Procedures offered at our clinic in Spokane: facelift, deep plane facelift,….
Dr. Sand can discuss the benefits of a facelift for your unique situation during your consultation. Additionally Dr. Sand has pre- and post-operative photographs demonstrating his results available
in the website gallery.
There are numerous factors that go into the cost of the procedure. This will depend on the amount of work to be done, if it is a revision procedure, and the combination of procedures performed. Anesthesia and facility fees are also a component of the total cost. It is difficult to provide a precise procedural cost without an office examination and discussion of the procedures to be performed. After your consultation with Dr. Sand, you will be provided with a quote for the cost of the procedure. Facial rejuvenation procedures are not covered by insurance.
A facelift can be performed under a variety of anesthesia types. This may include local anesthesia, twilight anesthesia, or general anesthesia with the assistance of an anesthesiologist. Dr. Sand will discuss anesthesia options with you during your consultation and help you choose which option that you are most comfortable with.
Dr. Sand utilizes computer imaging software to help you ‘see’ what nose reshaping can provide for you. This is performed at the time of your consultation to help you visualize the expected result. Additionally Dr. Sand has pre- and post-surgical photographs in the photo gallery.
Generally rhinoplasty costs between $12,000 and $25,000. But there are numerous factors that go into the cost of the procedure. This will depend on the amount of work to be done, if it is a revision procedure, if additional grafts (ear, rib) need to be harvested, and if there is a functional or breathing component that insurance covers. Anesthesia and facility fees are also a component of the total cost, but may be partially covered by insurance. It is difficult to provide a precise procedural cost without an office examination. After your consultation with Dr. Sand, you will be provided with a quote for the cost of the procedure.
Many people have heard stories about nasal packing following rhinoplasty. Dr. Sand does not find it necessary to pack the nose after rhinoplasty. It some situations he may utilize a thin silastic sheeting to help with nasal healing that is removed after 1 week. Patients are able to breath through their nose after the procedure, but it often feels congested.
Recovery from nasal surgery can depend on the type of surgery performed. Typically, a nasal cast, sutures and possibly nasal splints are usually placed during surgery and then removed at 6-7 days post-operatively. Nasal packing is rarely, if ever, used. Most patients are able to breath through their nose immediately following surgery, and often better than before. In general, one should expect 7-10 days of bruising following nasal surgery. Swelling following surgery can last for weeks to months and does require patience during the healing process to achieve the final product. Depending on the extent of the surgery, and whether a closed or open approach was utilized, the recovery may differ. A closed approach may lead to less swelling and bruising, but sometimes an open approach is necessary. Icing in the first 2-3 days is very important and often arnica and be utilized to help reduce bruising. Nasal saline spray is helpful during the healing to keep the nasal cavity moist. For persistent bruising, IPL (intense pulsed light) skin treatments can be performed to help accelerate the elimination of the bruising.
There are several factors that go into case of ear reshaping. In some cases, insurance may pay for a portion of the cost. After your consultation with Dr. Sand, you’ll receive a quote for the cost of the procedure.
For children general anesthesia is typically needed. In the adult population a light sedation with local anesthesia is generally well tolerated. Dr. Sand will discuss the options for anesthesia during your consultation.
A lip lift is often combined with other facial procedures but can be done alone. After your consultation with Dr. Sand, you’ll receive a quote for the cost of the procedure.
The cost of the lip augmentation with dermal filler depends on the number of vials of filler needed to provide the desired result. During your consultation, Dr. Sand can help you choose how much augmentation you would like and tailor your treatment to the desired effect.
The cost of the eyelid procedure depends on the type that is performed and whether it is combined with any other procedures. A facility fee and anesthesia fee may be needed. After your consultation with Dr. Sand, you’ll receive a quote for the cost of the procedure.
The type of anesthesia used depends on the procedure performed. Upper eyelid surgery can be performed under local anesthesia, however lower eyelid surgery or a browlift generally requires sedation to perform. A full discussion regarding the options for anesthesia will be discussed during your consultation with Dr. Sand.
