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NYC Rhinoplasty (Nose Job), Septoplasty and Sinus Surgery

Written by Dr. Sam Rizk

Patient before and after rhinoplasty *Results may vary. View More Photos
Patient before and after rhinoplasty side view *Results may vary. View More Photos

Dr. Rizk is a double board-certified subspecialist in the nose and face - he DOES NOT perform breast augmentation or other body-related plastic surgeries. He is dually-trained to handle both functional and aesthetic components of rhinoplasty. Dr. Rizk can remove a bump, narrow nostril width, change the angle between the nose and the mouth, as well as correct injuries, birth defects, or other problems that affect breathing, such as a deviated nasal septum or a sinus condition.

Dr. Rizk is voted by his peers to Castle Connolly’s list of best New York rhinoplasty surgeons. He is international educator with an upscale practice on Park Avenue. He is regarded for his noses, which are unique, natural, and compliment a person's face. Dr Sam Rizk is a member of the Rhinoplasty Society.

Rhinoplasty Goals

Good breathing is vital for a healthy quality of life. If a patient has a significant deviated septum compromising the breathing, this can be repaired during rhinoplasty surgery. Many revision surgeries Dr. Rizk performs are done to restore collapsed areas that were resected too much in previous surgeries, not just to improve the cosmetic appearance, but also to restore breathing abilities.

Dr. Rizk employs both the advanced open (external) and closed (endonasal) surgical techniques to naturally sculpt the nose. His innovated suture reshaping techniques for cartilage sculpting rather than removal. Dr. Rizk is well known for his revision rhinoplasty method which restores the patient's ability to breathe in addition to improving nasal appearance by rebuilding previously removed cartilage or bone.

His attention to detail and focus on achieving natural looking results while using the latest surgical techniques was recognized by Tatler magazine, which featured him as one of the world's top rhinoplasty surgeons.

US Weekly Magazine

Dr. Rizk featured in Town & Country Magazine as one of the masters of the subtle lift and tweak that will turn back time

Cost Of Rhinoplasty in NYC

A purely cosmetic procedure is never covered by insurance. However, if a patient has difficulty breathing and is found to have a deviated nasal septum or nasal allergy resulting in enlarged turbinates may have the functional portion of the procedure covered by insurance. A sinus condition may be treated at same surgery as a rhinoplasty.

Innovations in Rhinoplasty

Dr. Rizk has performed thousands of rhinoplasty procedures, half of which are revision rhinoplasties. He is highly sought-after throughout the United States and internationally, having treated royalties, celebrities, entertainers and patients from around the globe. With each brushstroke, Dr. Rizk refines and sculpts to create a unique nose in harmony with a person's face. His unique tools and techniques allow a PRECISION OPERATION with a PAINLESS and RAPID RECOVERY.

Dr. Rizk’s Philosophy

"It’s better to focus on a few plastic surgery procedures and do them exceptionally well than to do all types of plastic procedures all over the body just mediocre - My practice is highly specialized in the nose and face only - sort of a specialist within a specialty of plastic surgery. A beautiful nose is a natural one that compliments and fits harmoniously with a patient's face. I do not believe in a universally ideal nose, only an ideal nose for a particular face. I believe the nose is one of the most artistic parts of one's face and cultural differences should be respected in changing a nose. I also do not like upturned, scooped out, or excessively pointy noses. I believe and have pioneered techniques to give you a natural nose with tiny hidden incisions and a rapid recovery. Every nose that I do is different as every face is different and a customized, individualized approach describes my techniques."

Patient before and after rhinoplasty *Results may vary. View More Photos
Patient before and after rhinoplasty side view *Results may vary. View More Photos

What Is Different About Dr. Rizk's Rhinoplasty Methods And Techniques?

Dr. Rizk has pioneered a three dimensional high definition rhinoplasty surgery in his New York office, which has the main advantages of precision in changing structures and less trauma with quicker recovery time. Dr. Rizk performs both endoscopic (endonasal) rhinoplasty through small intranasal incisions and open (external) rhinoplasty done through a small inconspicuous incision at the base of the nose. The 3D high definition rhinoplasty allows Dr. Rizk to see the structures very clearly before modifying them.

