Dr. Sam Rizk has been chosen as a Top Facial Plastic Surgeon and Rhinoplasty Specialist by Castle Connolly, the #1 Organization which selects Top Physicians in every field based on recommendations by their peers. Dr. Rizk has also published his original techniques in many plastic surgery journals, which requires peer review by other plastic surgeons to deem it original and worthy of publication. Dr. Rizk is often selected by doctors, nurses, and other medical professionals to do their plastic surgery.

Patient privacy is very important to us and only patients who have given us special consent to use their photographs are on the website or blog. Some have requested certain features be blocked out and we honor those requests so you may see certain patients with their eyes blacked out.

PHILOSOPHY STATEMENT:

Dr. Rizk's philosophy is a natural, balanced rhinoplasty in harmony with the rest of the facial features. This may sometimes mean a dramatically smaller nose if you are starting with a disproportionately large nose, or it may be a very subtle result. Some of Dr. Rizk's results are dramatic, others more subtle. Dr. Rizk also usually repairs the septum and shrinks the turbinates if they are blocking patient's breathing preoperatively. Patients usually breathe better after the procedure and if you look at most of his revision cases on the main website and blog, he actually builds collapsed and pinched areas to improve breathing with grafts. Additionally, he uses cartilage- conserving and grafting to achieve smaller and more proportionate noses in primary and revision rhinoplasty, which actually makes the nose structurally stronger over a person's lifetime. HE REMOVES very LITTLE cartilage, even in very bulbous tips, to achieve this definition. Additionally, his 3-D endoscopic techniques, is not just used to decrease swelling and bruising postoperatively. It also achieves a more precise long-term result. Furthermore, by decreasing swelling, you also decrease scar tissue formation, which improves overall long-term results.

Dr. Rizk's rhinoplasty approach emphasizes a strong nasal framework and structure to ensure LONGEVITY of an excellent FUNCTIONAL and COSMETIC outcome. Vital to the above philosophy is the use of grafts to support a structurally weak nose or a nose which becomes weak after a reduction. Dr. Rizk prefers to use the patient's own cartilage for grafting, whether from the septum, ears, or costal cartilage rather than foreign implants. Occasionally, if no cartilage is available for grafting, Dr. Rizk will use a synthetic implant. Dr. Rizk spends a great deal of time sculpting these grafts with a special instrument he pioneered to give the most natural and soft result. These supportive cartilage grafts prevent scar contracture over the nose's lifetime and diminishes the need for revision rhinoplasty.

Widely respected for his advanced minimally invasive application of ground breaking surgical techniques, Dr. Sam Rizk's approach is based on philosophy that each individual procedure is tailored and customized to the individual needs of each patient. He uses minimally invasive endoscopic techniques to reduce downtime. Dr. Rizk is focused not only on a natural result but also on the speed of a patient's recovery. To optimize this intent Dr. Rizk uses preoperative as well as intraoperative and postoperative minimally invasive techniques and medications to achieve this rapid healing.

Patient privacy is very important to us and only patients who have given us special consent to use their photographs are on the website or blog. Some have requested certain features be blocked out and we honor those requests so you may see certain patients with their eyes blacked out.

Rhinoplasty Before & After

June 17th, 2013


Patient is a 25 yo patient interested in creating a bridge to nose and more tip definition and reducing nostrils and also lifting the hanging columella. Patient underwent rhinoplasty and a customized medpor implant in nose which is sculpted during the rhinoplasty. Patient also underwent nostril reduction from incisions inside nostrils,rather than from external part near cheek. Patient is shown one year after rhinoplasty. This is considered an ethnic rhinoplasty procedure as patient has thick tip skin and weak tip cartilages as well as a flat bridge.


50 yo female who has had a congenital nose deformity of the tip who has had multiple previous rhinoplasty surgeries to build her underprojected tip with cartilage but her cartilage grafts dissolved. she presented to Dr Rizk for revision rhinoplasty. Patient underwent revision rhinoplasty to increase her tip projection (distance nose tip projects forward) to make it more balanced with her lips/chin. Dr Rizk used a medpor implant as it is more permanent and since she has failed cartilage grafts in tip.


55 year old female who underwent endonasal revision rhinoplasty for bump reduction to soften her features and improvement in her skin with laser resurfacing. Also note the nasal tip was subtly lifted to improve a a slight droop.


30 yo female with history of chemical dependency who was concerned cosmetically with her open roof deformity, saddle nose deformity (cartilaginous saddle nose) and also her wide nasal bridge. Patient underwent revision rhinoplasty but since she had not septal cartilage available, banked rib cartilage and temporalis fascia was used as a graft to correct the saddle nose. By raising her nasal bridge and narrowing her nasal bones the brow-tip aesthetics have improved. Patient is shown 3 years after surgery.

