Rhinoplasty can leave you with a massive septum perforation — a large hole in your septum — requiring a second corrective surgery. A smaller nose also means smaller nasal canals, making breathing measurably harder post-operation. And the swelling? It doesn't disappear in weeks: Shani Suissa was still visibly swollen two full years after her procedure, confirmed by her dermatologist during a routine appointment.
Suissa underwent three procedures simultaneously: a rhinoplasty (reshaping the external nose), a septoplasty (correcting the septum), and a turbinate reduction (reducing nasal tissue to improve airflow). The combined intervention left her with a septum perforation — a hole through the wall dividing the nasal cavity — serious enough to require a corrective operation.
This is the complication that rarely appears in before-and-after content online. It isn't a minor side effect. A large septum perforation can cause whistling sounds during breathing, crusting, nosebleeds, and persistent discomfort. It demands a dedicated surgical repair.
There is a structural reality to nose jobs that surgeons don't always emphasize: a smaller nose has smaller nasal passages. Suissa found her breathing more labored after surgery, not easier. This runs directly counter to the common assumption that cosmetic nasal surgery is a neutral or beneficial change for breathing function.
The recovery timeline is equally misrepresented. Two years after her operation, a dermatologist spotted residual swelling during a laser facial appointment — not because Suissa mentioned it, but because the practitioner identified it unprompted. That detail matters: it means the signs were still clinically visible, not just subjectively felt. You can hear the full conversation on Listenly, where Suissa describes exactly how this unfolded.
"If you are pretty before, you're going to be pretty after. If you're ugly before, you're going to be uglier with a tighter face after. It's not going to change what you are."
Shani Suissa — Co-host and recurring "friend and foil" on Habits and Hustle. Suissa speaks from direct personal experience: she underwent a rhinoplasty, septoplasty, and turbinate reduction and subsequently developed a septum perforation requiring a corrective surgery. Two years after her procedures, her dermatologist confirmed ongoing swelling during a routine laser facial appointment. She also had a close-range perspective on facelift outcomes through her hairdresser, who underwent a lower facelift — giving her a grounded, non-theoretical view of how cosmetic surgery results actually look in person.
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This answer comes directly from Habits and Hustle, Episode 580. Hear Shani Suissa and Jennifer Cohen discuss rhinoplasty risks, cosmetic surgery culture, and what the before-and-after photos never show.
Listen to the episode on Listenly