NYC Rhinoplasty Specialist Dr. Cangello considers the nose one of the most defining features of the face. When ideally shaped, it can highlight your natural beauty and promote a sense of aesthetic harmony. But cosmetic imperfections like a dorsal bump, a bulbous or drooping nasal tip or crooked nasal bridge can disrupt this delicate balance. Fortunately, cosmetic surgery can deliver a dramatic improvement in your appearance. It is important to work with an experienced surgeon who specializes in natural-looking rhinoplasty because rhinoplasty is widely considered to be the most challenging cosmetic surgery procedure.1
This type of surgery is commonly known as a nose job and can reshape your nose for either medical or cosmetic purposes. Medical nose surgery can improve the function of your nose, while cosmetic rhinoplasty can give the nose an ideal shape and structure. It is very common to have surgery to correct both functional and aesthetic issues simultaneously.
Dr. David Cangello understands that rhinoplasty can be a life-changing procedure, which is why he works meticulously to reshape the nose so that it blends seamlessly with other facial features. Whether you’re seeking treatment for cosmetic or functional purposes, Dr. Cangello will help you achieve your goals through expertly applied surgical skill and artistic vision.
Are You Considering Rhinoplasty?
Ideal rhinoplasty candidates include men and women who are in good health, but who are unhappy with the appearance of their nose.2 People seeking this procedure typically present the following concerns:
- Cosmetic imperfection after an injury
- Breathing problems due to a congenital defect of the nose
- Dissatisfaction with the size or shape of the nose
It’s important for patients to have reasonable and optimistic expectations about their outcome from nose surgery. While Dr. Cangello can significantly improve the appearance of your nose, the best results are achieved when the shape of your nose is enhanced within the limits of your own anatomy and facial proportions.
Teens seeking surgery should wait until their nasal bones are fully developed and no longer growing, but Dr. Cangello will ultimately determine your candidacy at your consultation. To see what kind of results are possible, feel free to browse the before-and-after photo gallery of prior patients.
Common Concerns
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Dorsal Hump
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Overprojected Tip
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Underprojected Tip
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Bulbous Tip
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Long Nose
Take the Next Step: Your Rhinoplasty Consultation
If you think that rhinoplasty may be right for you, the first step is a consultation appointment with Dr. Cangello at his Park Avenue office in NYC. Dr. Cangello understands that the decision to undergo cosmetic surgery is a personal one that must be carefully considered. He is known for compassionate care and his goal is for you to be as informed and comfortable as possible so that you can be confident in your decision.
During your consultation, Dr. Cangello will address any questions or concerns you may have about your potential surgery, and discuss your reasons for seeking treatment. Next, he will conduct a physical examination to assess the external and internal structure of your nose and nasal passages. Using this information, Dr. Cangello will devise a surgical treatment plan that is fully aligned with your cosmetic goals, preferences, and tastes. He will also provide you with all the information you’ll need to adequately prepare for your procedure and recovery.
How is Rhinoplasty Performed?
Dr. Cangello’s choice of technique and incision sites are based on multiple factors. These include the anatomy and structure of your nose, your personal goals, how well your nose functions, and whether you are having any additional procedures performed at the same time. Dr. Cangello will explain the right approach for you during your initial consultation. After the incisions are made, Dr. Cangello will carefully separate the nasal skin from the bone and cartilage. He will then sculpt the bone and cartilage in the manner outlined during your consultation. Rhinoplasty frequently involves reduction of a dorsal hump and alteration of the lower cartilages of the nose to define the nasal tip. Sometimes, osteotomies (fracture of the nasal bones) need to be performed to narrow the dorsum of the nose, particularly after reduction of a large dorsal hump. Lastly, the skin envelope is draped back onto the nose in a way that will reveal its new shape. Dr. Cangello will close the incisions with sutures that dissolve on their own, or with ones that he removes within a week. After your procedure, a splint will be applied to maintain the new shape. Dr. Cangello may also place soft splints inside the nose if septoplasty is performed. Your surgery will take around two hours to complete, depending on the extent of treatment.
Open vs. Closed Rhinoplasty
There are two general approaches to rhinoplasty surgery.
With a closed procedure, all the incisions are made inside the nose. With an open approach, incisions are made inside the nose, but there is also one tiny incision made across the skin between the nostrils. While either approach can produce great results, Dr. Cangello prefers an open approach and believes it produces superior results. Here’s why: An open approach to treatment allows the internal structures of the nose to be exposed and completely visualized.
