FAQ

Neck Lift

What is the best age for a neck lift?

The best age for a neck lift varies, as it depends more on the individual’s skin condition and aesthetic goals rather than age alone. Typically, patients in their 40s to 60s seek neck lifts to address signs of aging, but it can be suitable for anyone experiencing sagging skin, excess fat, or loss of muscle tone in the neck area.

How long does a neck lift last?

The results of a neck lift can last for 10 to 15 years. The longevity of the results depends on various factors, including the patient’s skin quality, lifestyle, and how well they protect their skin from the sun. Following a healthy lifestyle and skincare regimen can help maintain the results longer.

How painful is a neck lift?

Patients may experience some discomfort and tightness following a neck lift, but significant pain is typically minimal. Pain management with prescribed medications during the initial recovery period can help ease any discomfort. Most patients report that the discomfort subsides significantly within the first week after surgery.

How much does a neck lift cost in the US?

The cost of a neck lift in the US varies widely depending on the surgeon’s experience, the geographic location, and the extent of the procedure. On average, the cost can range from $8,000 to $22,000. It’s important to consult with a plastic surgeon for a personalized quote that includes surgeon’s fees, anesthesia, facility costs, and any additional expenses.

Face & Neck Surgery

I am interested in a facelift but I am not sure what it can do for me.

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.

How much will a facelift cost?

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.

What type of anesthesia will I have for a facelift?

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.

Nasal Surgery

How do I find the best rhinoplasty surgeon near me?

When looking for the best rhinoplasty surgeon near you, prioritize qualifications and specialization, like to Dr. Sand, who is double-board certified in Otolaryngology – Head and Neck Surgery and Facial Plastic and Reconstructive Surgery. His extensive training underscores the importance of choosing a surgeon with a solid background in facial aesthetics and surgical expertise. For rhinoplasty, focus on finding a surgeon who is board-certified in plastic surgery or otolaryngology, with a subspecialty in facial plastic surgery. Their portfolio of before and after photos, specifically for rhinoplasty, can provide insight into their aesthetic judgment and outcomes. Personal consultations are crucial for discussing your goals and assessing the surgeon’s approach to achieving natural-looking results tailored to your facial structure.

I am interested in rhinoplasty (nose reshaping) but I am not sure what it can do for me.

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.

How much will rhinoplasty cost?

Generally rhinoplasty costs between $9,000 and $30,000. 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.

Will I have nasal packing after 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.

How long does it take to recover from a nose job (rhinoplasty)?

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.

Ear Surgery

How much will an otoplasty cost?

There are several factors that go into a case of ear reshaping including length of procedure, complexity, and functionality. You can contact the office directly for rough estimates based on your specific concerns, however in order to receive a comprehensive cost breakdown for this procedure you will need to be evaluated by Dr. Sand in a consultation.

What type of anesthesia will I have for an otoplasty?

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.

Lip Surgery

How much will a lip lift cost?

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.

How much does lip augmentation cost?

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.

Eye Surgery

How much will an eyelid surgery cost?

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.

What type of anesthesia will I need for an eyelid surgery?

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.

Hair Restoration

How do I find the best hair transplant surgeon near me?

When looking for the best hair transplant surgeon near you, consider a highly-experienced surgeon like Dr. Sand, whose double-board certification and expertise in facial plastic surgery extend to meticulous procedures such as hair transplantation. Look for a surgeon with a proven track record in hair restoration, demonstrated through before and after galleries that showcase their ability to achieve natural and dense hair growth. The surgeon’s experience with both FUE (Follicular Unit Extraction) and FUT (Follicular Unit Transplantation) techniques, along with patient testimonials, can guide you to make an informed decision. A detailed consultation will allow you to understand the surgeon’s approach to hair restoration, ensuring that it aligns with your expectations and needs.

How is hair transplantation completed?

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.

How does PRP work for hair?

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.

Nonsurgical Rejuvenation

How long does it take to recover from a Botox or Dysport injection?

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.

What is the downtime with these treatments?

Depending on the treatment, there could be minimal to no downtime with an immediate result.

Do I have to set up a separate appointment after the consultation for a treatment?

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.

How long does until Botox® has its full effect?

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.

FaceTite

Am I a candidate for the FaceTite procedure?

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 consultation with Dr. Sand, he can discuss treatment options for your areas of concern.

How much does FaceTite cost?

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.

What type of anesthesia will I have for a Facetite 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.

MiraDry

Don’t I need sweat glands?

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.

How does it work?

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.

What results can I expect?

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.

How many treatments will I need?

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.

How long does it take?

An appointment will generally last about one hour.

Is there any pain or downtime?

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.

Is it safe?

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.

Are there any side effects?

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.

How much does it cost?

Pricing can vary depending on the treatment protocol to achieve your desired results and will be discussed during your consultation.

Is miraDry covered by insurance?

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.

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    Facelift

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    Procedures offered at our center in Spokane: rhinoplasty (nose reshaping or…

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    Dr. Sand is Spokane/Coeur d’Alene’s premier and exclusive provider of the…

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