediately, yeah, And all I said to you was,
don't worry about it. It's swollen. And there's a reason
I don't allow patients to take a photo of themselves.
In that moment, every patient's like, can I take it?
Because I'm about to put a cast back on you,
(14:52):
right yeah. And everyone wants a photo, good or bad.
They want a photo because they want to look at it.
They want to go home and be like, oh my god,
what did it look like? I don't remember? And I
won't allow you. No patient is allowed to take a
photo the first week because whatever your nose looks like
at that day, I love it, I hate it. It
(15:13):
will not look that way in a week. So for
you to take a picture of a moving target is
of no use. All it does is generate anxiety and
more apprehension. I put on your cast tape you up
close it all up, tell you, give it a moment
and let you go. So you walk out the door
(15:36):
and off you go. You come back the second week,
the girls have already taken off your cast. Come on in,
and I can tell and you've had a minute to
simmer with it, because I was in the room, I
was running around, I was taking my time. So you
sitting there with no one in there, staring at your nose,
and while it looks better, it's still not what you
had anticipated. It's still pointing up a bit, still narrow,
(15:59):
still all the things that make it look typical la done.
Speaker 2 (16:03):
But we're already like on the right trajectory you had
told me, even if you hate it a little bit
less than you hated it last week.
Speaker 1 (16:10):
Right you? So clearly my favorite thing in the world
is the art of communication. I love that. So I
have spent years and years coming up ways to explain
things to patients. So with noses, we expect this, or
at least I do, and I've come up with isms.
One of them is all you need to know. And
I told you that last week. Is that from last
(16:32):
week to this week, if when the cast comes off,
all you say to me is it's one percent better.
That means that this is going in a desirable direction
and not a worsen direction. I didn't say you like it.
You still hate it. Worst decision you ever made in
your life. I hate you, doctor Bond. I'm want to
(16:52):
kill myself. All that is fine, but at least it's
a little better. Yeah, so comes off, but you're still
so anything.
Speaker 2 (17:01):
It's still like Super and Shock. You know, you have
one face for twenty seven years and then all of
a sudden you have a different face. So Super and
Shock hated it less, but I was still like, okay, like,
let's see where this goes. Like you had told me
when I was, you know, in shock, at that one
week appointment. You said, listen, the train has already left
the station. You're on the train. You can choose to
(17:23):
make yourself miserable. You can choose to not make yourself miserable.
The choice is yours, right, So.
Speaker 1 (17:28):
That has to do with the fact that you and
I are on a journey. Yeah, it's done, Like, yeah, sure,
if I could take it back, I would and I
would have never done. It's not relevant. We're here, it's done.
This is done. Your nose is not going anywhere. So
you can either trust the process and believe in your homework. Right,
(17:51):
You didn't just randomly pick me off some goddamn billboard.
You went through a process. That is the process you have,
you used for twenty seven years to make big decisions
in life. What job you take, what major you are,
who you date, this is your decision making and historically
(18:12):
you're batting ninety some odd percent. You're a capable person.
You can trust your process. Don't even trust me. I'm irrelevant.
You chose me. So you can trust your process and
let this play out, or you can kick and fight
and scream and yell and have the current take you
there anyways, except you'll be exhausted and flabbergasted.
Speaker 2 (18:33):
But you'll get to the same result. You're gona end
up the same place, and either you're relaxed or you're frantic.
Speaker 1 (18:38):
So that you said was very good. It helped, It
resonated with you. And then the other thing I said
to you is something about some soufle.
Speaker 2 (18:44):
Yes, So you said, if you're making a souflee and
the recipe says you need one hour in the oven
and you take it out, it for six minutes it's
not gonna taste good. It's not gonna taste like a souffle.
It's gonna taste like shit.
Speaker 1 (18:56):
Excuse me, no, but that's exactly what you said. It
tastes like shit.
Speaker 2 (19:00):
So and you told me this is six minutes out.
It takes a full year to heal. You're at six
minutes right now. You had surgery six days ago. I'm
telling you, as a surgeon who's been doing this for
twenty years, you're in a great position for six days
out of surgery and not sort of like calming down.
