Cosmetic procedures tax (Botax)

Cosmetic procedures tax (Botax)

A recent proposal for the health care reform was to introduce  a  5% tax on elective cosmetic procedures.  Lawmakers that proposed this tax believe that it will allow to generate 5.8 billion dollars over the next ten years.  However,  the plastic surgery societies oppose this tax discriminatory, arbitrary and ineffective.

First,  this tax is disciminatory against women as 86 percent of plastic surgery patients are female, of which 91 percent are between the working ages of 19-64 according to the current ASPS President. He further added that cosmetic surgery is no longer an exclusive luxury afforded by the very wealthy, but rather a mainstream and reasonable option most common amongst the working middle-class.

According to the  plastic surgery societies, such a tax has been proven ineffective in the past.  New Jersey is the  only state that passed a similar 6% tax on elective medical procedures in 2004. However, the NJ Department of Taxation has experienced a 59% shortfall compared to the projected revenue estimates.  Eight other states have considered similar tax legislation– and they all wisely rejected them.

Finally, though the bill claims that the only procedures that would be taxed are those that are “not necessary to ameliorate a deformity arising from, or directly related to, a congenital abnormality, a personal injury resulting from an accident or trauma, or a disfiguring disease,” The Plastic Surgery Societies contend that such distinctions aren’t always obvious. Because the line between ‘cosmetic’ and ‘reconstructive’ surgery is not always clear, such a tax would leave the determination of medical necessity up to state tax auditors – a completely inappropriate proposition.

Information source www.earthtimes.org

 

Key words:   Plastic surgeon los angeles , rhinoplasty Los Angeles, breast augmentation Los Angeles, tummy tuck Los Angeles,  liposuction Los Angeles.

plastic surgery

Plastic surgical procedures are performed in large volumes on a daily basis in Los Angeles.   There are many different procedures performed.  Some of the most commonly performed procedures are:

Breast Augmentation Los Angeles – is probably the most commonly performed procedure by many Los Angeles plastic surgeons.  Silicone breast implants have become very popular and provide a more natural feel than saline implants.  The satisfaction rate of women with silicone implants appears to be higher than among those who underwent augmentation using saline implants.

Rhinoplasty -  is a procedure which reshapes the nose.  Closed and open nose reshaping techniques exist.   Rhinoplasty Los Angeles and  Rhinoplasty Beverly Hills experts will agree that this is one of the most challenging plastic surgical procedures as each person has a different nose.

Tummy tuck  Los Angeles- is  a very commonly performed procedure.  Many mothers and patients who lost weight turn to plastic surgeon to remove excess skin, excess fat, and tighten loose abdominal muscles. This procedure is frequently combined with liposuction.

Asian rhinoplasty

Asian-Americans comprise an increasing percentage of US plastic surgery patients and the number of Asian-Americans undergoing rhinoplasty in Los Angeles and rhinoplasty in Beverly Hills .  This procedure has been one of the most commonly requested procedures among this ethnic group.

A Los Angeles plastic surgeon is typically asked to address a broad bridge, wide nostrils, and a flat nasal tip curve. The prevailing Asian rhinoplasty trends involve the changing and reshaping of these characteristic features of the nose.

A common option to  produce a higher nasal bridge, a  silicone implants is used.   Some plastic surgeons in Los Angeles prefer to  use cartilage grafts to build up the nasal bridge during Asian rhinoplasty.  Cartilage warping and visibility have been reported as commonly observed complications when cartilage grafts are used for this purpose.  In contrast, the use of cartilage grafts for tip augmentation has been used successfully with fewer problems.

Keeping the nose balanced with the rest of the face is the key to a successful Asian-American rhinoplasty.  At the same time,  many patients request to preserve ethnic features of the nose.  Asian rhinoplasty is not a long procedure and therefore can be combined with other procedures such as breast augmentation Los Angeles or tummy tuck Los Angeles.

dr vladimir grigoryants reviews nose reshaping

Vladimir Grigoryants, MD

Rhinoplasty (nose job) has traditionally been a surgical procedure to reshape the nose. This involves making small incisions outside and inside the nose to access the underlying bones and cartilages in order to modify their size and shape. However, as minimally invasive procedures are becoming more popular in medicine, a non-surgical rhinoplasty has been tried for nose reshaping.

