Spread of toxin effects. The effect of botulinum toxin may affect areas away from the injection site and cause serious symptoms including: loss of strength and all-over muscle weakness, double vision, blurred vision and drooping eyelids, hoarseness or change or loss of voice, trouble saying words clearly, loss of bladder control, trouble breathing, and trouble swallowing.
5) What kind of anesthesia will you be getting and who will be doing it?  Like surgeons, different anesthetists charge different fees, and use different anesthetic agents.  At the Toronto Cosmetic Surgery Institute our anesthetist come with probably the most extensive cosmetic surgery experience in Toronto.  And the medications we use are more expensive than others, but we use them not to have an excuse to charge you more, but to keep you more comfortable, in less pain, and minimal to no nausea and vomiting after surgery.
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.
The ARTOURA™ Breast Tissue Expander or CONTOUR PROFILE® Breast Tissue Expander can be utilized for breast reconstruction after mastectomy, correction of an underdeveloped breast, scar revision, and tissue defect procedures. The expander is intended for temporary subcutaneous or submuscular implantation and is not intended for use beyond six months. Do not use the ARTOURA Tissue Expander nor CONTOUR PROFILE® Tissue Expander in patients where an MRI may be needed. The device could be moved by the MRI causing pain or displacement, potentially resulting in a revision surgery. The incidence of extrusion of the expander has been shown to increase when the expander has been placed in injured areas.
Make sure the surgeon you choose carefully analyzes both the outside and inside of your nose and presents you with a clear plan for how he intends to approach your surgery. Also, consider the quality of your communication and rapport with your surgeon. These qualities will help you choose a surgeon who truly listens and who takes your concerns seriously.
Augmentation rhinoplasty is another popular type of nose reshaping surgery. During this treatment, the doctor performs bone or tissue grafting to build up the nasal tip and/or bridge. In many cases, he or she uses cartilage from other parts of the nose, usually the nasal septum. However, if a patient does not have enough tissue in this area, the doctor may use rib bone, cartilage from other areas, synthetic material, or other biological tissues.

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.
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.
Although botox is now more widely available than ever before, it’s so important you see a qualified, experienced expert, even if they are more expensive. Yes, there are some clinics that will charge you super-low prices, but remember, if it seems too good to be true, it probably is. Before booking into the Cadogen Clinic I read countless positive reviews on Facebook and Google, yes at around £300 it might not have been the cheapest, but I knew I was in safe hands. Be smart and do your research people, after all, this is your face, you don't want f*ck it up.
Rhinoplasty surgery is one of the most common plastic surgeries performed each year. This procedure allows surgeons to make a number of changes to the structure of the nose, drastically altering a patient's appearance. However, as with any other surgical procedure, it is important for individuals to understand all possible outcomes and set realistic expectations before undergoing rhinoplasty.
A revision rhinoplasty is a complicated surgery, because the surgeon now has to contend with thick scar tissue—which makes it difficult to raise the skin and soft tissue off the cartilage. “Plus, we often need to reconstruct part of the nose, so we need to take cartilage from other sources,” says Dr. Miller. Surgeons say that the minimum amount of time to wait before you can do revision rhinoplasty, even if there is an obvious problem, is a full year. 
Dr. Miller says it’s also important for patients to have realistic expectations. “It’s not a good idea to take a wide, thick nose and turn it into one that’s thin and tiny,” he says. “But if the steps are done properly, we can make the desired changes.” Thick nasal skin that makes it challenging to refine the nasal tip needs to be thinned out, for example. It’s important to find a board-certified facial plastic surgeon who specializes in ethnic rhinoplasties. 

Doctors realize that most rhinoplasty patients are not eligible for insurance coverage. For this reason, many surgeons offer in-house financing options. With approved credit, patients may be eligible for low-interest or fixed-interest repayment plans. Additionally, many doctors offer significant discounts when patients pay for their procedures in full prior to treatment. Most cosmetic surgery practices accept cash, check, and all major credit cards.
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.  

Some might think that this patient had had previous rhinoplasty with tip collapse, but she did not. Occasionally, the shape of the tip cartilages is very vertically-oriented, causing a deep groove in the nostril. She felt this, along with her marked tip crookedness, drew unwanted attention to her nose. Now, her nose is smaller, smoother, more defined, and just blends with the rest of her face.
The cost of the implants themselves ranges from about $1500-$4000. Usually when you ask a Doctor to give you a quote for this surgery they quote the entire price of the surgery (the implants, anesthesia, overhead, etc.) The cost for breast augmentation surgery is usually $7500-$9500 before taxes. If you would like a breast lift, this would be additional cost. Generally what causes the range in cost is the type of implant (saline, silicone, anatomical, etc.) Usually the number of cc's you decide upon will not effect the cost. There is financing usually available as well. Best of luck!
Case 47: This patient’s primary surgery left her with valve collapse, nostril notching, persistent tip rounding and hanging columella. Secondary surgery involved correction of these issues with repositioning and reconstruction of the tip cartilages to improve tip contour. Although she is still a little swollen in the after photos, she is already happy with her new nose.
Case 38: This beautiful young lady is an early 6 month example of a finesse rhinoplasty. On front view you can see the bridge is narrower and the sense of hang is improved. On profile, the tip looks undone, natural and less projected with correction of the slight hanging columella. The result is a beautiful, natural look that corrects the issues but leaves her looking totally natural and undone.
The complexity of the surgery itself is one factor that people tend to forget when considering the overall cost of a good nose job. Depending on whether you have thick or thin skin, multiple injuries to the nose or severe nasal deviations, the complexity of the surgery required may vary, and so too will the cost. The more complex the surgery, the more expensive it will be. When planning your finances, be sure remember to factor in time spent off work and travel costs as well.

