J. David Kriet, MD, FACS

Deep plane face and neck lift surgery one day ago. Went for one day postoperative followup this morning. Thick bandages removed and a lighter gauze dressing applied. So far I seem.to be healing well. Some swelling around my cheek area and bruising along my neck. Updated on 11 May 2022: Due to genetics and up/down weight thru the years, my neck waddle was awful. I am so happy with the results of my surgery and have no regrets. Will continue to post update photos as my face heals. I feel much better from a surgery standpoint and that has helped lift my mood. Updated on 11 May 2022: Feeling so much better today. Yesterday was rough (sutures removed and fluid aspirated from stitches behind left ear). Still have significant numbness, tightness and some swelling. Stopped pain pills two days ago. Started a Medrol Dosepak for inflammation. Using scar cream and spf. Feeling pretty good today. Updated on 12 May 2022: Today is actually postop day 7 but photos are from postop day 6. My discomfort is substantially less (tightness in neck, much easier to eat now as I couldn't open my mouth to shovel in the food as easily as I like to do ..lol). It's been hard sitting around so much as I am active (work out 5 times a week). Updated on 18 May 2022: Feeling great!!! Much of the swelling is gone. Numbness and tightness remain, along with some pins and needles sensation along sides of my face. I am very impressed with the surgery results and am super happy with my face and neck. I had a very lax neck waddle and deep nasolabial folds. Updated on 1 Jun 2022: I am feeling and looking great. Still have some swelling under my jawline/neck area and am doing gentle lymphatic massage every night along collarbone, neck, throat and face. Tightness and numbness remain (numbness on sides of face and ears). I am back to my regular exercise routine about 4 to 5 days a week. Updated on 19 Aug 2022: My post-op results are great and I am generally very happy with the way I look after my face and neck lift. The only issue I have had are with my scars under my chin and on the left side in front of my ear. They aren't healing as quickly as I would like to see and have had some hyperpigmentation issues. That being sad I really am happy with the results of my surgery otherwise.

Dr. Kriet is hands down the best of the best. My nose had been broken for 30 years, the left side was completely blocked and I was having severe anxiety but I was to scared to have it fixed. Dr. Kriet did a Rhinoplasty, Septoplasty and Turbinate Reduction, I will not lie the recovery was brutal but so worth it. Now not only can I breath freely but my new nose is perfect, better than I ever could have imagined. I would highly recommend Dr. Kriet, he was a total blessing for me.

I had a lot of issues breathing after breaking my nose in high school. My septum was collapsed and I had a lot of other internal issues, as well as a large dorsal up and the tip was too long and pointed down. I was too scared to get a rhinoplasty and many doctors don’t even like to do them because of how delicate and rescue the procedure is. I went to a couple doctors that over quoted me or told me I didn’t need it, or didn’t want to listen to my concerns. I saw the doctor crate and he basically told me when I needed a I was too scared to get a rhinoplasty and many doctors don’t even like to do them because of how delicate and risky the procedure is. I went to a couple doctors that over-quoted me or told me I didn’t need it, or told me there was too much work to do. I Saul Dr. crate and he took one look and said What he thought I needed which was exactly what I was looking for! He did not seem concerned or worried, he seemed completely professional and competent. He is highly recommended and heads facial plastics at a well renowned hospital (KU Midwest) and I am so happy I chose him! I’m on day 7 and it’s perfect! The hump is gone, the tip is raised and shorter. Pain level wasn’t bad either! Updated on 23 Nov 2019: 6 month update. Nose seems to be settling. I don’t feel like I have much swelling although I know it takes a full year to see final results. The tip seems to have lowered minimally, but that could also be the effect of the initial tip swelling.

Dr. Kriet did a fantastic job on my hump nose. I'm so glad I chose him. The healing time was short, and the result was better than I expected. I wish I'd had it done sooner. He is very patient and addressed all my concerns succinctly. His assistants are stellar, also.

Excellent. I couldn't breathe and had a nose damaged from high school basketball injuries. Dr. Kriet was kind, professional, and effective. I've never breathed so well. I wish I would have done this surgery twenty years ago.