A number of injectable tissue fillers have been FDA approved in recent years such as Restylane, Juvederm, Perlane, and Radiesse. These injectables have been used for correction of facial wrinkles. Many Los Angeles plastic surgeons have started injecting these fillers in the nose in order to alter the shape of the nose. For example, injecting the filler above and below the bump on the bridge allows to hide it achieving a straight appearing nasal bridge. The fillers can also be injected in the tip to improve the definition of the tip and give an illusion of a raised tip.

So, which rhinoplasty procedure is better? Both procedures have been highly popular. The advantage of a non-surgical rhinoplasty is that it takes 5-10 minutes to perform and has very minimal or no swelling associated with it. It works well for patients who have a small bump on the bridge of the nose or a mildly droopy or short tip. By making the nose bigger in certain areas, a more aesthetically pleasing shape can be achieved. The length or the width of the nose, however, cannot be reduced with these injections. The results of a  non-surgical nose job usually last 4-7 months.

Surgical nose reshaping is preferred when permanent changes in the shape of the nose are desired. Unlike the non-surgical option, with surgery the length and the width of the nose can be reduced. Furthermore, any co-existing breathing problems or nasal asymmetry can be improved. In general much better results and more significant changes in shape can be achieved with surgical nose reshaping.

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Permanent lip augmentation in Los Angeles

Introduction of silicone lip implants today allows plastic surgeons to offer patients a safe, natural, and permanent method of lip augmentation. Silicone lip implants are soft and shape specifically to produce a natural feel and look. These implants are similar in the feel to the gummy bear breast implants that are used for  breast augmentation.   Silicone lip implants cannot leak.  These implants are  be inserted in the office under local anesthesia through small incisions in the corner of the mouth. The procedure takes about 15-20 min to perform.  The implants can be easily removed in the office in the future if the patient decides to have them removed.  Lip augmentation can be performed alone or in combination with other procedures such as breast augmentation, rhinoplasty, tummy tuck, or liposuction.

Nose reshaping

Although there are aesthetic guidelines as to what constitutes an attractive nose, for each face it takes a different nose to create an appropriate harmony and balance. According to a plastic surgeon Los Angeles patients can take advantage of nose reshaping surgery (rhinoplasty) which can help enhance the appropriate balance between the nose and facial features.

With Regard To Nose Plastic Surgery Rhinoplasty in Los Angeles Can Achieve The Following Effects:

The hump on the bridge of the nose can be removed
The boxy or bulbous tip of the nose can be refined
Droopy nose can be rotated up
A long nose can be made shorter
A wide nose can be narrowed
Certain traumatic deformities of the nose can be improved or corrected
Certain causes of nasal airway obstruction can be treated

In some patients with a small chin, a chin augmentation may improve the balance between the face and the nose. A detailed analysis of your nose and facial features will be performed during your consultation. As with all plastic surgery operations like rhinoplasty or tummy tuck  Los Angeles patients can expect to discuss potential options with their surgeons regarding all their facial and body reshaping needs.

How is nasal reshaping (rhinoplasty) done?
Rhinoplasty in some patients can be performed using local analgesia and sedation. General anesthesia is used in other patients. The choice of anesthesia depends on the type of nasal reshaping to be performed, your preference, and your medical condition. For most rhinoplasty patients, we place incisions inside the nose. The sutures are absorbable and do not need to be removed. In some patients a small incision may need to be placed at the base of the nose.

What is recovery like following rhinoplasty Beverly Hills patients often ask. Intranasal dressings, if used, will be removed on day 2 or 3 after surgery. You will have a splint on your nose that will be removed on day 5 or 6 after surgery. Most swelling will resolve within several weeks. However, it may take up to a year for all swelling to resolve completely. Most patients are very pleased with the results. Some patients request a touch-up procedure to further refine the results.  Many patients combine rhinoplasty with other procedures such as breast augmentation Los Angeles .

plastic surgery

The toll of living a hectic life starts to show its effect on our bodies slowly but steadily. Though these changes are gradual but we do start noticing when they pile up in the form of fine lines, excess weight, fatty body parts and loose skin. These few changes leave their permanent footprints on celebrities and commoners, men and women alike and can be eradicated by taking help of plastic surgery.

Though cosmetic surgery is useful to improve the overall contour of the body, many people have erroneous ideas about how dramatically their looks change from the plastic surgery process. A  Plastic Surgeon Los Angeles blames blinding advertising campaigns and excessive media coverage for this. Whether you are going for rhinoplasty Los Angeles,  tummy tuck Los Angeles, liposuction, facelift or Breast Implants Los Angeles, you should have an in-depth conversation with your doctor about what to expect from the procedure.

