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D une soiree 3 eme sexe entre le 06 et le 83 pour ce dimanche Within the nose, there are two primary structures which influence the flow of air through the nose. These are the septum, which is the tissue that divides the nostrils into two chambers, and the turbinates, several curved, shelf-like bones inside the nose.

During your consultation, Dr. Simoni will examine the internal framework of your nose and can make suggestions for structural improvements based on your specific nasal issues if there are any. If you are experiencing trouble breathing, there may be a blockage in one or both nasal passages. Surgery to correct these issues can be performed in combination with cosmetic rhinoplasty or as an independent procedure. In a procedure to correct these structural issues alone, the external appearance of the nose is not affected.

And because this type of surgery addresses a medical issue, it may be covered by your insurance.

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Simoni and his staff can discuss this with you in more detail and help in obtaining pre-certification from your insurance provider for the functional surgery. Keep in mind that insurance companies may require a 6-month wait period that may include extensive x-rays, testing and potentially the use of medication prior to approving the surgery. Yes, it is possible to target just one aspect of the nose for improvement. It is very common for a patient to simply want to address the tip of their nose, which they may feel is too large or round. Another patient may want to leave the tip of their nose as it is and instead they want to get rid of a bump on the bridge of their nose.

Simoni can consult with you on the various rhinoplasty options that are open to you and the potential outcomes of each so a surgery plan that will achieve your goals can be created.


In some cases, especially for those patients who had plastic surgery more than a decade ago, a second rhinoplasty may be requested. This could be to correct an issue that came up after their first nasal surgery or because they did not get the results they wanted and feel that another surgery would create a better outcome.

Revision rhinoplasties or secondary rhinoplasties are more difficult than primary rhinoplasties because of scar tissue that develops as a result of the first surgery. Additionally, too much cartilage may have been removed during the first rhinoplasty, which may require replacement and grafting from other areas of the body.

Because of these complications, it is important to understand that the goal of these surgeries is improvement and not perfection.

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For these reasons, it is also essential that you carefully choose a surgeon experienced in successful revision rhinoplasties. The philosophy of the physician that performs your rhinoplasty is just as important as his skill, as the viewpoint of the surgeon will greatly affect your results. There are some cosmetic surgery procedures that are expected to produce dramatic results, as in the cases of liposuction or sometimes breast augmentation.

However, cosmetic nasal surgery is not usually one of these procedures. Instead, subtlety is essential. Results of rhinoplasty should be balanced and attractive—not overdone or mismatched to other facial features. For males, the ideal nose is strong. This means straight, symmetrical and streamlined but not delicate, feminine or upturned. Ideal female noses are small and tilt slightly upward, in balance with the shape of the face. The success in achieving these results depends on mere millimeters of tissue.

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Thus artistic judgment and experience plays a major role in nasal surgery. Becoming familiar with Dr. But regardless of your gender or image goals, you can be confident in the fact that Dr. Simoni brings this philosophy to every surgery in order to accomplish subtle results with each patient.

Rhinoplasty fees vary significantly from surgeon to surgeon and across geographic zones. Similarly, talent, judgment, experience and skill also vary significantly among rhinoplasty plastic surgeons. It has happened that patients choose the surgeon with the lowest fees and end up with results they are completely unhappy with—forcing them to pay twice as much or more for corrective surgery, if they are even a candidate for correction.

Visit several doctors, review their credentials, study their before and after photos of actual patients and choose the doctor who you feel is the best fit for you and who makes you the most comfortable and confident in your decision. Honestly, this may not be the person with the highest fees.

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Keeping the primary criteria above in mind, fees should be the secondary concern. Once you find the doctor you want to work with, there are many financing options available to you. A positive rhinoplasty experience rather than a negative one can be priceless. The pain associated with rhinoplasty is classified as minimal to moderate. When necessary, this pain can be controlled with oral medication. Rhinoplasty complications are unusual but may include infection or nosebleed.

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Simoni strives to create realistic surgery plans that he and his patients agree with so all involved are on the same page regarding the desired changes. When people are unhappy with rhinoplasty results, it is often the result of a miscommunication between the doctor and the patient or overzealous surgical methods.

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Schedule your private consultation with Dr. Simoni today to discuss your options for rhinoplasty. Call our office at today. There are two surgical techniques used in rhinoplasty; the closed technique and the open technique. In a closed rhinoplasty, the incisions are made inside the nose so there are no visible scars.

The open technique creates an incision in the cartilage dividing the nostrils allowing Dr. Simoni clear access to the internal structure. His reputation for providing among the best nose jobs is in part due to his ability to create incisions which heal to virtual invisibility. The technique that will accomplish the goals of the surgery depends on specific physical anatomy not on personal choice.

If the goal is to be able to attend a major social event such as a wedding, you should allow a month before the event. People heal at different rates. For those with physically demanding jobs, Dr. Simoni will provide a timetable for recovery that matches work place or social activity level. Much depends on whether or not you want the procedure to remain confidential. In this case a return to work or school without raising the curiosity of fellow workers or students would need a solid two weeks of recovery. In order to achieve the aesthetic and functional goals of a world class nose job, the nose must be allowed to heal without any trauma or stress for the first year.

The early weeks are most critical and during this time strenuous physical activity will need to be avoided to keep the blood pressure even. Simoni provides detailed recovery instructions outlining the return to normal activities along a tried and true timetable.

Gentle exercise is desirable to keep the circulation healthy. With Dr. The nose is the most prominent feature of the face. Getting his signature natural results is accomplished by bringing the nose into balance with the facial features to the end result that your nose will fit and compliment your face.

Most patients mention how surprised they were with the ease of recovery. Although the early stages of rhinoplasty can look very dramatic to close friends or family, the pain is actually minimal. It is well managed with a few days of prescription pain medication followed by the use of approved over-the-counter remedies that do not contain ibuprofen.