The Ranking of Doctors for Large Nostril Reduction in New York City + The Rhinoplasty Diary Raising the Facial Score from 5 to 9!

Rhinoplasty, often referred to as a nose job, is one of the most popular yet intricate cosmetic surgeries. It can transform not only the physical appearance of the nose but also significantly enhance a person's facial aesthetics and self - confidence. In New York City, a hub of medical excellence, there are numerous skilled doctors specializing in large nostril reduction and various rhinoplasty procedures. This article aims to provide an in - depth ranking of these doctors and share a rhinoplasty diary to give you an insight into the transformative journey.

The Importance of Choosing the Right Rhinoplasty Surgeon

The success of a rhinoplasty procedure depends largely on the skill and expertise of the surgeon. A qualified and experienced surgeon can understand your aesthetic goals, assess your nasal anatomy accurately, and perform the surgery with precision to achieve natural - looking results. A wrong choice can lead to sub - optimal results, dissatisfaction, and even additional corrective surgeries. Therefore, it is crucial to research and choose a surgeon who has a proven track record in the field of rhinoplasty.

Ranking of Doctors for Large Nostril Reduction in New York City

1. Dr. Andrew Jacono

Dr. Andrew Jacono is globally recognized as an authority in the field of facial plastic and reconstructive surgery. He is the surgical director of the New York Center for Facial Plastic and Laser Surgery. Dr. Jacono has developed a unique and innovative surgical approach. He has extensive training in surgical rhinoplasty and offers comprehensive, natural results. His customized approach preserves ethnic identity during rhinoplasty while achieving beautiful nasal definition. He has pioneered less - invasive techniques, avoiding breaking the nose and removing excessive cartilage. In 2021, he was ranked among America's best plastic surgeons for rhinoplasty by Newsweek, with a score of 80.9%. Many outlets consider him one of the top rhinoplasty surgeons in the United States and the world. Celebrities, socialites, and royalty have all sought his expertise for rhinoplasty and other surgical procedures.

2. Dr. Steven J. Pearlman

Dr. Steven J. Pearlman is a distinguished facial plastic and reconstructive surgeon. He is dual - board certified in both facial plastic and reconstructive surgery and head and neck surgery. With over 32 years of experience and more than 7,500 rhinoplasty procedures performed, he is an expert in creating the best version of his patients. Dr. Pearlman is meticulous in his attention to detail, uses the latest technology like piezo ultrasonic rhinoplasty and preservation rhinoplasty techniques, and focuses on clear communication with patients. He often appears in rankings of top doctors in New York City and has been chosen as a top doctor over 10 times by New York magazine and Castle Connolly.

3. Dr. Sam Rizk

Dr. Sam Rizk is a double - board - certified plastic surgeon who specializes in nose and face surgeries. He combines his artistic background as a sculptor with his technical skill as a facial plastic and reconstructive surgeon. Dr. Rizk performs rhinoplasty on hundreds of patients each year and has designed new and innovative techniques. He can handle both the medical and cosmetic components of a nose job, such as removing a bump, narrowing the nostrils, and correcting breathing problems. He is also known for his 3D HD rhinoplasty surgery, which involves less pain and less recovery time. He has been featured in Town & Country magazine and voted by peers to New York magazine’s 2013 top doctors list.

4. Dr. Sherrell J. Aston

Dr. Sherrell J. Aston is a world - renowned double - board - certified plastic surgeon. He is a professor of plastic surgery at New York University, past president of the American Society for Aesthetic Plastic Surgery, and a fellow of the American College of Surgeons. Dr. Aston is an expert in the closed rhinoplasty technique, which avoids external incisions and scars on the nose. He has used this technique for thousands of noses in both primary and secondary procedures. In the 2021 Newsweek ranking of America's best plastic surgeons for rhinoplasty, he scored 70.4% and was included in the 2023 ranking as well.

5. Dr. Jennifer Levine

Dr. Jennifer Levine is a double - board - certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology – Head and Neck Surgery. With over 25 years of experience, she has completed over 10,000 nasal procedures, including many revision rhinoplasty procedures. Dr. Levine is recognized for creating natural - looking and balanced results. She takes a thorough and collaborative approach during the consultation process to understand her patients' aesthetic goals. Her surgical practice is strictly focused on facial procedures, ensuring that even the most challenging cases achieve desirable outcomes.

6. Dr. Steven Yarinsky

Based in the Albany area, Dr. Steven Yarinsky has extensive plastic surgery training. He spent two years in intensive cosmetic and reconstructive surgery training at the Medical College of Ohio after completing his education at Dartmouth College, SUNY Upstate Medical Center, and multiple general surgery residencies. He dedicates over 150 hours every three years to continuing medical education. Dr. Yarinsky was named a “regional top doctor” by Castle Connolly from 2014 - 2017, and he is the only plastic surgeon between Albany and Montreal to be a member of the American Society for Aesthetic Plastic Surgery (ASAPS).

