Tag Archives: Rhinoplasty

Hey, You Look Just Like Me!

25 Dec

Let’s Face it (a little pun for you!), the generic face is not attractive.  Beauty should be individualized.  It includes style and personality.  That’s what sets you apart from being just “another pretty face.” Beauty Defined.

Devan (the girl I live with on the North Shore 2 days a week), turned to me the other day and said, “we look like sisters.”  Well… we certainly did not start out that way.  I’m Boston Bred and Russian/Polish by descent.  She’s from Virginia and sports some very fair skin (more Eastern European).  Several spray tans, a couple of boxes of Juvederm, some cheek augmentation, and a splash of bleach later… and we look like sisters.  Either she’s blind… or we both have the same idea of beauty.

One thing that certainly sets us apart is our noses.  I’m of Jewish descent, and my nose isn’t small.  But it does fit my face.  And I would never change it!  I like classic beauty, and looking youthful… but generic is one thing I could NEVER be on the inside, and my idea of beauty will NEVER reflect that on the outside.

Do I love my nose? Eh.  But it’s me.  I feel like a lot of women complain about their noses.  This is usually because it throws off the balance of someone’s face if it’s not in symmetry or proportion to other features (Proportion: The Rule of Thirds and Fifths).

If it’s broke, let’s fix it, and if it’s not broke… Let’s fix it!

Aside from correcting breathing problems, I rarely recommend rhinoplasty (nnnnnoseeee jobs).  I have seen so many bad nose jobs.  A lot of surgeon’s just have this generic nose that they put on every face… and then your stuck with it.  Like tattooing your eyeliner… it’s forever.  And it’s maximally invasive!  And super expensive!

If only there were some alternatives…………

Oh, but there are!  Depending on what your issues are, there are several less invasive and cheaper options for you to change your nose to be more aesthetically fitting to your face.

Contour with Make-up (cost < $100)

Check out this site.  I think it shows a pretty good tutorial on contouring.  Also, check out YouTube!

http://makeupforlife.net/2011/07/makeup-tutorial-how-to-contour-your-nose.html

For a special event, or a night out, contouring is a cheap, easy way to make your nose appear more aesthetically pleasing.

Lip Augmentation (cost $700)

I have a few clients who have large eyes, large noses, and a wide face… with small lips.  This makes the face look unbalanced and makes the nose look bigger.  By correcting the volume/size of the mouth, the face is put more into proportion.  I have found lip augmentation to balance my facial features, and I am very happy with this option.  My nose is symmetrical, straight, and I have no trouble breathing (i.e. a deviated septum).  Remember, augmentation DOESN’T mean you will look like a duck.  Discuss with your Nurse or Doctor what you find attractive.  (I’ll have to take pics of this. Inbox me if you feel like this would be good for you!)

Liquid Nose Job ($700+)

I have been recommending this to a lot of people lately.   This minimally invasive technique is performed using Botox and Fillers to correct any parts of the nose which are a-symmetric, can raise the tip of the nose, and fix some crooked features.

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Non Surgical Nasal Augmentation

Nothing Replaces… Traditional Plastic Surgery ($$$)

If you have a deviated septum, and have difficulty breathing, or if you have a bump that really needs to be shaved… this might be the best option for you.  If you decide to go under the knife, I have a few suggestions.

Tip #1 : Ask to see LOTS of before and afters. 

It’s hard to get clients to agree to be a “before and after” example when it comes to your nose… because you really need to show the whole face.  And we all want to be “naturally” beautiful.  But your Board Certified PLASTIC Surgeon (see tip below).  A lot of surgeon’s will have a signature style.  If you see all the noses look EXACTLY the same RUN.  You don’t want to look like Michael Jackson.  A generic nose is NOT attractive.  Sometimes the signature style will be shaving too much off the bridge, or making the tip turned up (i.e. the Prince of Pop).  Look very closely at the pics, and if you do see something that resembles a personal “style” of the surgeon, think to yourself: does this fit my face?  my style?

