What is rhinoplasty?

Rhinoplasty, also known as a nose job, is a plastic surgery procedure whose goal is to aesthetically improve the form and also improve the function of the nose. Many of the patients seeking rhinoplasty have wanted their noses improved since 11 or 12 years of age. Many complain of a nasal hump, wide nostril especially with smiling, wide bones, boxy or round tip or a tip that descend when smiling big. For this reason, many avoid smiling big in photos.

When undergoing rhinoplasty with Dr. Saman, both the SHAPE and the FUNCTION of the nose are addressed. If there is septal deviation causing obstruction, Dr. Saman will correct the septum as a part of the procedure.


Dr. Saman is a double board-certified facial plastic as well as a reconstructive surgeon with a particular clinical interest in rhinoplasty but also facial rejuvenation surgery. He is one of the few surgeons in the United States of America fellowship-trained in both head and neck oncologic surgery and facial plastic surgery. Before returning to New York City, Dr. Saman served as the Medical Director of Head and Neck Oncologic and Reconstructive Surgery in Dallas, Texas.

Dr. Saman’s background as an ear, nose, as well as throat surgeon and a fellowship-trained reconstructive surgeon, followed by his international training in facial aesthetic surgery in the best clinics around the world (USA, France, Turkey, and Spain) and rhinoplasty, have provided him with a unique set of skills and vision that set him apart.

Contact us now if you have any questions about rhinoplasty in New York!


Preservation Rhinoplasty is first of all a modern approach to rhinoplasty that allows for optimal reshaping of the nose with minimal anatomic resection. Then, this procedure makes for easy recovery by the vast majority of patients. Finally, preservation rhinoplasty guarantees life-lasting results.

A large component of our practice is made of revision rhinoplasty procedures. These cases are often quite the challenge and require meticulous surgical technique, as well as attention to detail, which are of utmost importance. Dr. Saman specializes in revision rhinoplasty.

Ethnic Rhinoplasty is a nasal surgery where the nose is surgically altered in order to create a symmetrical, aesthetically pleasing nose that suits the patient’s face without decreasing the patient’s ethnic features.

Caucasian noses and Asian noses are different. Therefore, most of the changes that a rhinoplasty surgeon would make to a Caucasian nose are not ethnically compatible with the Asian face. Dr. Saman makes use of his experience as well as expertise as an Asian rhinoplasty surgeon to improve the appearance of the nose in a way that it looks balanced as well as natural with the rest of the Asian facial characteristics.

Scarless rhinoplasty or endonasal (also known as closed rhinoplasty) technique allows for avoiding visible external incisions. With this technique, you never have to worry about any visible scars on your face. Dr. Saman is able to perform this technique in around 70% of the cases depending on the patient’s anatomy as well as wishes.


Getting a rhinoplasty procedure can not only enhance the look and function of the nose, but it can also improve confidence as well as eliminate years of self-consciousness caused by your nasal appearance. Rhinoplasty can:


  • Increase or decrease the size of the nose depending on your wish
  • Give your nostrils a new shape and different size
  • Reduce the nasal tip
  • Reduce the nasal bridge
  • Enhance the balance and harmony between other facial features and characteristics.
  • Correct problems associated with a deviated septum such as obstruction and difficulty breathing. 


Usually, the best candidate for rhinoplasty is someone who isn’t in love with the way their nose or facial appearance and/or has been troubled by one or more of its characteristics. More often than not, we’re talking about a nose that appears too large, droops, or has a prominent bump on top. Some other patients may seek treatment after an injury, or when they have issues breathing through the nose. Ethnic noses with a weak bridge, may benefit from augmentation rhinoplasty with diced cartilage with Dr. Saman’s technique using PRF to create excellent contours for Asian and African American rhinoplasty.


How much does a rhinoplasty cost in New York City?

It depends on a wide variety and a wide range of factors. As each patient will require a unique degree of nasal refinement, while some others will need a more complex approach involving more delicate techniques such as cartilage grafting, the pricing will therefore vary from patient to patient. The average cost of one of the best rhinoplasties in New York City can range anywhere between $18,000 to $24,000 for a primary rhinoplasty.


Please reach us at vip@SamanMD.com if you cannot find an answer to your question.

The duration of a typical rhinoplasty will depend on the extent of the changes being made to the patient’s nose. Generally a primary rhinoplasty with Dr. Saman takes around 2-3 hours. A revision rhinoplasty may take longer depending on the needed changes.

Generally recovery is divided into stages:

Stage 1) The immediate postoperative period usually takes about 7-10 days. During this period you have a splint on. Dr. Saman rarely puts internal packin in the nose.

Stage 2) This stage lasts about 3 weeks after Stage 1. During this time your swelling goes down at a rapid stage. You will be required to tape you nose to ensure the skin takes the correct shape. You will also need to avoid exercising. Your nose may feel numb, your smile may not be back to normal yet, and you may notice asymmetries and irregularities. Be patients, the majority of issues resolve by the end of Stage 3. In rare case you may need additional steroid shots. Avoid overanalyzing your nose in the mirror.

