As a multiple revision patient, I did not want to have donor rib used in my nose because of potential problems with vascularization and resorption. I discussed my concerns with Dr. Katrib extensively at my preoperative appointments. He reassured me he understood, even saying he would harvest multiple grafts from my own ribs if needed during my surgery instead of using donor material. But when I woke up, I was shocked to hear he had used donor rib against my wishes and our agreed upon pre surgical plan. I had no choice but to focus on my own healing at that point but I remained worried about the integrity of the donor rib placed in my nose.
At 9 months my nose started to lose projection overall and width in my tip in addition to some dents that had formed. I was told this was due to resorption and Dr. Katrib suggested a touch-up surgery. Part of the surgical plan included him making a small adjustment entailing a 1mm trim to my left LCSG to address clicking of the graft. Instead, he removed 3mm, collapsing the left side of my nose and causing cartilage to protrude from my tip. Now my nose is smaller, my grafts continue to resorb, dents and collapse are worsening, and I have breathing issues that were not present prior to the touchup. In addition, I am experiencing intermittent nerve pain in my right ear graft donor site. What was supposed to be a careful revision and touch-up, instead left me with serious cosmetic and functional issues that now require a complete rebuild in order to repair the damage.
And I've since learned my story is not unique. Other patients describe the same pattern -- promises broken, grafts failing, noses collapsing -- leaving them searching for yet another surgeon to repair them.
Trust is everything when you put your face, your health, and your life in a surgeon's hands. For me, that trust was shattered not once, but twice by Dr. Katrib. It has been devastating.
A lot of these positive reviews are yearly post op patients. Look for long term results not early post up. Things change a lot post 9 months and not in a good way. read more