It is important that, no matter what the fee, you feel comfortable with your surgeon and confident in his operating ability. Although a rhinoplasty is the most difficult procedure for a facial plastic surgeon to perform, it is Dr. Torgerson’s specialty. He is not only an accredited surgeon, but has also received certification by the Royal College of Physicians and Surgeons of Canada to perform head, neck, and facial cosmetic surgery. Viewing before and after photos of his previous rhinoplasty patients will alleviate your anxiety ,and you will be confident that the fee charged is well worth the price!


The FDA approved such usage in the late1980s when it was discovered that Botox could stop ailments such as uncontrolled blinking and lazy eye. Cosmetic physicians have been using Botox for years to treat wrinkles and facial creases. Botox is an approved treatment for frown lines on the forehead, crow’s feet (lines around the eye), and axillary hyperhidrosis (increased sweating of the armpits).
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.
6)What else is included with your surgery?  Some are bare bones deals - you get your implants and good bye, while others include a comprehensive pre-surgical assessment, and a thorough post-surgical follow up.  (we've heard from other patients about their friends getting their BA elsewhere, and after the surgery they saw their surgeon only at one week after surgery and never again!  We don't do that ... at our clinic you are welcome to come back and see us as often as needed, and we have a schedule of follow up visits for a full year after your surgery to ensure you get the best results possible.)
Case 38: This beautiful young lady is an early 6 month example of a finesse rhinoplasty. On front view you can see the bridge is narrower and the sense of hang is improved. On profile, the tip looks undone, natural and less projected with correction of the slight hanging columella. The result is a beautiful, natural look that corrects the issues but leaves her looking totally natural and undone.
The minimum age for rhinoplasty depends on both physical and emotional maturity. It's important to wait until your facial growth is complete, which is approximately at age 14 or 15 for women and in the late teens for men. There is no upper age limit for rhinoplasty, as long as you are in good general health. Many women and men come to Dr. Rival for nose surgery in their 40s and 50s.
Differences in your Surgeon’s qualifications and expertise performing Rhinoplasty/Nose surgery, PLUS other details such as expert planning and first-rate follow-up care, top-quality hospital options, technically advanced surgery skills, nose scar management, open versus closed, and type of anaesthetic are often reflected in the PRICE or COST of your nose reshaping surgery in Melbourne.
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.
Although everyone heals at a different rate, most people will have very few signs of surgery at two weeks after rhinoplasty and feel comfortable returning to work. At this time most of the bruising has gone but there may be still some dark circles under the eyes that can be covered up with make up. There is usually some swelling on the tip of the nose and along the sides of the bridge. This will mostly be obvious to you and your surgeon but not the average person in the public.
Case 72: This patient had sustained a nasal fracture that caused a significant deviation of her nose. The fracture was corrected along with a septoplasty to improve breathing. Loss of tip support after the injury made her hump look more prominent and her tip felt more droopy. The bump was smoothened and her tip angulation restored to create the softer, more feminine profile she wanted. At the same time, fat transfer to the cheek and under eye area and subtle neck liposuction substantially improved the flat cheek and mid-face contour that previously made her feel hollowed and tired looking without makeup.

Ambulatory surgical centers are more expensive than private offices. These venues are owned by a third party, and provide everything your surgeon needs to safely perform rhinoplasty and other cosmetic surgery procedures. They typically charge by the hour. Ambulatory surgical center fees are usually around $3,000 or more for a single rhinoplasty procedure.
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.
Open rhinoplasty gives the surgeon greater access to the cartilage and bone of the nose but it will leave some scar tissue. By creating an incision across the columella (the area of cartilage between the two nostrils) the doctor can lift the skin off the tip of the nose and shape the cartilage very precisely. When healed, the incision leaves a very small, almost negligible scar on the underside of the nose.
Case 12: One of the things that we love about rhinoplasty is that we can combine dramatic changes such as straightening this patient’s nasal twist, and at the same time create some subtle enhancements such as refining and slightly deprojecting the tip while reducing the sense of columellar show. At 6 months, her nose now balances with her face and really brings out her beautiful eyes.
5) What kind of anesthesia will you be getting and who will be doing it?  Like surgeons, different anesthetists charge different fees, and use different anesthetic agents.  At the Toronto Cosmetic Surgery Institute our anesthetist come with probably the most extensive cosmetic surgery experience in Toronto.  And the medications we use are more expensive than others, but we use them not to have an excuse to charge you more, but to keep you more comfortable, in less pain, and minimal to no nausea and vomiting after surgery.
It is important for patients considering rhinoplasty to understand that if their nose requires repair due to congenital malformation, illness or injury, at least part of the operation is likely to be covered by insurance. This includes situations like sports injuries, vehicular accidents, or birth defects that result in breathing problems. In most cases of cosmetic surgery, however, performed only to improve the patient’s appearance, the patient should expect to pay out-of-pocket.
If a patient has suffered an injury to the nose, he or she may benefit from post-traumatic rhinoplasty. This procedure can address both appearance and functionality. Doctors may use this procedure to straighten the nose and correct the nasal septum. Often, post-traumatic patients have suffered a broken nose. In these cases, a doctor may have to re-fracture the nose and re-set it to achieve the desired results. A doctor can usually set a simple broken nose within 10 days of the fracture. However, if a patient has suffered a serious nose injury, he or she may have to wait several months before undergoing extensive surgery.

