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 D OVERWEIGHT? It's time to help your child deal with this serious health problem! • Dr. Keith Levick and his team of health professionals help families learn to control: • Attitudes •Nutrition •Diet •Exercise •Esteem 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 For FREE orientation and course information please call: (810) 855-5771 CCWM Center for Childhood Weight Management Conveniently located at: The Jewish Community Center, West Bloomfield CMI Health & Tennis Club, Southfield SHELDON H. WEINTROB, M.A. Announces A NEW LOCATION! 6405 Telegraph, Ste. E3 • Bloomfield Hills COUNSELING FOR: • Substance Abuse • Marital Conflict • Eating Disorders • Family Conflict Child And Adolescent Counseling Specializing in Individual or Group • by appointment only (810) 644-5800 EXT. 7 DONALD E. GALE, D.D.S. ;RP- T 353-2200 DENTURE CENTER HARVARD ROW MALL 21774 WEST 11 MILE RD. SOUTHFIELD, MI 48076 EXTRACTIONS DENTURES & PARTIALS RELINES & REPAIRS QUALITY DENTURES AT AFFORDABLE PRICES 30 YEARS' EXPERIENCE ELECTROLYSIS Specializing in Body & Facial Hair Removal for Men & Women Call for Free Consultation Victoria Palace R.E. Electrologist /4/4/4V/t747/V - 4Cee/rati0 oicceia 5755 A/. A% Road, Waite 709, IfhegioN0iii • 626-6668