Should Plastic Surgery Be Rated “R”?

We place age restrictions on the ability to view violent or sexual content in movies and on internet sites.  We have made it illegal for those under 18 to drink alcoholic beverages and we would certainly never ask them to serve in the military, we even limit how many hours they can work at summer jobs.  So what do we say when they seek out Plastic Surgery?  Should it also matter why they are seeking out the surgery?

Recently the issue came to the forefront of social and policy discussions within the context of another popular ‘topic du jour’ — bullying behavior amongst children.  Numerous parents are seeking Plastic Surgery to “fix” what other children have decided is “wrong” with the way their children look.

The Today Show recently profiled a charity organization, “Little Baby Face”, that grants free surgeries for low income children who have been chastised by peers for not conforming to cultural ideals of beauty.  They do however make a distinction, the child’s problem must meet the medical definition of a Facial Deformity vs. an Aesthetic Concern.

Dr. Slupchynskyj explains the basic difference. “Facial Disfigurement is something a child can be born with that could include Cleft Lip and Cleft Palate, Facial Tumors or malformed facial bones for instance.  An example of an Aesthetic Concern would include ears that may stick out more than one wants, but the ears function perfectly well.  I have had many young patients who have been taunted for this very reason.”

If the issue is teasing for what some define as a “not pleasing” look, how can we limit those who can access a low cost service based upon a medical definition, when the consequences are determined by non-scientific, social standards?

Teens seeking surgeries that are purely based in aesthetic concerns has recently caught a buzz in international news.  With some of the highest rates of plastic surgery in the world, teens in Asian countries like Korea and Japan, who cannot afford or do not want to risk invasive surgeries are using DIY alternatives akin to ancient foot binding for your face.  From a vibrating mouthpiece, that is to be worn several minutes a day to have a slimming effect on the jaw line to eyeglasses that supposedly train the eyelid to develop double folds, its turning into a circus in Asian high schools, literally.

Much of the Asian Plastic Surgery craze has to do with workplace competitiveness and standards that are highly judgemental of a person’s physical appearance and a desire to look more Caucasian that seems to have affected a lot of the region’s women.  Dr. Slupchynskyj who has always addressed a diverse range of patients understands cultural concerns as they relate to Cosmetic Surgery.

As an expert in Ethnic Facial Plastic Surgery, Dr. Slupchynskyj has a number of Patient Educational Videos available for those who have questions about ethnic beauty and aesthetic surgery.  Not every Plastic Surgeon can address questions in this area because it requires specialized training and experience

While on the topic of young people and plastic surgery of course we will have to briefly address Hollywood and “double-of course” this segment will include a mention of  the Kardashians.  Recent rumors speculate that Kris Jenner suggested Khloe Kardashian have Rhinoplasty as early as 9 years old.  Entertainment reporters have been loving to speculate as to the emotional effects of such a comment from a mother to her daughter at a young age.  It may be best left for families and their members who have been affected to determine for themselves.  However, it is a popular and controversial debate.  How young is too young to talk about or consider Plastic Surgery?

When is the Best Time for Rhinoplasty?

When patients meet with us for Nose Job, AKA Rhinoplasty, consultations, they often ask us, “When is the best time to get a Rhinoplasty procedure done?” Technically, any time is fine, but we do notice that fall and late winter/early spring are when our office is the busiest. There are several reasons for this, which we will delve into here in a minute. However, if you are interested in getting a Nose Job, there is one thing we can tell you for sure: Now is the right time to do your homework, learn all about the procedure, and make appointments for consultations so you can choose the best surgeon for your procedure. 

You want your Nose Job to be a once in a lifetime event, and that means choosing an experienced Plastic Surgeon who takes a unique approach for each client, and is committed to producing a final product that is exactly right for you!

Now – onto the questions at hand: When is the best time for Rhinoplasty? Only you have the answer to that because everyone’s social calendar is different. The best way to select the right time for your Rhinoplasty is to follow these simple steps.

