The ranking of natural contour doctors in New York City + a diary of a rhinoplasty operation adding points from a 5 - point appearance to a 9 - point one! 2025

Introduction

Rhinoplasty, commonly known as a nose job, is a highly sought - after cosmetic and functional surgical procedure in New York City. With the city being a hub of medical excellence, there are numerous surgeons who can transform a less - desired nose shape into one that not only enhances facial aesthetics but also, in some cases, improves nasal function. In this article, we will explore the top - rated natural contour doctors in New York City for rhinoplasty and delve into the details of a rhinoplasty operation through a hypothetical diary, imagining how one could add significant points to their appearance, perhaps from a 5 - point to a 9 - point look.

Understanding Rhinoplasty

Rhinoplasty is a surgical procedure that involves reshaping the nose. It can be performed for cosmetic reasons, to change the size, shape, or proportion of the nose, or for functional reasons, such as improving breathing. According to the American Society of Plastic Surgeons, more than 213,000 people receive a nose job each year in the United States. The nose is a complex structure made up of bone and cartilage, and a skilled surgeon must have a deep understanding of both its anatomy and aesthetics to achieve the best results.

Types of Rhinoplasty

• Open Rhinoplasty: This approach involves making an incision across the columella, the tissue between the nostrils. It provides the surgeon with greater visibility and access to the nasal structure, making it suitable for complex cases. However, it may result in a longer recovery time and a small, usually well - hidden scar.
• Closed Rhinoplasty: All incisions are made inside the nostrils. This technique is less invasive, has a shorter recovery time, and leaves no visible external scars. It is often used for less extensive corrections.
• Primary Rhinoplasty: This is the first surgery to change the nose's appearance or function. Choosing an experienced surgeon is crucial for optimal results.
• Revision Rhinoplasty: A subsequent procedure to correct or refine the results of a previous rhinoplasty. It is typically more complex due to changes in the nasal tissues and underlying structures.
• Functional Rhinoplasty: Focuses on improving breathing issues and internal nasal structure problems, such as correcting a deviated septum.
• Cosmetic Rhinoplasty: Aims to enhance the nose's appearance, aligning it with the patient's aesthetic desires, such as reshaping the nasal tip or bridge.

The Ranking of Natural Contour Doctors in New York City

New York City is home to some of the world's best rhinoplasty surgeons. Here are some of the top - rated doctors who are known for their ability to create natural - looking results:

Dr. Yoel Shahar

Dr. Yoel Shahar is considered one of the best rhinoplasty surgeons in New York City. He has performed thousands of rhinoplasty and nose - reshaping procedures at his private practices in both New York City and Israel for nearly 25 years. He is the founder of the Natural Look Institute and is often referred to as “Doctor Nose.” Dr. Shahar is a board - certified cosmetic surgeon, a board - certified general surgeon, and an associate fellow of the American Medical Association. He is also a fellow of multiple professional organizations, including the American College of Surgeons and the American College of Oral and Maxillofacial Surgeons. His work is characterized by a commitment to achieving natural - looking results and perfect facial harmony. He takes a personalized approach, always considering all the patient's facial features rather than just focusing on the nose. He offers transparency about expected results and encourages patients to have realistic expectations. He participates in numerous professional conferences and is often featured on television and quoted in magazines.

Dr. Sam Rizk

Dr. Sam Rizk is a double - board - certified plastic surgeon who specializes in rhinoplasty in NYC. He has an artistic background as a sculptor, which combines with his technical skill as a facial plastic and reconstructive surgeon. He understands that rhinoplasty is a life - changing procedure and is committed to providing 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 their satisfaction. Dr. Rizk has treated members of royal families, celebrities, and patients from around the globe. He is an expert in various types of rhinoplasty, including teen rhinoplasty, revision rhinoplasty, and ethnic rhinoplasty. He has a selection of before - and - after images that showcase his work, and his patients often rave about his precision and compassionate care. He is also featured in magazines like Tatler as one of the world's top nose job surgeons.

Dr. David Cangello

Dr. David Cangello is a board - certified plastic surgeon in NYC. He is a pioneer in rhinoplasty surgery and is one of only a few surgeons in the United States to offer preservation rhinoplasty, a technique that preserves as much of the patient's natural bone structure, cartilage, and tissue while reducing bumps and humps. This results in refined and natural - looking outcomes with a potentially quicker recovery time. Dr. Cangello has developed a reputation for achieving superior, natural - looking rhinoplasty results. He combines surgical precision with an innate sense of artistry. He is a member of the Rhinoplasty Society and has authored numerous articles in medical journals. He has been named to Castle Connolly's list of America's top doctors and is highly sought after by the media for his expertise in plastic surgery. He has been featured in many major publications, including Harper's Bazaar, Seventeen Magazine, and Elle.

