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Explore what others have to say about Rhinoplasty Plastic Surgery of the Nose with answers by Dr. Michael Bermant, MD.

Michael Bermant, MD
Board Certified by the American Board of Plastic Surgery

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This is the page where you can review questions and stories from patients, view the opinions of lay persons, and see answers from Dr. Bermant and other physicians. Do you want to ask a question, post an answer, or make a comment? Information E-mailed to me will be considered for posting.

  • Why did you choose to have the surgery?
  • How did you choose your doctor?
  • How much did it cost?
  • Was the final cost the same as what you were told before the surgery?
  • How was the recovery?
  • Were there any complications? How were they resolved?
  • How do you feel about the results?
  • Did it have any effect on your life
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  • What would you advise others?
Information posted in this section does not necessarily reflect the opinion of Dr. Bermant.

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Rhinoplasty Nasal Surgery Important Information

Question: Re: college student rhino

In terms of the variability in cost, does that have to do with any physical ailments that the patient may have in terms of his/her nose (i.e. deviated septum, etc) or does that simply have to do with the degree of change that the patient would like to see in terms of the outcome?

Thank you.

-C

Dr. Bermant answers:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

Prices for the surgeon's fee vary depending on if the rhinoplasty is primary or secondary (redo), if the bones are involved or just the cartilages of the tip. It also varies if the septum is involved and if distant graft sources are needed. Other factors may be involved in the price.

Operating room fees vary depending on the type of case and need for anesthesiologist. The other factors you mention can come into play here. Information about our prices can be found here or by calling our office.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD


Question: Re: question rhinoplasty

I am thinking about getting a hump removed from my nose. I was wondering if you could give me an estimate on how much something like that would cost including everything the procedure takes because i want to do it with out my parents knowing. It is not a large hump, but my main concern is if i can even afford the procedure.

I am 19 and still on my parents insurance, but i am leaving the house and going to pheonix and i have some extra money. Please respond as quick as you can.

Thanks, c

Dr. Bermant answers:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

Rhinoplasty is the name for a large number of operations. The cost depends on the particular type of surgery, where the surgery is done, and the type of anesthesia. An introduction to our prices can be found here, if you want more detail, please call our office.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD


Question: Re: Rhinoplasty

Hi!

My Name is E and I am from Ohio. I am a 23yr old college educated female who has considered Rhinoplasty as long as I can remember. I am in the process of researching this type of cosmetic surgery and I'm beginning to search for a notable plastic surgeon who I can possibly trust in. As of now, I'm curious to find out what a procedure like this might cost, and what type of payment plans are available. Thank you Dr. Michael Bermant, MD, for your time. Hope to

hear from you soon.

Sincerely, E

Dr. Bermant answers:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

You are doing the right thing and taking your time to learn about the operation before proceeding. Education is an important part of the process. Have you visited out website yet? Please check out the extensive patient question and answer sections there.

Rhinoplasty is the name for a large number of operations. The cost depends on the particular type of surgery, where the surgery is done, and the type of anesthesia. An introduction to our prices can be found here, f or more information about our prices, call our office.

We have been discouraged by the various payment plans that we have found. The patient ends up paying much more for the operation in the long term. We also do not want to be associated with some of the problems with collection tactics that some agencies use.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD


Question: re rhinoplasty

Hi, I'm thinking of having rhinoplasty. A horse bite me in the face about five years ago. I had a rather large nose with a ball on the end, but it really didn't bother me too much. But, as I've aged, coupled with the scar from where the horse bit me my nose seems to have caused the bulbous area to have more definition. I am worried that the scar will make it more difficult to pull the skin away from the nose to do the surgery. The doctor I saw thinks he can just ignore the scar. It isn't very visible but when it happened it was very deep, and I can feel a definite ridge when I run my fingers over that area (just on the tip of my nose to the left a bit and on the lateral cartlidge (ball). I am worried that in surgery the skin will rip and I will have a worse scar than ever before. Your opinion would be appreciated.

