Introduction

Closed rhinoplasty, a popular cosmetic procedure, is sought after by many in New York City. It involves reshaping the nose through incisions made inside the nostrils, offering the advantage of no visible external scars. In this article, we will explore the top doctors for closed rhinoplasty in New York City, the factors influencing the cosmetic prices, and what patients can expect from the procedure. Whether you're looking to enhance your appearance or improve your breathing, understanding the options available in New York City is crucial.

Understanding Closed Rhinoplasty

Closed rhinoplasty, also known as endonasal rhinoplasty, is a surgical technique where all incisions are made within the nostrils. This approach is suitable for patients with smaller, more symmetrical noses and those looking for relatively quicker recovery times with less visible scarring. The procedure can shorten the nose's length, shave down dorsal humps, and refine the nasal tip.

However, it has its limitations. Closed rhinoplasty may not be the best option for patients with major structural issues as it provides limited visibility for the surgeon. It is essential for patients to have a thorough consultation with their surgeon to determine if this procedure is suitable for their specific needs.

Factors Affecting the Ranking of Doctors

Credentials and Experience

One of the most important factors in ranking doctors for closed rhinoplasty is their credentials and experience. Board - certified plastic surgeons or facial plastic surgeons with extensive training in rhinoplasty are more likely to provide high - quality results. For example, Dr. Andrew Jacono is a dual - board - certified facial plastic surgeon with over twenty years of experience in the field. His expertise in both closed and open rhinoplasty procedures makes him a top choice for many patients. He has received numerous awards and recognition, including being named one of the top ten facial plastic surgeons in New York and a Castle Connolly top doctor since 2012.

Patient Reviews and Testimonials

Patient reviews and testimonials offer valuable insights into a doctor's skills, bedside manner, and the overall patient experience. Dr. Yael Halaas, a recognized facial plastic surgeon in New York City, has a large number of positive patient reviews. Her patients often praise her for her personalized approach, taking the time to understand their concerns and goals, and achieving natural - looking results. For instance, patients appreciate her ability to address the treatment of the aging face, primary and reparative rhinoplasty, and hair loss in both women and men.

Before - and - After Photos

Before - and - after photos are a great way to assess a doctor's capabilities. They allow patients to see the range of results a doctor can achieve and compare different surgical techniques. Dr. Steven J. Pearlman, a distinguished facial plastic and reconstructive surgeon, has a portfolio of before - and - after photos that showcase his skills in nasal and facial beauty. His patients' transformed noses and enhanced facial features in the photos demonstrate his proficiency in creating aesthetically pleasing results.

Top Doctors for Closed Rhinoplasty in New York City

Dr. Andrew Jacono

As mentioned earlier, Dr. Jacono is a well - known figure in the field of facial plastic surgery. He is highly skilled in closed rhinoplasty and has a reputation for delivering natural - looking results. He never breaks the nose during rhinoplasty, instead reshaping and repositioning it to avoid excessive trauma. His practice, the New York Center for Facial Plastic & Laser Surgery, has received 4.7 stars based on 205 reviews. Patients praise his expertise, professionalism, and ability to address their concerns effectively.

Dr. Yael Halaas

Dr. Halaas is a leading female facial plastic surgeon in New York City. She is fully bilingual in English and Spanish, which allows her to serve a diverse clientele. Her special interests include the treatment of the aging face, primary and reparative rhinoplasty, and hair loss. She is board - certified by the American Board of Otolaryngology and the American Board of Facial Plastic and Reconstructive Surgery and has received the Fellow of the American College of Surgeons (FACS) distinction. Patients appreciate her holistic approach to patient care and her ability to achieve beautiful, natural - looking results.