Tip #2: Certifications

Never, ever, ever ever ever see a general surgeon for a plastic procedure.  They are NOT even remotely qualified.  Do you want someone who wears a bow-tie, can’t dress themselves, and doesn’t know the first thing about make-up to be working on your FACE?  Well… when I put it that way, I hope you say no.

Look into what those letters stand for.  Anyone can throw a bunch of letters on a page and make themselves look qualified.  I’m a Latisse Lash Expert (brush my shoulder off!) – this took me twenty minutes of watching a tutorial (ok, I fast-forwarded the whole thing and just took the quiz at the end).  But it sounds cool, doesn’t it!?!

Tip #3: Don’t Cheap Out

Dr. A will do a nose job for $2,500 and Dr. B will do it for $10,000.  Financially, seems like a no-brainer.  Realistically, Dr. A is probably not a Board Certified Plastic Surgeon (or a Doctor at all for that matter) and your procedure will be done in a basement under local anesthesia smuggled in from Brazil. And please stay out of Brazil.  When you get your surgery botched (which you will) insurance will not fix it.

If you’re going to opt for surgery, let’s be real.  It’s expensive.  It lasts forever.  In this case, it’s your FACE.  Real Surgeon’s know what they’re worth and they are NOT cheap.

In the same respect, if the price is outrageous… you’re a sucker.  Which leads us to Tip 4.

Tip #4: STAY AWAY FROM NEWBURY STREET

You’ll be overcharged for a generic “masterpiece.”  Actually, stay off of Newbury for any type of beauty service.  I’ve heard more horror stories from that street than ANYWHERE.  (I will name no names).  Even for hair… I’m not impressed.  And fashion… Charles Street Hands Down!  (I digress).

Tip #5:  Have a consultation.  Ask the right questions.

Check out this post if you’re Thinking about a NoseJob/Breast Aug/Lipo/Tummy Tuck? … Butt Implants?.

There are always alternatives, and remember to always put safety first!

Happy Holidays Y’All

I think I’ve been hanging out with Devan too much!
 
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Thinking about a NoseJob/Breast Aug/Lipo/Tummy Tuck? … Butt Implants?

15 Dec

I go with a lot of my clients to their consultations and watch a lot of procedures with a plastic surgeon.  My wonderful friend called me at 8 this morning to ask me what she should ask at her consult (apparently she forgot I am NOT a morning person).  I jumped out of bed though, because I remembered I had a lists!  I love lists ALMOST as much as I love white boards!

I know Plastic Surgery isn’t for everyone, but I think if you are contemplating it, you should be prepared from the beginning; starting with the right surgeon can make all the difference in the world!

Plastic Surgery:  Making the Best Decision

Brief important plastic surgeon qualifications

Please check out www.plasticsurgery.org to see if your surgeon is ASPS accredited.  If they are ASPS accredited you are in good hands.

Each ASPS member must meet the following:

  • At least five years of surgical training and a minimum of two years of plastic surgery training.
  • Board certified by The American Board of Plastic Surgery or The Royal College of Physicians and Surgeons of Canada.
  • Trained and experienced in all plastic surgery procedures, including breast, body, face and reconstruction.
  • Peer-reviewed for safety and ethical standards prior to attaining the honor of active membership.
  • Only operates in accredited facilities.

When making the choice:

  • Use your head not your heart in making the selection.
  • Bring before and after photos, if possible, to show what you want.
  • Research the doctor, call other patients for recommendations.
  • Get a recommendation from your bariatric surgeon.
  • Meet the doctor and get to know him or her; you trust yourself to his or her care, so you need to feel comfortable with the person.
  • Use the term “reconstructive surgery” with your insurance company, since “plastic surgery” is often considered to be “cosmetic” or “elective” and hence is not covered.

Questions to ask:

1.  Are you an ASPS member surgeon? If he or she answers “yes” you can rest assured that your surgeon is board certified in plastic surgery, has hospital privileges and only performs surgery in accredited facilities.
2.  Are you board certified by the American Board of Plastic Surgery or The Royal College of Physicians and Surgeons of Canada?
3.  Do you have hospital privileges to perform this procedure?   If so, at what hospital? Is the surgical facility accredited?
4.  Am I a good candidate for this procedure?
5.  What will be expected of me to get optimal results?
6.  What are the risks involved with my procedure?
7.  Will I need to take time off work?  If so, how long?

