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Rhinoplasty (Nose Job) in NYC

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THE PROCEDURE

Rhinoplasty in NYC

Rhinoplasty patients in and near NYC often want more than a smaller nose. They want a nose that fits their face, looks natural from every angle, and, when needed, supports better breathing. Dr. Joshua Zimm specializes in this procedure and approaches nose surgery with perfect facial balance in mind, evaluating structure, skin thickness, symmetry, and overall facial proportions before recommending a surgical plan. A well-performed surgery of the nose should look natural and harmonious, not obvious or overdone.

Rhinoplasty is one of the most technically demanding surgeries in facial plastic surgery. It may be performed to smooth a hump, refine a wide or drooping tip, straighten a crooked nose, reduce disproportion, or improve airflow (functional rhinoplasty, or septoplasty) when internal obstruction is present. Some patients benefit from combining cosmetic changes to the nose with septoplasty (functional improvements), while others may need a more focused procedure such as tip plasty or a more advanced correction through revision rhinoplasty.

What to Expect From The Consultation Through Recovery

Consultation

All of Dr. Zimm’s consultations take place at his Manhattan facility located on 5th Avenue. A consultation is where planning matters most. This is especially true when surgically reshaping the nose. Dr. Zimm uses the visit to understand your concerns, review what can realistically be changed, and explain whether your goals are best addressed with surgery or, in select cases, injectable rhinoplasty.

Surgery

Surgically reshaping the nose is typically performed with incisions hidden inside the nose, though some patients may require a small external incision between the nostrils. After surgery, patients should expect swelling, congestion, and a gradual recovery rather than an instant final result. Small internal silicone splints may be applied for additional support and are usually removed after 7 days. Visible swelling improves first, but refinement continues over time as the tissues settle. Improvement, not perfection, is the goal.

Rhinoplasty Results, Planning, and Next Steps

Patients considering nose job plastic surgery in New York City should review real outcomes, understand the likely scope of treatment, and choose a surgeon with a focused facial practice. You can learn more about Dr. Joshua Zimm, browse our rhinoplasty before-and-after photos, and review pricing before your visit.

When you are ready to discuss your options, the next step is to request a consultation or schedule a virtual consultation.

Rhinoplasty Is a Highly Complex Procedure

Rhinoplasty is one of the most technically demanding surgeries in facial plastic surgery. Every part of the nose must be carefully balanced with the rest of the nose and the patient’s facial features. Even small changes, such as removing a bump, can affect the entire nasal structure.

Insurance Coverage Depends on the Purpose

Natural Results Are the Goal

Each Nose Must Be Individualized

A patient’s nose should be designed to fit their unique facial structure, not to copy a celebrity’s look. Factors such as skin thickness and cartilage strength can limit how much a nose can be reshaped. During consultation, digital simulations help set realistic expectations and visualize potential results.

Revision Surgery Is Uncommon but Possible

About 10 to 15 percent of rhinoplasty patients may eventually need a revision or touch-up procedure. A well-executed rhinoplasty is intended to be a long-lasting, one-time operation that maintains both function and aesthetics. Dr. Zimm is the go-to facial plastic surgeon in New York for revising previous surgeries by other surgeons on the nose.

Rhinoplasty Is Not Only for the Wealthy

You Do Not “Outgrow” Dislike for Your Nose

Rhinoplasty Cast Removal: Amazing Reaction

Rhinoplasty Cast Removal! Amazing Reaction 😍

Beautiful Rhinoplasty Result!

Nose Job (Rhinoplasty) Surgery

Incisions are made in the inside of the nose, where they are not visible. In some cases incisions may be made in the area of the skin separating the nostrils.
Underlying bone and cartilage are sculpted to create the nose’s new shape.
Skin is re-draped over the nose’s new frame and all incisions are closed.
After surgery is completed a small cast is placed on the nose to maintain the newly sculpted nasal framework in position. Dr. Zimm does not use nasal packing except in very rare circumstances. Large packs are not used. Small internal silicone splints may be applied for additional support and are usually removed after 7 days.

The Right Candidate for a Nose Job

Aesthetic nasal surgery (rhinoplasty) refines the shape of the nose, bringing it into balance with the other features of the face. Because the nose is the most prominent facial feature, even a slight alteration can greatly improve appearance. (Some patients elect chin augmentation in conjunction with contouring the nose to better balance their features.) Surgically reshaping the nose alone cannot give you a perfect profile or make you look like someone else.

