preservation rhinoplasty in NYC

Preservation Rhinoplasty

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3-D Imaging for Rhinoplasty and Facial Rejuvenation
Dr. Pearlman performing a rhinoplasty consultation

Welcome to Pearlman Aesthetic Surgery for preservation rhinoplasty in NYC on Park Avenue.

Nasal hump reduction is the hallmark of rhinoplasty as the most common patient request. Preservation rhinoplasty has recently gained increased popularity as a method for creating a smoother, more harmonious nasal profile while reducing or eliminating the nasal hump.

It accomplishes this by maintaining continuity of the natural in-born bridge or outer portion of the nose, called the dorsum.

A new technique for less invasive, natural-looking results.

Specifically designed to treat and reduce a nasal hump, preservation rhinoplasty in NYC is a new method of achieving a smoother profile with consistent results.
Anatomically, the nasal hump is approximately half bone and half cartilage. Classic rhinoplasty techniques involve a number of methods to reduce the hump by shaving off the bone and cartilage portions of the bridge, or dorsum.

The bone is either rasped down with a bone file, cut off with a chisel, or whittled down with power instruments such as a Piezo Ultrasonic device. The bridge often needs to be reconstructed with grafts. Preservation rhinoplasty eliminates this need.


Preservation rhinoplasty techniques work by removing cartilage and bone beneath the outer shell of the nasal bone and cartilage. The bridge is literally then compressed downward, flattening out the hump, creating a smooth, natural, and straight dorsum. The ultimate goal of a preservation rhinoplasty is to leave an undisturbed, smooth nasal dorsum that is now straight and more natural.

Less Invasive

With the technique used for a preservation rhinoplasty, the nasal hump is reduced by removing cartilage and bone under the outer shell of the nasal bone and cartilage. This means that there is often no bone filed, chiseled, or whittled down with instruments from the bridge, creating a less invasive rhinoplasty procedure.

Dr. Pearlman taking patient pictures for rhinoplasty


Dr. Pearlman has devoted the majority of his practice to rhinoplasty for over 30 years. As a Dual Board-Certified Plastic Surgeon, he has the experience, knowledge, and skills to provide superior rhinoplasty procedures for his patients.

female patient with mirrors during rhinoplasty consultation with Dr. Pearlman

Increased Confidence

As one of the most common concerns for patients seeking rhinoplasty, you will experience increased confidence with the improved nasal hump reduction accomplished through preservation rhinoplasty.

Dr. Pearlman looking at woman's chin with mirror
A Personal Consultation With Dr. Pearlman

How it Works

Establish Your Goals

Full Nose Examination & Imaging

Determine Mutual Goals

Ask Questions

Dr. Pearlman will begin your consultation listening to your concerns about your nose, specific issues you are looking to resolve, and your desired results.

The consultation process at Pearlman Aesthetic Surgery is paramount in establishing your goals and coming to a mutual understanding of the expectations of surgery, on both your end and Dr. Pearlman’s.

Dr. Pearlman will begin your consultation by listening to your concerns about your nose, the specific issues you are looking to resolve, and your desired results. He may ask questions like, “What are you specifically looking to change about your nose?” and use your answer as a starting point for his surgical recommendations. 

Based upon your unique nasal anatomy, intricacies of the nose, and your own goals, he will then perform a full examination of your nose inside and out. Using advanced Mirror® 2D and Vectra® 3D imaging, Dr. Pearlman will demonstrate the potential changes to your nose to help you envision your future results.

The use of this technology is vital to understanding not only the potential changes and improvements to the nose itself, but also to visualize your new nose with the rest of your facial features.

One of the unique advantages to working with Dr. Pearlman for your rhinoplasty in NYC is the use of computer imaging. This makes it possible to actually see the potential outcome of your surgery. This gives you an opportunity to have a conversation about the expected results and to point out things you like and don’t like about the images.

Lastly, you and Dr. Pearlman will establish mutual goals to enhance the appearance and breathing function of your nose.

You’ll work together to outline your goals using Dr. Pearlman’s expert recommendations and your desired results. He’ll make certain that you understand the achievable goals based on his recommendations and that he understands your desired results based on the imaging!

The right rhinoplasty surgeon for you should be able to provide a wealth of information regarding your procedure.

Throughout your rhinoplasty consultation at our NYC office, we highly encourage you to ask any and every question on your mind. We will walk you through every step of the process so you can feel confident in your decision to receive a rhinoplasty by Dr. Steven Pearlman.

Some questions you might ask during your consultation:

  • Can I see your before and after gallery?
  • Would you be willing to expand on the process of some of these before and after photos?
  • Do you plan on using an open or a closed rhinoplasty technique for my surgery?
  • Do you expect any scarring to be visible after the incisions heal?
  • What is the expected recovery timeline?
  • How do you ensure my results look natural?

Preservation Rhinoplasty Recovery

Dr. Pearlman and his staff will closely guide you through your post operative care. He will provide detailed instructions on all aspects of the process to help guide your recovery.
The incision heals so that it is barely visible, if at all and only when viewed up close and from below the nose. Dr. Pearlman often says “someone will have to be close enough to be able to count your nasal hairs to see this incision.”

What To Expect

Your first visit to our office will be scheduled for one week post-op, when we remove the cast and any external sutures used (in open rhinoplasty and alarplasty).

In addition, the nose is cleaned and carefully suctioned internally.

Subsequent visits are at 2 and 6 months, and one year post-op for photographs. Most patients will see 85% of their results at 1 month out, 95% of results at 6 months out and 99% at 1 year.

Preservation Rhinoplasty

Recovery Timeline

Days 1 to 3

Day 8

1 Month

For the first few days, we recommend relaxing as much as possible. Take this time to apply ice to your eyes. After 48 hours, you can catch up on a new show or some reading and just relax.

You are able to fill the post-operative prescription for pain medication before surgery so you are prepared, but a majority of our patients tell us that Tylenol plus Ibuprofen (Advil) together works just fine to control the discomfort. 

If working from home is a possibility, patients usually feel well enough to do so after day 3. You just may want to keep the Zoom camera off, as the cast will still be on and swelling may persist.

Your first visit to our office will be scheduled for 1 week post-op, when we remove the cast and any external sutures used (in open rhinoplasty).

In addition, the nose is cleaned and carefully suctioned internally. 

By this time, day 8, nearly all of any swelling or bruising around your eyes will be gone. There may be a small amount of yellowing underneath the eyes, but this is easily covered with cosmetics. Many patients come to the day 8 appointment and go straight to work at the office after having the cast removed.  

After about 4 weeks, you’ll be able to see 70–85% of your results. Your appearance will continue to improve for up to a year after your procedure.

Follow-up visits are at 2 and 6 months, and 1 year post-op for photographs.

Natural and Beautiful Results from Dr. Pearlman

The best compliment we get following rhinoplasty is when patients are told they “look great” but the observer cannot tell why.

“Rhinoplasty will improve the appearance and function of your nose so it naturally complements your face. The best noses are the ones that aren’t obvious; that respect your ethnic identity. Surgery is tailored to each patient’s needs and desires, creating a more harmonious appearance.”

Dr. Pearlman sitting in chair by flowers

Top Rated Facial Plastic Surgeon

Dr. Pearlman

Frequently Asked Questions

Preservation Rhinoplasty

Rhinoplasty Financing

Is a rhinoplasty covered by my insurance?

If the purpose of your rhinoplasty is to correct breathing issues and a deviated nasal symptom, it is possible your insurance may cover the breathing or functional  portion of the procedure! Dr. Pearlman’s dedicated office staff will be more than happy to assist you in discovering whether or not your procedure will be covered. Cosmetic rhinoplasty is not covered by insurance, but we do offer several financing options for you to choose from.

Is preservation rhinoplasty better?

Because of the subjective nature of rhinoplasty based on each patient’s individual anatomy, goals, and needs, we cannot definitely say that preservation rhinoplasty is better. Depending on the patient, preservation rhinoplasty can be a better option if the main goal is to reduce a nasal hump in a less invasive manner and suitable for your specific anatomy.

What does preservation rhinoplasty mean?

Preservation rhinoplasty means that Dr. Pearlman “preserves” the outer nasal bones and reduces the nasal hump by removing cartilage and bone beneath the outer shell of nasal bone and cartilage. Then, the bridge is compressed downward to flatten out the hump for a smooth, straight, and natural-looking dorsum.

What will the first week of recovery entail?

You will have some bruising and swelling around the eyes during the first week of recovery. Some patients need time to adjust to breathing through their mouth; it’s akin to having a mild cold. Fatigue from the anesthesia is common for the first day or two. Patients should rest the first few days in an upright position to minimize swelling for better healing.

When can I return to work?

Most patients can return to work in about 8 days. Bruising may last up to 2 weeks. If you use cover makeup, you may return even sooner. However, patients cannot bend or lift for 3 weeks, so they need to be sedentary at work.

Why choose Dr. Pearlman for preservation rhinoplasty in NYC?

Dr. Pearlman is dual board-certified and specializes in facial cosmetic and reconstructive surgery. This gives him a unique depth of understanding and experience to create some of the best rhinoplasty results. During your consultation, he will discuss the procedure with you at length and show you how various alterations will appear with advanced 2D and Vectra 3D imaging systems.

This in-depth consultation will allow you to create with Dr. Pearlman your ideal nose to create harmony and balance. His expertise as a Facial Plastic Surgery veteran allows him to deliver the best results for his patients.


Real Patient Ratings

Real Patient Ratings

white and green flowers on a table

Persistent in the Pursuit of Perfection

For decades, Dr. Pearlman has been persistent in his search for perfection as the best rhinoplasty surgeon in New York. He brings evolution, experience, expertise, and uniqueness to his rhinoplasty patients in our Park Avenue office. The goal of Pearlman Aesthetic Surgery is to help patients to actualize their ideal self-image for the highest level of personal authenticity and attractiveness possible. Dr. Pearlman couples an attentive bedside manner and genuine concern for his patients’ welfare to deliver the best preservation rhinoplasty results.

Our Approach

Dr. Pearlman touching patient's nose during rhinoplasty consultation

Learn more about the possibilities for your preservation rhinoplasty.

Designed by our NYC rhinoplasty specialists, our virtual rhinoplasty tool will provide you with more information for your preservation rhinoplasty procedure with Dr. Pearlman.

110 E 60TH ST #908 NEW YORK, NY 10022



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