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Practice

Philosophy of Reconstructive Surgery

In public interviews, Rostyslav Valikhnovski clearly articulates the distinction between reconstructive and cosmetic (aesthetic) surgery. In his words, "reconstructive surgery is meant to help people, to save lives, not to reshape the body according to fashion whims." This approach defines the institute's clinical focus on the most complex cases of congenital and acquired defects, oncological reconstructions, and post-traumatic interventions.

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burns · reconstruction

Burn Treatment

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plastic surgery ethics

Ethics of Plastic Surgery

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medical commentary

"Chernobyl" Series

Surgery of Gunshot Wounds (from 2022+)

According to the services page of the official Valikhnovski Surgery Institute website, Military surgery — surgery of gunshot wounds is one of 28 separately designated directions of the clinic. The institute also maintains a 24-hour maxillofacial trauma center, which is relevant in the context of full-scale war since 2022. There is less publicly available information about specific cases of Valikhnovski personally treating wounded military personnel in open media than from some international teams (for example, Vision for Ukraine with Canadian surgeons), but the clinic declares this direction as core.

Regional Practice

In addition to the main Kyiv office, Valikhnovski performs surgical interventions at regional medical facilities. According to local media publications, he operates at the Ivano-Frankivsk Central City Clinical Hospital (CCCH) — this is part of his connection with his native city.

Charitable and Social Surgery

Approach to Patients

In Valikhnovski's statements, the theme of prayerful preparation for surgery consistently emerges: "Before each operation, I turn to God, and make the sign of the cross over both the patient and myself." This approach, after 2020 when he became a priest of the Ukrainian Orthodox Church (UOC), also received formal spiritual framing.

Ethical Boundaries

Valikhnovski publicly speaks out against subordinating surgery to fashion trends or aggressive marketing. He emphasizes the physician's responsibility for long-term consequences of interventions, not just for immediate cosmetic results. In 2015, in an interview with "Vysokyi Zamok", he said: "I would not change a patient's sex for any money" — this is a public declaration of professional boundaries.

Reconstruction as Medical Mission, Not Cosmetics

The key distinction in the institute's positioning: the focus is not on "making beautiful", but on "restoring function". This means working with:

Regional Commitments — Ivano-Frankivsk and Ternopil

In addition to the main Kyiv office, Valikhnovski maintains his own regional connections:

Source Credibility and Clinical Reputation

According to clinic data, public patients include President Viktor Yushchenko (from 2004, with the medical team that saved him after dioxin poisoning), as well as state officials, members of parliament, athletes, and public figures. Valikhnovski himself mentions in various interviews:

These two versions do not contradict each other: "6 facial reconstruction surgeries" represents Valikhnovski's personal contribution to a specific subset; "~30 surgeries" is the total number of all plastic interventions by the international team. The hub presents both versions with sources and notation regarding the difference in scope.

What This Means for a Broader Audience

Valikhnovski's practice is not that of a "celebrity surgeon," but rather structured multidisciplinary surgery that combines: