Columbia Facial Plastic Surgeon
1711 Richland St., Suite 100
Columbia, South Carolina 29201 US
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28 years experience
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4.6 out of 5 stars 4.6 stars from 24 reviews See details Hide details
5.0 out of 5 stars Doctor's bedside manner
5.0 out of 5 stars Answered my questions
5.0 out of 5 stars After care follow-up
5.0 out of 5 stars Time spent with me
5.0 out of 5 stars Phone or email responsiveness
5.0 out of 5 stars Staff professionalism & courtesy
5.0 out of 5 stars Payment process
5.0 out of 5 stars Wait times
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Treatment results may vary

5 out of 5 stars Facelift

Best Experience Ever - Columbia, SC

Word of mouth. Dr Rich and his staff helped me move into my 50s with style. The Whisperlift was easy and I look great. I was back at work soon. His eye for detail is amazing.Everyone knows he is the face guy in SC.

5 out of 5 stars Facelift

63 Year Old Got Rid of the Turkey Neck - Columbia, SC

5 stars

5 out of 5 stars Facelift

61 Year Old Thrilled with Dr. Smythe and the WhisperLift! - Columbia, SC

Dr. Rich takes a lot of pride in his work. He wants the patient to understand and be happy with the procedure so he fully explains everything. He is truly artistic in his abilities to make his surgical results natural and becoming for the patient. He was repeatedly recommended to me by other medical professionals and is well-respected in the community. I am so pleased with the results of my surgery!

5 out of 5 stars Facelift

Mini Facelift Particularly to Eliminate Jowls, Improve Neck Also - Columbia, SC

As I stated above, Dr Rich was wonderful. He had offered other alternatives,fillers, which I had done in the past but I was ready for something that didn't just hide the jowls but eliminated them. His nurse took pictures and he showed me with digital technology what I could expect after I had what he calls "the whisper lift". He scheduled a follow up appointment 2 weeks before my surgery and I was given prescriptions to have filled and take the morning of my procedure to relax me.He also included prescriptions for pain control. I was told I would also be given an injection the day of my procedure. I arrived the day of my procedure and it really touched me that he wanted to say a prayer with me before the procedure. I really appreciated that. After the procedure, which went well, he wanted to see me the following am for follow up and to take the bandages off. I was to expect a lot of swelling and there was. I needed to sleep with my head elevated for a while. He also gave me his personal phone number to call him any time I had any concerns. I did call him once during my recovery and he responded right away. I thought I might be getting an infection but as it turned out, I was not. He saw me every day for 3 days after my procedure always reviewing any concerns I had and reminding me he was available by phone 24 hours daily. I then followed up with him weekly for 2 visits and will have a 6 week post surgical appointment in another 2 week. I would very highly recommend Dr Smythe Rich to anyone considering any type of plastic surgery. I am very pleased with my results thus far, I am one month out past surgery and I love the look of my non-jowly jaw line and my more youthful appearing neck. Thanks to Dr Rich's artistic and medical skills, I feel much better about my appearance.

5 out of 5 stars Botox

Worry Lines and Migraines! - Columbia, SC

I have been coming to Dr. Rich for years for Botox and a few fillers and HE IS THE BEST! I feel totally comfortable and completely trust him with my face. I always looks very natural-nobody has ever asked if I've had anything "done"-although I can tell a difference and feel that I look "refreshed!"

5 out of 5 stars Facelift

Very Happy Mother of the Groom!

As I did my research for surgeons around the area Dr. Rich most definitely was the most recommended by my friends. After seeing him, and talking about my options, there was no doubt that I made the BEST choice. Not only was he kind and knowledgable, he helped me with the convenience of my budget, as well as working with my short notice. Dr. Rich patiently explained in detail what he was going...

5 out of 5 stars Sinus Surgery

Life-changing Surgery with an Amazing Surgeon - Columbia, SC

Dr. Rich preformed my sinus surgery in 2010. I received exceptional care throughout the entire process. Dr. Rich was able to pinpoint the cause of my 10 year struggle with severe, reoccurring sinusitis. The surgery has dramatically improved my sinus problems. I am very thankful I was able to work with Dr. Rich, after working with several other doctors who could not get to the root of the...

5 out of 5 stars Nose Surgery

Best Experience Start to Finish. I Love my Nose - Columbia, SC

I found Dr Rich by several sources, my Doctor, my stylist and a nurse. I had previous nasal surgery by another doctor and didn't like my result. Dr Rich was very careful to inform me about my procedure and it all went as planned. I can't stop looking at my beautiful nose. The staff was courteous and I was please with the office.

