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 .
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.
After the patient is sedated, the surgeon creates tiny incisions inside the nostrils or on the columella. Then he or she carefully lifts the skin to access the underlying bone and cartilage. The surgeon can then remove or graft tissues, as needed. Typically, a doctor uses conservative methods to minimize the impact to the surrounding tissues while still achieving the desired results. When the reshaping process is complete, the doctor lays the skin back down over the new contours of the nose and closes the incisions.
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.
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.
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.
"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."
This 37 year old female patient was troubled by the furrows that were appearing between her brows. These furrows are one of the unavoidable signs of aging, but we were able to roll back the clock a little with a quick application of Botox. We have more Botox ‘forehead lines’ before-and-after photos available at our clinic if you’re interested. You can also schedule your consultation for a Botox treatment, here.
She advises me that there are many conspiracies around botox- staying up right for more than two hours, is false for starters. ‘The solution takes 20 minutes to settle in your muscles, so I do advise you to stay upright for then, any longer wont make a difference’. She does however advise me not to undertake exercise that’s too strenuous or hot following the treatment (fine by me) and to carefully wash my face when I get home, not scrubbing or rubbing too hard.
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.

After relaying to Nurse Libbie that I didn’t want it to look ‘too frozen’, she agrees to give me 10 units across my forehead, and 15 in the centre of my frown- the average dose is between 10-25 units. I lay down across the bed in her treatment room and as she preps the solution, I’m asked to frown and raise my brows. As I do so she inserts the needle, and a tiny dose of botox by Allergen is inserted across six points of my forehead and in between my eyebrows.


On average, RealSelf members paid about $7,500 for a rhinoplasty. This includes the cost of the surgeon, anesthesia, and surgery center. Your cost will depend on your surgeon’s geographical location, their expertise level, and the complexity of your surgery. Insurance doesn’t cover rhinoplasty when it’s purely cosmetic, but it can help if you’re looking for structural corrections to alleviate medical problems. “Insurance will typically cover procedures to help improve nasal function [i.e., septoplasty, nasal valve repair, turbinate reduction],” says Dr. Sam Naficy, a Seattle facial plastic surgeon. “The extent of coverage varies, based on the details of the insurance plan.”

As you probably already know, breast augmentation costs vary depending on the person, the procedure, and the clinic. There's no such thing as "one-size-fits-all" breast augmentation. In addition, the prices clinics charge are usually based on factors such as implant type, the equipment they use, the clinic's accreditation, the skill of the surgical staff, and the surgeon's level of experience.
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.

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.
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.
Case 39: The facial plastic surgeons at PROFILES Beverly Hills tailor every Rhinoplasty to achieve just what you are looking for. Sometimes, the most subtle of changes take just as much effort as the most dramatic ones. This pretty model didn’t want to drastically change her look. Her Los Angeles Finesse Rhinoplasty gave her the refinement she wanted, especially on her front and three-quarter views. Along with fat transfer to the lower eye area, her overall look was softened to make her that much more camera ready.
Smoking does not necessarily disqualify a patient from rhinoplasty, but he or she will need to stop for at least two weeks before and two weeks after the procedure. Additionally, certain medications can inhibit healing. If possible, doctor may recommend safer alternatives. Of course, the doctor also examines the patient's nose. He or she checks skin quality, shape, the amount of tissue, and the condition of the septum.

Rhinoplasty is among the five most popular plastic surgery procedures performed in the United States, with more than 200,000 procedures performed in 2013 alone. [1] During the procedure, a plastic surgeon sculpts the cartilage and bone of the nose to achieve a patient's desired look. For men and women who are unhappy with the size and shape of their nose, rhinoplasty, otherwise known as nose reshaping surgery or a "nose job," offers a safe, effective, and time-tested cosmetic solution. When performed by an experienced, skilled cosmetic surgeon, rhinoplasty can greatly improve the balance of facial features, helping patients discover newfound confidence. Rhinoplasty can also be used to correct structural defects, including those that cause breathing problems.
Rhinoplasty surgery, also known as nose reshaping surgery, can be used to correct a number of aesthetic flaws. The surgery can result in a greater balance of facial features, the elimination of bumps or unevenness, and a noticeable change in the size of the nose. In order to achieve ideal results, however, it is important for patients to be completely candid with their surgeon prior to surgery.
Patients who are unhappy with their previous nose job results are candidates for secondary rhinoplasty. Whether the nose is deemed too small, too large, or improperly shaped, a skilled surgeon may be able to correct the problem. Patients who experience breathing difficulties following rhinoplasty may also opt to undergo a second procedure. Factors influencing candidacy for revision rhinoplasty include:
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.
We think you shouldn’t have to wait to look better, and more importantly, feel better about yourself. To help our patients afford rhinoplasty, we offer several financing options. When you apply, we’ll take a look at your credit history to determine your qualification and financing amount. Upon approval, you can book a date for your procedure. Afterward, you’ll make monthly payments. Financing can help you get where you want to be sooner rather than later.

