During a rhinoplasty the bone and cartilage underneath the skin is modified. In most cases a surgeon will make an incision inside the nostrils or in the septum which is located between the nostrils. The bone or cartilage will be either clipped or bumped up. When a change in the nose is intended to be subtle, a surgeon may collect cartilage from deep inside the nose or possibly from the ear. When the nose is to be altered dramatically, implants or bone grafting may be utilized.
When rhinoplasty is performed primarily for cosmetic purposes, it is rarely covered by insurance. However, insurance companies will often pay for procedures to correct a deviated septum or other breathing issues. A doctor's administrative staff can help patients determine whether they are eligible for insurance coverage. In many cases, they will even file the claim and handle any other paperwork.
Rhinoplasty is among the five most popular plastic surgery procedures performed in the United States, with more than 200,000 procedures performed in 2013 alone.  During the procedure, a plastic surgeon sculpts the cartilage and bone of the nose to achieve a patient's desired look. For men and women who are unhappy with the size and shape of their nose, rhinoplasty, otherwise known as nose reshaping surgery or a "nose job," offers a safe, effective, and time-tested cosmetic solution. When performed by an experienced, skilled cosmetic surgeon, rhinoplasty can greatly improve the balance of facial features, helping patients discover newfound confidence. Rhinoplasty can also be used to correct structural defects, including those that cause breathing problems.
In most cases, doctors advise teenage patients to wait until their noses have stopped growing before they undergo rhinoplasty. There are exceptions, however, especially in cases of trauma or breathing difficulties. When young patients undergo rhinoplasty, the doctor must take special care to protect the still delicate nasal features. Additionally, a doctor should make sure that the patient is emotionally and mentally prepared for nose reshaping surgery.
After the doctor determines that a patient is physically qualified for surgery, he or she asks about the aesthetic or health-related objectives. When seeking rhinoplasty for cosmetic reasons, patients may want to bring in pictures of what they want their noses to look like. An exact replication may not be possible. However, these images will help the doctor create a treatment plan in keeping with the patient's cosmetic goals.
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.
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.
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.
Ambulatory surgical centers are more expensive than private offices. These venues are owned by a third party, and provide everything your surgeon needs to safely perform rhinoplasty and other cosmetic surgery procedures. They typically charge by the hour. Ambulatory surgical center fees are usually around $3,000 or more for a single rhinoplasty procedure.
After being injected, patients are pleased to discover they can resume their normal activities immediately. The results are also visible right away, which gives instant gratification. Although there may be minor swelling due to the injections, the majority of this swelling will subside within the first 24 hours. Patients typically find the non-surgical nose job to be an easy, quick, and exciting process that results in an aesthetically beautiful and pleasing appearance.
Naturally, patients should choose a doctor who has a good reputation for success. Individuals should ask friends, family, and general practitioners for recommendations. Additionally, all state medical boards are required to make a doctor's information public. Patients may access these records to look for any past lawsuits or infractions. In many areas, these records are available online, but in some states, they can only be accessed through the mail.
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.
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.
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Both anesthesiologists and registered nurse anesthetists can administer anesthesia. An anesthesiologist is a specially trained physician who will administer anesthesia and monitor your vital signs during surgery. A registered nurse anesthetist has specialized training to do the same. However, while a registered nurse's services can cost about $300 per hour, an anesthesiologist's services can cost closer to $500 per hour.