Procedures that advertise using fat from liposuction and re-injecting it into the breast, also called fat grafts, are still considered surgical procedures, explains Dr. Doft. While it might be tempting to consider because it seems less invasive than a traditional boob job, the results are also harder to predict. Dr. Doft says: “Thirty to 50 percent of the fat will not survive. It is also not possible to know which fat will and will not survive, which may alter your results.”
As mentioned above, the experience level of a surgeon plays a role in the total cost of the rhinoplasty procedure. Another big deciding factor is where that surgeon is located geographically. Typically, in large affluent markets such as New York and Beverly Hills, the cost for the surgery will be higher than those performed in smaller towns. These affluent neighborhoods have a higher cost of living which leads to higher overhead costs thus making the overall price of the surgery higher.
The choice between silicone breast implants or saline breast implants is a somewhat subjective question. It really depends on your specific anatomy needs and finances. Both silicone and saline implants are excellent and for most people that have adequate coverage over the breast implant, meaning they have a little bit of breast tissue or a little bit of fat left that is going to cover the implant, saline breast implants work fine. In some instances, where the patient is very thin, it might be better to use the silicone gel breast implant because there are parts of the implant, about a third to one half that are not covered by the muscle and if you don’t have enough coverage over the implant, you will see some rippling and some wrinkling of the implant. This tends to happen especially when you lean over or lean forward. Therefore, in those cases, silicone gel implants are better. In terms of how they look, they are both great breast implants and they look very similar. The silicone implants are a little bit more expensive, so if the finances are a big issue than saline implants generally work very well and can give you the desired results, but again it is more of a personal preference.
While more experienced surgeons may charge more for their expertise, that’s not always the case. “You should not choose a qualified surgeon based on high fees any more than you should choose one based on low fees,” says Boca Raton, Florida plastic surgeon Dr. Hilton Becker in a RealSelf Q&A. “The most important factors should be education, experience, certification, and your ability to feel comfortable with your surgeon.”
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.
A breast reduction, or a reduction mammoplasty, can reduce a significant amount of volume and alleviate excess weight in the breast area. It does this by removing excess skin, fat and tissue to reduce the size of the breasts. This procedure is beneficial for women who are seeking to reduce the size of their breasts because of health issues or personal preference. Often when the breast reduction procedure is performed, women experience a much more lifted appearance. Some patients opt to have their areolas reduced or in some cases have their excess tissue sent off to be screened for breast cancer.
“Patients who undergo open rhinoplasty typically have more edema (swelling) that persists longer compared to patients in whom closed rhinoplasty techniques were used,” says Dr. C. Spencer Cochran, a Dallas, Texas facial plastic surgeon, in a rhinoplasty recovery Q&A. “If the nose was surgically broken by performing osteotomies, then there is usually more swelling and bruising."