Dr. Steven J. Pearlman

Dr. Pearlman is uniquely dual - board certified in both facial plastic and reconstructive surgery and in head and neck surgery. He has extensive clinical and academic backgrounds, having authored over 30 medical journal articles and book chapters. He served as the president of the American Academy of Facial Plastic and Reconstructive Surgery from 2004 - 2005. His patients benefit from his in - depth knowledge and expertise in the cosmetic and reconstructive surgery of the nose, face, and eyes.

Dr. Sam Rizk

Dr. Rizk combines his artistic background as a sculptor with his technical skill as a facial plastic and reconstructive surgeon. He is known for his honesty with patients and will not recommend surgery if he believes the risk does not outweigh the benefit. His expertise in the most advanced techniques in facelift, neck lift, eyelid surgery, and rhinoplasty in NYC has earned him a reputation as a top - tier surgeon. He is a double - board - certified New York facial plastic surgeon and the director of Manhattan Facial Plastic Surgery, PLLC.

Dr. Sherrell J. Aston

Dr. Aston is a world - renowned double - board - certified plastic surgeon. He is a professor of plastic surgery at New York University and has been the past president of the American Society for Aesthetic Plastic Surgery. He is an expert in the closed rhinoplasty technique and has used it for thousands of noses, both in primary and secondary procedures. His experience and expertise make him a trusted choice for patients seeking closed rhinoplasty.

Cosmetic Price List for Closed Rhinoplasty in New York City

Factors Influencing the Price

The cost of closed rhinoplasty in New York City can vary significantly. Some of the factors that influence the price include the surgeon's level of expertise, the complexity of the surgery, the location of the surgical facility, and any additional fees such as anesthesia and post - operative care.

Surgeons with a high level of experience and a good reputation may charge more for their services. For example, a highly sought - after surgeon like Dr. Andrew Jacono may have a higher fee due to his extensive experience and proven track record. The complexity of the surgery also plays a role. If the patient has a more complex nasal structure or requires additional procedures, such as septoplasty to correct a deviated septum, the cost will be higher.

Price Range

According to various sources, the price of rhinoplasty in New York City can range widely. Some clinics offer rhinoplasty starting from as low as $676, while others may charge significantly more. On average, the cost of rhinoplasty in New York City can range from $7,000 to $20,000. However, it's important to note that these are just estimates, and the actual cost will depend on the individual patient's case.

The Closed Rhinoplasty Procedure

Anesthesia

During closed rhinoplasty, patients are typically given local or general anesthesia. Local anesthesia numbs the area around the nose, while the patient remains awake but relaxed. General anesthesia puts the patient to sleep for the duration of the surgery. The choice of anesthesia depends on the patient's preference, the complexity of the procedure, and the surgeon's recommendation.

Incisions and Surgical Steps

In closed rhinoplasty, all incisions are made inside the nostrils. Through these internal cuts, the surgeon can rearrange or remove bone and cartilage to reshape the nose. The surgeon may use various techniques, such as grafts, sutures, septal surgery, and osteotomies, depending on the patient's needs. For example, if the patient has a dorsal hump, the surgeon may shave it down using a specialized instrument. If the nasal tip needs to be refined, the surgeon may use sutures to reshape the cartilage.

Recovery Process

After the surgery, patients will have a small plastic splint on their nose to help support the new shape. The splint usually stays in place for about 5 days. Most patients experience some swelling and bruising around the eyes, which typically resolves within 3 to 14 days. Patients should avoid strenuous activities for about 3 to 6 weeks and follow their surgeon's instructions regarding aftercare, such as taking painkillers as prescribed, not blowing their nose, and avoiding wearing glasses on their nose for a few weeks.

Benefits and Risks of Closed Rhinoplasty

Benefits

One of the main benefits of closed rhinoplasty is that it leaves no visible external scars. This is a significant advantage for patients who are concerned about the cosmetic appearance after surgery. It also generally has a shorter recovery time compared to open rhinoplasty, and there is usually less swelling after the surgery. Patients can return to normal activities sooner, although they still need to follow the recovery guidelines.

