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Dr. Steven J. Pearlman Distinguished Facial Plastic & Reconstructive Surgeon

What makes Dr. Pearlman a top choice for rhinoplasty?

  • Dr. Pearlman has over 30 years of experience
  • He has personally performed over 5,000 rhinoplasty procedures and over 10,000 facial plastic surgery procedures
  • He is dual board certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology–Head and Neck Surgery
  • He is fellowship trained from a highly sought-after fellowship with AAFPRS - a year-long study with a Master Surgeon, focusing solely on facial and reconstructive surgery
  • He is a Clinical Professor at Columbia University College of Physicians and Surgeons
  • He has been chosen as a Top Doctor over 10 times by New York Magazine and Castle Connolly, and has won the Patients’ Choice Award over 10 times
  • He has been featured in The New York Times, Vogue, W, Elle, Instyle, Esquire, Realself News and more

The Cost of Rhinoplasty with Dr. Pearlman

The price range for a rhinoplasty by Dr. Pearlman ranges from $12,000 to $20,000, and in some cases can reach upwards of $29,000 for a very complex revision rhinoplasty. The cost of rhinoplasty in NYC typically ranges from $10,000 - $30,000, varying greatly on quite a few different possible factors. Factors that determine the price of a nose job can include:

  • The complexity of the case - e.g. crooked nose, nose size is disproportionate to other facial features, large or drooping tip
  • Nasal anatomy - e.g. a bump on the bridge of the nose, deviated septum, misshapen nose due to a congenital disability or injury

A private consultation with Dr. Pearlman will help determine the cost of your rhinoplasty nose surgery.

Pretty freckled woman, close up

A Personal Consultation with Dr. Pearlman

At Pearlman Aesthetic Surgery, a personal rhinoplasty consultation consists of four parts:

  • The patient’s concerns and goals for the procedure are established.
  • Dr. Pearlman performs a full examination of the nose inside and out and takes both 2-D and 3-D photos.
  • The potential changes to the nose are demonstrated with computer imaging.
  • Lastly, doctor and patient establish mutual goals to enhance the patient’s appearance and function (breathing).
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Can insurance cover my rhinoplasty?

If you are experiencing breathing issues and a deviated nasal septum or other functional issue is found, this aspect of the procedure may be covered by insurance. Dr. Pearlman and his office staff will be able to help you determine this with a personal consultation. Cosmetic rhinoplasty is not covered by insurance, but we do offer several financing options for you to choose from.

Woman smiling holding paperwork

Rhinoplasty Financing Options

Dr. Pearlman’s office offers several popular financing options to help you achieve your cosmetic goals, including Alphaeon, CareCredit and Prosper. Click here to learn more about these options, and don’t hesitate to contact our office with any questions. If you're considering undergoing rhinoplasty in New York City, our financing options can help!

Persistently In Pursuit of Perfection

Here’s how our rhinoplasty patients are the most important beneficiary of Dr. Pearlman’s persistent search for perfection:


“Rhinoplasty is the most challenging yet most rewarding procedure in cosmetic surgery. Your nose is central to your face and often the first thing people see. What I love about this craft is that it is ever-evolving. Rhinoplasty is a procedure that even the most experienced expert rhinoplasty surgeons continue to learn and improve upon throughout their career. Each patient is an individual and has a unique nose. We respect that and make changes that fit their needs.”


“I am trained and board certified in both Otolaryngology (ENT) and Facial Plastic Surgery. The majority of my practice is devoted to rhinoplasty and revision rhinoplasty. I lecture around the world on rhinoplasty and have been invited to teach rhinoplasty in Europe, Asia, South America and the Middle East. I am recognized by my peers as a leader in Facial Plastic Surgery, having served as president of both the AAFPRS (American Academy of Facial Plastic and Reconstructive Surgery) and the New York Facial Plastic Surgery Society. I am also published in various medical journals.”


“Rhinoplasty is the most complex procedure in cosmetic surgery. The nose has many intricate parts, therefore it has the highest rate of revision surgery. The vast majority of patients are very happy with their results. Five to 10% may request a minor tweak at one year post-op. The best rhinoplasty surgeons who publish in the most highly respected articles report this same range of revision. That is why it is important to go to a specialist in rhinoplasty. If rhinoplasty is not the major procedure they are doing, the revision rate will likely be higher.”


“Every rhinoplasty patient is approached as a unique face. I don’t perform ‘cookie-cutter’ rhinoplasties. For a straightforward rhinoplasty, I often use the closed (AKA scarless) rhinoplasty approach, but an open rhinoplasty is necessary for very crooked noses or complex revision surgery, as I often use grafts of the patient’s own cartilage to support and straighten the nose. All patients are given Arnica Montana before and after the healing period, and we use a medication called Tranexamic Acid during surgery that significantly reduces bleeding and subsequent black and blue. I also do not use nasal packing in most patients, which significantly reduces post-op discomfort.”