Rhinoplasty Before & After

March 25th, 2013


25 yo female wishes to improve drooping nasal tip, bump and bulbous nasal tip. Patient underwent open rhinoplasty with tip support with her own septum cartilage to achieve a better long term result of tip support. Tip was also refined with cartilage reduction and suture techniques, and bump was removed naturally. patient is shown 1 year after rhinoplasty.

Rhinoplasty Before & After

December 24th, 2012

Before After
25 yo patient who was mainly interested in a profile reduction who underwent rhinoplasty to reduce bump and deproject the nasal tip. Patient is shown one year after rhinoplasty.

Rhinoplasty Before & After

November 19th, 2012

Before After
30 yo Hispanic/Dominican female interested in rhinoplasty. Patient is shown 4 months after rhinoplasty to remove her bump, narrow her nose and nostrils and also correct her saddle nose deformity above her tip. Ethnic rhinoplasty entails structural grafts in the tip to achieve structural support and definition. Old techniques of Excision of cartilage alone does not achieve a natural outcome. Notice patient’s nose was not rotated because patient is tall and this nose fits her face and body better. Also she is still swollen and the nose will become more refined with time.

Rhinoplasty Before & After

September 25th, 2012

Before After
25 year old Indian female who wanted a front view improvement in her nasal tip with more definition. Patient underwent rhinoplasty to refine her nose bridge, tip and a conservative nostril reduction and is shown 1 year after rhinoplasty.

Rhinoplasty Before & After

August 16th, 2012

Before After
29 year old female interested in rhinoplasty to reduce bump mainly but also refine tip. Patient underwent rhinoplasty from the open approach to reduce bridge and resculpt the tip cartilages. A slight tip rotation was performed as well. The open rhinoplasty approach was chosen since patient had thick skin and no tip support requiring grafting. Grafts are fixed in position better with open rhinoplasty. Patient is shown 1 year after surgery.

Rhinoplasty Before & After

July 30th, 2012

Before After
30 year old female who underwent previous rhinoplasty who presented to Dr. Rizk for secondary septoplasty and rhinoplasty with an inverted v deformity, collapse of her external nasal valves, a nasal hump, and a hanging columella, and pinched nasal tip. Patient had trouble breathing as well. Patient is shown 1 year after revision rhinoplasty and septoplasty with grafts to correct the collapsed middle nasal vault and external nasal valves.
Before After
25 yo with history of previous rhinoplasty and is unhappy with scooped, short nose, with nostrils showing too much and a rotated up tip. Patient underwent revision rhinoplasty with Dr. Rizk using banked irradiated rib cartilage for grafts and Alloderm to soften the edges of the grafts. Dr. Rizk does not like to use the patient’s own rib due to scarring, risks to lung and danger to patient. Banked rib cartilage works excellent and has been used for many years in patients who are collapsed and need significant nose support. Patient is shown postoperatively at 1 year.
Before After
29 yo female ethnic rhinoplasty patient with thick skin who had previous rhinoplasty who requests improvement in symmetry, breathing and definition. Patient underwent revision rhinoplasty with multiple cartilage grafts into tip and middle nasal vault to correct her breathing and cosmetic appearance. Patient is shown one year after revision rhinoplasty.

Rhinoplasty Before & After

April 26th, 2012

Before After
Before After
29 year old female who is both African American and Asian who wanted a revision rhinoplasty to improve her bridge and nostril symmetry as well as give her more tip definition. Patient had an open rhinoplasty with medpor implant custom sculpted onto her bridge as well as ear (auricular) cartilage graft into her nasal tip. Patient also had revision nostril reduction. Patient is shown 1 year after revision rhinoplasty.

Rhinoplasty Before & After

April 23rd, 2012

Before After
18 yo African American patient who underwent rhinoplasty with medpor implant and nostril reduction. Patient is shown 6 months post-surgery and although there is still some tip swelling, the general structure of tip and dorsum is much more refined. Additionally the incisions of the nostrils are on inside of nostril rather than on outside where it joins the face.

Rhinoplasty Before & After

April 11th, 2012

Before After
23 year old asian female complains of lack of tip definition as well as a deviated nose to the right. Patient underwent rhinoplasty with auricular (ear cartilage) graft into her nose to give her more definition. The patient’s own septum was too thin and inadequate for creating the definition necessary in her nose. Patient is shown one year after rhinoplasty with auricular cartilage graft.

