Rich & Humenansky Plastic and Reconstructive Surgery

Had always been a small A cup, started sagging more after breastfeeding 2 kids. Wanted upper pole fullness and a large breast size. Agreed on 545cc, ultra high profile, over the muscle. First 3 days were very tight on the chest, lots of pressure, hard to breathe. Lots of burning pain under the ribs and in my back. Skin is very tight with numbness to the breasts and nipples.

Updated on 21 Aug 2025:
Very happy with how they settled out. They’re very soft now and have moved more towards the center for a better natural cleavage. Still wearing a zip front tighter bra almost 24/7 and sleeping with it on. Still sleeping up at an angle on my back. Minimal pain from the incision sites. Using silicone scar gel and tape. The scars are softening up.

I have had two procedures by Dr Rich. Both were far more beautiful than what I could imagine!! I look 15 years younger. Always personable and loves the Lord. Trustworthy and a professional within his specialty.

I have seen Dr Humenansky for several procedures but just had Sculptra with her for the 1st time. As always, she’s so helpful in deciding what treatment would be best for me. She’s always professional, honest and she truly is a caring and honest Doctor. I do not feel she suggest anything I did not ask for or about. She’s also always on time for our appt! I will be seeing her again soon! 

As an incentive for posting a review, this reviewer received an entry into RealSelf’s monthly $500 gift card giveaway.

Dr. H is very kind and listens to her patients. I’m so glad I chose her for my procedure and I’m SO happy with my results! The front office staff is great, very nice, & are quick to get back to you if needed. After two c-sections, it was time to get back to my old self. I finally have my confidence back & feel so good!

As an incentive for posting a review, this reviewer received an entry into RealSelf’s monthly $500 gift card giveaway.

I waited for almost 6 months to review the outcome of my cosmetic surgery so that I could report after results were clearly evident and most of the inflammation had subsided. (But please don't think it takes 6 months to heal - I was out in public in just over 2 weeks). I'm thrilled with the outcome of my procedures and impressed with Dr Rich and his staff.

Prior to my surgery, I found myself dimming mirror lights so that I did not notice the signs of aging. Yet, I still hesitated to have surgery due to concerns that I'm sure most women have as they consider going under the knife. I researched many cosmetic surgeons in the Columbia, SC area. I selected Dr. Rich due to excellent reviews and professional reputation. He does his own injections and lectures through the country on various cosmetic procedures.

Dr. Rich and I spoke at length during the surgical consult. We reviewed pictures of all his successes and discussed my goals, procedure options and potential outcomes. Upon selecting a surgical date, I received thorough pre-surgical instructions and support from Dr. Rich's excellent and caring staff. My surgery was performed in Dr. Rich's office without the use of general anesthesia - only oral medication. I did not feel a thing- apparently I slept for the entire time (as far as I can remember). Home care went forward without a 'wrinkle'. I was given Dr. Rich's cell phone number just in case I had any questions or concerns. I used the number once as I noticed a little fluid pocket. He responded immediately, and there was no need for alarm.

Naturally, the early recovery had its ups and downs. There were times I asked myself: "did I do the right thing"? These uncertainties only occurred during the immediate post-operative period when I noticed many small changes including lumps, bumps, and unevenness. I worried they wouldn't go away. Silly me, they always did. These fluid shifts are simply part of the normal recovery. However, after 2 weeks I was well on my way to healing, and I was going out and about with make up. Of the cosmetic procedures that I had, the Deep Plane Lift was by far the easiest and fastest recovery - with minimal discomfort or downtime. The Dermabrasion was a slower recovery as new skin had to form. Yet, after healing, the skin over my chin and around my mouth is the smoothest it has looked in years. The lip lift also was successful. The suture line under my nose was easily hidden by make-up early in the recovery. Now, after 6 months, the suture line is so light, it is probably noticeable only to me. It is very nicely hidden.

I believe you can place your full confidence in the knowledge and skill of Dr. Rich to help you achieve your cosmetic goals. HIs work is a combination of knowledge, proficiency, experience, sincere caring, and artistry. Dr. Rich enjoys his practice, and sincerely wants his patients to look and feel their very best at any age. He is meticulous in his work, and one of the kindest and most humble medical professionals you will meet. He even prayed with my husband and me prior to my surgery.

When I was 14yrs old my nose was broken in an accident. I never went to get it fixed because it was not always super noticeable. The older I got the more aware I became of it and wanted to get it fixed. My consultation with Dr. Rich was exactly what I needed to feel more confident about going through with the procedure. He explained everything very clearly and made sure I was knowledgeable about the procedure and pricing of everything. My recovery went smoothly and Dr. Rich was very responsive whenever I had any questions! Absolutely loved my overall experience. Would definitely recommend Dr. Smythe Rich!

I could not be happier with my results!
Dr. Humenansky and her lovely staff was incredibly supportive and kind. They guided me through step by step of my explant procedure which made me feel at ease.
Now I’m happy to proceed to my next chapter of life, feeling back to my original self and so grateful to have found Dr. H!

When considering a breast augmentation, one of my top priorities was to find a female surgeon. After seeing Dr. Humenansky’s work, I knew she was the one! She made me feel comfortable throughout the entire process and answered every question I had along the way. I couldn’t be happier with my results and will always recommend Dr. H to anyone looking for a plastic surgeon!

I am elated with the natural results and refreshed look of my deep plane face/neck lift. Dr. Rich and his office staff are wonderful. From the first consultation visit to my last visit, I felt so comfortable and confident with him and his staff. He explained everything thoroughly, with much patience, while taking time to answer all questions. The surgery went great. I especially loved having it done in his office.

My surgery was due to a traumatic injury to my nose. Smythe was able to get me in quickly for my initial appointment and from there we had a surgery date. Smythe made sure. I was well informed about what to expect and had a wonderful experience before, during and after my surgery. Highly recommend him and his professional staff.