The nose is a prominent feature of the face, and when it feels out of proportion, it can significantly impact one’s self-esteem. This is why rhinoplasty is one of the most sought-after cosmetic surgeries worldwide.
Rhinoplasty is a delicate procedure that is ideally performed just once, making it crucial to consult a specialist if you’re considering it.
Pearlman Aesthetic Surgery boasts one of the leading facial plastic surgeons, Dr. Steven Pearlman. Renowned as one of the top nose job surgeons in NYC, he possesses extensive expertise and experience that enable him to deliver exceptional rhinoplasty results.
Meet Dr. Steven J Pearlman, an NYC Rhinoplasty Specialist
Dr. Steven Pearlman is a renowned facial plastic and reconstructive surgeon based in New York City.
Dual Board-Certified
Dr. Pearlman is uniquely dual board-certified in both facial plastic and reconstructive surgery and in otolaryngology (head and neck surgery).
Specializes in Rhinoplasty
Not only has Dr. Pearlman performed over 7,500 rhinoplasties during his career, but his colleagues also often refer revision rhinoplasty patients to him. About half of the rhinoplasties that Dr. Pearlman completes each year are revision cases from other surgeons.
Academic Background
As one of the top nose job surgeons in NYC, Dr. Pearlman frequently lectures as a visiting professor on rhinoplasty, revision rhinoplasty, and facial aging throughout the world. He also serves as a clinical professor at Columbia University College of Physicians and Surgeons.
Common Questions About Nose Jobs (Rhinoplasty)
Naturally, due to the popularity of rhinoplasty, many common questions arise regarding the procedure. Understanding these frequently asked questions can help potential patients feel more informed and confident about their decisions.
What can rhinoplasty correct?
A rhinoplasty addresses cosmetic issues such as size or shape. Dr. Pearlman commonly performs the following:
- Adjusting the overall size of the nose in relation to other facial features.
- Reshaping the tip of the nose, bridge, or nostrils.
- Smoothing out any irregularities or bumps on the nasal bridge.
- Correcting any unevenness or asymmetry in the nose.
- Narrowing the nostrils or overall width of the nose.
- Modifying the angle, size, or projection of the nasal tip.
If a patient aims solely to resolve functional problems related to a deviated septum, the procedure is called a septoplasty. When both cosmetic and functional corrections are performed together, it’s referred to as a septorhinoplasty. Both types of surgery are conducted by a facial plastic surgeon.
Many individuals have questions about insurance coverage for nose surgery. In certain cases, if the surgery is intended to correct breathing difficulties or a deviated septum, your septoplasty may be partially covered by insurance.
Does the surgeon break the nose?
Many people mistakenly believe that rhinoplasty involves violently breaking the nose. However, techniques in rhinoplasty have significantly advanced, making it a delicate procedure. In many cases, breaking the nose is not necessary at all. He will discuss exactly what is necessary to achieve the best result for you during your consultations.
Rhinoplasty can also be used to correct a broken nose that has healed improperly and altered in shape.
When we remove a prominent hump, it’s similar to taking the top off a pyramid. To address the resulting gap, Dr. Pearlman can perform precision osteotomies to close what’s known as an “open roof.”
Dr. Pearlman customizes each rhinoplasty procedure to fit the patient’s specific needs and anatomy. While osteotomies are not always required, he may cut and reshape the bone to achieve the desired outcome. This can involve using small, precise osteotomes or a piezo ultrasonic device for added accuracy.
Are there different types of rhinoplasty?
There is no one-size-fits-all approach to rhinoplasties. The nose is a prominent facial feature and a sensory organ. The function is just as important, if not more important, than the form.
The top nose surgeons in the field are able to incorporate multiple techniques into their practice. Some of the procedures and techniques a top nose surgeon will offer may include:
- Piezo ultrasonic rhinoplasty
- Ethnic rhinoplasty
- Teenage rhinoplasty
- Revision rhinoplasty
- Septoplasty
What should I look for in a nose job surgeon?
Rhinoplasty is a unique procedure that must be customized to fit your individual facial features and aesthetic goals. Each person’s nose is distinct, shaped by their bone structure, skin thickness, and overall facial symmetry. Therefore, a one-size-fits-all approach is not effective in achieving satisfactory, natural-looking results.
