This is an Ethnic Revision Rhinoplasty case of an African-American patient who underwent a Primary Rhinoplasty 2 years ago by another surgeon utilizing a Medpor Nasal Implant. The intended use of the Medpor Implant was to elevate the patient's bridge and refine the nasal tip. Unfortunately, the exact opposite results were achieved in her Primary Surgery.
Figure 1 shows frontal views of the patient both before her Rhinoplasty Revision Surgery (left side), with the Medpor Implant in place, and after her Revision Surgery where Dr. Slupchynskyj removed the Medpor Implant replacing it with a custom carved silicone implant, the SLUPimplant™. As depicted by the black lines, we can see that her nose prior to Revision Surgery is quite broad where the implant added fullness to her bridge, as well as a bulbous nature to the tip.
Figures 2 and 3 show profile views of the patient before and after Revision Surgery. In the before (left side) photo, we can see how the Medpor Implant created a bulky nasal tip forming a Pollybeak Deformity, as shown by the black arrows. The implant also did not properly augment the naso-frontal angle of her nose. The SLUPimplant™ achieves this result because it is a lower profile implant, is not bulky and can be customized to fit the patient's specific nasal features.
Figure 4 shows frontal view intra-operative photos immediately following removal of the Medpor Implant. The photo on left shows the patient with the actual Medpor Implant superimposed over her nose. The photo on the right shows the SLUPimplant™ superimposed on her nose. Note how much wider and bulkier the Medpor Implant is as compared to the SLUPimplant™. The Medpor Implant is bulky at the nasal tip and very narrow at the very top in the naso-frontal angle area. This sizing should be reversed. The custom carved SLUPimplant™ tip is narrow to achieve nasal tip refinement versus bulbosity. The exact measurement of the Medpor Implant at the tip is 8 mm as compared to 2 mm for the SLUPimplant™ tip. Also, the very top of the SLUPimplant™ is a bit wider in order to achieve the proper naso-frontal angle for this patient.
Figure 5 shows lateral or profile views of the patient once the Medpor Implant was removed. The photo on top shows the removed Medpor Implant superimposed on patient's nose and the photo on the bottom shows the SLUPimplant™ superimposed as well. Note 3 different areas of interest in each photo. The white arrows illustrate length of each implant. See how much longer the Medpor Implant as it sat in the nose. The yellow arrows point to the tip of the implants. You can clearly see how the Medpor Implant's size and width at the tip added to nasal tip bulbosity. The red arrows show the naso-frontal angle differences of each implant. The naso-frontal angle of the Medpor Implant is much lower or deep resulting in unnatural angle of the nose to the face, in other words a nose that appeared to stick straight out.