7. Dr. David A. Sherris

Dr. David A. Sherris is a double - board - certified facial plastic surgeon serving Buffalo, New York. He is an internationally recognized leader in facial plastic and reconstructive surgery. His patients include royal families, Hollywood celebrities, and company leaders. Dr. Sherris has been voted annually to "Best Doctors in America" by his peers since 2005. He offers state - of - the - art facial rejuvenation procedures with both surgical and non - surgical options, and his artistry can improve both the appearance and self - confidence of his patients.

8. Dr. Todd B. Koch

Dr. Todd B. Koch is a board - certified plastic surgeon. He completed his medical school at the State University of New York at Buffalo and had a comprehensive general surgery residency at the Millard Fillmore Hospital in Buffalo. He then specialized in plastic surgery at the Medical College of Ohio. Dr. Koch returned to Buffalo in 1986 to start his private practice in plastic and reconstructive surgery, with a wide range of surgical skills developed through his diverse training.

9. Dr. Robert J. Morin

Dr. Robert J. Morin is a board - certified plastic surgeon who specializes in reconstructive and cosmetic surgery of the head and face. He received additional training in craniofacial surgery, facial cosmetic surgery, and pediatric plastic surgery. This extra training allows him to perform complex surgical procedures on both adults and children. He has a specific interest in nasal reconstruction, ear reconstruction, and cosmetic and cleft rhinoplasty.

10. Dr. Yael Halaas

Dr. Yael Halaas is recognized as one of the best facial plastic surgeons in New York City. She is fully bilingual in English and Spanish and has a special interest in treating the aging face, primary and reparative rhinoplasty, and hair loss treatment. Dr. Halaas graduated from Cornell University Medical College in the top ten percent of her class and is a member of the Alpha Omega Alpha medical honors society. She is board - certified by the American Board of Otolaryngology and the American Board of Facial Plastic and Reconstructive Surgery and is a fellow of the American College of Surgeons (FACS).

Criteria for Ranking

The ranking of these doctors is based on several key criteria:

• Experience and Training: Surgeons with extensive training in rhinoplasty and years of practical experience are more likely to perform the procedure successfully. For example, Dr. Jacono and Dr. Pearlman have decades of experience in the field, which gives them a deep understanding of nasal anatomy and surgical techniques.
• Board Certifications: Double or multiple board certifications in relevant fields, such as facial plastic and reconstructive surgery and otolaryngology, indicate a high level of expertise and knowledge. Doctors like Dr. Levine, Dr. Pearlman, and Dr. Sherris hold these important certifications.
• Patient Testimonials and Reviews: Positive feedback from patients about the doctor's skills, bedside manner, and the results of the surgery is a strong indicator of a doctor's quality. Many of the ranked doctors have numerous satisfied patients who have shared their positive experiences.
• Awards and Recognition: Being recognized by prestigious organizations like Newsweek, Castle Connolly, and various medical associations reflects the doctor's excellence in the field. For instance, Dr. Jacono, Dr. Aston, and Dr. Pearlman have received multiple awards and honors.
• Innovative Techniques: Surgeons who use the latest and most advanced surgical techniques, such as Dr. Rizk's 3D HD rhinoplasty and Dr. Pearlman's piezo ultrasonic rhinoplasty, are at the forefront of the industry and can offer better results with potentially less pain and recovery time.

The Rhinoplasty Diary: Raising the Facial Score from 5 to 9!

Pre - Surgery: The Decision - Making Process

For many people considering rhinoplasty, the first step is recognizing the areas of their nose that they are unhappy with. Whether it's large nostrils, a nasal hump, or a droopy tip, these concerns can significantly impact self - confidence. Researching and choosing the right surgeon is a crucial part of this stage. Reading reviews, looking at before - and - after photos, and scheduling consultations with multiple surgeons can help in making an informed decision.

During the consultation, the patient and the surgeon discuss the aesthetic goals. The surgeon assesses the patient's nasal anatomy, including the bones, cartilage, and soft tissues. They may use advanced imaging technology, such as 3D imaging, to show the patient what the potential results could look like. For example, Dr. Pearlman uses Advanced Mirror® 2D and Vectra 3D imaging to demonstrate the changes to the nose and how it will look with the rest of the facial features.

The patient also needs to prepare their body for the surgery. This may include avoiding certain medications that can increase bleeding, such as aspirin, and following a healthy diet and lifestyle to ensure a smooth recovery. In some cases, patients may need to undergo pre - surgical tests, such as blood tests or nasal endoscopies, to evaluate their overall health and the condition of their nose.

Surgery Day

On the day of the surgery, the patient arrives at the surgical facility. They are usually greeted by the surgical team, which includes the surgeon, anesthesiologist, and nurses. The anesthesiologist administers anesthesia to ensure that the patient is comfortable and pain - free during the procedure. There are two main types of anesthesia used in rhinoplasty: general anesthesia and local anesthesia with sedation. The choice depends on the complexity of the surgery and the patient's preference.

