The Benefits of Ethnic Revision Rhinoplasty

Primary, Ethnic Revision Rhinoplasty is one of the most challenging and difficult procedures a Facial Plastic Surgeon can perform in Cosmetic Surgery. Ethic noses typically have excessive fatty tissue in the tip of the nose, poor supporting cartilages and thick skin. All of these attributes make it much harder to get good results as opposed to Caucasian noses. Revision Ethnic Rhinoplasty is even more challenging and can yield only marginal improvements.

Rhinoplasty for African American Patients, A Retrospective Review of 75 Cases, written by Oleh Slupchynskyj, MD; Marzena Gieniusz, BA, 75 patients treated in 2008 and their rate of satisfaction and self-esteem are discussed.

The average national complication rate for an Ethnic Rhinoplasty Surgeon is about 1% to 2%. That means that a Surgeon must revise 1% to 2 % of his/her Rhinoplasty cases, whether it is a minor or major revision.

Complications, which lead to Ethnic Revision Rhinoplasty Surgery, include:

1) Poor implant placement and/or selection.
2) Improper reduction of nostril width.
3) Poor surgical planning and approach to the African American nose.

How do you, the patient, ensure having to undergo Ethnic Rhinoplasty (Revision Rhinoplasty) Surgery a second, and sometimes even a third time?

The first most important step is securing a Facial Plastic Surgeon with training specific to the face and nose, versus a General Surgeon whose training includes the entire body. Second and just as important, the Ethnic Rhinoplasty Surgeon must have experience and proven results performing not only Primary, but also Revision Rhinoplasty on African American and Ethnic noses. Third, the surgeon needs to be able to work with you towards your desired result. Make sure your first consultation includes the following:

1) Computer imaging of the nose is absolutely essential to pre-operative planning and will show you an excellent and realistic approximation of your desired results. This process reinforces the doctor/patient understanding of expected results.

2) See actual before and after photos of the surgeon’s patients who have undergone Rhinoplasty and if possible, have results that you like and are similar.

3) Obtain references from patients who have undergone the same procedure. Speak to three and at the very least two, to get several opinions.

Nasal Implants and Ethnic Rhinopasty

For the past 30 years, Ethnic Rhinoplasty Surgery (also called a “nose job”) has become one of the most popular cosmetic Surgery procedures. Nearly a million patients have undergone the surgery to relieve both cosmetic and functional breathing problems. In recent years, a growing number of Ethnic and African-American patients have sought Rhinoplasty Surgery to improve their appearance and to address respiratory ailments. Dr. Oleh Slupchynskyj, a highly recognized top New York City Facial Plastic Surgeon, has pioneered advanced techniques in Ethnic Rhinoplasty in addition to a clinically proven nasal augmentation technique to address concerns specific to his Ethnic patients.

Ethnic Rhinoplasty is a process that enables an African American Rhinoplasty Surgeon to Alter the shape of the nose. The surgery can lengthen or shorten the nose, alter the angle between the base of the nose and upper lip, or flatten out bumps along the bridge of the nose. Once the Ethnic Rhinoplasty Surgeon has reshaped the nose to its desired contours, he or she then sutures the incision and fastens a splint to the nose to protect it from injury and preserve its shape.

One of the most sought-after procedures for many Ethnic and African-American patients is a nasal bridge augmentation or elevation. As the name implies, the goal of the procedure is to improve the structure of the nasal bridge. Dr. Slupchynskyj can opt to use natural cartilage from another part of the patient’s body to rebuild the nasal bridge; however, any irregularities in the shape of the cartilage can make the task of straightening the nose more difficult. Many Ethnic Rhinoplasty Surgeons will opt for plastic materials or nasal implants to reshape the nasal bridge structure and keep the nose straight. However, if the implant is improperly placed or not customized to fit the contours of the patient’s nose, it can stretch the nasal skin, producing a less than desirable result with possible attending complications. In such a case, Ethnic Revision Rhinoplasty Surgery would be necessary.

After many years of treating numerous Ethnic and African-American patients and conducting nasal bridge augmentation procedures, Dr. Oleh Slupchynskyj invented a special type of implant that improves both the function and the aesthetics of the patient’s nose. The SLUPimplant™, unlike any of the other nasal implants in use today, is not a preformed implant and is specially designed for Dr. Slupchynskyj’s use in nasal bridge augmentation surgeries. While the primary application of the SLUPimplant™ is in nasal bridge augmentation for African-American and other Ethnic patients, it also has many other uses. Patients who require a higher degree of structure and volume in the nasal bridge area often do not have their needs met by either the transfer of cartilage from other areas or the insertion of a “one-size-fits-all” artificial implant. Dr. Slupchynskyj’s SLUPimplant™ is custom made and sculpted to meet the desires of the individual patient, while maintaining the qualities distinctively attractive to their ethnicity.

The custom carved silicone implant (Implantech, Ca) differs from the I-shaped silicone implant in its shape and size; it is a lower profile, contoured implant. The custom carved silicone implant (Implantech, Ca) is designed to fit in a subperichondrial–subperiosteal pocket created through an Open Rhinoplasty approach. The custom carved silicone implant (Implantech, Ca) elevates the nasal – dorsal and naso-frontal soft tissue, creating a natural shape and elevation. Because of the custom carved silicone implant’s (Implantech, Ca) smaller profile when compared to an I-shaped silicone implant, a smaller, more defined pocket is created, leaving less chance for extrusion. Furthermore, the cephalic end of the implant is angled to fit the shape of the naso-frontal angle, ensuring a snug fit.

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