Great doctor, I am super satisfied with my cosmetic surgical results, I would recommend to anyone.

The doctor performed a non invasive manhattan lift on me and i love it. everyone asks me if i went on vacation or if i lost weight! he was very professional and his assistant is the best. i highly recommend dr. dagan to everyone seeking cosmetic help.

Dr Dagan was my third nose job surgeon. Out of all three I was most pleased and satisfied with Dr. Dagan’s patience, knowledge and work. He takes him time to make sure I understood what can be done realistically and what can not. He is far from greedy like some other plastic surgeons. His staff is also very caring and you never have to wait to see him. Dr. Dagan thanks for the nice nose!

I had nasolabial folds and acne scarring. Previous fillers had left my right side less full than my left. I had 4 syringes, more in the right side than left. I am very happy with the results. I noticed immediate improvement, with more over the time. I have not had any adverse reactions. It’s been 2 years and I don’t need a touch up. It hurt more than other fillers but was worth it. I noticed many of the unhappy users had injections around the eyes, which isn’t suggested for Artefill. The skin is too thin. Side effects are possible and likely.

Dr. Dagan is very honest about the services that are needed. He likes to keep you looking natural, but beautiful.

Loved it! Really clear breakdown of expectations and everyone is super friendly.

Rhinoplasty – Nose Surgeon

Nose surgeon, Dagan MD, is here to insure your nyc rhinoplasty is performed to perfection. As the finest board certified and fellowship trained rhinoplasty surgeon in NYC, he is fully committed to providing the best possible results in terms of both your appearance and your overall health. Dr. Dagan has been selected as one of the leading surgeons in his specialty across the globe. Rhinoplasty is a complex procedure that calls on all the talents of a facial plastic surgeon, from the ability to sculpt a nose that is attractive in combination with the rest of your facial features, to being able to work with the interior structures of the nose so that the patient’s breathing and sense of smell are at their best. 

NYC Rhinoplasty Procedures

NYC Rhinoplasty Revision Surgery

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Asian Rhinoplasty

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Non Surgical Rhinoplasty

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Saddle/Collapsed Nose Repair

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Nose Rhinoplasty – Before and After Pictures

Preparing for Rhinoplasty surgery

This information is provided to help you understand nasal surgery and to answer some of your questions before your rhinoplasty surgery. It is not meant to replace a discussion with Dr. Dagan and our clinical team. It will provide you with information about the cosmetic and functional components of your procedure.

What Can You Do To Prepare

Knowing what you can do may help your mind ease its way into your surgery and help both pre- and post-operatively. Below are some recommendations prior to surgery to help put things into perspective.

  • Make sure Dr. Dagan is aware of your wishes and cosmetic concerns
  • If this is a rhinoplasty revision surgery, make sure you and Dr. Dagan are on the same page regarding your specific concerns this time so they can properly be addressed
  • Make sure to review before and after pictures with Dr. Dagan
  • Be comfortable with the cost and pricing of the rhinoplasty procedure after comparing how much a nose job costs in the market. When you put yourself in Dr. Dagan’s hands you are not seeking the cheapest but you are looking for the best results.
  • ascertain all of your shopping (from analgesic to Zovirax®, if applicable) is complete. Make sure not to use non-steroidal-anti-inflammatory-drugs (NSAIDs) like ibuprofen or advil.
  • Have all of the medications prescribed to you pre-operatively picked up from the pharmacy before surgery in order or prepare a place for them to be with you and an alarm clock to remind you when you have to take your next dose.
  • talk any concerns over with your spouse or family and reassure them why you want the surgery and what you are looking to change.
  • compare old photographs and go over either on paper or in your head why you truly want the surgery performed.
  • Go over and tell yourself that during the healing phase you will be:
    • bruised
    • sore
    • swollen
    • asymmetrical
    • tired
    • irritable or anxious
    • unsure or nervous
    • possibly depressed
    • possibly Nauseous
  • If you realize all of the above possibilities before your surgery, there will be no surprises. Write or print these recommendations out pre-operatively because even though you know in your mind NOW that you will feel this way — your mind changes and plays tricks on you afterwards.
  • Take a nice bath or hot shower beforehand and wash your hair — and perhaps light some candles and soak for a bit to relax. Of course you will have to rinse off in the shower with antibacterial soap afterwards and be sure that there are no oils, creams or perfumes on your body. Soaking is therapeutic beforehand as long as you are clean as a whistle when you get out.
    • Go get massage a few days before to help you relax if you feel need it.
    • Do whatever it is that helps you to relax
    • Talk to your friends and if you want to let them know, but remember if you don’t want them to know – it is YOUR prerogative.
    • Remember that this doesn’t have to be a stressful time, even though it is difficult to trust, stressing and worrying doesn’t make anything better once you’ve committed and you are determined to have your surgery. Remember that stress can increase healing time and blood pressure can rise during this time. Think of your health. Think of how you will look in the following weeks after surgery!