  • Understand the procedure and recovery. In most cases, a Nose Job will take between 1 and 3 hours, and requires a certain level of sedation. Therefore, you will need to have someone to drive you from the office to your home. Typically, any swelling or bruising will last for about 5 to 10 days. Most of our clients take a full week to ten days off work in order to recover. If you work from home, you may be able to work within 2 to 5 days, depending on how you feel. Every surgeon’s technique is different. Dr. Oleh Slupchynskyj uses internal stitches, which means they aren’t visible from the outside, and he does not use nasal packing after the procedure, because his technique doesn’t cause the same amount of bleeding and swelling that is associated with other doctors’ procedures. This can greatly reduce your recovery time. Don’t forget: there are things you can do to help improve your surgical outcome and speed up your healing time. Your diet and lifestyle choices have a direct impact on how well your body heals. During your consultation, we can discuss some dietary and supplement options that will help to reduce inflammation and bruising post-surgery. The more you can do to facilitate your own healing process, the sooner you will be able to look fantastic.
  • Get out the calendar. Scan your calendar and look for a three month period with the least amount of public social engagements. Now you can begin to see why early fall and early spring are two of the most popular times for getting a Nose Job. Winter brings a flood of holiday engagements and photo opportunities. Summer is full of weddings, family and class reunions, time spent out in the sun (which is a no-no right after your surgery as your healing tissues should be out of direct sunlight as much as possible), etc. By getting your Nose Job done in the fall or early spring, your brand new nose will be all ready to show off by the time those important events arrive.
  • Count backwards. Do you have an extra special event that you want to be ready for? Are you interested in getting a nose job or other Cosmetic procedure in time for a wedding or family photo? If so, you want to note that date and count backwards a few months. That will allow you time to be completely healed and attend to any complications, should they arise, in time to look your very best for your family, friends, and the photos that will be around for decades to come.
  • How long have you wanted a Nose Job? Cosmetic Surgery is not something that should be decided on a whim or at the request of another. You should be 100% ready to make the change, and have very realistic expectations about the outcome. That being said, don’t wait too long either. If you have been staring at your reflection, day after day, wishing your nose were different, then take control of your life and make it different. Why spend more days suffering over your reflection when you can make a decision, change your nose to the way you want it, and spend every day from here on out loving what you see looking back at you?

Answering these questions will help you to learn when the best time for your Nose Job will be. We’ll be here waiting to make your transformation a reality. Feel free to contact us and make an appointment to meet Dr. Oleh Slupchynskyj, one of New York’s premier Plastic Surgeons. 

Why African-American Patients Are Choosing Rhinoplasty

Regardless of your race, your nose is the centerpiece of your face. A nose that is wider, longer, more round, or generally larger in proportion with the rest of your features, can make you feel self-conscious. As such, people of all races spend inordinate amounts of time, staring in the mirror wishing that things could be a little different. For African Americans, the most common wish is for their nose to be slightly longer and more angular than the one they have. In fact, out of the most common cosmetic surgical procedures, including Face Lifts, Rhinoplasty (Cosmetic Surgery to correct the nose) Brow Lifts, and Chin Augmentation, 65 percent of African Americans choose Ethnic Rhinoplasty as their cosmetic procedure of choice. In addition to providing a more balanced facial proportion, African American Rhinoplasty increases self-confidence and can improve breathing performance.

African-American Rhinoplasty is One of the Most Popular Cosmetic Surgery Procedures

Ethnic Rhinoplasty has come a long way over the past few decades. It used to be that plastic surgeons applied the same techniques to their African American patients as they did for their Caucasian counterparts. This resulted in noses that did not match the patients’ facial profiles, and often resulted in complications that required multiple revision surgeries. Rather than making a patient’s nose look more “white,” Dr. Oleh Slupchynskyj customizes his Ethnic Rhinoplasty procedure so that an Ethnic or African American patient can change the things they don’t like about their nose, without sacrificing any of their unique, ethnic identity or features. In fact, he invented the revolutionary SLUPimplant™ for that very reason.

