Taylor: My name is Taylor, I'm 15, and I'm going to Dr. Nassif for rhinoplasty. I'm a freshman in high school, and I'm involved in dance and cheerleading, but I really love to sing and write my own music.
I've broken my nose five times. The first time I broke it, I was a little girl and my brother was holding me and he dropped me in the bathtub. The second time, I fell down a flight of stairs flat on my face. The third time, I was walking and I turned my face really hard into a pole, the fourth time I was at a school dance and one of my friends didn't realize I was coming into the door, and she kicked it open and the door went directly into my nose. The fifth time, I was playing volleyball and someone spiked the ball and it went right into my nose and I broke it again.
I am pursuing a singing career, and I am part of a dance company in high school, where we dance up to three times a week. I also have a vocal coach that I meet with up to two times a week where we practice stretching my voice and working on my writing.
I wanna have a rhinoplasty because it's really hard for me to breathe, and because I can't breathe, it really affects my singing and projecting, and when I dance I run out of breath a lot faster than most people because I'm not getting in as much air.
Joanne: I'm Joanne and I'm Taylor's mom, and I'm really exited that she's gonna be having the rhinoplasty on her nose. I think she's gonna be really happy with the results, and it'll be so great for her to be able to breathe.
Dr. Paul Nassif: Hi, Taylor, Dr. Nassif.
Taylor: Nice to meet you.
Dr. Paul Nassif: Nice to meet you. You here for me to look at your nose right?
Taylor: Yes.
Dr. Paul Nassif: Do you have any breathing problems?
Taylor: Yeah, it's really hard for me to breathe.
Dr. Paul Nassif: Well I'll take a peek in here then.
Now is a great time for Taylor to have her surgery, be able to get her breathing under control, and also make her feel better about herself. She's never liked the hump she's had, it's made her shy and now she'll be able to come out of her shell. In the long run, it'll make her a better singer, she'll have more air going through her nose, and she'll be more confident.
Joanne: Do you think it'll affect her singing at all?
Dr. Paul Nassif: You might be able to hold a note longer, because you'll have more air in your chest because you can breathe better. So you can use your nose when you're breathing. That's our goal, to get you more air in.
[18:49-26:26]
Joanne: So are you nervous about your surgery?
Taylor: I don't think I'm nervous yet, but I know that once we're like sitting and waiting to do it, I'm gonna start getting nervous.
Joanne: Are you nervous that it may affect your voice, or are you
Taylor: I'm nervous, but there's not much I can do anymore. So I'm just hoping that it doesn't make too much of a difference.
Joanne: The big situation with Taylor with her nose is that she can't breathe at all through her nose, it's very hard for her when she wants to really hold those long notes, getting that breath inside is really difficult. So my hopes for Taylor after the surgery is that she'll be able to breathe and that it'll make her singing a lot easier for her.
So do all your friends know that you're doing it, or just some of them?
Taylor: Most of them probably know, I don't know. They're probably
Joanne: Do the guys know, or just the girls?
Taylor: I don't think most of the guys know that I'm doing it.
My fears for surgery are that I won't necessarily like the way that I sound afterwards, so if it sounds a way that I don't like, then I'll really have to spend a lot of time coaching it to make it sound good again. so that's always been a fear for me.
Joanne: You'll be good, you'll be fine, you'll come out and you'll be gorgeous. Not that you're not gorgeous now, but you'll be even more gorgeous.
Adriannene: ( To dog) Oh you look beautiful, you look so beautiful. Okay let's go do some shopping.
Dr. Paul Nassif: Itty Bitty was Adrianne's dog before I even met Adrianne, so he was there before me. And we have a little love-hate relationship.
Vampire!
Itty Bitty: (Growling)
Dr. Paul Nassif: Itty Bitty is very spoiled. He's the king of the house. Adrianne buys him all kinds of clothes, feeds him, hugs him, does everything for that dog. I mean, he's got it made.
Adriannene: Oh my god Gemma, look at this. That is too cute.
Gemma : Oh, that is really cute.
Adrianne: Oh, this is cute.
Jenna : Oh, that's so cute. Meow.
Cashier : Your total is $568.78.
Adrianne: Bitty, it's been a good day for you.
Joanne: So are you nervous?
Taylor: Yeah, I'm getting there.
Joanne: You did so well last night though, you were nice and calm. So it's just kind of as you're sitting here?
Taylor: Yeah, thinking more about them getting ready to cut my face open.
Joanne: To cut your face open. Oh, we forgot to tell them to cover the instruments.
Taylor: Today's the day of my surgery, and I'm feeling a bit nervous. I really don't wanna walk into the surgery room with the knives and everything showing, I want it all to be covered because I don't want to see anything that they're gonna do.
