A rhinoplasty is an aesthetic procedure performed to change the appearance of the nose. In addition, rhinoplasty can help repair a functional or breathing issue in some patients. New York plastic surgeon Dr. Michael Koch is a skilled in performing cosmetic nose and facial procedures including rhinoplasty procedures, and he takes a subtle approach to allow for the most soft and natural outcomes. Although rhinoplasty consists of slight changes, results tend to be very dramatic. Cosmetic nose surgery is recommended to make a nose look smaller or change a nose that is wide, too large, or misshapen. The goal is to allow for a more aesthetically pleasing nose that meets your goals and that functions well. Learn more about rhinoplasty and then contact one of our three locations to schedule your consultation with Dr. Koch.
"Thank You Dr. Koch - I would like to thank Dr. Koch for the beautiful rhinoplasty procedure that he has performed on me 3 months ago. I also like to extend my gratitude to him and his staff for all the help, care, and support that they have given me from my initial visit for consultation and even until today. His team of devoted individuals make my experience a pleasure. I am thankful for having Dr. Koch as my surgeon, who shows not only his talent and professional expertise but also his kindness and genuine care. I greatly appreciate his ability to listen and his understanding and being ethnically and culturally aware of my individual concerns.So far I am very happy and more than satisfied with the outcome, and I am still waiting for even more positive final results. Dr. Koch, again, thank you so much for making my surgery a memorable one. C.P."- Anonymous / Vitals / Jun 13, 2011
"THRILLED WITH MY NEW FACE AND STRAIGHT NOSE! - I am a Registered Nurse (RN) and, at 54, I had been thinking that my face was looking older than I felt inside. Also, my crooked nose seemed to be getting even more crooked. I started considering a face lift so I began to search for a surgeon. I had heard about Dr Koch from RNs that I work with and also from Physicians, whose wives had gone to Dr Koch for their face lifts. They seemed very happy with their results and their experience, so I decided to schedule a consult with him. During my consult with Dr Koch, he generously took the time to listen to and address all of my questions and concerns. I knew, even though I had seen several other surgeons, that Dr Koch was the person that I wanted to work with, both technically and personally. Now, with my new face and my new straight nose, I want to express that the experience was great with Dr Koch and his staff and I am thrilled with my results. I no longer see an older looking face when I look in the mirror. A few of the physicians that I work with have even commented about what a wonderful result Dr Koch has created for me. As I join the group of super satisfied patients, I wanted to let others know as well."- Anonymous / Vitals / Jun 06, 2011
"Five Stars - VERY, VERY HAPPY WITH THE RESULTS FROM DR. Koch! When I first came to Dr. Koch, I wanted to have my nose corrected. I spoke to people, friends and family, and I did a lot of research. Hed explains everything in, you know, great detail, very thorough, takes his time. And hes just, hes a realistic person. And he really cares about his patients. I used to be very self conscious of my scar on my lip, now, its night and day. My confidence level has shot up. Im not afraid to look at people in the eye when I speak to them. Im not afraid of certain profiles, certain angles, you know. Everybody knows their selvesyou know, you know yourself best in the mirror. And you're lookin like, oh I hate that angle. Or I dont like this angle. To me, its like, you know what? Nobodys perfect. And I wasnt even looking for perfection. I was just looking for improvement. So I looked to him for his artistic talent in that field, and you know, after having the surgery, I feel great, just GREAT. Thanks Dr. K.!"- Anonymous / Vitals / Jun 20, 2011
"Amazing Rhinoplasty!!! - Goshen, NY - Dr. Koch is such a wonderful doctor who does what is safe for the patient first and is also an amazing surgeon..."- I. / RealSelf / Jun 08, 2015
"VERY, VERY HAPPY WITH THE RESULTS FROM DR. Koch! When I first came to Dr. Koch, I wanted to have my nose corrected. I spoke to people, friends and family, and I did a lot of research. Hed explains everything in, you know, great detail, very thorough, takes his time. And hes just, hes a realistic person. And he really cares about his patients. I used to be very self conscious of my scar on my lip, now, its night and day. My confidence level has shot up. Im not afraid to look at people in the eye when I speak to them. Im not afraid of certain profiles, certain angles, you know. Everybody knows their selvesyou know, you know yourself best in the mirror. And you're lookin like, oh I hate that angle. Or I dont like this angle. To me, its like, you know what? Nobodys perfect. And I wasnt even looking for perfection. I was just looking for improvement. So I looked to him for his artistic talent in that field, and you know, after having the surgery, I feel great, just GREAT. Thanks Dr. K.!"- Anonymous / Vitals / Jun 20, 2011
Adults and teenagers over 16 years of age are candidates for rhinoplasty. If you find yourself frustrated with the appearance of your nose and have distinct issues you hope to improve, enhance, or correct, this procedure may be the right course of action. It is important that realistic expectations are discussed, as your nose and facial profile will be changed. In addition, facial growth and maturity should also be complete. This will be addressed during your consultation, especially for adolescents.