There are five typical reasons why African-American Rhinoplasty is such a popular choice:

  1. Refine the tip. It is common for some ethnic and African American noses to have a more broad, or “bulbous” tip. If this is the case for a patient, the procedure will focus on refining the tip, which could also include an extension of the bridge, to create a nose that is slightly more refined, but still retains its own personality.
  2. Narrow or elevate the nasal bridge. The nasal bridge is the portion of the nose that extends from the forehead to the tip of the nose. In ethnic and some African American clients, this portion of the nose can be shorter, which creates a more flattened aesthetic. By elevating and narrowing the bridge of the nose, patients are able to decrease the shape of their nose and often improve breathing performance as well.
  3. Shorten the length of the nasal bridge. Conversely, a patient’s nose may have a nasal bridge that seems excessively long for the rest of their facial proportions, in which case. Dr. Slupchynskyj can shorten the bridge and alter any other contours that need to be corrected.
  4. Resizing the nostrils. It is common for the nostrils to be resized as part of the above procedures in order for the new nose to be in proportion, as well as with surrounding facial features. In most cases, we are able to resize the nostrils in relationship to the smaller nostril, rather than the other way around.
  5. Correct miscellaneous imperfections. Other typical nasal imperfections, such as a crooked or off-center nose, or bumps along the nasal bridge, can be corrected during the procedure for a more even, balanced, and smooth profile.

It is important that patients interested in Ethnic and African American Rhinoplasty choose a plastic surgeon who is experienced in Ethnic Rhinoplasty and has a high success rate with a history of satisfied clients. This procedure can be tricky for more general plastic surgeons. African American Rhinoplasty can be more challenging as the patients’ noses often have thicker skin, excess fatty tissue and poor supporting cartilages.

The Majority of Patients who Undergo African American Rhinoplasty an Increase in Self Esteem

In a review of 75 patients who have undergone Ethnic Nasal Rhinoplasty, 90 percent felt their new nose was in harmony with the rest of their facial features. When asked whether or not the results of their surgery met their expectations, 98 percent said yes, and 95 percent of the patients agreed that their self-esteem was average or above average following their Rhinoplasty procedure. The combination of nasal implants, and revisions to nasal imperfections, result in a new nose that is in proportion with surrounding facial features, maintains the unique ethnic aesthetic of each patient, improves any existing breathing difficulties, and increases self-esteem.

If you are interested in learning more about ethnic and African American Rhinoplasty during a consultation with Dr. Slupchynskyj, please contact our office. You will have the opportunity to see a wide variety of before and after pictures, express your concerns, and can have all of your questions answered. You can also take advantage of our computer imaging technology so you can see what you will look like with various Rhinoplasty corrections.

How Rhinoplasty Can Correct Medical Problems

Rhinoplasty, more commonly referred to as a Nose Job, is not purely a cosmetic procedure. There are a handful of instances where rhinoplasty procedures are used to correct serious medical problems, most of which are related to respiratory complications. Because these corrective surgeries are the result of a diagnosable medical condition, they are often covered by conventional medical insurance plans. 

Rhinoplasty is used to correct any anatomical nasal abnormalities, to restore healthy respiration, and will correct the nose’s appearance if it has become misshapen due to the nasal obstruction(s). Here are some of the medical problems that can be treated by Rhinoplastic Surgery.

Deviated Septum: The septum is the cartilage and bone that runs down the center of the nose, equally dividing the two nasal cavities. When this center line is even slightly angled, or deviated, it will cause one nasal passage to be larger than the other. If this deviation is great enough to significantly block a patient’s nasal passage, causing breathing complications, they are said to have a deviated septum. In addition to causing daily breathing complications, a deviated septum can also cause sleep apnea and chronic snoring, which compromises a patient’s ability to get a good night’s sleep. Individuals with a deviated septum are also more prone to sinus infections, congestion, and even nose bleeds.