Like most everyone seeking out Rhinoplasty, I too have hated my nose since I can remember a small boy pointing at me and saying, "you have a bird nose." It is the first thing I notice in pictures which is quite disappointing. I really do TRY to look past that and find value in whatever beautiful is happening in the whole picture. I really do think I am beautiful! My goal is to enhance that natural beauty by decreasing the impact my nose has on my face. My expectations are reasonable; all I am asking for is proportion and to fix a nasal tip deformity (my right cartilage is much smaller than my left causing me to look like a different person weather you are looking at me from the right or left). I seriously started doing my research and going on consultations about ten years ago. My journey took this long because I could not find a specialist anywhere near my hometown in Iowa. I finally made progress when I moved to Kansas City when I very quickly began going to consultations. I met the Dr. I decided on four years ago at my first consultation with him. He had a very good reputation back then and gave a fair price but I was not emotionally ready to go through with it yet. I Returned to him once again the fall of 2014. He remembered me and welcomed me back. I was emotionally and financially ready this time and took the first available appointment with him! I am less than a week away from my surgery and feeling vary anxious which from what I have read, is very normal! I decided to post my story as many members of this community have helped give me the strength to go through with this life changing decision. Thank you! Updated on 13 Feb 2015: This will be short....all went really well and I am humbled to have the means to have done this for myself! Pain is like half of a labor contraction that does not go away but my pain meds just make me not care :) They removed my internal packing before I left so I am actually able to breath and have hardly any congestion (besides the blood drip catcher). Surgery lasted three hours. He said nothing agent wrong and that hopefully all of my expectations were met. I am still bleeding but doctor gave me a follow-up call and said it was normal. The face tape is very hurtful so I have applied Aquafir underneath and it helps wonderfully! Swellin and bruising just started at 4pm. Here are a few pictures. Hard to tell what any of it looks like as my tip is heavily taped. Updated on 14 Feb 2015: I didn't sleep more than a few hours at a time last night, even with pain meds that made tired. The dry mouth is the most annoying part so far so I guess I shouldn't complain! I have stopped bleeding and will go without my under nose bandage today. I can still breath out of my nose so long as it is not obstructed by the drip bandage. The SinEcch herbal supplements that my doc gave me to take before and a few days after surgery seems to be keeping away the heavy swelling and brushing. I have included a few more pictures from when I woke up this morning. Updated on 15 Feb 2015: Like most have said before me, the third day is the worst so far. I have not been able to hold any soft food or liquids down since 10pm last night which is probably why I am feeling so weak this morning. My face has swollen up a bit more too. I stopped taking my pain meds in an effort to hault the puke but 8 hours later and the nausea is still following me. I would give anything to escape the nausea! I think I will be calling the doctor if I still can't manage to keep water down over the next few hours. More to come later. Updated on 18 Feb 2015: Yesterday my new nose was reviled to me for the first time! I am in love with it so far! We will see if my love deepens as time and healing progresses. I am so thankful to have been able to do this! The stitches were removed from the incision under my nose which was not as painful as I expected. He did not remove the ones in my nostrils because those are suppose to dissolve on their own. He suctioned and clean my nose out which didn't take much as I have been able to breathe through it for a while now. I asked him what all he did during my surgery and he said "a lot." Ha ha ha, that made me chuckle. Finally, he prescribed me a anti-nausea medication to help with this nauseous feeling that will not let me go. Pictures to follow. Enjoy! Updated on 18 Feb 2015: Updated on 18 Feb 2015: Updated on 18 Feb 2015: My greatest post-operative fear just occurred an hour and a half ago! My husband was in the bathroom and my 16 month old made a break for the stairs. I swiftly and without thought grabbed him. Out of supprise he jerked his head back right square into the tip of my nose! Immediate and intense pain overtook me! I have never had this type of pain at any point with the surgery. The whole nose whent numb in-between the shooting pains. My top lip is swollen and my two front teeth ache. It bleed, it boogered, it swelled, and the tears of anguish and disappointment have not stopped flowing. I have been so careful not to put my new nose in the way of harm, even keeping the baby at his Nana's for a whole week while I healed. This was our first day back together and I not only injured myself but managed to scare my poor boy. He did nothing wrong! I called the office and the surgeon quickly called back. Initial verbal survey says no breaks but he is worried about internal bleeding. My husband is to watch my nose over the next two hours for changes. If the pain is the same I am to go in for a visit. I hope it improves! Updated on 19 Feb 2015: The doctor is in surgery all day and requested detailed photos of my nose to look for any obvious damage from last night's incident. I decided to post them on here too. I only have pain in the tip, specifically in the nostril near my columella incision. The pain is like a