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Sculpting Your Nose with Rhinoplasty

Sculpting Your Nose with Rhinoplasty

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Rhinoplasty is surgery on the nose. The procedure can be done for medical reasons, breathing problems, birth defects, or injury, or it may simply be done for aesthetic cosmetic purposes.

Rhinoplasty Procedures

There are two types of rhinoplasty procedures. The first type is known as an open procedure. With an open procedure, a minor incision is made between the nostrils, enabling them to lift that portion of nasal skin off the nose for better visibility of the cartilage and bone. This procedure gives the surgeon more control over the patient’s nose because they are able to see the bone and cartilage. An open rhniplasty will leave a scar; however, for a skilled surgeon the scar will not be visible from a standard viewing distance.

The other type is closed rhinoplasty, where incisions are made on the inside of the nose, thus concealing any evidence of surgery. However, in some cases your surgeon may not be able to get to the target areas in order to perform the surgery sufficiently.

There are advantages and disadvantages of either type of rhinoplasty surgery. Therefore, it is necessary to consult with your surgeon to determine which type would be best suited for your situation.

Finding the Right Surgeon

Although nose shaping has been around for many decades, it does require incredible ability by the surgeon. Your doctor should have the proper certification and experience necessary to perform the given procedure.

Interview at least two or three plastic surgeons, he, or she should be board certified, and have a minimum of 5 years experience. During the consultation, ask how many rhinoplasties they have done in the last year, consider how well the doctor listen to your ideas, ask to see examples of their work and what can they do for you.

Likewise, if you are going to have general anesthesia, be sure the American Board of Anesthesiology has certified your anesthesiologist. In addition, make sure that you can be rapidly admitted to a nearby quality hospital in the event of unforeseen complications.

Rhinoplasty Fees

Surgeons fee: $3,500
Anesthesiologist: $700
Facility fee: $800
Average Total Cost: $5,000

Rhinoplasty is usually not covered by insurance unless the procedure is performed for medical reasons, e.g. birth defect, or accident. Therefore, you should consult the surgeon’s office about payment plans or seek out a finance company that specializes in medical loans. If your insurer says that it is covered, be sure to get pre-authorization from them before the operation.

Complications

If you are careful and selective about whom you choose for your surgeon, anesthesiologist, and of course operating facility, there is only a less than 5% chance of any complications.

However, a possible risk you will need to consider and accept before having cosmetic nose surgery is revision rhinoplasty. First, because nose surgery is a difficult procedure and secondly, following the surgery your nose can change in ways which cannot be predicted beforehand. It is recommended to wait at least one year if a revision rhinoplasty is needed.

Recovery

A splint is applied to the top of the nose to keep it in place while healing and gauze packing is inserted for a couple of days to protect the septum from moving and minimizing bleeding. The splint is usually removed within a week.

Anti-inflammatory medication and a painkiller are prescribed for swelling and discomfort, as well as an antibiotic to prevent infection. You should also apply ice, elevate the head, and avoid blowing your nose and wearing eyeglasses.

Finally, few people ever regret getting a nose job. It has the potential to create a new appearance and lend new confidence. Just be careful

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Cosmetic Dentistry Overview Is It The Future Of Dentistry?

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There are more than a few alarming trends that are starting to gather steam in the area of cosmetic dentistry. For years, the talk has been about the impact of managed care and how you can position your practice in order to deal with this risk to conventional protection and fee for service dentistry. The reality is, managed care is here to stay, and it’s transforming speedily into any number of pretty hideous forms.

Conventionally, doctors have established managed care programs only when they have new operating time. They also have their flat fixed cost being covered by the fee for service of cosmetic dentistry.

There are some practices that have enrolled in programs some fee schedules that offer to pay more than the changeable cost associated with treatment.

The troubles for the dentist occur in three areas.

1. First would be the bad management of the care program. For example one who has a compensation schedule that really does not sufficiently compensate him for the kind of methods he generally uses and the treatment he performs. If you are a dentist and you are diagnosing a patient with four quads of root planning and you do not cover the cap program, you’ll end up with some serious problems, not the least of which is a hygienist who has nothing left to do with her time.

2. Another problem occurs when the doctor and his staff are not capable of gaining the patients acceptance for the optional and upgraded treatments considered clinically superior. Even if the treatment would be better for the patient in the long run, bad plans keep patients from making these choices.