Dr. Andrew Jacono

Dr. Andrew Jacono is a global authority in the field of facial plastic and reconstructive surgery. He is dual - board - certified in facial plastic and reconstructive surgery as well as head and neck surgery. Dr. Jacono is known for his original, advanced approach to non - surgical and minimally invasive facial rejuvenation with flawless, yet natural results. His work has not gone unnoticed by the media; Harper's Bazaar has elected him as one of the top facial plastic surgeons in the United States. He is also regularly named one of the best facial plastic surgeons by New York Magazine. He has pioneered a number of new surgical techniques, such as the extended deep - plane facelift. He treats a wide range of patients, including prominent American and international socialites, television news personalities, and everyday men and women. His expertise in rhinoplasty allows him to create results that enhance the patient's overall facial harmony.

Dr. Moustafa Mourad

Dr. Moustafa Mourad is a board - certified plastic surgeon in New York City. He specializes in various types of rhinoplasties, including primary rhinoplasty, revision rhinoplasty, functional rhinoplasty, ethnic rhinoplasty, and male rhinoplasty. With extensive training in facial plastic surgery and head and neck surgery, he is committed to delivering natural - looking cosmetic surgery that aligns with each patient's aesthetic goals. His practice in Manhattan is dedicated to enhancing facial aesthetics while preserving or improving nasal function. He uses advanced surgical techniques, such as open and closed rhinoplasty, as well as cartilage grafting and bone restructuring, depending on the patient's specific needs. He provides personalized treatment plans and is known for his commitment to patient care.

Pre - surgery: The Decision and Consultation

The Decision - Making Process

Deciding to undergo rhinoplasty is a significant and personal decision. Many people may be unhappy with the size, shape, or proportions of their nose, or they may have a medical reason, such as a deviated septum that affects breathing. For example, a person with a prominent dorsal hump may feel self - conscious about their appearance, while someone with a breathing problem may experience constant discomfort. It is important to have realistic expectations about the outcome of the surgery. A surgeon will usually assess if a patient is a good candidate through a thorough medical examination and a review of their health history. They will also consider the patient's nasal structure and any respiratory concerns.

The Consultation

The consultation is a crucial step in the rhinoplasty process. During this visit, the surgeon will examine the patient's nose and face, take measurements, and ask about their goals for surgery. They will also review the patient's medical history to ensure they are healthy enough for the procedure. For instance, Dr. Shahar will conduct a careful evaluation in his “mirror” room, analyzing the patient's face and nose to achieve perfect facial harmony. He will explain what he can and cannot do for the patient and may suggest other enhancements if necessary. Dr. Rizk will design a surgical plan based on the patient's goals, facial structure, and other factors. He may also prepare a 3D simulation of the expected results to help the patient visualize their new nose. Patients should use this opportunity to ask any questions they have about the procedure, recovery, and potential risks.

A Hypothetical Diary of a Rhinoplasty Operation

Day 1: The Surgery

Today was the day of my rhinoplasty. I was extremely nervous as I arrived at the surgical facility. The staff was incredibly kind and reassuring, which helped calm my nerves a bit. After signing some paperwork and getting prepped, I met with my surgeon, Dr. [Surgeon's Name]. He went over the final details of the procedure one last time and answered any lingering questions I had. Then, it was time for the anesthesia. Before I knew it, I was out. When I woke up, my nose was packed, and I had a splint on. There was some discomfort, but it was manageable. The nurse gave me pain medication and monitored my vitals. I was allowed to go home a few hours later, and I was instructed to rest with my head elevated.

Day 3: Dealing with Swelling and Bruising

The swelling and bruising around my eyes have become more prominent. It looks worse than I expected, but I know this is a normal part of the healing process. I've been using cold compresses as instructed to help reduce the swelling. It's a bit hard to breathe through my nose, but I'm trying to be patient. I've also been sticking to a soft - food diet since it's more comfortable to eat that way. I'm taking my antibiotics and pain medication as prescribed. I've been spending most of my time resting in bed, and I'm starting to get a bit bored, but I know it's important to take it easy.

Day 7: Splint Removal

I went back to the doctor's office today to have my splint removed. I was so excited to see what my new nose looked like. When the doctor removed the splint, I was a bit shocked at first. My nose was still swollen, but I could already see a significant improvement. It looked more in proportion to my face, and the bump I had on my bridge was gone. The doctor examined my nose and said everything was healing well. He gave me some more instructions on how to take care of my nose during the next few weeks. I was told to avoid wearing glasses for a while and to be careful not to bump my nose. I felt a sense of relief and excitement about my new look.

Day 14: Returning to Normal Life

The swelling has started to go down significantly, and the bruising is almost gone. I've been able to go back to work, and people have noticed a difference but in a good way. They say I look more refreshed and confident. I'm still following the doctor's instructions, like avoiding strenuous activity and keeping my nose clean. I can't wait to see the final results as the swelling continues to subside. I'm starting to feel more and more like myself again, but with an improved nose that I've always wanted.

