The results are usually permanent, aside from normal changes that come with the aging process. If you’re really not happy with your results or have breathing difficulties once your nose has healed, you may be a candidate for a revision rhinoplasty. In many cases, scar tissue is the main culprit. “The force of a scar is very strong,” says Dr. Miller. “It can pull a nose one way or another—push it in, pull it out, turn it.” When this happens, a surgeon has to go back in and tweak the work. 
A rhinoplasty reshapes your nose, changes the shape of your nostrils, removes a bump or corrects an injury to the bridge of your nose, or addresses other issues, such as breathing problems. In some cases, people choose to have a nose job in order to correct a defect in the nose that makes it difficult to breathe. In short, a good nose job is one that achieves your personal vision for the surgery and doesn’t require additional procedures.
Facial plastic surgeons and board-certified plastic surgeons are the specialists to go to for nose surgery. Facial plastic surgeons do their residency training in otolaryngology, or head and neck surgery, followed by fellowships in facial plastic surgery. Facial plastic surgeons should be certified by the American Board of Facial Plastic and Reconstructive Surgery. Plastic surgeons do their residency training in general surgery followed by a fellowship in plastic surgery. They should be certified by the American Board of Plastic Surgery.
One of the main things to keep in mind regarding medical tourism is how difficult it may be to see or even contact your doctor after surgery. Follow-up appointments are extremely important. When surgery is performed internationally, patients either miss post-operative appointments or have to stay in the area for an extended period of time. When you have surgery closer to home, you can more easily attend these appointments and visit your surgeon if any other problems or concerns arise. Many surgeons like myself will revise their own work at no additional charge except for anesthesia fees or surgical venue fees.
Don't be afraid to ask questions. Make a list of questions you want to ask your physician and bring it with you to your Botox consultation. That way you won't forget what you want to ask. Ask how much the treatment will cost, how many units of Botox you will need, how long the he/she has been giving Botox injections, etc. Ask about side effects, risks, and how you should take care of your skin after Botox and how often someone with your skin condition should get Botox.
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.

I needed very little convincing before making my way down to the Cadogan Clinic, one of the very best locations in London (might I add) to speak to Nurse Libbie Wallace, a master in her field. After filling in a short consultation form, Nurse Libbie asks me how old I am. After replying 28, she chuckles a little, but continues… I’m not the youngest client she’s had walk through the door, but she does tell me that she would only ever treat those that actually can benefit from the treatment, ‘It’s important that I manage patients expectations’.
For my patients, I also provide a post-operative packet. This includes arnica and other ointments, gauze and tape, an ice pack, and nasal decongestant spray. If your surgeon does not provide these items to you before or after your surgery, they are all helpful during the healing process. I encourage my patients to get anti-nausea medication for the first few days following surgery as well.
One final note: In today's rough-and-tumble economy, many specialists with little or no training in the field of plastic surgery are turning to cosmetic procedures to increase revenues. They are also offering these procedures at reduced costs. Don't be fooled. Many of these practitioners have only taken a weekend course on how to perform your surgery. You get what you pay for.
While more experienced surgeons may charge more for their expertise, that’s not always the case. “You should not choose a qualified surgeon based on high fees any more than you should choose one based on low fees,” says Boca Raton, Florida plastic surgeon Dr. Hilton Becker in a RealSelf Q&A. “The most important factors should be education, experience, certification, and your ability to feel comfortable with your surgeon.”
The overall cost for breast implants varies based on your location, the doctor you employ and the type of implant you select. In 2014, the average cost of breast augmentation surgery was $3,708, according to statistics from the American Society of Plastic Surgeons. This cost doesn’t include anesthesia and other related surgery costs, so it’s possible for the procedure to cost as much as $5,000 to $10,000.
You can also ask to see before and after photos and testimonials from past patients. In addition to making sure your surgeon is highly experienced, you should feel comfortable talking to him or her. Do you feel the surgeon is hearing you and understanding your goals for the procedure? Establishing a rapport with the surgeon is extremely important to ensure that you get the results you want. 

