Rhinoplasty (Nose Surgery)

Open and closed rhinoplasty by double board-certified Dr. Gary Linkov, a former NYU rhinoplasty faculty member. Techniques include open (external) and closed (endonasal) approaches, cartilage grafting, autografts, homografts, and alloplastic materials. Functional rhinoplasty, septoplasty, male rhinoplasty, adolescent rhinoplasty, and non-surgical rhinoplasty with Restylane Lyft filler are also offered. Surgery typically runs two to four hours and may be combined with other procedures.

City Facial Plastics offers rhinoplasty across a comprehensive range of anatomical goals and patient backgrounds. Dr. Gary Linkov, who served as Adjunct Assistant Professor at NYU training residents in rhinoplasty technique, performs both open (external) and closed (endonasal) approaches depending on the degree of structural modification required. The open approach provides full visibility of the nasal framework for complex tip reshaping, dorsal hump reduction, or significant structural reconstruction; the closed approach avoids a columellar incision and may be appropriate for more limited modifications. Structural support in rhinoplasty at City Facial Plastics relies on cartilage grafts — septal cartilage is the preferred donor source; ear (auricular conchal) cartilage is used when the septum is insufficient; rib cartilage is reserved for major revision or reconstruction cases. Homografts and alloplastic materials may be considered in select cases. Functional rhinoplasty addresses the internal nasal valve, external nasal valve collapse, and septal deviation as contributors to nasal airway obstruction, often performed concurrently with cosmetic modifications. Adolescent rhinoplasty is approached conservatively, with full skeletal maturity — typically seventeen to eighteen for females and eighteen to nineteen for males — confirmed before proceeding. Non-surgical rhinoplasty uses Restylane Lyft hyaluronic acid filler to camouflage dorsal irregularities, refine the nasal tip appearance, or correct mild asymmetries without surgery; sessions take ten to forty-five minutes with immediate visible results. Surgery is performed under deep sedation or general anesthesia, duration two to four hours, with initial swelling resolving over two to four weeks and residual tip swelling continuing to refine over twelve to eighteen months.