Rhinoplasty (Nose Surgery / Nose Job)

• Dr. Linkov is a double board-certified by the American Academy of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology-Head & Neck Surgery.
• He is a dual Ivy League-educated facial plastic surgeon who completed an accredited American Academy of Facial Plastic and Reconstructive Surgery fellowship.
• He has an artistic background paired with an Ivy League medical education, granting him a unique combination of skill and talent tailored for the field of facial plastic surgery.
• He is a prolific clinical researcher with over two dozen publications that have had a significant impact on the fields of Tissue Engineering, Head and Neck Cancer, and Facial Plastic Surgery.
• He is proud to be an adjunct assistant professor at New York University teaching rhinoplasty.
• He is included in the prestigious Super Doctors New York, Rising Stars™ listings and was featured on the Dr. Oz Show.

As a best-in-class NYC rhinoplasty specialist and a frequently sought-after expert in the media, Dr. Gary Linkov specializes in the most challenging nasal reconstructions. He utilizes the most recent advancements in rhinoplasty, medical technology, and equipment in his state-of-the-art surgical facility on Madison Ave in Manhattan.

It’s important to be physically healthy to ensure that you are able to heal properly after the surgery. You should also be in good mental health to be able to make informed decisions about your treatment. A good candidate for rhinoplasty should also have specific goals in mind for the procedure. For example, you may want to improve the appearance of your nose or correct functional issues such as difficulty breathing. It’s important to discuss your goals with a plastic surgeon to determine whether rhinoplasty is a good option for you.

The first step for nose surgery is consultation. You will have the chance to talk about your goals and desired outcomes as well as any worries you might have. The specialist will check your nose and could also take pictures for your medical record. They will also discuss the different techniques that can be used to achieve your desired results and the potential risks and complications of the procedure.

Your surgeon will also discuss the cost of the procedure with you and any financing options that may be available. It’s important to have a thorough understanding of the costs and any potential risks or complications before making a decision to undergo surgery.

The choice between open rhinoplasty and closed rhinoplasty depends on your individual needs. Both techniques offer benefits and drawbacks, and the optimal course of action will depend on the specifics of the case.

During an open rhinoplasty, the columella, the band of skin that divides the nostrils, must be cut across. This method gives the surgeon a broad and more unlimited view of the nasal structure, which might be advantageous in some circumstances. However, it also involves a longer scar and a slightly longer recovery time.

Closed rhinoplasty involves making all of the incisions inside the nostrils. This approach leaves no visible scarring and has a shorter recovery time, but it may be more difficult for the surgeon to visualize the nasal structure.

Although rhinoplasty is generally a safe and effective procedure, it does come with certain risks and possible complications. Some of the potential risks and complications of rhinoplasty include:

• Bleeding
• Infection
• Swelling and bruising
• Anesthesia-related complications
• Numbness or loss of sensation in the skin of the nose
• Scarring
• Unsatisfactory results, including the need for revision surgery
• Difficulty breathing
• Changes in the shape of the nose

Your doctor will discuss the potential risks and complications of rhinoplasty with you before the procedure so that you have a full understanding of what to expect. They will also provide you with instructions on how to care for yourself after the surgery to minimize the risk of complications.

It’s important to follow your surgeon’s instructions carefully and to contact them if you experience any unusual symptoms or concerns after the procedure. In rare cases, complications can be serious and may require additional treatment.

There are a few steps you can take to prepare for a rhinoplasty procedure:

• Discuss your goals and expectations: It’s important to discuss your goals and expectations for the procedure with the surgeon. They will be able to tell you whether your goals are realistic and can be achieved through rhinoplasty.
• Follow pre-surgery instructions: The doctor will provide you with specific instructions on how to prepare for the procedure, including any medications you should take or avoid, any dietary changes you make, and any changes to your level of activity. It’s important to follow these instructions carefully to ensure the best possible outcome.
• Arrange for transportation and post-surgery care: After the surgery, you’ll need someone to take you home and be with you for the next day. You should also make arrangements for someone to assist you with your everyday tasks as you recover.
• Stop smoking and avoid certain medications: Smoking can interfere with healing, so it’s important to quit the habit at least four weeks before the procedure. Additionally, aspirin and anti-inflammatory treatments should be avoided as they might raise the risk of bleeding. You will receive a detailed list of drugs to stay away from.

