Natural-Looking Nose Reshaping by Dr. Andrew Weinstein, Board-Certified Plastic Surgeon
Whether you're seeking to refine the shape of your nose or correct a breathing problem, rhinoplasty offers powerful results. At his private practice in New York City, Dr. Andrew Weinstein specializes in aesthetic and functional rhinoplasty designed to enhance facial harmony, improve breathing, and preserve your unique appearance.
What Is the Goal of Rhinoplasty?
The goal of rhinoplasty—commonly referred to as a nose job—is to:
- Create a more balanced, proportionate nose
- Refine features such as a dorsal hump, bulbous tip, or drooping nasal tip
- Correct internal deformities like a deviated septum
- Enhance both appearance and airflow, when needed
Dr. Weinstein is known for delivering natural-looking results that enhance beauty without changing a patient's core identity.
How Is Rhinoplasty Performed?
Rhinoplasty reshapes the nose by modifying its three structural components:
- Upper third (nasal bones) – reshaped to remove humps and narrow the bridge
- Middle third (upper lateral cartilage) – refined to support the airway and slim the profile
- Lower third (alar cartilage) – adjusted to sculpt the tip, lift a drooping nose, or narrow a wide tip
Cartilage may also be trimmed, reshaped, or sutured for finer definition. For drooping tips, Dr. Weinstein carefully adjusts both the cartilage and the nasal septum for ideal tip projection and rotation.
Open vs. Closed (Endonasal) Rhinoplasty
Closed (Endonasal) Technique
- Incisions are made inside the nostrils
- Ideal for mild to moderate changes
- Offers faster healing and no visible scar
Open Technique
- Includes a small external incision at the columella (between the nostrils)
- Allows full visualization of nasal structures
- Ideal for complex reshaping, tip work, or revision cases
- Scar fades over time and is typically unnoticeable
Can Rhinoplasty Improve Breathing?
Yes. In many cases, rhinoplasty includes septoplasty or other internal modifications to improve airflow. Common procedures include:
- Septal straightening to open blocked passages
- Turbinate reduction for more space within the nasal airway
- Valve repair or cartilage grafts to reinforce weak nasal structures
- Tip cartilage reshaping to reduce collapse and support nostril walls
All breathing-related concerns are evaluated during your consultation and addressed with precision.
What Adjunctive Procedures Can Enhance Results?
Chin Implants
- Improves facial balance and profile
- Helps reduce the visual prominence of the nose
- Performed through a small incision under the chin
Neck Liposuction
- Refines the jawline and neck
- Often done in combination with rhinoplasty for a more sculpted appearance
These procedures can be added seamlessly to improve overall facial proportions.
Will I See What My Nose Will Look Like Before Surgery?
Yes. Dr. Weinstein offers:
- Computer imaging to preview potential changes
- Hand-drawn sketches based on pre-op photos to visualize goals
- Guidance on what’s achievable based on skin thickness, facial structure, and healing tendencies
While previews help set expectations, results may vary due to healing patterns and anatomy.
What Is Revision (Secondary) Rhinoplasty?
Revision rhinoplasty corrects aesthetic or functional issues from a prior nose surgery. It may involve:
- Cartilage grafting (from the septum, ear, or donor tissue)
- Reshaping collapsed tips or twisted nasal structures
- Reconstructing overly reduced or pinched noses
These procedures are highly complex and typically require the open approach. Dr. Weinstein is experienced in restoring both form and function for revision patients.
Where Is Surgery Performed and How Long Does It Take?
- Location: Accredited outpatient surgical suite in NYC
- Time:
- Closed rhinoplasty: ~2 hours
- Open rhinoplasty: ~3 hours
- Septoplasty or breathing correction: add 20–30 minutes
- Chin implant: adds ~15 minutes
- Revision rhinoplasty: may require 4+ hours, depending on complexity
All procedures are personally performed by Dr. Weinstein.
What Type of Anesthesia Is Used?
Rhinoplasty is performed under general anesthesia to ensure:
- Complete comfort and safety
- Optimal protection of the airway
- No memory of the procedure
A board-certified anesthesiologist is present throughout.
What Is the Recovery Like?
- Plastic splint and tape applied for 5–6 days
- No deep nasal packing; internal dressing removed the next day
- Mild to moderate swelling and bruising around eyes and nose
- Minimal discomfort, usually managed with over-the-counter medication
- Most patients return to school or work in 7–10 days
- Final swelling may take several months to fully resolve
When Can I Resume Normal Activities?
- Light walking after a few days
- Cardio (stationary bike, treadmill) at 2 weeks
- Strenuous exercise, contact sports: after 6 weeks
- Flying and long travel: avoid for 2 weeks
What Are the Risks of Rhinoplasty?
Rhinoplasty is generally safe, but potential risks include:
- Bleeding (usually minor and self-limiting)
- Infection (rare)
- Breathing issues from over-narrowing
- Small irregularities, asymmetries, or contour changes
- Septal perforation (extremely rare)
- Need for revision surgery (uncommon)
Dr. Weinstein uses advanced techniques to minimize risks and optimize results.
Why Is Smoking Harmful Before Surgery?
Smoking impairs circulation and delays healing. It also increases the risk of skin loss, poor scarring, and infection. Patients must:
- Stop smoking completely 3 weeks before and 6 weeks after
- Avoid all nicotine products, including patches and gum
How Long Do Results Last?
Rhinoplasty results are typically permanent. Most patients have one surgery and remain satisfied long-term. Touch-ups (if needed) are not considered for at least 12 months, allowing time for full healing.
What Are the Costs of Rhinoplasty?
Total fees include:
- Surgical fees
- Anesthesia and operating room costs
- Preoperative lab work and medical-grade photography
- Additional charges for chin implants or revision procedures, if applicable
A detailed quote is provided after your consultation.
Ready to Refine Your Profile?
Schedule a private consultation with Dr. Andrew Weinstein, one of New York City’s top rhinoplasty surgeons, to discuss your goals. Whether you’re seeking cosmetic refinement or functional nasal improvement, Dr. Weinstein will develop a personalized plan to help you look—and breathe—your best.