A skilled nose job surgeon in NYC will take the time to assess your unique anatomy and discuss your specific desires, whether you’re looking for subtle enhancements or more significant changes.
Board-Certified
A surgeon who is only board-certified in cosmetic surgery isn’t necessarily going to have the same level of expertise as someone who is also certified in Otolaryngology—head and neck surgery and facial plastic and reconstructive surgery.
You should look at your surgeon’s level of expertise and what percentage of their practice is dedicated to rhinoplasty. Is it the primary surgery they provide, or is it one of many? How many rhinoplasties have they done? How many do they perform per year?
In the past, people often found surgeons based on their academic involvement. In order to give lectures, teach residents, get papers published in medical journals, and write medical textbook chapters on rhinoplasty a surgeon has to have a true mastery of rhinoplasty. These credentials are more important than how many followers they have on social media.
Consultation
The consultation sets the tone for your surgery experience. It’s important to find a surgeon who you feel comfortable with and can trust. We often encourage patients to have multiple consultations.
During your consultation, you should be prepared to discuss your medical history, explain your desired results, and ask any questions you have about rhinoplasty.
At Pearlman Aesthetic Surgery, we utilize 2D Mirror Computer imaging and Vectra 3D imaging to help our patients visualize their results. This lets us talk through different options for adjusting the nose and helps you envision your results in real-time. By viewing visual examples, together we can determine what best suits your individual vision as well as what results will appear most natural alongside your other facial features.
Before and After Images
Rhinoplasty before and after photos are absolutely crucial. A surgeon’s before and after gallery is a testament to the level of professionalism and the quality of their work.
Things you should consider when viewing the images:
- Do these patients look like me?
- Do I like the results I’m seeing? Do they look natural?
- Do the results match my aesthetics?
- Are the before and after images consistent in setup, lighting, and angles?
You should always ask to see images of previous patients during your consultation. It will also give you the opportunity to ask questions about the process in particular cases and learn more about your surgeon’s approach.
Ultimately, a successful rhinoplasty is the result of a collaborative process between you and your surgeon, focusing on creating a harmonious balance between your nose and other facial features while aligning with your personal aesthetic vision. Taking the time to choose the right surgeon and ensure that the procedure is tailored to your needs will help you achieve the best possible outcome.
Will I need to wear a cast or splint afterward?
Many patients are curious about post-operative care and whether they will need to wear any supportive devices during their recovery. Understanding the recovery process can help alleviate anxiety and set realistic expectations.
After rhinoplasty, most patients will be required to wear a nasal splint or cast for a week. This supportive device helps protect the newly shaped nose and provides stability as the tissues begin to heal. The splint is typically worn for about one week, although your surgeon will provide specific guidance based on your individual case.
In addition to the splint, rarely some patients may have nasal packing or splints placed inside their nostrils to control bleeding and support the healing process. This packing is usually removed within a day or two after surgery, depending on the surgeon’s protocol.
Post-operative care also includes instructions on managing swelling and bruising, which are common after the procedure. Patients are often advised to keep their heads elevated, especially while sleeping, to minimize swelling. Ice packs may also be recommended for the first few days to reduce discomfort and inflammation.
Work with One of the Top Nose Job Surgeons in NYC
If you’re ready to learn more about the rhinoplasty process, consider booking your consultation with Dr. Steven Pearlman today.
Dr. Pearlman is uniquely dual board-certified in both facial plastic and reconstructive surgery and in otolaryngology—head and neck surgery (ENT). He has performed over 7,500 rhinoplasties in his career and has been chosen as a Top Doctor by New York Magazine and Castle Conolly.
As one of the top rhinoplasty surgeons in NYC, Dr. Pearlman frequently lectures as a visiting professor on rhinoplasty, revision rhinoplasty, and facial aging throughout the world. He also serves as a clinical professor at Columbia University College of Physicians and Surgeons.
Not quite ready for an in-person visit? While nothing can replace an in-person consultation, especially for rhinoplasty, you can use our virtual rhinoplasty tool to explore our available techniques. Answer a few questions about your goals, and we’ll send you customized recommendations right to your inbox!