Stage 3) 4-8 weeks postop: Swelling going down slows in pace. You will no longer need to tape your nose. Your breathing will start to improve. The nost is starting to slowly find some shape and contour.

Stage 4) 2months to 6 months: Depending on the skin thickness, your nose is on its way to find its contours. Breathing is still improving. There may be areas of swelling or bumps inside the nose and some dissolving internal stiches. Crusting is getting less every day. Your nose is getting its sensation back slowly and may feel pins and needles or itchy.

Stage 5) 6 months and beyond: Your nose is finding its final shape. Usually around 12-15 months postop, you can expect to see the final result of your #SamanNose.

Children can be eligible to have rhinoplasty although we recommend no younger than 15 for girls and 16 for boys. However, please keep in mind that a patient’s emotional maturity also plays a particular role in timing a rhinoplasty and an evaluation by Dr. Saman and discussion with family is critical.

As for elderly people, there is no actual cutoff age for having rhinoplasty. As long as the elderly adult is in good health, they may be perfectly fit to have the procedure. There have been many cases of patients 70 – 80 years old having a Rhinoplasty performed with minimal to no complications at all.

The ideal age range for Rhinoplasty, however, are patients aged 18 to 35 years old. During this time your facial skin is still mostly elastic. Your facial can thus accommodate surgical procedures without complications.

A consultation with Dr. Saman is crucial to see if you are a good candidate for rhinoplasty.

The old days of painful rhinoplasty are long gone. Now with the use of minimally invasive techniques, especially Dr. Saman’s preservation rhinoplasty technique, pain is virtually non-existent. Most of our patients do not even take their prescribed pain medication. We often hear that they have a very easy recovery. The most common discomfort appears to be a feeling of congestion. However, you will still be provided with pain control medication just in case.
When Rhinoplasty is performed from inside the nose (a procedure called closed or scarless rhinoplasty), there is no visible scarring at all. Also, when an open technique is used, or when the operation calls for the narrowing of flared nostrils (a procedure called alarplasty), the small scars on the base of the nose are usually not visible and heal very well. However, scarring is also influenced by each individual patient’s genetics and postoperative healing. A thorough consultation with Dr. Saman is crucial to discuss you scarring history to create the best treatment plan suited for your needs.
Initially you will be congested due to internal swelling. This generally resolves by month 3. In the long run, you can expect to breathe better than you did before your rhinoplasty.

Following your initial consultation, Dr. Saman will provide you with a complete list of instructions to help you prepare for nose surgery. Here are some things you can do to prepare ahead of time:

  • Fill all prescriptions that are prescribed so you’re prepared
  • Stock your fridge with foods that are easy to digest and eat (it’s possible to feel nauseous in the days following your surgery)
  • Do a batch of laundry – especially your sheets because you will most likely be bedridden for a number of days following your surgery
  • Stock up on button-down tops in order to reduce the risk of damaging your nose by putting on and taking off shirts over your head
  • Drink a lot of water to stay hydrated at all times
  • Take a shower the night before your surgery in order to remove all makeup and skincare products.
  • Trim or wax your nose hair.
  • Stock up on lip balm or petroleum jelly as your lips will become extremely dry after surgery
  • We recommend that you have someone drive you to your surgery appointment
  • Don’t eat or drink anything after midnight the day before your operation.

You will be provided with a multi-page packet of preoperative and postoperative instructions by our team to ensure you are prepared for your surgery and your postoperative recovery is smooth and comfortable.

Rhinoplasty is an outpatient procedure, performed in AAAASF-accredited facility with the presence of anesthesiology providers and nurses and all needed equipment for a safe and smooth procedure. Our out of town patients are required to stay within a 20 minute drive for the first 72 hours postoperatively. They are then required to return for postoperative control in one week.

Open rhinoplasty occurs when the facial plastic surgeon makes an incision on the inside of the nostrils as well as on the outside of the columella, which is the external strip of skin that unites both nostrils. 

Closed rhinoplasty procedure (also known as endonasal) is when all of the incisions are made from inside the nasal passage without any visible scarring externally. The majority of Dr. Saman’s primary rhinoplasties are endonasal. 

In some cases, a septoplasty procedure (which is used to correct a deviated septum) can actually reduce or stop snoring entirely and even treat patients with breathing disorders like sleep apnea.  However, in our practice our primary goal is the aesthetic improvement of the nose. If your primary goal is to improve snoring, you should consult an ENT with sleep disorder training. 

Rhinoplasty is a permanent procedure in the sense that as long as your facial characteristics are fully developed, your nose shape won’t change on its own. But, rhinoplasty can also be reversible and unpleasant results can be corrected through revision rhinoplasty surgeries if necessary.