Patients who are unhappy with their previous nose job results are candidates for secondary rhinoplasty. Whether the nose is deemed too small, too large, or improperly shaped, a skilled surgeon may be able to correct the problem. Patients who experience breathing difficulties following rhinoplasty may also opt to undergo a second procedure. Factors influencing candidacy for revision rhinoplasty include:
“Insurance will typically cover procedures to help improve nasal function (i.e. septoplasty, nasal valve repair, turbinate reduction),” says Dr. Sam Naficy, a Seattle facial plastic surgeon, in a RealSelf Q&A. “The extent of coverage varies based on the details of the insurance plan. Insurance will not cover procedures that improve the appearance of the nose but are not necessary to improve nasal function.”
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.
Many patients choose to combine rhinoplasty with a facelift for dramatic results and an overall more youthful appearance. This procedure can treat creases and sagging skin, particularly around the eyes, cheeks, chin, and mouth. There are several types of facelifts, and patients can choose a mid, mini, or lower facelift to address specific areas of concern. Through carefully concealed incisions, the doctor raises the facial muscles, removes unwanted fat deposits, and trims away extra skin. Following a facelift, patients may look significantly younger.
Your nose is one of your most prominent features. If you are dissatisfied with the shape of your nose, and wish to refine it with cosmetic surgery, you should be prepared to define your goals, determine the surest way to achieve those goals, and make no compromises in your pursuit of the results you desire. Meet with several reputable and credentialed surgeons, ask questions, and make your choice based on the surgeon's ability to listen and educate, as well as his or her track record of providing beautiful results.
Most board certified plastic surgeons will give discounts if more than one area is addressed at the same time. Be careful when comparing pricing between surgeons. Some surgeons will only give you their fee with the surgery center and anesthesiologist billing you separately. Other surgeons will give you a package price which will include their fee, the surgery center and anesthesiologists fee.
A few weeks before your surgery, you will meet with the surgeon to discuss your personal goals and plan out the procedure. You will also have follow-up appointments post-op to monitor your progress. After surgery, you will need ice packs, gauze and certain pain medication for pain management purposes. All of these pre and post-op appointments and supplies are necessary to take into account when determining what the overall cost of the procedure will be. Be sure to ask your surgeon’s office whether appointments and supplies are included as a package cost and what, if any, additional supplies you may need to buy as you recover from your nose job.
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Some surgeons prefer to give prospective patients an itemized list of all the anticipated costs of liposuction. These separate costs might include the surgical fee (money paid to the surgeon for his services), anesthesiologist’s fee, operating room fee, pre-operative laboratory test fees, charges for post-operative elastic compression garments, and possibly prices for antibiotics and other recommended drugs. Sometimes itemized prices are used when the surgeon cannot control all of the related expenses, such as when the lipo surgery is to be done in a hospital operating room with a hospital anesthesiologist. Itemized lipo prices are also used by surgeons who are in the habit of doing multiple unrelated surgical procedures at the same time that the liposuction is done.
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.
In the weeks before any surgery, it is important for patients to eat a healthy diet. Proper nutrition will speed healing and minimize the risk of infection. In particular, individuals should eat plenty of fruits and vegetables, whole grains, and lean protein. Nutrition supplements are also beneficial. Doctors may recommend specific supplements, including vitamin A, vitamin C, and bromelain.
Rhinoplasty can be performed in one of three places: private surgical suites, ambulatory surgical centers, or hospitals. You should speak with your surgeon and make certain that their chosen venue has been accredited by an organization such as the American Association for Accreditation of Ambulatory Surgical Facilities (AAAA), the Accreditation Association for Ambulatory Health Care (AAAHC), or the Joint Commission for Accreditation of Healthcare Organizations (JCAHO).