“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.”
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.
If you’re unhappy about fat deposits around your stomach that won’t surrender to diet or exercise, you have plenty of company. Liposuction is now the most popular form of cosmetic surgery in the United States, with 396,048 procedures performed in 2015, according to the American Society for Aesthetic Plastic Surgery. While there’s no magic wand to make jiggly belly fat go away, liposuction may offer a solution for love handles and other unwanted forms of flab. If you’re considering liposuction for your stomach, here are five things you need to know to make an informed decision.
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.
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.

In the initial days after rhinoplasty, it is important that the changes to the nasal tissue be preserved. After closing the incisions made during surgery, a surgeon will place a splint to help retain the new shape of the nose. In some cases, the doctor may also place pieces of gauze, or nasal packing, inside the nostrils. The material will help reduce bleeding and keep the septum in place. The gauze may cause some discomfort. However, it is typically removed within a few days of surgery, and goes a long toward maintaining the results of surgery.
Dr. S. Valentine Fernandes, the Conjoint Senior Clinical Lecturer, at the Department of Otorhinolaryngology, Newcastle University, conducted a comprehensive study about the risks of rhinoplasty. According to Fernandes, the complication rate of nose surgery falls between 4 and 18.8 percent. While this may seem an alarming number, Fernandes reports that there is a much lower 1.7 to 5 percent risk of life threatening complications. He also notes that the complication rate falls in proportion to the doctor's surgical experience.
During your search for a surgeon, keep in mind that “as with any cosmetic procedure, the price should not be the primary factor in choosing your surgeon,” Orlando, Florida plastic surgeon Dr. Armando Soto, says in a RealSelf Q&A. “This is not to say that less expensive surgeons are uniformly going to deliver poor care, just that the costs should be secondary to your overall sense of comfort and confidence in the surgeon you choose.”
Rhinoplasty is one of the most popular cosmetic surgeries among teenagers. It is important for teenage patients and their surgeons to consider whether or not nose reshaping is an appropriate cosmetic surgery option. Doctors should ensure that the decision to undergo rhinoplasty is the patient's own choice, rather than the result of peer or parental pressure. Regardless of the reason for surgery, doctors recommend that girls wait until age 14 or 15, and that boys wait a few additional years to undergo rhinoplasty. By this time, the nose should have finished growing.
Because the nose plays such a prominent role in the facial structure, many patients choose to have additional treatments along with their nose jobs. These procedures can help to maintain the balance of the face and provide more dramatic results. In most cases, combining rhinoplasty with one or more additional treatments is quite safe. However, to ensure safety and good results, patients should choose surgeons who are experienced in all areas of facial plastic surgery.
When someone is dissatisfied with their nose they can undergo nose surgery (rhinoplasty) to straighten, reshape, alter the length and generally improve its overall appearance. However, not all rhinoplasty’s are performed solely for aesthetic reasons. Sometimes people have the procedure to address breathing problems or to rectify a birth defect. The cost of what’s commonly referred to as a nose job can fluctuate.
Any licensed physician can perform liposuction, but it’s usually performed by plastic surgeons and dermatologists in their offices with local anesthesia, though it may be performed in a hospital under general anesthesia. No special training is required, though some doctors’ professional associations recommend it. When choosing a doctor, you may want to consider whether they have had specific training for liposuction and how many they have performed.
Getting a nose job is a big decision and you want to make sure you’re getting the best procedure possible. A factor in any kind of procedure is costly, and you may be specifically be wondering how much does a good nose job cost? If you’ve been doing your research, you know that the costs of rhinoplasty widely vary. Many factors affect the total cost of a nose job, and high price doesn’t always mean high quality. Typically, the surgeon’s fee for a primary rhinoplasty is between $6,000-10,000. Revisions typically are a bit more costly particularly when they require structural grafting, which is needed if the skeletal framework is weakened or malpositioned.
"Many times, the cost of rhinoplasty or other surgery in New York City would be three times the price as in a smaller town, but it is not three times better necessarily," Dr. Park said. "At the same time, I would warn patients to beware of a physician in a small town that costs a fraction of what an average rhinoplasty would cost. In general, when a surgeon is throwing in discounts, I would be very wary."
The complexity of the surgery itself is one factor that people tend to forget when considering the overall cost of a good nose job. Depending on whether you have thick or thin skin, multiple injuries to the nose or severe nasal deviations, the complexity of the surgery required may vary, and so too will the cost. The more complex the surgery, the more expensive it will be.  When planning your finances, be sure remember to factor in time spent off work and travel costs as well.

