fACIAL PLASTIC & RECONSTRUCTIVE SURGERY

“The distinction between “cosmetic” and “reconstructive” facial surgery is an artificial one. Regardless of the reason, I am still operating on an area that will change how a person looks forever. For that reason, I feel grateful every day that I have the opportunity to specialize solely in surgery of such a complex, challenging, and rewarding area. My work will be on display for the entire world to see at all times, and that is why I chose to dedicate my entire training path and career exclusively to surgery of the face and neck.”

– Dr. Katrib

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About Dr. Ziad Katrib

Double board certified, and voted one of the top Rhinoplasty and Facelift surgeons in 2018, Dr. Katrib has succeeded in making us a leading Facial Plastic and Reconstrutive Surgery practice in the Greater Louisville area.

After graduating from medical school, Dr. Katrib went on to complete both an internship year in General Surgery and four years in Otolaryngology, Head and Neck Surgery at the University of Louisville. During his training, he gained extensive experience in facial trauma surgery as well as head and neck cancer ablative and reconstructive surgery.

At the completion of his Head and Neck Surgery residency at the University of Louisville, Dr. Katrib was accepted into a highly competitive Facial Plastic and Reconstructive Surgery fellowship with the world renowned and 2015-2016 President of the American Academy of Facial Plastic and Reconstructive Surgery, Dr. Edwin Williams in Latham, NY. During this training, he gained extensive hands-on experience in all aspects of reconstructive and cosmetic surgery of the face and neck.

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Our Practice

We have given a great deal of thought and consideration to the design, layout, and ambiance of our office. At every point, you are immersed in a warm and inviting space that allows you to break away from the outside world and focus on the self-care that you deserve. We do so while adhering to the highest patient safety requirements for surgical centers. Plastic surgery and cosmetic treatments require changes to your skin and body. As such, the location in which these procedures are performed should always place patient safety first. Some procedures may be performed “in office”, or Dr. Katrib may schedule the procedure at an outpatient surgery center. The choice of location is based on the desire to reduce the risk of complications, manage costs and provide you with the medical care that you need. Most patients are released home the day of their procedures, but some of the more extensive procedures require a greater level of medical management before releasing a patient. In some cases, this is best achieved in a hospital setting.

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zkfacialplastics

Double Board Certified - Facial Plastic and Reconstructive Surgery Rhinoplasty/Facial Reconstruction Specialist
Louisville, Kentucky

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The nose is composed of 3 general layers. The outer skin (cover), the support (cartilage/bone), and the inner skin (lining). When all 3 layers are missing, unique reconstructive techniques must be employed. Although there are innumerous flaps designed to replace the inner skin, I prefer to utilize a “folded” forehead flap 99% of the time. This technique was brilliantly pioneered by Dr. Fred Menick, and has stood the test of time. By taking advantage of the extra skin of the forehead, you can extend the height of the flap and fold this internally to replace the internal skin. Shown here is the 1st stage of this technique. Once completed, the flap is thick, bulky, but alive. This technique requires 3 stages, with the next stage being the “thinning and grafting” portion. Over 4 weeks, the internal skin develops its own blood supply, and is no longer dependent on the outer skin to survive. Stay tuned for stage 2 of this case in the near future! 👃🏽

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Surgical Staging; The benefits of staging surgery are many. In composite defects such as this (nose, lip, and cheek), it is critical that the nasal “platform” be corrected prior to any nasal reconstruction. If the nose is built on an unstable, unhealed cheek and lip, it will shift dramatically during in the following weeks. In this case, we used a medially based Millard fat flip flap, a medial cheek advancement flap, and a superiorly based nasolabial extension to reconstruct the medial cheek and right upper lip. A small skin graft was harvested from the neck to cover the exposed nasal sidewall wound and right tip biopsy site as well. Stay tuned for further posts on the 3 stage forehead flap nasal reconstruction he will undergo in the future...

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After many years of wearing two heavy earrings, this pleasant 75 year old woman suffered a double bifid earlobe. The earlobe tends to enlarge as we age, so we were able to to both remove these flaps of skin while simultaneously performing an earlobe reduction in the office to give her a more youthful and natural earlobe. She is 12 weeks out and ready to get her ear re-pierced (with a much lighter earring this time).

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Always fun hearing from rhinoplasty legends, and learning the newest and most cutting edge rhinoplasty techniques.

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Although usually congenital, maxillo-nasal dysplasia can also occur due to severe trauma at a young age. This young man suffered such a severe trauma when he was only 4 years old. This caused a global disruption in the growth of his tip cartilages, maxilla, and septum. The resulting sequela are a very obstructed airway, a backward sloping upper lip, and a lack of tip projection. The name of the game in these cases is grafting. Nothing is removed from the nose, but rather many large rib grafts are placed to project both the upper lip, and the bridge/tip of the nose. This improves the balance of the nose lip junction significantly, but more importantly dramatically improves the nasal airway.

Instagram post 2174242301895148867_4665335856 $Another example of form following function in rhinoplasty. This pleasant young man suffered a severe nasal trauma 2 years prior. This caused a fracture of his nasal bones to the right, as well as multiple fractures in his septum causing complete obstruction of both sides of his nose. In cases such as these the septum is unusable for grafting, so we utilize rib cartilage. These large segments are removed from a small (less than an inch) incision in the chest, and provide ample building material for the entire surgery. This cartilage was used to completely replace the central support pillar of his nose, allowing us to both straighten it and make it much stronger for a result that will last. Although these are some of the most challenging cases we perform in facial plastic surgery, they are also some of the most life changing.$

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