You told me at the end of the recipe. You know,
in a year, if you don't like it, we can
talk about that then if you don't like su fleas,
you don't like su FLEs. But right now we're at
(19:22):
minute six.
Speaker 1 (19:23):
Yeah, and I think it's very important because, as I
said to you before, it's all about framework. I can't
tell you if I love this guy. It's only been
four dates. Well, you're not supposed to tell me if
you love this guy. That's why you're panicking. You're not
supposed to love it. The problem is, despite our very
earnest consult despite all the homework you did, there's still
(19:45):
a lot of mixed signals. And why this episode and
why you're being here and sharing your experience is critical
is we have to shit, We have to shed light
on the other side of the coin. Yes, lot of patience.
Cast comes off. They love it every week. It's like,
I love it more, I love it even more, Oh
(20:05):
my god, and it's exponentially better. But we have no
shortage of patients in whom the experience is a bit tumultuous.
Their face doesn't is unrecognizable to them. There's a morphing
of their mind and their body. The noses at six
minutes and it does look a little piggy. It does
(20:26):
a little piggy, not crazy piggy, like the ones you
see online. And you're like everyone's When someone forwards me
a photo, it makes me want to cry. The cast
comes off, and I'm talking. The nose is literally like
one hundred and seventy degrees and you're just like, this
poor girl's life is ruined, far from but in your
eyes it was over. Yeah, because everything settles. So you
(20:50):
have to have.
Speaker 2 (20:51):
A which I knew, which I knew. Brains your brain's
not working exactly.
Speaker 1 (20:56):
So so here we are our dialogue worked in that
it didn't make you like your nose. It made you
less anxious about not liking your nose.
Speaker 2 (21:08):
It made me, you know, it made me relax a
little bit, just to say like, Okay, okay, it's a process.
He's not freaking out. If you were freaking out, yeah
about what I made, it taks worse and it's just
knowing that, well, let's let's see where this goes. Let's
trust the process. Let's relax a little.
Speaker 1 (21:23):
The most important factor was your mom. And I'll explain
you why. If I want everyone to listen to this,
this is the best advice you're going to hear. If
you are going to take someone as your advocate through
your surgical journey, your face lift, your breast, dog, your
tummy tuck, your earpinning, whatever, make one hundred percent certain
(21:49):
that that person is reliable, stable, and calm. I'm going
to repeat it. If you are going to take someone
as your patient advocate, it along with the journey, make
sure that person is not hyper, a shit starter, and
(22:12):
panic tendencies. Because that person is the person that you
are going to turn to when things aren't right, and
they need to be a calming force. I cannot tell
you how many times in twenty years the person they
chose to be as their advocate worsens the situation by
pouring gasoline on a tiny, little smoldering flame, only to
(22:38):
make it into a massive forest fire. Your mom could
have a major situation ten x worse by panicking with
you and oh my god, you're right, it doesn't look good,
or she did, and it's not something that can fake.
That's why I'm telling you make sure that's their personality,
because even if they want to fake it, you can
tell by looking at them that they're panicking. Your mom
(23:01):
was like, it looks good, it's fine, it's going like.
She wasn't bullshitting you. She was very calm, and that
was very helpful for you and for me indirectly because
it gave you the breathing room to let this do
what it was going to do. She didn't fix your nose,
she didn't lie to you. She just didn't add to
(23:21):
your aggravation. She didn't feel like one hundred percent. And
I have had patients who I pull aside and they're like, honestly,
I don't have a problem with my breast nose to
but it's my dad, or my mom, or my boyfriend
or my wife that are making this situation worse. So
do not bring people that are going to make matters worse.
(23:42):
If things aren't the way you want them to.
Speaker 2 (23:44):
Do, you need like a calming support system one hundred percent.
Speaker 1 (23:47):
So time is taking, time is taking, time is taking.
So I see it one week, panic, see you two
weeks panic minus one, and then I see you it's
six weeks because that's the next follow up. Yeah, right,
So I walk in the room and I see a
smile on your.
