Plastic Surgery Guide for Nasal Three - Dimensional Remodeling in New York City 2025

Introduction

Nasal three - dimensional remodeling, commonly known as rhinoplasty or a “nose job,” is a highly sought - after plastic surgery procedure in New York City. It offers both aesthetic enhancement and functional improvements to the nose. In this comprehensive guide, we will explore various aspects of nasal three - dimensional remodeling, including the surgical procedures, top surgeons, patient selection, recovery, and associated costs.

Understanding Nasal Three - Dimensional Remodeling

What is Nasal Three - Dimensional Remodeling?

Nasal three - dimensional remodeling is a plastic surgery technique that goes beyond simple aesthetic changes. It takes a holistic approach to reshape the nose, considering the three - dimensional structure of the nose and its relationship with the rest of the face. By using advanced techniques and technology, surgeons can create a nose that not only looks aesthetically pleasing but also functions properly. For example, Dr. Rousso developed a three - dimensional rhinoplasty assessment technique based on “3 - dreams,” which incorporates an advanced and holistic approach to rhinoplasty surgery. This approach allows for a more detailed exam and a customized nose job that enhances both the aesthetics of the face and improves airway function.

Benefits of Nasal Three - Dimensional Remodeling

• Aesthetic Improvement: It can correct various nasal flaws such as a hump on the bridge, a wide tip, large flaring nostrils, or a crooked nose. This helps in improving the overall facial balance and appearance. For instance, a person with a prominent nasal hump may feel self - conscious, and rhinoplasty can smooth out the bridge, giving a more refined look.
• Functional Enhancement: The surgery can also improve breathing problems caused by a deviated septum, nasal valve collapse, or other structural issues. In cases where a person has difficulty breathing through the nose, three - dimensional remodeling can widen the air passages inside the nose, facilitating better airflow.
• Rehabilitative Purpose: In instances of traumatic accidents or injuries to the nose, nasal reconstruction as part of three - dimensional remodeling can restore both the form and function of the nose.

Nasal Analysis in Rhinoplasty

The Role of Nasal Analysis

Nasal analysis is a crucial step in rhinoplasty. It refers to the process by which plastic surgeons determine how the proportions and contours of an individual's nose compare to the aesthetic standard considered “ideal.” It helps surgeons understand the unique anatomy of each patient's nose and plan the surgery accordingly. Dr. Cangello, a facial plastic surgeon, uses nasal analysis as a guidepost in his practice. He understands that beauty is subjective, especially when it comes to varying aesthetic ideals for ethnically diverse patient groups. His ultimate goal for each cosmetic rhinoplasty is to achieve the results requested by the individual.

Assessing Ideal Nasal Proportions

Facial Height

Dr. Cangello begins the nasal analysis by dividing the face into three equal horizontal thirds. The top third extends from the hairline to just between the eyebrows, the middle third from just below the glabella to the subnasale (where the bottom of the nose meets the upper lip), and the lower third from the subnasale to the menton (the lowermost projection of the chin). Ideally, the nose should encompass almost the entire middle horizontal third of the total facial height. For individuals with unbalanced horizontal thirds, adjustments are made during nasal surgery to ensure a favorable impact on the overall facial appearance.

Facial Width

Other Considerations in Nasal Assessment

Several surface landmarks of the nose play an important role in its shape and appearance. These include the radix (the centermost point of the depression between the glabella), the dorsum (the bridge of the nose), the upper and middle vaults, the nasal tip, the alar rim, the columella, the alar base, and the nostril sill. Surgeons also analyze the relationships between these landmarks, their angles, curves, and the shadows they cast on and around the nose and the face as a whole. For example, the nasofrontal angle (the angle created by the intersection of the glabella and the dorsum) should ideally measure 115 - 125 degrees in women and 120 - 130 degrees in men. Abnormalities in these angles can affect the overall appearance of the nose and are considered during nasal analysis.

Top Surgeons in New York City for Nasal Three - Dimensional Remodeling

Dr. Rousso

Dr. Rousso is a double - board - certified plastic and head and neck surgeon. He performs over 100 “nose jobs” per year in his NYC office. He developed a three - dimensional rhinoplasty assessment technique based on “3 - dreams.” By incorporating an advanced and holistic approach to rhinoplasty surgery, he can provide a more detailed exam and a customized nose job. He uses three - dimensional endoscopic technology during the operative procedure, which allows him to adjust the shape of nose humps, tips, and bulbosity while also widening the air passages inside the nose, improving breathing. His patients come from all over the greater Manhattan area and the United States to seek his precise and high - quality care.

Dr. Cangello

As a facial plastic surgeon, Dr. Cangello has a deep understanding of nasal analysis. He uses nasal analysis as a guide rather than a strict rule, especially considering the varying aesthetic ideals of different ethnic groups. His goal is to achieve the results requested by each individual patient. He carefully assesses facial height, width, and other nasal landmarks to plan the rhinoplasty procedure accurately and create a nose that is in harmony with the patient's face.