Preparing for your surgery

The Pre-op period

If you schedule a surgery date you will more than likely schedule a pre-operative visit appointment, as well. This will entail another trip to our office. You will also be deciding last minute details, although you have up until the day of surgery so don’t stress. You will go over again your instructions and what medications you shouldn’t be taking as well as the ones you SHOULD take before or after surgery.
You will also be given (or should be given) a list of medications that you must cease or avoid taking. These medications will mostly be aspirin-containing products and supplements that may inhibit clot formation (thin your blood) or cause problems with anesthesia.
Making Your Home “Post-op Proof”

You’ve probably heard of child proofing but post-op proofing? trust us on this one. Please utilize the following tips to better prepare you to an unfrazzled recovery…

  • Clean your house — or have it cleaned.
  • Unless you are lucky and have a significant other that can cook, shop for recovery food and treats like pudding, Jell-O, frozen dinners, low sodium soups; or cook your own meals and freeze them. You may not be in the mood to make your own food after rhinoplasty surgery
  • Take out the trash, recyclables, etc. so you don’t have to worry about it later.
  • Have all of your laundry taken care of. Even after Ashlee Simpson’s nose job required similar prep…
  • Make a “Honey Do” list (bills, thermostat settings, errands, reminders).
  • Purchase all of your medications, Vitamin C and dressings beforehand in case your pharmacy is in short supply in the days before the surgery.
  • Purchase a thermometer if you don’t have one, it is important to check your temperature regularly for fever. A high fever may be a sign of infection. You want the best nose job result without any hitch.
  • You may take arnica montana and Bromelain to help reduce postoperative bruising and improve the healing from your nose job.
  • Have lots of movies, books, magazines or videogames on hand.
  • A laptop/tablet is an awesome thing to have during recovery
  • If no lap top, maybe an Xbox, or just your ipad set up near you — you may get bored.
  • If you have children consider having your parents or in- laws watch them in the first few days.
  • Have someone watch your pets if you don’t feel you can handle this job during your recovery.
  • If you can’t have your pets cared for, tend to their needs beforehand, i.e. put cans of food on the counter with the can opener so you don’t have to reach or kneel for it. Change the litter box as well. You don’t want to mess with these germs during this time as well as no bending over.
  • Have lots of fluffy pillows on hand or a “bed chair.”
  • A comfortable recliner is a good thing, if not the bed is perfectly fine, just keep your upper body elevated.
  • Have a pail at your bedside and on the ride home — essential. Make sure it has a lid, you don’t want to stare at it or smell it afterwards. A large coffee can makes a good vomit pail. The anesthetic and pain medications not infrequently may cause nausea.
  • Set your nightstand up beforehand with all of your medications, ample light, bottled water, a few packages of crackers, remote control (with new batteries) & the phone (fully charged).
  • Have extra blankets on hand when you get home because anesthesia can give you the chills after surgery.
  • Buy ice packs, bags of frozen peas, raspberries or blueberries which are good for post-operative icing.
  • A heating pad, hot water bottle or microwaveable pack is great for a sore back from sleeping elevated for so long.
  • Dr. Dagan may prescribe valium to help you sleep and ease tense muscles.
  • A “go-fer” — a significant other or an older child will suffice.
  • If no valium, ask our rhinoplasty surgeon if you may take an over the counter sleeping medication. Generally Benadryl or z-Quill or melatonin are safe.
  • Have some crackers, Cheeze-its or Goldfish to help alleviate nausea — especially on the way home. Bring a bottle of water to for the ride home. Sipping cool water helps alleviate nausea as well as gets rid of the taste in your mouth if you do vomit.
  • Place anything you may need at hip level so that you have no need to reach up or bend down. This means canned and dry goods in the kitchen and toiletries in the bathroom. Bending over is just as bad as reaching over your head.