Speaker 2 (24:02):
Face, right crazy, and I'm.
Speaker 1 (24:05):
Like, okay, all right, don't know what to make because
I don't know where you'll be in your train journey, right,
And then I come in and what did you say
to me?
Speaker 2 (24:15):
I like it.
Speaker 1 (24:16):
It's better. It's better, It's much better.
Speaker 2 (24:20):
Better. It has good days and bad days. But I
think there's also an element of like that chok wears off.
You get used to what you're seeing in the mirror.
Then you start getting used to what you're seeing in pictures,
and you're like, okay, like I like it. It matches
my face, it looks good. Your friends, your family are
telling you, like, wow, it looks this. It looks not
like they're giving you their opinions too, and you start
to Okay, I like it, like I'm into it.
Speaker 1 (24:40):
So now you're beginning to get out of the clouds.
Things are starting. You don't love it. It's not like
every moment of every day that's your dream, knows, But
what it is is it's doing what we said it
was doing. Yeah, it's following the exact trajectory that we discussed.
It's getting better week after after a week, it's becoming
(25:02):
more the way you expected. Your brain is simultaneous because
two things are happening. One is it's actually looking better
because the swelling is going down and your brain is
adapting to the Let's say the nose was perfection right
out of the cast, you still would have freaked out
because your brain was not ready to see this face
(25:23):
without that nose. And those things are happening. So at
six weeks, when a smile is on your face, I
know we're out of the danger zone because I know
that at eight weeks, at three months, at seven months,
at twelve months, it's only going to get better because
the nose is those two processes, my brain adjusting and
(25:43):
the nose getting better are getting better and better in
that regard, and so at some point what's crazy is
that you forget that you ever did this, and it
is so much faster than you anticipate, and you were
telling me that, like, yeah, happened with that.
Speaker 2 (26:04):
I was having dinner with a friend this week who
I have known since I was zero, like truly we
grew up together, we went to preschool together, everything, and
he asked me, what are you doing this weekend? And
I mentioned I was coming here to talk to you,
and he goes, oh my god, I completely forgot even
has this done? Like it just looks like you, right,
which in my eyes going from oh my god, what
did I do? To my face? I feel like my
(26:24):
tip is up here to being like, oh, this is
just you, which is exactly what I wanted. So I
was like, great, amazing, in my eyes, this is a win,
and this is what I wanted, like I didn't want.
You know, you notice someone like the first thing you
see is their nose. It's just like, oh, this is
leor this is great, nice to see you. Let's have dinner. Right,
So I'm very happy about that.
Speaker 1 (26:42):
So and that is what those kinds of events are
incredibly calmning because they take you down yet another notch,
then yet another notch, which is, oh not only do
I'm loving it? People are not even remembering or recognizing
And how long has it been? Almost three months? It's nothing.
So in the Soufley analogy, you panicked at six minutes,
(27:04):
all we are is at ten minutes. Look at the
transformation in a one hour recipe from six to ten minutes.
You know your nose will have fully arrived, honestly at
eighteen months, two years, three years. We say a year
because if we told you that, you would be like, yes,
ninety percent of it is cooked. At one year you
(27:24):
won't even remember the nuances after that. But as a surgeon,
I know your nose changes because I know because we
see that change for the bad in patients who have
maybe more classic noses. Right, so that changed that. That
actually is a segue too, So what kind of nose
job did you have? Because all those jobs are not
(27:45):
created equally. There is what you look like at one
year and what you will look like at ten years.
And even if you grow to love your nose, it
started out shitty, it looks great at one year. There
is no guarantee that in ten years you'll still like it.
What do you mean? What does that even mean? What
(28:06):
do you mean I'm not gonna like it? Well, because noses,
unlike your ears and breasts, and things change way more
dramatically than other things. Why because the nature of a
traditional nose job is as follows. Hi doctor, I'm here
(28:26):
because I don't like my nose. Great, tell me what
bothers you? Well, I have this big bump. Two, my
bones are really wide. Three my tip is fat and broad.