Rhinoplasty Before & After

March 19th, 2012

Before After
24 year old female who wanted a straighter nose from the front view and a slightly lower bridge from the profile. Patient did not want much change in her tip. The patient had a collapse on the left part of the nose from an injury and also had a deviated nasal septum to the right. The patient underwent a very conservative rhinoplasty and septoplasty and use of septum cartilage as grafts on the left part of her nose to make it appear straighter. The profile was also lowered very conservatively.

Rhinoplasty Before & After

March 2nd, 2012

Before After
25 year old Indian/middle eastern patient with typical ethnic rhinoplasty characteristics of thick tip skin, wide nostrils, drooping nasal tip and weak tip support. Patient also has frontal asymmetry of the nose. Patient underwent septorhinoplasty and nostril reduction. Cartilage grafts were placed in the patient’s tip from her own nasal septum to support and define her tip. The nostril reduction was performed from an incision on the inside rather than the outside of the nostril. The right nostril was much larger than left nostril before rhinoplasty. The bump was removed conservatively. Ethnic rhinoplasty patients do not like major nasal rotation up or a very low nasal bridge. Results are shown postoperatively at 1 year.
Before After
26 yo female who underwent previous rhinoplasty who wanted further improvement in shape of her nose. She was unhappy with the boxy tip which was also overprojected as well has her bony bump (slight). She underwent secondary rhinoplasty with correction of the boxy tip as well as deprojection of the nasal tip (bringing it closer to her face) and reduction of the bony bump. Patient is shown 1 year after surgery.


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Before After
24 year old female from Egypt with a congenital cleft lip/palate/nose deformity who underwent surgery in New York to reconstruct her nose and upper lip deformities. Patient is shown only 1 week after surgery. Patient underwent revision rhinoplasty with septal and auricular cartilage grafts to correct her nasal deformities and a direct upper lip advancement and augmentation. Note patient is still swollen and red since she is only one week postoperatively from surgery. She had to go back to her country at 10 days and will visit Dr Rizk in future for further photos and followup. Patient required multiple grafts to straighten the nose and septum and had extensive deprojection of her tip/supratip complex done as well. She also had a severe deviated nasal septum repaired with septoplasty which is also typical with this congenital deformity.


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Before After
13 year old female with history of 2 previous nasal fractures who developed a crooked nose with a nasal bump as well as difficulty breathing after her injuries. Patient was also teased and bullied regarding her nose. Patient showed other signs and symptoms of full growth such as a fixed shoe size and having had her menses. Patient is shown before surgery and early after surgery (2 weeks). Notice nose is crooked and tip is bulbous in addition to profile drooping and nasal bump. Realize also patient’s nose is out of proportion to her small face.

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Rhinoplasty Before & After Photos

September 26th, 2011

Before After
45 year old male with history of prior nasal surgery who complains of a crooked nose with hanging columella and retracted nostrils. Patient also has difficulty breathing. Patient underwent septorhinoplasty with multiple spreader and batton cartilage grafts from his septum as well as correction of his caudal septum which was twisting his nasal tip. Patient is shown 1 year after revision septorhinoplasty.


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Rhinoplasty Before & After

June 27th, 2011

Before After
23 year old female who wishes mainly a profile change in her nose. The bump was removed and the tip was deprojected slightly. Patient wanted a very natural result and no rotation of the tip. The rhinoplasty was done with the endonasal (closed) approach. Patient is shown 6 months following surgery.


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Before After
28 year old Indian male who complains of his bump and drooping nasal tip. In indian and ethnic rhinoplasty it is important to support the nasal tip with cartilage grafts. In this case, the patient’s tip was lifted and supported with a columellar strut as well as 2 tip grafts under his thick skin. The bump was reduced very conservatively and he even has a slight convexity of the bridge on postoperative profile. Indian patients are very sensitive to the scooped or very low dorsum so it is very important to create a very natural profile that is masculine. Patient is shown one year after rhinoplasty.


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Rhinoplasty Before & After

April 27th, 2011

Before After
32 year old female complains of nasal bump and crooked nose to left as well as bulbous nasal tip. Patient also had difficulty breathing through the nose secondary to a deviated nasal septum. Patient is shown 4 months after septoplasty and rhinoplasty with bump reduction, tip support grafts, as well as spreader graft in right middle vault to correct a right sided middle vault collapse. Patient is still swollen in the tip but the nose looks straighter and more defined. The bump is reduced conservatively. Dr. Sam Rizk likes a strong bridge, not a scooped one and customizes the nose to the patients’ other features. Some profiles may be lower in some patients than others, depending on facial proportions and harmony.


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