Unfortunately, despite a surgeon's best efforts, in some cases a patient may be unhappy with the results of his or her surgery. This can result from numerous causes, including surgical error or unrealistic expectations on the patient's part. Because the final results of rhinoplasty can take up to a year to develop, patients should not panic if their noses have not taken their ideal shape in the first few months. If a patient is unhappy with the nose even after the final shape has stabilized, there are options for treatment and correction. Depending on the extent of changes that need to be made, a surgeon may recommend non-surgical nose reshaping or secondary (revision) rhinoplasty.
It’s important to understand exactly what your doctor’s quote includes. Does the number only include your surgeon’s fee? Or will it cover anesthesia, hospital fees, pre- or post-op appointments, and medications you’ll need throughout your recovery? If your doctor’s estimate doesn’t consider all those costs, be sure to factor them into your budget. Also be sure to ask how your surgeon handles revisions, in case you aren’t happy with your initial results.
The anesthesiologist charges a separate fee for their services. Your doctor may use an anesthesiologist or a certified nurse anesthetist. You can either have IV sedation, which means you are heavily sedated but not asleep during the procedure, or general anesthesia. These two options carry different price tags. A nurse anesthetist typically charges a little less than an anesthesiologist. The difference between the two is that an anesthetist typically only has to complete a nursing program, while an anesthesiologist is a licensed medical doctor who went through medical school.
“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.”
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.
“I generally recommend that my patients take between three and seven days off after liposuction, depending on how many areas were worked on and your pain tolerance,” Dr. Samuel Sohn, a Henderson, Nevada, plastic surgeon says in a liposuction recovery Q&A. Your doctor will prescribe pain medication, though you may find you only need an over-the-counter pain reliever.
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.
Before anything else, the surgeon determines a patient's candidacy for rhinoplasty. He or she takes the patient's health history, asks about medications and whether the patient smokes, and addresses other concerns. It is important for the patient to be honest with the doctor. Withholding certain information could increase the risk of surgical complications.
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:
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.
On the day of your surgery, you should not eat anything before the procedure. Because chewing involves moving the entire face, doctors typically recommend a soft or liquid diet for the first several days. You will be able to return to solid food whenever it is comfortable for you. Additionally, you should avoid spicy foods, as they can constrict the blood vessels and lead to increased bruising.
However, if a patient underwent surgery in another country, but experiences post-operative complications, he or she will need to pay to travel back to the same destination if they wish to have the same doctor oversee any revisions. Revision surgery performed by a different surgeon is extremely difficult, and thus more expensive. In fact, it can cost 50 percent more than the original surgery. Therefore, it can actually be far more economical to pay for a surgery within the U.S.