Rhinoplasty | Nose Job New York & NYC | Board Certified Surgeon 2020-06-13T15:41:58+00:00



Best Rhinoplasty Surgeon NYC Overview & Cost

Every patient may have a different goal when considering rhinoplasty (nose job) or nose surgery. You may be seeking to reduce a nasal hump or bump, make a crooked nose straight, narrow a wide nose, refine a bulbous tip, or rotate a tip that hangs down too much. You might also have breathing problems due to a deviated septum, large turbinates, or valve collapse.
Rhinoplasty or nose surgery is one of the most commonly performed surgeries by NYC facial plastic surgeon, Dr. Sergie Kalsow. Other common nose procedures include septoplasty and revision rhinoplasty. Dr. Kalsow focuses not only on improving the appearance and proportion of your nose but also enhancing facial harmony and self-confidence.


Dr. Kalsow takes pride in his extensive consultation with each patient.  He makes sure to understand his patients’ concerns and desires for their ideal aesthetic result.  Dr. Kalsow believes that the goal with rhinoplasty is not to create a nose that he feels is aesthetically pleasing but to give you the nose that you want.  This is what makes a happy patient.  If you want to keep a straight bridge without a gentle curve or slope or do not want your tip rotated with nose surgery, he makes sure to honor these requests and wishes.

Dr. Kalsow will provide a thorough examination of the external and internal aspects of your nose.  If there is a deviated septum or enlarged turbinates, he will discuss this with you, what it means, and what can be done to address these issues.  Photographs will be taken and Dr. Kalsow personally will sit with you and loved ones while making digital changes to your photos.  He feels that this allows both surgeon and patient to be on the same page regarding the desired outcome.  Dr. Kalsow will personally review actual before and after images of patients who have similar features to your nose and have undergone rhinoplasty with him.

Your consultation will end with Dr. Kalsow discussing your quote for surgery and insurance benefits if you have breathing issues.

Preoperative Appointment

Your preoperative appointment, or preop, typically occurs the day prior to your procedure.  On this day, you will spend a considerable amount of time with our patient care coordinator who will provide prescriptions and detailed instructions on what to expect after your rhinoplasty and how to care for the nose after your surgery.  You will also meet with Dr. Kalsow once more to assure the two of you are in agreement regarding the goals for the surgery.  Images may be reviewed once more during your preop with Dr. Kalsow.

Day of Surgery

On your day of surgery, it is important to note that Dr. Kalsow has performed your rhinoplasty in his mind 3-4 times already – on the day of your consultation, at your preop, and the morning of surgery.  Dr. Kalsow will perform your rhinoplasty at an accredited surgery center with an anesthesiologist, nurse anesthetist, nurse, and surgical technician.  Dr. Kalsow insists on having the same team for your surgery.  This way, they understand his routine and things run much more smoothly.  Rhinoplasty duration varies but usually takes 2-3 hours.  You will be in recovery for about one hour and then be discharged home.

The cost of rhinoplasty is a common question amongst many patients. If you have breathing problems due to a deviated septum, allergies, or repeated sinus infections that require surgery, this portion of your surgery will be paid by your insurance (depending on the extent of your benefits). This will fray the cost of cosmetic fees for the facility where Dr. Kalsow performs surgery and the anesthesia fees. The majority of their bill will be paid by your insurance company (again, depending on your insurance benefits).

However, if you are interested in making cosmetic changes to the appearance of your nose such as addressing a hump or bump, refining the tip, making the nostrils smaller, or narrowing the nose, this will not be covered by insurance. There will be surgeon’s, anesthesia, and facility fees for these aesthetic changes that you may desire.

This is a question that many patients likely ask themselves. Is rhinoplasty worth the one week recovery? Is it worth the discomfort postoperatively? Is it worth the cost? Is it worth the risk of undergoing surgery? Ultimately, this is a question you must answer yourself. However, many of Dr. Kalsow’s patients have stated that they had wished they had the surgery long earlier after realizing how much they loved their new nose and how tolerable the postop period was. When shown their result, may of Dr. Kalsow’s patients have said, “In my mind, this is the nose I always thought I had”.

Dr. Kalsow has had many patients cry and shed tears of joy at 8 days after their tape is removed as their nose had caused them such angst and insecurity throughout their lives. He has seen teenage girls develop significantly more confidence postoperatively and other patients have stated they never feel shy in front of the camera or are afraid of getting a profile photo taken. Rhinoplasty or nose reshaping is a surgery that has changed the lives of many of Dr. Kalsow’s patients.

Although there are different iterations or variations of liposuction that Dr. Kalsow can use, there are common approaches across each liposuction procedure.  Most liposuction procedures will follow this approach:



Rhinoplasty can address breathing issues that you may have. Dr. Kalsow is board certified plastic surgeon who is fully capable of identifying and treating nasal breathing problems. Cosmetic rhinoplasty alone will not improve your breathing, but nasal airway obstruction can be treated while making changes to the appearance of the nose.
A crooked nose is one of the hardest types of noses to fix with surgery or rhinoplasty. Cartilage has memory and wants to move back to its original position. A nose job for a crooked nose needs to incorporate grafts, suture maneuvers, controlled fractures of the nasal bones, and most important – a good surgical plan. Most noses will remain straight after surgery, however, the healing process is never predictable. Dr. Kalsow always promises his patients that their nose will be perfectly straight on the operating room table, but can only promise a “straighter” nose long term.
A bulbous tip or wide base of the nose with wide nostrils is typically due to the shape of the cartilage in the tip. This nose cartilage can be refined using many techniques. The nostrils can be narrowed by excising a small amount of triangular skin just inside the nostril in a shadowed area where the scars heal well.
Rhinoplasty or nose surgery can be performed once the nose has stopped growing and pubescent growth is completed. This can vary in males and females but is typically between 15-17 years of age. Rhinoplasty can be performed at any time after that. As long as you have no medical reasons that would prevent you from undergoing surgery, a nose job or nose surgery can be done at all ages of adulthood.


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