Specifically, Dr. Cangello performs a “Component Separation of the nose” during rhinoplasty which can only be done using an open approach. The nose is composed of seven separate structural components which are held together by attachments called ligaments. In order to attain the most natural-looking results, Dr. Cangello feels that these seven components should be separated completely during surgery. In this way, each of the individual components can be modified and then repositioned in the most proportionate and balanced way. By performing an open procedure, the parts of the nose end up fitting back together harmoniously. It is important to note that although the incision for this procedure is made externally, the resulting scar will be imperceptible. This is in contrast to a closed approach where often the attachments between all of the components of the nose are not separated and therefore the components are not free to move into the most natural position after alteration of isolated areas (such as reducing a dorsal hump). Altering a single part of the nose in isolation but leaving the remaining parts of the nose untouched can lead to results that are disproportionate and unbalanced. Redesigning the nose is best done when the entire structure can be changed and artistically put back together as is the case with Dr. Cangello’s “Component Separation” using the open approach.
Rhinoplasty FAQ: Frequently Asked Questions About Cosmetic Nose Surgery
Patients often ask if we must “break their nose” during a nose job. This procedure (called an “osteotomy”) is when your surgeon cuts into the bone. The patient’s anatomy and the degree of reshaping needed will determine the need for an osteotomy procedure. When an osteotomy is required, Dr. Cangello will explain the process as part of the surgical plan
Nose surgery is often performed for functional purposes and to improve breathing. There are many reasons why patients may have difficulty breathing. Some of the structural problems that make it difficult to breathe include the following: deviated septum, collapsing nostrils on inspiration, enlarged turbinates, and collapsed internal valve(s) of the nose. These can all be corrected with nose surgery.
You may or may not have bruising after your procedure. Usually, bruising occurs as a result of intentionally fracturing the nasal bones in order to reposition them. When bones are fractured, the process may cause some bruising in the soft tissues around the lower eyelids. Sometimes patients do not bruise at all. There is no way to predict who will or will not bruise. When bruising does occur, it is usually completely gone in 10-14 days, and it can easily be covered up with makeup.
Some patients are worried about the potential for visible scars following their open rhinoplasty. However, even the incision made in an open approach heals beautifully when done correctly, and it will be imperceptible over time.
It is necessary to remove tissue to fix a nose that is too long. Typically, part of the septum will need to be removed to shorten a nose. However, there is NO skin removal during the procedure. The skin will contract on its own to conform to the newly shaped nasal skeleton.
Swelling can last for one-to-two years; however, you will still see a noticeable improvement immediately after your surgery. Your results will be noticeable the minute the cast is removed at seven days, but the nose will look a little puffy. It will ultimately look more defined as time progresses.
Usually, the nose looks quite good about a month after surgery, but it will look even better after three-to-six months. Swelling will continue to diminish after around six months, but at that point, the swelling is quite minimal. You can expect subtle improvement to continue for up to a year or two.
Protecting the fragile tissues of your nose is key during your recovery. Patients should avoid wearing glasses for up to a month. They should also avoid blowing their nose for the first three weeks and prevent themselves from sleeping on their sides or stomach for the first two weeks. Likewise, patients should avoid getting their cast wet. To prevent bleeding or trauma to the nose, patients should not engage in strenuous activity or exercise for the first two weeks of their recovery.
Your rhinoplasty in NYC will be performed at Dr. Cangello’s on-site, fully accredited surgical facility. You are encouraged to ask for a tour of the operating facility when you come in for your consultation. Alternatively, if you prefer having your surgery in a hospital setting, Dr. Cangello can perform your treatment at Manhattan Eye, Ear, and Throat Hospital in NYC.
Either general anesthesia or local anesthesia with intravenous sedation will be used for your procedure.
Ethnic Rhinoplasty
Patients seeking rhinoplasty to refine characteristics that are specific to certain ethnicities can benefit from working with a plastic surgeon who values preserving their unique ethnic or cultural appearance while also delivering beautiful, natural-looking rhinoplasty results. Dr. Cangello is sensitive to the cosmetic surgical needs of patients of African-American, Middle Eastern, Asian, and Latin American descent. He is also experienced in working with Persian rhinoplasty patients.
Ethnic nose surgery can achieve the following:
- Make a flat nose more elevated and refined
- Enhance the structure of a nose that looks too small (nose augmentation)
- Improve the balance of the nose with the chin, forehead, and surrounding facial features
- Reduce the width of the nasal bridge and the nostrils
- Reduce the length of the nose
This approach to treatment is much different than traditional surgery, and it requires a great deal of care and surgical precision to produce results that look natural. Specialized techniques are required, such as cartilage grafting or nasal implants, so it’s important to choose a Board Certified Plastic Surgeon who is qualified to handle this procedure. Dr. Cangello has extensive experience with this particular type of nose surgery, allowing him to produce results that highlight the unique beauty of ethnic traits.
Non-Surgical Nose Jobs
For patients who prefer a less-invasive option, non-surgical treatment is an excellent alternative. This procedure involves the use of dermal fillers to treat minor cosmetic irregularities affecting the nose. For example, when treating dorsal bumps, a filler can be injected into the surrounding tissue to produce a smooth, even nasal bridge. When injected into drooping nasal tips, fillers can also be used to create lift. While non-surgical rhinoplasty cannot replace traditional methods, it’s a great option for patients who want to improve the appearance of their nose but don’t feel ready to undergo surgery. Non-invasive cosmetic treatment is a quick, in-office process, and it requires virtually no downtime or recovery.
