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Paul your rhinoplasty revision story of contemplation following a nasal pack coming down your throat is a scary one. It drives home the need to do research and find the most reputable surgeon. Value discount medical tourism places may be cheaper but are suspect of having lesser standards. It would be good if there was some data to compare satisfaction with cosmetic surgery procedures in the US compared to other countries and include pricing in the comparison. There are all sorts of horror stories like yours where persons have had items left inside of them like a scalpel, scissors, gauze etc by seemingly reputable doctors which then caused persons mystery pain that doctors could not diagnose correctly until years later.
A good place to start for anyone considering rhinoplasty is do their homework on researching the surgical procedure, really know what procedure is recommended by a surgeons interviewed and why. As well as proof of their skills with study of past client reviews and before and after photos to assess their expertise and specialties.
For Rhinoplasty, some top starter questions would be to find out what it is, understand solution options (such as: surgical vs. non surgical) and types of procedures involved for each. Resource site Findrhinoplastysurgeons.ca, see the what it is section: http://findrhinoplastysurgeons.ca/what-is-rhinoplasty/. Revision rhinoplasty is much more complicated, risky, and much more expensive.
My 2 cents: If shopping around for rhinoplasty, I would not want a value discount surgery location; instead I would want to get the best rhinoplasty surgeon for a cosmetic nose job or for a functional rhinoplasty procedure or reconstructive rhinoplasty procedure.