Manhattan nose surgery

Get the nose you’ve always wanted

Nose surgery — or rhinoplasty — with Dr. Michael Bassiri-Tehrani can help you get the nose you’ve always wanted.

Double board-certified surgeon and expert in facial plastic and reconstructive surgery, Dr. Bassiri can customize your rhinoplasty procedure according to your functional anatomy and specific cosmetic needs to ensure that you reap the full benefits of your nose surgery.

On This Page Procedure Description How It Works Gallery Recovery Ideal Candidate FAQs

What is rhinoplasty?

Rhinoplasty — or “nose job” — refers to surgery that changes the shape of the nose and includes several different cosmetic procedures that serve both aesthetic and reconstructive purposes.

This means that rhinoplasty can not only enhance your cosmetic appearance, but it can also improve the functionality of your nose.

Dr. Bassiri and our team can often combine rhinoplasty with surgeries such as septoplasty, nasal valve repair, and turbinate reduction to improve breathing through the nose. Together, these can sometimes be referred to as “septorhinoplasty.”

What issues does
rhinoplasty address?

In addition to reshaping or resizing your nose to achieve overall balance and harmony with your other facial features, rhinoplasty can also improve functional issues such as difficulty breathing.

Using the most modern techniques and an individualized approach to your care, nose surgery can:

Correct a deviated septum — the dividing wall between the air passages — to improve nasal breathing
Improve your nose’s profile by removing the dorsal “hump”
Narrow the width of the bridge and base of your nose
Reshape flaring nostrils
Refine the nasal tip
Improve the transition between the nose and upper lip
Straighten a crooked nose and correct asymmetry
Decrease the size of your nose

What is the difference between open rhinoplasty & closed rhinoplasty?

Dr. Michael Bassiri-Tehrani understands the importance of feeling confident and happy with your appearance.

But if you’re like many of our other patients, your nose can be a source of insecurity. You may feel self-conscious if your nose is too large or too small or has an unappealing shape.

Depending on your aesthetic goals and anatomical needs, you may require either an open or closed rhinoplasty — which simply just refers to how your nose is accessed during surgery.

Closed rhinoplasty: This procedure is performed with incisions hidden inside the nostrils without any external incisions. In the correct patient, this is an ideal option to make discreet changes. This technique treats the dorsum or bridge of the nose.
Open rhinoplasty: Revision surgery or nasal tip work is often performed with an “open approach.” Open rhinoplasty uses the same incisions as a closed rhinoplasty but adds small incisions at the base of the nose, or collumella. This collumellar incision heals very well but allows for much better access to the nasal tip and midvault or valve region of the nose. This enables us to make more precise changes as well as correct complicated deviations and breathing problems should they exist.

How rhinoplasty works with Michael Bassiri-Tehrani, MD, PLLC

Rhinoplasty is a cosmetic surgical procedure that reshapes the nose to enhance its appearance and function. The procedure can be customized to your unique needs and desires, which is why your nose surgery will actually begin with a thorough consultation with Dr. Michael Bassiri-Tehrani.

What’s discussed at your consultation

During your consultation, Dr. Michael Bassiri-Tehrani will review your medical history and evaluate your nose and facial structure to determine the best course of action for reconstructing the nose you’ve always wanted.

We’ll also discuss your goals and expectations and use this information to create a personalized treatment plan tailored to your individual needs.

What happens during your procedure

Rhinoplasty is typically performed under general anesthesia, so you’ll be asleep throughout the procedure.

Typically, the surgery can take up to four hours to complete. During this time, Dr. Michael Bassiri-Tehrani will make incisions either inside your nostrils or across the columella — the tissue between your nostrils — so that they can access the underlying bone and cartilage.

Your surgeon will then reshape and sculpt the bone and cartilage to create the desired shape and size. Once the reshaping is complete, the incisions will be closed using dissolvable sutures for a more comfortable, worry-free recovery.

What your recovery looks like

After the procedure, you’ll of course need to rest and recover for a period of time determined by extent of your nose’s restructuring. You may experience some swelling, bruising, and discomfort, but you can manage this symptoms with medications, and they usually subside within a week or two.

