As stated above, these complications are unlikely. However, patients can take steps to reduce their risks even further. First, they should choose a qualified surgeon, according to the guidelines listed above. Selecting an outstanding doctor, who maintains proper safety standards, can minimize the chances of infection, perforation, and other difficulties. An experienced surgeon can also ensure aesthetically pleasing results.
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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.

“Patients who undergo open rhinoplasty typically have more edema (swelling) that persists longer compared to patients in whom closed rhinoplasty techniques were used,” says Dr. C. Spencer Cochran, a Dallas, Texas facial plastic surgeon, in a rhinoplasty recovery Q&A. “If the nose was surgically broken by performing osteotomies, then there is usually more swelling and bruising."
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.
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.”

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.

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.


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.

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.
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.
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.

The most commonly asked combined procedure is that of the tummy tuck (or abdominoplasty) and Brazilian butt lift, which is particularly favored by women that have just become mothers and want to get into a sexier version of themselves after giving birth. On average, a tummy tuck ranges from $7,500 to $9,500 and you may negotiate a discount with your plastic surgeon if you decide to have both procedures performed at the same time.

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.

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.
“Most people price liposuction based on the number of areas being treated, and in general the per-area cost will come down with additional areas,” says Dr. Mathew A. Plant, a Toronto plastic surgeon, in a RealSelf Q&A. “Usually, the first area is more expensive because this price includes the costs of the operating room, equipment, and anesthetic. Once you’re into additional areas, those costs have mostly been covered, and you’re simply adding time, which allows a price drop.”

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.
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.
Your plastic surgeon's experience and reputation make the greatest difference in the cost of rhinoplasty. Here in Manhattan, it is possible to undergo the procedure for as little as $3,000 when it is performed by surgeons-in-training, supervised by senior surgeons. Meanwhile, there are experienced surgeons who are not performing as many rhinoplasties as they would like, and may be willing to perform the procedure for $5,000 to $7,000. However, if rhinoplasty is your surgeon's specialty, this can provide the best chances of achieving the results you desire. His or her fees will reflect that, and depending on where the practice is located, the total cost of surgery can be upwards of $15,000.
As with almost all forms of plastic surgery, there is a possibility for scarring following rhinoplasty. In closed rhinoplasty, all incisions are made inside the nostrils and will therefore not leave behind any visible scars. In open rhinoplasty, an additional incision made across the columella may leave a small scar behind. Fortunately, due to the size and location of the incision this scar is usually unnoticeable.

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.


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.
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.”

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.

At the same time, patients will also need to avoid certain foods and supplements, which could slow healing and cause surgical complications. In particular, patients should steer clear of vitamin E supplements, ginger, gingko, and ginseng. Some homeopathic and herbal supplements can cause complications with anesthesia, so patients should check with their doctors before taking additional nutrition.
Choosing a liposuction surgeon based on the lowest price might ultimately be the most expensive choice, If the initial cosmetic results are so bad that another surgeon must be paid to repair the work of the first liposuction surgeon. Among the most common undesirable outcomes of liposuction are 1) incomplete liposuction with very little evidence that liposuction was actually done, 2) excessive liposuction producing an unnatural or disfigured appearance, 3) irregular and uneven results with unsightly depressions in the skin, and 4) large scars that reveal that the patient has had liposuction. Caveat emptor (Buyer beware).
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