3. The last problem comes when the office staff is unable to deal with the paperwork that is connected with the managed care programs.

It has almost taken three years for dentists and practitioners to develop resources and professionalism in dealing with the expanding managed care trend.

The goal of dentistry in the future is to avoid managed care by means of keeping your chairs filled with all the services that can be offered. Some demographics in the market will not be able to afford these services but the future era of dentistry can change that. As a result, fewer graduates from cosmetic dentistry have marched on stage. The total number of students has decreased, partially because of the closure of some schools. Another reason is due to the financial problems and the decreased class numbers.In the future, the success of cosmetic dentistry cannot be achieved by having fewer students in the classroom. There are a lot of factors that affect the student’s goal — financial considerations (we all know that education is expensive) to finish the programs. If schools offer programs that will keep the payments at a reachable amount, there are hopes of maintaining good cosmetic dentists in the coming years.

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Bionic Men: Using Mechanical Devices to Cure Impotence

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Over the last few years, impotent men around the world have relied on some little blue pills to help them obtain and maintain their erections. But the pills are not without their complications. Some men experience side effects while taking oral phosphodiesterase type 5 (PDE5) inhibitors such as Viagra (sildenafil), Cialis (tadalafil) and Levitra (vardenafil). These side effects can range from headache, flushing of the face and body, indigestion, runny nose, palpitations, nausea, vomiting, muscle pains and vision disturbances. These medications are also contraindicated for patients taking nitrate-based drugs or alpha-blockers, because interaction with PDE5 inhibitors can be fatal. Viagra has also been reported to cause permanently impaired vision or even blindness in some patients. Other drug treatments available involve direct injections to the penis or shooting pellets down the urinary pipe, both of which can be unpleasant for patients. It is because of these side effects from drug treatments that some men prefer to explore other possibilities such as mechanical or surgical methods to deal with their condition.

There are a number of mechanical devices available to aid impotent men, such as vacuum pumps, penis rings and vibrators. Vacuum pumps are cylinders that fit over the penis, which allow the user to draw up blood to the member by sucking out the air. Once the member is engorged, a specially designed penis ring can be fitted on to the base of the shaft to help stop the blood from draining back to the body. Vibrating devices can also be used to vitalize the male member either by direct contact or by stimulating the prostate. Some men may feel too embarrassed to purchase such devices because of a social stigma attached to them. However, privacy issues can be dealt with by ordering these through the Internet.

On the other hand, surgery is a much more drastic step to take when dealing with impotence. Surgery usually has one of three goals: to implant a device that can cause the penis to become erect; to reconstruct arteries to increase flow of blood to the penis; or to block off veins that allow blood to leak from the penile tissues. Prostheses are mechanical devices that surgeons insert into the penis to allow men to manually raise or inflate the penis for sexual intercourse and to lower it afterwards. Patients can choose to have either a flexible sterile rod put into the shaft or an inflatable implant that comes with its own fluid reservoir and pump, although the latter is preferred because it leaves the penis into a more natural state. Possible problems can occur as with many other implants, such as bleeding, infection and the breakdown of the mechanical device although the latter has been somewhat limited because of recent technological advances.

There are cases of impotence that benefit from penile arterial revascularization. It is designed to keep blood flowing by rerouting it around a blocked or injured vessel at the base of the shaft, usually due to a pelvic fracture or blunt trauma. This procedure is recommended for men under the age of 45 with no known risk factors for atherosclerosis, a condition where progressive thickening and hardening of the walls of medium-sized and large arteries as a result of fat deposits on their inner lining. Surgeons microscopically connect nearby arteries to keep the blood circulating into the penis.

On the other hand, venous ligation surgery is done to correct leaking veins. This leakage decreases the amount of blood to the penis, thereby resulting in a diminished erection. Surgeons intentionally block off problem areas to ensure that the appropriate amount of blood is trapped to create an erection. However, ligation only has a 50% long term success rate so it is rarely used to correct impotence.

Patients who are considering vascular surgery should be aware that it is still widely regarded as experimental and may not be covered by your health insurance. There are also conditions that can exclude men from being a candidate for surgery, such as insulin-dependent diabetes, atherosclerosis, high blood pressure, high cholesterol levels and tobacco use. The procedures can also cause penile scarring(fibrosis), numbness or some pain.