By following these recommendations, you may ensure that you are fully prepared for your rhinoplasty treatment.

The specifics of a rhinoplasty procedure will depend on your individual needs and goals. However, the general steps of the procedure are as follows:

• Anesthesia: The procedure is usually performed under general anesthesia or intravenous sedation. You will be asleep during your nose job and will not be able to feel any pain.
• Incisions: There are two main techniques for performing rhinoplasty: open and closed. In an open technique, a cut is made across the columella, the skin strip that divides the nostrils. The closed technique involves making all the incisions inside the nostrils.
• Reshaping the nose: Once the incisions are made, the surgeon will reshape the underlying bone and cartilage to achieve the desired results. This may involve removing excess tissue, rearranging or reshaping the cartilage, or using grafts to add support or structure to the nose.
• Closing the incisions: Once the desired shape has been achieved, the incisions will be closed using stitches or skin adhesive.
• Recovery: After the rhinoplasty, you will need to wear a splint to help support the newly shaped nose as it heals. You may also have swelling and bruising, which will resolve over time. Your surgeon will provide you with instructions on how to care for yourself during the recovery period.

It’s important to discuss the specifics of the procedure with your surgeon to fully understand what to expect.

Your recovery time depends on the extent of your rhinoplasty procedure. A short-term healing phase follows your surgery before you enter the long-term healing phase. How long you spend in each phase is determined by a variety of personal factors.

The short-term healing phase occurs in the first few days to weeks after your rhinoplasty procedure. More complicated surgeries require two to three weeks of recovery while the swelling and bruising subside. Common, anticipated conditions occur in the short-term phase, all of which usually resolve after a couple of days or over the first few weeks.

Some of the anticipated post-rhinoplasty conditions are:

• Bruising
• Redness
• Swelling
• Bleeding
• Nasal obstruction
• Some pain

During the short-term healing phase, take several precautions to ensure the best result and minimize bleeding, including:

• Applying an antibiotic ointment and scar gel on your external incision;
• Keeping the external cast dry;
• Sneezing with your mouth open to avoid excessive force in your nose;
• Using a nasal saline spray five times a day, starting 48 hours after surgery;
• Not blowing your nose for the first week;
• Avoiding vigorous exercise for at least one week after surgery;
• Refraining from participating in contact sports for at least six weeks;
• Attending a follow-up appointment as directed to remove the sutures, splint and cast.

The recovery period after a rhinoplasty procedure varies from person to person. Most people are able to return to work and other normal activities within a week or two. However, you may need to avoid strenuous activities for a longer period of time. You will have swelling and bruising around the eyes and nose, which will resolve over time. It’s normal to experience some discomfort after the procedure, which can be managed with pain medication prescribed by your surgeon.

It’s important to be patient as you heal and to follow your doctor’s instructions for a smooth recovery. This may include taking it easy, avoiding strenuous activities, and keeping your head elevated to reduce swelling. You may also need to avoid blowing your nose or wearing glasses for a period of time. Your surgeon will provide you with specific instructions on how to care for yourself after the procedure.

You should also be aware that it can take several weeks or months for the full effects of the surgery to be visible. It’s normal to experience some changes in your sense of smell and taste after the procedure, but these changes should resolve over time.

When evaluating you for rhinoplasty in NYC, Dr. Linkov also assesses the proportions of the rest of your face. Specifically, a recessed or under-projected chin can make your nose look bigger and more pronounced. Your doctor counsels you on the possibility of chin augmentation, including an implant, if you meet the criteria.

As you begin to develop more self-confidence after your nose job, you may consider other cosmetic procedures to further enhance your appearance. Once you’ve had rhinoplasty, there are a number of other enhancements you may want to consider in addition to a chin implant, such as:

• Facelift
• Eyebrow shaping
• Lip plumping
• Cheek implants

To learn more about the other nose cosmetic procedures Dr. Linkov provides, make an appointment with City Facial Plastics in New York, NY.

When it comes to New York, the cost of a rhinoplasty procedure can vary widely depending on a number of factors, including the type of technique used, the type of anesthesia, and the duration of the procedure. On average, you should expect to pay anywhere from $10,000 to $20,000, depending on your individual case.

