Revision (secondary) rhinoplasty is a cosmetic surgery that is performed when a patient is not satisfied with the outcome of his or her initial procedure. In some cases, patients may be unhappy with the appearance of their noses, while others may experience functional difficulties after surgery. Additionally, a patient may need a secondary procedure if he or she suffers traumatic injury following the first nose reshaping surgery.

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.


One of the biggest factors affecting the total cost is if you need to have a second surgery. Because your nose swells during the operation, the surgeon may get a false impression of the final shape of your nose. As the swelling goes down, it may become apparent that a second surgery is necessary to achieve the look you want. Approximately 15 percent of rhinoplasty surgeries require a second surgery.
Cost of BBL (Brazilian Butt Lift) is $3000 with our board certified plastic surgeon in Miami, Florida. This affordable promotional Brazilian Butt Lift (BBL) cost includes physician cost, surgery room cost, anesthesia, anesthesiologist, labs, and 1 year of follow up visits. This offer includes 12-areas of liposuction — full back liposuction(4-areas), full abdomen liposuction (4-areas), waist liposuction (2-areas), flanks liposuction (2-areas).
The general anesthesia (intravenous sedation) and the long downtime are huge. Not everyone is qualified to go under general anesthesia. Moreover, harvesting the fats is such a harsh process that leaves lots of bruising and required long downtime. The price is significantly higher than the non-surgical route. This aesthetic plastic surgery has reported deaths from bbl with a high mortality rate.
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.
To understand the cost of liposuction surgery, it helps to understand what the procedure is. Liposuction removes localized fat cells from deep underneath the skin through a cannula (small tube) that is attached to a vacuum. The surgeon makes a small incision in the skin then inserts the cannula and moves it around to break up the fat cells so they can be suctioned away.
When patients are researching their payment options, they should also consider third-party financing. Many lenders offer fixed-interest repayment plans. Patients who pay within a specific time frame may even be eligible for a no-interest plan. A doctor's office team can explain more about these options and help patients choose the repayment schedule that best fits their budget.
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.
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.
Most of our liposuction patients opt to have their procedures performed at our clinic because they appreciate the personal attention of our registered nurses and the pleasant environment of our private facility. However, because Dr. Weinberg is Division Head of Plastic Surgery at Trillium Health Centre, arrangements can easily be made for those patients who may wish to have their procedure in the hospital, such as those having large volumes of fat removed or patients with significant health issues.
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.
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.
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:
“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."

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That being said, the regulations per US state, if considering to undergo a BBL there, impose different costs on the surgical facility that needs to be charged to patients. However, in densely populated areas with many plastic surgeons, whose surgical facilities are in particularly close proximity, the operating room charges don't vary that much within these areas. Therefore, if the majority of local operating rooms charge $500/hour and a surgeon is charging half that much, it should raise concerns that something is not being done at the facility; something that might compromise the safety of the procedure.
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.

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).

A Brazilian butt lift is a specific procedure that aims to enhance your natural curves to give you a firm and youthful behind. Otherwise known as a gluteal augmentation, a Brazilian butt lift relies on the transfer of fat from other parts of the body. The fat is removed via tumescent liposuction, cleaned and purified, then re-injected or grafted back onto the buttocks.

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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.
Once you decide to have liposuction, you want to find a surgeon you can trust to perform it. When looking for a plastic surgeon, find someone who has the proper skill and expertise, knows which procedure will be most effective, makes you feel comfortable, and respects your decisions. At the Royal Centre of Plastic Surgery, we pride ourselves on exceptional patient care.
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.
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