Photo Galleries


PROCEDURES


Client Testimonial

Dr. Khosh performed a surgery for a deviated septum and a rhinoplasty. Not only is my breathing much improved but he corrected flaws in my external nasal structure with a high degree of skill. As a person with a frontline position on Wall Street, my appearance is very important to me, and therefore made a successful procedure imperative. Dr. Khosh's ability was worth every penny of the cost.

Colin, New York

Learn More

Rhinoplasty is a cosmetic procedure aimed at modifying the appearance of the nose. Through various individualized steps during a rhinoplasty, specific aesthetic concerns can be addressed. Some patients desire removal of a hump, while others look for narrowing of the bridge, refining the tip, shortening the nose, or rotating the tip. Other patients may want a higher bridge, narrower nostrils, or a tip that does not descend when they smile. In all cases, the results should be natural and harmonious with the over all appearance of each patient, and the breathing ability should be maintained or enhanced.

Factors that affect the outcome of rhinoplasty include: the quality and position of the nose cartilages, the size and shape of the nasal bones, quality and thickness of the nasal skin, pre operative nasal symmetry, the technical ability of the rhinoplasty surgeon, and post operative wound healing.

During your consultation with Dr. Khosh to discuss rhinoplasty in Manhattan, he will listen to your concerns about the appearance of your nose. He will perform a careful examination of your nose, internally and externally, and assess your breathing function and sinus-nasal health. Dr. Khosh offers computer imaging to demonstrate the potential rhinoplasty outcome, to stimulate discussion and to promote meaningful communication in regards to your desired cosmetic outcome.

Dr Khosh is uniquely qualified to perform rhinoplasty based on his training, experience, and double board certification in Facial Plastic Surgery and Otolaryngology. He has intimate knowledge of the functional anatomy of the nose, which enables him to provide cosmetic improvement of the nose without sacrificing breathing function. He is an expert in both the endo-nasal or closed approach and external or open approach for rhinoplasty. In appropriately selected patients, Dr. Khosh performs non-surgical rhinoplasty as a simple office procedure without the need for anesthesia. Dr. Khosh meticulously tailors your rhinoplasty to your specific needs with the ultimate goal of achieving a beautiful and natural appearing nose.

  • 2010 Patients' Choice Award
  • 2008-2009 & 2010-2011 Best Doctor List.
  • Past President of New York Facial Plastic Surgery Society.
  • Assistant Clinical Professor at Columbia University.
  • Past Director of Facial Plastic Surgery at Columbia Univeristy.
  • Founding Member of new York Head & Neck Institute.
  • Affiliate Member of Vascular Birthmarks Institute of New York.
  • 2001 Columbia University Maxwell Abramson Teaching Award.

Case Study

This 42 year old lady requested rhinoplasty in Manhattan to address a nasal hump, and refine the nasal tip. A closed rhinoplasty approach was used to remove the nasal hump and and to modify the tip.

  • Patient: 42 year old lady who was interested in rhinoplasty in New York.
  • Problem: Nasal hump, poor nasal tip proportion
  • Procedure: Rhinoplasty through a closed approach

FAQS

Who is a good candidate to undergo rhinoplasty?
Any female older than 16 and any male older than 17, who is in relatively good state of health and has reasonable expectations from cosmetic nasal surgery. Those with moderate skin thickness (not too thick and not too thin) and strong nasal cartilages can expect better results.
Who is a poor candidate for rhinoplasty?
Patients with complicated medical problems such as poorly controlled asthma, high blood pressure, or diabetes, and those who have unrealistic expectations from cosmetic surgery.
Does Dr. Khosh sub-specialize in rhinoplasty?
Dr. Khosh is a well-known expert in rhinoplasty in Manhattan and the New York Tri-State area. He is double board certified in Facial Plastic Surgery and otolaryngology, and can address the breathing function as well as the aesthetic appearance of the nose. Dr. Khosh handles challenging nasal reconstructive procedures that are referred by the other specialists. He performs revision rhinoplasty, and rhinoplasty following facial trauma or a cancer ablation. Utilizing techniques such as: bone grafts, ear cartilage grafts, or rib cartilage grafts.
What are the different approach techniques for rhinoplasty?
There are two main approaches for performing rhinoplasty, closed and open. In the closed approach, all incisions are inside the nose. In the open approach, nearly all incisions are internal except a well-hidden incision in the bottom of the midline part of the nose. Khosh is proficient in both methods.
How does Dr. Khosh determine which approach to use for rhinoplasty?
Dr Khosh chooses the surgical technique based on patient’s features and desired effect. In revision rhinoplasty, typically an open approach is employed since it offers better visualization of the nasal cartilages and bones. In primary rhinoplasty, open approach is only undertaken when significant nasal tip work is desired or when notable asymmetry is present.
What kind of anesthesia does Dr. Khosh use for rhinoplasty?
General anesthesia, this technique allows for complete control of patient’s breathing and it translates into the safest method of providing anesthesia. Additionally, general anesthesia avoids the risk of patient coughing or moving during surgery.
What kind of pain or discomfort should I except after rhinoplasty?
Surprisingly, there is little discomfort with rhinoplasty. Some surgeons use packing inside the nose, which was uncomfortable and painful. Dr. Khosh does not ascribe to use of packing. Most patients do not need any pain medication past the third day.
What is the typical recovery after rhinoplasty?
Recovery after rhinoplasty is generally quick. It is quite rare to develop extensive bruising such that you may have seen on an extreme makeover show. Most bruising is resolved after five days. External tape and casts, as well as any internal stents are removed after six days. Patients may return to work with in ten days. However, the final results may take up to six months to appear.

Back to Top