Dr. Bermant answers:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

The doctor who examined you has the distinct advantage of an examination. How can I comment? Some scars can cause problems when the surrounding tissue is elevated. The nose has a very good blood supply and sometimes lets us do things that would not work elsewhere. Sometimes we want to excise the old scar in an attempt to improve the deformity.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD


Question: Re: nose reduction

please send more information on nose reduction and whether or not it's guaranteed and the cost for such a surgery

Dr. Bermant answers:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

I do not know of any surgeons that offer guarantees with surgery, doing so is a misunderstanding of the nature of the operation. You can get some preliminary information about rhinoplasty on my website. Further information is best learned from an office based consultation.

Rhinoplasty is the name for a large number of operations. The cost depends on the particular type of surgery, where the surgery is done, and the type of anesthesia. Preliminary information can be found here, for more price details, call my office.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD


Question: Re: nasal surgery

I was reading your web page and found it very helpful, but i still have a question. I was reading a comment from someone that wrote to you, and they said that the part of the nose between the forehead was still very thick. But see i wanted to know if nasal surgery could reduce the thickness in the bottom of my nose so that all of my nose would be the same thinness as the top part. But i don't want to change the width of my nose in the forehead area, is it possible for nasal surgery to do this. So basically i want all of my nose to be the same thiness as the top part. Is this hard to do, and how long does healing take. Also does this cost alot because it sounds a lot simpler than reconstructing the entire nose. If you would respond it would be very, very, very helpful.

Dr. Bermant answers:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

The lower part of the nose is the end where the air comes in and gets out. If the bottom of the nose is made as narrow as the part between the eyes, most noses would be too narrow to let air pass. We can make the lower parts of the nose less narrow to a degree. By reducing some of the alar floor, the width of the lower part of the nose is lessened. The lining of the nose continues into the boney air passageway. This limit reduction beyond a certain point unless the bone is also moved. But by that point, there is no air passage left. Changing one part of the nose may require balancing other parts.

This type of question is best answered in an office consultation where computer graphics can demonstrate what surgery can and cannot offer. Cost is a function of what needs to be done. Healing times also depend on the extent of surgery. Wedge reduction of the lower part of the nose heals much faster than surgery involving the nasal bones.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD


Question: Re: rhinoplasty

Dr. Bermant:

I've done a great deal of reasearch on rhinoplasty in the past three months and have seen a varying cost of $3,000 - $5,000 for the procedure. While I want to work with the most competent doctor possible, I don't want to spend more money than necessary. I'm still trying to research alternative payment options.

Any other references you can send me would be appreciated.

R>

Dr. Bermant answers:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

How to choose a surgeon is always a good question. There is no best answer. By price alone is not a good way. Our rhinoplasty prices depend on what the patient needs to have done, the type of anesthesia, and where the operation is performed. Without going to the doctor's office for the educational experience, the examination, and evaluation you will have a real hard time to get a good idea what you want, need, and what is possible. Prices should come after that process. You are paying for the surgery, the educational experience and the care. Our web page was built to demonstrate how we practice medicine and make it easier for patients to learn about us. The patient's education continues here in our office, a surgical plan designed, and then prices discussed depending on what is needed. You may rather a surgeon who takes less time with the patients, has less experience, and has a lower price. Some rather a Big Mac to a filet mignon because the price is so much less and the wait is shorter.

We have decided against deferred payment options as the collection tactics of some of the plans can lead to unpleasant situations for the patients and higher total costs.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD


Question: Re: Rhinoplasty

Dr. Bermant,

I am scheduled for a rhinoplasty on ---. A small bump on the ridge will be removed, the bulbous tip will be made smaller, wide nostrils will be made smaller and moved inwards a little.

