I perform many breast augmentation revision surgeries. The overwhelming majority of patients I see for revisions feel regret for not taking more time checking the background, training, results and safety record of the physician who performed their original surgery. I have created a checklist of what to look for in a surgeon. Look on my website, or cut and paste this: michaellawmd.com/how-to-choose-a-surgeon.html
When you choose a surgeon with his/her relevant specialty and academic authenticity, it becomes more difficult. Even academic education passed in the best universities does not provide guarantees of surgeon’s skill. In fact, A and B points are necessary conditions but not sufficient. In our country, little attention is paid to scientific know-how of students before selection, and this results in the graduation of surgeons with higher scientific level but lower surgery skill and art. Now, how can we access to this information?!

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).


If the repair or revision of the nose is extensive, then the operating time is longer and there will be more expense involved. The fee is also based on the geographical location. For example, the cost of any facial cosmetic surgery in Hollywood, Beverly Hills, will be more expensive than the same procedure here in Toronto. The other factor and the most important consideration is the experience of the facial plastic surgeon performing the operation. As a facial plastic surgeon gains experience and clientele, their fee is usually more than that of a novice.
When you choose a surgeon with his/her relevant specialty and academic authenticity, it becomes more difficult. Even academic education passed in the best universities does not provide guarantees of surgeon’s skill. In fact, A and B points are necessary conditions but not sufficient. In our country, little attention is paid to scientific know-how of students before selection, and this results in the graduation of surgeons with higher scientific level but lower surgery skill and art. Now, how can we access to this information?!
Some physicians promote low priced breast augmentation, only for a patient to discover that the price is for only one type of implant, with one type of incision. This may not be appropriate for all patients. Then, the "bait and switch" ensues. A different implant will cost more, pain control will cost more. An anesthesiologist will cost more, if an MD anesthesiologist is even an option. Then, just like buying a used car, the price will shift from the total price to monthly payments with a financing plan that could be very regrettable. This is a huge red flag. If these kinds of tactics are used, you, as a consumer should be very concerned. 
To apply for insurance coverage for a functional rhinoplasty, your surgeon can perform one of several tests. A CT scan shows irregularities within the nose that are not visible to the naked eye. An acoustic rhinometry is a test that maps the inside of a patient's nose. A rhinomanometry tests the level of airflow within the nostrils. In some cases, insurance companies require that patients show that they have attempted to treat nasal obstruction with other treatments. These may include antihistamines, allergy desensitizing injections, and steroid spray.
Hello! Thank you for your question. Costs of the breast augmentation procedure will certainly vary depending on your geographic location. Things to factor in for the surgery standpoint will be the facility fee, anesthesia fee, surgeon fee, implant cost (saline vs. silicone), other fees (e.g., acellular dermal matrix cost, pain pump, surgical garment, etc.). Typically augmentation with saline implants will be ~$1000 less than with silicone implants and ~$1000 less than shaped, cohesive gel implants. Consultation with plastic surgeons who you are interested in having perform your procedure and satisfied with the photographic results is advised. Financing options can be discussed with each office individually, if they offer, or there are other private institutions and companies such as CareCredit who may be able to assist you, if you qualify. A range of $4000-10000 is reasonable for a standard breast augmentation alone, depending on the factors above, the complexity, surgeon experience, and the implant chosen. Hope these answers help! Best wishes!
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.
Case 21: For our patients who are in image-centered occupations such as modeling or acting, nasal refinements often focus on small changes that will enhance the overall look and remove subtle cues about the nose that preoccupy or distract the eye. This successful model had a look that really worked for her but had always felt that her tip and nostrils were too wide, flared, and slightly droopy. Creation of a slightly narrower and more structured tip draws unwanted attention away from her nose and, instead, enhances her overall look.
Case 16: A crooked and overprojected nose draws the eye away from other beautiful features. In this pretty young woman, you can see how rhinoplasty transforms her face. Even at this early 3-month point, we see that her nose is more feminine and no longer dominates her otherwise delicate features. And, at the same time, it is balanced and ethnically-appropriate.
Chances are good that you know at least one person who’s had a nose job. The American Society of Plastic Surgeons says that rhinoplasty is the third most popular cosmetic surgery, with more than 200,000 patients opting for the nose procedure every year. Whether it’s right for you depends on a number of factors, including the cosmetic and structural issues you’re looking to change, your budget, and the amount of time you can take off for recovery.

When you choose a breast implant, you are choosing a device that will be part of your body for many years. Breast implants are not lifetime devices, but if your implants do not encounter complications, there is no reason for a revision. Your implants could be with you for over 30 years, so you should spend some time weighing the benefits and compromises of each implant type. Pick an implant that you feel comfortable with, but also gives you great results. The IDEAL IMPLANT Structured Breast Implant the lowest rates of rupture and capsule contracture in primary augmentation at 8 years, but still gives women a beautiful, natural look and feel. Silicone gel breast implants give women beautiful results, but at an increased financial strain and emotional toll, Dr. Mahony tells us.


I have seen very low prices advertised for breast augmentation.  When I think of the hard costs involved in having a state-of-the-art fully equipped surgical suite, a capable and complete staff, a board-certified anesthesiologist, and all of the additional safety measures we employ, I think that some of these low prices must mean a physician is cutting costs in a way that might compromise safety and outcomes. 
Once your bone and cartilage have been resculpted, your surgeon pulls the skin back down and stitches it along the open-rhinoplasty incision across the columella (the tissue that links the nasal tip to the nasal base). “When done properly, that incision is extremely hard to see, once it’s healed,” says Dr. Miller. With a closed procedure, the incisions are made inside your nostrils, so there’s no visible scarring, and the sutures are usually dissolvable. 
It's the anticipation. We all tend to worry about new things we are unfamiliar with, and rhinoplasty surgery is one of those things. If you've never had surgery before, it's not unusual to be nervous and worry about every little detail. Will it hurt? Will I be in pain? When rhinoplasty is performed using a general anesthetic, you won't remember the procedure and you won't feel a thing. Most patients wake up after surgery realizing there was nothing to be scared about – and feeling silly for having worried at all.
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