“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.”

“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.”
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. 

Patients may require reconstructive rhinoplasty if they have lost all or part of their noses to an accident, skin cancer, or another serious illness. During the treatment, a surgeon rebuilds the nose using skin grafts, flap techniques, and other advanced methods. Due to the complex nature of this procedure, patients may require multiple surgeries over a period of several months. Additionally, reconstructive rhinoplasty is a specialized procedure, and patients should look for surgeons who have extensive experience in this area.

Your recovery will depend on the area or areas treated. Recovery times vary from patient to patient, but someone undergoing liposuction on the abdomen or thighs should plan to take 1 week off from work. Compression garments are worn in the first few days following the procedure, but many people choose to wear them for longer because they help with swelling and support. Limited activity is encouraged immediately to help in the healing process, but more strenuous activities should be avoided for 2 to 4 weeks. Bruising is usually gone within a week or 2, and swelling may take up to 6 months to resolve entirely.

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The expected time and effort that is required to accomplish a liposuction surgery is the most important factor in determining the cost of liposuction. Factors that typically affect the surgeon’s time and effort include 1) Number of areas being treated, 2) Size of the patient, 3) Anticipated degree of difficulty. Thus, cost of liposuction of the abdomen alone is less than the cost of doing liposuction on both the abdomen as well as the inner thighs and knees. Similarly, the cost for abdominal liposuction on a patient who weighs 80 kilograms (176 pounds) might be more than the cost for liposuction of the abdomen of a patient who has never weighed more than 60 kilograms (132 pounds). Liposuction is more difficult and requires more time if the patient has previously gained and then lost a significant amount of weight. In any area previously treated with liposuction, the fat often contains scar tissue which makes liposuction in the same area more difficult.


Meeting with multiple prospective surgeons is also a great way to make your choice. Make sure you are comfortable speaking to the surgeon, and make sure he or she asks you plenty of questions, and does not rush you through any part of the consultation. After you have fully described your goals, the surgeon should provide you with informative, thoroughly explained options.
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.
After the patient is sedated, the surgeon creates tiny incisions inside the nostrils or on the columella. Then he or she carefully lifts the skin to access the underlying bone and cartilage. The surgeon can then remove or graft tissues, as needed. Typically, a doctor uses conservative methods to minimize the impact to the surrounding tissues while still achieving the desired results. When the reshaping process is complete, the doctor lays the skin back down over the new contours of the nose and closes the incisions.

Although cost is certainly an important factor when it comes to deciding where to have a nose job, making sure you find the right surgeon should be at the top of your list of needs. After you do your online research or talk to friends who have had the same or a similar procedure, schedule a consultation with your top choices. At the consultation, come prepared with questions to address all of your concerns and ensure that your needs will be met.  Some questions to ask include:
In recent years, medical tourism, or going outside the U.S. for a surgery or procedure, has become more popular. Patients go to other countries to have rhinoplasty and other surgery performed at a lower cost. While several other countries, such as South Korea, Columbia, and Italy, may have surgeons willing to perform rhinoplasty at a low cost, the quality and safety standards may not be as closely regulated as they are in the U.S.

"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."


Beverly Hills plastic surgeon Dr. Brent Moelleken notes in a RealSelf Q&A that “By nature, surgery causes soreness, and patients are usually restricted from full workouts for a period of time after surgery. This explains the weight gains often noticed immediately afterward.” But it’s important to get back into the habit as soon as you’re able. “Some patients gain a false sense of confidence after their liposuction procedure,” he says. “If anything, patients should plan on being more active and healthier about their eating habits after surgery than they were before.”

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Liposuction is needed in order to perform a Brazilian butt lift procedure. If you are simply having liposuction in 1 or 2 areas then local anesthesia can be used. If you are having liposuction done in more than a few areas, you may require the use of a general anesthetic. Brazilian butt lifts require fat transfer and re-injection. Buttock lifts are a surgical procedure that often involve implantation.
Open rhinoplasty gives the surgeon greater access to the cartilage and bone of the nose but it will leave some scar tissue. By creating an incision across the columella (the area of cartilage between the two nostrils) the doctor can lift the skin off the tip of the nose and shape the cartilage very precisely. When healed, the incision leaves a very small, almost negligible scar on the underside of the nose.
Your recovery will depend on the area or areas treated. Recovery times vary from patient to patient, but someone undergoing liposuction on the abdomen or thighs should plan to take 1 week off from work. Compression garments are worn in the first few days following the procedure, but many people choose to wear them for longer because they help with swelling and support. Limited activity is encouraged immediately to help in the healing process, but more strenuous activities should be avoided for 2 to 4 weeks. Bruising is usually gone within a week or 2, and swelling may take up to 6 months to resolve entirely.
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.
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.
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.
One of the main things to keep in mind regarding medical tourism is how difficult it may be to see or even contact your doctor after surgery. Follow-up appointments are extremely important. When surgery is performed internationally, patients either miss post-operative appointments or have to stay in the area for an extended period of time. When you have surgery closer to home, you can more easily attend these appointments and visit your surgeon if any other problems or concerns arise. Many surgeons like myself will revise their own work at no additional charge except for anesthesia fees or surgical venue fees.
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.

Although cost is certainly an important factor when it comes to deciding where to have a nose job, making sure you find the right surgeon should be at the top of your list of needs. After you do your online research or talk to friends who have had the same or a similar procedure, schedule a consultation with your top choices. At the consultation, come prepared with questions to address all of your concerns and ensure that your needs will be met.  Some questions to ask include:
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.
Most people who consider a nose job don’t want to look like someone else, they just want to look like the best version of themselves. A nose job, also known as rhinoplasty, is an outpatient surgery to change the size or shape of your nose. It often addresses the size of your nose in relation to the rest of your face, the width of the bridge, and asymmetry. It can also adjust the appearance of humps or depressions, the shape and position of the tip of your nose, and the size of your nostrils.
Like facelift surgery, brow lift surgery eliminates sagging skin and reduces deep creases. However, brow lifts specifically target the forehead and the area between the eyebrows. The doctor creates an incision along the hairline or the crown of the head. Then he or she lifts the underlying muscles to reduce frown lines, vertical creases, sagging eyebrows, and hooded brows.
The expected time and effort that is required to accomplish a liposuction surgery is the most important factor in determining the cost of liposuction. Factors that typically affect the surgeon’s time and effort include 1) Number of areas being treated, 2) Size of the patient, 3) Anticipated degree of difficulty. Thus, cost of liposuction of the abdomen alone is less than the cost of doing liposuction on both the abdomen as well as the inner thighs and knees. Similarly, the cost for abdominal liposuction on a patient who weighs 80 kilograms (176 pounds) might be more than the cost for liposuction of the abdomen of a patient who has never weighed more than 60 kilograms (132 pounds). Liposuction is more difficult and requires more time if the patient has previously gained and then lost a significant amount of weight. In any area previously treated with liposuction, the fat often contains scar tissue which makes liposuction in the same area more difficult.

"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."
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.
Dr. Kamak (PhD in Pharmacy) is an artist with the threads, he loves to use anywhere in the body, and recently he started to use them for a butt lift, especially if the client does not need extra volume. The PDO threads are made of the same material as the wound stitches. The material is hypoallergic, with no metal residue. The material is biocompatible (it blends with the body tissue) and biodegradable (it dissolve by itself over time). The 360 bi-directional barb threads lift the tissue up against the gravity and hold it in place. Over time, new collagen builds up and replace the threads to provide a natural tether to keep the tissue lifted. It is widely used for a non-surgical facelift and we started to use it in different parts of the body
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