Four my nose is droopy. Okay, no problem. And then
we surgeons go and start to make your nose smaller,
get rid of the hump, take some of the carlage
(28:47):
out of your tip, so the thing together, break the bones,
and everything I'm doing is reducing the size of your nose.
Correct Your before nose is twelve point two percent bigger
eight point nine percent bigger than your current nose. Yes
(29:09):
or no? Right, So number one, what you expect is
that you're breathing should be shittier. And as a result,
when you go online and you read about unhappy people's
number one is always I hate the way it looks.
And number two as I can't breathe. One is I
don't like it too, as I can breathe. The reason
they can't breathe, even though they win in possibly with
good breathing, is that the technique that is traditionally and
(29:33):
still used is about making the nose smaller. This is
a tube. You made the nose smaller. Now the inside
is smaller, you're not able to breathe. That's very important
for you to understand. Hence why I do every rhinoplasty. Hey,
doctor vroon, how's my I don't like the way my
nose looks. How's the breathing amazing? You're getting breathing surgery.
(29:54):
Oh you're upselling me. No, you're getting breathing surgery. Why
Because I'm going to make your nose smaller. And what
I I want you to tell me afterwards is my
breathing is no better, but my breathing is no worse.
And so we do a septoplasty and an inferior terminant
in every single human being, because I want your breathing
to be unfazed by the fact that I made it
somewhat smaller. Now, the key, the cornerstone, the most important
(30:17):
thing for people to understand is a traditional rhinoplasty leaves
the nose weaker. Yeah, so you and I are in
a building. Architect comes and says, this overall building's way
too big. I need this building to be a bit smaller.
How about ten percent smaller. So I now have to
go and remove beams. I need to take out some footing,
(30:40):
some foundations, some arches, some bolts. Now the building is smaller.
This building is now a percentage weaker, and with the
next earthquake, I'm going to have some issues. So noses
are structures. They're literally buttresses and beams and whatever. And
(31:00):
when we do a traditional rhinoplasty, they're now weaker. So
when you now look at celebrities, the one I use
is Bellaheadee, and you watch the transition. Their nose begins
to collapse and a traditional oh my god, look at
that Michael Jackson type nose is over time. Right, you
get a little notching in the nose, the tip rotates
(31:20):
up and gets super stuck. The middle area gets vanished
and disappears. So the technique that I use in every
rhinoplasty is reconstruct Your nose is no different. And what
that means is that I make your nose smaller. Great,
And then I take structure where what structure? Cartilage from?
(31:44):
Where'd you get it from your septoplasty? Which septoplastic the
one I did so your breathing would be better? Oh okay?
And then I make little grafts. I cut it up
in little pieces, and then I insert it into your
nose in the areas that I we by making it smaller,
so I reinforce your nose with your own cartilage, so
(32:07):
that when I see you at ten years, your nose
hasn't changed from when I did it.
Speaker 2 (32:13):
You can still breathe.
Speaker 1 (32:14):
You can breathe. It didn't whittle away into some little,
tiny little nose. It structurally sound, it doesn't move. It's stable,
so that I refer to as reconstructive rhino PLASTI. That
is a difference between shaving your hair as a haircut
and having a two hour, beautifully executed haircut. The two
(32:36):
are haircuts. One is using a razor and one is
using shears. So yes, they're rhino plastis, but they're very,
very different in terms of outcomes and longevity. No, and
as a result, it stays a little stiff, it stays
a little swollen, it stays a little numb for a while.
(32:57):
Now you are going to see that your nose looks
better than worse, better and worse, better and worse, better
and worse, and then you'll get to you're going to
get to the top of the roller coaster. What month
is that?
Speaker 2 (33:15):
Seven?
Speaker 1 (33:15):
Seven months roughly is when you get to the top
of the roller coaster and then it's downhill from there.
And what that means is that the changes of swelling
and smaller and starts getting lesser and lesser, and your
nose becomes more and more and more and more stable,
and less and less numb, and less and less stiff
and less and less swollen, right, and the discomfort from
tapping your nose becomes less and less. Yes, So that
(33:38):
is what you have to expect. But you're still in
the eye of the hurricane.