stinging sensation that keeps shooting outward. Hopefully it hurts more than any actual damage. Swelling is back under control after a night of icing and anti-inflammatorys. I have not had any more bleeding! His nurse sounded kind and optimistic! She said the prognoses for a cartilage hit as opposed to a bone one is good, especially this close to my original surgery date. I will post an update later after they review the pictures and give me a call back. Updated on 19 Feb 2015: Updated on 24 Feb 2015: The nose is progressing nicely with a little less swelling and pain every day. The right nostril that has been irritated ever since the toddler hit it. I had problems eating and sleeping last night so finally called the Dr. who made room to see me first thing in the morning! He thinks it may be an irritated stitch trying to work it's way out. I do have an infection so he has prescribed me an oral and topical antibiotic. There are always risk when we do these things so I am very thankful that I followed my instincts and made an appointment before anything got out of hand. Here is a picture of the infected nostril. Updated on 24 Feb 2015: I am not that far post-op and I know that healing from a procedure like this takes time and patience. I have both, except there are some glaringly strange things to me. Here are the issues about my new nose that give me that are giving me an uneasy feeling: I love my nose from the profile view but unfortunately, this is not the view that most people see you from. I do not like it from the front or right and left front angle views. The front view of my nose seems to curve to my left. The right and left front angle views look like two different noses (scary similar to my original nose). I think this is due to two things: 1. Cartilage Asymmetry in the tip. a. The cartilage asymmetry in my tip seems to be nearly the same as before. This feels like a blow to the stomach. I know that time will tell but at this point I am very doubtful that all of the same asymmetries which existed before were corrected. 2. Boney ridge not completely shaved down on the right side of my bridge. a. This also contributes to my lopsided look. The left is shaved down beautifully. The doctor did assess this today but didn’t clarify whether or not it will resolve on its own. He said it felt like swelling but my armature touch strongly disagrees. I have had this nose for 32 years and I remember what it felt like before and this feels the same. I hope I am wrong. I paid a lot of money for this and requested that these problems be fixed. I understand starting with an asymmetrical nose makes the surgery harder but my guy has the experience to do it. My words my give the impression that I do not trust him but deep down, I still do. He is qualified, an artist, kind, responsive, and I have seen the results of his work. I would trust him with a revision if it came to that. I am starting to save for the cost of a revision just in case. My surgeon previously agreed to cover the cost of a revision, if he deemed it necessary, and all I will have to pay for is the operating room and anesthesia. The thought of going a few years before a final result can feel overwhelming (assuming revision and second recovery period, yes 12 days out and already thinking about this…..silly girl). No one likes to wait for their final result but I don’t completely mind. I am so thankful for each new day my family is given together. God, please help me to stop obsessing and return to focusing on living my beautiful and blessed life! Updated on 28 Feb 2015: ...that my nose is looking crooked. I see it too but thought I was over analyzing. Maybe this is just another healing phase. Deep breaths. Updated on 2 Mar 2015: The infection has gone away and my whole nose is feeling a lot less sore! I am happy I went to the doctor for help. It was the right decision. I hope that someone out there in my situation reads this and does the same thing! Updated on 9 Mar 2015: I really did not believe that the cartilage asymmetry in my tip would improve as the swelling began to resolve because I read a doctor answer on Realself.com that said cartilage does not swell. I am slowly starting to see some improvement. The bump in my bridge which is only visible from the left angle side views (and the front if you are being really critical) remains the same. I doubt it will improve with time because if feels just like it did pre-op. I have my one month post op appointment tomorrow so we will see what the doctor says! I of course got a zit right on my nose just in time for this appointment. Ha ha ha :) Updated on 10 Mar 2015: I walked into my appointment today anxious. I wanted to immediately point out the tip and bridge issues right away with him but decided to wait until he finished his assessment. I was curious to see if he would notice these issues. My reasoning was that if he could, I would trust him and his artistic eye more. When the doctor came in he seemed happy to see me. He cleaned out my nose as he always does and opted to remove the remaining six internal stitches. That part was not painful at all. He concluded that my infection had cleared up which was a nice relief. He then got really quiet and felt my nose for a long time, looking at it back and forth from several angles. He said my swelling was impressively nearly resolved except for in the lower cartilages and tip. He said he could feel the scar tissue healing uniformly along my nasal bone fracture lines. Then he said the tip still had some asymmetry to it but was notably improved from my one week visit (I agree with him but there is still a ways to go). He then said that the bump on the right side of my bridge was not due to cartilage but rather a bone that had shifted slightly during healing. I am to do some press/ massage