Before anything else, the surgeon determines a patient's candidacy for rhinoplasty. He or she takes the patient's health history, asks about medications and whether the patient smokes, and addresses other concerns. It is important for the patient to be honest with the doctor. Withholding certain information could increase the risk of surgical complications.


Because liposuction can involve significant shifts in the body's salt and water balance and requires sophisticated medical equipment, it's important to only have liposuction with an experienced plastic surgeon like Dr. Weinberg, at a recognized and fully certified facility like Mississauga Cosmetic Surgery Clinic. For the strictest attention to safety, Dr. Weinberg always performs liposuction in an accredited surgical facility or hospital and limits the amount of fat he removes in a single surgery.
Although the removed fat cells are unlikely to grow back, body fat has been shown to return to preliposuction levels within a year after the surgery, particularly returning to the abdominal area. Researchers believe the body compensates for the rapid fat loss by putting on more fat. In a trial of 34 women published in the September 2012 edition of the journal “Obesity,” the cosmetic benefits of liposuction were lost after one year. A later study, however, suggested that recurrence of belly fat can be avoided by exercise.
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 technique called “tumescent liposuction" is the most common method for removing fat around the stomach, buttocks, thighs and ankles. It’s also considered the safest. “Tumescent” means that large amounts of buffered salt water are injected into fatty tissue beneath the skin. The doctor makes a cut in the fatty area to be treated, then inserts beneath the flesh a strawlike tube called a cannula that is attached to a vacuum. At the end of the cannula is a stiff wand. The doctor moves it back and forth in rapid motions to loosen fat. The procedure takes 45 minutes to two hours, with a recovery time of up to two weeks. The full effect of liposuction is seen six to 12 weeks after the procedure is performed. After the procedure, the area is bandaged and the patient must wear a compression garment for one to two weeks. Pain and bruising may last up to two weeks, and swelling may last for two weeks to two months.
Thank you for your question.  This is a difficult question to answer because there is not a set price for liposuction.  Price should not be your determining factor for choosing who does your procedure.  Your first question should be is this individual properly trained?  Are they a board certified plastic surgeon?  How many of these procedures do they do?  Also, what is the technique that they are going to use?  Prices are usually determined by the location that you want treated and the facility you are having the surgery.  We do have a policy of giving larger discounts when there are multiple areas being treated at the same time. Please remember higher prices do not always equal a better result, but the lowest price may not be the best decision either.  This is a decision that should be based on trust and experience.

Cost is incredibly variable. It depends on the city and the provider. If you go to a plastic surgeon in New York City, it costs a lot more than seeing a non-plastic surgeon in a rural area. There are plenty of non-plastic surgeons offering discount liposuction. But, this can be somewhat risky due to their limited training backgrounds. And bad liposuction is very difficult to fix - I perform a lot of revision liposuction trying to fix poorly performed liposuction.
Chin augmentation and chin reduction are the two most common treatments to combine with rhinoplasty. To perform chin augmentation, a surgeon places a silicone implant through an incision inside the mouth or just under the chin. In chin reduction, the incisions are placed in the same locations. Then the surgeon reshapes the chin bone, carefully removing millimeters of material to create a more aesthetically pleasing shape.
When someone is dissatisfied with their nose they can undergo nose surgery (rhinoplasty) to straighten, reshape, alter the length and generally improve its overall appearance. However, not all rhinoplasty’s are performed solely for aesthetic reasons. Sometimes people have the procedure to address breathing problems or to rectify a birth defect. The cost of what’s commonly referred to as a nose job can fluctuate.
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. 
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