Plastic surgery on the nose is a rhinoplasty. Rhinoplasty is a very common plastic surgery procedure it the United States. Rhinoplasty surgeons must pay precise attention to overall facial balance of a patient and adhere to cultural ideals of beauty in for patient. From removing a nasal hump to refining the nasal tip and reducing nostril size, rhinoplasty procedures change the shape of the nose. While older rhinoplasty techniques removed many of the key structures of the nose, modern rhinoplasty techniques modify the existing structure and achieve natural looking results. Rhinoplasty techniques fall into two broad categories: closed rhinoplasty and open rhinoplasty. In a closed rhinoplasty the surgeon makes all the incisions inside the nose, leaving no visible scars. Open rhinoplasty incisions are 90 percent inside with a small incision made at the columella or the lower part of the nose. Each rhinoplasty category has its benefits and disadvantages. The closed rhinoplasty has no visible scars, but offers a limited view of the nasal structures. The open rhinoplasty leaves a small scar barely visible from below the nose, but offers better views of the nasal structures. Most surgeons choose to proceed with an open rhinoplasty. Chin implants are perfect adjunct procedures to rhinoplasty particularly in patients with a large nose and a small chin.

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Concierge medicine goes by many names, boutique medicine, retainer medicine, executive health, VIP medicine, and personalized medicine. By any name, concierge medicine is the solution for doctors trying to maintain their integrity and independence in today’s difficult healthcare environment. Concierge medicine is a new style of practice with old roots, in which doctors limit their patient base in order to provide patients with personalized service, high quality care, 24-7 availability, and other amenities. In exchange for this enhanced personal attention, patients pay physicians an annual fee. This concierge fee enables physicians to increase their compensation while managing their workload. In addition to receiving an annual fee, most concierge physicians continue to receive reimbursements from health plans and private pay clients. Concierge medicine is a relationship between a patient and a primary care physician in which the patient pays an annual fee or retainer. This may or may not be in addition to other charges. In exchange for the retainer, doctors provide enhanced care. Other terms in use include boutique medicine, retainer-based medicine, and innovative medical practice design. The practice is also referred to as membership medicine, concierge health care, cash only practice, direct care, direct primary care, and direct practice medicine. While all concierge medicine practices share similarities, they vary widely in their structure, payment requirements, and form of operation. In particular, they differ in the level of service provided and the amount of the fee charged.