exercises for five minutes, twice a day until he sees me again in two months. He was very honest with me and said sometimes these exercises work but he believes I will most likely need a revision. He admitted he always tries to be more conservative on bridge work and he simply had not regressed it enough. That paired with a slight shift in the bone is giving me the twisted appearance I am noticing. The uneven swelling in my tip only amplifies that effect. He said he is with me, understands that I may feel disappointed but thinks it will be a simple fix. He said we can discuss it further in two months if the situation does not improve. I left feeling very relieved that he had noticed every single issue I had and promised to stay by my side through this whole process. I still felt sad though. How can you not? I am happy he didn't give the typical answer I see on here, "wait 6 to 12 months for the swelling to resolve." Most of his work is revisions from other doctors so I completely trust him to do mine. He is the best guy in Kansas City period! It looks like I am that rare 1% of his own patients that will need a revision. I know it happens to even the best of them! So now here I wait. I continue to look at the positives….it is an improvement! My life is very sound and good so this too will get resolved with time. No need to wish for the time to go by more quickly than it already does! Updated on 19 Mar 2015: My smile is back! It started to return during weeks 3 and 4 but all pain doing so is now completely gone. The entire nose is still sore to the touch in places but massaging it gently helps. My bridge has very little swelling left but the lower half of my nose continues to puff up and down to different extents daily. Some days I have very little swelling and my nose looks really different so this makes me realize how far I still have to go. My tip has changed a little more and is becoming increasingly symmetrical which is a nice surprise. The issues I have been having with the bump/ bones on the right side of my bridge continue to be unchanged. I have been doing the pressing exercises the doctor suggested but often hear little pops and cracks when I do them which make me nervous. I have had two more coworkers mention that it looked a little crooked. They are only being concerned and not mean but it is still a hard thing to hear! Oddly enough I hear this on the days that my swelling is less. I am trying to stay positive about all the good in my life right now and filling my weekends with family time and volunteering. I have all but completely shied away from pictures as the comments from loved ones and friends have made me embarrassed. I am scared to see what I look like in them….facing reality. Updated on 14 May 2015: I had a much needed three month post-operative visit with the doctor on Monday. I was prepared to ask many questions about what he observed when looking at my nose. My goal of this appointment was to see if my Dr. sees what I see without me having to point it out. I arrived, was directed to the examining room on time, and was assessed by his nurse. His nurse asked me how I was doing and how I felt about my result. I kept it brief as I really didn't want to leak any information to the surgeon prior to him seeing me. I wanted a completely fresh observation free of my opinions. I did share with her that my husband and I have plans on expanding our family this fall and she said that would be good information for the Dr. to know just in case we had to do a revision. She left and the Dr. came in soon after. He greeted me and immediately began to examine my nose. He took his time doing this and at the end concluded that I indeed, needed a revision. He proceeded to point out every flaw that I had noticed and discussed how he would work to correct them in during revision. This was SUCH A RELIEF! I say this because he saw what I saw and I didn't have to point out any differences in our opinions. My trust in him remains good for this reason. The main complication remains the same, a bone shifted during the initial recovery. He will fix this and the other issues through use of cartilage to be harvested from my ear. He may also harvest some soft tissue behind my hairline. He will go in through the old incision in my nose so this procedure will also be "open." The idea of extra incisions scares me as I don't know how I will possibly sleep using a neck pillow with a cut up ear but I am sure I will manage. The surgery is scheduled for August 27th (six months after my primary post-op) which is great because we wanted to start trying for baby number two in September! Of course my Dr. did not rush the revision date earlier due to this, he is just very comfortable doing my revision at six months because my swelling is very minimal and my scar tissue is softer than what is normally expected at this point. He is also the top revision surgeon in Kansas City so I often joke that my primary was a failure because he likes to do revisions! The other line I use is, “well that is what I get for having surgery on Friday the 13th.” I am so happy that I AM NOT CRAZY and that the issues I see are NOT IN MY HEAD! Validation has reduced my stress greatly. Staying positive through this whole process is so important! My surgeon is staying true to his word and waiving his fee for the procedure. I will post pictures soon and probably start a revision page. Thanks for your continued support! I contribute most of my optimism to the glorious members of this community. Updated on 14 May 2015: Updated on 10 Aug 2015: Here are some new photos direct from my Dr. They are of prior to my primary rhinoplasty compared to 6 months post op. I am having a revision with this same Dr. on August 27th, 2015. Please follow that story under my Revisin rhinoplasty review.

