Tobacco use slows blood flow throughout the body. Because oxygen cannot reach the incision sites very quickly, smokers may face a longer recovery and a higher risk of infection and unfavorable scarring. Although smokers are not automatically disqualified from rhinoplasty, they should quit the habit for at least two weeks before and two weeks after the surgery.
With modern technology, patients can actually get a picture of the results of their rhinoplasty surgery. Digital imaging technology allows surgeons to construct 3-D virtual models of a patient's face and the future appearance. It is important to note, however, that while this 3D model will serve as a guide for the surgeon, there is no guarantee that the nose job will yield those precise results.
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.
Hospitals are the most expensive choice of facility. In Manhattan, fees can reach $6,000 and beyond for a single procedure. Though it is the most costly option, a hospital is also the best equipped to facilitate surgery involving a patient who is prone to excessive bleeding, or has other conditions that increase the risk of complications. You can expect your doctor to closely examine your medical history to determine if surgery in a hospital is necessary.
The ARTOURA™ Breast Tissue Expander or CONTOUR PROFILE® Breast Tissue Expander can be utilized for breast reconstruction after mastectomy, correction of an underdeveloped breast, scar revision, and tissue defect procedures. The expander is intended for temporary subcutaneous or submuscular implantation and is not intended for use beyond six months. Do not use the ARTOURA Tissue Expander nor CONTOUR PROFILE® Tissue Expander in patients where an MRI may be needed. The device could be moved by the MRI causing pain or displacement, potentially resulting in a revision surgery. The incidence of extrusion of the expander has been shown to increase when the expander has been placed in injured areas.
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.
The results are usually permanent, aside from normal changes that come with the aging process. If you’re really not happy with your results or have breathing difficulties once your nose has healed, you may be a candidate for a revision rhinoplasty. In many cases, scar tissue is the main culprit. “The force of a scar is very strong,” says Dr. Miller. “It can pull a nose one way or another—push it in, pull it out, turn it.” When this happens, a surgeon has to go back in and tweak the work. 
Doctors realize that most rhinoplasty patients are not eligible for insurance coverage. For this reason, many surgeons offer in-house financing options. With approved credit, patients may be eligible for low-interest or fixed-interest repayment plans. Additionally, many doctors offer significant discounts when patients pay for their procedures in full prior to treatment. Most cosmetic surgery practices accept cash, check, and all major credit cards.
Both anesthesiologists and registered nurse anesthetists can administer anesthesia. An anesthesiologist is a specially trained physician who will administer anesthesia and monitor your vital signs during surgery. A registered nurse anesthetist has specialized training to do the same.  However, while a registered nurse's services can cost about $300 per hour, an anesthesiologist's services can cost closer to $500 per hour.
Rhinoplasty is unique in that the final results of the surgery can take up to one full year to develop. Side effects such as swelling and bruising around the nose and eyes can hinder the appearance of the nose for the first two to three weeks. While more obvious changes may be visible in the first weeks following surgery, most individuals will need to be patient in regards to the final outcome. In the months following surgery the nose will begin to settle in to its final shape. Because the final results of rhinoplasty take a significant amount of time, doctors usually discourage patients from undergoing revision rhinoplasty until a full year has passed.
In addition to the physical benefits of rhinoplasty, the procedure has psychological benefits as well. Individuals who are unhappy with the size or shape of their nose often feel self-conscious about their appearance and may suffer from low self-esteem. After undergoing rhinoplasty surgery, however, many patients report a marked boost in confidence. This benefit alone can be a great reason for patients to choose rhinoplasty.

No. Rhinoplasty is a challenging operation. This is due to several factors. First, the nose is a complicated 3D shape that is in the middle of the face. Changes made during rhinoplasty are often very small. But these changes can make a major difference in the way the nose looks and functions. Because these changes are small, so is the margin for error.
Very slight changes to the structure of your nose — often measured in millimeters — can make a large difference in how your nose looks. Most of the time, an experienced surgeon can get results both of you are satisfied with. But in some cases, the slight changes aren't enough, and you and your surgeon might decide to do a second surgery for further changes. If this is the case, you must wait at least a year for the follow-up surgery, because your nose can go through changes during this time.
Rhinoplasties, like other surgeries, especially cosmetic ones, can cost vastly different amounts. The price of any surgery varies with the complexity of the procedure, the expertise and reputation of the surgeon, and the geographic region in which the surgery is to be performed. Prices for the surgery can range anywhere from $3,000 to $15,000. Typically, whatever the fee is, the cost of rhinoplasty does not include anesthesia, operating room facilities, or other related expenses.
In addition to the physical benefits of rhinoplasty, the procedure has psychological benefits as well. Individuals who are unhappy with the size or shape of their nose often feel self-conscious about their appearance and may suffer from low self-esteem. After undergoing rhinoplasty surgery, however, many patients report a marked boost in confidence. This benefit alone can be a great reason for patients to choose rhinoplasty.
The cost of having a breast implant procedure performed varies widely throughout the United States, even within a specific geographic region. According to the 2012 edition of the Healthcare Blue Book, breast augmentation (including physician, anesthesia, and facility fees) can cost as little as $5,853.00 in Cleveland, Ohio and $5,883.00 in Dallas, Texas or as high as $6,803.00 in Los Angeles, California and $7,301.00 in New York City, New York. As a general rule of thumb, locations where the cost of living is higher will have a higher overall cost for breast augmentation.
Augmentation rhinoplasty is another popular type of nose reshaping surgery. During this treatment, the doctor performs bone or tissue grafting to build up the nasal tip and/or bridge. In many cases, he or she uses cartilage from other parts of the nose, usually the nasal septum. However, if a patient does not have enough tissue in this area, the doctor may use rib bone, cartilage from other areas, synthetic material, or other biological tissues.
When doctors operate at these outpatient centers, they should have hospital privileges with at least one local medical center. A doctor must pass rigorous screenings to earn these privileges, so patients can rest assured that their surgeon maintains proper ethical and safety standards. Surgical complications during rhinoplasty are extremely rare. However, hospital privileges ensure that a patient will have access to emergency care in the unlikely event that something does go wrong.
Facial plastic surgeons and board-certified plastic surgeons are the specialists to go to for nose surgery. Facial plastic surgeons do their residency training in otolaryngology, or head and neck surgery, followed by fellowships in facial plastic surgery. Facial plastic surgeons should be certified by the American Board of Facial Plastic and Reconstructive Surgery. Plastic surgeons do their residency training in general surgery followed by a fellowship in plastic surgery. They should be certified by the American Board of Plastic Surgery.
Naturally, patients should choose a doctor who has a good reputation for success. Individuals should ask friends, family, and general practitioners for recommendations. Additionally, all state medical boards are required to make a doctor's information public. Patients may access these records to look for any past lawsuits or infractions. In many areas, these records are available online, but in some states, they can only be accessed through the mail.
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.
A discussion of your expectations. You and your doctor should talk about your motivations and expectations. He or she will explain what rhinoplasty can and can't do for you and what your results might be. It's normal to feel a little self-conscious discussing your appearance, but it's very important that you're open with your surgeon about your desires and goals for surgery.
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. 

