Profile of Smythe Rich, Dr

I am proud to be a native South Carolinian, and my family and I enjoy all that the Palmetto State has to offer. As I look back on practicing facial plastic and reconstructive surgery over the years, my greatest joy has been seeing the satisfaction and sometimes happy tears of handing a patient the mirror after surgery. Those special moments make years of training, careful patient consultations, preparing, and executing a procedure all more than worth it. Many of the procedures we performed back in the '90s are still essential because they do exactly what the patient wants: reduce a large nose, slim or tighten a neckline or face, or address tired, baggy eyes. Our field is progressing steadily to provide more comfortable and natural enhancement to one's appearance; lasers and minimally invasive procedures are now well known. As an early injector, it was a real privilege to teach advanced techniques across the US at the most prestigious offices and Universities. Our most significant improvement in 20 years has been adding volume to restore or create a higher cheekbone or defined jawline. This more sophisticated use of filler to frame the outside of the face allows less filler to be needed centrally. Overcorrection here often giving stiff, unnatural smiles and bloated faces. Today many providers have these skills. But still, a few people's overcorrections produce fear giving pause to someone looking to simply fill in lip lines. When someone can point out aesthetic work, I think of that as "expensive ugly." You lose a little dignity and privacy when features are distorted. The most attractive trait in one's appearance is confidence. Our staff strives to achieve a natural look that may be difficult to ascertain by your friends. I feel looking "overdone" is something far worse than looking a little tired. When someone has a positive cosmetic experience, you realize that "good work" walks right by you every day, unnoticed. Our goal is to make it look like you have never been here. Consultations in person, or virtual, are a great way to explore options.