My face was moving south, with jowls forming next to my mouth, giving me a sad, tired appearance. On November 3 I had a lower facelift with Dr. Kriet. Thanks to him the surgery and recovery have been easy and nearly pain free with excellent results. No one would dream I had surgery just 13 days ago. The results are amazing, yet very subtle and natural. Last, but equally important, Dr. Kriet and his nurse Becky are both genuinely wonderful people who made the pre and post op experience a pleasant experience.

Had a Rhinoplasty surgery done. There was a bump on the tip of my nose that i addressed it with the DR, he Kept telling me to wait for it to heal. In my last visit i told him that this part is bothering me. He looked at me and told me " how much is it bothering you" and continued to tell me that he needs to do another surgery to fix it. It felt like im a business transaction to him not a patient. Wouldn't recommend him for anyone. Unprofessional and its all about the money to him not the happiness of the patients.

Dr came the day of procedure and asked “what are we doing again?” Didn’t get nearly the results I wanted. Wanted to reduce nose size and side profile. Follow appointments always said that it will take time for nose to take final shape, which makes sense. 3 years later and my nose is bigger and longer than before the procedure. Wasted over $6000 for a doctor that didn’t seem prepared on understand what the patient wanted. Looked nothing like the pre op simulation and actually did the opposite of what I wanted.

When I decided to have my primary rhinoplasty I was told that complications can occur during healing. I acknowledged this but didn’t think it would actually happen. Well, it did, and now I joke that, that is why you should never have surgery on Friday the 13th! My complication is minor and can be fixed. It was explained to me that a bone shifted during the first few days of healing contributing to the different look of my nose when viewed comparatively from the right and left oblique views. Asymmetries in my tip were also completed during my primary rhinoplasty however; the reduction was not enough to be considered a great improvement. The tip was successfully reduced enough that my nose no longer points down when I smile or give a kiss. My nose has always been a tough case as it started out with many asymmetrical features. I have chosen to have my revision with the same doctor that did my primary. He is highly qualified for revisions and specializes in reconstructive rhinoplasty. This brings me to my second joke, I think he did not fix it well enough the first time because he prefers to do revisions! Plus we have all read in our research that even the best surgeons do not always achieve the ideal outcome with the first procedure. The last piece that adds to my trust in him is that he did not botch or overdo me to begin with. Little is more in this field and my nose received a conservative amount of work the first time. The surgery is scheduled for August 27th (six months after my primary post-op) which is great because we wanted to start trying for baby number two in September! Of course my Dr. did not rush the revision date earlier due to this desire; he is just very comfortable doing my revision at six months. My swelling is very minimal and my scar tissue is softer than what is normally expected at this point. I was told that this will be another open procedure in which my bones will be broken again, the tip and bridge will be refined further, and he will most likely need to harvest some cartilage from my ear as well as some soft tissue from behind my hairline to complete the work. I was in such shock that I needed a revision at my 3 month postoperative appointment that I forgot to ask where these cartilages would be used. I will be sure to ask at my one month preoperative appointment along with some additional questions. My doctor is covering his surgical fees and I am left only responsible to pay for the anesthesia and hospital cost. Reading through the abundance of revision surgeries on this network has given me comfort and hope that this will be successful. My battle is easier than most, I do not have to search for a new surgeon this time. Wish me luck! Updated on 17 Jun 2015: I am very fearful that this revision will not be my last. Not because of my faith in my surgeon but because of all the multiple revision rhinoplasty reviews on here! It is a very difficult procedure even for the well-practiced expert. I am doing everything within my abilities not to have that happen. I think having all of my questions answered will help. Here are some questions I plan on asking during my August 3rd pre-operative appointment: How many revisions do you perform every year? How long do you expect the surgery to take? What are my chances of having a greatly, not slightly, improved result? How will my nose continue to change over 10, 20 years’ time? What do you think are all the factors contributing to the curve in my nose? Will my projected tip be further revised? Will my dorsal hump, more of a slight curve after my primary, be further revised? Will the asymmetries in the top and bottom view of my nose (may be caused by tip cartilage) be corrected? What is causing these asymmetries? Is there a chance that you would harvest rib