My concern is scheduling. I have a 6 yr old and a grandmother at home with me, but I'm afraid of being so limited that I may not be able to have any fun with my son. He showers and dresses on his own, I drive him to school in the mornings, go to work, and read to him. I don't have to cook with my Grandma home. I'll be going back to work ~10 days after surgery. What about taking him places like shopping, movies, baking cookies using ready-made dough, etc. Obviously, I'm not planning on wrestling him, but I feel I may mess up Thanksgiving and the holidays for him, although Christmas will be 5 weeks after surgery. Thanksgiving will be 6 days after surgery.

What will I be able to do at Christmas time, 5 weeks after surgery. Will I be able to go dancing on New Yr's? Are the holidays a good time for surgery, or should I consider sometime after New Years.

Thanks,

J

Dr. Bermant answers:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

The holidays can be a good and a bad time for surgery. It depends on the type of surgery and the support / obligations for work / activity.

These are excellent questions for the doctor who you have chosen to do your surgery. My patients have such questions answered during my consultations or by asking me, their surgeon before surgery. There are many types of rhinoplasty surgery. Each surgeon has their own preferences. Limitations of activity depend on the type of surgery, doctors after surgery management, and that particular patient. I certainly would want MY patients asking me such questions. I would also not be happy with a patient following another doctor's advice for my operation and its after surgery care.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD


Question: Re: Rhinoplasty

I am extremely worried! I asked my surgeon yesterday for a list of previous patients for referral and he called me back and said he could not be my surgeon because he feels nothing he could do would make me happy. I'm the type of person that has to know everything including how and what he's going to cut. I am a computer person so I did a lot of detailed research on the internet, I know a lot about it now - but because of being worried I just asked so many questions because I had to know! The more I know the more it puts me at ease. I as a person have a tendency not to communicate very much at all in all areas of my life, and for once am expressing my concerns and taking a different approach where this surgery is concerned. I interviewed three different surgeons and felt the most comfortable with this one, he was very good with answering my previous questions - I admit I am afraid, I have a need to ask and ask.

This surgeon is a very good one, he's been recommended by many other physicians and is well known in the community. I went all this way in carefully selecting my physician, then I researched the topic in depth and am being very careful to communicate and make sure I ask. I don't understand this, how could my surgeon say no to me.

Lost, Worried, & Frustrated

Thanks,

J

Dr. Bermant answers:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

Question asking is very good for the patient's education. There has to be a limit however, eventually you will need to develop trust. No surgeon can teach a patient ALL the details that go into a rhinoplasty. It takes us years to learn the technique and we do not have years of time to spend giving every detail to a patient. A good surgeon tries to give the information that helps a patient establish that trust so the doctor can proceed with your care.

Experience teaches us when no matter how much time we spend helping our patient become comfortable, that no trust has been established. When we feel unable to satisfy the patient, it is better to stop before the surgery so the patient can find someone where that trust can be established. If a patient has unrealistic expectations, the likelihood of a happy outcome is poor. A good surgeon wants happy patients.

You will need to make a decision. Either help your doctor understand what you really feel about his skills and your expectations, or find another doctor. You may not be able to find a surgeon who will be able to survive your standards, a perfect enough one may not exist.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD


Question: Re: Nose reconstruction

Dear Dr. Bermant:

I was wondering if you are aware of any non-surgical procedures used to change the appearance of the nose. I have a bump on the bridge of my nose which I'd like to have changed. The bump is not all that bad but it's been bothering me for some time. There is a "dip" at my forehead where the nose starts and then it jumps up and is pretty straight otherwise. Is it possible to inject a substance (fat or collagen) just under the skin to fill the "dip" to make the nose appear straighter from the profile view? I'm able to see what this might look like by looking to the side and pushing up on my nose in the area of the dip and it looks pretty good. Thank you for your comments!

