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Ethnic Revision Rhinoplasty

View Ethnic Revision Rhinoplasty Before and After Photos.

Primary, or initial, Ethnic Revision Rhinoplasty is one of the most challenging and difficult procedures for a Facial Plastic Surgeon to 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 result often in just marginal improvements. The average national complication rate for an Ethnic Rhinoplasty Surgeon is about 1 percent to 2 percent. That means that a Surgeon must revise 1 percent to 2 percent of his/her Rhinoplasty cases, whether it is a minor or major revision. Complications, which lead to a 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 encompasses 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 must 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.) Getting references from patients who have undergone the same procedure. Speak to three and at the very least two.

4.) Discuss and be very specific about what the expected results will be post-operatively.

There are 4 major reasons that African-American and Ethnic patients seek Revision Nose Surgery.

1.) To further improve and refine the tip.

2.) To further narrow and/or elevate the nasal bridge.

3.) To correct a poorly placed or crooked dorsal (bridge implant).

4.) For nostril correction and/or further reduction or narrowing of the nostrils.

Ethnic Nasal Tip Refinement

The nasal tip in the African-American patient has a thick layer of fibro-fatty tissue. Typically if the tip is still too bulbous, there is left over fibro-fatty tissue in the tip. To remove this fibro-fatty tissue correctly, an "Open" Rhinoplasty has to be performed for the surgeon to directly visualize the fibro, fatty tissue and excise it. Otherwise, this excision is hardly precise in a "Closed" Rhinoplasty. Another reason for a bulbous tip result is not enough grafting material having been inserted or poor tip support was created using cartilage grafts. In these cases, cartilage may have to be harvested from the ear to further tip support. Post-operatively the tip may also need to be injected with Kenalog (steroid) to help with the swelling.

Correction of Ethnic Dorsal/Bridge Deformities

Ethnic Dorsal or Bridge deformities are usually attributed to poorly placed implants or poorly performed osteotomies. A nasal implant for African-Americans should be not be a factory made "one size fits all" implant. The implant should be custom carved, specific to your desired outcome, such as my SLUPimplant™. Second, the implant must be placed in a precise pocket, and in the right surgical plane. This ensures the implant will not move and will rest just above the nasal bone. An implant should also be placed in the nose through an "Open" approach Rhinoplasty to ensure the correct placement. I perform many revision implant surgeries on patients who had their primary surgery with another surgeon and this usually requires removal of their one size fits all implant and replacing it with a custom carved implant.

Ethnic Nostril Narrowing and Alar Base Reduction

Ethnic Nostril corrections are definitely the most difficult for an Ethnic Rhinoplasty Revision Surgeon to perform. Some nostril reductions are so poorly performed that a revision may not even be possible due to aggressive cartilage removal. Please keep in mind that most nostrils are asymmetric to start and after a nostril reduction, the asymmetry may become more apparent! The surgeon, prior to surgery, must point out this possible result.

Correcting an asymmetric nostril will depend on the extent of the asymmetry. Typically a larger nostril can be reduced to a smaller nostril, but not the other way around.

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Happy Clients

  • 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 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 SLUPimplant™) ...

  • 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.

  • 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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