There are several medically related Botox treatments that are usually covered by insurance, including treatment for blepharospasm (uncontrollable eye twitching), excessive sweating, constant pain, and others. Insurance coverage for cosmetic uses of Botox injections is much less common, but you should consult your insurance provider to find out if you have coverage for Botox treatment.
"Many times, the cost of rhinoplasty or other surgery in New York City would be three times the price as in a smaller town, but it is not three times better necessarily," Dr. Park said. "At the same time, I would warn patients to beware of a physician in a small town that costs a fraction of what an average rhinoplasty would cost. In general, when a surgeon is throwing in discounts, I would be very wary."
Underarms are the most common and easiest place to administer Botox. Often a simple solution is put on the skin to see the exact area a person sweats from and then Botox is injected with tiny needles just under the skin.  It is prepared on a way that some anesthetic is mixed with the Botox to make it a relatively pain-free treatment.  It takes only minutes to complete.

Our plastic surgeons, injectors, and medical aesthetician individualize the cost of treatment for you depending on exactly what you need done. Every patient is different, and fees are based on the complexity of your case, as well as the amount of time it would take to do your procedure. We can only provide a definite quote after you have been seen for your consultation.


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?!


Asian, Latin, and African American rhinoplasties require a special skill set. Surgeons say the challenge lies in reshaping and resizing the nose while retaining its distinct features and keeping it proportional to the face. “Typically, African American, Asian, and Latin noses have flat bridges and wide tips,” says Dr. Miller. “The number-one goal is to create a new tip [through cartilage grafting] that has better support.” Patients also often request a reduction in nostril size. 


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.
If the rhinoplasty is necessary to improve breathing, rather than for aesthetic purposes, there is a possibility that the repair may be covered by insurance. An obstructed airway is usually caused by a deviated septum, and operating is necessary to restore normal air flow. Physicians will refer patients with this problem to facial plastic surgeons, who are able to determine the impairment and who will receive authorization by the insurance company to operate.
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.
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.
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.
If you’re having what’s called an open rhinoplasty, the surgeon will make an incision (about 6 millimeters long) in the skin between the nostrils. “Open rhinoplasty is a very common technique, where the skin is lifted upward like the hood on a car,” says Dr. Ronald Schuster, a Baltimore plastic surgeon, in a RealSelf Q&A about open vs. closed rhinoplasties. If you’re having a closed rhinoplasty, all incisions are placed on the inside of the nose, so there are no external scars.
If the rhinoplasty is necessary to improve breathing, rather than for aesthetic purposes, there is a possibility that the repair may be covered by insurance. An obstructed airway is usually caused by a deviated septum, and operating is necessary to restore normal air flow. Physicians will refer patients with this problem to facial plastic surgeons, who are able to determine the impairment and who will receive authorization by the insurance company to operate.

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.
Post treatment I was a left a little red and blotchy, so I cancelled any meetings I had straight after. Although the redness soon faded I was left with a few tiny pin prick points. I am told that bruising is common, but it all depends on how sensitive your skin is. I was also left with a slight headache, almost like I’d been wearing a swim cap for a few days. This too didn’t last longer than a few hours, and wasn’t anything that two paracetamol couldn’t fix. If you do experience a headache for longer than 48 hours, or any other symptoms like nausea or visual disturbances (although rare) you are advised to contact your practitioner.
Rhinoplasty is a technical term for surgery that reshapes the nose. Dr. Rival performs rhinoplasty, also called nose surgery, in Toronto to address aesthetic concerns, for breathing correction or to correct a deformity following facial trauma. A septoplasty is a term used to describe the procedure where the midline partition between the 2 sides of the nose is straightened. This is usually done to improve nasal breathing but may also be necessary to straighten the external appearance of the nose.
Case 92: This procedure was all about correction of a droopy twisted tip. This patient was especially bothered by the tip’s tendency to drop and spread when she smiled, with a twist that made one nostril look higher than the other. After surgery, her nose is about as straight and symmetric as can be and the straighter bridge line makes her look younger.
4) What technique is used to perform the surgery (although most surgeons charge the same fee regardless of what technique they use, in some cases a premium may be charge when special supplies etc are required to achieve the desired results - for example we use a device called Keller funnel which adds several hundred dollars to the cost of the surgery but the purpose of this device is to keep your scars smaller/shorter and to lower the risk of infection and capsular contracture.  We believe these benefits are well worth the extra cost to our patients.)
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.
"Many times, the cost of rhinoplasty or other surgery in New York City would be three times the price as in a smaller town, but it is not three times better necessarily," Dr. Park said. "At the same time, I would warn patients to beware of a physician in a small town that costs a fraction of what an average rhinoplasty would cost. In general, when a surgeon is throwing in discounts, I would be very wary."
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. 
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