What you should ask about the procedure

8.  What is the simplest and safest surgery to help me achieve my goals?
9.  How is the surgery performed?
10.  What is the expected length of operation?
11.  Are other options available?
12.  What results can I expect, and how long do the typical results last?
13.  Where will scars be located, and how noticeable will they be?

What you should ask about your surgeon’s experience

14.  How many times has the surgeon performed this procedure?
15.  How long has the surgeon been performing this procedure?
16.  How many times per year does the surgeon perform the procedure?
17.  How many patients have required re-operation or touch-ups?
18.  What complications may occur?
19.  How frequently do these complications occur?

What you should ask about logistical matters

20.  What preparation is required the day before and morning of surgery?
21.  Should my regular medications be taken on the morning of surgery?
22.  What time should I arrive at the surgery location?
23.  Should someone drive me?
24.  Should someone wait at the surgery location or come back later?

 

What should you ask about emergency plans

25.  What emergency plan and equipment are in place to provide for my needs in the event of an emergency?
26.  Are the surgeon and staff certified in Advances Cardiac Life Support? (ACLS)?
27.  Does the surgeon have admitting privileges at a local hospital should problems arise during my office surgery? (Call the hospital to confirm)
28.  How would I be transported to this facility?
29.  Has an adverse event ever occurred in the past?

What should you ask about the recovery process

30.  What kind of care will I require?
31.  When will I be able to go home? Is an overnight stay required, or is one available if I prefer?
32.  Who will attend me in the case of an overnight stay?
33.  Will I need someone to drive me home?
34.  If a problem arises after I go home, who answers calls after hours and on weekends?
35.  If I need to be seen after hours, where will this occur?

36.  If I need help in my home, is a private duty nurse available?  At what cost?

37.  Are any special garments, medications, or diets required during the recovery period?
38.  How much pain/swelling/bruising is to be expected? How long are these likely to last?
39.  How long does the entire healing process last?
40.  How many follow-up visits are necessary?
41.  Who performs the skin care/post-operative follow-up/suture removal?
42.  When can I wear makeup?
43.  When may I return to exercise/bathing/driving/normal activities/work?
44.  At what point will I feel comfortable in a social setting?
45.  What if I am dissatisfied with the results or with the degree of changes achieved?
46.  If touch-ups are necessary when would that be performed?

What about fees

47.  Does the cost depend on where my surgery is performed?
48.   Will I need to see another physician prior to surgery for examination or testing because of a preexisting medical condition?

49.  Who pays this cost? Will my regular family doctor suffice?
50.  If a complication causes me to be transported to a hospital or stay overnight, who pays for this additional cost?
51.  If I request multiple procedures, can they be performed at the same time? What are the cost savings?

52.  What options are available for payment?

53.  Does the office accept credit cards?
54.  Is a payment plan available to patients?
55.  What is the refund policy should I change my mind after paying in full?
56.  Is my surgery covered by my insurance plan?

After discussing all of the factors involved with your proposed procedure with the surgeon, you should have a sense of whether or not the surgeon is right to you.  Take note of and consider whether the surgeon:

  • Listen and understand your priorities, opinions, and requests?
  • Communicate concern, compassion, request and honesty?
  • Instill confidence in you?
  • Display confidence in his or her ability to care for you?
  • Seem distracted, or come across as arrogant or curt?
  • Seem patient and willing to spend time to answer all your questions and discuses your concerns?
  • Condescend; talk down or under estimate your intelligence?
  • Make eye contact or continually jot down notes in the chart as you spoke?
  • Display positive body language?
  • Confuse you or offer clear explanations?
  • Appear to be selling you the procedure?
  • Adequately discuss any preexisting medical conditions you might have?
  • Encourage your family to participate in the consultation and decision-making process?

Do you:

  • Feel that you have established forthright communication and a positive rapport with the surgeon?
  • Trust your life to this surgeon?
  • Feel the Surgeon is acting in your best interest?
Remember, Aesthetic Augmentation is no one’s decision but yours. 
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