Speaker 2 (33:42):
Yeah, I'm well aware, and I've seen, you know, seeing
those changes in such a short period of time. It's like, okay,
I know to expect that there is more change to chromic.
This is not the final outcome, but just go with it.
Speaker 1 (33:52):
Yeah, But the key to it is now you're in
a place of mental health stability. In other words, everything
from here on out as gravy because you now realize, oh,
I like it. It's already been told to me. Then
it doesn't even look like I did it. While that's
so reassuring, so you like it. It's being received the
(34:13):
way you like. So here on out everything is just
sort of oh, it's twelve percent.
Speaker 2 (34:17):
Better, cool, awesome, yeah.
Speaker 1 (34:20):
Only better. So I think it's really important for people
to understand this because again, we would love nothing more
for this to come off the cast and it's tears
of joy and we never look back. But you are
not the minority. You're not some rare case. I wouldn't
say you're the majority, but you certainly aren't like, oh yeah,
this happens to me once a year. No, no, this
(34:42):
happens more often than you think. We just don't post
this shit on Instagram, right because why post like we're
not going to post a cast reveal and you're like,
look like it goes and be like all right, yeah
that one's not going up that one, Yeah, go ahead
and delete that, right, So who's going to post that
kind of reveal for you to see? But we need
(35:04):
to have this dialogue because the more people realize that
it does can start out. Now you have three months
you still hate it. Starting to have a little bit
of a problem. You're out a couple of months out
and it doesn't look right and it's still really piggy
and stuff you're gonna have. You should start being a
little bit more. Will it change, Yes, but it's unlikely
(35:26):
to get where you need it to go. But cast
comes off that is finger and soufle a. It's raw
and nasty and it tastes like shit, So that's to
be expected. Now you're an expert, right, You're an expert
because you went through the journey. It's your journey. No
one else can take it from you. And now I'm
(35:48):
your best friend and I come to you and I'm like, oh,
I want to do my nose. And you have this
unique opportunity now to download your suggestions advice cans. So
what would you say two friends that want to get
their noses done, good, the bad, the ugly. What elements
do you think are important from the minute of starting
(36:08):
their homework to the very end? Because I think in
come a year from now, you will remember any of this.
Believe me, Even as intimate and stressful as this is,
I'm gonna ask you quit. Yeah, I don't. I don't
know it was. I just remember I was a little
bit freaked out. But it looks great and I don't remember.
You will forget all this, So what you want to impart, I.
Speaker 2 (36:28):
Would say, do a rigorous homework process which detailed what
for you aside from like the surgeon, and you know
what they're known for, what you know, problems they've had,
anything that you're looking for, Like in the surgeon, like
you said, like grab a coffee, go through their entire
gallery and see what the patterns are in the gallery.
And if you like them, amazing. If you don't like them,
might not be the surgeon for you. Okay, I would
say that. I would say prepare yourself emotionally. It is
(36:51):
an emotional process. It is not the cast is off. Okay, great,
I'm going to go to a wedding. I'm gonna go
to this. I'm gonna go to that. There's a good
chance you won't like it, and that's fine. But to
have a good support system and your friends and your family,
whoever's around you, whoever's you know, whoever you go to
for that type of advice, and to stay calm and
to know that it's your choice. If you want to
(37:11):
freak out or not to trust the process, and to
just really like pick a doctor that you know you
trust their work.
Speaker 1 (37:18):
I think really it's important also for your for your
doctor to pick someone in the event that you're unhappy
and they don't gaslight you. So so let me take
you back to the day that cast comes off. Your
cast comes off, you're emotional. I take it personally. I'm
annoyed that you're annoyed. And then I start sort of
(37:41):
acting out because I'm a person to you know, right,
I'm a person and people have personalities. And instead of
sort of giving you the advice that I gave you, Hey,
you know it's you know, you know all the things
that I told you, and in that calming you, I
start to kind of get hostile. What do you mean
(38:01):
you don't like it? It looks amazing, which is if
you read most often the case right, because I spent
all this time major this nose and now you're unhappy.