For instance, instead of simply filing down a bump and deciding how much to remove by looking at the nose from outside alone, which can be imprecise, Dr. Rizk inserts a high definition telescope connected to a 3d-high def camera system and looks at what the bump consists of (bone, cartilage, scar tissue and addressing and sculpting it accordingly with great precision.)

Additionally, Dr. Rizk pioneered cartilage reshaping techniques with sutures which result in less excision of cartilage to preserve a natural framework. In fact, sometimes Dr. Rizk adds cartilage in revision surgery to collapsed areas. This cartilage is usually obtained from the nasal septum or the ear (auricular cartilage.) Dr. Rizk may use this cartilage to camouflage defects, support a drooping tip, elongate an upturned nose or correct tip irregularities or asymmetries.

Patient before and after rhinoplasty *Results may vary. View More Photos
Patient before and after rhinoplasty side view *Results may vary. View More Photos

Who Is A Candidate For Rhinoplasty?

A subtle alteration in one's nose can greatly improve one's appearance, individuals with the following concerns may benefit from rhinoplasty:

  • Teens aged to 15 years old unhappy with their nose
  • Individuals with a bump, wide tip or large flaring nostrils
  • Previous injury causing a crooked, misshapen nose
  • Breathing or sinus problems that interfere with life
  • Past rhinoplasty surgery resulting in a scooped outlook, unnatural upturn, excessively pointy tip or collapsing asymmetrical areas
  • Patients seeking profile or tip changes

Patients with breathing or sinus problems can combine functional repair with an aesthetic result. Dr. Rizk’s innovative techniques employing this combined approach were published in Annals of Plastic Surgery.

Dr. Rizk may choose not to operate on prospective patients who he feels may not be good candidates for rhinoplasty.

How Long Does Rhinoplasty Take?

Revision rhinoplasty may take up to 3-4 hours depending on scar tissue, graft usage and harvesting tissue from other areas. General rhinoplasty is completed in about 2 hours. Dr. Rizk does a very meticulous operation to ensure the best results possible. To assess nuances in the shape of the nose and reduce swelling, Dr. Rizk spends time creating his surgical plan prior to the surgery with detailed diagrams to decrease operative time.

How Do I Choose A Rhinoplasty Surgeon?

Selecting a rhinoplasty surgeon may seem like a lot of work, but it’s a decision that will stick with you for a lifetime, look for a surgeon who:

  • Has a dual board-certification in facial plastic surgery (by ABFPRS) and Otolaryngology-head and neck surgery (by ABO) A surgeon who is dually-trained has an extensive understanding of the inside structure of your nose as well as the outside cosmetic appearance and knows how to alter both. He is trained to deal with both functional issues such as breathing or internal abnormalities as well as the external cosmetic structure of the nose.
  • Offers before and afters, to see the surgeon’s work, just as you would like to see an artist’s other works before buying one of his pieces.
  • Specializes in the nose and face, and will have a better understanding of the internal support of the nose.

Natural Results

Dr. Rizk strives to design a natural angle between nose and forehead and nose and upper lip. His rhinoplasty procedure develops and compliments features of the natural nose to bring harmony to your facial profile.

Although there are certain standards for the size of the nose in relation to the face and eyes, this is a very artistic operation.

Rapid Recovery After Rhinoplasty

US Weekly Magazine

US Weekly - Dr. Rizk featured on US Weekly Magazine

Dr. Rizk is one of the first NYC rhinoplasty surgeons to pioneer innovations that speed up recovery after a nose job.

  • Diminished bruising and swelling: With Dr. Rizk's high definition 3D approach, blood vessels which may cause bruising are directly visualized and precisely avoided to diminish bruising and swelling.
  • Natural design: Dr. Rizk performs his sculpting deeper under muscle layers of the nose which is a clean plane of operating with fewer blood vessels. Also, this results in a more natural look because the muscle layer on top of the cartilage and bone acts to soften the shape of the nose, eliminating harsh edges.
  • Rapid healing: By not closing all incisions inside nose completely, which lets blood and fluid come out through gaps and not let blood and fluid collect under the skin of the nose-these incisions close on their own in first 5 days after surgery.
  • Limited social downtime: Dr. Rizk uses various tissue glues and herbal supplements to result in a patient looking socially presentable in 5 days after the procedure with no pain, but just as important is the lesser degree of swelling in general which allows a better overall result. Typical recovery time is 5-7 days with minimal or no bruising and virtually no discomfort.