Rhinoplasties, like other surgeries, especially cosmetic ones, can cost vastly different amounts. The price of any surgery varies with the complexity of the procedure, the expertise and reputation of the surgeon, and the geographic region in which the surgery is to be performed. Prices for the surgery can range anywhere from $3,000 to $15,000. Typically, whatever the fee is, the cost of rhinoplasty does not include anesthesia, operating room facilities, or other related expenses.
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.

If your goal is to improve your appearance, you are surely aware that this procedure can have far-reaching consequences. A refinement of your face can make a substantive difference, not only in your sense of self-worth, and therefore in your personality, but in your personal and professional relationships. Clearly, a rhinoplasty is not something you want to have performed at a bargain rate. By the same token, nobody wants to be taken advantage of, either by a retailer or a medical professional. This is why it is wise to be diligent in your research before choosing a rhinoplasty surgeon.
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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.

As with any injection, injury can occur. An injection could result in localized infection, pain, inflammation, tenderness, swelling, bleeding, bruising, etc. BOTOX may cause asthenia (lack of strength), muscle weakness, somnolence (drowsiness), dizziness and visual disturbance, which could affect driving and the operation of machinery. If there is a reaction, further injections of BOTOX should be discontinued. Patients or caregivers should be advised to seek immediate medical care if swallowing, speech or respiratory disorders arise.
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. 

Case 40: Excessive nasal width can cause the nose to dominate other fine, delicate facial features. In Ethnic Rhinoplasty, the key to obtaining a more refined nose is to create a nasal framework upon which the thick skin will wrap around. This pretty young Persian woman wanted to reduce her nasal width, the fullness in her tip, and the sense that her tip was downturned. These six month photos show significant improvements in achieving these goals and her nose will only get better yet.
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.
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 33: For this young woman, the nose felt boxy and unrefined in comparison to her more defined facial features. Goals of rhinoplasty included lifting and definition of the tip along with subtle hump reduction to create a more sleek and streamlined nasal contour. Achievement of these goals creates a nose that harmonizes rather than dominating other features.
After relaying to Nurse Libbie that I didn’t want it to look ‘too frozen’, she agrees to give me 10 units across my forehead, and 15 in the centre of my frown- the average dose is between 10-25 units. I lay down across the bed in her treatment room and as she preps the solution, I’m asked to frown and raise my brows. As I do so she inserts the needle, and a tiny dose of botox by Allergen is inserted across six points of my forehead and in between my eyebrows.

This 37 year old female patient was troubled by the furrows that were appearing between her brows. These furrows are one of the unavoidable signs of aging, but we were able to roll back the clock a little with a quick application of Botox. We have more Botox ‘forehead lines’ before-and-after photos available at our clinic if you’re interested. You can also schedule your consultation for a Botox treatment, here.
Smoking does not necessarily disqualify a patient from rhinoplasty, but he or she will need to stop for at least two weeks before and two weeks after the procedure. Additionally, certain medications can inhibit healing. If possible, doctor may recommend safer alternatives. Of course, the doctor also examines the patient's nose. He or she checks skin quality, shape, the amount of tissue, and the condition of the septum.
However, it’s not without real risks. A liquid nose job should be done only by a skilled plastic surgeon with extensive knowledge of facial anatomy, using only hyaluronic-acid-based fillers. Misplaced filler can cut off blood flow and cause skin necrosis (tissue death). If it’s caught quickly, the hyaluronic-acid filler can be dissolved by a doctor, using an injection of hyaluronidase. But because this risk is serious, fillers have not been approved by the U.S. Food and Drug Administration for use in the nose. 
This site is intended to educate the public on facial plastic surgery based on personal experience and opinions from Board Certified Beverly Hills Plastic Surgeons Dr. Litner and Dr. Solieman. Information provided on www.beverlyhillsprofiles.com should not be used for the purpose of medical diagnosis or treatment. Google+ page edited by Dr. Jason Litner and Dr. Solieman | Privacy Policy | Accessibility Statement
Like facelift surgery, brow lift surgery eliminates sagging skin and reduces deep creases. However, brow lifts specifically target the forehead and the area between the eyebrows. The doctor creates an incision along the hairline or the crown of the head. Then he or she lifts the underlying muscles to reduce frown lines, vertical creases, sagging eyebrows, and hooded brows.
This site is intended to educate the public on facial plastic surgery based on personal experience and opinions from Board Certified Beverly Hills Plastic Surgeons Dr. Litner and Dr. Solieman. Information provided on www.beverlyhillsprofiles.com should not be used for the purpose of medical diagnosis or treatment. Google+ page edited by Dr. Jason Litner and Dr. Solieman | Privacy Policy | Accessibility Statement
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. 
Case 34: Hispanic Rhinoplasty in this patient meant removal of a high dorsal bump on profile and correction of a droopy-appearing tip. On front view, there is correction of a left nasal bone fracture and refinement of the nasal tip. All of this was done while still maintaining her unique individuality and while bearing in mind the various challenges Rhinoplasty in Latino patients present- thicker skin and softer cartilage.

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.
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