  • Have your robe and slippers (or several pair of thick socks) nearby your bed.
  • Have a few comfortable oversized shirts that open from the front on hand, as well as some sweat pants or pajama bottoms.
  • Have a hand mirror nearby so you don’t have to get up.
  • If you have long hair, a few scrunchies are great to put your hair back with to keep it out of your face, unknotted and out of the way.
  • Purchase some wetnaps and make-up removal towelettes so you can freshen up without having to get out of your bed or chair. Baby wipes are very good for this.
  • Have a good moisturizer on hand.
  • A box of Kleenex is great to have on hand, especially if you get all emotional from your meds.
  • Make time for yourself before your nose job surgery; pour a bath, light some candles, listen to some music — relax. Try to gather your thoughts and soothe your mind.
  • The night before surgery wash your face with Dial antibacterial or Hibiclens soap to help rid your body of naturally occurring Staph on the skin’s surface.
  • Wash your hair the night before surgery
  • Remove any fingernail and toenail polish so that they will be able to better determine if you are getting enough oxygen during surgery. The nails turn blue-ish from lack of oxygen and reddish with too much carbon dioxide. Many rhinoplasty surgeons just ask that you remove your fingernail polish. Others argue they use oximeters and don’t look at the fingernails. Equipment can fail.
  • Talk to your spouse about any concerns that you may have, they may have some insights or questions you haven’t thought of — and they may be experiencing pre-op anxiety as well.
  • “Black out” your windows so that when you do get to sleep — regardless of the hours, you can stay asleep.
  • If you think television, video games and reading are eventually going to bore you or stress your eyes — have a portable listening device on hand with your favorite relaxing music/pod casts.
  • Body pillow is quite helpful, especially when you are allowed to sleep without major elevation.
  • Just in case the lights go out or you need assistance in the middle of the night, have a flash light on your nightstand.
  • Have a nightlight or two lighting your way to the restroom for night visits.
  • You may want to divert your phone calls to voice mail so as not to be disturbed after surgery for 2-3 days.
  • And don’t even try not looking at yourself. I know you may hear not to look at yourself for a week but really — who is that strong-willed? You have had surgery with the best rhinoplasty surgeon and expect the best nose job – It is very difficult to not look, what are you going to do, close your eyes when you get near a mirror? You know full well you can’t not look at yourself for an entire week. You didn’t pay the price of a nose job to not take a look. But remember when you do break down and peek, your features change every day so don’t get discouraged. Besides, how can you take those post-op photos without looking at yourself.
  • Last but not least, RELAX. If you are stressed out it can really affect your recovery. Try to remember that you will heal, you will be less sore and that you are going to look great! Just be patient.

Emotional Preparation

Elective nose job surgery isn’t just a physical surgery — it is a very emotional experience which can cause a great impact on your mind, both positively and negatively. Many aspects of surgery can affect your emotions to the point of temporary depression. Preparation is an important step because one can set themselves up for depression and shock if they are not fully prepared. Take care to organize and gather your senses and thoughts beforehand. Anesthesia and medications can truly affect your outlook so please know this beforehand. Relaxation can decrease your recovery time and help things progress more easily.
Of course you will have your pre-operative jitters so just try to relax and truly if you trust, and I know this is the difficult part, if you trust our rhinoplasty surgeon performing your nose job and let him do what he is good at, everything will go along more smoothly. Getting worked up about your rhinoplasty surgery to a point of fright can lead to severe nervous tension which interferes with the healing process. Just know that it is normal to be excited and have that adrenaline rush from knowing you will have perkier, rejuvenated breasts very soon!

