Introduction to Closed Rhinoplasty

Closed rhinoplasty, also known as endonasal rhinoplasty, is a popular cosmetic procedure that focuses on reshaping the nose. During this procedure, all incisions are hidden within the nostrils, allowing for bone and cartilage to be tactfully rearranged or removed. This technique can shorten the nose’s length, shave down dorsal humps, and refine the nasal tip. It is a great option for patients with smaller, more symmetrical noses. One of the key benefits is that there is no visible scarring, and surgery and healing times are often quicker compared to other rhinoplasty methods.

Benefits and Drawbacks of Closed Rhinoplasty

Benefits

• Less swelling after surgery: Since the incisions are internal, there is generally less swelling and bruising in the external area of the nose.
• Shorter recovery time: Patients can often return to normal activities sooner, which is a major advantage for those with busy schedules.
• No visible scars: This is a significant aesthetic benefit, as the incisions are hidden inside the nostrils.

Drawbacks

• Better suited for smaller noses: It may not be the best option for patients with larger noses or more severe structural issues.
• Cannot fix major structural issues: Complex structural problems may require an open rhinoplasty approach for better results.
• Limited post - operative results: The scope of reshaping may be more restricted compared to open rhinoplasty.

Well - Reputed Hospitals for Closed Rhinoplasty in New York City

Surgeons and Their Respective Hospitals

Dr. Andrew Jacono

Dr. Andrew Jacono is a global authority in the field of facial plastic and reconstructive surgery. He is one of a small group of surgeons that has achieved dual board certification in facial plastic and reconstructive surgery as well as head and neck surgery. Currently, he serves as section head of facial plastic and reconstructive surgery at North Shore University Hospital Manhasset, assistant clinical professor, division of facial plastic and reconstructive surgery at the New York Eye and Ear Infirmary and Albert Einstein College of Medicine. He is also the director of the New York Center for Facial Plastic & Laser Surgery. Dr. Jacono is known for his original, advanced approach to non - surgical and minimally invasive facial rejuvenation with flawless, yet natural results. He is considered one of the best closed rhinoplasty surgeons in New York. His surgical locations are in both New York City and Long Island. He specializes in creating extremely natural results, and his aesthetically balanced surgical skills allow him to deliver results unique to each client.

Dr. Sherrell J. Aston

Dr. Sherrell J. Aston is a New York City world - renowned double board - certified plastic surgeon who is one of the world's foremost experts in aesthetic plastic surgery. He is a professor of plastic surgery at New York University, past president of the American Society for Aesthetic Plastic Surgery, fellow of the American College of Surgeons, and for twenty - three years chairman of the plastic surgery department at Manhattan Eye Ear & Throat Hospital. Dr. Aston is an expert in the closed rhinoplasty technique, which avoids incisions and scars on the outside of the nose. He has used the closed technique for thousands of noses, both primary and secondary procedures, and has lectured to plastic surgeons around the world and written textbook chapters on closed rhinoplasty.

Dr. Steven J. Pearlman

Dr. Steven J. Pearlman is a distinguished facial plastic and reconstructive surgeon, educator, and humanitarian. He is uniquely dual board certified in both facial plastic and reconstructive surgery and in head and neck surgery. With extensive clinical and academic backgrounds in both fields, he provides his patients with unique expertise and understanding in the cosmetic and reconstructive surgery of the nose, face, and eyes. He has authored over 30 medical journal articles and book chapters and serves on the editorial board of a number of prestigious medical periodicals. Dr. Pearlman strives to provide his patients with compassionate and attentive patient care paired with the most sophisticated and advanced medical procedures and techniques available. He is nationally renowned as a master specialist in nasal and facial beauty.

Other Notable New York Area Surgeons for Closed Rhinoplasty

Albany Area

In the Albany area, there are several experienced surgeons. Dr. Steven Yarinsky spent two years in intensive cosmetic and reconstructive surgery training at the Medical College of Ohio. He dedicates over 150 hours every three years of continuing medical education to perfecting his techniques. He was named a “regional top doctor” by Castle Connolly multiple times. Dr. William F. Deluca Jr. began his career as a certified plastic surgeon in Albany over 28 years ago. He obtained his plastic surgery training at the two most prestigious institutions for plastic surgery doctors at the time. Dr. Edwin F. Williams III is double - board certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology. He has a strong interest in plastic surgery of the face, head, and neck. Dr. Jeffrey Rockmore is a board - certified plastic surgeon with an uncommon approach to aesthetic enhancement, taking the time to get to know each patient as a person.

Buffalo Area

Dr. Todd B. Koch is a board - certified plastic surgeon who has undergone a rigorous course of training. He trained in various surgical areas before deciding on plastic surgery. Dr. David A. Sherris is a double - board certified facial plastic surgeon. He is an internationally recognized leader in facial plastic and reconstructive surgery, with patients from all over the country and world, including royal families, Hollywood celebrities, and fortune 500 company leaders.