Revision Rhinoplasty in NYC

Noses which have had work done previously, might suffer from structural support defects resulting in a short, scooped out or overly pointy appearance and sometimes breathing difficulties. To restore structure and nasal function, Dr. Rizk harvests cartilage from septum or ear, or utilizes graft materials. The various grafts used in revision surgery by Dr. Rizk may include a spreader graft, alar batten graft, caudal septal extension graft, shield graft, tip graft or camouflage graft. Occasionally he will also use a plumping graft to soften a very acute nasolabial angle.

As one of a handful of surgeons who are double board-certified in both otolaryngology and facial plastic surgery, Dr. Rizk routinely performs a few revision rhinoplasty surgeries every week. When Dr. Rizk adds cartilage grafts, he usually places another graft material on top of them to soften their edges so the edges of cartilages are not palpable or visible. This helps to achieve a natural outcome. After rhinoplasty, patients enjoy beautiful aesthetic results and significant improvement in their breathing as well.

Patient before and after rhinoplasty *Results may vary. View More Photos
Patient before and after rhinoplasty side view *Results may vary. View More Photos

How Dr. Rizk Approaches Revision Rhinoplasty Surgery

50 percent of Dr. Rizk's rhinoplasty is revision surgery. Of the revision surgeries, 70 percent is done with the open approach and 30 percent with endonasal (closed) approach. However, Dr. Rizk finds that he can achieve a higher degree of precision and much more accurate results by using the 3-dimensional high definition telescope system for both open and closed approaches. This system, which Dr. Rizk introduced to rhinoplasty surgery, allows visualization of structures and areas difficult to see and based on density, can differentiate scar tissue versus fat versus bone or cartilage. This becomes important for changing structures or sculpting areas more accurately.

Dr. Rizk is able to achieve excellent success with revision rhinoplasty. Dr. Rizk will only operate if he feels he can achieve a significant improvement. If Dr. Rizk decides that he cannot achieve a significant improvement, he will explain to the patient why he cannot do the surgery.

Dr. Rizk In The Media

Dr. Rizk appears in the media - Fox News Channel Dr. Rizk appears in the media - ABC2020 Dr. Rizk appears in the media - CBS Dr. Rizk appears in the media - The Doctors

Non-Surgical Nose Job

A non-surgical nose job is a media hyped term for injecting filler (Radiesse, Restylane or Juvederm) into the nose to try and camouflage a bump. This is more dangerous and painful than actually having rhinoplasty. The results aren’t permanent, lasting up to a year. Essentially, you’re making your nose larger and not addressing the tip, length or width of the nose. Fillers also create inflammation and scar tissue which can make a real nose job more difficult. These fillers can have adverse effects and can move in the nose (a central structure which is often bumped). For instance, a filler injected in a valley next to a bump to camouflage the bump can move into the bump and make it larger.

New York rhinoplasty surgeon, Dr. Rizk's nose jobs are not painful and many times, bones need not be broken (the nose is mostly cartilage - not bone) and people look socially presentable after about 5 days of healing.

The best role for fillers in the nose is to correct minor irregularities in a previously successful rhinoplasty, not as a replacement for rhinoplasty. Fillers work very well for other areas of the face because there’s more soft tissue under skin to use them deeper and augment or erase facial creases. However, there is very little soft tissue under skin of the nose to accommodate filler use, with few exceptions.

Patient before and after rhinoplasty *Results may vary. View More Photos
Patient before and after rhinoplasty side view *Results may vary. View More Photos

Combining Rhinoplasty With Other Procedures

Dr. Rizk may recommend a chin implant, neck liposuction, neck lift, facelift or eye lift at the same time as rhinoplasty surgery to improve the outcome and combine recovery time. Although rhinoplasty is the most common operation in patients less than 25 years old, older patients may benefit from a subtle improvement to correct an overly long nose and this may compliment a facelift or eyelift.