Although cost is certainly an important factor when it comes to deciding where to have a nose job, making sure you find the right surgeon should be at the top of your list of needs. After you do your online research or talk to friends who have had the same or a similar procedure, schedule a consultation with your top choices. At the consultation, come prepared with questions to address all of your concerns and ensure that your needs will be met.  Some questions to ask include:
The anesthesiologist charges a separate fee for their services. Your doctor may use an anesthesiologist or a certified nurse anesthetist. You can either have IV sedation, which means you are heavily sedated but not asleep during the procedure, or general anesthesia. These two options carry different price tags. A nurse anesthetist typically charges a little less than an anesthesiologist. The difference between the two is that an anesthetist typically only has to complete a nursing program, while an anesthesiologist is a licensed medical doctor who went through medical school.
This category includes costs such as prescriptions for antibiotics and pain relievers and support garments that are worn after your procedure. Overall, miscellaneous costs are low. Your prescription costs will depend on how many your surgeon prescribes and how much of the cost your insurance covers. At minimum, you'll have prescriptions for pain medication and antibiotics. Some surgeons may also prescribe medications for:
Multiple procedures can be combined in one surgery; for example, septoplasty (which straightens or repositions the bone and cartilage between your nostrils) is often performed along with rhinoplasty. The additional procedure will increase the total cost of the surgery, but (because it can solve breathing problems) the septoplasty may be covered by your insurance. Rhinoplasty, on the other hand, is usually considered elective and rarely covered.
It is also possible for implants to rupture and leak. If saline implants rupture, the saline will be safely absorbed by the body. A silicone leak may stay inside the implant shell or leak outside of the shell. When a saline implant ruptures, it will deflate. But silicone breast implants may cause no obvious symptoms when they rupture. This is called silent rupture.

One final note: In today's rough-and-tumble economy, many specialists with little or no training in the field of plastic surgery are turning to cosmetic procedures to increase revenues. They are also offering these procedures at reduced costs. Don't be fooled. Many of these practitioners have only taken a weekend course on how to perform your surgery. You get what you pay for.
The anesthesiologist charges a separate fee for their services. Your doctor may use an anesthesiologist or a certified nurse anesthetist. You can either have IV sedation, which means you are heavily sedated but not asleep during the procedure, or general anesthesia. These two options carry different price tags. A nurse anesthetist typically charges a little less than an anesthesiologist. The difference between the two is that an anesthetist typically only has to complete a nursing program, while an anesthesiologist is a licensed medical doctor who went through medical school.
"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."
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).
Although cost is certainly an important factor when it comes to deciding where to have a nose job, making sure you find the right surgeon should be at the top of your list of needs. After you do your online research or talk to friends who have had the same or a similar procedure, schedule a consultation with your top choices. At the consultation, come prepared with questions to address all of your concerns and ensure that your needs will be met.  Some questions to ask include:

The results are usually permanent, aside from normal changes that come with the aging process. If you’re really not happy with your results or have breathing difficulties once your nose has healed, you may be a candidate for a revision rhinoplasty. In many cases, scar tissue is the main culprit. “The force of a scar is very strong,” says Dr. Miller. “It can pull a nose one way or another—push it in, pull it out, turn it.” When this happens, a surgeon has to go back in and tweak the work. 


One of the main factors that influences how much breast implants cost is whether you choose silicone or saline breast implants. Saline implants cost between $800 and $1,000. Silicone cost between $1,800 and $2,000. On average, silicone implants cost up to $1,000 more than saline implants. While the prices of implants are set by the implant manufacturer, you can always expect that your procedure will cost more if you choose silicone over saline. Newer implant designs, such as IDEAL® implants, also tend to cost more. IDEAL implants, in particular, cost more because they are designed with a special shell that prevents silent rupture. Implant surgery costs by type 

The best reaction came from my mum, who is always honest. She isn’t afraid to tell me I look tired, pale or spotty, but when I saw her after my treatment she couldn’t have been more complimentary. After confiding in her that I had botox she yelped and said, ‘Wow you did really need it, now you look so fresh, like you’ve had a month of great sleep’. Thanks mum.


In addition to the financial cost of breast implants, women need to be aware of the emotional cost when asking how much do breast implants cost. Not knowing the status of their implants can take a toll on woman’s peace of mind. Recent survey findings* showed over 98% of women reported feeling concerned about silent rupture, including many women who already had silicone gel implants. When rupture is detected, it can result in feelings of insecurity and anxiety, as they don’t know how long it has been going on or whether they could have found out sooner. Both the worry and reality of silent rupture take a real toll on a woman’s overall well being, yet too many women don’t have all the facts before making a decision about their choice of implant.


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.

“The old saline implants offered peace of mind but a less realistic result; silicone gel implants offered a more realistic look and feel but with concerns about silent rupture as well as long term safety and complications. The timing could not be better for the structured breast implant, which uniquely offers women the benefits of natural look and feel in addition to an unparalleled safety profile and peace of mind. This would be my personal choice for breast augmentation and has become the choice the majority of informed women in my practice are making for themselves.”


Do not receive BOTOX® Cosmetic if you: are allergic to any of the ingredients in BOTOX® Cosmetic (see Medication Guide for ingredients); had an allergic reaction to any other botulinum toxin product such as Myobloc® (rimabotulinumtoxinB), Dysport® (abobotulinumtoxinA), or Xeomin® (incobotulinumtoxinA); have a skin infection at the planned injection site.
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