This is an office-based procedure done under local anesthesia. There is no need to fast for the procedure and you will eat lunch with the time and spend much of the day reading or watching movies while the procedure takes place. It is well tolerated and the results are very robust.
Platelet-rich plasma is a condensation of platelets and growth factors from your blood that are extracted and then re-injected into the scalp where the hair is thinning. The growth factors then stimulate micronized hair follicles and surrounding hairs to becoming thicker, more robust and higher quality. The effect of this injection does wear off after several months and requires maintenance therapy.
Injections with Botox or Dysport have essentially no downtime. Your skin may be red from the injection for about 15-30 minutes. There is an unlikely chance of a tiny bruise. The injection starts to take effect after 3-5 days and will take 10-14 days to reach full effect. The effects can last for ~4 months depending on the amount injected. Overall, it is a very well tolerated procedure.
Depending on the treatment, there could be minimal to no downtime with an immediate result.
Depending on the treatment, it can be delivered at the time of your initial consultation. Specials and treatment packages may be available and can be discussed at the time of your consultation.
Botox® and other neuromodulators typically take several days for the full effect to be produced. Immediately following injection, there may be a small amount of redness but this typically quickly dissipates. The effect generally lasts for 3-4 months.
For patients with skin laxity and excess fatty tissues, FaceTite is an excellent option for both skin tightening and fat destruction. Candidate patients can be in their 20-30’s up to their 60-70’s. During your complementary consultation with Dr. Sand, he can discuss treatment options for your areas of concern.
There are several factors that go into the cost of the procedure. This will depend on the areas to be treated and the combination of procedures performed. FaceTite is generally performed with local anesthesia or light sedation in a clinic setting, therefore fees for anesthesia and the surgical facility are typically not required. After your consultation with Dr. Sand, you will be provided with a quote for the cost of the procedure.
Facetite is typically performed with local anesthesia or with light sedation. Dr. Sand will discuss anesthesia options with you during your consultation and help you choose which option that you are most comfortable with.
While your body does need sweat glands to cool itself, your body has 2-4 million sweat glands – only about 2% are found in your underarms. Eliminating this 2% of sweat glands does not affect your body’s ability to cool itself. With miraDry, you will experience the many benefits of reducing sweat in the underarm area, but you will continue to sweat in other areas of your body.
miraDry uses thermal energy to create heat in the area where bothersome sweat and odor glands, as well as hair follicles reside and safely eliminates them.
You can expect immediate and lasting results. Once the miraDry treatment eliminates the sweat and odor glands, they’re gone for good. The treatment is clinically proven to have an average of 82% sweat reduction and 89% odor reduction. As with any aesthetic treatment, patient results and experiences may vary.
You can see results in as little as one treatment. However, as with any aesthetic treatment, your physician will determine the best protocol for your desired results.
An appointment will generally last about one hour.
Most patients describe the procedure as painless with little to no downtime. Local anesthesia is administered to the underarms prior to the treatment for patient comfort. Most patients return to regular activity (like returning to work) immediately. Exercise is typically resumed within several days. You may experience swelling, numbness, bruising, and sensitivity in the underarm area for several days after treatment.
Yes, miraDry has been used in over 150,000 treatments worldwide with an excellent safety record. It’s also been cleared by the FDA to dramatically reduce underarm sweat in as little as one appointment.
Some localized soreness or swelling will occur, and typically clear within a few weeks. Some patients have short-term altered sensation in the skin of their underarms or upper arms, which gradually disappears.
Pricing can vary depending on the treatment protocol to achieve your desired results and will be discussed during your consultation.
miraDry typically is not covered by insurance, but it is the first and only treatment FDA-cleared to permanently reduce underarm sweat in as little as one appointment. However, you may be able to use your HSA/FSA funds toward miraDry. Please contact your HSA/FSA manager to find out.