Treatment Provider

J. Smythe Rich, MD
Board Certified Facial Plastic Surgeon
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Nasal augmentation description addendum

I forgot to mention because my nasal bridge was raised, Dr. Rich added a piece of donor material to the tip of my nose as well. I think he did a great job of making my nose surgery results look natural and true to my being Asian. I told him I didn’t want to be unrecognizable from before but that I just wanted a higher nose bridge to add more definition to my front and side facial views.

Nasal Bridge Augmentation

i’ve always felt my nose was lacking a proper bridge. glasses often slid down my face and in profile my face looked flattened. so i booked a consultation with dr. Rich. He surprised me with his knowledge of Asian ethnic nasal surgical procedures.
The dr. patiently answered my questions, allaying my fears he would misunderstand my goals. On his computer he drew over a photo of my face showing me how the new bridge would look like. i left feeling he had understood me. i arranged a second consult meeting with dr. rich and brought my husband.
Basically an incision is made at the base where my nostrils meet. The nose is flapped up. Donor cartilage was stacked in pieces and sewn together and sewn to my own bridge. My nose was packed with cotton pieces and tapped over
My face was swollen for a week or so. I had to breathe through my mouth for several weeks I believe. i used a nasal spray rinse to irrigate the wound site. As for pain, it was more than i expected! it hurt acutely for about three weeks. i used otc pain medicine and tried to get off it promptly. i remember using ice for swelling and later to distract myself from feeling pain. i think it took 2-3 months for my face to settle down from the healing process.
Slowly but surely i am getting used to seeing my new bridge. i feel more confident and don’t have the feeling of being less than.
dr. rich is a real professional and has excellent surgical skills. he takes his time trying to listen to what you want. his computer mock up of my new bridge was extremely accurate to the actual result. he very accurate when he told me other people wouldn't notice my nose but i definitely would ! Very happy camper!

Provider Review

Board Certified Facial Plastic Surgeon
1711 Richland St., Columbia, South Carolina
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