Dr. Paul Nassif: Today is Taylor's surgery. I'm gonna do a septoplasty, a tribenoplasty and a closed rhinoplasty to take down her hump.
Okay we're gonna start out with the septoplasty. We're gonna make an incision in the septum. Okay so now I'm looking at cartilage and bone, so the septum is pushed over to the right side, and we want to now shave off a little bit of the bottom part of the septum. If we do that, we should be able to straighten out the septum very easily.
Now the septum is made out of bone and cartilage, and it separates the right and left nasal cavity. When I perform a septoplasty, I am fixing a deviated septum, so that the air will go in the nose without any twists and turns. Even with that, she still has a very small airway. And actually, as I look back in her nose, I notice that the bone of the septum is buckled, and it's pushed over to the left. So we're gonna have to remove a little bit of the boney septum. Oh there you go. This is bone. That's septal bone that we're moving, it's pushed over to her left. Okay that is gonna help, that really is gonna help.
Okay so we're putting a little stitch in that septum, and let's see if that helps keep her septum straight. Okay I think that made it perfect.
Alright so her septum is straight as I can get it.
We just finished the septoplasty, now we're gonna perform the tribenalplasty. A tribenalplasty is where I reduce the size of the soft tissue inside her nasal cavity which has grown overly large because the septum's been pushed over. So on one side, where there's a lot of air going in, that turbinette will grow to compensate for the deviated septum.
Our next step now is to microfracture the turbinette bone, and with us doing that, that will help move the turbinette away from the middle of the nose, and this will hopefully enlarge the airway. Little small fractures, you can hear the bone, I can feel the bone fracture. Okay, looks pretty good. And I can see now I have a pretty nice airway. If I put this in her nose, it goes all the way in, no problems, fits in very easy. So I know that her airway is a lot bigger. The septum is nice and straight.
Okay, we've just finished the turbinoplasty, now we're gonna start the closed rhinoplasty part of the case and take down Taylor 's hump. A closed rhinoplasty is performed when you want to remove a nasal hump and do minimal tip work.
Joanne: Taylor's back in surgery now, and I've been sitting here probably for almost two hours. I'm a little bit nervous for her, but oh I can't wait to see the results. I'm really excited for her.
Dr. Paul Nassif: Looks good. Okay I'm happy with that, her hump is gone. So we've just finished removing the hump, our next step to finalize everything is to fracture her nasal bones. Tap tap, tap tap, stop, okay. Well, that looks pretty smooth in there to me. I think we're about done, and it feels good.
Taylor's surgery went fantastic. We initially did the septoplasty, then the tribunalplasty, then the closed rhinoplasty where we took down her hump, and then brought her nasal bones closer together. She should be able to breathe a lot better for her singing
Dr. Paul Nassif: Hello.
Joanne: Hello.
Dr. Paul Nassif: How are you?
Joanne: Good, how are you, how is she?
Dr. Paul Nassif: It went perfect.
Joanne: Great.
Dr. Paul Nassif: It went perfect. We got her septum nice and straight, made her airway, I would say double, probably, the size. I mean, when I was finished, I was able to drive a Mack truck right through her nose. It went fantastic. I'll see you later.
Joanne: Hi monkey, how you doin? You okay?
Taylor: Yeah.
Joanne: Oh my god Taylor, you're gonna love it. I can already tell from the bandage. No more bump, and it's so tiny. It looks great.
[27:40-29:43]
Taylor: It's been one week since my surgery, and I'm feeling a little stuffed up and nauseous and dizzy, but aside from that, no pain and I'm excited to see what it looks like.
Dr. Paul Nassif: Hi, how you feeling?
Taylor: I'm feeling a little dizzy and nauseas.
Dr. Paul Nassif: How's the nose?
Taylor: I can't breathe at all.
Dr. Paul Nassif: Well that's normal. Here's what I wanna do with you today. I'm gonna be able to partially clean things out, but I can't really fully clean things out because things are still healing in there. We're just gonna do some mining.
That's a big one.
Joanne: Eww.
Dr. Paul Nassif: You're gonna be able to breathe, at least, when I'm finished.
You'll partially be able to breath when I'm finished, not completely.
Joanne: That was disgusting.
Dr. Paul Nassif: Well, you didn't have to come in the room.
Joanne: I know.
Dr. Paul Nassif: Okay, let me hear you breathe. Can you partially breathe? Once I take this off, you'll even be able to breath even better. Your nose will be swollen. This is a very preliminary result. Preliminary, let me really emphasize that. Okay now you can't look yet.
