Your surgeon can change the shape of your nasal bones or cartilage in several ways, depending on how much needs to be removed or added, your nose's structure, and available materials. For small changes, the surgeon may use cartilage taken from deeper inside your nose or from your ear. For larger changes, the surgeon can use cartilage from your rib, implants or bone from other parts of your body. After these changes are made, the surgeon places the nose's skin and tissue back and stitches the incisions in your nose.
Your medical history. The most important question your doctor will ask you is about your motivation for surgery and your goals. Your doctor will also ask questions about your medical history — including a history of nasal obstruction, surgeries and any medications you take. If you have a bleeding disorder, such as hemophilia, you may not be a candidate for rhinoplasty.

For large or extra large implants, saline implants go up to 800cc, but we can overfill them up to 1400cc or larger. When a patient wants extra large breast implants, staging the procedures may be necessary by starting with the maximum size the tissues will allow, then undergoing a second surgery after the tissues have stretched to accommodate larger implants.
It is recommended that patients wait at least two years after the initial surgery to consider revision rhinoplasty. Although it may only take a couple of months for the nose to appear healed, it could actually take several years for the nasal tissue to settle into a more permanent position. Once the nose has settled, meet with a plastic surgeon to determine whether or not another procedure would be an appropriate option for you.
Both open and closed rhinoplasty can be extremely effective. The doctor will determine the right technique for each patient, based on the natural shape of the nose and the goals for surgery. If the patient desires dramatic changes, or if the doctor is performing post-traumatic rhinoplasty, an open technique may work best. This method gives the doctor access to a larger part of the nose. In many cases, it also helps him or her to make small adjustments to the nasal tip. If a patient wants to address the bridge of the nose, closed rhinoplasty may work well. However, because each patient is different, there are no hard and fast rules regarding the "right" procedure to use.

Photographs. Someone from your doctor's office will take photographs of your nose from different angles. Your surgeon may use computer software to manipulate the photos to show you what kinds of results are possible. Your doctor will use these photos for before-and-after assessments, reference during surgery and long-term reviews. Most importantly, the photos permit a specific discussion about the goals of surgery.