cartilage? If so, can the incision be made through my breast implantation scar? If you do harvest cartilage from my ear, what will it be used for, where will the scar be, and can we agree on which ear it would be taken from? If you do harvest soft tissue from my hairline, what will it be used for and will part of my hairline be shaved? How do all these different types of soft tissues last throughout the years? What can be done to stay ahead of my nausea this time? How soon after surgery will it be safe for me to try and get pregnant? Updated on 5 Aug 2015: I had my preoperative appointment this past Monday. I was brave enough to ask all of my questions and my doctor was patient enough to listen and answer them fully. He took more pictures, had me pay for the hospital and anesthesia fee, and sent me home with the anti-bruising medicine to start the day before my surgery. The appointment started out with him reassessing my nose. I kept quiet for this part. He said we need to shave down the bone on the right side, decrease the remaining dorsal curve, do some rework of the septum to help straighten the current shift to the right, and further revise my tip cartilage to increase symmetry and reduce the projection of my tip slightly. These were all the things I too thought needed improvement so I agreed fully with his assessment! My only disappointment was that he will not be able to significantly improve my projection. I guess there are some long term risk with that and being that he is a reconstructive surgeon by nature; he does not like to cause an overly aggressive/ temporary result. When I really think about this I too would rather have a long term, more natural look, than a possibly wider or even collapsed nose. Now all I have to do is wait about three more weeks. I am excited but VERY SCARED for my revision. I see so many people on RealSelf who go through it over and over again only to remained dissatisfied. I believe my expectations are much more aligned with my doctor this time as I now know what to expect and what kind of results are long lasting and safe (the true ideal). I have also told him of this fear and we have talked through it as much as we can. His nurse is helping with these anxieties too and said to call at any time if I need anything. Here are some of the interesting answers I received during the consultation: How long do you expect the surgery to take? – About two hours Will my projected tip be further revised? – Yes however, we are limited slightly by what you were born with. Over resection of the underlining structures can result in other problems such as a widening of the nose and destabilization over time. Is there a chance that you would harvest rib cartilage? If so, can the incision be made through my breast implantation scar? – The chance of this is very low however; we will go through your implant scar under the breast if this becomes necessary. If you do harvest soft tissue from my hairline, what will it be used for and will part of my hairline be shaved? – No shaving is necessary, the scar will not be seen, and it is used to help contour the nose. How do all these different types of soft tissues last throughout the years? – They usually age naturally and nicely with the existing structures of your nose. Scar tissue is the bigger issue. What can be done to stay ahead of my nausea this time? – We will notify the anesthesiologist and send you home with a patch and a prescription for Zofran. How soon after surgery will it be safe for me to try and get pregnant? – It is okay as soon as you have been off of all your pain medicine for at least a week. Check with your OBGYN. I will post before photos the week prior to my surgery. Take care everyone! Updated on 10 Aug 2015: Here are some photos directly from my dr. They are of prior to my primary rhinoplasty compared to 6 months post op. Updated on 19 Aug 2015: My revision is in a week and I have a different feeling about it every day, scared, excited, hopeful, hopeless, happy, sad. The only feelings that are constant and true is the humbleness that I am able to have it, wanting to have it, and the enduring trust I have in my Dr. All the rest is typical nerves. Thanks to your reviews and feedback I feel like this time will be mentally and physically easier to recover from! I have a better idea of what to expect and prepare for. I did want to post this next photo. It shows an improvement that I have been very happy with, my smiling face! My nose no longer hooks downward when I smile big, kiss my child, or blow out candles. That was one of my MAJOR complaints with my original nose and I am just thrilled with how much my Dr. fixed. it. Updated on 31 Aug 2015: My surgery went smoothly and I am now four days post-op. The anesthesiology team talked in depth with me and decided on a different type of general anesthetic that they thought would keep me from getting as sick as last time. Whatever they did it worked! I woke up much more aware and even remembered all the post op care instructions that the nurse gave me. Most importantly, I have not gotten sick to date which makes me more hopeful that my result is preserved. I was so sick last time I wonder if that had something to do with the bone that shifted. I have been taking Zofran for any nausea as well and have stopped taking that today