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.

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.
After surgery, patients should be prepared for the cost of any pain medication they will take during recovery. These costs are not typically included in the overall cost of surgery. At my practice, we provide homeopathic medications as part of our total surgical package. Your surgeon can explain to you any prescription or homeopathic medications you may be prescribed and discuss their cost.
After care from the experts was pretty simple and didn’t require anything too strenuous. To keep results looking optimum I’m told to avoid things such as smoking, excess alcohol, sun exposure and getting stressed - which can all help break down collagen faster, decreasing the longevity of Botox. ‘I always recommend that my clients use a daily antioxidant topical serum and an SPF 50 too,’ advises Spyrou.
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.
Case 71: Tip and nostril width and overall nasal projection made the nose feel dominant for this young woman. Rhinoplasty involved making her whole nose smaller by deprojecting, refining the tip, and removing some nostril flare. At the same time, a nasal fracture and breathing concerns were addressed. Neck Liposuction also helped to define and re-balance her jawline to create the improved facial proportions that she desired.
Secondary rhinoplasty differs from the primary procedure in that it may require cartilage or bone grafting. If too much tissue or bone was removed in the first surgery, the doctor will need to replace this in order to achieve the desired look. Often, cartilage is taken from the ear or other areas of the nose. In rare cases, it is harvested from a rib, in what is known as a costal cartilage graft.
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.
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.
The consultation is your chance to get acquainted with the doctor and find out if you two see eye to eye. It is also your opportunity to explain why you want to have rhinoplasty and what your particular goals are. You will sit down with the doctor and tell him or her about your nose and what you would like to change. If you've had any previous nasal surgery or have broken your nose in the past, the doctor will want to know about that, too. If you have pictures of noses you like, bring them along so the doctor can get an even clearer idea of what you're hoping for. The doctor will examine your nose and explain what changes can be achieved and how the procedure will be performed.
In the initial days after rhinoplasty, it is important that the changes to the nasal tissue be preserved. After closing the incisions made during surgery, a surgeon will place a splint to help retain the new shape of the nose. In some cases, the doctor may also place pieces of gauze, or nasal packing, inside the nostrils. The material will help reduce bleeding and keep the septum in place. The gauze may cause some discomfort. However, it is typically removed within a few days of surgery, and goes a long toward maintaining the results of surgery.

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.


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. 

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.
Hospitals are the most expensive choice of facility. In Manhattan, fees can reach $6,000 and beyond for a single procedure. Though it is the most costly option, a hospital is also the best equipped to facilitate surgery involving a patient who is prone to excessive bleeding, or has other conditions that increase the risk of complications. You can expect your doctor to closely examine your medical history to determine if surgery in a hospital is necessary.
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.
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.
In addition to the physical benefits of rhinoplasty, the procedure has psychological benefits as well. Individuals who are unhappy with the size or shape of their nose often feel self-conscious about their appearance and may suffer from low self-esteem. After undergoing rhinoplasty surgery, however, many patients report a marked boost in confidence. This benefit alone can be a great reason for patients to choose rhinoplasty.
Avoid blood-thinning medications such as Ibuprofen (Motrin or Advil), Aspirin, naproxen (Aleve) for 5 days prior to your treatment and for 3 days after.  These may increase your chances of bruising.  Inform your doctor if you are on any prescription blood thinning medications (do not stop taking prescription medications unless specifically instructed to do so).
In recent years, medical tourism, or going outside the U.S. for a surgery or procedure, has become more popular. Patients go to other countries to have rhinoplasty and other surgery performed at a lower cost. While several other countries, such as South Korea, Columbia, and Italy, may have surgeons willing to perform rhinoplasty at a low cost, the quality and safety standards may not be as closely regulated as they are in the U.S.
The closed vs. open rhinoplasty technique concerns only how the surgeon gets inside the nose to make the required changes, not what’s accomplished with the rhinoplasty procedure itself. Reshaping your nose may include breaking and removing bone and cartilage. If cartilage needs to be added, say, to rebuild the tip of the nose, it’s often taken from the septum, the middle portion of the nose—a technique called a cartilage graft. Cartilage may also be taken from other areas of your body, such as your ear. In some cases, a synthetic material, like a silicone implant, is used; but studies have shown that there may be more complications with synthetics. Cartilage grafts, nasal-bone osteotomies (removal of parts of the bone), dorsal-hump removal, and suture techniques applied to the nasal tip cartilages can all be performed with either the closed- or open-approach rhinoplasty.
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.

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.
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. 
Every surgeon has determined what they feel is appropriate for their expertise and time performing this procedure and taking care of you following the procedure. But what is most important is that after you have done this screening and met with your potential surgeon that YOU feel confident in your choice. You have to stay in budget, but there are MANY other factors to consider! Good luck to you!
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.
Case 60: Facial aging can be hard on someone who is naturally thin by creating a more severe and skeletonized appearance as facial fat is lost. A combined approach was used to create a beautiful transformation, including a trichophytic brow lift, lower lid tightening, and facelift along with a conservative rhinoplasty to straighten and balance her nose. Notice how the eyes are opened up and facial hollows are smoothened without the surprised look that can accompany over-aggressive lifts. You’ll also see that incisions are hidden within the hairline and natural skin creases making them almost invisible.
The cost of breast augmentation surgery will vary according to many factors, including the type of implant used, the experience of the surgeon, the surgical facility etc. The fee for this surgery in our  Montreal practice will usually vary from about $7500.00 - $8500.00. These prices including all costs and taxes, as well as all follow-up visits. Financing is available for patients who desire it.
Avoid blood-thinning medications such as Ibuprofen (Motrin or Advil), Aspirin, naproxen (Aleve) for 5 days prior to your treatment and for 3 days after.  These may increase your chances of bruising.  Inform your doctor if you are on any prescription blood thinning medications (do not stop taking prescription medications unless specifically instructed to do so).
Chin augmentation and chin reduction are the two most common treatments to combine with rhinoplasty. To perform chin augmentation, a surgeon places a silicone implant through an incision inside the mouth or just under the chin. In chin reduction, the incisions are placed in the same locations. Then the surgeon reshapes the chin bone, carefully removing millimeters of material to create a more aesthetically pleasing shape.
The closed vs. open rhinoplasty technique concerns only how the surgeon gets inside the nose to make the required changes, not what’s accomplished with the rhinoplasty procedure itself. Reshaping your nose may include breaking and removing bone and cartilage. If cartilage needs to be added, say, to rebuild the tip of the nose, it’s often taken from the septum, the middle portion of the nose—a technique called a cartilage graft. Cartilage may also be taken from other areas of your body, such as your ear. In some cases, a synthetic material, like a silicone implant, is used; but studies have shown that there may be more complications with synthetics. Cartilage grafts, nasal-bone osteotomies (removal of parts of the bone), dorsal-hump removal, and suture techniques applied to the nasal tip cartilages can all be performed with either the closed- or open-approach rhinoplasty.
We think you shouldn’t have to wait to look better, and more importantly, feel better about yourself. To help you afford breast augmentation costs, we offer financing options. Once you apply, we’ll take a look at your credit history to determine your qualification and financing amount. Upon approval, you can schedule your procedure, and then make monthly payments.

Case 3: A curvature and droopy tip brings undue focus to this young man’s nose. Although there is still some swelling in these early post-operative photos, we can already see a nose that is now straight, has a smooth profile and no longer droops. A sense of length is preserved to match his oval face. More than that, because of these positive changes, he also looks younger.
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