Smoking does not necessarily disqualify a patient from rhinoplasty, but he or she will need to stop for at least two weeks before and two weeks after the procedure. Additionally, certain medications can inhibit healing. If possible, doctor may recommend safer alternatives. Of course, the doctor also examines the patient's nose. He or she checks skin quality, shape, the amount of tissue, and the condition of the septum.
Like many procedures, fees for breast augmentation surgery can vary quite a bit depending on the training and reputation of the surgeon, the type of implants used, and one's geographical location. Typically the total cost for the surgery is going to include a surgeon's fee, the facility fee, anesthesia fees, implant costs, medications, and any preoperative lab fees. On average the... READ MORE
Rhinoplasty, a surgical procedure commonly known as a “nose job,” has become much more common in recent years. There are several reasons for this. For one thing, increasing media use focuses wide attention on the successful surgeries of celebrities (and even ordinary individuals). For another, the culture as a whole has increasingly accepted various means of improving and enhancing one’s appearance. The third, and perhaps most important, reason for the popularity of rhinoplasty is the astonishing improvements that have been made in the operation itself.
Disclaimer: Please note, any information on this page is provided to you for educational and/or informational purposes only, and should not be construed as an endorsement of any particular procedure, product or treatment. This information is also not a substitute for medical advice, diagnosis, or treatment by a doctor or other qualified health care professional. For medical concerns, including decisions about any procedure, product or treatment, visitors should always consult with their doctor or other qualified health care professional.
Breast implants are not lifetime devices and breast implantation may not be a one-time surgery. The most common complications for breast augmentation and reconstruction with MemoryGel® Implants include any reoperation, capsular contracture, and implant removal with or without replacement. The most common complications with MemoryShape® Implants for breast augmentation include reoperation for any reason, implant removal with or without replacement, and ptosis. The most common complications with MemoryShape® Implants for breast reconstruction include reoperation for any reason, implant removal with or without replacement, and capsular contracture. A lower risk of complication is rupture. The health consequences of a ruptured silicone gel breast implant have not been fully established. MRI screenings are recommended three years after initial implant surgery and then every two years after to detect silent rupture. The most common complications with MENTOR® Saline-filled Implants include reoperation, implant removal, capsular contracture, breast pain, and implant deflation.
Revision rhinoplasty is similar to primary rhinoplasty, and it can be performed as an "open" or "closed" procedure. In closed rhinoplasty, the surgical incisions are made inside the nose to eliminate the appearance of scarring. With open rhinoplasty, an additional incision is made across the columella. While this leaves a small scar, it gives the surgeon more access to the nasal tissue and bone. The goals of your rhinoplasty revision will dictate the type of surgery you receive.
If your rhinoplasty is performed in conjunction with other facial rejuvenation procedures such as chin augmentation, your total cost will be higher. That said, add-on procedures can also make your surgery more affordable. It is less expensive to have the procedures done at the same time because you only pay one anesthesia fee and one facility fee. However, multiple procedures do increase the risks of your surgery, so this also needs to be factored in when devising your surgical plan.
At the same time, patients will also need to avoid certain foods and supplements, which could slow healing and cause surgical complications. In particular, patients should steer clear of vitamin E supplements, ginger, gingko, and ginseng. Some homeopathic and herbal supplements can cause complications with anesthesia, so patients should check with their doctors before taking additional nutrition.
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How much you’ll swell really depends on you and on your surgeon’s technique—not so much the type of rhinoplasty you had. Dr. William Portuese, a facial plastic surgeon in Seattle, says that “The amount of swelling after a rhinoplasty procedure depends upon the type of rhinoplasty performed [open versus closed], the thickness of the skin, the amount of alteration required to the nasal tip, and the patient’s variability with the healing process itself.” He notes that “Some patients require taping and steroid shots in the tip of the nose to reduce swelling in that area for the first several months after the procedure.” According to Dr. Miller, “A very clean open rhinoplasty can result in minimal swelling, while with a closed procedure that isn’t performed in the ideal tissue and cartilage, you can have a lot more swelling. If the dissection travels through soft tissue or muscle on top of the cartilage, more bleeding and swelling will develop.” He notes that most people can also expect some bleeding from days two to five, but it should lessen with each passing day.
The Summary of Safety and Effectiveness for each of the FDA-approved saline- and silicone gel filled breast implants details safety information known at the time of FDA approval. As the FDA learns of new safety information, it requires companies to update their product labeling. The most current safety information about saline- and silicone gel-filled breast implants can be found in the labeling.
Although these side effects will eventually go away on their own, patients can take precautions to minimize their severity and speed recovery. Pain medication can reduce discomfort, and antibiotics can help control the symptoms of sinusitis. Some surgeons may prescribe drugs immediately after treatment. Patients should take these medications as directed. They should always finish each prescription, unless otherwise instructed by their doctors.
A revision rhinoplasty is a complicated surgery, because the surgeon now has to contend with thick scar tissue—which makes it difficult to raise the skin and soft tissue off the cartilage. “Plus, we often need to reconstruct part of the nose, so we need to take cartilage from other sources,” says Dr. Miller. Surgeons say that the minimum amount of time to wait before you can do revision rhinoplasty, even if there is an obvious problem, is a full year.  

One of the biggest factors affecting the total cost is if you need to have a second surgery. Because your nose swells during the operation, the surgeon may get a false impression of the final shape of your nose. As the swelling goes down, it may become apparent that a second surgery is necessary to achieve the look you want. Approximately 15 percent of rhinoplasty surgeries require a second surgery.

