What factors come into play for a procedure like rib graft that will increase/decrease the price? (photos)

Question

I was recently quoted for a rib graft rhinoplasty at 15,000 plus 900 for a mandatory overnight stay at post surgical recovery hotel (with a nurse). (Beverly Hills plastic surgeon) Is this a reasonable price? Is an overnight stay at a medical facility necessary? What factors come into play for a procedure like this that will increase/decrease the price? My personal needs: dorsal augmentation, minimal tip projection and no alarplasty. *currently have juvederm filler (injected 2/2014)

Ronald J. Edelson, MD · Answer

Rib grafts for Asian rhinoplasty is a loser of a procedure.  They often look unnatural and the cost is ridiculous.  I can see refining your tip and narrow the nostrils with alar resections.  It will give you nice refinement at a much lower cost.  I would forget about trying to build up your basal bridge.

Ali Sajjadian, MD, FACS · Answer

The cost of using rib graft for building the bridge for nasal dorsum depends on the following:1. The experience of the surgeon and his expertise 2. The time being spend in the OR3. The cost of anesthesia and operating facilityFor Asian rhnioplasty I would recommend the following.1. if needed, building the bridge with septal or ear cartilage graft wrapped in temporalis fascia2. Narrowing the base with alarplasty, and narrowing the base of the nose3. refinning the tip of the nose with suture and tip graftsUsing the above techniques you can get a great result with a natural looking nose.Best wishes,

Ozge Ergun, MD · Answer

The price of Rhinoplasty surgery depends on several factors such as the difficulty of your case and your request for your new nose.
In my practice, prices for Rhinoplasty surgery reaches from 3750 Euro up to 4670 Euro range, and it also includes the travel package such as accommodation, local transfers, and language assistance. If you want to learn more you can click the link below.

Kenneth Hughes, MD · Answer

I would use septal or ear cartilage rather than rib.  This would negate the overnight stay.  Cost is always hard to judge.  The price is not unreasonable.Kenneth Hughes, MDLos Angeles, CA

David W. Kim, MD · Answer

Regarding the overnight stay, this is based on the judgment of your surgeon and most likely his or her past experience with rib patients.  I personally do a lot of rib grafts and I do not require an overnight stay for my patients.  But the practices of different surgeons vary quite a lot based on their techniques, philosophies, and other considerations.  I do believe that rib is the best choice for dorsal augmentation more than a few millimeters rather than an implant.  Best of luck to you.  For your reference is a link to a video I produced about dorsal augmentation in Asian patients.

Nima Shemirani, MD · Answer

Dear shakibabe88,Each surgeon you go to will have a different pricing strategyUsing rib grafts is a highly specialized skill that involves a little more risk, therefore adding to the costAlthough price is a factor, it should not be the one determining factorRevisions are even more costly than the original surgeryThat link will give you a general idea of rhinoplasty cost, but may not have the added factor of adding a rib graftBest regards,Nima Shemirani

Kristina Tansavatdi, MD · Answer

The costs for augmentation rhinoplasty usually depend on:1) Time required for the procedure. The more time that is needed the higher the costs for both anesthesia and operating room facility costs.2) Experience of the surgeon - A surgeon with more experience in rhinoplasty surgery will command a higher fee.3) Location - it is well known that the geographic area will dictate the cost of the surgery considerably and in Beverly Hills, surgeons usually have higher fees.4) The degree of difficulty - whether rib cartilage is harvested with deep temporalis fascia vs. ear cartilage changes the degree of difficultyRib cartilage grafting is the best option in a dorsum that requires considerable augmentation and provides a natural appearance without the risk for rejection, implant failure or infection. In my experience, I rarely need to keep a patient in a recovery room or hospital overnight after augmentation rhinoplasty using rib cartilage. Your surgeon may be applying due caution in your case.

Darryl J. Blinski, MD · Answer

So many issues that ONLY in person discussion is the way you should proceed. Rib cartilage grafting is not an easy operation thus the expenses are acceptable.

Barry L. Eppley, MD, DMD · Answer

There are a variety of factors that can affect the price of any surgery, a rib graft rhinoplasty notwithstanding. That price you were quoted in not inconsistent for that geographic region but many other areas of the country it may be substantially less.

William Portuese, MD · Answer

The cost of the rhinoplasty was driven by 3 factors: surgeons fee, operating room time, and anesthesia time.  The longer the surgical procedure, the more expensive the operating room and anesthesia is going to be. When harvesting  a rib graft, there is a very small chance that you could get a pneumothorax and need additional medical care for that.

What factors come into play for a procedure like rib graft that will increase/decrease the price? (photos)

Answers (12)

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