Thank you for your questions. I think that it is best to go for a consultation when you are think you are ready to have surgery. The cost of the procedure will depend on what your surgeon feels needs to be done. I think it is a good idea to set up a consultation to get a better idea of what you will need done. I have a good friend, Dr. Jeremiah Redstone that practices in Manhattan. He is a talented surgeon and a great person, he will take very good care of you. Good luck.