African American Male Rhinoplasty Patient Speaks Highly of Dr. Rizk and his Experience

Some noses have weak cartilages and are short, with thicker skin. Dr. Rizk likes to achieve tip definition and support naturally by using the patient's own cartilage grafts either from their septum or ears. He also removes fat from the thick skin to make the skin thinner, using high definition technology after creating small incisions inside the nose. Dr. Rizk finds that defatting these noses is crucial to achieving a great outcome.

Think of the skin as a covering blanket to the nose. If the blanket is thick, you will not be able to see the newly shaped underlying structure and definition. As needed, Dr. Rizk does a nostril defatting or reduction using small incisions inside the nose. He does not like to use an outside nostril scar due to the possibility of visible scars. He will sometimes add a dorsal graft to elongate a very short nose to make it look thinner. This graft is either the patient's own cartilage or a synthetic material called MEDPOR. Dr. Rizk custom sculpts the MEDPOR implant to fit your nose during ethnic rhinoplasty in NYC. Since it’s not a one size fits all option, Dr. Rizk prefers not to use silicone grafts as they can move and do not integrate well into the nose.

Asian Rhinoplasty in NYC

Most Asian noses require not only a dorsal graft but also tip grafting to achieve tip definition and projection (distance from base of nose to front portion of tip). Dr. Rizk prefers to use the patient's own cartilage from either ears or the nose septum, or MEDPOR, but never silicone. He likes to augment noses in a subtle way and reshape a nose to better match a patient's face.

Very often, Dr. Rizk receives patients who were operated in Asian countries and who have silicone in their noses which moved or they feel it is too large for their faces. He usually removes the silicone implants and replaces them with the patient's own cartilage or a smaller MEDPOR implant on the dorsum. For the tip however, he prefers to use only the patient's own cartilage. Sometimes he will also do a nostril (alar) reduction on these patients to achieve balance and nasal-facial harmony.

Patient before and after rhinoplasty *Results may vary. View More Photos
Patient before and after rhinoplasty side view *Results may vary. View More Photos

Septoplasty Sinus Surgery

Septoplasty is a form of functional rhinoplasty done to correct a deviated septum, putting an end to frustrating symptoms once and for all. As an award-winning septoplasty surgeon in NYC, Dr. Sam Rizk has performed countless deviated septum procedures to help patients restore their nasal function. After septoplasty, patients generally experience a great deal of relief and improvement in the conditions below:

  • Sleep apnea
  • Sinus issues
  • Allergies
  • Snoring
  • Vertigo

These conditions can seriously interfere with one’s daily quality of life. Septoplasty surgery with NYC surgeon Dr. Rizk offers relief from these aggravating conditions. Some patients have found great improvement in their sense of smell and taste after septoplasty surgery.

What is a septoplasty?

Septoplasty is one of the most common procedures Dr. Rizk performs to improve breathing.. This can be done with the septoplasty procedure alone or with the septoplasty and rhinoplasty procedures together. Dr. Rizk will determine if your turbinates are significantly enlarged and would benefit from a reduction.

What nasal conditions lead to difficulty breathing and how can it be corrected?

A deviated nasal septum (parting wall between right and left nasal chambers) can result in difficult breathing and is treated with a septoplasty surgery. Allergies can also result in enlargement of the nasal tissue called turbinates and various procedures can be performed to reduce the size of the turbinates. Treatment can be done as an isolated procedure or can be combined with sinus surgery or rhinoplasty surgery.

How is sinusitis treated?

Additionally, there may be polyps or other nasal conditions which may be discovered on nasal exam which can result in difficulty breathing. Dr. Rizk performs a thorough intranasal exam to evaluate these conditions. A CT scan may be recommended if Dr. Rizk suspects polyps or if you have a sinus condition which is not getting better with medical therapy. The first line of treatment is antihistamines and nasal steroid sprays to shrink the nasal tissue. Allergy testing may also be recommended. If your condition is persistent and not improving, endoscopic sinus surgery is performed to drain the sinuses, and turbinate reduction and/or septoplasty may be recommended.