5 out of 5 stars Sculptra

As Good As a Facelift with No Down Time... Dr. Rich is Awesome! Columbia, SC

I had a bad car accident in my 20s. As I aged the left side of my face got a hollowing out place in the chin. I was also having a sagging jowl line and bags around my eyes. Dr. Rich knew just what to do. He said the sagging was due to my bones shrinking. He used Sculptra around my jowl line, cheeks and temples. I had some bruising, but it didn’t slow me down from work. It’s been ove...

5 out of 5 stars Chin Implant

Tired of Feeling Ugly - Columbia, SC

Dr. Rich was wonderful from beginning to end. I had a chin implant and some lipo underneath my chin, and the difference is so subtle, but amazing. I don't know how he managed it. I feel so much more confident and a little prettier, and you'd never know by looking at me, why! He balanced out my face perfectly. He's not pushy, and he isn't trying to sell you something you don't want or...

*Your results may vary. Any specific claims or permanence length of results vary for each patient and are not guaranteed.

Board Certifications

Board-certified by the American Board of Facial Plastic and Reconstructive Surgery and American Board of Otolaryngology


American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)

Consultation Fee

$100. Consult cost applied to cosmetic procedure scheduled within 6 months.

Hospital Privileges

Dr. Rich has hospital affiliations at Palmetto Health Richland Hospital; Baptist Hospital; Providence Hospital.


  • Undergraduate & Medical School

    Undergraduate: BS in Biology, College of Charleston, 1980
    Medical: MD, Medical University of South Carolina, 1984
  • Post-Medical School Training

    General Surgery, Methodist Hospitals of Memphis, Memphis, TN
    Otolaryngology - Head and Neck Surgery, University of Tennessee, Memphis, TN
    Facial Plastic, Park Central Institute, St. Louis, MO

Treatments offered at Smythe Rich, MD

Most popular answers from J. Smythe Rich, MD

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Lower Eyelid Surgery: Transconjunctival Bleph with Canthopexy & Excess Skin Removal? (photo)

Several very experienced opinions havve been given but I think this operation is over ripe for a huge change of direction. Anything that does not... READ MORE

Interested in 3rd rhinoplasty revision. Tip hangs low when smiling. (photos)

I think despite best intentions your surgeon failed to recognize a not rare variant in noses, cephalically or malpositioned lower lateral cartledges.... READ MORE

Can Revision Rhinoplasty make my nose look nice and natural again? (photos)

This is one of the most difficult procedures in cosmetic surgery. Without examining you and reviewing your surgeons efforts, advising you must be... READ MORE

Tertiary Rhinoplasty/Second Revision (want my nose to return to as close, structurally-wise as it was pre-surgery)? (Photo)

I'm sure you are filled with bad feelings about the whole process. It seems that you can't and don't want to settle and sound a little worried about... READ MORE

Would a chin implant be suitable for me? (Photo)

Yes yes yes. These are wonderful enhancements that last forever or are removable. It is an office procedure done with light sedation. Most recover... READ MORE

Double chin - liposuction, Smartlipo and other alternatives

You have to look at things from all points of view. Many elegant neck lines are really stong jaw lines. an easy combination is a small chin implant... READ MORE

Is there any truth that Botox started early is preventative? (photos)

I humbly believe there is no lasting benefit of Botox. The wrinkles come back. 15 year olds have crows feet when smiling. I encourage patients to live... READ MORE

Sculptra was injected in my mouth 20 months ago by board certified derm creating jowls/hard bumps. What are my options? (Photo)

This is totally not the filler but how it was injected. When this stimulatory filler is placed in a muscle like the lips or around the eye it can form... READ MORE

What do I need? Face lift? Endoscopic mid face lift? (Photo)

It's hard for a beautiful woman to watch natural aging. Although difficult to make accurate assessment's based on one picture, AI feel an endoscopic... READ MORE

Hollow upper eyelid. Is there any non surgical way to minimize the look? (Photo)

The consensus is weighted towards fillers delivered by catheter to the orbital rim to create or restore volume. This will camouflage the visible bone... READ MORE

Before and After Photos by Dr. Rich

J. Smythe Rich, MD has shared 3 before and after pictures with 9 helpful votes from the RealSelf community.

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*Your results may vary. Any specific claims or permanence length of results vary for each patient and are not guaranteed.