Treatment Provider

John Bitner, MD
Board Certified Facial Plastic Surgeon
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Motivation: While I have loved my straight nose,...

Motivation:
While I have loved my straight nose, I felt as I got older that it started to overshadow my profile (to large for my face), and I always kept my chin up high to help visually balance it out with my jaw line and other features. I knew all my angles....
About 9 years earlier, I broke my nose doing martial arts, my straight nose started to look hooked, and I was then plagued by years of constant sinus infections, post nasal drip, clearing my throat constantly. From the constant throat issues, and sinus infections, I started to worry about my bone structure's health. I would get out of breath exercising if I tried to breathe thru my nose, due to not getting enough air thru my nostrils, I would wake up dry mouthed in the morning, my voice was changing over the years to sound like a 50 year old smoker during the worse flare ups. Herbal throat lozenges I bought in BIG bags and always had some on hand to help ease the discomfort. It only would get worse with seasonal allergies. People would always ask me if I was ok as I was constantly clearing my throat. Right before I had my rhinoplasty/septoplasty done, I woke up EVERY single morning with a stuffed up nose, and soon realized that I could no longer smell I was always so congested.

I am a classically trained portrait artist. I have always felt that I needed to find another artist as my plastic surgeon, in order to trust their ability to see the small differences that mere millimeters will make on a person's face. I have been trained to see the small details of slopes, angles, and shadow and light planes and the differences in one line versus another. Some years ago, I sculpted a clay self portrait of myself, with the nose that I wanted, rather then what I had, with the plan that this was how I could help a surgeon see what I wanted.

I have gone to a number of surgeons and consultations, and I was blown away by Dr. Bitner.

The level of detail that he was seeing, the angles that he was describing to me during my consult, I knew instantly he had a very highly trained eye, and I could talk to him like another artist and know he would understand my vision of what I had in mind for my nose. He brought up small details that I had not even considered (the turning down of the tip of my nose just slightly, since I am so tall, and my nose was extremely turned up with a tall projection). This made it so that people would not be staring up into my overly tall nostrils anymore. The widening of the tip of my nose, since it was so incredibly tall and narrow.

For my first consultation, he sat me down, after his wonderful staff took pics of my face, he had 3D imaging created right in front of me, of what we both thought would look best on my facial structure. That was awesome :) To be able to show that to potential clients, to take the time to make sure that both your vision of what you have in mind, and his vision of what would look best, to ensure we are both on the same page was amazing and invaluable. I felt at ease, excited, and was surprised by how at ease I truly felt about trusting someone to change my face. I had not had this feeling before with any of the other doctors I had consults with.
His staff emailed me the pics, and I got to show my husband and family, asking their opinions. They loved it, and said it looked natural on me, just a more feminine and refined face of mine.

After my consult with Dr. Bitner, I went to one last plastic surgeon that was also highly recommended on the internet and by friends, to compare notes, to make sure my gut feeling was correct. Although he was highly recommended like Dr. Bitner, myself, as an artist, I looked at his before and after pics, and I found that he was lacking the small details in his work (although he did great work) that made it as exceptional as Dr. Bitner's patients. It was like this other doctor didnt put the last finishing touches on his "canvas", but left them in "sketch form". I know that many people wont be able to see what I do, but despite seeing his portfolio, I felt I should do the consult with this doctor regardless, in the name of good research and being thorough.

The contrast of both of those consultations was like night and day. Dr. Bitner and his staff are warm, inviting, and made me feel completely at ease, and confident from every detail. From the receptionist, who smiled at me while she was on the phone, and then took care of me as soon as she was off, to the nurse that took my pictures and I just felt so incredibly comfortable asking questions to. Dr. Bitner made me feel that this was something that would be a pleasure for him to do and easily within his talent, and he was excited cause he had that artists look ( I get that all the time lol) when he can see the finished creation before its started.
The other doctor, smaller space, felt like a dentist's office. While his staff was kind, she was not very attentive and had me stand there at the desk for about 2 mins before she acknowledged me with even a look as she was on the phone. Their office had me wait 45 mins over my appt time, and I felt like I was at a general practitioner's office. It felt medical. His approach was very professional and kind but his focus was on functionality. He never once brought up the details that Dr. Bitner had talked to me about. While I felt he was a good doctor, I wanted more then just being able to breathe well. I wanted exceptional artistic results. I was looking for a fellow artist, and a damn good one.