"Dr. Pearlman did a great job and I would recommend him to anyone for facial surgery. I thought he could have answered my questions and concerns a little more in depth before the surgery and even after, but he really knows what he is doing. I didn’t feel like I could totally ask him anything I want without being annoying, but maybe I am just used to people in that business who are a little more chatty. In the end, I was very happy I chose him."

Real Patient Ratings

My experience with Dr. Pearlman was life changing. I had previously undergone 4 surgeries due to a car accident, 2 of those 4 were strictly rhinoplasty revision. The results left my nose crooked, uneven and I could not breathe. After just one meeting with Dr. Pearlman, I knew he was the best surgeon for me. I felt comfortable, at ease and confident with him. Dr. Pearlman and his staff took the time to answer all my questions and made this experience so much easier for me.

Real Patient Ratings

“It took me about 22 years to make a decision to go through my revision rhinoplasty procedure. After years of research and meeting some of the top plastic surgeons in New York, I knew Dr. Pearlman was that one that could help me. Dr. Pearlman is a skilled, caring surgeon and an artist who transformed my nose. I'm only 2 months post-op but I couldn't be happier with the results. I'm very thankful to Dr. Pearlman and his staff for all they have done for me.”

Real Patient Ratings

The goal of rhinoplasty is to create a natural result; one that proportionately fits one's face and ethnic identity. Some of the more common phrases we hear are, “This is the nose I should have had” and “I love it and no one can tell that I had it done.” Another response is, “I saw an old friend and they commented on how good I look but couldn’t place why.”

Dr. Steven Pearlman, Facial Plastic Surgeon

Rhinoplasty, which means “molding the nose”, can change the shape of the nose by altering:

  • Cartilage
  • Bone
  • Skin
  • All of the above
Profile view of pretty woman with red lipstick
Bulbous Tip

Bulbous Tip

Wide Nose

Wide Nose

Deviated Septum

Deviated Septum

& subsequent breathing issues

Large Nostrils

Large Nostrils

Crooked Nose

Crooked Nose

Big Nose

Big Nose

disproportionate in relation to other facial features

Flat Nose

Flat Nose

Dorsal Hump

Dorsal Hump

bumb on the bridge of the nose

Drooping Nasal Tip

Drooping Nasal Tip

Upturned Nasal Tip

Upturned Nasal Tip

Why Choose Dr. Pearlman for Rhinoplasty?

Dr. Pearlman is a highly credentialed doctor, with dual board certification in facial plastic surgery, fellowship training and over 5,000 rhinoplasty surgeries under his belt.

He regularly instructs other surgeons on the latest techniques and devices used for rhinoplasty surgery around the world.

Most of Dr. Pearlman’s rhinoplasty procedures are performed in our AAAASF certified operating facility in New York City.

Additionally, he is a compassionate surgeon who cares about getting you the absolute best results possible.

Dr. Pearlman, an NYC Rhinoplasty Specialist

Rhinoplasty (nose surgery) will improve the appearance and function of your nose so it naturally compliments your face. The best noses are 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

You Asked Dr. Pearlman Answered

There are no external incisions utilized for closed rhinoplasty. Therefore, all incisions are hidden inside the nose and virtually undetectable.

For open rhinoplasty, the only difference is a tiny incision across the bottom of the nose that usually heals so well it is undetectable unless looking at the nose from below and the observer looks very closely.

Open rhinoplasty allows better visualization of distorted nasal anatomy when the nose is very crooked, when the nose is significantly over-projected (sticks out very far), or when Dr. Pearlman is performing a complex revision rhinoplasty. In these cases, the open technique allows for more precise correction and easier manipulation of the nasal cartilage and graft placement. The incision is very tiny; in most circumstances, it is visible only up close to the trained eye. With sunscreen protection, the scar should fade.

When the nose is straight when viewed from the front and only needs a hump reduction and minor tip work, Dr. Pearlman employs the closed or scarless rhinoplasty approach.

During your rhinoplasty consultation in our New York office, Dr. Pearlman will examine the inside of your nose to check for a deviated septum, a narrow internal valve, and/or inflammation or swelling of the turbinates. This examination will reveal whether septoplasty is necessary to improve nasal breathing.

The best age for rhinoplasty candidates begins in late adolescence or early adulthood. However, patients may undergo rhinoplasty earlier in life as long as nasal growth is complete. The procedure may be appropriate for girls who are at least 15 or 16 years of age and boys who are 16 or 17. It is important for teens to be emotionally mature and prepared for the procedure. Visit our page on teenage rhinoplasty for more information. We have also performed rhinoplasty on patients into their 70s for functional and associated cosmetic reasons. Tip rhinoplasty can make an aging face appear younger.

Types of Rhinoplasty by Dr. Pearlman

Ethnic Rhinoplasty

Each ethnic nose job differs depending on the ethnicity, such as African American, Hispanic, Asian, Middle Eastern, Indian / Pakistani, etc. Dr. Pearlman specializes in rhinoplasty for many different ethnicities and backgrounds, always allowing his patients to stay true to their ethnicity while still enhancing their nose for an attractive balance.