Month 3: The Final Results

It's been three months since my rhinoplasty, and I'm absolutely thrilled with the results. The swelling is almost completely gone, and my nose looks perfect. It fits my face so well, and it has definitely added to my overall appearance. I feel like I've gone from a 5 - point look to a 9 - point look. I have more confidence when I look in the mirror, and I don't feel self - conscious about my nose anymore. I'm so grateful to my surgeon for his skill and expertise. I would highly recommend rhinoplasty to anyone who is considering it, as long as they choose a qualified and experienced surgeon.

Post - surgery Care and Recovery

Managing Swelling and Bruising

Swelling and bruising are common after rhinoplasty. A splint is typically placed on the nose to help maintain its new shape and reduce swelling. Cold compresses can be used to alleviate swelling and bruising around the eyes and nose, but direct contact with the skin should be avoided. The use of Advil should be avoided as it may increase bleeding. It is important to follow the surgeon's instructions on how to manage these symptoms, as improper care can lead to complications or prolonged recovery.

Follow - up Visits

Visiting the surgeon for follow - up appointments is essential. These reviews allow the surgeon to monitor the recovery process and ensure the incisions are healing properly. For example, Dr. Cangello will remove the splint and assess the initial healing phase during a follow - up visit to the operating room within the outpatient facility. The surgeon may also adjust the post - operative care plan based on the patient's progress.

Tips for a Smooth Recovery

• Rest: Ensure plenty of rest with the head elevated to reduce swelling. This helps improve blood circulation and reduces pressure on the nose.
• Avoid Strenuous Activities: Limit activities that might increase blood pressure or lead to nosebleeds. This includes heavy lifting, intense exercise, and activities that could cause a direct impact to the nose.
• Follow Instructions: Adhere strictly to the surgeon's postoperative care instructions, such as keeping the head elevated and refraining from blowing the nose. Blowing the nose too early can disrupt the healing process and cause bleeding or damage to the nasal structures.
• Stay Hydrated: Maintain adequate hydration for overall health and better healing. Drinking plenty of water helps the body flush out toxins and promotes tissue repair.
• Read Patient Guidelines: It’s crucial to read and understand all patient care materials provided by the hospital or clinic. This ensures that the patient is aware of all aspects of the recovery process and can take appropriate actions.

Potential Risks and How to Mitigate Them

Common Complications

As with any surgical procedure, rhinoplasty carries some risks. These include anesthesia risks, post - operative bleeding, infection, difficulty breathing, and the need for revision rhinoplasty if the initial surgery does not result in the desired aesthetic or functional outcome. For example, if a patient has an allergic reaction to the anesthesia, it can be a serious complication. Bleeding can occur during or after the surgery, and if not properly managed, it can lead to hematoma formation. Infection can develop if the surgical site is not kept clean or if the patient's immune system is compromised.

Mitigation Strategies

• Disclose Health History: Comprehensive disclosure of their health history, including any allergies or past reactions to anesthesia, can help medical professionals gauge an individual’s risk factors. This allows the surgeon and anesthesiologist to take appropriate precautions.
• Follow Pre - op and Post - op Guidelines: Adherence to strict pre - operative and post - operative instructions can decrease the likelihood of bleeding and other complications. For example, avoiding certain medications before surgery can reduce the risk of excessive bleeding.
• Select a Sterile Surgical Environment: Ensuring the facility adheres to the highest standards of cleanliness. A clean surgical environment reduces the risk of infection.
• Use Antibiotics: Prophylactic use of antibiotics as prescribed can guard against infection. The surgeon will determine if antibiotics are necessary based on the patient's risk factors.
• Set Realistic Expectations: A clear understanding between surgeon and patient regarding the achievable results before the first surgery. This helps prevent disappointment and the need for revision surgery.
• Seek Second Opinions: Validation of the proposed approach by another qualified surgeon can provide reassurance. This is especially important for complex cases or when considering a revision rhinoplasty.

Beyond Rhinoplasty: Complementary Procedures

While rhinoplasty can significantly enhance the facial profile, additional procedures may further refine and complement the new nasal contour, achieving a harmonious aesthetic appearance. These complementary procedures are often tailored to the patient's individual facial structure and cosmetic goals.

Facial Balancing with Additional Surgeries

In the context of facial plastic surgery, surgeons may recommend additional surgical procedures to patients seeking a balanced facial aesthetic following rhinoplasty. For example, a chin augmentation might be proposed to a patient with a receding chin to enhance the facial profile and complement the rhinoplasty for a more naturally attractive look. A facelift or neck lift could also be beneficial to tighten loose skin and reduce the signs of aging, harmonizing the overall aesthetic. Other potential surgeries include a brow lift to raise the eyebrows and reduce forehead wrinkling, and blepharoplasty (eyelid surgery) to address dro