Rhinoplasty in New York.

Closed rhinoplasty places all incisions inside the nostrils, leaving no visible scar. It limits exposure of the tip cartilages and is suited to cases where the tip does not require significant structural work. Open rhinoplasty adds a small incision across the columella, the strip of tissue between the nostrils, which lifts the skin and allows direct visualization of the entire cartilaginous framework. The columellar scar becomes virtually invisible within months. The choice between approaches is determined by what the surgery requires, not by a preference for one technique. Dr. Saman performs both.

TIVA stands for total intravenous anesthesia. Instead of inhaled gases, anesthesia is delivered through an IV, typically using propofol and remifentanil, titrated continuously by a physician anesthesiologist. For rhinoplasty specifically, TIVA offers three advantages: it eliminates the nausea that inhaled agents commonly cause and that increases blood pressure and swelling during recovery; it allows for controlled hypotension during the procedure, which reduces bleeding and improves the surgical field; and it produces a cleaner emergence from anesthesia with less agitation. The result is a calmer early recovery and a more controlled surgical environment.

PRFM stands for platelet-rich fibrin matrix. A small amount of the patient's blood is drawn at the start of the procedure and processed to concentrate the platelets and growth factors that drive tissue repair. The resulting matrix is applied to the surgical site before closure. It accelerates healing, reduces postoperative inflammation, and measurably decreases early swelling in the first weeks of recovery. It is the patient's own biology, concentrated and returned to the site that needs it most.

Many rhinoplasties require grafting to support the tip, reinforce the bridge, or maintain structural integrity after the reshaping is complete. Grafts are most commonly taken from the nasal septum. If additional cartilage is needed, the ear is the next source. In revision cases where both have been depleted, Dr. Saman uses MTF cadaveric cartilage. Whether grafting is planned depends on the anatomy and the surgical goals, and is discussed specifically in the consultation. Patients are never surprised by this in the operating room.

Yes. Septoplasty, the correction of a deviated septum, and inferior turbinate reduction are frequently performed alongside rhinoplasty when airway compromise is present. The functional and aesthetic work is done in the same operation, under the same anesthetic, with a single recovery. Insurance may cover the functional portion of the surgery. Dr. Saman coordinates with the patient's insurer prior to surgery when this applies. A nose that looks right and breathes well is always the goal.

Rhinoplasty addresses the external appearance of the nose. Septoplasty corrects the internal nasal septum to improve breathing. A deviated septum can cause nasal obstruction on one or both sides, and is often present in patients seeking rhinoplasty regardless of whether breathing is their primary concern. The two are commonly performed together. Septoplasty alone does not change the external appearance of the nose.

The most reliable indicator is consistency: when the nose looks the same in every photograph, in every light, morning and evening, for at least two consecutive months. Before that point, fluctuation in swelling from day to day and from morning to evening is normal and does not reflect the final result. Patients with thick skin or strong sebaceous glands are counseled to wait eighteen months before assessing finality. Rushing this assessment leads to unnecessary anxiety and, in some cases, unnecessary revision consultations.

Unhappiness with a rhinoplasty result falls into two categories: results that are outside the range of what was planned and agreed to, and results that are within the planned range but not what the patient hoped for. The first category requires honest assessment of what happened and, where correction is possible, a plan for revision. The second is addressed in the consultation, where the goals and the limits of what is achievable are discussed with specificity. Revision rhinoplasty is available at this practice and is considered on a case-by-case basis after a minimum of twelve months.

Yes. The face continues to change after rhinoplasty as it does throughout life. Skin thins, soft tissue shifts, and the nose itself may change slightly in character over decades. A rhinoplasty result is not immune to aging. The goal is a nose that belongs to the face it is on at the time of surgery and that continues to belong there as both change together. This is why harmony with the patient's overall facial structure, rather than an isolated nasal ideal, governs every decision.

The decision belongs to the patient. Both Dr. Saman and Dr. Ahmedli perform rhinoplasty to the same standard, using the same techniques, in the same operating suite. The consultation with either surgeon will cover the same ground with the same depth. Some patients have a specific preference from the outset. Others prefer to consult with both before deciding. If there is no preference, the Begin form allows patients to select No Preference, and the team will schedule based on availability. The standard does not change based on which surgeon is chosen.

The practice performs rhinoplasty and facial surgery exclusively. There is no body surgery, no breast surgery, no general plastic surgery. The focus of the practice, the instruments in the operating suite, the training of the team, and the time in each procedure are all organized around the face. Rhinoplasty is not one of many things done here. It is what this practice was built for. For the patient, that specificity produces a meaningfully different level of attention, and a meaningfully different result.