Dr. Gary Linkov

Dr. Gary Linkov at City Facial Plastics in New York is a respected reconstructive and facial plastic surgeon. He specializes in nasal reconstruction, which may be necessary after trauma, removal of cancer, or due to congenital defects. He follows basic principles such as “replace like with like,” using aesthetic units to guide reconstruction, and following a reconstructive ladder when deciding on the type of reconstruction. He is the chief of otolaryngology and facial plastic surgery for the veterans hospital in Brooklyn, NY, and his private practice in Manhattan's upper east side focuses on nasal reconstruction, as well as cosmetic and functional rhinoplasty.

Dr. Sam Rizk

Dr. Sam Rizk is a double - board - certified plastic surgeon in NYC. He specializes in sophisticated rhinoplasty techniques using the latest technology. He performs hundreds of successful nose jobs each year and knows how to create natural - looking results that complement the patient's facial features. He takes a personal interest in each patient and works closely with them to ensure they are happy with their new look. He offers various types of rhinoplasty, including teen rhinoplasty, revision rhinoplasty, and ethnic rhinoplasty, and can also handle both the medical and cosmetic components of a nose job.

Types of Rhinoplasty Procedures

Open Rhinoplasty

Open rhinoplasty involves making an incision across the columella, the strip of skin that separates the nostrils. This approach provides the surgeon with greater visibility and access to the inside of the nose. As a result, it is often used to address more complex issues, such as correcting a deviated septum, resolving breathing difficulties, or making significant changes to the nasal structure. For example, if a patient has a severely crooked nose or needs extensive reconstruction, open rhinoplasty may be the preferred option. However, it may result in a slightly longer recovery time and a small external scar, which usually fades over time.

Closed Rhinoplasty

Closed rhinoplasty is performed entirely through incisions made inside the nostrils. Since there are no external incisions, it tends to result in less swelling and bruising compared to open rhinoplasty. It is often used to address more minor issues, such as correcting a small bump on the bridge of the nose or refining the tip. Closed rhinoplasty is a good option for patients who want to make relatively subtle changes to their nose and desire a quicker recovery with no visible external scar.

Revision Rhinoplasty

Revision rhinoplasty is a secondary nose surgery performed to correct issues that were not satisfactorily addressed in the first nose surgery (primary rhinoplasty). Noses that have had previous work may suffer from structural support defects, resulting in an unnatural appearance or breathing difficulties. Revision rhinoplasty can be a complex operation, but surgeons like Dr. Sam Rizk can achieve a high degree of precision using advanced techniques such as his signature three - dimensional high - definition telescope system. This system allows for a better understanding of the internal nasal anatomy and helps in correcting any defects more effectively.

Ethnic Rhinoplasty

Ethnic rhinoplasty takes into account the unique features of the patient's ethnic background. Different ethnic groups have distinct nasal characteristics, and the goal of ethnic rhinoplasty is to create a nose that looks natural for the patient's face while still achieving the desired results. For example, Asian, African - American, and Hispanic noses may have different bone and cartilage structures, and the surgical approach is tailored accordingly to preserve the ethnic identity while improving the appearance and function of the nose.

Patient Selection for Nasal Three - Dimensional Remodeling

Ideal Candidates

• Realistic Expectations: Patients should have realistic expectations about the outcome of the surgery. They should understand that while rhinoplasty can significantly improve the appearance and function of the nose, it may not achieve a “perfect” nose according to an ideal standard. For example, a patient should not expect to have a nose that looks exactly like a celebrity's nose if it is not anatomically possible for their face.
• Good Overall Health: Since rhinoplasty is a surgical procedure, patients should be in good overall health. This includes having no major medical conditions that could increase the risk of surgery, such as heart disease, uncontrolled diabetes, or a weakened immune system. Surgeons will typically review the patient's medical history and may order certain pre - operative tests to ensure the patient is a suitable candidate.
• Specific Nasal Concerns: Ideal candidates may have concerns such as a large or small nose, a crooked nose, a nasal hump, wide nostrils, or breathing problems due to a deviated septum. They should be able to clearly communicate their goals and concerns to the surgeon during the consultation.

Adolescent Patients

If a nose job is being elected for cosmetic reasons, younger patients should wait until they stop growing and their nasal bone has reached its adult size. Typically, for girls, this occurs after puberty around age 15, while boys may need to wait longer until they are 17 or 18 years or older. However, if the surgical procedure is being performed to correct a breathing problem or repair the bone after an injury, it can be performed before the patient is fully grown.