Deviated septums can be caused by heredity, or can be the result of an injury or traumatic accident. Rhinoplasty can be used to restructure and/or shape this important column of bone and cartilage so that it lies at the center point of the nasal passages, and restores normal breath flow.

Overgrowth of the Turbinate Bones: The superior, middle, and inferior turbinate bones are rounded projections that run alongside the nose, down the length of the nasal cavity. Sometimes, these projections grow larger than normal, or they develop small bone growths, which begin to disrupt a patient’s ability to breath freely. Overgrown turbinates can also affect normal nasal drainage, which can cause frequent to chronic sinus problems, including sinusitis.

While overgrowth of turbinate bones can be caused by genetic factors, they are commonly the result of a broken nose. The broken bone will slowly heal itself by filling in the break. If the bone is deviated at all, or the regenerated bone material is excessive, this natural healing process can result in a nasal obstruction that needs to be corrected.

During a Rhinoplasty procedure, the surgeon will remove overgrowths or projections and make any anatomical corrections necessary to restore a healthy nose anatomy.

Nasal cysts or tumors: Sometimes, excessive tissue growth results in benign sinonasal tumors. These can crop up in the nasal cavity. Similar to previous nasal obstructions we’ve discussed, these tumors can obstruct airflow and can increase a patient’s chances of getting sinus and respiratory infections. They can also become uncomfortable. There are several different types of these tumors:

  • Nasal polyps (occur in the lining)
  • Hemangioma (an overgrowth of blood vessels)
  • Inverted papilloma (a wart-like growth)
  • Fibrous dysplasia (overgrowth of bone tissue)
  • Osteoma (bony tissue tumor)
  • Angiofibroma (an overgrowth of both fibrous tissue and blood vessels)

Rhinoplasty can be used to remove these growths and repair any damage that may have occurred as their result.

Complications from previous nose job: Sometimes, complications or
excessive scarring from a previous Rhinoplasty can cause nasal
obstructions that complicate breathing. During this corrective
Rhinoplasty procedure, the doctor will repair the  post-surgical
complications while maintaining the desired nose shape.

If you suffer from a nasal complication that may require Rhinoplasty, please contact Dr. Oleh Slupchynskyj, and make an appointment for a consultation. He will advise you as to which Rhinoplasty procedure will be best for you.

Benefits of Non-Surgical Rhinoplasty

The nose is considered one of the most noticeable features of a person’s face. Having a well-balanced nose brings facial features into harmony and plays a significant role in a person’s self-image. It can have a positive or negative effect. The good news is if you’re dissatisfied with the appearance of your nose, there are alternatives available. One effective option, which does not involve surgery, is known as the Non-Surgical Rhinoplasty.

The Non-Surgical Rhinoplasty (Nose Surgery or Nose Job) procedure is considered an alternative for minor irregularities of the nose, which can be altered without traditional nose surgery.

How Does a Non-Surgical Rhinoplasty Work?

Minor irregularities of the nose, like a pinched tip or high nostrils, can be fixed with this method. The injectable fillers are placed under the skin tissues to amplify the outer appearance of the nose. The patient usually undergoes a simple non-surgical procedure for as little as 15 to 20 minutes without any significant downtime.

Non-Surgical Rhinoplasty is temporary and involves enhancements to specific portions of the nose with fillers that are safe and simple. The changes are immediate and do not result in permanent changes.

The filler is injected under the skin tissue through a process called the micro droplet technique, which very gentle on the skin. Since this procedure does not involve surgery, the patient is fully awake throughout the process. You can actually view the procedure with a mirror as Dr. Slupchynskyj applies an anesthetic to the nose portion and injects the injectable to specific portions of the nose during the entire process. The only aspect, which needs attention after this simple procedure is to do follow-up, visits to further enhance the developments.

The dermal fillers, which are used for camouflaging the deformities of the nose in this process, are usually Restylane®™, Juvederm®™ or Radiesse®™, all considered safe and healthy by the FDA.