Before surgery, it is very important that the patient has a clear, realistic understanding of what change is possible as well as the limitations and risks of the procedure. This is why a consultation is crucial for determining whether a patient is a suitable candidate for rhinoplasty or an alternative procedure.

Skin type, ethnic background, and age will be among the factors considered during the consultation by Dr. Zimm Except in cases of severe breathing impairment, young patients usually are not candidates until their noses are fully grown, which is typically around 15 or 16 years of age.

Challenges in Achieving Results

Nose surgery is a very detailed procedure. The ultimate result depends to a great extent on how your skin heals. Improvement, not perfection, is the goal.
How your skin heals.

Factors Influencing Rhinoplasty Outcomes

The degree of nasal refinement desired.
The level of function of nasal structures.
The structure of the nose, both internally and externally.
How the shape of the nose relates to the overall contour of your face and specific facial features.
Whether chin augmentation or reduction, in addition to rhinoplasty, may benefit the overall profile.
Skin texture and thickness.

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Returning to Normal After Rhinoplasty

Rhinoplasty takes between 2 to 3 hours to complete and is done at the hospital, typically under general anesthesia.
Full daily activities can be resumed within 2 weeks of surgery, strenuous exercise, within 3 weeks and contact sports, diving or weight lifting after 6 weeks. Also, you can travel (even by airplane) by day 8 of your recovery, and eyeglasses can be worn on the bridge of the nose after 6 weeks.
Small residual swelling can persist for several weeks and the final refinement can take several months to a full year to settle, depending on the thickness and quality of your skin. In the photo, we can see the progression of tip swelling after rhinoplasty over the course of two and a half years. Notice how much more defined and refined her tip has become more than two years after her tertiary nose procedure. This is why it’s important to remain patient and trust the process during recovery.

Achievable Outcomes Through Rhinoplasty

Rhinoplasty can reduce a nose that is too large, narrow a nose that is too wide, straighten a nose that is crooked, eliminate unsightly bumps, reshape the tip and improve the angle between the nose and the upper lip for a more youthful look.
In certain noses, such as in Asian or African American noses, rhinoplasty can provide a stronger bridge, enhance tip definition and narrow the base for a more defined look.
It can increase air flow where obstructions in the nose are causing breathing and sinus problems.
It also decreases concerns and renews one’s self-confidence once an undesirable feature has been corrected.

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MEET NEW YORK'S BEST RHINOPLASTY SURGEON

Why You Should Choose Dr. Joshua Zimm

Dr. A. Joshua Zimm is a leading expert in rhinoplasty with extensive training in Otolaryngology–Head and Neck Surgery at New York’s top hospitals, including Columbia-Presbyterian and Manhattan Eye, Ear, and Throat Hospital. After a decade in practice, Dr. Zimm completed an advanced Fellowship in Facial Plastic and Reconstructive Surgery. Board-certified and a recognized member of The Rhinoplasty Society of Europe, Dr. Zimm combines refined surgical skill with a deep understanding of facial aesthetics, specializing in nose reshaping. His accolades include Newsweek Magazine – one of America’s Best Plastic Surgeons for Rhinoplasty, “America’s Top Physicians” and “Man of the Year in Medicine,” marking his contributions to rhinoplasty and patient care.

Every procedure is fully bespoke and customized — never “one-size-fits-all” or cookie-cutter.
Each surgery is tailored to the patient’s unique anatomy, facial harmony, and personal goals, as long as the outcome can be achieved safely and naturally.
Consultations typically last about an hour to allow for thorough evaluation and discussion.
No more than two primary rhinoplasties are performed per day to maintain focus and precision.
Rhinoplasty is highly complex, and the process is never rushed.
Ample time and attention are dedicated to achieving refined, natural-looking results.

MEET NYC RHINOPLASTY SURGEON DR. ZIMM

"I am very happy with the results."

“Prior to the consultation, I was very uneasy about getting fillers in my cheeks because I didn’t want to look unnatural or feminine. Dr. Zimm senses my concerns and was very patient…before leaving his office, I knew exactly what to expect over the next few days after the injection. All in all, I am very happy with the results and I’m glad I found Dr. Zimm’s office.”
"My breathing is significantly improved and the cosmetic portion was beautifully done."

