“And that’s what I
thought but it didn’t work out and now I’m divorced.” Why could she never be
quiet?
“I was engaged once but she broke it off. It was good that
it happened before we married.” He pointed to the wall where he had side and
front views of what her nose would like after surgery. “Okay, here we go. Our
goal in rhinoplasty is to provide a more balanced, refined, natural look
without compromising function. The nose is shorter in length. See how the small
hump on your bridge is gone. Your nose is thin so doesn’t need to be narrowed.”
She stared at the images. She looked truly beautiful for the
first time in her life.
“You need to keep your expectations realistic. Any nose job
should simply enhance you natural facial features and emphasize your unique
look. There is no ‘perfect’ nose. Don’t be afraid to speak up if you don’t like
something.”
“Are you kidding? I love what you’ve done.” She turned her
head and her eyes met Dr. Whitman’s. “Thank you. I’m excited and it’s going to
be hard to wait until school’s out to get my nose done. You were blessed with
an incredible talent as a plastic surgeon.”
He grinned. “Usually I get this response after the surgery
and when the splint comes off.”
“Could you email me these images? I want to show Elizabeth
and Heather. And my mom. My friends don’t think I need to get it done, but once
they see the after photos, I’m sure they’ll be convinced.”
“Yes, I can do that. It’s a big decision so it’s good you
want to wait until June.”
Something occurred to her about being put to sleep during
her surgery. “Do I have to be put to sleep for this type of cosmetic surgery?
I’ve never had surgery. The reason I ask is because I’m sure you noticed I talk
too much. I hate to think what I might say while under anesthesia.”
He chuckled. “So you’re afraid you might mention some deep,
dark secret.”
“Well, nothing too exciting but I’m sure I would say
something lame.” She’d probably tell something personal about Toby or maybe
she’d blab about a few of the dumb things she did as a child. She could cover a
lot of years while asleep for a couple of hours during surgery.
“I prefer intravenous sedation for my patients. Some
surgeons prefer general anesthesia where a tube is placed into the windpipe to
enable the patient to breathe during cosmetic surgery. With the IV sedation
there’s less nausea, less bruising, and it’s easier to shape the patient's nose
to their face without the general anesthesia tube in the way. It’s similar to a
deep state of sleep walking and the patient breathes for herself. Do you have
any other questions?”
She shook her head. “I’m good.”
“I’ll take you to our office manager, Sharon. She’ll discuss
the cost with you.”
“Discuss,” she said in a questioning voice. “I better warn
you that negotiating is my thing. I love to wheel and deal.” When she’d gone
with Toby to buy a new mattress set, she’d gotten the sales person to lower the
price by several hundred dollars. Toby had been impressed.
“Okay, English teacher. I used the wrong word. I meant
Sharon will tell you the cost. I bet you were on the debate team in school.”
“Sorry. I don’t usually give the physician a hard time like
this.”
“Don’t be. I’m glad you aren’t shy. It’s important for the
patient to ask questions.” He paused, his eyes narrowed as though he was
thinking something through. “Mallory, you shouldn’t do nose surgery to try to
fit any sort of ideal image.”
“Well, I’ve wanted this surgery for a long time. I’ve never
liked my nose. Whenever I walk into a room, I wonder if people are staring at
my nose. That’s not a good thing when your career involves being in front of
people all the time.”
In a pleasant, brisk manner, Dr. Whitman said, “I’m happy
you came today. Email me your address and I’ll get those photos to you soon.
James Dobson, Kurt Bruner