Procedures of Smythe Rich, Dr ⁽⁴³⁾

Procedure	Rank in Columbia	Rank in SC	Rank in US
Facial Fillers Facial fillers are synthetic or naturally occurring substances injected into the lines, folds, and tissues of the face to decrease the appearance of wrinkles and restore the facial fullness that decreases with age.	Ranked in Columbia:	Ranked in SC:	Ranked in US:
Restylane The Restylane product line of injectable fillers temporarily adds volume to plump lips, lift cheeks, smooth wrinkles, fill in scars and under-eye hollows, and rejuvenate aging hands.	Ranked in Columbia:	Ranked in SC:	Ranked in US:
Neck Lift A procedure that improves the look of the neck by redraping sagging, wrinkled skin. In addition, it tightens the skin by removing excess skin.	Ranked in Columbia: 3	Ranked in SC: 11	Ranked in US: 2381
Liposuction A surgical procedure that removes stubborn fat deposits from the legs.	Ranked in Columbia: 3	Ranked in SC: 11	Ranked in US: 1381
Rhinoplasty Commonly referred to as a “nose job” this surgical procedure can help correct undesirable ridges, size, shape, or other aspects of the nose. In some situations, this procedure can correct certain breathing problems.	Ranked in Columbia: 2	Ranked in SC: 10	Ranked in US: 2648
Chemical Peels A chemical peel uses an acidic solution applied to the skin to remove damaged top layers, speed cell turnover, and boost collagen growth for a brighter, more even-toned complexion.	Ranked in Columbia:	Ranked in SC:	Ranked in US:
Dysport Dysport is an injectable neuromodulator that smooths lines and wrinkles for up to four months.	Ranked in Columbia:	Ranked in SC:	Ranked in US:
Brow Lift A surgical procedure that removes wrinkled, drooping skin around and above the eyebrows. This lifts the eyebrows and restores them to their appropriate placement.	Ranked in Columbia: 3	Ranked in SC: 16	Ranked in US: 2823
Skin Rejuvenation Skin rejuvenation treatment options include a variety of nonsurgical techniques and cosmetic procedures that are done to correct fine lines, wrinkles, sagging, and brown spots in order to restore the skin.	Ranked in Columbia:	Ranked in SC:	Ranked in US:
Kybella Kybella injections dissolve fat cells to reduce small areas of excess fat.	Ranked in Columbia:	Ranked in SC:	Ranked in US:
All Resurfacing & Rejuvenation Lasers Laser skin resurfacing and rejuvenation removes skin layer by layer with precision, the new skin cells that form during healing give the skin a tighter, younger looking surface.	Ranked in Columbia:	Ranked in SC:	Ranked in US:
Laser Hair Removal Laser hair removal treatments use light energy to permanently damage or destroy hair follicles—usually on the legs, back, underarms, or face—with the goal of preventing hair from growing back.	Ranked in Columbia:	Ranked in SC:	Ranked in US:
Facial Implants A facial implant is a small device (made of silicon or another safe material) that plastic surgeon puts underneath your skin during surgery.	Ranked in Columbia: 2	Ranked in SC: 4	Ranked in US: 1690
Facelift Facelift surgery tightens underlying muscles, lifts tissues, sculpts fat, and removes excess skin, to give your face and neck a more youthful appearance.	Ranked in Columbia: 5	Ranked in SC: 15	Ranked in US: 3363
Liquid Facelift A liquid facelift is a nonsurgical procedure that uses injectables to restore facial volume, reduce wrinkles, and rejuvenate the face and give it a more youthful appearance.	Ranked in Columbia:	Ranked in SC:	Ranked in US:
Botox Botox works by blocking nerve signals to the muscles, so the injected muscle can’t contract.	Ranked in Columbia:	Ranked in SC:	Ranked in US:
Juvederm Juvéderm injected beneath the skin, the gel-like substance instantly helps smooth lines and wrinkles, soften creases, enhance facial contours, and restore lost volume.	Ranked in Columbia:	Ranked in SC:	Ranked in US:
Dermaplaning Dermaplaning is a skin rejuvenation treatment that’s done in-office by a dermatologist or aesthetician, who uses a surgical scalpel to gently scrape away dead cells and vellus hair from your skin’s surface.	Ranked in Columbia:	Ranked in SC:	Ranked in US:
Sculptra Sculptra is an FDA-approved injectable filler that can smooth deep wrinkles like marionette lines, as well as restore volume and firmness to areas like the cheeks and temples.	Ranked in Columbia:	Ranked in SC:	Ranked in US:
Skin Cancer Treatment Skin cancer treatment depends on the type of cancer, its location and depth, and patient factors like age or other illnesses.	Ranked in Columbia:	Ranked in SC:	Ranked in US:
Dermabrasion Dermabrasion is an intensive skin-resurfacing procedure performed by a dermatologist or plastic surgeon.	Ranked in Columbia:	Ranked in SC:	Ranked in US:
Photo Facial A photo facial is a laser light treatment which effectively treats men and women to remove brown spots and sun damage while increasing collagen production.	Ranked in Columbia:	Ranked in SC:	Ranked in US:
Facial Rejuvenation Facial rejuvenation is a cosmetic treatment which aims to restore a youthful appearance to the human face.	Ranked in Columbia:	Ranked in SC:	Ranked in US:
Eyelid Surgery Eyelid surgery tightens and lifts sagging eyelid skin.	Ranked in Columbia: 4	Ranked in SC: 18	Ranked in US: 3352
Facial Reconstruction Facial reconstruction surgery is performed to reshape structures in the head and neck — typically the nose, ears, chin, cheekbones and neckline.	Ranked in Columbia: 1	Ranked in SC: 9	Ranked in US: 553
Areola Reduction Areola repositioning involves both the areola and the nipple being lifted and established in a natural position.	Ranked in Columbia: 2	Ranked in SC: 6	Ranked in US: 790
Chin Augmentation A chin augmentation refers to refinement/improvement of the bone contour of the chin area.	Ranked in Columbia: 2	Ranked in SC: 6	Ranked in US: 1685
Calf Implants Calf implants made of long-lasting, FDA-approved silicone rubber can be surgically inserted in a pocket between the fibrous covering over the inner and/or outer calf muscles and the skin.	Ranked in Columbia: 1	Ranked in SC: 1	Ranked in US: 226
Breast Augmentation Breast augmentation is a plastic surgery procedure that can enhance your breast size and shape.	Ranked in Columbia: 4	Ranked in SC: 18	Ranked in US: 3273
Breast Lift A procedure that lifts the breast tissue and repositions the nipples to remedy sagging breasts.	Ranked in Columbia: 3	Ranked in SC: 16	Ranked in US: 2950
Arm Lift An upper arm lift is a cosmetic surgical procedure that removes excess fat and loose skin on your underarms, eliminating the appearance of “bat wings.”	Ranked in Columbia: 2	Ranked in SC: 9	Ranked in US: 2165
Mommy Makeover Mommy makeover is a combination of plastic surgery procedures that can help restore your pre-baby body after dramatic changes brought on by pregnancy, childbirth, and breastfeeding.	Ranked in Columbia: 3	Ranked in SC: 14	Ranked in US: 3030
Breast Reconstruction Breast reconstruction surgery helps restore a more natural, symmetrical appearance of a breast that has been removed by a mastectomy or altered by a lumpectomy as part of breast cancer treatment.	Ranked in Columbia: 3	Ranked in SC: 17	Ranked in US: 2019
Breast Revision Breast revision surgery makes to improve the appearance of breasts that have been previously operated on.	Ranked in Columbia: 4	Ranked in SC: 14	Ranked in US: 1706
Revision Rhinoplasty A rhinoplasty revision is a surgical procedure that aims to correct undesired results or complications that arise after an initial rhinoplasty.	Ranked in Columbia: 1	Ranked in SC: 9	Ranked in US: 820
Lower Body Lift The lower body lift extends the tummy tuck incision completely around the lower torso, which allows surgeon to lift or resuspend the thighs and tighten the buttocks as well as to execute the traditional tummy tuck.	Ranked in Columbia: 3	Ranked in SC: 11	Ranked in US: 1390
Thigh Lift A procedure that trims away extra excess skin and fat to create more toned thigh contours.	Ranked in Columbia: 3	Ranked in SC: 11	Ranked in US: 1833
Nipple Surgery Nipple reduction surgery involves decreasing the size of protruding or disproportionately large nipples and trimming excess tissue to create an aesthetically balanced breast.	Ranked in Columbia: 2	Ranked in SC: 5	Ranked in US: 515
Male Chest Enhancement Male chest enhancement procedures are used to enhance the appearance of the pectoral muscles by adding volume or removing excess surrounding fat.	Ranked in Columbia: 1	Ranked in SC: 5	Ranked in US: 232
Male Pectoral Implants Pectoral implants are body implants made of solid silicone.	Ranked in Columbia: 1	Ranked in SC: 22	Ranked in US: 421
Brazilian Butt Lift Also known as a “Fat Transfer to Buttock” or “BBL”, this procedure uses liposuction to remove fat pockets from undesired areas for insertion into the buttocks for a more lifted and enhanced look. Includes two areas of liposuction.	Ranked in Columbia: 2	Ranked in SC: 6	Ranked in US: 1288
Mini Facelift A mini facelift is an anti-aging surgery that focuses on sagging skin.	Ranked in Columbia: 3	Ranked in SC: 6	Ranked in US: 1065
Fat Transfer A procedure that removes fat from one area of the body via liposuction and transfers it to another area.	Ranked in Columbia: 2	Ranked in SC: 6	Ranked in US: 1775