Accommodating International Rhinoplasty Patients

International patients usually need to stay in New York for one week after Rhinoplasty. An office concierge will arrange all accommodations. Patients have the option of using nurses after surgery at their hotels and we can provide those nurses. Many times patients are able to return to their countries just one week after their procedure.


Do I need my nose broken during Rhinoplasty?

Not necessarily, Dr. Rizk does not break the nose in about 60 percent of procedures. As most of the nose is cartilage, sometimes breaking the nose to achieve narrowing of the bridge does not need to be done, dramatically expediting the recovery. Cartilage sculpting and suturing is done in most noses to narrow the tip or bridge. Depending on the percentage of noses which is cartilage versus bone determines whether it needs to be broken. During your consultation, Dr. Rizk would be able to assess this issue.

How does the nose age? What is the Aging rhinoplasty?

Dr. Rizk often does a minor rhinoplasty with a facelift or an eyelift to refine or rejuvenate the appearance. As we age, the skin in our nose becomes thicker and the nose "drops". What happens is the tip attachments to the dorsum (or top of the nose) weakens and the tip starts falling and this gives the appearance that one is developing a bump. However, this is usually a "relative" bump, meaning that it is a bump relative to the lower tip, and as the tip is lifted to a more youthful position, the bump disappears. This can be done with a minor soft rhinoplasty, without touching the nasal bones, and heals very quickly either as an isolated procedure or with other facial rejuvenation procedures. Sometimes, the tip is also refined at the same time as lifting it a little.

How does the male rhinoplasty differ?

Male noses have thicker skin and stronger bones and the aesthetics of the male nose is different. Male rhinoplasty has to address the thick skin in the nose to achieve excellent results. Also, removing the bump or lifting the tip has to be done very conservatively, in order not to feminize the appearance of the nose. Additionally, the nose has to fit other facial features of the male face to achieve a natural outcome. The angle between nose and upper lip in a male nose should not exceed 90 degrees, otherwise the nose appears too rotated or feminine. In the female nose, it should be 95 degrees or higher depending on the distance between nose and lips and other features. Male rhinoplasty accounts for 30 percent of Dr. Rizk's rhinoplasties.


A deviated septum is when the nasal septum (or wall between your nostrils that separates your right and left nasal cavities) is severely shifted to one side or "crooked," making one nasal cavity is larger than the other.


A deviated septum can cause many side effects, including breathing problems as a result of a blockage of one or both nostrils, nasal congestion, frequent nosebleeds, recurrent sinus infections, excessive drainage from the front of the nose or back of the nose into the throat (post-nasal drip) and headaches. With a deviated septum, studies suggest that colds last longer in duration also.


Septoplasty is a surgical procedure that treats various breathing problems and is performed in people as soon as the septum stops growing. It is a procedure done from inside the nose to correct the nasal septum and does not involve breaking the nose. Septoplasty can also be combined with sinus surgery, if necessary.


Yes, if patients are interested in improving their nose's appearance. This procedure is called Septorhinoplasty.


If you are unhappy with the shape of your nose, whether that's from birth, injury or a result of aging, you may be a candidate for rhinoplasty. Females should be over 14 years old; males should be ages 15 or older.

Aside from being in good health in order for the surgery to go smoothly, patients should also be mentally prepared. Patients who are seeking "perfection" are not candidates for surgery. This is true particularly for those who are having revision rhinoplasty, as this is a clue that a patient's goals are not reasonable and they will likely be unhappy with the surgery, no matter the outcome. What's more, a patient with body dysmorphic disorder should address psychological issues regarding their appearance first with a qualified expert before seeking surgery. Dr. Rizk may choose not to operate on a patient who he feels is not a good candidate.


Absolutely. In some noses, particularly in ethnic rhinoplasty patients, the base of the nose is wider than it should be. A nostril reduction can help. During surgery, Dr. Rizk removes a wedge of tissue at the nostril base, making the incision from the inside part of the nostril (versus on the outside where it attaches to the cheek), which hides scarring and produces a natural result. This technique can narrow the base of the nostril and make your nostrils smaller. Dr. Rizk's special technique of rotating the nostril to avoid a pointy look helps maintain a natural curved nostril shape.


