Ethnic Rhinoplasty Surgical Techniques
New York based leading Plastic Surgeon, Dr. Oleh Slupchynskyj states that Ethnic Rhinoplasty is one of the most challenging of surgical procedures to perform with outstanding results and requires a highly trained, qualified and experienced Facial Plastic Surgeon. Ethnic Nose Surgery does not involve simply reducing a nasal bump or raising a drooping tip. In order to create a completely natural result and maintain the unique integrity of each ethnic nose, there are specific advanced surgical techniques Dr. Slupchynskyj employs to address the most common complaints of his many ethnic patients. Those complaints typically include a flat and/or broad nasal bridge and bulbous nasal tip. Next and if required, the nasal tip is defatted of excess fibrofatty tissue, which although not depicted here, is an important step specifically towards resolving a bulbous tip. See actual bulbous tip surgical footage along with patient before/after photos.
The below illustration demonstrates the surgical maneuvers used by Dr. S. to reconstruct the ethnic nose. The components of Ethnic Rhinoplasty are included in this illustration and depicted individually.
The first step towards achieving a more refined and augmented nasal bridge is placement of a custom carved silastic implant, the SLUPimplant™. Invented by Dr. Slupchynskyj for his ethnic patients, this implant is designed for each individual. It is a much lower profile implant as compared to other silastic implants available to and used by many other plastic surgeons. The implant is placed in the naso-frontal angle resulting in elevation from the bridge to the supra-tip area. The implant does not surpass the suptra-tip and this is critical in avoiding implant extrusion through the nasal tip. The implant is then sutured to the upper lateral cartilages ensuring further stabilization and no movement towards the tip. Next and if required, the nasal tip is defatted of excess fibrofatty tissue, which although not depicted here, is an important step specifically towards resolving a bulbous tip.
Following tip defatting, removal of the Cephalic Strip from the lower lateral cartilages is performed to further refine the tip and reduce “bulbosity” or roundness. This is performed in both ethnic and non-ethnic or Caucasian patients and creates definition in and support of the tip structures.
The next surgical step depicted is the Dome Division procedure that achieves even further definition of the bulbous tip. Rounded and convex nasal domes are divided, made smaller and re-sutured in place. Incorporation of a strut graft (cartilage harvested from the septum or ear) is placed in between the medial crura of the lower lateral cartilages thereby further stabilizing the tip in addition to giving it structure.
Last, a cartilage shield graft is used. This graft is carved into what literally looks like a shield. It is placed in the anterior portion of the tip and is sutured with permanent sutures in a position to slightly elevate the tip and give it further definition.