“…As a healthcare provider myself, I have worked with many physicians over the years and I can attest to his competence and professionalism. His practice is extremely well run and his excellent bedside manner, astute medical knowledge and involvement in the latest research put me at ease and allowed for me to completely trust his abilities… His passion for his field of work is evident, and I am extremely satisfied with the outcome of my sinus reconstruction and rhinoplasty -- my breathing is significantly improved and the cosmetic portion is beautifully done.”
"World-class Surgeon with a Small-town Manner"

“I was really impressed by how much he knew about state-of-the art surgical techniques and practiced them. He is clearly an extremely skilled surgeon. He is also a very intelligent and kind person. As someone who doesn't love the idea of surgery, I felt comfortable and confident… As someone who works as a professor and an artist, I can say that Dr. Zimm sets a high bar for engaging with people and teaching them about their condition, for putting people at ease and building trust, and for clearly being passionate about both the artistry and the technical dexterity of his work. I couldn't recommend him more.”
"He won me by his demeanor, his experience, strive for perfection and honesty."

“Need a perfect, natural-looking nose? Go nowhere else but to Dr. Zimm!...Being involved in the industry myself, I went to 13 different rhinoplasty consultations in NYC to find the right surgeon. After hearing lots of opinions, prices and seeing different images of the "perfect" nose, I chose Dr. Zimm. He won me by his demeanor, his experience, strive for perfection and honesty. He also didn't have a "signature" nose he puts on every one of his patients (walk around the UES and you'll know what I'm talking about). He is truly an amazing surgeon and anyone who works with him at the hospital will tell you the same.”
"Dr. Zimm made me feel as though he was treating a friend or family member."

“Working in the industry I have had the opportunity to work with many surgeons and am always very particular when choosing a physician myself, family, friends and so forth. Dr. Zimm recently performed a Blepharoplasty on me in his office. I consulted with 10 surgeons before moving forward and scheduling this surgery. Without hesitation, I have to say I could not have made a better choice in surgeons!!!! Dr. Zimm was confident and competent, he also had a wonderful bedside manner and made me feel as though he was treating a friend or family member of his own. Fantastic! Not to mention the results are amazing!!!! Completely natural, but amazing Thank you Dr. Zimm!!!!!!”
"Warm and extremely professional"

I am not one to write reviews, but Dr. Zimm deserves one. I had numerous consultations with other top rhinoplasty surgeons across the country but as soon as I had my consultation with Dr. Zimm, I immediately felt he was the right surgeon for me. I am very thankful I chose him. Heather and his entire staff have been warm and extremely professional. He is a brilliant surgeon. I can’t say enough positive things about my experience and would recommend him to anyone looking for a kind, patient, artistic surgeon.
"From the moment you step into Dr. Zimm's office you feel at ease."

"I spent the bulk of my life feeling self conscious about how my ears were set on my head, and I started to look around for surgeons for my otoplasty to help correct them. After my first meeting with Dr. Zimm, I cancelled my remaining consultations with other surgeons. Dr. Zimm and his staff make you feel at ease and informed at every step of the process. From the consistent and clear communication all the way through to the fantastic results and follow up care, Dr. Zimm was without a doubt the right choice to handle my case. Thank you Dr. Zimm and team!"

How painful is rhinoplasty?

While pain can vary from patient to patient, the majority of patients undergoing rhinoplasty in New York City will rate the pain as mild to moderate. As one of the least painful cosmetic surgeries, patients often rate their pain a 0 to 4 out of 10 on the first day after surgery.

While pain is present after surgery, the most common complaints after rhinoplasty are facial swelling and nasal congestion.

Is it better to get a nose job younger or older?

There is no perfect age to undergo a rhinoplasty procedure. However, New York City nose job experts recommend waiting until at least 18 years of age to allow the nasal structures to completely mature. Overall, for healthy patients, a nose job can be performed at any age and should be determined by when you feel the time is best for you.

How much does rhinoplasty cost?

A nose job in Manhattan can range in cost from $10,000 to $20,000 on average. Many different factors ultimately determine the overall cost of the procedure. The factors can include the degree of correction needed, the experience and expertise of the surgeon, and if any additional procedures are required.

What happens when you age with a nose job?

Aging generally affects the collagen within the skin and not the nasal structures. Therefore, as one ages, it is possible to notice minor changes in the nose’s appearance, but these are related to changes in the skin. The actual structure of the nose will remain unchanged and the shape created after a rhinoplasty will last a lifetime.

How long does a nose rhinoplasty last?

How long do you stay in hospital after rhinoplasty?

A rhinoplasty procedure is an outpatient procedure that can require general anesthesia. However, despite needing general anesthesia, patients can return home the same day of surgery. While even the best rhinoplasty surgeon in New York City can require a few hours to complete the procedure, there are typically no reasons a patient will require an overnight stay in the hospital.