Revision Ethnic Rhinoplasty Case 7



26 year old African-American female who had a previous Rhinoplasty with another surgeon. The other surgeon used a standard silicone implant in an attempt to raise the bridge. The implant only increased bulk in the bridge of the nose as well as add more Pollybeak Deformity to the lower third of the nose. The patient was extremely disappointed with the results. She said the it made her nose look, “bulbous and more downturned or under rotated and under projected.” She selected Dr. Slupchynskyj for her Revision Rhinoplasty, based on his expertise in Revision Rhinoplasty and African-American and Ethnic Rhinoplasty.

Dr. Slupchynskyj performed a Revision Rhinoplasty via an open approach. A custom carved silastic implant replaced the old implant and elevate the bridge and naso-frontal angle. The Pollybeak Deformity was also reversed. The tip bulbosity was corrected by removing fatty tissue and scar tissue under the nasal tip skin. Additionally, multiple cartilage grafts were used to reconstruct the tip and restore adequate projection and rotation. Revision Rhinoplasty in Ethnic and African-American noses is very complicated  and it’s always better to get it right the first time.