Rhinoplasty (Primary & Revision)

Rhinoplasty performed by Dr. Steven J. Pearlman, who has performed over 7,500 procedures across primary open, closed/endonasal, preservation, and septorhinoplasty techniques. Ultrasonic piezo instrumentation minimises bruising and swelling versus conventional osteotomes. Vectra 3D and Mirror 2D imaging allow virtual simulation of expected outcomes before surgery. Revision rhinoplasty up to $29,000 for complex cases. Upper East Side NYC location.

Dr. Steven J. Pearlman is among New York City's most experienced rhinoplasty surgeons, with more than 7,500 nose reshaping procedures performed across his career. His double board certification in Facial Plastic and Reconstructive Surgery and Otolaryngology/Head and Neck Surgery gives him expertise in both the aesthetic and functional (breathing) dimensions of nasal surgery. The practice offers the full range of rhinoplasty approaches: open rhinoplasty (transcolumellar incision providing maximum visualisation of nasal structures), closed/endonasal rhinoplasty (all incisions inside the nose, preferred for isolated tip refinement or minor dorsal reduction with no visible external scar), preservation rhinoplasty (a ligament-preserving technique that maintains the natural dorsal anatomy while repositioning structures), and septorhinoplasty (combined aesthetic reshaping with septum straightening for patients with concurrent deviated septum and breathing obstruction). Dr. Pearlman uses Piezo ultrasonic surgical instrumentation for bone work — the piezo device selectively cuts bone without damaging surrounding soft tissue, which is associated with reduced bruising, swelling, and bleeding compared to conventional osteotomes and mallet techniques. Pre-surgical planning uses Vectra 3D imaging and Mirror 2D imaging to generate simulated outcome photographs that allow Dr. Pearlman and each patient to align on the planned degree of change before the operation. Primary rhinoplasty ranges from $12,000 to $20,000; revision rhinoplasty — which involves navigating scar tissue from prior procedures and often requires cartilage grafting from the ear or rib — can reach $29,000 for complex cases. All procedures are performed under general anesthesia. Splints and packing are removed within one week; the majority of bruising resolves within two weeks; final shape refines over twelve months as residual oedema clears.