Preservation Rhinoplasty
First Plastic Surgeon in New York to offer Preservation Rhinoplasty
Dr. Cangello is among a handful of plastic surgeons in the country to offer preservation rhinoplasty. This meticulous technique takes an innovative approach to preserve as much of the patient’s natural bone structure, cartilage, and tissue while reducing bumps and humps. Results are refined and natural-looking with the potential for a quicker recovery than with traditional rhinoplasty. Dr. Cangello is highly experienced in this technique and can discuss whether it may be an option for you at your consultation. Learn more about preservation rhinoplasty.
Rhinoplasty Recovery
After surgery, your face will likely feel puffy and achy. You may also have some drainage of blood and mucus from your nostrils. You will also feel congested. Dr. Cangello will prescribe the appropriate pain medication in case you need to alleviate any discomfort during your recovery.
You will be provided with specific instructions on what to avoid following your procedure. You may be advised to avoid strenuous physical activities, blowing your nose, rubbing your face, and resting eyeglasses on your nose.
Symptoms like bruising, numbness, and swelling around the eyes are very common. These symptoms can be reduced using cold compresses and by keeping your head elevated, even when you are lying down. Bruising will reach its peak on the second or third day, but it should significantly improve within two weeks. Dr. Cangello will remove your splint after the first week, and most patients feel well enough to return to work or school at this time. Some slight swelling may persist for up to six months, but this is usually very minor.
Patient Results
Rhinoplasty Case 1
Rhinoplasty Case 2
Rhinoplasty Case 3
Rhinoplasty Case 4
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Elizabeth’s Story
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Jasmine's Story
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Angie's Story
Elizabeth’s Story
Concerns: Dorsal Hump, Downward Tip
I want to look more like my family.
Jasmine's Story
Concerns: Dorsal Hump, Downward Tip
I chose Dr. Cangello because he was so nice and willing to work with me.
Angie's Story
Concerns: Dorsal Hump, Downward Tip
I’m excited to finally feel more confident.
Dr. Cangello Featured in:
A Pioneer in Rhinoplasty Surgery
Dr. David Cangello is a board-certified plastic surgeon who combines well-honed surgical precision with an innate sense of artistry. Dr. Cangello specializes in rhinoplasty and he is one of only a few surgeons in the United States to offer Preservation Rhinoplasty, a technique that allows him to deliver the most natural-looking results with a shorter recovery time. A graduate of some of the nation’s finest universities, Dr. Cangello completed rigorous training and education and he continues to incorporate advanced surgical techniques into his practice.
Among his many professional affiliations and accomplishments, he is a member of the Rhinoplasty Society which is an exclusive society that consists of top surgeons throughout the world that specialize in noses. He has authored numerous articles in medical journals and has been named to Castle Connolly’s list of America’s Top Doctors, as well as listed as a “Super Doctor” in the New York Times. Dr. Cangello is highly sought after by the media for his expertise in plastic surgery and has been featured on television by Fox News and CBS. Harper’s Bazaar, Seventeen Magazine and Refinery29 have featured Dr. Cangello and his patients through their rhinoplasty journeys. He has also been in Elle Magazine, In Style, Allure and many more major publications.
Consistently featured in the media for his expertise.
Why Choose Dr. Cangello For Yor Rhinoplasty?
A True Artist and Surgeon
“I have a focus in Rhinoplasty in my practice and this is a piece I created. I believe that being able to draw the nose well demonstrates an advanced understanding of the architecture of the nose, which translates into a better ability to alter the structure and ultimately create the most natural and desirable end result.” – Dr. Cangello
*Actual artwork by Dr. David Cangello
Known for Natural Results
Dr. Cangello has developed a reputation for achieving superior, natural looking results allowing him to produce cosmetic enhancements that perfectly complement the face.
World-Class Care and Expertise
Dr. Cangello is routinely featured for his expertise in publications such as Seventeen Magazine, Elle, Harpers Bazaar, and People Magazine.
References
1 Chaffoo R. American Society of Plastic Surgeons. Understanding revision rhinoplasty and why patients seek out this procedure. Available: https://www.plasticsurgery.org/news/blog/understanding-revision-rhinoplasty-and-why-patients-seek-out-this-procedure. Accessed January 17, 2020.
2 American Society of Plastic Surgeons. Who is a good candidate for rhinoplasty? Available: https://www.plasticsurgery.org/cosmetic-procedures/rhinoplasty/candidates Accessed January 17, 2020.
3 Mayo Clinic. Rhinoplasty. Available: https://www.mayoclinic.org/tests-procedures/rhinoplasty/about/pac-20384532 Accessed January 17, 2020.