My work with clients starts well before surgery in the pre-op consultation phase. It's important that I understand each person's aesthetic goals and expectations and take the time to communicate what's possible technically.

Rhinoplasty is a very technique-oriented surgery. Each change to the underlying cartilage and bone structure of the nose affects everything else. For example, increasing the height to the tip of the nose will change the way the nostrils appear. Each step needs to be discussed and planned before surgery, which typically takes 2.5 to 3 hours.

By the time patients enter surgery, they have a true understanding of how they will look post-surgery. Often times when I meet with a client for their six-month follow-up, I ask if they've run into friends they haven't seen for awhile. The comment people hear the most is that they look great, but they can't pinpoint what's changed. Their new nose has improved their appearance while maintaining their individuality and identity.

This natural and subtle improvement to their looks is an ideal goal for any plastic surgery and epitomizes my personalized--as opposed to mass production--approach. If you're looking for a plastic surgeon in Manhattan who can offer a natural, individualized, compassionate approach to looking like yourself, only better, call my office to schedule a consultation.

Choosing the right surgeon can be a daunting experience to go through for a prospective patient. There is no shortage of options when choosing a surgeon yet not every doctor is the right one for you, especially if you're considering nasal surgery of any sort. 

Here are three reasons to consider a rhinoplasty specialist over other plastic surgeons. 

Reason 1: A Rhinoplasty Specialist Has Focused and Specific Certification

Only asking your consulting physician “Are you board certified?” , you could potentially be misled about the qualifications of the doctor. As there are many types of doctors, so too are there many types of board certifications. There are only two boards which credentials surgeons for plastic surgery to the face. These are the American Board of Facial Plastic Surgery and the American Board of Plastic Surgery.

Even choosing a surgeon who is board certified from these recommended groups does not verify the surgeon’s ability to do rhinoplasty surgery. When in doubt, choose a surgeon who does a large number of nasal surgeries in his/her practice.

Reason 2: Choosing a Rhinoplasty Specialist Means Less Risk Of Nasal Dysfunction

Besides sitting in the middle of our face, the nose has two very important functions that we take for granted, which are breathing and smelling. Even if you may have no problems with the function of your nose, changes done during rhinoplasty surgery may alter these functions. Besides having a good looking nose, its important to also have a nose that works!

Reason 3: A Rhinoplasty Specialist Has Lots of Practice

As mentioned above, it is important to choose a surgeon who specializes in this type of surgery. Rhinoplasty surgery is one of the most challenging surgeries to perform. Ending up with a nice looking nose that also is able to breath well is no easy task. Just like a lawyer who does murder trials versus business mergers, rhinoplasty requires a completely different skill set than doing breast augmentations or tummy tucks.

Choosing a cosmetic surgeon in Manhattan requires plenty of research. You have to know the right questions to ask in order to avoid choosing a surgeon who may not have your best interest in mind. To help with that I've come up with 3 vital questions to help you choose the right plastic surgeon for you.

1.) Are you board certified in facial cosmetic surgery?

More specifically I would recommend only going to surgeons board certified by the American Board of Facial Plastic and Reconstructive Surgery or the American Board of Plastic Surgery.  Although choosing a board certified surgeon will not guarantee a competent surgeon skilled in your surgery of interest, it will insure that the surgeon meets a minimum requirement.

2.) If I am getting a nose job should I go to a facial plastic surgeon or a general plastic surgeon? 

The gamut of cosmetic surgery is pretty large.  So a surgeon may have a practice that is largely focused on bodywork, (liposuction, breast augmentation, or tummy tucks) while only performing a few facial cosmetic surgeries a year.  If you are looking at a facial cosmetic procedure, it makes sense to seek a surgeon that focuses only on facial cosmetic surgery.

3.) How many of these surgeries do you do a year? 

Even though all cosmetic procedures are viewed individually, this question will give you an impression of your surgeons area of expertise.   

Reduction rhinoplasty is the medical term used to describe nasal surgery intended to reduce the over all size of the nose. 

When I talk to patients about nasal aesthetics, specifically reduction rhinoplasty, I tell them that the nose should be addressed in two distinct subunits: the bridge and the tip regions.

Most patients interested in reduction rhinoplasty, want the "bump" on their nose to be taken down.  This typically refers to the nasal dorsum or bridge of the nose.  

Other patients wanting to reducing the size of the nose may have a tip position aesthetically too far from the face (sometimes referred to as a Pinocchio nose).

To address these changes and to maintain proper nasal proportion, reduction rhinoplasty frequently needs to address both regions of the nose.  Meaning changes to the bridge will effect the tip appearance and vice versa.

To help understand these aesthetics, during your initial consultation, I will use a digital program of your nose to help show the intended changes.