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POSTED UNDER Rhinoplasty Reviews

32 Year Old Female, Primary Open Rhinoplasty - Shawnee, KS

UPDATED FROM Littleflyer77
6 months post

New before and after pictures.

Littleflyer77
WORTH IT$6,045
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.

Littleflyer77's provider

J. David Kriet, MD, FACS

J. David Kriet, MD, FACS

Board Certified Facial Plastic Surgeon

Littleflyer77 rating for Dr. Kriet:

Overall rating
Doctor's bedside manner
Answered my questions
After care follow-up
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Replies (3)

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August 10, 2015
Frankly your surgeon is conservative. The change to me is obvious in the 3rd photo. What exactly will be done during revision? wish you the best of luck.
August 10, 2015
He is definitely has a conservative style. He will be reducing my projection slightly, further refining my dorsal curve, straightening the septum, making the tip cartilages more symmetrical, and correcting a protruding, out of place bone on the upper right bridge. Thanks for the good luck wishes. I am very worried. I read so many of these, people change surgeons or stick with the old and all seem to have to still do this multiple times.
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August 10, 2015
The plan sounds good. I know it's not easy to go through this again. I kept putting off my revision for more than 10 years. Hopefully you will achieve your desired goals this time. Thanks for your update. I will be following your journey and you have all my support.
August 10, 2015
Thanks as always Zooster! I think my expectations are more realistic this time. Oh why can't they just chop our noses off and replace them with models? Do you think you will go through with another revision?
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August 10, 2015
Well, we have no idea how many times these models undergo surgery until they get the results we see. Good question; you can't believe how many times I go back and forth. Sometimes I look in the mirror and think I will definitely have another revision yet other times and probably on the same day I say no way I will do it again.
August 11, 2015
Thanks for this reply.
August 11, 2015
I was as nervous as the first time the morning of my revision. As long as you trust your doctor I feel like you will be fine. Remember it may not be perfect. The recovery was easier the second time around. I hope the same for you. Best wishes :)
August 12, 2015
That is great to know! Nice to see you back on real self!
August 31, 2015
...and you are correct, recover is much easier the second time around!
August 17, 2015
Hello, I think your results look nice....very natural. Why is it that you are doing the revision? The only think I can see when I look really close it the slight curve in the bridge. I am trying to decide whether to go through w/the surgery myself-I have seen Dr Kriet 3 times! He is so patient, & he's definitely my guy if I do it. I think it's just he unknown of what it will ultimately look like that is holding me back. Are you wishing that you wouldn't have ever had the surgery, or glad you did but hoping the further refinement will be more what you want? Thx & good luck!
August 19, 2015
Hello okla97! Thank you very much for saying so. I love how natural it looks too. It is still my nose, just a better version. The greatest improvement is not shown on here. Pre-op the tip of my nose would nearly curve FLAT down to my upper lip which made for some painful looking maternity and wedding pictures ha ha ha! He did a great job of fixing it! It no longer curves downward when talking or smiling. I may have to update with some before and after's of this type of expression so you can see.

You are right, he is not well known outside of Kansas City but he is very qualified, nice and willing to talk with you as long as it takes to make you feel satisfied! I really like him. He may be more conservative then some in his "look" but I value a good structured nose that will last a lifetime over a massively changed one.

I am having the revision because both myself and Dr. Kriet were not satisfied with the result. He pointed out the curved septum and raised bone on my right side bridge and I had noticed these things too so that is why I am going through with it. No matter how good the dr. they will always have a few revision patients right? My advice is not to have your surgery on Friday the 13th! That is what I did lol.

Besides the two main reasons listed above, I want to further improve the slope and reduce the projection of my tip and make further improvements to the symmetry of my tip cartilages. I was born with asymmetrical cartilages and it causes me to look different when viewed from the left or right quarter views. Not a huge deal but it was one of my original goals.
August 19, 2015
To answer your question of if I wished I had never done it, I am very happy I did it and hoping for even more improvement this time around. Sorry I didn't answer that one the first time!
August 28, 2015
Thank you for taking the time to answer my quesions. I am hoping your revision went well & you get results you are hoping for. It is interesting to follow you b/c I feel like my nose is VERY similar to yours. I too feel like I look like two different people from each side of my nose. I do know a lot of people have noses that are not symmetrical or a little crooked, as mine is. I want to be conservative so that i don't look like a different person & i know Dr Kriet is conservative. I think rather than focus on all the assymetries, b/c i feel that may be impossible to fix perfectly, i am just going to have my tip lifted & volume taken out, as well as my bridge smoothed down. I am just hoping once that is done my assymetry will not be more obvious. The Dr did not think it would be. I really just want refinement & enhancement. I just don't want to have to get into a lot of revisions as well. Hope everything went great-thx again!
August 28, 2015
Hi! I am recovering now. The revision took longer than the primary but healing has been much easier this time. I have not been getting sick this time too! I would love to see pictures of your nose so we can compare. Are you going with Dr. Kreit? He explained all he did after the surgery so I am hopeful it is fixed. He took soft tissue grafts from my scalp to help smooth out the asymmetries in my tip. It will be interesting to see what comes of it.
August 30, 2015
Wow I hope it comes out how you want! I was not going to post any pics until I was sure I was going to do it. Not sure if I there is a way I can send pics w/out actually posting them. If I do it I am for sure going w/Dr. Kriet. I think I am having trouble moving forward w/it b/c there is no guarantee of what the outcome will be....What if it doesn't look good on my face. I don't want to end up looking worse, or having to have revisions, etc. That's why I was curious if you were glad you did it.
April 26, 2021
Okla978 did you decide to go with dr Kriet? If so, are you happy with the results? I’m looking for a revision for a horrible outcome from different doctor. Thankyou!!!
UPDATED FROM Littleflyer77
3 months post

3 Months Post-op

Littleflyer77

Replies (0)

UPDATED FROM Littleflyer77
3 months post

Three Months Post-Op - Revision Scheduled.

Littleflyer77
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.

Replies (2)

May 14, 2015
Sounds like you have great communication with your surgeon. I'm having my revision in June. I trust and have great communication with my surgeon. Good luck with your revision and your growing family.
August 4, 2015
Thank you for taking the time to share your story, your experience and your pictures.
August 5, 2015
You are welcome. I hope they help with your journey.