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Revision Rhinoplasty

Revision rhinoplasty, or corrective rhinoplasty, refers to when a patient seeks another rhinoplasty after having undergone a prior unsuccessful surgery, or multiple prior surgeries. Revision rhinoplasty is incredibly complex and requires the utmost of skill by the performing surgeon. Dr. Pearlman specializes in complex revision rhinoplasty surgeries.

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Septoplasty, also known as “functional rhinoplasty”, is rhinoplasty surgery performed to straighten or repair a deviated septum. This can often resolve breathing difficulties. Dr. Pearlman, with extensive training in facial anatomy, performs septoplasty to address breathing issues, cosmetic issues and even sleep issues.

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Non-Surgical Rhinoplasty

Dr. Pearlman’s non-surgical rhinoplasty, or “liquid rhinoplasty”, utilizes injectables and dermal fillers to create a fully customizable nose job, addressing nearly any issues you want to fix. It can even address noticeable bumps on the nasal bridge, indentations, bulbous nasal tips, wide nostrils and more.

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Your Anesthesia Options

Rhinoplasty is performed using local anesthesia with sedation, or under general anesthesia. Which anesthesia is used often depends on the level of complexity of the surgery. Your anesthesia will be administered by our Board Certified Anesthesiologist.

During your consultation for rhinoplasty in our NYC practice, you and Dr. Pearlman can discuss which method is appropriate for you.

Dr. Pearlman, a rhinoplasty surgeon in NYC, smmiling looking at a patient

Rhinoplasty Recovery

Dr. Pearlman and his staff will closely guide you through your post operative procedure. He will provide detailed instruction on all aspects of the process to help guide your recovery. Refrain from smoking and taking certain medications for several weeks before and after rhinoplasty to ensure a safe and effective procedure.

What To Expect in Recovery

Your first visit to our office will be scheduled for one week post-op, when the cast and any external sutures used (in open rhinoplasty and alarplasty) are removed. A few weeks post-op 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. Complex revision rhinoplasties and rhinoplasties done on thick skin will extend this timeline.

Rhinoplasty Recovery | FAQs

When can I return to work?

Most patients will be able to go back to work a little over one week after surgery.

Will I need pain medication?

Prescribed medication can alleviate any discomfort during recovery. Of course, you do not need to take them if you are not feeling pain.

When will I see my results?

Most patients will see 85% of the final result at one month, 95% by six months, and 98% by one year. The tip of the nose is the last part to show swelling and may continue to get smaller for a year or more, especially in patients with thick skin. As the nose heals over the weeks and months after surgery, patients can anticipate an improved appearance that will be long-­lasting.

Will I have a splint and sutures on my nose?

An external splint will be used to hold the nose in place, and bandages will be applied for protection. External sutures and the nasal spleen will be removed on a follow-up appointment. Internal sutures do not need to be removed.

How long will swelling and bruising last?

Swelling and bruising will be noticeable after surgery and will persist for a few days to a few weeks. Some swelling of the nasal tissues may continue for several months. We utilize delicate surgical techniques and Arnica Montana to reduce swelling and healing time.

Operating room at Dr. Pearlman's NYC plastic surgery practice

Putting It All Together: Complementary Procedures

A chin augmentation and liposuction of the neck can be done to complement a good nose job. Chin augmentation is the procedure most commonly performed alongside a rhinoplasty and approximately 1 in 5 rhinoplasty patients would benefit from a chin implant to create more balance to the face. A patient who experienced breathing difficulties as a child may have developed a large nose and a small chin.


Waiting room at Dr. Pearlman's office
Dr. Pearlman with femal patient who is looking in a handheld mirror

Dr. Pearlman’s consultation process

Before anything else, you will have your rhinoplasty consultation with Dr. Pearlman. You can bring up all the specific issues you are looking to resolve, and what you want from your results. Dr. Pearlman will perform an exam on your nose and using this assessment, he will plan how to perform your surgery to provide you with the results you desire.

Due to the intricacies of the nose and of your own goals for your nose, he will take plenty of time with you to fully understand your desires, your anatomy and the goals for the surgery. He can utilize Mirror® 2D and Vectra® 3D to help visualize potential results.

Close up of Dr. Pearlman looking at a patient who is looking at herself in a handheld mirror

Questions to ask during your consultation

The American Society of Plastic Surgeons recommends asking the following questions during your rhinoplasty consultation:

  • Are you certified by the American Board of Plastic Surgery?
  • Are you a member of the American Society of Plastic Surgeons?
  • Were you trained specifically in the field of plastic surgery?
  • How many years of training in plastic surgery do you have?
  • Is your surgical facility accredited by a nationally or state recognized accrediting agency?
  • Am I a qualified candidate for this procedure?
  • What happens if I am dissatisfied with the outcome of my rhinoplasty?

Flying in from out of town?

Please visit our Concierge Services page for more information on how we can assist you, and for recommended transportation, hotels, airports and more.

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