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Rhinoplasty Before & After

* Individual results may vary.

BIOGRAPHY Board Certification

DR. RICHARD WESTREICH Meet the Doctor

Dr. Richard Westreich is an esteemed facial plastic surgeon based in NYC with a remarkable background in academic achievements and medical expertise. After graduating with honors, Dr. Westreich pursued post-graduate training at Mt. Sinai Hospital, specializing in Facial Plastic Surgery and Otolaryngology. As an assistant professor at SUNY Downstate Medical Center and a faculty member at Mount Sinai Hospitals, Dr. Westreich's credentials, extensive experience, and artistic approach have earned him recognition as a top doctor in facial plastic surgery.

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BIOGRAPHY Board Certification

DR. RICHARD WESTREICH Peer-Recognized Excellence

Dr. Richard Westreich is double-board-certified, highlighting his expertise and rigorous training in both cosmetic and functional aspects of facial surgery. With a background in ENT and facial plastics, Dr. Westreich ensures his patients receive comprehensive and specialized care tailored to their needs.

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Discover Your True Face

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Benefits of Rhinoplasty

Cosmetic Benefits

  • Reduces the size of the dorsal hump on the nose bridge
  • Narrows an overly wide nose structure
  • Create a more attractive look for a large, hanging, or bulbous nasal tip
  • Corrects a pinched-looking nose tip
  • Reshapes overly large or wide nostrils for a more refined look
  • Improves overall facial harmony and proportionality
  • Balances your facial features
  • Improves overall self-confidence

Functional Benefits

  • Corrects a deviated septum for healthier breathing function
  • Can reduce snoring and mouth-breathing
  • Restores a broken or crooked nose
  • Can improve sleep quality
  • Improves overall quality of life
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    Rhinoplasty Techniques by Dr. Westreich

    Nasal Tip Plasty

    Nasal Tip Plasty involves reshaping the cartilage of the nasal tip. Two paired horseshoe-like cartilages make up the tip of the nose. The length, width, bending contour of those cartilages, and symmetry determine the look. Some nasal tips will narrow with a small amount of cartilage removal, while other tips will need sutures, grafts, or other techniques to more dramatically change the shape. The nasal tip is a 3-dimensional structure that must be sculpted to achieve significant and necessary changes in the nasal tip appearance.

    Profile Plasty

    Profile Plasty involves reducing a bump on the bridge of the nose. Removal of cartilage and bone from the top of the bridge (made up of the nasal septum and nasal bones) can be required for profile reduction. After removal, nasal structures need to be brought together again in the midline with osteotomies. Spreader grafts may also be necessary for patients with weak cartilage. Patients must have a nasal tip that will balance well with the new profile, as this area of the nose is not manipulated in profile only procedures.

    Polish Rhinoplasty

    This describes a procedure often used for deviated noses that also have a functional blockage. Since all nose areas are typically involved in deviation (including bone and cartilage), re-breaking the nose is usually required. When crooked structures are moved, it is important to polish and trim them smoothly. Camouflage grafts and other structural grafts may also be required to give the nose an even appearance.

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    You’re A Candidate For Rhinoplasty If You:

    • Are at least 14/15 years of age (female) or 16/17 years of age (male)
    • Have reached full physical maturity
    • Are in good overall physical and mental health
    • Have realistic expectations from the procedure
    • Don’t have a history of bleeding disorders
    • Don’t have underlying medical conditions that preclude you from the procedure
    • Don’t smoke, or you’re willing to stop smoking
    • Need a revision rhinoplasty to undo the results of a botched nose job
    • Have a nasal obstruction or a deviated septum that prevents you from breathing properly
    • Have a crooked nose due to accidents, trauma, or injury
    • Are unhappy with how your nose looks
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    An Expert Approach

    Ethnic Rhinoplasty

    Dr. Westreich avoids “cookie-cutter” treatments to ensure your nose job retains the unique markers of your ethnic identity and heritage. Inexperienced surgeons often follow Eurocentric standards while performing nose jobs, i.e., they involuntarily adhere to Western notions of beauty. However, Dr. Westreich curates a unique ethnic rhinoplasty based on your specific goals and ethnic background to ensure optimal and individualized results.

    Revision Rhinoplasty

    Revision rhinoplasty is a subset of rhinoplasty procedures that addresses external deformities, cosmetic concerns, or functional problems caused by a previous rhinoplasty procedure. Basically, you need a revision rhinoplasty if you’ve had a botched nose job that’s left you with poor cosmetic or functional results. In this case, Dr. Westreich will create a revision rhinoplasty treatment plan to undo the results of the primary rhinoplasty and provide the results you originally wanted.

    The work he has done on my rhinoplasty is everything I wanted. I did not want my nose to look like it had any work done, I just wanted to reduce the size in certain areas. He really listened to everything I wanted.

    Louise Z.

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    Why Choose Dr. Westreich for my Rhinoplasty in NYC?

    Dr. Westreich is an incredibly talented, compassionate, and experienced cosmetic surgeon with specialized training in all facial cosmetic and reconstructive procedures. He completed his postgraduate training in Facial Plastic Surgery and Otolaryngology, otherwise known as Ear Nose and Throat (ENT), at the prestigious Mt. Sinai Hospital in New York City. He has also been listed by New York Magazine as one of the top plastic surgeons in New York for several consecutive years and has been recognized as a Top Doctor by the prestigious Castle Connolly Group. Dr. Westreich has received many other awards and accolades throughout his career. 

    What truly sets Dr. Westreich apart is his approachable bedside manners combined with his artistry and understanding of nasal surgery techniques and aesthetics. His sculptural rhinoplasty techniques (many of which he pioneered) are based on the vision of an artist and will focus on creating highlights and shadows, as well as natural proportions, in order to ensure your result will appear as if you were born with it. If you want to find out more information, please schedule a private consultation with Dr. Westreich today.

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    Rhinoplasty Videos

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    Male vs Female Rhinoplasty Explained

    Non-Surgical Rhinoplasty: The Ideal Alternative

    Non-surgical rhinoplasty entails the injection of hyaluronic acid (HA) fillers, which results in a transformation similar to classic rhinoplasty results, albeit temporarily. Dermal fillers change the shape of your nose for up to 1 year and beyond, making it ideal for individuals who want to achieve cosmetic enhancements without permanent adjustments or cosmetic alteration. A non-surgical rhinoplasty is a great option with less risk potential, minimal side effects, and no downtime.

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    Rhinoplasty FAQ

    How do I prepare for rhinoplasty?

    Is rhinoplasty painful?

    Will my health insurance cover rhinoplasty?

    How do I prepare for rhinoplasty?

    • Complete all recommended pre-operative tests and medical clearance
    • Stop smoking
    • Avoid medications that can increase the risk of bleeding
    • Arrange for a friend or family member to bring you home on the day of surgery
    • Bring loose clothing that closes in the front for after surgery
    • Prepare your home with prescriptions, a humidifier, plenty of pillows, groceries, and a list of activities to keep you occupied

    Is rhinoplasty painful?

    You’ll be under general anesthesia during the procedure, so you won’t feel any pain or discomfort. Most patients rate the pain as a 2-3/10, as Dr. Westreich also uses Exparel to increase your comfort, providing numbing for up to 3 days.

    Will my health insurance cover rhinoplasty?

    Rhinoplasty performed solely to address cosmetic issues is not covered by health insurance. However, when rhinoplasty is performed to correct a breathing problem caused by structural abnormalities, a portion of the procedure may be covered.

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