Risks

Like any surgical procedure, closed rhinoplasty carries some risks. These include bleeding, infection, allergic reaction to the anesthesia, permanent numbness in the nose, difficulty breathing through the nose, an uneven - looking nose, discoloration, persisting pain, scarring (although less visible), septal perforation, and a need for additional surgery. However, with a skilled and experienced surgeon, the risk of complications can be minimized.

Alternatives to Closed Rhinoplasty

Filler Injections

Filler injections are a non - surgical alternative to closed rhinoplasty. They involve injecting a substance, such as hyaluronic acid, into the nose to change its shape. This option is suitable for patients who have minor nasal irregularities and do not want to undergo surgery. Filler injections are less painful, require little to no downtime, and can provide immediate results. However, the results are temporary and may need to be repeated every few months to a year.

Botox

Botox can also be used to enhance the appearance of the nose. It can be injected into the muscles around the nose to smooth out wrinkles and lines, giving the nose a more refined look. Similar to filler injections, Botox is a non - invasive option with a short recovery time. However, the effects are also temporary.

Nasal Strips

If the goal is to improve breathing, nasal strips can be a simple and non - surgical option. Nasal strips are a type of bandage with adhesive and embedded splints or plastic ribs that are applied across the bridge of the nose and the sides of the nostrils. They can keep the airway open, making breathing easier.

Preparing for Closed Rhinoplasty

Consultation with the Surgeon

Before undergoing closed rhinoplasty, patients should have a thorough consultation with their surgeon. During this consultation, the patient can discuss their goals, expectations, and any concerns they may have. The surgeon will perform a physical examination of the nose, take photos, and discuss the surgical plan. It's important for the patient to be honest about their medical history, including any previous surgeries, allergies, and current medications.

Medical Evaluation

The surgeon may also recommend a medical evaluation to ensure that the patient is in good health for surgery. This may include blood tests, a physical examination, and an evaluation by an anesthesiologist. The anesthesiologist will determine the best type of anesthesia for the patient based on their medical history and overall health.

Lifestyle Changes

Patients are usually advised to make some lifestyle changes before surgery. This may include avoiding alcohol and tobacco for a certain period before and after the procedure, as these can interfere with the healing process. They may also be asked to stop taking certain medications, such as aspirin and other blood - thinners, which can increase the risk of bleeding.

Aftercare for Closed Rhinoplasty

Medication and Pain Management

After the surgery, the surgeon will prescribe painkillers to help manage any discomfort. Patients should take the medication as prescribed and report any unusual pain or side effects to their surgeon. In addition to painkillers, the surgeon may also prescribe antibiotics to prevent infection.

Rest and Recovery

Patients need to get plenty of rest during the recovery period. They should avoid strenuous activities, such as exercise, for about 3 to 6 weeks. It's also important to keep the head elevated while sleeping to reduce swelling. Patients should follow their surgeon's instructions regarding when they can resume normal activities, such as work and exercise.

Follow - up Appointments

Regular follow - up appointments with the surgeon are crucial for monitoring the healing process. The surgeon will remove the nasal splint, check for any signs of infection or complications, and evaluate the results of the surgery. These appointments also provide an opportunity for the patient to ask any questions and get advice on further aftercare.

Conclusion

Closed rhinoplasty is a popular and effective procedure for reshaping the nose in New York City. There are many highly skilled doctors in the area, each with their own unique expertise and approach. When considering closed rhinoplasty, it's important to research the doctors, understand the factors that affect the price, and be aware of the procedure, its benefits, risks, and aftercare. By choosing the right doctor and following the proper guidelines, patients can achieve their desired results and enhance their appearance and confidence.

If you're interested in learning more about closed rhinoplasty in New York City, we encourage you to schedule a consultation with a qualified surgeon. You can also explore more information on this topic by reading medical journals and articles or talking to other patients who have undergone the procedure. Share this article with others who may be interested in closed rhinoplasty to help them make an informed decision.