After performing a series of rhinoplasty procedures on African-American patients, Oleh Slupchynskyj, M.D., was struck by the similarity between implants he had carved to correct a low bridge and deep frontal angle in these patients. In early 2006, he patented the Silastic (S-) implant.
"There isn't any other implant on the market like this one," Dr. Slupchynskyj, director of the Aesthetic Facial Surgery Institute of New York, tells Cosmetic Surgery Times . "Certainly, the nasal frontal angle can be augmented by the insertion of a piece of Gore-tex or cartilage grafting. However, the S-implant is the only implant that addresses the nasal frontal angle in addition to addressing the height of the dorsum."Dr. Slupchynskyj performs a rhinoplasty using an S-implant approximately 10 times a month and has treated more than 50 patients to date with this technique.
In addition to African-American patients, the S-implant may be suitable for rhinoplasty in patients of other ethnicities if augmentation of the nasal frontal angle is an issue.
A QUESTION OF SATISFACTION Dr. Slupchynskyj conducted a retrospective review via questionnaire of 47 African-American patients who had been treated with rhinoplasty using the S-implant.
The questionnaire covered patient satisfaction, subjective evaluation of ethnic changes, and changes in self-esteem. Compared with an overall revision rate of approximately 1 percent to 2 percent for rhinoplasty on a national level, patients in this study indicated a 0.05-percent rate of revision. In addition, results showed a significant increase in self-esteem. According to Dr. Slupchynskyj, the analysis demonstrates that these African-American patients sought not to change their ethnicity, but to achieve facial harmony.
Results of this study were presented at the recent meeting of the American Academy of Cosmetic Surgery.
Typically, explains Dr. Slupchynskyj, these patients are looking for augmentation of the dorsum, narrowing of the nostrils, and refinement of the nose tip. Dr. Slupchynskyj, who is double board certified by the American Board of Facial Plastic Surgery and the American Board of Otolaryngology, speculates that black patients in search of a rhinoplasty may encounter some difficulty finding a surgeon who feels comfortable taking on the task. Lack of training, the complexity of the surgery, and a substantial time commitment are all inhibitory factors.