The surgeon then makes the incisions. In a closed rhinoplasty, the incisions are made inside the nose, leaving no external scars. In an open rhinoplasty, an additional small incision is made across the columella (the strip of tissue between the nostrils). The surgeon carefully reshapes the bones and cartilage of the nose to achieve the desired aesthetic goals. For large nostril reduction, the surgeon may remove a small amount of tissue from the sides of the nostrils and then suture the incisions closed.

After the surgical modifications are complete, the surgeon applies a splint to the nose to support and protect the newly shaped structure during the healing process. The splint is usually left in place for about a week.

Post - Surgery: The Recovery Phase

Immediately after the surgery, the patient is taken to a recovery area where they are closely monitored as the anesthesia wears off. It is normal to experience some grogginess, swelling, and bruising around the nose and eyes. The surgical team provides pain medication to manage any discomfort.

First Week: The first week of recovery is crucial. The patient is advised to rest as much as possible and keep their head elevated to reduce swelling. They may need to wear the splint and follow a strict cleaning routine for the nose. Most patients can return to work or school after about a week, although the swelling and bruising may still be visible. The first follow - up appointment with the surgeon is usually scheduled about a week after the surgery to remove the splint and check the healing progress.

Weeks 2 - 4: During this period, the swelling and bruising start to subside significantly. The patient can gradually resume light activities, but they should still avoid strenuous exercise and activities that could potentially injure the nose. The surgical incisions continue to heal, and the nose begins to take on its new shape.

One to Three Months: The majority of the swelling will continue to decrease, and the nasal shape will become more defined. Some minor swelling may persist, especially at the tip of the nose, but this is a normal part of the healing process. The patient can start to see more of the final results of the rhinoplasty, and they can gradually increase their physical activity level.

Beyond Three Months: Most patients will see the final outcome of their rhinoplasty after about a year as the residual swelling fully resolves. The nose will look more in proportion to the rest of the face, and the patient's facial score, both in terms of appearance and self - confidence, can be significantly improved. Long - term care, such as sun protection for the nose, is still important to maintain the results.

Different Types of Rhinoplasty Procedures

1. Closed Rhinoplasty

Closed rhinoplasty is a technique where all the incisions are made inside the nose. This method is often preferred for less complex procedures or when the surgeon wants to avoid external scars. The incisions allow the surgeon to access and reshape the nasal bones and cartilage. After the surgery, there are no visible scars, making it a popular choice for many patients.

2. Open Rhinoplasty

Open rhinoplasty involves making an additional small incision across the columella. This provides better visualization of the nasal structures, allowing the surgeon to make more precise adjustments. It is often used for more complex cases, such as revision rhinoplasty or when a significant change in the nasal shape is required. Although the external incision may seem concerning, it usually heals very well and becomes barely noticeable over time.

3. Septorhinoplasty

Septorhinoplasty is a combination of a septoplasty (a procedure to correct a deviated septum) and a rhinoplasty (a procedure to reshape the nose). A deviated septum can cause breathing problems, such as nasal congestion, snoring, or sinus infections. Septorhinoplasty addresses both the functional and aesthetic aspects of the nose, improving both breathing and the appearance of the nose.

4. Revision Rhinoplasty

Revision rhinoplasty is performed to correct the results of a previous nasal surgery. It can be a more challenging procedure because of the presence of scar tissue and the need to address the patient's previous aesthetic and functional concerns. Surgeons like Dr. Levine and Dr. Pearlman are experienced in revision rhinoplasty and can use advanced techniques to achieve better results.

5. Ethnic Rhinoplasty

Ethnic rhinoplasty takes into account the unique nasal characteristics and cultural aesthetics of different ethnic groups. For example, noses can vary in shape, size, and structure among different ethnicities, such as African - American, Asian, Middle Eastern, and Hispanic. Surgeons performing ethnic rhinoplasty aim to enhance the nose while preserving the patient's ethnic identity and cultural heritage.

Cost Considerations

The cost of rhinoplasty in New York City can vary widely depending on several factors. These include the surgeon's experience and reputation, the type of rhinoplasty procedure, the complexity of the surgery, the surgical facility, and any additional procedures that may be combined with the rhinoplasty. On average, the cost of rhinoplasty in New York City ranges from $10,000 to $30,000. For example, a simple rhinoplasty may cost around $10,000 - $15,000, while a more complex revision rhinoplasty or a septorhinoplasty may cost upwards of $20,000 - $30,000.

It's important to note that cosmetic rhinoplasty is generally not covered by insurance. However, if the rhinoplasty is performed to correct a functional problem, such as a deviated septum causing breathing difficulties, the insurance may cover part or all of the cost. Patients should check with their insurance provider and the surgeon's office to determine the coverage and financing options available.

Conclusion

Large nostril reduction and rhinoplasty can be life - changing procedures for those looking to improve their facial aesthetics and boost their self - confidence. In New York City, there are many highly skilled doctors who can perform these procedures with precision and artistry. When choosing a surgeon, it's essential to consider their experience, training, certifications, patient reviews, and the techniques they use. The rhinoplasty journey, from the decision - making process to the recovery