Nose surgery is performed with the patient under sedation, such as general anesthesia, and is in most cases an outpatient procedure. This treatment offers different surgical techniques depending on what is being addressed. Dr. Koch performs nose surgery with either an open or closed (endonasal) approach. The goal during the procedure is to decrease or eliminate excess bone, cartilage, and tissue, or to improve and add cartilage if necessary for reconstruction. The nose is repositioned while the skin is draped over the newly structured framework. Sutures are positioned either inside the nose or within the natural external crease.
What to Expect
Upon completion of your cosmetic nose surgery, you will rest comfortably in the recovery space, and then be released to heal at home. The nose and the surrounding area will be swollen, bruised, and sore for the first few days. In most cases, there is some discoloration under the eyes as well. Consistently using cold compresses and inflammatory medications can help with these effects. Your post-op check-up with Dr. Koch will take place within the same week of your surgery to check your healing process. It takes about 4 – 6 weeks to look normal following rhinoplasty. During this timeframe, strenuous exertion should be avoided.
Frequently Asked Questions
How much does rhinoplasty cost?
The cost of nose reshaping surgery varies based on the technique used and the complexity of the procedure. Before estimating costs, Dr. Koch will listen to your needs and goals to help create your customized treatment plan. Once this is done, he can go over costs for the facility, anesthesia, and more. To help make your surgery easier to afford, our office accepts many payment methods and we can help you find low-interest financing.
Will my insurance cover functional nose surgery?
While rhinoplasty to improve your appearance is not covered by insurance, if your nose reshaping surgery is considered medically necessary to improve your breathing, some of your costs may be covered by insurance. If you are considering using your insurance, please tell Dr. Koch during your consultation. We will help you submit the needed paperwork and information to your insurance to process your claim.
Are there nonsurgical options to change my nose?
To smooth lumps and bumps on your nose, a wrinkle filler (like Juvéderm) may be an option. An injectable filler can temporarily correct minor imperfections on your nose, which may help you decide to proceed with rhinoplasty. Nose surgery is better for long-lasting results, larger changes, and to improve the internal structure for better function. During your consultation, Dr. Koch will let you know if you may be a candidate for nonsurgical nose reshaping.
What about ethnic rhinoplasty?
Ethnic rhinoplasty focuses on improving the nose while still maintaining your cultural identity. This may be a consideration if you are Asian, African-American, or Middle Eastern. During your consultation with Dr. Koch, you can discuss what you like about your nose and what you would like to change. This will allow him to customize your treatment plan so you get your best results.
Can I combine nose surgery with other facial surgeries?
Many patients consider combining nose surgery with another procedure, like chin or cheek augmentation. Combining surgeries for a dramatic result can be discussed during your consultation with Dr. Koch. Once he understands your goals, he can help you decide what procedures should be in your treatment plan. Nose reshaping surgery can help your whole face look more balanced, so you should wait to see your results before considering another procedure.
Plan Your Procedure
- Average Cost
- $4,500 - $6,000
- Recovery Time
- 4 – 6 Weeks
- Average Procedure Time
- 2 – 3 Hours
- Post-op Follow-up
- 1 Week
- Procedure Recovery Location
Your Best Nose
Rhinoplasty is a simple option to address the displeasure you may feel when looking at your facial profile. If you are dissatisfied with the size and shape of your nose or if you suffer from breathing issues, rhinoplasty may help. Rhinoplasty is a popular cosmetic treatment with very high success rates. Dr. Koch aims to reshape your nose so your whole face looks more proportionate and attractive. Even small tweaks can make a huge difference. We invite you to get in touch with one of our New York facilities to schedule a consultation.