In some cases, rhinoplasty may be covered by insurance if it is deemed medically necessary. For example, your insurance may cover the cost of the procedure if you have a structural abnormality in your nose that is causing difficulty breathing or other functional issues. However, if you are having the procedure for cosmetic purposes, it is unlikely that it will be covered by insurance. It’s critical to verify with your insurance provider to see what your current policy covers.

When you’re ready to explore the opportunity to change the appearance of your nose through rhinoplasty, contact City Facial Plastics in Manhattan’s Upper East Side. Schedule your first consultation with the best-rated rhinoplasty surgery specialist in New York City to discuss if a nose job is the right option for you.

This cosmetic procedure has helped many men and women feel more confident in their appearance and have better respiratory health. Dr. Linkov is one of the top rhinoplasty surgeons in NYC. He has succeeded in creating incredible results for his patients. View the before-and-after photos to see the amazing difference rhinoplasty can have on the balance and beauty of the human face.

Satisfaction Rate After Cosmetic Rhinoplasty

According to a “Patient Satisfaction After Rhinoplasty” study published on PubMed, the overall rhinoplasty satisfaction rate is around 83.6%. Out of 2326 cases (294 males and 2032 females), the satisfaction rate distribution among genders was as follows:

• 87.6% of females were satisfied
• 56.1% of males were satisfied

Based study on study “Cosmetic Rhinoplasty” published on PubMed shows that out of 369 cosmetic nose job procedures, 87% had a successful correction of their nasal deformity through nasal surgery..

According to the research, out of all the revision surgeries performed:

• The complication rate was 7.9%
• The dissatisfaction rate was 15.4%
• The revision rate was 9.8%

Given the procedure’s complexity and potentially unrealistic patient expectations, only a few rhinoplasty doctors in New York have a high success rate with nose jobs, and Dr. Linkov is proud to be one of them. His extensive experience in plastic reconstructive surgery allows him to perform a nose job operation of the highest level, culminating in a success rate of more than 90%. That is why many patients see Dr. Linkov as one of the best cosmetic plastic surgeons in the city for rhinoplasty.

Several alternatives to rhinoplasty may be suitable for certain patients. These alternatives may be less invasive, have a shorter recovery time, or have a lower cost than rhinoplasty. Some examples of alternatives to rhinoplasty include:

• Dermal fillers: Dermal fillers can be used to add volume and shape to the nose without surgery. The effects are temporary and will need to be repeated to maintain the results.
• Non-surgical nose reshaping: Non-surgical nose reshaping involves the use of injectable substances such as Sculptra or Radiesse to shape and contour the nose. The effects are temporary and will need to be repeated to maintain the results.
• Makeup: Makeup can be used to contour the nose and create the illusion of a different shape. This is a temporary solution and will need to be reapplied to maintain the desired effect.

Some plastic surgeons, including Dr. Linkov, use computer renderings of what the nose might look like after surgery to help guide patient decision-making. The most crucial thing is that both the doctor and the patient agree on the aesthetic goals. Please remember that the computer image is not a guarantee of what will follow after surgery, but rather a framework for the surgeon to work with during the procedure.

You should be able to return to work a little more than a week after surgery. However, there may still be some swelling and reddish incisions.

Splinting and suturing the nose after a rhinoplasty procedure is a common practice. The splint is usually applied to the outside of the nose and helps support the newly shaped structure as it heals. The sutures are usually placed inside the nostrils and help hold the tissues in place.

The splint and sutures will typically be removed a few days after the procedure. The nose may also be packed with gauze to help control bleeding and swelling. This will be removed a few days after the procedure as well.

Bruising is common following surgery and can last anywhere from two to three weeks. Most swelling in the nasal tissues will usually subside within two months. However, depending on your procedure’s complexity, it can persist for a year or even longer, typically in the tip of the nose. We use delicate surgical techniques and Arnica Montana to decrease the extent and the intensity of swelling and accelerate postoperative healing.

Rhinoplasty makes your nose’s blood vessels extremely sensitive, and exercising too soon after surgery can result in bruising, nose bleeds, and other postoperative complications. Hence, you should avoid any exercise other than light to brisk walking for at least one week following your surgery. Within three to four weeks of the treatment, you can gradually resume gentle, non-contact exercises.