A small or upturned nose can be corrected with rhinoplasty and may be the result of a previous rhinoplasty that the patient now wants to correct. Dr. Rizk pioneered cartilage-reshaping techniques with sutures that help lessen the removal of cartilage and preserve natural nose structures. He also uses this cartilage technique to elongate an upturned nose or correct tip irregularities or asymmetries. In this case, he would obtain this cartilage from the nasal septum or the ear. This subtle change in correcting the tip can greatly improve a patient's appearance.


Yes, asymmetries in nostril size, shape, thickness or horizontal placement on the face can be corrected. Dr. Rizk will use cartilage grafts, fat removal, or fat addiction. For example, in a nostril that has a collapsed shape, Dr. Rizk will correct this and produce a natural curve in the nostril with a fat injection or a cartilage graft. A nostril reduction or correction in shape or size can also be done in combination with a rhinoplasty. In that case, surgery to the nostrils does not prolong the recovery process from a rhinoplasty.

Your NYC Rhinoplasty Consultation

Your consultation with Dr. Rizk will entail a thorough examination of the internal and external structure of the nose and how it relates to the face. Photographs will be taken and reviewed with the patient with possible computer imaging performed. A review of what to expect before, during and after the rhinoplasty will be discussed as well and an offer to call other patients who have had rhinoplasty with Dr. Rizk who wish to share their experiences will be made. All questions you have should be written and brought in during your consultation to with Dr. Rizk. Schedule your rhinoplasty or revision rhinoplasty consultation today.

Patient before and after rhinoplasty *Results may vary. View More Photos
Patient before and after rhinoplasty side view *Results may vary. View More Photos

Medical Articles

Rizk, Samieh S., and David Rosenberg. Algorithm for Analysis and Correction on Nasal Tip Deformities in Revision Rhinoplasty.

Romo T 3rd1, Rizk SS, Suh GD. Mucous cyst formation after rhinoplasty. Arch Facial Plast Surg. 1999 Jul-Sep;1(3):208-11.

Rizk SS1, Edelstein DR, Matarasso A. Concurrent functional endoscopic sinus surgery and rhinoplasty. Ann Plast Surg. 1997 Apr;38(4):323-9.

Rizk SS1, Kraus DH, Gerresheim G, Mudan S. Aggressive combination treatment for invasive fungal sinusitis in immunocompromised patients. Ear Nose Throat J. 2000 Apr;79(4):278-80, 282, 284-5.

Rizk, Samieh S., and David Rosenberg. A 21st Century Approach to Rhinoplasty: Marriage of Form and Function. Kraus O, Orlikoff R, Rizk S, Rosenberg D. Arytenoid adduction as an adjunct to type I thyroplasty for unilateral vocal cord. Paralysis Head & Neck, 1999; 21(1):52-59.

Zimm A.J., Rizk S.S. (2013) Restoring the Drooping Tip and Hanging Columella in Revision Rhinoplasty. In: Shiffman M., Di Giuseppe A. (eds) Advanced Aesthetic Rhinoplasty. Springer, Berlin, Heidelberg

NEW! Click here to read medical articles by Dr. Rizk, covering different conditions, techniques and technologies used in rhinoplasty.

What problems can rhinoplasty correct/fix?

Rhinoplasty (nose surgery) can fix a variety of problems. It can reshape the nose, make it larger or smaller, change the angle of its tip and/or render it in better proportion with other facial features. Nose surgery can also fix structural problems that may be affecting a person’s breathing or causing congestion, such as nasal valve collapse.

Dr. Rizk may change any of the following during rhinoplasty surgery:

  • Size of nose
  • Width of the nasal bridge
  • Profile of the nose (may address humps or depressions)
  • Shape of the nasal tip, which may be too large, bulbous, droopy or upturned
  • Asymmetry
  • Nasal deviation

He can also address issues stemming from previous nose surgeries, such as over-resection or nasal collapse.

For more information on what rhinoplasty can correct or fix, schedule an appointment with Dr. Rizk today.

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Last Modified On: 6/7/2019

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