Many clinics show pre-surgery and post-surgery photographs to prospective clients to tell them about the effects that the surgery can have. This is very common for Breast Augmentation Los Angeles and Rhinoplasty Beverly Hills, but you should always have realistic expectations from the surgery and not let the pictures manipulate your decision.

Also, the effects of treatment take time to set in and show themselves. It is very rare to have a changes outlook immediately after the procedure, such as after breast augmentation Beverly Hills. Redness and swelling are common and temporary side effects for any such procedure including breast reduction Los Angeles. As a result, some people get a false illusion that the surgery has failed on them and get disheartened by it. While thinking about the amount of money they have spent, few also experience days of sadness and depression.

It is therefore necessary to question all these doubts in the beginning and find out the estimated time after which results would begin to exhibit. Waiting for a fair amount of time after the operation before making your judgment regarding the effectiveness of the process is advisable.

Silicone in the human body

Medical grade silicone is a  compound that has been widely used in cosmetic surgery.  Some physicians have even gone as far as injecting silicone in the nose for non surgical rhinoplasty Beverly Hills.   Additionally, it is also injected in the face or lips  for augmentation and treatment of wrinkles.  Silicone injections are not approved by FDA for cosmetic purposes as many permanent complication can occur.  Silicone breast implants are approved by FDA for breast augmentation beverly hills and are considered to be safe.  Because implants are placed deep behind the muscle or breast tissue and silicone is contained in an implant shell, complication related to silicone are much less common and less severe when implants are used for breast augmentation Los Angeles.   When injected,  liquid silicone used for lip augmentation or rhinoplasty los angeles can cause granulomas (painful bumps), irregularities, and even  ulcers. Typically a board certified plastic surgeon Los Angeles will advise patients from having silicone injections.

Body contouring

What is body contouring? This technical term which confuses a lot of people includes a plastic surgery procedures that help improve and restore the shape of the body.  Commonly performed procedures for body contouring include a tummy tuck los angeles and liposuction los angeles.  These procedure can also be combined with breast reshaping procedures such as breast augmentation los angeles or breast implans los angeles.  Patients presenting for body contouring typically have lost a lot of weight of after pregnancy.  Tummy tuck beverly hills allows to remove skin excess which may occur following weight loss and tighten abdominal muscles.     Additionally, contouring of the extremities such as arm lift, thigh lift,  body lift and liposuction is performed.   The term body contouring typically does not include facial surgery such as rhinoplasty beverly hills or nose surgery beverly hills .   Although loose facial skin results in patients following significant weight loss.  These patient will undergo a facelift to improve the contour of the face. Rhinoplasty Los angeles or nose surgery los angeles mainly addresses the skeleton of the nose which does not change with weight loss.  To ensure safety, a  plastic surgeon los angeles will decide which combination of procedures can be performed at the same time.

Should nasal packing be used after rhinoplasty?

Patients undergoing rhinoplasty Los Angeles inquire whether or not their surgeon will use nasal packing after nose surgery Los Angeles .  Many patients are afraid to have nasal packing as they have heard from their friends or relatives that packing removal is  painful.

So, does nasal packing have to be used?  The answer is no.  Many rhinoplasty surgeons in Los Angeles do not use packing. There are different types of packing used by surgeons.  Some do hurt when removed and some do not.  The purpose of nasal packing is to minimize early swelling and to support mucosal flaps within the nose. Typically, nasal packing is removed within 24-48 hours following rhinoplasty Beverly Hills .   In reality, once the packing is removed, swelling sets in.

Some surgeons do not use any packing after nose surgery.  However, this results in collection of blood and secretions which in combination with swelling causes nasal airway obstruction and discomfort for 7-10 days after surgery. Furthermore, there is a greater chance of formation of synechiae (bridges of tissue).  Synechiae occur when the raw areas of the septum touch raw areas on the the nasal wall resulting in the two healing to each other. These bridges of  tissue between the nasal septum and nasal wall can cause nasal airway obstruction, bleeding, and collection of secretions.

Many experienced Los Angeles Plastic surgeons believe that placement nasal packing is not necessary following nose surgery beverly hills. However, some sort of a barrier should exist between the nasal septum and the nasal wall to prevent those two from touching and healing to each other thus forming synechiae.     To prevent synecniae, a thing plastic film or septal splint is placed between the  septum and nasal wall to prevent the formation of synechiae.  It is removed by day seven after rhinoplasty Los Angeles.  Removal of these thin splints is painless.