The plastic surgeon that a man chooses is also going to affect the cost of his gynecomastia procedure. Experienced and well-qualified surgeons command higher fees; however, this is an additional expense that is considered well worth it.  As with other types of cosmetic surgery, gynecomastia is considered as much of an art as it is a science. An appropriately experienced and accredited surgeon can sculpt a man’s chest tissue in a manner that he will be happy with, increase the odds of the procedure’s success, and minimize the risk of complications.


Michelle Staughton is a Patient Education Interviewer and Patient Care Coordinator for several top Plastic Surgeons in Melbourne, Victoria, Australia. With over FOUR years’ experience helping plastic surgery patients at Cosmetic Surgery for Women and Men, after having been a patient herself, Michelle offers a wealth of knowledge to help surgical patients with cosmetic and plastic surgery planning and recovery tips.
Both anesthesiologists and registered nurse anesthetists can administer anesthesia. An anesthesiologist is a specially trained physician who will administer anesthesia and monitor your vital signs during surgery. A registered nurse anesthetist has specialized training to do the same.  However, while a registered nurse's services can cost about $300 per hour, an anesthesiologist's services can cost closer to $500 per hour.
"Sometimes, a good reputation is well deserved, and sometimes it's merely hype and marketing," Dr. Naderi said. "There are reality show plastic surgeons who charge high fees, for example, based on their television exposure and publicity. Then, there are well-known plastic surgeons in the field who focus mainly on nose surgery and are true specialists."
Rhinoplasty surgery, also known as nose reshaping surgery, can be used to correct a number of aesthetic flaws. The surgery can result in a greater balance of facial features, the elimination of bumps or unevenness, and a noticeable change in the size of the nose. In order to achieve ideal results, however, it is important for patients to be completely candid with their surgeon prior to surgery.

During their consultation with a plastic surgery center or facility, a patient should speak with a financial consultant who will itemize each individual element that a quoted price includes. In the end, the total price a patient is quoted for their breast implant procedure should include their initial consultation, anesthesia costs, operating facility fees, the actual implants, the surgeon’s fees, and any post-operative care. In addition to the initial costs, there will also be miscellaneous fees that must be considered. A patient must ensure that they are prepared to pay for any required surgical garments, medical tests, prescriptions and so forth.

While rhinoplasty is performed in the same manner regardless of the patient’s ethnic background, the aesthetic goals of the patient may differ. Today, more and more people are seeking rhinoplasty that is tailored to their specific facial features. It is particularly popular among those of Asian and African descent. Many of these patients feel that the bridge of their nose is too flat, or that their nostrils are too wide. Some of these patients seek to ‘Westernize’ their facial features through surgery, while others simply want a more defined nose to bring balance to their face.

With modern technology, patients can actually get a picture of the results of their rhinoplasty surgery. Digital imaging technology allows surgeons to construct 3-D virtual models of a patient's face and the future appearance. It is important to note, however, that while this 3D model will serve as a guide for the surgeon, there is no guarantee that the nose job will yield those precise results.
With modern technology, patients can actually get a picture of the results of their rhinoplasty surgery. Digital imaging technology allows surgeons to construct 3-D virtual models of a patient's face and the future appearance. It is important to note, however, that while this 3D model will serve as a guide for the surgeon, there is no guarantee that the nose job will yield those precise results.
In the initial surgical consultation, patients should discuss their specific needs and aesthetic goals to ensure that these goals are realistic. While rhinoplasty can achieve dramatic results, the procedure will not completely alter a patient's appearance. Rather, it is intended to enhance an individual's beauty and correct minor to moderate imperfections. Fortunately, even small changes can have major, positive effects on a patient's overall appearance.
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