If you are considering surgery with Dr. Butler or anyone at Gulf Coast Plastic Surgery, I strongly…read moreencourage you to read this review carefully.
I underwent a primary rhinoplasty with Dr. Butler in July 2024. During my consultation, I clearly stated my two main goals: reducing my dorsal hump and lifting or rotating the nasal tip. Dr. Butler told me that my tip angle was already appropriate and that reducing the dorsal hump would cause the tip to "fix itself." Although I questioned this explanation, I trusted his professional judgment and proceeded with surgery.
From the early postoperative period, it was evident that something was wrong. Even with the cast still on, my nasal tip appeared droopy and unsupported. I also want to note that no taping or support was ever used postoperatively to help maintain tip position. I was repeatedly reassured that this was normal and advised to "give it time."
At cast removal, the issue became more apparent. Although swelling masked some of the deformity, my tip remained rotated downward, consistent with a developing pollybeak deformity. I again raised concerns and was told that all swelling had "settled into the tip" from the cast and that there was nothing to worry about.
Between two and three months post-op, after moving out of state, I sent multiple emails to Dr. Butler's nurse expressing concern about my collapsed, downward-drooping tip and a prominent bump at the tip of my nose that appeared to be protruding cartilage. These concerns were again dismissed and attributed to swelling due to my being "very active," and I was told I would need to wait until six months post-op for evaluation.
At my six-month in-person appointment, my appearance had not improved and had, in fact, worsened. I raised my concerns directly with Dr. Butler regarding the obvious pollybeak deformity. His response was dismissive; he stated, "Someone's been online, haven't they," and told me that my nose looked great and that he "wouldn't have changed a thing." No revision, corrective plan, or financial accommodation was offered.
Following this appointment, I consulted with three well-known U.S. revision rhinoplasty specialists, all of whom independently confirmed a clear pollybeak deformity, a droopy and under-rotated tip, and protruding cartilage irregularities. Ultimately, I required revision rhinoplasty at fifteen months post-op, at an additional cost of $15,000.
Several months after my surgery, I reviewed the practice's website and was shocked to find my photos being used in a misleading manner. Although I signed a photo release, I did not consent to false or deceptive representation. The photo labeled as my "before" image is actually my six-month post-op result, while the photo labeled as my "after" image appears to be taken within the first month post-op, when swelling temporarily obscured the deformity. The website claims the "after" photo was taken at four months post-op, despite me not having a four-month appointment. If my nose truly "looked great," it is concerning that my unsatisfactory six-month result was used as a "before" image. I have attached screenshots and accurate before-and-after photos for reference.
I reached out to the office to express my concerns regarding my postoperative care and the misleading use of my photos and received no response. I am sharing my experience so that others can make a fully informed decision and avoid the physical, emotional, and financial distress that I endured.