as all seems fine. I stopped taking my pain pills yesterday because honestly this recovery has been much easier but was back on them today due to the relentless pressure and aches in my bridge. The two inch incision in my hairline is also painful and the staples are bothering me. Overall, recovery this round has been a breeze, very little bruising, little bleeding, less intense pain, NO PUKING! Knowing what to expect and how to care for yourself really helps too. The only thing that is really awful is this itching! My cast itches so much! Right on the bridge part. It is so bad that it wakes me at night! I guess their could be worse things but I'm very excited about its removal tomorrow! Lastly, Dr. said he fixed the curve in my nose, ground down the odd bone, further reduced the profile, added soft tissue from behind my hairline to the tip to help improve it's symmetry. I did not ask and he did not tell me if he was able to reduce the projection at all. I will ask him this tomorrow. Updated on 1 Sep 2015: Cast was removed today and an explanation for the insationable itching was given, dermatitis also know as an allergic reaction. Nice to know I am not crazy. Some simple cortisone cream should resolve the issue in about a week! Even though my new nose is flaming red and super swollen.....I love it! FINALLY! After 6 months of waiting it is here. He fixed my profile, projection, and improved the very asymmetrical tip I was born with! Now to heal and not get smacked in the face with the odd toddler extremity. How nice it is to finally feel confident and satisfied. Thank you Dr. Kriet! I can't wait to see how things improve as the swelling subsides in the months to come. Picture below... Updated on 5 Sep 2015: Bruising is gone, facial swelling is gone, dermatitis is gone, nose is still puffy but we all know that will take time. Dr. Did warn me that the tip may stay swollen longer because of the soft tissue graft but I still love it! LOVE IT! It is a nose that is not overworked and it matches my features! This is the feeling I have been waiting for. Updated on 9 Jan 2017: It has been nearly a year and a half since my revision rhinoplasty and we have welcomed another, beautiful, baby boy into our family! It was such a relief to NOT have my nose be at the forefront of my thoughts during my pregnancy and beyond. My nose is pretty darn good! I love the profile, width, projection, and I can breath. I saw my Dr. for my one year post op appointment (while pregnant) and told him I loved it, but could see myself becoming more bothered by the asymmetries that are determined to haunt my tip. He said to come back when/ if I was continued to be worried by them. Today was that day and yes, I have decided on a third revision. Only the tip this time, in an effort to reduce the asymmetries once more. Surgery is scheduled for March of 2017. He will use an open approach and attempt to further straighten my cartilages and add more of my own facia to the right side. He is conservative and I appreciate that to avoid an unnatural result. Once again, both of our expectations are aligned with the goal of an improvement but most likely, not perfection. He says the cartilage in my tip is expressing "memory," of its original state. He did educate me of this possible complication at the very first consult I had. He has always said that this could be a tricky thing to overcome. I have natural asymmetries and thin skin. So, here we go again, open revision rhinoplasty, third time's a charm. The difference with this surgery is that I am less anxious because I'm pretty happy with what he has given me so far. He is once again waiving his fee. Updated on 21 Mar 2017: So, I went confidently went forward with having the second revision rhinoplasty on March 7th, 2017. I'm pleased with my decision so far! The recovery was the easiest this time. I had barely had any bruising and only encountered whole face/ nose swelling for about five days, most of which I contribute to an allergic reaction to the adhesive on my cast. Yes, both my Dr. and I forgot about my skin reaction the last time so this time it was a full on allergy that had to be treated with an aggressive round of steroids and some Benadryl. I was worried about the premature cast removal but my Dr. said he had only added it as a precaution since he did no bone work. My Dr. focused on correcting the natural tip asymmetries I was born with. He shaped the cartilages further and used more facia taken from the scalp behind my ear to help build up the lacking side and add coverage due to my thin skin. This part has been the most painful! Again, I asked for minimal evasiveness to yield a natural result. This was all done with the understanding that we would aim for better, not perfect, result and I think we got there. I will add one more update with full photos as opposed to the progression ones. Updated on 21 Mar 2017: Updated on 25 Jan 2018: I am happy! Improved symmetry but not perfect...exactly what one should expect. The secondary revision was worth it. I had my one year post op early and my doctor completely stands behind me should anything change in the future. Breathing, scar, and emotions are fantastic. I NEVER think about my nose anymore. Goal accomplished! Updated on 25 Jan 2018: Updated on 13 Feb 2018: Updated on 13 Feb 2018: