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Steven J. Pearlman, MD, FACS Dual Board Certified in Facial Plastic Surgery

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Rhinoplasty Surgery

rhinoplastyAlso known as nose surgery, rhinoplasty is a surgical procedure that improves the appearance of the nose and can also correct breathing problems associated with deviations. With more than 240,000 rhinoplasty procedures performed in 2012, nose surgery became the second most performed cosmetic procedure according to The American Society of Plastic Surgeons (ASPS). At his New York practice, Dr. Steven Pearlman regularly performs rhinoplasty for men and women from all over.

There are two techniques, Opened and Closed that can be performed depending on each patient’s specific needs and preferences.




Performed under general anesthesia



Allows the surgeon the most visibility throughout the procedure



Incisions made outside of the nose



No chance of visible scarring



Although Dr. Pearlman can safely perform both types of rhinoplasty methods, he prefers the open technique the most because it is more precise and utilizes the cartilage and bone in the nose better throughout the entirety of a rhinoplasty procedure. Dr. Pearlman frequently teaches primary and revision rhinoplasty, which keeps him at the leading­edge of the most up to­date techniques that are used for nose surgery.


Some individuals opt to have their rhinoplasty completed without invasive surgery. To perform this type of treatment, fillers such as Restylane® and Radiesse® are injected into the nose to add volume and hide minor imperfections in the nose. Even though this type of procedure works short­term for some patients, over time the effects are not long­lasting like a regular opened or closed nose surgery.

You may choose to undergo a non­surgical rhinoplasty if you wish to improve the following abnormalities including:

  • Bump on the ridge of the nose
  • Minor depressions on the nose
  • Asymmetry of the nose


There are many reasons why it is important to be able to breath through the nose efficiently.


Computer Aided

A rhinoplasty can straighten a crooked septum to improve the airways in the nose.

Computer imaging is an excellent resource for viewing possible enhancements that can be made to the nose before a rhinoplasty is actually performed.

Anytime that a rhinoplasty alters the height or width of the bridge of the nose, the internal valve of the nose can also be improved.

Viewing images before a rhinoplasty is performed helps maintain discussion throughout consultations between Dr. Pearlman and his patients.

The size and position of the turbinates in the nose a tremendous effect on the ability to breathe. A rhinoplasty can dramatically improve breathing by correcting the condition of enlarged turbinates.

By viewing the possibilities of changes that can be performed beforehand, computer imaging helps patients attain realistic expectations of what a rhinoplasty can do for them.

A rhinoplasty can correct breathing problems within the nose without altering the overall appearance.>

Dr. Pearlman has been using computer imaging in conjunction with rhinoplasty for over 20 years.

During a consultation with Pearlman Aesthetic Surgery, our specialist will examine the inside of the patient’s nose. Generally, they will be checking for one or more of the following conditions:

  • Deviated septum
  • Inflammation of the internal valve
  • Swelling of the turbinates
  • Drooping Nasal Tip



Before a rhinoplasty can be performed, patients should undergo a medical evaluation. Dr. Pearlman may also ask that individuals to refrain from smoking and taking certain medications in the weeks leading up to surgery to ensure a safe and effective procedure.


All rhinoplasty procedures are performed with the patient under general anesthesia. Depending on what areas and problems of the nose need to be corrected will determine which technique (open or closed) is performed during surgery. After Dr. Pearlman reshapes the nose and sculpts it to a more attractive shape the incisions are closed up with sutures.


Once the rhinoplasty is complete, swelling and bruising will be apparent over the next few days. A splint will be used to hold the nose in place and bandages will also be applied. Prescribed medication will be administered to alleviate any pain or discomfort that exists. The sutures will be removed at a later date after the patient meets with Dr. Pearlman during a follow­up appointment.


When back at home after surgery, it is of the utmost importance that patients follow postoperative instructions throughout the recovery process.

This includes:

  • Taking medication regularly
  • Changing bandages and dressings
  • Returning for follow­up appointments
  • Notify Pearlman Aesthetic Surgery if any problems or complications develop.


As the nose heals over the coming weeks and months, patients can anticipate an improved appearance that will be long­lasting. The results of a rhinoplasty procedure are meant to be permanent, although the cartilage in the nose may move over time due to the natural process of aging.

If you have physical imperfections on your nose that you would like to improve or breathing problems that you wish to correct, we encourage you to get in touch with Pearlman Aesthetic Surgery. To schedule your initial consultation call (212) 223­8300 or fill out our online contact form today. Dr.Pearlman is certified by the American Board of Plastic Surgery (ABPS) and looks forward to helping you achieve a nose that is in better harmony with the rest of your face.


Answers to frequently asked questions about the procedure

Q: Can Plastic Surgery Help my Eyes Look Less Tired?

Eyelids can look "tired" from a number of reasons. The more common ones are bags under the lower eyelids, excess skin of the upper and/or lower eyelids and drooping of the eyebrows. You don't have any of these.

Your eyelids slant downward towards the sides; the corner where the upper and lower eyelids meet (called the canthus) is lower towards your ears than near your nose. There are a number of surgical techniques that can be used to raise the lateral canthus. Sometimes, there may be some hollowness of the bone of the eye socket as well. This is also treatable. Seek out a surgeon who is versed in this procedure for a more definitive discussion.

Q: How long does a rhinoplasty last and at what point will you need to do additional maintenance?

A: A rhinoplasty will last for the rest of your life. However, even a nose that has undergone a rhinoplasty ages like the rest of your face and body. As we age, the nose begins to droop. After a rhinoplasty they will age from where they were after the procedure. The procedures we do for an aging nose is often more subtler than a formal rhinoplasty.

Q: What is a "mini lift"?

A mini-facelift of today was the maxi-facelift of 2 decades ago. Mini or maxi, best to discuss with your doctor.  There are many definitions of what a mini-facelift is. For some it's a shorter incision, for other doctors its less work on the muscle called the SMAS. The technique depends more on the doctor's skill and your anatomy. For a patient in their early 40's, you often don't need the same deep plane facelift that someone in their 50's or above might need. Most of these procedures address your jowls.

Q: If I were to have a rhinoplasty and septoplasty, would I go to a facial plastic surgeon, ENT or Plastic surgeon?

A: Performing both a quality septoplasty and rhinoplasty is dependent on the individual's training and experience. Generally, facial plastic surgeons start with ENT training before they move on to facial plastic surgery. Although they are not formally trained, many plastic surgeons can also be experience and qualified to perform septoplasty procedures. The main focal point should be how much training they have received and how much experience do they have performing the procedures together and separately. There are subtle signs that could indicate if the proposed surgeon is right for you:

  • Did the surgeon look inside my nose? (As surprising as it sounds, in a number of my revision consults, patients often say that their original surgeon never looked inside their nose.)
  • Do they have specialized instruments to tackle the procedure? (A special headlight, nasal instruments, etc.)
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