AlleS t110Se 0 Ca 0 O Want to change your image? Try rhinoplasty. You won't be alone. As an increasing number of Americans consult their plastic surgeons, nose jobs are becoming more and more popular. PAMELA YOUNG SPECIAL TO THE JEWISH NEWS /1) t was an errant Frisbee that eventually caused former Michigander Sara H. to un- dergo rhinoplasty. Standing on a beach, 22-year-old Sara didn't see the disc as it slammed into her face, knocking her unconscious and break- ing her nose. Three years after the accident, she grew weary of the constant congestion caused by a deviated septum. She went ahead with rhinoplasty. "I had my nose done when I was 25 years old," said Sara. "I wouldn't have done mine if I hadn't hurt it." Frisbee or no Frisbee, Sara became just one of millions who undergo plastic surgery each year. The American Academy of Cosmetic Surgery estimates that in 1994, the last year, for which statistics are available, 2.6 million Americans underwent some type of cosmetic or reconstructive surgery. Americans are getting tucked, lifted, expanded or reduced over every inch of their bodies. The ever-popular nose job, discreetly called nose reshaping or rhinoplasty, remains a top choice not only among the smart set in Holly- wood but with younger women nationwide. Metro Detroiters are no different. While the reasons for having rhinoplasty vary with the individuals, many women are getting their noses reshaped either to improve their im- age or to correct a medical condition. "I've operated on patients ranging from 14 to The Right Surgery PAMELA YOUNG SPECIAL TO THE JEWISH NEWS Roseanne, Milton Berle, Alan King, Joan Rivers and Dinah Shore had it done. So did Lee Grant, Joel Grey, Jennifer Grey and Jessica Savitch. According to The Celebrity Al- manac, a number of Jewish en- tertainers have had their nose reshaped. Those who haven't? Try Judd 60 years of age but, if done for cosmetic rea- sons, it is mostly those in their late teens through the 30s or 40s," said Dr. Richard Arden, a reconstructive surgeon with the Detroit Medical Center (DMC) affiliated hospitals. In many cases, though, it's more than vanity that drives indi- viduals to seek help, Dr. Arden said. Many pa- Dr. Richard Arden said tients generally have specializes in rhinoplasty and who will agree facial balance and problems which make it to do it. harmony are the goals. difficult to breathe. t's important to determine why someone Mara Reinstein, a wants surgery, noted Dr. Michael Busuito, 20-year-old University of Missouri journalism a plastic surgeon with DMC. major from Farmington Hills, took the plunge "I turn down more than half of the peo- and had her nose redone when she was 16 ple who come in," he said. "They may not be a years old. good candidate for what I can realistically offer "I've always had a deviated septum and them or they may have unrealistic expectations. breathed through my mouth. It was very loud It's not unusual to see a woman undergoing a and people in class said it sounded like I was divorce who attributes her marital problems to asleep when I was really awake," Ms. Rein- the shape of her nose." stein said. After a neighbor suggested surgery, From a Jewish standpoint, Rabbi Steven Well she looked into it and decided it was worth it of Young Israel of Oak Park said motivation is because "breathing through was really an- the key to whether the cosmetic surgery is ac- noying." ceptable under halachic guidelines. If it is to im- If your heart is set on getting that nice slen- AHEAD BY A NOSE page 53 der nose, the next step is to find a surgeon who Hirsh, Dustin Hoffman and Bar- bra Streisand. Nose jobs aren't the only popu- lar surgery. In its most recent sur- vey (1994), the American Society of Plastic and Reconstructive Sur- geons (ASPRS) notes that Cali- fornia leads the nation in the number of plastic surgery proce- dures, followed by New York, Florida and Texas. Californians outnumber the rest of us in the number of eyelid surgeries performed (12,164), li- posuctions (11,843), breast aug- mentations (9,352), facelifts I (7,578) and nose reshapings (7,557). The state also has the highest number of plastic sur- geons — 644 — compared to 117 in Michigan. One note of caution: These fig- ures only compare surgeons who belong to the ASPRS and cases performed by its members. The figures could be higher. How does the nation compare overall? Dr. Michael Busuito, a plastic surgeon with the Detroit Medical Center affiliated hospi- tals, said national figures indicate that rhinoplasty is the most pop- ular procedure, but liposuction is rapidly overtaking it. Women make up the vast ma- jority of candidates for plastic surgery, and the type of surgery requested varies with age. Women between the ages of 19 and 34 were more likely to choose breast augmentation and nose reshap- ing. Those between 35 and 50 chose liposuction and eyelid surgery. Teens, 18 and under, went overwhelmingly for the nose job. 0