Rhinoplasty — Cosmetic & Functional Nose Reshaping

Dr. Tornambe performs open and closed rhinoplasty to reshape the nose for aesthetic improvement or to correct functional breathing issues. Open rhinoplasty uses a small incision between the nostrils for greater surgical access in complex cases, while closed rhinoplasty keeps all incisions hidden inside the nostrils with no external scarring. The procedure addresses dorsal humps, bulbous or drooping tips, asymmetry, and injury-related deformities. Surgery is performed under general or local anaesthesia with sedation, lasting 2–3 hours, with most patients returning to daily activities within 7–10 days.

Madison Plastic Surgery offers rhinoplasty on Manhattan's Upper East Side under the care of Dr. Robert Tornambe, whose fellowship training in facial rejuvenation informs a precise, anatomy-first approach to nose reshaping. Rhinoplasty is one of the most technically demanding procedures in plastic surgery, and Dr. Tornambe selects the operative technique based on each patient's goals and nasal structure. Open rhinoplasty involves a small transcolumellar incision that allows direct visualisation of the cartilage framework — preferred for patients requiring significant tip refinement, hump reduction, or correction of prior surgery. Closed rhinoplasty places all incisions inside the nostrils, leaving no visible scars and typically carrying a slightly shorter swelling period; it is best suited to patients seeking minor refinements such as tip rotation or modest dorsal reduction. Both approaches are performed in the AAAASF-accredited in-office surgical suite at 815 Park Avenue with board-certified anesthesiologists and hospital-equivalent safety protocols. The procedure takes 2–3 hours under general anaesthesia or local anaesthesia with intravenous sedation. Post-operatively, visible bruising and swelling resolve within 7–10 days, allowing most patients to return to work; residual swelling in the nasal tip continues to refine over 6–12 months as final results emerge. The practice also evaluates functional concerns such as a deviated septum or turbinate hypertrophy, which can be addressed simultaneously. Teenagers aged 15–16 who have reached full nasal maturity may be considered as candidates with parental consent. The Park Avenue location serves rhinoplasty patients from across New York City, Manhattan, and the surrounding boroughs.