And many surgeons, when patients express dissatisfaction, they get defensive,
and that does what to your process, no, because.
Speaker 2 (38:20):
Then you're you're having a hostile experience. Just to be
on the same team.
Speaker 1 (38:23):
It's going to make your experience one million times worse.
Speaker 2 (38:26):
Yeah, because now you're unhappy with your results. Your surgeon's like, oh,
what do you mean? This is great? And in your
eyes this is not great?
Speaker 1 (38:32):
Right, And so it's very important that in addition to
the work you like, the temperament or the approach or
the philosophies or whatever goddamn word you want to use
their behavior of your surgeon, because in the event that
you happen to be that unfortunate one percent, two percent,
three percent, five percent of their patients that are not happy,
(38:53):
what are you going to what dialogue are you going
to have? Is that person going what is that person
going to be opened to your criticism or your concerns,
because more often than not, doctors don't like the idea
of having put an energy into a patient and now
they're being critical or criticizing or complaining. So, yes, you
(39:15):
want to like their work, and yes you have to
take responsibility, but you better have someone that's going to
go on the journey with you, like the person you
chose to be by your side. Your surgeon is that
other person. And you know, I could be telling you
other kinds of advice which would have actually worsened you,
of course, So I think that's really important. How you
figure that out is things like this podcast, Like, you
(39:37):
can't figure that out from a you know, just looking
at how many likes someone has. You got to get
the temperament of your surgeon and figure it out.
Speaker 2 (39:47):
Yeah, absolutely, agreed, agreed, agreed.
Speaker 1 (39:50):
All right, Well I think that was actually very helpful,
don't you think I think so? Okay, Well, great, that's
a wrap. I guess we're going to depart with two requests.
Number one request is if you like our show, which
I imagine you will because you've been in listening here
about forty five minutes, please go and write us a
(40:10):
lovely review. And I don't mean tomorrow or when you
get a chance. I mean end the episode, grab your phone.
Go it's kind of confusing, find the thing, write it
us a great review. It makes everyone so happy. Everyone's
putting a ton of work and effort behind the scenes
to put these episodes out, and we do so for
your joy, and when you show us that you're joyful,
it makes us keep wanting to do it. The second
(40:31):
is share this with everyone you love, because I can't
tell you the number of times people are like Oh
my god, I didn't know my sister was going to
do that, or no one told me. My best friend
went and did this and didn't tell me, And you're like, god,
if only they would have listened, And you think they're
going to come tell you, but they're not. So you
should share this amazing resource with everyone you love and
(40:51):
tell them to download and subscribe in the event that
they do something without you knowing. All right, guys, that's yeah,
another amazing episode of plastic Surgery on Censored. As always,
I'm your host, doctor Roddey Raban. See you next week.
Popular Podcasts
My Favorite Murder with Karen Kilgariff and Georgia Hardstark
My Favorite Murder is a true crime comedy podcast hosted by Karen Kilgariff and Georgia Hardstark. Each week, Karen and Georgia share compelling true crimes and hometown stories from friends and listeners. Since MFM launched in January of 2016, Karen and Georgia have shared their lifelong interest in true crime and have covered stories of infamous serial killers like the Night Stalker, mysterious cold cases, captivating cults, incredible survivor stories and important events from history like the Tulsa race massacre of 1921. My Favorite Murder is part of the Exactly Right podcast network that provides a platform for bold, creative voices to bring to life provocative, entertaining and relatable stories for audiences everywhere. The Exactly Right roster of podcasts covers a variety of topics including historic true crime, comedic interviews and news, science, pop culture and more. Podcasts on the network include Buried Bones with Kate Winkler Dawson and Paul Holes, That's Messed Up: An SVU Podcast, This Podcast Will Kill You, Bananas and more.
24/7 News: The Latest
The latest news in 4 minutes updated every hour, every day.
Dateline NBC
Current and classic episodes, featuring compelling true-crime mysteries, powerful documentaries and in-depth investigations. Follow now to get the latest episodes of Dateline NBC completely free, or subscribe to Dateline Premium for ad-free listening and exclusive bonus content: DatelinePremium.com