Rochester Area

Dr. Stephen M. Evangelisti was drawn to the community of Rochester by the reputation of Dr. Robert McCormick. He credits his military experience for refining his approach to plastic surgery. Dr. Vito C. Quatela is known as one of the top facial plastic surgeons in the Buffalo, Syracuse, and Rochester, NY region. His expertise is recognized nationally and internationally. He has a long list of professional accomplishments, including serving as the president of the American Academy of Facial Plastic and Reconstructive Surgery.

Syracuse Area

Dr. Sang W. Kim explored two pathways to become a plastic surgeon and chose to follow his passion in facial plastic surgery. He completed a residency program in otolaryngology – head and neck surgery followed by fellowship training dedicated to plastic surgery exclusively of the face, head, and neck. Dr. Dean De Roberts is a board - certified plastic surgeon in Syracuse. He has been recognized with several awards in plastic surgery and has performed a large number of procedures during his training.

Cost Factors of Closed Rhinoplasty in New York City

Surgeon's Fees

The surgeon's fees play a significant role in the overall cost of closed rhinoplasty. Surgeons with more experience, specialized training, and a good reputation tend to charge higher fees. For example, Dr. Andrew Jacono, being a highly respected and dual - board certified surgeon, may have higher fees due to his extensive experience and expertise in the field of facial plastic and reconstructive surgery. The “top doctor” designations, such as those from Castle Connolly and Super Doctors, can also influence the fees. These titles are often given to surgeons who have demonstrated exceptional skill and dedication to their profession, and patients are willing to pay a premium for their services.

Anesthesia Fees

Anesthesia fees are set prices billed by the hour. For primary rhinoplasty, the cost of anesthesia is approximately $2,700. The type of anesthesia used, whether general or local with sedation, can also affect the cost. General anesthesia is often used for more complex or longer procedures, and it requires the presence of an anesthesiologist, which can add to the overall cost.

Facility Fees

Facility fees vary depending on the type of surgical location. Rhinoplasty surgery can be performed in a private surgical suite, an outpatient surgery center, or a hospital. Private surgical suites are usually located at the surgeon’s office and tend to be the least expensive option. The surgeon can control the overhead costs associated with the operation, and they are familiar with the layout of the facility. Outpatient surgery centers are owned by a third party and are slightly more expensive. They provide all the necessary equipment and support for the procedure. Hospitals are generally the most expensive venue for rhinoplasty procedures due to their high overhead costs, such as maintenance, staff salaries, and equipment upkeep.

Other Factors Influencing Cost

Surgical Complexity

Complex cases, such as revision rhinoplasty, often require more time and skill from the surgeon. Revision rhinoplasty is a second surgery to correct or improve a previous procedure, and it may involve dealing with scar tissue and distorted anatomy. This increases the cost of the surgery as it demands more resources and expertise from the surgical team.

Type of Procedure

The approach of the rhinoplasty, whether open or closed, may not directly affect the cost. However, the closed approach is often chosen for procedures with a more limited scope, which can reduce the overall cost when less time or reshaping is required. Open rhinoplasty, which involves a small incision at the base of the nose, is typically used for more complex reshaping needs and may be more expensive.

Geographic Location

New York City, especially Manhattan, tends to have higher rates than other regions. The high cost of living in the city, along with the demand for world - class rhinoplasty standards from NYC patients, contributes to the higher prices. In contrast, smaller towns may offer less expensive surgical options, but surgeons in these areas may have less experience due to seeing fewer cases.

Additional Expenses

Aftercare, medications, and follow - up visits can add to the total cost. Patients need to account for these expenses when budgeting for the procedure. Aftercare may include things like follow - up appointments to monitor the healing process, removal of stitches, and any necessary medications to prevent infection or manage pain.

Cost Comparison of Closed Rhinoplasty in New York City

Conclusion

Closed rhinoplasty is a popular and effective cosmetic procedure that can enhance the appearance of the nose. In New York City, there are several well - reputed hospitals and highly skilled surgeons available to perform this procedure. The cost of closed rhinoplasty can vary significantly depending on various factors, including the surgeon's fees, anesthesia fees, facility fees, surgical complexity, type of procedure, geographic location, and additional expenses. It is crucial for patients to do thorough research, consider their budget, and choose a qualified and experienced surgeon to ensure the best possible results. By understanding the different aspects of closed rhinoplasty, patients can make an informed decision about the procedure and the provider they choose.

If you are considering closed rhinoplasty in New York City, take the time to schedule consultations with multiple surgeons. Discuss your goals, concerns, and budget during these consultations. Ask to see before - and - after photos of the surgeon's previous patients to get an idea of their work. Don't hesitate to reach out and learn more about the procedures and the surgeons to make the best choice for your needs. Share this article with others who may be interested in closed rhinoplasty to help them make an informed decision as well.