Nasal Forms

  • Introduction

  • Thank you for contacting Dr. Katrib's office! We are proudly located in Louisville, KY, USA!

    We offer both virtual and in-person consultations:

    There is a $300 consultation fee, which will be applied toward your surgery if you choose to proceed.

    Virtual consults are conducted via Zoom
    In-person consults are available on Tuesday afternoons and Thursdays

    The typical timeline between consultation date and surgery availability is

    Primary Rhinoplasty: 2-4 months
    Revision Rhinoplasty: 3-6 months

    Please note: A cancellation list is available for both operations.

    Financing is available through CareCredit with 6-, 24-, and 36-month options.

    Please use the secure, HIPAA-compliant system that follows to complete your intake forms and upload the requested nose photographs. Dr. Katrib will personally review your case to determine surgical eligibility, and we will follow up with you regarding the possibility of a consultation.

    If you have any questions, feel free to contact us directly at 502.445.9311.

    We look forward to reviewing your submission!

  • Nasal History

  • Date of Birth*
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  • Nasal Function and Cosmetic Scale

  • Over the past month, how much a problem was the following:

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  • Nasal Parameters and Terminology

  • In order to effectively relate your goals with surgery you must learn and utilize the proper terminology for the many parameters in Rhinoplasty surgery and Nasal Analysis. Please read this form very carefully and answer as honestly as possible as it relates to your CURRENT NOSE.

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  • My current projection is:*
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  • My current rotation is:*
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  • My current length is:*
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  • My current bridge height is:*
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  • My desire for a supratip break when healed:*
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  • My current bridge width is:*
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  • My current tip width is:*
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  • My current nostril base width is:*
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  • My current nostril size is:*
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  • My current nostril symmetry is:*

  • Picture Uploading

  • In order to improve the quality of the consult, please upload the 7 requested photos of the nose using your phone or a similar high-quality camera. Ideally the images will be in good light and with a solid background. This works best if you have someone else take the photos for you using the rear camera.

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