For irregularities which may involve an asymmetrical nose, dentations or a sharp nose that appear too small or too large in comparison to the overall facial structure, this type of non-surgical procedure is a good alternative.

Here are a few benefits of dermal fillers:

• The results are natural-looking and immediately noticeable.
• There is no downtime following the procedure. Patients can resume their daily activities.
• Dermal fillers are considered temporary. So, if you’re not completely satisfied with the enhancement, the results will eventually fade and a different approach can be pursued.

Prior to any Non-Surgical Rhinoplasty procedure, Dr. Slupchynskyj will assess the facial structure and do an in-depth analysis of the specific areas of the nose, which would benefit from a filler lift. During this initial assessment, the treatment options and the realistic outcomes from this procedure are thoroughly discussed.

With this particular procedure you cannot make more advanced changes to the nose topography like a thinner bridge, a narrower tip or removal of large dorsal humps. However, just like any cosmetic enhancement, the Non-Surgical Rhinoplasty method is capable of camouflaging minor nose deformities.

Advantages of Non-Surgical Rhinoplasty

Non-Surgical Rhinoplasty offers an array of benefits. Often, patients with minor facial flaws mention to Dr. Slupchynskyj that they experience low self-esteem. Many people who have undergone a Rhinoplasty have experienced a great increase in their self-confidence. Here are a few additional benefits:

• Easy recovery.
• Decreases a rounded nasal tip.
• Provides a lifting effect for a curved nasal tip.
• Decreases dents or grooves.
• Lifts up a horizontal bridge.
• Camouflages crookedness.
• Camouflages a nose bump by filling up the bridge area.

What to Expect From Rhinoplasty Surgery

Rhinoplasty, commonly referred to as a Nose Job, is a surgical procedure used to reshape the nose. For some clients, the procedure is used for purely cosmetic purposes such as repairing profile issues, decreasing its size, or improving the shape. In other cases, it is medically necessary in order to improve a client’s ability to breathe. 

If you are interested in Rhinoplasty, chances are you are curious about what to expect before, during, and after your surgery. This guide will help to educate you, and prepare you for your procedure. It can also bring up important questions or concerns you can discuss with the surgeon during your private consultation.

Step One: The Initial Consultation

The first step in getting a new nose is having a face-to-face, private consultation with the doctor. In addition to listening to your concerns, Dr. Slupchynskyj will take face measurements, ask questions about your medical history, and take photos that will be used as a reference. This will give you an opportunity to get to know the doctor better, and decide the size and shape of the nose best suited for your natural face proportions. You may also be instructed regarding pre-surgical recommendations, including medications and supplements that should be avoided prior to surgery in order to reduce the chances of complications. If you are a smoker, we recommend you cease smoking for at least two weeks prior to surgery to reduce your chances of surgical complications and to facilitate your healing process.

Step Two: The Rhinoplasty Procedure

Depending on the results of your consultation, you will receive local anesthesia in order to keep you comfortable during the surgery. Once you are fully sedated, the doctor will begin making an incision to access the nose cartilage and bone. In most cases, these incisions are made on the inside of the nose to hide the scarring.At this point, the doctor will remove excess bone and/or cartilage, or he may need to add tissue, in order to build the nose according to your specifications. He may use tissue from your body or synthetic filler material, to complete the contouring.If you have a deviated septum, it will be corrected during this phase. Your nose will be straightened and the surgeon will reduce projections that obstruct your breathing. A nasal “cast” may be applied over the nose.  This helps to protect and also retain the nose’s new shape as it heals and are usually only necessary for the first week.

Step 3: Recovering With Your New Nose

It is completely normal to experience a little discomfort for the first few days. Some patients experience minor swelling and bruising in the upper face, yet some do not. Swelling begins to resolve after the first three days and even moreso after the first week to two weeks.  

We recommend that you keep your head elevated, and as still as possible, for the first several days. You should not participate in strenuous activities for several weeks. Healing is a complex process, so it can take up to a year before your nose will be completely restored to its new, permanent shape.

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