Generally, rhinoplasty cost comprises the surgeon's fee, anesthesia fee, operating room fee and implant or grafting fee (if applicable). According to the most recent statistics from the American Academy of Facial Plastic and Reconstructive Surgery, the average surgeon's fee for a rhinoplasty is $5,223. The extent of the nose surgery also affects the price. For example, a primary rhinoplasty is not as costly as the far more involved revision rhinoplasty. In general, primary rhinoplasty costs can range from $3,000 to $8,000, and revision rhinoplasty can cost $10,000 to $15,000.


When it comes to plastic surgery, breast augmentation is the most popular cosmetic procedure amongst women, in particular new mothers that have recently finished breast feeding and have thrown away the breast pump. The good news is that national average cost of breast implant procedures has continued to go down each year since 2010. For example, according to the American Society for Aesthetic Plastic Surgery, the average surgeon’s fees for breast augmentation in 2011 were $3,694.00 for silicone breast implants. By the end of 2012, this number had dropped to $3,543.00. However, there are a number of contributing factors that will affect the overall cost of breast augmentation surgery.
If you’re having what’s called an open rhinoplasty, the surgeon will make an incision (about 6 millimeters long) in the skin between the nostrils. “Open rhinoplasty is a very common technique, where the skin is lifted upward like the hood on a car,” says Dr. Ronald Schuster, a Baltimore plastic surgeon, in a RealSelf Q&A about open vs. closed rhinoplasties. If you’re having a closed rhinoplasty, all incisions are placed on the inside of the nose, so there are no external scars.

One final note: In today's rough-and-tumble economy, many specialists with little or no training in the field of plastic surgery are turning to cosmetic procedures to increase revenues. They are also offering these procedures at reduced costs. Don't be fooled. Many of these practitioners have only taken a weekend course on how to perform your surgery. You get what you pay for.


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Meeting with multiple prospective surgeons is also a great way to make your choice. Make sure you are comfortable speaking to the surgeon, and make sure he or she asks you plenty of questions, and does not rush you through any part of the consultation. After you have fully described your goals, the surgeon should provide you with informative, thoroughly explained options.
Your surgeon can change the shape of your nasal bones or cartilage in several ways, depending on how much needs to be removed or added, your nose's structure, and available materials. For small changes, the surgeon may use cartilage taken from deeper inside your nose or from your ear. For larger changes, the surgeon can use cartilage from your rib, implants or bone from other parts of your body. After these changes are made, the surgeon places the nose's skin and tissue back and stitches the incisions in your nose.
To perform fat grafting, a doctor uses liposuction to remove unwanted fat cells from another part of the body. Then he or she will purify the cells and inject them at varying depths in the face to create more defined cheekbones and a youthful appearance. Dermal fillers add volume to the face, and in some cases, they can even increase collagen production. The results can last for months, and patients may undergo routine touchups.
Rhinoplasty is among the five most popular plastic surgery procedures performed in the United States, with more than 200,000 procedures performed in 2013 alone. [1] During the procedure, a plastic surgeon sculpts the cartilage and bone of the nose to achieve a patient's desired look. For men and women who are unhappy with the size and shape of their nose, rhinoplasty, otherwise known as nose reshaping surgery or a "nose job," offers a safe, effective, and time-tested cosmetic solution. When performed by an experienced, skilled cosmetic surgeon, rhinoplasty can greatly improve the balance of facial features, helping patients discover newfound confidence. Rhinoplasty can also be used to correct structural defects, including those that cause breathing problems.
When rhinoplasty is performed primarily for cosmetic purposes, it is rarely covered by insurance. However, insurance companies will often pay for procedures to correct a deviated septum or other breathing issues. A doctor's administrative staff can help patients determine whether they are eligible for insurance coverage. In many cases, they will even file the claim and handle any other paperwork.
The price of male breast reduction surgery varies significantly depending upon the composition and quantity of tissue removed, whether one or both breasts must be operated upon, and other factors that affect the complexity of the procedure. As a general rule of thumb, the longer or more complicated a procedure is, the more expensive it will be. Although the majority of gynecomastia surgeries are performed on an outpatient basis, if a patient’s particular procedure requires an overnight stay in the hospital, this could result in additional costs.
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