Rhinoplasty
in NYC

Rhinoplasty, commonly known as a nose job, is a procedure that changes the appearance or structure of your nose. You might need rhinoplasty for cosmetic or functional reasons. Cosmetic rhinoplasty addresses purely cosmetic and aesthetic concerns, such as overly-wide nostrils or a large dorsal hump. Functional rhinoplasty addresses medical or functional concerns, such as a deviated septum or a broken nose.

You should consider a rhinoplasty in NYC with Dr. Westreich if you have functional concerns or are self-conscious about the size, width, or shape of your nose. Dr. Westreich is an incredibly talented plastic surgeon specializing in rhinoplasty— he curates the rhinoplasty treatment plan based on your unique cosmetic concerns, functional needs, and long-term expectations.

The overall cost of your rhinoplasty will depend on the following factors:

• Medical tests
• Surgeon’s fees
• Anesthesia fees
• Medications
• Geographic location
• Your specific anatomy
• Your cosmetic goals

The cost of a rhinoplasty in NYC generally ranges from $10,000 to $15,000, though the specific cost will also depend on other factors. Cosmetic rhinoplasty isn’t covered by insurance. However, functional rhinoplasty to fix a deviated septum (or other medical conditions) is eligible for insurance coverage, though the amount of coverage will depend on your specific insurance plan. We provide a detailed overview of your costs with and without insurance coverage during your free consultation.

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 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 curates a revision rhinoplasty treatment plan to undo the results of the primary rhinoplasty and provide the results you originally wanted.

• Are at least 14 years of age (female) or 16 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 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

Your rhinoplasty procedure is catered to address your specific needs and the challenges of your nose. The procedure is performed at our state-of-the-art surgical center under local or general anesthesia, depending on your unique needs, and concludes within 2 to 3 hours. The specific steps involved in the procedure differ from one treatment plan to the next. However, the following is a broad overview of the steps involved:

• Anesthesia: The surgeon delivers local anesthesia, general anesthesia, or intravenous sedation, depending on your specific treatment plan.
• Incision: The incision will be made within the nostrils (closed rhinoplasty) or across the columella, the tissue separating the nostrils (open rhinoplasty). The skin covering the nasal bones and cartilage will be raised to work on the underlying structure.
• Reshaping: The nose structure will be reshaped and adjusted according to your unique needs. In some cases, excess bone and cartilage will be removed to reduce the nose size. In other cases, cartilage grafts might be derived from the septum, ear, or ribs to increase the size.
• Correction: If you have a deviated septum, it will be straightened to improve your breathing.
• Closing: After the necessary changes are made, the surgeon will redrape the nasal skin and close the incisions.
• Packing: The surgeon will provide nasal splints and gauze packing to facilitate smooth healing and hold the results in place. You’ll have to wear splints and packing for a few days.

• Nasal Tip Plasty
  Nasal Tip Plasty involves reshaping the cartilages 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 of that region. Some nasal tips will narrow with a small amount of cartilage removal, while other tips will need sutures, grafts, or division techniques to drastically change their shape. The nasal tip is a 3-dimensional structure that should only be modified 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 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 cartilages. 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 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 often required. When crooked structures are moved, it is important to polish and trim them smooth. Camouflage grafts and other structural grafts may also be required to give the nose an even appearance.

Swelling and bruising are completely normal and even expected after rhinoplasty. In the initial phase of your recovery, you may have bruising around the eyes, painful tenderness of the nose, and swelling and puffiness of the face. Cold packs can help reduce the swelling, and medications will be provided to control any post-surgical pain.

You will return home after the procedure with a splint on your nose, which will remain in place for approximately one week. Most patients report that recovery from rhinoplasty is more uncomfortable than painful.

Dr. Westreich advises all his patients to plan accordingly, as the recovery period is a crucial aspect of a rhinoplasty. You will likely need to take off from work or school to rest for the first week of your recovery and should refrain from strenuous physical exercise for at least 2-3 weeks after your nose job. Positive results will be seen gradually and can take a full year before completely visible.

• Use a saline nasal spray to keep your nostrils moist and decongestant spray (Afrin or Neosynephrine) to keep the nasal airway open.
• Apply ointments on the incision lines to allow quicker healing and steroid cream to decrease inflammation.
• Use Arnica and Bromelain caplets to reduce the bruising amount and decrease the duration of bruising.
• Take low-dose steroid pills because they have an anti-inflammatory effect and decrease swelling.
• Apply ice packs around the eyes and cheeks to prevent or reduce swelling.
• Sleep with your head elevated and limit your activities for the first 3-5 days.
• Eat a diet that contains a high level of antioxidants (Berries, Figs, Wild Honey), vitamin C, and E, and protein.
• Drink lots of water to stay hydrated.
• Follow all other recovery guidelines provided by the surgeon.

As with any surgery, a rhinoplasty does have associated complications and risks. Such risks include specific risks from anesthesia administration, excess bleeding, the collapse of the nasal structure, scarring, and results different from expected. Though present, these risks should not be a deterrent from your decision to undergo rhinoplasty as they are uncommon. You can further minimize these risks and complications by selecting the most reputable plastic surgeons with flawless track records.

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 6 or 8 months, 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.

As a double-board certified facial plastic surgeon, Dr. Westreich takes pride in being able to give his patients a new, aesthetically-pleasing nose. When seeking to make such an important change in your physical appearance, you must look for the best in the field in which to place your trust.

The focus of your initial consultation visit will be to familiarize you with Dr. Westreich’s approach and technique as you work together to achieve the mutual goals of your new nose. Dr. Westreich will happily address any concerns, questions, or comments during this initial visit and will seek to build a strong, lasting relationship as he has with each of his past patients.

Dr. Westreich’s practice is devoted to cosmetic and reconstructive procedures on the face and neck. Because of his background in Otolaryngology (ENT), he has a special interest in functional nasal preservation and correction. A practice emphasis is on nasal surgery of all varieties and surgery for facial rejuvenation.

Consequently, he is able to offer a wide array of nasal surgery options, including closed approach rhinoplasty (endonasal), open rhinoplasty, revision rhinoplasty, profile-plasty, tip-plasty, deviation correction, and subtle polish procedures.

Dr. Westreich has originated many rhinoplasty and septoplasty techniques, such as Foundation Rhinoplasty and Rhinosculpting, published in medical journals and textbooks on facial plastic surgery. He has given courses and lectures at major medical conferences for the American Academy of Facial Plastic Surgery and other medical societies.

Dr. Westreich has previously been recognized as a leader in facial plastic/ENT surgery and was most recently listed in NY Magazine’s Best Doctors for 2014, 2016, 2017, 2018, 2019, and 2020. He is also a former president of the New York Facial Plastic Surgery Society and a member of the American Academy of Facial Plastic and Reconstructive Surgeons, the American Academy of Otolaryngologists, and American College of Surgeons.