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.
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.
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When rhinoplasty is performed primarily for cosmetic purposes, it is rarely covered by insurance. However, insurance companies will often pay for procedures to correct a deviated septum or other breathing issues. A doctor's administrative staff can help patients determine whether they are eligible for insurance coverage. In many cases, they will even file the claim and handle any other paperwork.


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.
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.
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. 
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.)
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.
Tell your doctor about all your medical conditions, including: plans to have surgery; had surgery on your face; have trouble raising your eyebrows; drooping eyelids; any other abnormal facial change; are pregnant or plan to become pregnant (it is not known if BOTOX® Cosmetic can harm your unborn baby); are breast-feeding or plan to (it is not known if BOTOX® Cosmetic passes into breast milk).
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.
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.
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.
Case 44: One of the hardest things to accomplish in a nose job is giving a person a smaller version of the same nose. In Los Angeles, where small differences can mean everything, doing Finesse Rhinoplasty is common. Even at 6 months, you can see that, on profile, this patient’s tip is less projected but he still has a strong masculine profile. On base view, you will also notice the deprojection and the fact that alar base reduction can be done with no visible scars and maintenance of the natural nostril curve.
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:
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.
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.
2. Who will be administering your anesthesia and is it general anesthesia? This will be a big factor in your cost and a significant difference in levels of training and responsibility. If you have any underlying medical condition, I strongly recommend you seek an Anesthesiologist who would be prepared for any emergency, should something occur during your surgery. I personally also do not recommend "awake" breast augmentation procedures.There are few board certified plastic surgeons that will offer you this option.3. Is your procedure being performed in an accredited operating suite? And if so, does the surgeon have admitting privileges at a hospital? Non-surgeons and other physicians that are not plastic surgeons circumvent this process by performing surgery in their offices or in outpatient surgery centers where the credentialing process is less rigorous or nonexistent. In these settings non-plastic surgeons perform procedures in which they have no formal residency training. I am not warning against use of outpatient surgery centers or in-office procedures. I am only recommending that you check that your physician has hospital privileges for these same procedures.
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

The Ministry of Health will usually cover the portion of the procedure that is done to correct a breathing problem (septoplasty or turbinate reduction). Sometimes the Ministry of Health will cover septorhinoplasty to straighten a deviated nose when this occurs as the result of trauma or congenital birth anomaly. This requires prior approval from the ministry. Private insurance plans generally do not cover cosmetic surgery.


Hi tornrose, The cost of breast implant surgery will vary a great deal depending on what part of the country you live in, the type of implants used, how experienced your surgeon is, what type of anesthesia is used, there are just so many variables that will determine the costs. Some things I would urge you to consider after you've been on a few consultations and seen the average price in your area: 
The Rhinoplasty price includes a confidential consultation to discuss the concerns you have about your nose and consider the options that are available to you. Your photos are taken, and then the 3D VECTRA imaging system is used, allowing a 360-degree view so you are able to plan out the outcomes you would like to have and agree upon a surgical strategy with Dr. Torgerson.
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