It is important to discuss the possible complications with your doctor before consenting to any type of surgery. Also, because of the experimental nature of the procedures, not all urologists may be trained to perform the delicate surgery. If necessary, get a second opinion. It might be a better idea to try non-surgical treatment options before attempting anything invasive. Most importantly, don’t forget that the brain is the primary sexual organ in the body. Being open with your partner about the condition and exploring other avenues of pleasure can be just as beneficial to you as any medical procedures.

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Fix Your Face: Plastic Surgery

Fix Your Face: Plastic Surgery

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Plastic surgery is the most common avenue for personal enhancement. It can be used to enhance the original features that a person may find unattractive. It instills a sense of confidence and self-esteem in the patient. Facial plastic surgery is one of the most prevalent forms of cosmetic surgery. Though a multitude of women opt for facial surgery, even men are not lagging in the race for beauty and superb looks. Surgeons are often confronted with strange requests from patients, who crave for facial surgery so they may acquire the gorgeous looks of their favorite Hollywood star.

Facial plastic surgery is not solely used to impart drop-dead good looks; its use extends much more than that. Reconstructive surgery, a type of plastic surgery, can be used to reshape certain facial features, which might have been disfigured due to congenital defect, accident, trauma or disease. The key intent of such a facial surgery is to improve function, impart a normal appearance, and to help the patient lead a normal life.

A comprehensive surgical facelift involves a series of operations, which may entail work on ears, nose, lips, eyes, chin, and forehead, among others. For instance, women may opt for lip enhancement to make the lips look more pronounced. An eyelid surgery creates the impression of permanent beautiful eyelids. Nearly every aspect of the face can be altered using facial plastic surgery. Those who can bear the expense do crave for a celebrity look that emulates their favorite actor.

The increasing number of facial surgery procedures is strong evidence to the fact that both men and women benefit from plastic surgery. It widens their horizon as far social activities are concerned. Moreover, with unprecedented advances in technology, sophisticated software tools are available at a surgeon’s disposal. These tools enable the surgeon to achieve a more predictable result. With such a favorable scenario, facial plastic surgery is set to achieve immense worldwide popularity.

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Things You Need To Know About Gastric Bypass Surgery

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Gastric bypass is a kind of surgical interference that is mostly used for significant weight loss if you are over weight. This surgical interference reduces your calorie intake. After the surgery, stomach will be small and you feel full faster to reduce amount of food. Part of stomach with small intestine will be literally skipped over so less amount of calories. Gastric bypass is also known as Roux-en-Y gastric bypass, Bariatric surgery – gastric bypass.

In Gastric by pass stomach is made small by creating a new small pouch at the top of abdomen by using plastic bands or surgical staples. The smaller stomach connected directly with the middle portion of small intestine called as jejunum, bypassing the remaining part of stomach and upper potion of small intestine called as duodenum. After performing Gastric bypass the patient is recommended to reduce the quantity of his intake food as small intestine absorbs less calories at this stage. This leads to weight reduction.

Doctors will only recommend for bypass surgery if you have no other way to lose weight and it is only considered if your body mass index 40+. Bypass surgery usually needs 4 to 6 day hospital stay. Most people return to normal activities within 20 to 30 days. Gastric bypass may sometime cause dumping syndrome. Dumping syndrome occurs when food moves very quickly through stomach and intestines, which causes sweating, weakness, faintness, nausea and sometimes diarrhea just after eating. These symptoms may go worse by taking high calorie foods.

As other surgeries, gastric bypass surgery also includes risks. Risks include:

1. Leak from stomach into abdominal cavity that can cause peritonitis.
2. Blood clot in lung.
3. Vitamin B12 deficiency- this occurs in near about 30% cases.
4. An iron deficiency anemia- this occurs in 50 cases.
5. Possibility of ulcers in 10% to 20% cases.

The weight reduction results after gastric bypass surgery are normally steady. Most patients reduce an average of 8 pounds every month and can reach towards stable weight between 20 and 25 months. Usually, greatest rate of weight loss take place in very beginning i.e. just after the surgery when you are just on liquid diet.

You will need a regular check up with doctor usually during first year. Your physician will evaluate your mental and physical health status, including weight change and your nutritional requirements. With help of a physician, dietitian and nutritionist, you can reduce your weight effectively through gastric bypass.