THE
BUSINESS
PAMELA YOUNG SPECIAL TO THE JEWISH NEWS
You've thought long and hard about getting a nose job. Now it's time
to make that appointment. How can you find a good physician?
Reconstructive surgeon Dr. Richard Arden advises prospective pa-
tients to talk with persons who have had the procedure. This may be
touchy, though, because many persons won't admit that they've had
their nose altered.
Not all surgeons do plastic surgery, said Dr. Arden. Look for spe-
cialists in plastic surgery; otolaryngology (eye, ear, nose and throat);
oral surgery or facial plastic and reconstructive surgery. The Ameri-
can Society of Plastic and Reconstructive Surgeons (ASPRS) recom-
mends choosing a physician who is board-certified by the American
Board of Plastic Surgery and who has completed a residency in a spe-
cialty related to the procedure you want done. These specialties include
plastic surgeons for all procedures, otolaryngology for head and neck,
ophthalmology for the eyes and dermatology for the skin.
Said plastic surgeon Dr. Michael Busuito, "If you plan on getting your
nose fixed, find a board certified surgeon in a specialty that encom-
passes the area of rhinoplasty. The surgeon should also have privileges
in a credible hospital. You can call the hospital or local medical society
to check."
Beware of a physician who does not have hospital privileges to per-
form the procedure, who is certified in an unrelated specialty or who
completed a residency in an unrelated specialty.
The ASPRS also warns against physicians unwilling to answer your
questions or who pressure you to add unnecessary procedures.
Once you find a good physician, there's still the cost. Dr. Busuito es-
timates a surgeon's fee for rhinoplasty can run about $2,000 to $2,500.
That doesn't include the hospital fee, tests and anesthesia. These fees
are an extra $1,000 to $1,500 in metro Detroit.
Cost varies depending on the surgeon, city, technique and the type
of surgery, the place of siirgery and type of anesthesia. Additional costs
may include nasal splints, dressings and medications. The end result?
Anywhere from $1,500 to a cool $8,000. LI
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The Right Surgeon
the surgeon makes a tiny incision on
the narrow skin bridge between the
nostrils, called the columella, to ex-
pose everything. This technique gives
the surgeon a greater ability to shape
the nose, Dr. Busuito said. With the
intranasal approach, incisions are
made inside the rim of the nostrils,
and soft tissues of the nose are sep-
arated from the underlying area.
When the nasal bone has to be bro-
ken or fractured, the surgeon uses
a chisel, called an osteotome, and
then reshapes the area. Cartilage is
also moved or shaped to alter the tip
of the nose.
After surgery, the patient wears a
plastic or aluminum splint over the
nose for up to seven days. There also
may be some swelling for several
weeks.
Not everyone gets those infamous
black eyes, a sure sign of rhinoplas-
ty, but if bruising develops, it usu-
ally disappears in a week or two.
Dr. Busuito also advises patients
to lay offjogging or lifting heavy ob-
jects for three to six weeks to avoid
traumatizing the nose.
espite the popularity of nose
jobs, many people refuse to ad-
vertise that they had their
nose reshaped_ Mara Reinstein
doesn't discuss it.
"It shouldn't matter, but people
have a stereotype about nose jobs,"
she said. `Tm sure some of my friends
have had one, but no one ever talks
about it."
Is Your Child
Birmingham psychologist Anita
Taylor said a stigma still exists about
such surgery.
"Some patients will go so far as
to travel out-of-state for the proce-
dure or will hide in the house until
they've healed," Ms. Taylor said.
She believes that as the procedure
becomes more simplified and less
time consuming, such stigmas will
disappear.
"It is not for the rich and famous
anymore," Ms. Taylor said. "Men and
women are using surgery to help
them in the professional world. They
want to remain competitive with a
younger population for the same job."
Ms. Reinstein doesn't have any
qualms about revealing all. She
wrote about her experience in a De-
troit News article and then received
numerous calls from strangers seek-
ing advice on whether to have plas-
tic surgery.
Although pleased with the way her
nose looks, rhinoplasty didn't solve
Ms. Reinstein's initial complaint. She
still has problems breathing, which
upsets her, but she doesn't consider
the surgery a failure. Its a good nose,
she said.
Aside from the obvious benefit to
one's vanity, experts have found that
when plastic surgery is done to cor-
rect a problem area, a person's self-
esteem increases.
"Of all the procedures I do, rhino-
plasty totally changes a person's per-
AHEAD BY A NOSE page 56
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