closed rhinoplastyManhattan closed rhinoplasty is Dr. Aston’s preferred method in almost all rhinoplasty cases. Dr. Aston has performed several thousand rhinoplasties using the closed technique. With this procedure he can work on the tip cartilages, the cartilage in the mid-vault of the nose, the nasal bones, and the septum. This is done by making incisions inside the nose to release the nose from its architectural framework. The closed technique requires an advanced 3D thinking and understanding of the nasal anatomy. In addition to a keen understanding of how the changes that are made in the nasal structures will appear after surgery. Dr. Aston’s closed rhinoplasty technique maintains the structural integrity of the nose over time. Many rhinoplasties look good after the first year, but they do not all look good 20-30 years later. This is because less attention was paid to preserving the architectural integrity of the nose.

The state of the art principle in rhinoplasty is preserving the architectural integrity of the nose. To do this, you must maintain architectural integrity in both the cartilaginous and the bony framework of the nose. This not only preserves the function of the nose, but also contributes to a very beautiful, natural looking nose. When the original anatomy of the nose is lacking in architectural integrity, Dr. Aston can rebuild the nose in order to establish proper function and improve appearance.


Open rhinoplasty and closed rhinoplasty surgeries are different. Therefore, Dr. Aston  helps each Manhattan rhinoplasty patient determine whether an open or closed surgical approach can deliver the optimal treatment results. Dr. Aston takes a holistic approach to each rhinoplasty surgery. No two patients’ noses are identical. Therefore each Manhattan rhinoplasty procedure differs based upon an individual’s desired results. This is why Dr. Aston first performs a comprehensive patient consultation to determine if an individual qualifies for rhinoplasty in New York.

Dr Aston will start by determining if a patient is a good candidate for rhinoplasty. After that, he will decide if open rhinoplasty in Manhattan or closed rhinoplasty in Manhattan can help a nose job patient achieve a well balanced, beautiful and natural-looking result.

One of the greatest benefits of closed rhinoplasty in Manhattan is that the incision and any scarring is made within the nostril and in other words, it’s not visible. In conclusion, since the closed technique is less invasive than open rhinoplasty, this approach also typically features a shorter recovery period.


  • Decreased need for surgical dissection.
  • Less potential for nasal tip support reduction.
  • Reduced postoperative swelling.
  • Decreased potential for scarring.
  • Ability to make exacting changes on site.
  • Make targeted improvements without taking the nose apart.
  • Shorter operation times.
  • Eliminate the risk of developing a visible external columellar scar.
  • Quicker return to a normal, natural appearance.