The Rhinoplasty Process

Consultation

The rhinoplasty process begins with a consultation with the surgeon. During this visit, the surgeon will examine the patient's nose and face, take measurements, and ask about the patient's goals for surgery. The surgeon will also provide information on what to expect before, during, and after surgery. It is important for the patient to understand all this information and to ask any questions they may have. For example, patients can ask about the different types of rhinoplasty procedures, the expected recovery time, and the potential risks and complications. The surgeon will also review the patient's medical history to ensure they are healthy enough for surgery.

Designing the Surgical Plan

After the consultation, the surgeon will design a surgical plan specifically for the patient. This plan is based on the patient's goals, facial structure, and other factors. Some surgeons may use 3D imaging technology to create a lifelike model of the patient's nose and surrounding facial features. This allows for precise measurements, customized planning, and visualization of the expected results. The surgeon will discuss the plan with the patient in detail, make any necessary adjustments based on the patient's feedback, and answer any further questions.

Preparing for Surgery

Patients need to prepare both physically and mentally for rhinoplasty surgery. Physically, they may need to get lab work and imaging tests done, such as a blood test and a chest x - ray. They will also need to stop taking certain medications and supplements a few weeks before surgery, as these may increase the risk of bleeding. It is important to avoid drinking alcohol and smoking cigarettes for at least two weeks before and after surgery, as these can also interfere with the healing process. Patients should eat a healthy diet and get plenty of rest before surgery. Mentally, patients should be prepared for the changes that will occur to their appearance and the recovery process.

The Procedure

Rhinoplasty is typically performed as an outpatient procedure under general anesthesia or with a combination of local anesthesia and sedation. The surgery usually takes around one to three hours, depending on the complexity of the procedure. The surgeon will make incisions either inside the nostrils (closed rhinoplasty) or across the columella (open rhinoplasty). The bone and cartilage of the nose are then sculpted to create the desired shape. In some cases, implants or grafts may be used to support and contour the final result. After the surgery, tubes may be inserted into the nasal passageways, and a splint or cast may be placed on the nose to support the healing process.

Recovery

After the surgery, patients will need to rest with their head elevated for the first few days to reduce swelling. They may experience pain, swelling, and bruising, which can be controlled with medication. Most people take about a week off from work or school to recover. It is important to avoid strenuous activity for four to six weeks after the surgery and to avoid blowing the nose and wearing glasses during this time. The splint or cast will be removed after about a week, and the stitches may dissolve on their own or be removed a few days later. It may take several months for the swelling to completely go down, and the final results of the surgery may not be fully visible for up to a year. The surgeon will schedule follow - up appointments to monitor the healing process and ensure everything is going smoothly.

Cost of Nasal Three - Dimensional Remodeling

The cost of nasal three - dimensional remodeling in New York City can vary widely depending on several factors. These include the surgeon's experience and reputation, the complexity of the procedure, the type of rhinoplasty (open or closed, revision, etc.), and the location of the surgical facility. On average, the cost of rhinoplasty can range from a few thousand dollars to over ten thousand dollars. In some cases, insurance may cover part or all of the cost of the surgery if it is being performed to correct a medical condition such as a deviated septum or to repair a nose injury. However, if the surgery is purely for cosmetic reasons, it is usually not covered by insurance. Patients should discuss the cost and payment options with their surgeon during the consultation.

Risks and Complications of Rhinoplasty

Like any surgical procedure, rhinoplasty carries some risks and complications. These can include:

• Bleeding: Some bleeding is normal during and after surgery, but excessive bleeding may require additional treatment.
• Infection: There is a risk of infection at the incision site. Patients are usually given antibiotics after surgery to reduce this risk, and it is important to keep the incision site clean.
• Reaction to Anesthesia: Some patients may have an adverse reaction to the anesthesia used during surgery. However, this is rare, and anesthesiologists are trained to monitor patients closely during the procedure.
• Unfavorable Cosmetic Outcome: There is a possibility that the patient may not be satisfied with the final appearance of their nose. This could be due to factors such as asymmetry, a nose that is too large or too small, or an unnatural shape. Revision rhinoplasty may be an option in some cases to correct these issues.
• Breathing Difficulties: Although rhinoplasty is often performed to improve breathing, there is a small risk of developing new or worsened breathing problems after surgery. This could be due to swelling, scarring, or a change in the nasal structure.

Conclusion

Nasal three - dimensional remodeling in New York City offers a comprehensive solution for those looking to improve the appearance and function of their nose. With a range of skilled surgeons, advanced techniques, and innovative technologies, patients can achieve natural - looking results that enhance their facial harmony. However, it is essential for patients to carefully consider the procedure, choose a qualified surgeon, and have realistic expectations. Understanding the entire process, from consultation to recovery, and being aware of the potential risks and costs is crucial for a successful outcome.

If you are considering nasal three - dimensional remodeling, we encourage you to schedule a consultation with a reputable plastic surgeon in New York