Rhinoplasty Case 65



26 year old African American female who underwent a previous Rhinoplasty with another surgeon. The other surgeon used a standard silicone implant in an attempt to raise the bridge. The implant only added more bulk to the bridge of the nose as well as increasing the Pollybeak Deformity to the lower third of the nose. The patient was extremely disappointed with the outcome. She said the it made her nose appear, “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 with an Open approach. A custom carved silastic implant replaced the old implant and raised the bridge and naso-frontal angle. Additionally, the Pollybeak Deformity was reversed. The tip bulbosity was revised by removing fatty tissue and scar tissue under the nasal tip skin. Furthermore, several Cartilage Grafts were utilized to reconstruct the tip and restore sufficient projection and rotation. Revision Rhinoplasty in Ethnic and African American noses is especially difficult, so it’s always better to get it right the first time.