It is often desirable for a patient to have multiple procedures at the same time, such as rhinoplasty and body surgery. Combination procedures in the right hands are very successful and fulfilling for the patient. It is essential however that great thought and preparation go into performing these combination procedures. The nose as we have discussed in the past requires a great degree of knowledge experience skill, training, and talent as do all of our operations. This principle also applies to body contouring, whether it be a mommy makeover or post-weight loss reconstruction. Each of these procedures has its own challenges.
In the right hands, a major transformation including rhinoplasty and body surgery that will positively impact the patient’s lives can be achieved. The preoperative assessment is what is the overall health of the patient is essential when considering combination procedures. In our practice, we request a detailed preoperative evaluation- including blood tests usually EKG and chest x-ray. Also if the patient is on any medications preoperative clearance must be obtained from the prescribing physicians.
Anatomically the nose and the body contouring can be done, in the right hands at the same surgical time. The risk is focused on the anesthesia time and the overall anesthesia assessment risk. Every patient is ranked by risk factors with respect to the anesthesia they are about to receive. The American Society of anesthesiologists has a ranking system applied to each and every patient.
This assessment takes into account many of the medical conditions and factors related to that specific patient. For example, does the patient smoke, is the patient obese, does the patient have high blood pressure or diabetes or a heart condition. The anesthesia provider will assign a level of risk based on these factors to each and every patient.
If the patient is determined to be of minimal anesthesia risk with respect to these factors then they are deemed
suitable for the intended combination procedures. That is the rhinoplasty and the body contouring. In my practice, I have performed combination procedures many many times with outstanding results.
Keep in mind that the price range that people see on the REAL SELF forum is not completely accurate and our practice never provided estimates to that forum as this is a customized process and prices will vary from patient to patient Real Self price estimates are well below the price range in our practice. Our pricing system is specific for our practice and takes into account many years of experience and specific customized approaches, the professionalism of the facility ( which is top of the line) and the fact that we use MD anesthesia providers to maximize patient safety and successful outcomes.
THOMAS P. TREVISANI MD