Rich & Humenansky Plastic and Reconstructive Surgery

My experience was wonderful from beginning to end. Dr. Humenansky is the sweetest...and just an amazing person and doctor. I couldn't be more pleased with my results. Also, I was able to do my procedure in their office.

Got my breast reduction three months ago and I love my results!! Staff is wonderful, Dr. H is wonderful. I recommended friends to go here. I don’t regret anything. Process was smooth. And my scars are healing great.

Before meeting Dr. Rich, I had previous reconstructive surgery on my jaw (with a genioplasty) which resulted in nerve damage and my chin being recessed and disproportional to the rest of my face. After nearly a decade of dealing with my chin being disproportional, I decided I wanted to get surgery. I met with several other plastic and orthognathic surgeons in Columbia--all of whom had a strong push for surgery but failed to thoroughly care and discuss my medical history and questions. Then, I met Dr. Rich! Dr. Rich spent an HOUR getting to know me, discussing my medical history, candidly discussing the risks, how he'd perform the surgery, and establishing a realistic outcome of surgery. I was especially concerned about additional nerve damage, but Dr. Rich took time to discuss the anatomy of the mental nerves, how he handles the nerves during surgical procedures, the risks associated with the surgery, and how he would specifically approach my surgery based on my medical history. The best aspect of Dr. Rich's approach is his ability to take photographs and generate different "after surgery" photos. It allows you, the patient, to work with Dr. Rich so you can determine what kind of changes you want. Unlike the approach from the other plastic surgeons in Columbia, Dr. Rich's setup ensures you and Dr. Rich have a similar expectation for the surgery. My side profile after surgery is essentially the same as what we "created" prior to surgery--if not better! I am thoroughly pleased with my results, and I consider it one of my greatest investments. I would highly recommend anyone who wants or needs plastic surgery to get a consult with Dr. Rich.

I'm a 82 year old very young woman now that Dr. Rich has performed this procedure. He made sure that the whole experience was safe and comfortable. I had a very close friend approach me and say that she noticed something different and then complimented me on how I looked. I can't thank him enough.

Dr. Rich is amazing at what he does. He listened to what I wanted and all my concerns. He gives great advice on how to go about things and I felt so comfortable with him. I had very narrow nostrils and a hard time breathing on one side and disliked my side profile. I also had a chin implant to even out my proportions so my nose could look more natural. Which he suggested, as well as something I came in wanting. I wanted something natural and fitting for my face, yet still unique, and he gave me everything I’ve ever wanted. The healing process was so easy and he was there throughout to answer any of my questions. I cannot recommend him enough, he changed my life. Dr Rich is the best!!!

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.