See Chapter Twenty Three, Should You Get a Facial?, for details on microdermabrasion.
nose reshaping (rhinoplasty) ($4,ооо to $6,ооо)
Rhinoplasty is usually performed to alter the size and shape of the bridge and tip of the nose. Reshaping is generally done through incisions inside the nose, but sometimes an incision across the central portion of the nose between the nostrils is also made. Narrowing the base of the nose or reducing the size of the nostrils involves removing small wedges of skin at the base of the nostrils. The nose is reduced, or sometimes built up, by adjusting its supporting structures, a process that involves either removing or adding bone and cartilage. The skin and soft tissues are then redraped over this newly created structure.
An open rhinoplasty technique can sometimes benefit patients who need more complex correction or who are undergoing a secondary rhinoplasty procedure. A small incision is made outside the nose across the columella (the tissue that divides the two nostrils). This enables the plastic surgeon to turn the outer tissue of the nose back, providing a view of the structures inside. Additional incisions, like those used in the traditional closed approach, are made inside the nose as well. The scar from the incision on the outside of the nose eventually becomes barely visible.
As one of the most commonly performed cosmetic surgeries, rhinoplasty has a strong success rate but given the various ways the procedure can be done (and each has its pros and cons) it is imperative to find a surgeon familiar with them so you can discuss which method will work best for you (Source: Facial Plastic Surgery, August 2006, pages 198-203).