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Rhinoplasty is usually performed to alter the size and shape of the bridge and/or tip of the nose. Reshaping is generally done through incisions inside the nose, but there may also be an incision passing across the central portion of the nose between the nostrils. It is sometimes necessary to narrow the base of the nose or reduce the size of the nostrils, which involves removing small wedges of skin at the base of the nostrils. The nose is reduced, or sometimes built up, by adjusting its supporting structures, which is done either by removing or adding bone and cartilage. The skin and soft tissues then redrape themselves over this new "scaffolding".
Another technique, open rhinoplasty, can sometimes benefit patients who need more complex correction or are undergoing a secondary rhinoplasty procedure. A small incision is made outside the nose across the columella (the tissue that divides the two nostrils). This enables the plastic surgeon to turn the outer tissue of the nose back, providing visualization of the structures inside. Additional incisions, like those used in the traditional closed approach, are made inside the nose as well. The scar resulting from the incision on the outside of the nose eventually becomes barely visible.
Sure. Plastic surgery financing is now becoming common place in plastic surgery offices around the country. During your consultation, a member of the office team can explain your financing options with you and let you know how to get in touch with the providers to apply for a loan. Many banks provide financing for elective procedures as well.
Most plastic surgery procedures are performed on an outpatient basis. In some cases, usually when the surgery is very extensive or complications arise, an overnight stay might be required.
Each plastic surgery procedure carries a different level of discomfort, and requires different methods of anesthetizing. In most situations, the patient's preferences for safety and comfort, as well as personal pain threshold, can help determine what type of anesthesia will be used. Very minor, non-invasive surgeries might involve a topical anesthetic, while minor invasive surgeries may call for local anesthetic or local combined with sedation. In more involved surgery, general anesthesia is usually used.
That can depend on the surgeon. Most plastic surgeons are affiliated with local hospitals and can arrange operating room times as needed. Many carry out a similar procedure at surgical centers, while other surgeons have private surgery suites in their own office space. You'll find that many plastic surgeons fit into all or most of these categories, and offer options to each patient. They would then help you choose your surgery location based on comfort, safety, scheduling issues, and sometimes geography issues (which surgery location is closest to home, etc.).
Cosmetic plastic surgery is performed to enhance or change a healthy, normal, functioning part of the body. Nothing but the patient's desire for physical improvement necessitates cosmetic plastic surgery. Reconstructive surgery, however, is intended to correct a physical abnormality caused by a birth defect, disease or tumor, physical trauma, or infection. The goal of reconstructive surgery may be to restore function or to achieve physical normality.
When the plastic surgery procedure is being performed for cosmetic reasons, insurance will not be involved. When the surgery is necessary for reconstructive purposes, however, it may be partially or fully covered by insurance. Plastic surgery procedures that may be covered by insurance often include breast reconstructive (after a masectomy), rhinoplasty (for breathing problems), tummy tuck surgery (for gastric bypass patients) and eyelid surgery (to correct vision problems).
There isn't any overarching rule as to the right age for plastic surgery. In fact, the appropriateness of a certain procedure should be determined more on a case by case basis, looking at the individual's unique body type and aging process. Of course, there are age tendencies for certain procedures. Facelifts generally are not performed on patients under 30, as mini-lifts or laser procedures might be suggested instead, but this is not a rule. Otoplasty, on the other hand, is appropriate for adults or patients as young as 5 years old.
The best plastic surgery candidate is someone with realistic expectations and an understanding of the limitations set by medicine, technology, and each patient's own body. Good candidates have a strong self-image, and well-developed reason for pursuing a plastic surgery procedure. They are looking for improvement of a physical trait, knowing that while this positive change may enhance their self-image, it will not change people's perception of them. Dangerous motivations for plastic surgery would be purely doing it to gain popularity, or attempting to reverse recent life crises.
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