Rhinoplasty

Dr. Adam Schaffner performs aesthetic, revisional, and reconstructive rhinoplasty from his Midtown Manhattan practice, using both open and closed technique depending on the complexity of the case and patient anatomy. Aesthetic rhinoplasty addresses concerns including disproportionate nose size, a prominent dorsal hump, a wide or bulbous tip, and nasal asymmetry. Revisional rhinoplasty corrects unsatisfactory results from prior nasal surgery. Reconstructive cases may address a deviated septum or compromised airway, and may be partially covered by insurance where functional impairment is documented. Procedures are performed under general anaesthesia and typically last approximately two hours.

Rhinoplasty at Adam Schaffner MD Plastic Surgery NYC benefits from Dr. Schaffner's rare triple board certification that spans both general plastic surgery and facial plastic and reconstructive surgery — giving him a technical foundation encompassing both the structural cartilaginous framework of the nose and the soft tissue envelope that drapes it. This combined expertise is particularly valuable in complex primary cases and in revisional rhinoplasty, where scar tissue, distorted anatomy, and limited remaining cartilaginous support demand a nuanced operative plan. The practice performs rhinoplasty using both the open and closed approach. The open technique, which involves a small transcolumellar incision connecting bilateral marginal incisions, offers direct binocular visualisation of the entire nasal framework — the upper lateral cartilages, lower lateral (alar) cartilages, nasal bones, and septal cartilage — and is preferred for cases requiring significant structural modification, cartilage grafting, or tip refinement. The closed (endonasal) technique keeps all incisions within the nostrils, reduces external swelling and bruising, and is appropriate for patients requiring more limited modifications with good existing structural support. Common aesthetic concerns addressed at the Midtown Manhattan practice include reduction of a dorsal hump through rasping or osteotomy, tip refinement through suture techniques or cartilage resection and grafting to create better definition and rotation, reduction of alar base width through conservative alar base resection, and correction of nasal asymmetry through osteotomies and differential cartilage modifications. For breathing concerns, septoplasty to correct a deviated septum, turbinate reduction to address mucosal hypertrophy, and spreader graft placement to open the internal nasal valve are incorporated as functional components of the surgical plan. Revisional rhinoplasty — a technically demanding subspecialty — is a core part of Dr. Schaffner's practice. He assesses revision patients thoroughly to understand what was changed in prior surgery, what structural support remains, and what additional grafting material (typically ear cartilage or rib cartilage) will be required to achieve both functional and aesthetic improvement. New York City patients are advised to plan for approximately one to two weeks of social downtime, with residual tip swelling resolving gradually over twelve months.