Tony: I have to put my trust in a Dr. Paul Nassif again, and that's the hardest part. Saying, okay, here's a professional, you can fix this, right? Right?
(Music)
Tony: I'd say initially, it was a vanity thing. Initially, oh I don't like the way my nose looked, because it made me look older or whatever.
I had a lot of hope going in, thinking that this is going to be easy, quick, and I'll be like a new man.
(Music)
Tony: I got it in my head, and it was hard to get it out of my head. Because other people have done it, and they felt good about themselves and I've seen it on television too, and this is simple.
(Music)
Tony: Beyond that, it was "let's fix the mess", because that's what's going on here.
Female Speaker: (crying) I don't want you to have to go through this again.
Tony: Sorry, I'm sorry.
Female Speaker: If it's happening, this is the last time cause it really-
Tony: You're gonna be alright. Yeah. Okay? This will be it, alright? I promise.
Female Speaker: (crying)
Tony: I promise honey, it's gonna be alright, okay? Don't worry.
(Music)
Nurse: This also states just in case of any emergency whatsoever, that you are giving us permission to take action.
Dr. Paul Nassif: And this is your fifth surgery, major surgery, and there's a possibility that it can get worse. You have to be able to handle that. If you say to me right now, "Well, if this little if something happens in the nose, I don't wanna accept that", we're not gonna do the surgery, of course. It's not gonna be a good fit.
(Music)
Tony: After the second procedure, I wasn't pleased with what I saw. What he had done was basically taken the tip of my nose and pulled it in towards my face.
(Music)
Tony: It looked worse, and I was just like, "What is my course of action here?" If I sue this guy, then perhaps other doctors are gonna say, "I don't wanna touch you" so, I was kind of at a quandary, a dilemma. What do I do? You know, you pay for it so you can get this thing fixed.
(Music)
Tony: I could feel this little plastic, well I guess it was the silicone, I could feel the end of it. And if you go like that, you can actually push it in and out. So, like it wasn't connected.
(Music)
Tony: He didn't attach the implant the way he should have, and the implant was too big.
(Music)
Tony: What happened was it broke loose, and it started to slide towards the tip of my nose, which actually, if I had done nothing about it, it eventually would have punctured through my nose and come out, because it wasn't attached properly.
(Music)
Tony: My dermis had gotten really thin because of all the surgery, and him correcting, going in there and scraping away the scar tissue.
(Music)
Tony: Now, not only is the appearance not right, but my breathing is affected.
(Music)
Tony: Why, why is it going on like this? What is the problem? I mean, this is something that should have been easily fixed because he told me it was going to be fixed. I mean, why am I, you know, it was just so frustrating because I go, "Why can't I get this right? Why can't I find a Dr. Paul Nassif who can do this right?" I mean, what does it take? Am I gonna go broke until I find some Dr. Paul Nassif whose gonna be able to fix this? I just wanna walk around and look normal, I don't care anymore. I just (sigh) .
Dr. Paul Nassif: We're not God, we can't predict every outcome. It's elective surgery.
Tony: It says "Take one capsule by mouth a day", and I'm not sure what this is for because I didn't read it yet. Proproxinephorine , or something like that. It's for pain. And then this is Methelpredocylomine or something like that, gauze is because I'm gonna be doing a lot of bleeding.
Dr. Paul Nassif: And what's happening is I'm starting to see some collapse of his nose already of this tip. He has no support in his nose. He can't breathe. So that's not good, that's not good.
Now in a different scenario, this is after a third procedure in March 2004. Now I'm seeing two very, very serious issues that are occurring, and this is thinning of the skin with possible early necrosis of the skin. Necrosis means the skin looks like it's not gonna survive. He's got a big implant in his nose. In this procedure he had that large implant taken out and a smaller one put in.
But here's the worst part about the whole thing: His skin has collapsed, it's atrophied. That's because he's had so many surgeries here, that the skin is just getting too thin. So once I take out these synthetic support mechanisms for his nose, his nose is gonna collapse.
Tony: The average guy like me, the 9-5 person, is not gonna go out and talk about revision rhinoplasty or tummy tucks or whatever, because it's a taboo thing. And they could probably end up where I'm at, because they didn't have the knowledge. And that in itself is a recipe for disaster.
(knocking at door)
Tony: Let's see. My whole experience up to this point has been nothing but bad, bad, bad, bad, bad. Am I just gonna go spiraling down into this hole and end up losing my nose because of it.
A tummy tuck here, a breast lift there, a rhinoplasty there. They're cutting into your body, and they're changing it. And you can only hope that you're changing it in a way that you want it to be. Cause there is no guarantee.
Brain damage, coma, headache, and of course that last one, death.
Tony: What year are we using again?
Dr. Paul Nassif: It's this year, yep, that's, okay.
And also remember in the scalp, make a lone incision, I wanna grab some of that tissue. I wanna do all the sterile stuff first, then we'll do the nose.
There's something called an "open a roof", where it's like they're taking the top part of a roof off, like a cross-section of it, so there's a gap in your nasal bone. If that's there, then I will bring the bones together. If it's not there, then I'm leaving it alone.
Okay? Alright, I'll see you soon. I'll see you when you wake up.
(water running)
(music and various voices)
Breathe, and relax, deep breaths. No concerns, okay now just perfectly .
(whispering)
Dr. Paul Nassif: I'll leave this here for you.
(whispering): Thank you.
Dr. Paul Nassif: Initial 10 cc's.
With every surgery that Tony has, it makes my surgery with him more difficult.
(in surgery)
Dr. Paul Nassif: Come back a little bit towards me.
But I want to actually make sure I dissect this gently, cause I just want to get into the subcu plane.
Okay. That's a good piece of tissue. This is temporalis fascia, it's a nice thick layer of tissue that we can use in case we have to cover up part of the nose. I'm probably gonna want to keep that covered.
We got just enough cartilage left for support. Hold it.
(suction noise)
Dr. Paul Nassif: There should be cartilage coming all the way through here, and there's no cartilage at all left. So this is not normal anatomy..
Here's the implant, we have a silicone.
So this piece of cartilage is gonna take that collapsed nostril and pop it open. And this area collapsed, those two slits are very narrow.
Its just a very difficult surgery to do. What could happen is the nose will change in its appearance, and also you'll have a problem breathing a year or two years later. You do something now, it could drastically look different a year from now.
(music, snipping noises)
Dr. Paul Nassif: Silicone, implant, node, dorsal.
Female Speaker: To hell with Darren Dopp.
Tony: It hurts really bad.
Female Speaker: There's just a lot of traffic.
Tony: It's right to your bone, it goes right to your bones, that's the kind of pain that's really hard. You can't just shake it off and say, "Okay I can deal with this".
(repeated honking)
Tony: I think it has affected my psyche. When you're angry for so long, or upset or depressed, you become different.
(music)
Tony: Looking back at it, that little bump on my nose wasn't really such a bump at all.
(music)
Tony: I missed the point, like the bird that has the food in his mouth and he sees his reflection and tries to grab that, and looses it.
Now, four operations later, I'm still looking to remedy the problem that I created. I am the initial creator of this problem.
