Before & After Revision Rhinoplasty Photos in New York
Dr. Slupchynskyj, Director of the Aesthetic Institute of New York, is double board certified by the American Board of Facial Plastic Surgery and the American Board of Otolaryngology. Rhinoplasty is a very complex procedure, one that requires years of training and experience to properly perform. Take a look at the samples of revision rhinoplasty photos below to see the results of New York City rhinoplasty expert Dr. Oleh Slupchynskyj's work.
Complex Revision Rhinoplasty
45 year old female who had undergone previous rhinoplasty surgery by a general plastic surgeon. Her initial procedure was performed through a “closed” technique where a large amount of tip cartilage as well as columellar and alar cartilages were removed. This surgery lead to three complications – Alar Retraction, Bilateral Nasal Valve Collapse and excessive Tip Rotation. In addition, this patient has thin skin so the cartilage structures could be seen through the skin, giving her nose an over rotated or witch-like appearance.
The patient went several years without addressing these complications. Subsequently she developed severe nasal obstruction as a result of the nasal valve collapse. This patient then suffered a dog bite injury to the nose that avulsed the right nasal alar skin and cartilages, as well as the domes of the lower lateral cartilage. Dr. Slupchynskyj performed a complex revision rhinoplasty through an advanced open approach repairing the nasal tip and correcting the soft tissue difficiency. Please refer to the operative photos where Patient is shown intra-operatively before and after her Complex Revision Rhinoplasty.
On the left, over-resected alar cartilage from the previous Rhinoplasty is highlighted. The right alar cartilage was destroyed both by the first surgery and dog bite injury. Cartilage was highly asymmetric and lacked support. The surgical photo on the right shows the interior nose after Dr. Slupchynskyj performed multiple auricular cartilage and shield grafts to re-support the tip structures. Alar battan grafts were used to open up the nasal valve. Cartilage spreader grafts were placed in between the septal and upper lateral cartilages. The nasal tip cartilage shield graft was harvested from the cartilaginous septum and the superior alar cartilages were harvested from auricular (ear) cartilage. Dr. Slupchynskyj also placed a soft tissue nasal alar transposition graft of the right nasal alae to bring symmetry to the nasal tip area. The surgical photo on the right hand side shows the final reconstruction of the nasal tip cartilages.
This patient is 6 weeks post-operative. Her nasal valve collapse is resolved and she can now breathe with ease. She is very pleased with the aesthetic result.
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