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.
If you’d like to find our more about the pros and cons to rhinoplasty and a non-surgical nose job, please email or call our office to set up an appointment. The full advantages and disadvantages can be discussed in a consultation with the doctor, as well, you can discover if you are a good candidate for one or both procedures. We would love to hear from you!
Right now, surgeons follow guidelines that set a maximum extraction limit of 5,000 milliliters of fat (11 pounds) for all patients, regardless of variations in weight or body fat status. But the new study suggests surgeons could use a patient's body mass index (BMI) to determine how much fat extraction is safe. BMI is a rough estimate of a person's body fat based on height and weight measurements.
Rhinoplasty is a highly personal procedure that can affect a person's mental well-being, as well as his or her appearance. Therefore, it is vital that patients choose a surgeon with whom they feel comfortable. They should select a doctor who truly listens to their concerns, answers their questions, and creates a treatment plan that will address their specific goals. Patients should never choose someone who makes unrealistic promises or pressures them to undergo more surgery than they actually want.

Secondary rhinoplasty differs from the primary procedure in that it may require cartilage or bone grafting. If too much tissue or bone was removed in the first surgery, the doctor will need to replace this in order to achieve the desired look. Often, cartilage is taken from the ear or other areas of the nose. In rare cases, it is harvested from a rib, in what is known as a costal cartilage graft.
Secondary rhinoplasty differs from the primary procedure in that it may require cartilage or bone grafting. If too much tissue or bone was removed in the first surgery, the doctor will need to replace this in order to achieve the desired look. Often, cartilage is taken from the ear or other areas of the nose. In rare cases, it is harvested from a rib, in what is known as a costal cartilage graft.
Some surgeons will quote a single global liposuction cost that includes almost every possible surgery-related expense in one lump sum. Typically a global liposuction price is the sum of the surgical fees, plus the non-surgical fee, plus the anesthesiologist’s fee (if general anesthesia is used). A global liposuction cost is commonly used when the liposuction surgery is done in the surgeon’s office or surgery center. When a prospective patient telephones a surgeon’s office to inquire about the cost of liposuction, be certain to determine if the quote is for a global fee or merely the surgical fee. An office employee who answers the telephone might only give information about the surgeon’s fee and not mention other important items such as the anesthesiologist’s fee, and operating room fee.
The geographic location of the surgeon's practice can greatly affect the cost of rhinoplasty. More affluent cities and neighborhoods, such as Manhattan and Los Angeles, are plastic surgery hubs where some of the best surgeons in the world practice. Meanwhile, these areas also have a higher cost of living, which means higher overhead costs (rent, staff wages, utilities), and that translates to a higher overall price of rhinoplasty.
Unfortunately, despite a surgeon's best efforts, in some cases a patient may be unhappy with the results of his or her surgery. This can result from numerous causes, including surgical error or unrealistic expectations on the patient's part. Because the final results of rhinoplasty can take up to a year to develop, patients should not panic if their noses have not taken their ideal shape in the first few months. If a patient is unhappy with the nose even after the final shape has stabilized, there are options for treatment and correction. Depending on the extent of changes that need to be made, a surgeon may recommend non-surgical nose reshaping or secondary (revision) rhinoplasty.
At DePerro Plastic Surgery the cost of Liposuction is $1750 for the first area and $1000 for each additional area.  There is also approximately $2000 in costs for anesthesia and the facility fee.  We perform all of our liposuction procedures in our attached surgery center under general anesthesia and sterile conditions.  This maximizes your safety and comfort so you don't feel any pain during the procedure.  Also, because you're asleep we are able to be more thorough and remove more fat.  So in total 1 area of liposuction under general anesthesia would cost approximately $3750, two areas $4750.  
“The biggest difference between the open and closed rhinoplasty is a small incision on the columella (bottom) of the nose,” says Dr. Kent V. Hasen, a Naples, Florida plastic surgeon, in a rhinoplasty Q&A. “This 6 mm incision allows the surgeon to peel the skin of the lower nose back to fully visualize the tip and dorsum of the nose. In the closed procedure, there is not as much visualization since the skin is not peeled back.”
Right now, surgeons follow guidelines that set a maximum extraction limit of 5,000 milliliters of fat (11 pounds) for all patients, regardless of variations in weight or body fat status. But the new study suggests surgeons could use a patient's body mass index (BMI) to determine how much fat extraction is safe. BMI is a rough estimate of a person's body fat based on height and weight measurements.
Dr. Weinberg does not endorse or lend his name to any specific product, medication, or device. The information on this page is meant to familiarize prospective patients with some of the commonly available treatments/products and devices in use for specific issues and is intended for general educational purposes only. Decisions regarding treatments in a specific patient must be made in the context of a medical consultation.

Reduction rhinoplasty is one of the most common types of nose reshaping surgery. This procedure can give a patient a nose that is more proportionate to the other facial features. In particular, it can address bumps on the bridge of the nose, an elongated nasal tip, or excessively flared nostrils. The doctor removes small amounts of bone or cartilage to achieve the desired results. To reduce the size of the nostrils, the doctor may need to use a technique called alar base reduction. During this process, he or she removes small wedges of tissue from the area where the nostrils meet the cheeks.

The patient's medical history and overall health can elevate the level of difficulty of the surgery. For example, if you are suffering from an immune deficiency or a chronic condition, such as uncontrolled diabetes, you instantly increase the complexity of the surgery. This also affects your recovery. You may need more time to relapse and get back to your everyday routine, which might mean you will need to take more medications after the surgery (for a longer time than usual), and potentially more time off work. All that equals more money spent on your behalf.


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.

Recovery from rhinoplasty can take several weeks, and patients should prepare accordingly. In particular, they should take at least two weeks off of work and arrange for a ride home from the hospital or surgical center. If possible, they should find someone who can stay with them for a few days to help with daily tasks. After rhinoplasty, chewing can be uncomfortable, so patients should buy plenty of soft foods to eat during the first several days.
"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."

It’s important to understand exactly what your doctor’s quote includes. Does the number only include your surgeon’s fee? Or will it cover anesthesia, hospital fees, pre- or post-op appointments, and medications you’ll need throughout your recovery? If your doctor’s estimate doesn’t consider all those costs, be sure to factor them into your budget. Also be sure to ask how your surgeon handles revisions, in case you aren’t happy with your initial results.
The majority of individuals who undergo nose reshaping surgery are dissatisfied with the appearance of their noses and wish to improve the proportions of their facial features. A smaller percentage of rhinoplasty candidates are patients who deal with discomfort or breathing difficulties due to structural abnormalities or previous nose injuries. The optimal candidates for rhinoplasty are in good general health, understand the risks associated with surgery, and have realistic expectations regarding the surgery results.
A rhinoplasty reshapes your nose, changes the shape of your nostrils, removes a bump or corrects an injury to the bridge of your nose, or addresses other issues, such as breathing problems. In some cases, people choose to have a nose job in order to correct a defect in the nose that makes it difficult to breathe. In short, a good nose job is one that achieves your personal vision for the surgery and doesn’t require additional procedures.
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.
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