As with most surgical procedures, you’ll need to avoid strenuous activities and heavy lifting for a few weeks to ensure proper healing. Dr. Michael Bassiri-Tehrai will provide you with detailed instructions for post-operative care to help ensure your recovery is as smooth and comfortable as possible.

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What to expect during recovery for rhinoplasty

Recovery for both open and closed rhinoplasty is very similar. The surgery typically lasts about three hours and is performed with general anesthesia. After a short recovery room visit, patients go home the same day.

Pain is controlled with mild narcotics the first two to three days, after which most patients switch to Tylenol and mainly experience congestion.

Patients don’t receive traditional nasal packing, a known discomfort from an older time. Instead, some patients may have silastic sheeting or internal splints placed temporarily if additional support is needed.

At one week, all sutures, splints, and casts are removed. The nose is cleaned and most of the congestion is gone. Bruising usually takes about seven to ten days to resolve. Most of the major swelling takes about two weeks. By five to six weeks after surgery, most of the swelling is gone.

Is rhinoplasty right for you?

Dr. Michael Bassiri-Tehrani believes that everyone deserves to feel confident and comfortable in their own skin.

If you’re unhappy with the appearance of your nose or another facial feature, schedule a consultation with Dr. Bassiri at our Manhattan office to discuss your options. We’ll work with you to develop a personalized treatment plan that meets your individual needs and goals.

Take the first step to getting the healthy, attractive nose you’ve always wanted by contacting us today.

Rhinoplasty FAQs

How long do I have to limit my activity after rhinoplasty?

What are the long term effects of rhinoplasty?

Proper technique and support of nasal structures is important to prevent unwanted long term changes to the shape of the nose and to help prevent nasal breathing obstruction. Older rhinoplasty techniques were typically reductive in nature and sought to make things look smaller and thinner.

Modern techniques and knowledge are mindful of the long term changes that can happen in a healing nose, and seek to provide the support needed so you stay happy with your results — these are the techniques that Dr. Michael Bassiri-Tehrani employs.

Can digital imaging capture how I will look after rhinoplasty?

Digital imaging for rhinoplasty is key for clear communication before surgery. To ensure that there is clear patient-doctor communication and that you really know what you want, we use digital imaging. With advanced technology, we no longer have to imagine how your face would look post-surgery.

Altering these photos together solidifies your vision and helps align it with your surgeon. Of all plastic surgery procedures, rhinoplasty is arguably the most taste driven. A perfectly executed surgery done in poor taste will lead to unhappy patients. It is essential to understand a patient’s desires before going into surgery. While the altered images are not a guarantee of results, they are useful to really understand a patient, and to have as a reference during surgery.

Can teens get rhinoplasty?

When is it too early to have a rhinoplasty? There is no set defined answer as it is very case dependent. However, the main considerations are growth and maturity.

The growth plates of the face are located low in the septum. Disrupting these while the face is still growing has a theoretical risk of altering facial shape long term.

It’s possible to do a rhinoplasty without altering the septum, but then other factors come into play. To be safe, rhinoplasty is generally considered when these growth zones are no longer factor.

In girls, this is after they start having menstrual cycles, and in boys, this is roughly when their shoe size is stable — typically at 14 – 16 years old. While surgery at this age may be safe from a physical standpoint, a patient must be socially mature enough to understand the changes that are in question.

What is liquid rhinoplasty or “non-rurgical rhinoplasty”?

What are the dangers of liquid rhinoplasty?

These are the same filers that are injected in the face to restore volume, so while they are generally safe, there are some things to know:

Currently, this is an off-label treatment as there is no specific FDA approved filler for the nose.
Certain areas of the nose are best to be avoided, as rare complications can occur.
It’s important that your injector has a good understanding of facial anatomy to avoid trouble, and an aesthetic eye to know how to make your nose look better.

How long do the results of a liquid rhinoplasty last?

The results last up to year as the product slowly gets absorbed by your body. If you don’t like how you look, the HA filler can be dissolved as it can elsewhere in the face.

Digital imaging can be used to estimate the changes that can be achieved. It’s impossible to make a nose physically smaller by adding filler to it. It is possible to alter a nose’s proportions, making it less dominant so that it fits a face better.

Rhinoplasty