Risk of Rhinoplasty

What are the possible risks from rhinoplasty surgery?

Short-term complications include:

– Bleeding (nosebleeds) and infection. Occasionally severe bleeding occurs, usually secondary to an infection at about day 4-5. This may require a return to theatre for cautery and nasal packing.

– Perforation of the nasal septum.

Important longer term problems are:

– Numbness of the nose or a change in feeling that persists after swelling subsides.

– A functional problem with the nose: either the nasal blockage has not been adequately treated or a new blockage has occurred as a result of the surgery.

– Dissatisfaction with the cosmetic result.
– Scarring at the base of the nose
– Bursting of small blood vessels on the skin surface

The need for a second or third operation after a primary rhinoplasty in the hands of a skilled facial plastic surgeon is about 1%. Bad nose jobs are rare especially with an experienced nose plastic surgeon.

Other issues

– Our Facial Plastic rhinoplasty surgeon will assess your face as a whole, especially the jaw and dentition. Sometimes it is appropriate to perform another procedure, such as a chin implant/augmentation, at the same time as rhinoplasty to achieve a more balanced appearance to the face.

Things to Call Us About After Surgery:

1. High fever
2. Excessive or persistent pain
3. Constant drip of clear fluid from your nose
4. Persistent nosebleeds
5. Any trouble with your vision or eye movement

Recovery time of Rhinoplasty

What do patients experience in the immediate postoperative period?

After your rhinoplasty surgery, your face may feel swollen especially under the eyes with some aching in the nose or a headache. You should rest for a few days after the procedure and keep your head elevated for 24 hours to reduce swelling and bruising.

The nose will feel blocked for up to 2-3 weeks, like a bad cold. Swelling and bruising around the nose and eyes increases in the first 2-3 days after nose job surgery and may extend upwards to cause closure of the eyes.

After this time, the swelling gradually diminishes. It takes about 7-10 days for the patient to look cosmetically acceptable, but may take up to six months for the swelling of the tip of the nose to completely settle and for the small details to be apparent. Nosebleeds and a bloody postnasal drip are normal after surgery.

What postoperative instructions are given to patients?

– Do not forcefully blow your nose for two weeks after rhinoplasty or septum surgery.

– Sedentary work may be resumed after one week, but some swelling may still be visible.

– Avoid activities that increase blood pressure, such as running, swimming or squatting, for about three weeks.

– Protect the nose from trauma, such as in contact sports, for about six weeks to allow the cartilage and bone to heal.

New York City Rhinoplasty Surgeon

Dr. Dagan is uniquely qualified NYC rhinoplasty specialist to perform rhinoplasty and nose reconstruction. Dr. Dagan is not only highly skilled and trained but has been covered in the media from his collaborative work on amazing medical stories to the reconstruction of a teen’s nose from scratch after experiencing terribly deforming burns from an electrocution injury. His use of innovative technology including 3-D printing was covered in the exhibition on new emerging 3-D printing technologies at the North Carolina Museum of Natural Sciences exhibit on the topic of 3-D Printing in Raleigh, North Carolina. Dr. dagan has been selected by the International Association of Plastic Surgeons as one of the “Leading Physicians of the World” by his peers, an honor bestowed to a few surgeons globally.
He has intimate knowledge of the inner and outer functional anatomy of the nose, which enables him to provide cosmetic improvement of the nose while maintaining or improving breathing function. He is an expert in both the endo-nasal, or closed approach, and the external, or open approach, for rhinoplasty surgery.
In appropriately selected patients, Dr. Dagan performs non-surgical rhinoplasty as a simple office procedure without the need for anesthesia using cosmetic injectibles. Dr. Dagan meticulously tailors your surgical or non-surgical rhinoplasty to your specific needs with the ultimate goal of achieving a beautiful and natural appearing nose.
Contact our office today to schedule your consultation or if you have any questions regarding a rhinoplasty or nose job procedure in New York.
Dr. Tal Dagan