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Ethnic Rhinoplasty Revision Case Study #6 - Removal of Medpor Nasal Implant in Revision Ethnic Rhinoplasty

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

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.

Figure 2

Figure 3

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

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

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.

 
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  • I am so thankful to have come across Dr. Oleh Slupchynskyj of The Aesthetic Institute of New York & New Jersey. "Dr. S." (as I like to call him for obvious reasons, haha) is a Double Board Certified Facial Plastic Surgeon, and it turns out he has an entire website dedicated to his work with African American patients: www.africanamericanrhinoplasty.com. I was immediately impressed with the wealth of information that he has on his site, including information about his practice, his stellar credentials, his surgical inventions (i.e., the SLUPimpla...

  • I was terrified of having surgery but after two consultations with Dr. S., my anxiety was alleviated, and this was my biggest hurdle. I was able to see what my results would be after surgery through "computer imaging". He spent as much time with me as needed and said I could come back as many times as I wanted before making a decision. That was refreshing. I asked to speak with at least 3 other patients of Dr. S. and did. They shared my initial fear and they helped me by explaining their experiences from a patient's point of view! Dr. S. specia...

  • The doctor is very approachable and personable and I felt that he is really listening to me. He made every effort to be easily accessible via email or phone. He also followed me every step of the process, not only during the surgery but also during the recovery period.

  • Double Board Certified with specialized training and loads of experience in Nose Surgery. I was able to see and discuss my results beforehand thru computer imaging so I felt very comfortable with what my result would be. Having consulted with other Drs. who did not have same training, imaging and were twice the surgical cost, I made my decision.

  • Dr. S. is excellent. From the first visit to the follow-ups I always felt comfortable. Look great and feel great, have recommended him others. Really great bedside manner and I was not the best patient. Thanks Dr. S. I really appreciate your patience!!

  • I had a Rhinoplasty done by Dr. S. and he did exactly what I wanted, which was a custom bridge implant.

  • As a 74 year old African American woman, I was apprehensive regarding the SLUPlift™ Surgery. In the past, when I discussed plastic surgery with family and friends they spoke negatively about the surgery. Eventually I decided it was something I wanted to do for myself. I found Dr. Slupchynskyj while surfing the Internet and reviewing several of his before and after photos. After meeting the Dr. he assured me that I would be OK — and he was correct. After the surgery I did not have to take any pain medication and I was out shopping within 4 d...
  • Worth It
    I am a 27 year old, African-American female from the Midwest and I just recently had a Rhinoplasty procedure performed on February 9, 2012. I had known for a long time that I wanted to have the procedure done to correct a bump in the bridge of my nose, reduce the width of my nose, as well as to refine my down-turned nasal tip. This was an operation that I was not going to trust to just anybody, so I spent countless hours researching and looking for a surgeon who had significant experience working with African-American patients. Because I liv...
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