As to the artistic side of my rhinoplasty, this other doctor left me feeling uneasy, and made me question the complexities of the procedure with my particular nose structure, and said he was not able to take the bridge of my nose down to far cause it was so tall, and the complexities and issues that may arise due to my bone structure, and narrow tip. He talked to me for about 10 mins only, set up with his staff to have me do a separate MRI on another date at my expense, and would have charged me additionally to do the 3D imaging on yet another separate consult all together. After that consult, I was worried.. Why was one doctor so much at ease with my case and the other one leaving me with more questions and concerns.

I scheduled a second consult with Dr. Bitner to ask him some more questions, explaining why I needed to talk to him further, and my new unease at my rhinoplasty. He gladly met with me, talked me thru my questions and concerns that the other doctor had raised.

He was very professional, and apologized for me feeling uneasy at all. He spoke highly of this other doctor, but also gently assured me that he had no worries at all with my bone structure or my procedure and the vision I wanted to achieve with my look was easily done and how I was not a complex case at all. During this second consult, I asked him if I should take my nose back even further (the projection of the tip), so again, Dr. Bitner sat down with me and did another 3D imaging (option #2) of what that would look like. I asked him which of the two revised versions he felt fit me best. He said he liked his original vision (option #1), not the new smaller nose that I was considering (option #2). I later showed those images to family. Their first gut reaction was, yes go with his original vision. It was still "me" but a more refined and balanced version of me, and feminine. The second image that I was considering, the smaller nose, while cute, made the rest of my face seem larger then it was, and just lacked the essence of "me" and almost took out the strength of character from my face. It was a beautiful nose also, just not right for me, but would have been just as amazing on someone else with different bone structure. Again, this is tiny millimeters of difference we are talking here. Dr. Bitner's original vision and artistic eye had it right from the start :)

The actual procedure was fantastic, and the staff had me smiling and relaxed as they set me up and made me comfortable. I dont remember much of the afterwards haha, and was kinda loopy for the first 24 hours.

Healing: First Week: Slight stinging but not bad at all at the beginning of the week. I looked like I was a part of Fight Club haha. Purple bruising around eyes, and swelling on the top bridge of nose. some bleeding on and off. As the week progressed I couldn't wait to see the results for when they took off the bandage/cast.
I LOVE my new nose!! Its perfect perfect perfect for my face! I feel feminine, I feel like I can relax my chin, and I finally have a balanced beautiful profile that I have always wanted. There is some swelling (normal) and I am healing beautifully, with some bruising under the eyes. Taking arnica and drinking LOTS of water. The after care of Dr. Bitner and his staff has been amazing, and my comfort was always first in their concerns with me. I can not say enough amazing things about Dr. Bitner and his staff. Incredible. I will be telling anyone and everyone that wants to know to do a consult with him. He is a true artist and I am beyond pleased and grinning like a cat with the results, even this early on into my recovery.

Pros:
- 3D Imaging done during consult. Able to talk to him and make changes in office. Invaluable visual tool!
- incredibly warm and helpful staff. Talked as a person to a person, answered my questions openly and honestly about Dr. Bitner, about other procedures she personally had done and about my questions about my other procedure that I was wanting done- breast augmentation. The recommendation of Dr. Bitner's staff member and her open honest answers decided me on doing a consult with Dr. Bitner's partner; Dr. Yates for my breast augmentation (That is also a very glowing review- soon to be written- as I LOVE the results)
- Dr. Bitner was extremely easy to talk to and put me at ease with my concerns and questions.
- second consult and second 3D imaging to make sure I found the right look.
- Incredible office staff was able to get me in a day earlier due to unforeseen schedule conflicts for my first week check up (post op)

Cons: none :D

Provider Review

Board Certified Facial Plastic Surgeon
2121 North 1700 West , Layton, Utah
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