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 the initial surgical consultation, patients should discuss their specific needs and aesthetic goals to ensure that these goals are realistic. While rhinoplasty can achieve dramatic results, the procedure will not completely alter a patient's appearance. Rather, it is intended to enhance an individual's beauty and correct minor to moderate imperfections. Fortunately, even small changes can have major, positive effects on a patient's overall appearance. 

Right now, surgeons follow guidelines that set a maximum extraction limit of 5,000 milliliters of fat (11 pounds) for all patients, regardless of variations in weight or body fat status. But the new study suggests surgeons could use a patient's body mass index (BMI) to determine how much fat extraction is safe. BMI is a rough estimate of a person's body fat based on height and weight measurements. 

"Sometimes, a good reputation is well deserved, and sometimes it's merely hype and marketing," Dr. Naderi said. "There are reality show plastic surgeons who charge high fees, for example, based on their television exposure and publicity. Then, there are well-known plastic surgeons in the field who focus mainly on nose surgery and are true specialists."
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.”
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.
Dr. Weinberg specializes in liposuction of the neck, offering patients a long-lasting, significant improvement in their profiles. Fat can accumulate in the neck beneath the chin and jaw, causing the appearance of a double chin. This can make you look overweight even if you're not. Tumescent liposuction using a small cannula is a safe and effective way to reduce stubborn pockets of fat from the neck.
A nose job can be done in a private surgical suite, an ambulatory surgical center or a hospital. A hospital is the most expensive setting, while a private surgical suite is the least expensive. Most people can have the work done in a private office or ambulatory setting, which is an outpatient procedure. Should you choose to stay overnight in a hospital and undergo an inpatient treatment, it would significantly increase the overall nose job cost. 

Yes, the procedure is very safe and does not require any sedation. The area is infused with lidocaine to block the nerve, so the procedure is painless. However, the area would be very tender for 48 hours. We will tape the area all up to help the thread to lift the tissue up. Clients remove tapes at home, there is not stitches or marks to worries about. The downtime is 48 hours and clients should expect some bruising

Through the use of injectable filler, the nose can be injected to straighten a nasal profile, lift a droopy tip, create a nose bridge, or smooth out a visible bump. For patients who seek to correct mild imperfections in the aesthetic appearance of their nose, non-surgical rhinoplasty is rapidly becoming a popular alternative to surgery. The Non-surgical Nose job cannot make a larger nose appear smaller or improve breathing, so it may not be for everyone. Some patients will need to consider a primary rhinoplasty as a treatment option for their desired changes. The non-surgical nose job can, however, correct imperfections on the nose, making it more balanced and symmetric with the rest of the face. This restores facial harmony and can result in a very pleasing, natural appearance.
The expected time and effort that is required to accomplish a liposuction surgery is the most important factor in determining the cost of liposuction. Factors that typically affect the surgeon’s time and effort include 1) Number of areas being treated, 2) Size of the patient, 3) Anticipated degree of difficulty. Thus, cost of liposuction of the abdomen alone is less than the cost of doing liposuction on both the abdomen as well as the inner thighs and knees. Similarly, the cost for abdominal liposuction on a patient who weighs 80 kilograms (176 pounds) might be more than the cost for liposuction of the abdomen of a patient who has never weighed more than 60 kilograms (132 pounds). Liposuction is more difficult and requires more time if the patient has previously gained and then lost a significant amount of weight. In any area previously treated with liposuction, the fat often contains scar tissue which makes liposuction in the same area more difficult.

There are many pros and cons to both a non-surgical nose job and a surgical rhinoplasty. Some of the advantages that people love about a non-surgical nose job (completed with dermal filler) is that it is fast and easy. In less than 15 minutes, a bump can be masked or a bridge created. Another great advantage is that if you were considering a rhinoplasty, but wanted to test the waters first, you can have a non-surgical nose job completed. *If you realize that the look is not for you, the dermal filler used on your nose is dissolvable and reversible.* Some of the disadvantages to this temporary nose job is that it will only last around 9 months depending on the type of injectable filler used, so you would have to return on a regular basis to maintain your results. Another disadvantage is that not everyone is a great candidate for non-surgical rhinoplasty depending on what needs to be done to improve or correct your area of concern. A free consult in our office with help you determine if the non-surgical nose job is the appropriate choice for you.
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.

The patient's medical history and overall health can elevate the level of difficulty of the surgery. For example, if you are suffering from an immune deficiency or a chronic condition, such as uncontrolled diabetes, you instantly increase the complexity of the surgery. This also affects your recovery. You may need more time to relapse and get back to your everyday routine, which might mean you will need to take more medications after the surgery (for a longer time than usual), and potentially more time off work. All that equals more money spent on your behalf.
Rhinoplasty is a highly personal procedure that can affect a person's mental well-being, as well as his or her appearance. Therefore, it is vital that patients choose a surgeon with whom they feel comfortable. They should select a doctor who truly listens to their concerns, answers their questions, and creates a treatment plan that will address their specific goals. Patients should never choose someone who makes unrealistic promises or pressures them to undergo more surgery than they actually want.

Rhinoplasty is a highly personal procedure that can affect a person's mental well-being, as well as his or her appearance. Therefore, it is vital that patients choose a surgeon with whom they feel comfortable. They should select a doctor who truly listens to their concerns, answers their questions, and creates a treatment plan that will address their specific goals. Patients should never choose someone who makes unrealistic promises or pressures them to undergo more surgery than they actually want.
While butt implants are available as an option to our patients but it is not recommended. Sixty percent of all buttocks implants are rejected by the patient’s body, which is followed by a cost to remove them. On the other hand, fat transfer to buttock are completely safe as it is own body fat. Doctors at Spectrum Aesthetics, recommend this buttock fat transfer (Brazilian Butt Lift) method.
Office liposuction under tumescent local anesthesia costs from about 4-7500, and more extensive procedures need to be done in the operating room under general anesthesia. Depending on the time the cost can go up to 15,000. Multiple areas are discounted in the sense that when done in the operating room under general, the additional areas are charged by the total time, not per area, which is a savings.

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