P>

Dr. Bermant answers:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

Defects as you describe can be boney or soft tissue. Nasal dorsal boney contour problems can be changed with material (usually cartilage or bone grafts). Soft tissue deformities are less common and have several possible options. Both fat and collagen have poor reputations for staying around a long time when used for soft tissue contour changes. Sometimes the problem is not in the "dip" but in a hump below. This is fixed with changing the dorsum of the nose. All of these options are however surgical. The only non-surgical tricks I have seen are prosthetics ala Star Trek which look good on camera but are an art to master for use in public.

Without an examination, it would be difficult to tell what option would be best

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD


Question: Re: Nose

Hello. My nose is 'bashed in' to the left side of my face, i.e it is straight and the shape is fine, but it points at an angle of something like 75 degrees to the face instead of 90 degrees. It seems that the nasal bone on the left is further into the face than it is on the right. At the bottom of the nose, the tip still points straight ahead - it is just where the nasal bones lie that there is the problem. It is not very obvious when viewed straight on, but is when viewed from the sides. To my knowledge, I have never experienced any trauma which would have made this happen, so it appears to just be a defect I was born with. The problem was not noticeable as a child, but appeared to develop at about the age of twelve or thirteen and became worse through my teens as the nose grew and became more prominent. My doctor thought that this may cause sinus problems or severe headaches, but it has not done. The only apparent effect is that the skin around my left eye appears to be looser and baggier than the right eye. Is treatment possible for this defect? I do not know anything about the surgery, but I imagine that it would be a difficult and expensive process to carry out. Could you describe vaguely what kind of thing this might involve? I cannot afford large sums of money and it would cause me a great deal of disruption to my life if it took a long time for it to recover to a reasonable standard.

Thankyou for your help, in anticipation, J

Dr. Bermant responds

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

Asymmetry can be nasal alone or in conjunction with facial deformity. Nasal problems can be addressed with a rhinoplasty for which there are many possibilities depending on what needs to be done. Facial asymmetry can be a larger problem that sometimes compromises are made as major facial boney movements involve major surgery. Recovery depends on what needs to be done. Cost depends on the type surgery and other factors. You will need to invest in a consultation to begin an appropriate education experience as what options are reasonable for your problem.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD


Question: Re: Rhinplasty from Hong Kong

Dear Dr. Bermant :

I am a Chinese ,living in Hong Kong. I have a snub nose ;besides , the tip and the nostrils of my nose are too wide.

I simply want to have the following improvement(s) if it is possible :

1) Bringing my nostrils closer together

2) Narrow the tip of my nose

3) I want my nose doesn't look like points upwards at the end

I know my dream might hard to come true ,I still want to have nasal surgery anyway ,at least ,it might have some improvements in my appearance . If I could have these improvements , should I go to the U.S. for your help ? Finally ,no matter my dream might come true or not ,please give me a reply.

Thanks ,

Yours sincerely ,

Y

Dr. Bermant answers:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

Yes, we do nasal surgery as you describe and we see patients from around the world. However not every patient has reasonable expectations. During a face to face consultation I help a patient determine what is realistic, and what is only an exercise in computer simulation. Not all wishes can be translated into surgical reality. Some surgeries would result in problems unacceptable to both the patient and the doctor.

Some patients have too wide a columella, that is the column between the nostrils. When they ask to have their nostrils closer together, they mean narrowing the columella.

Other patients have each nostril very wide, such as that seen commonly in an Oriental nose. They ask me to move in the ala walls (the part of the nasal opening where the nose meets the cheek. Depending on the nasal passage anatomy and the width of the upper part of the nose this may involve more simple excision of skin of the nasal opening, or a more extensive of collection of parts of a rhinoplasty (narrowing nasal bones, septal straightening, opening breathing passages). The inside lining continues from the nasal opening to the mucosal lining of the boney air passageway. There are limits on how much movement this connection will take without moving the bone also. Making the nose opening too small can stop the airflow.

Without an examination and evaluation, I can only guess what you are asking. You can only guess if what I am writing is what you desire. The best way to continue the education process is with a face to face consultation. If you prefer to arrange with my office a direct evaluation, we can assist with your travel plans.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD

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