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. 
Dr. Miller says it’s also important for patients to have realistic expectations. “It’s not a good idea to take a wide, thick nose and turn it into one that’s thin and tiny,” he says. “But if the steps are done properly, we can make the desired changes.” Thick nasal skin that makes it challenging to refine the nasal tip needs to be thinned out, for example. It’s important to find a board-certified facial plastic surgeon who specializes in ethnic rhinoplasties. 
MENTOR® MemoryGel® Breast Implants, MENTOR® MemoryShape® Breast Implants, and MENTOR® Saline-filled Breast Implants are indicated for breast augmentation in women (at least 22 years old for MemoryGel® Implants and MemoryShape® Implants, and 18 years old for Saline Implants) or for breast reconstruction. Breast implant surgery should not be performed in women with active infection anywhere in their body, with existing cancer or pre-cancer of their breast who have not received adequate treatment for those conditions, or who are currently pregnant or nursing.
It is sometimes possible to have additional plastic surgery done at the same time while you are already asleep. It is not uncommon for Dr. Rival to perform lip enhancement, blepharoplasty (eyelift), otoplasty (ear setback) or even a facelift if the rhinoplasty is a limited procedure. Combined body plastic surgery procedures can sometimes also be arranged simultaneously. Overall each case must be assessed individually in this regard. For information on other facial plastic surgery procedures performed by Dr. Rival please see our main site www.rivalcosmeticsurgery.com .
Case 31: This patient had some typical concerns of feeling washed out from the front with flattening and spreading of her tip. She was very happy with the narrowing and definition achieved for her bridge and tip along with nostril reduction. In addition, chin augmentation increased chin projection to improve the balance of her lower face and jawline.
Although everyone heals at a different rate, most people will have very few signs of surgery at two weeks after rhinoplasty and feel comfortable returning to work. At this time most of the bruising has gone but there may be still some dark circles under the eyes that can be covered up with make up. There is usually some swelling on the tip of the nose and along the sides of the bridge. This will mostly be obvious to you and your surgeon but not the average person in the public.
Getting a rhinoplasty in iran 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 in iran is between $1200-2200. Revisions typically are a bit more costly particularly when they require structural grafting, which is needed if the skeletal framework is weakened or malpositioned.
Arm LiftBody ContouringBody LiftBotulinum ToxinBreast AugmentationBreast Implant Removal & ExchangeBreast LiftBreast ReconstructionBreast ReductionBrow LiftButtock Lift with AugmentationChin AugmentationCleft Lip and PalateDermal FillersEar SurgeryEyelid SurgeryFaceliftGynecomastia SurgeryHair TransplantLip AugmentationLiposuctionRhinoplastyThigh LiftTummy Tuck
If a patient has suffered an injury to the nose, he or she may benefit from post-traumatic rhinoplasty. This procedure can address both appearance and functionality. Doctors may use this procedure to straighten the nose and correct the nasal septum. Often, post-traumatic patients have suffered a broken nose. In these cases, a doctor may have to re-fracture the nose and re-set it to achieve the desired results. A doctor can usually set a simple broken nose within 10 days of the fracture. However, if a patient has suffered a serious nose injury, he or she may have to wait several months before undergoing extensive surgery.
Doctors realize that most rhinoplasty patients are not eligible for insurance coverage. For this reason, many surgeons offer in-house financing options. With approved credit, patients may be eligible for low-interest or fixed-interest repayment plans. Additionally, many doctors offer significant discounts when patients pay for their procedures in full prior to treatment. Most cosmetic surgery practices accept cash, check, and all major credit cards.
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.
Case 48: This is a good example of finesse rhinoplasty where subtle changes can make for a very nice and meaningful difference. This young woman liked the overall shape of her nose but wanted it slightly smaller in all dimensions to match her pretty, petite features. We were able to achieve these goals by always relying on techniques that produce stable and precise results. Subtle fat transfer to the under eye area further helped to reduce under eye circles and soften her overall look.
×