So here's a before photo, and then here's a computer photo right here. Okay you ready? Go ahead.
Joanne: I think it looks better than the computer.
Taylor: Oh my god, I think it looks better than the computer.
Dr. Paul Nassif: Better than the computer, that's what I like.
Joanne: She wanted a little slope, and she's got a little slope.
Dr. Paul Nassif: Well it's even gonna get a little better, it's a bit swollen right there.
Joanne: Doesn't that look good, Taylor?
Taylor: Yeah.
Joanne: Are you happy?
Taylor: Yeah.
Joanne: So cute!
Taylor: I look so different!
Joanne: Now you have such a cute little profile. Now when you're singing you won't be afraid to turn your head.
Dr. Paul Nassif: Taylor's nose looks great, and also on the inside it looks great. So functionally, she'll be able to breathe beautifully. Right now she has a little bit of swelling, but her profile looks great. She should be really happy with her nose.
You can't forget about me, you've gotta invite me to your concerts, and backstage passes and front row seats and all that fun stuff.
Taylor: I love my new nose, I think it looks really good and I'm really happy, and I will not break my nose again, I'm staying away from balls, poles, doors, everything. No more. (Laughter)
[34:35-38:19]
Tom Weir: How you doing?
Taylor: Hi I'm Taylor, nice to meet you.
Tom Weir: Tom Weir, nice to meet you.
Steve Tolken: Steve Tolken, howsit going?
Taylor: Good.
It's been a month and a half since my surgery, and I'm really happy with the results cause I can breathe a lot better, and I'm really happy with the way it turned out looking.
Tom Weir: You excited?
Taylor: Yes, I'm really excited. I'm here today at Studio City Sound to record one of my songs "Farewell" and improve the sound of the song. It's a song that I wrote, and I just wanna record it, so that way I can bring it to record labels.
I'm working with Steve and Tom today, and Tom has won a Grammy in the past for music he's engineered, and Steve has written many theme songs for television shows.
[Singing]
Joanne: I think Taylor's results came out fantastic. She looks so pretty, and I mean, she looked really pretty to me before, but I think now she'll have a lot more confidence and feel better about herself, and everybody thinks it looks adorable.
Taylor: Being able to breathe better has helped my singing drastically. I can hold notes longer and it's clearer and less nasal sounding, so that gives it a better tone, which is good.
Now that I've had this surgery, my plans are to record more songs, and then once I finish that, send them to labels, and hopefully start my singing career.
Tom Weir: Excellent. Sounded great.
Steve Tolken: That deserves a hug, that sounded so good.
Taylor: Thank you.
I hope there's a Grammy in my future. That would be very nice. How do I get myself one of those?
Steve Tolken: Ask Tom, that's one of his.
Tom Weir: eBay.
(Laughter)
Taylor: Yes.
Adrianne: Hello.
Male Speaker: Look at the little baby.
Adrianne: Hi.
Male Speaker: Hi honey.
Dr. Paul Nassif: What's this thing?
Adrianne: It's to keep him warm.
Dr. Paul Nassif: Come on, what are you wearing, a jacket?
Adrianne: It's cute.
Dr. Paul Nassif: Oh, god.
Adrien and I often go to Sacramento to watch the Kings play. And on this most recent trip, we took a side excursion to check in on one of Adrianne's most favorite charities.
Adrianne: My Camp takes in underprivileged children and pairs them up with abandoned and strayed animals.
Initially, Paul came with me thinking that we were just gonna take a tour. But I think he was a little taken back when I decided that I wanted to adopt a dog. But by the end of the day, I think he warmed up to the idea.
Today we're bringing home Hamlet, and we're gonna introduce Hamlet to Itty Bitty, my dog, and hopefully they get along just wonderfully.
Adrianne: Oh look. See?
[Growling]
Dr. Paul Nassif: Oh, there we go.
Itty Bitty is used to getting all the attention. I think it'll be nice having some companionship, but I think he's gonna get a little jealous.
Adrianne: They don't know it, but they're gonna be best friends.
Dr. Paul Nassif: Don't fight.
[Growling and barking]
Dr. Paul Nassif: :Look at that, look at his tail. Put that tail down.
Adrianne: Don't.
Dr. Paul Nassif: Itty Bitty is very territorial over the house, and Adrien. I mean, he walks around like he owns this house. I don't know how he'll get along with other dogs.
Adrianne: This is his territory.
Dr. Paul Nassif: Look at how timid.
Adrianne: Oh, he's scared.
Dr. Paul Nassif: Oh-oh. Bitty, be nice. Be nice. Don't be territorial.
[Barking]
Adrianne: I guarantee by the end of the night, they'll be friends.
