New Jersey Rhinoplasty Surgeon

Serving patients in Bergen County and surrounding areas: Wayne, Ridgewood, and Paramus

Are you unhappy with the shape or size of your nose? At the office of Milgrim Plastic Surgery we are proud to proclaim top stature in the field of Rhinoplasty. Conducted by Board-Certified expert Rhinoplasty Surgeon Dr. Laurence Milgrim, Rhinoplasty is a type of facial plastic surgery designed to correct or enhance an individual’s nose. During the surgery, the underlying structures of the nose are modified to correct abnormalities and restore facial harmony. While many plastic surgeons offer rhinoplasty to their patients, few of them perform this challenging surgery with the same level of skill and expertise as facial plastic surgeon Dr. Milgrim, who was selected ten times by his peers to Castle Connolly’s Top Doctors annual list.

Specializing in facial plastic surgery for over twenty five years, Dr. Milgrim developed sophisticated, highly accurate surgical techniques leaving you with a more natural and appealing nose. Unlike other specialists, Dr. Milgrim reconstructs each nose to uniquely fit the contours of your face. With attention to precision and detail the surgeon helps you achieve your desired Rhinoplasty results. Dr. Milgrim specializes in all forms of Rhinoplasty and his procedures are designed to address functional issues and create/maintain strong structural foundation to ensure long term results.

  • WATCH VIDEO - A PATIENT’S INCREDIBLE TRANSFORMATIONWatch a patient’s incredible transformation

Benefits of a Nose Surgery

Rhinoplasty is known to be one of the most complex and demanding forms of facial plastic surgery. When performed by a specialist, it can improve overall appearance as well as address nasal conditions:

  • Correction of breathing difficulties, such as inadequate airflow
  • Treatment of sleep apnea and other breathing disorders
  • Decrease in sinus infections / sinusitis
  • Reduction of bulbous nasal tip and bridge
  • Boost to patients’ self-confidence

What is “The Natural Nose”?

The nose serves as both a vital organ and an important aesthetic feature. During Dr. Milgrim’s training with some of the most well-known plastic surgeons in New York, he observed that nearly all rhinoplasties were cookie-cutter procedures, shaping one type of nose for all patients. Since these noses do not look right on any face, he started to develop his own techniques that allow him to give patients the appearance of “unoperated” noses.

Over the past twenty years, Dr. Milgrim’s commitment to sculpting the “Natural Nose” has gained him national and international recognition. With each surgery that he performs, Dr. Milgrim strives to create a nose to bring balance to the entire face without erasing the natural or ethnic attributes of the nose. His Natural Nose blends the nose with other features of the face, producing a look that is uniquely suited to each patient. Unlike other surgeons who even these days sculpt the same nose over and over again, Dr. Milgrim ensures individualized results.

His experience allows him to incorporate techniques that are less common. For instance, Dr. Milgrim tries to avoid using grafts to alter the shape of the nose. Grafts tend to leave a noticeable hard look that makes it obvious someone has had a nose job – read more about grafts below. He also tries to minimize tissue rearrangement as part of surgery and works through the smallest incisions possible.


In efforts to decrease healing time, Dr. Milgrim includes the usage of minimal grafting. When absolutely necessary, he expertly borrows existing ear cartilage to supplement your nose with the required boost of support without creating an overly altered appearance. Dr. Milgrim sutures the graft into position. Utilizing natural cartilage from your own body serves to enhance and correct irregularities of the nose safely. He only opts for the usage of grafts when the implementation will most likely prove positive and desirable results, typically in revision rhinoplasty cases.

    at Dr. Milgrim’s Office

Open vs Closed Rhinoplasty

While Dr. Milgrim is experienced in both open and closed rhinoplasty procedures to reshape your nasal tip, it should be addressed 90% of his rhinoplasty cases are closed vs. open, meaning incisions will be internal. An open nose surgery consists of an incision along the soft tissue between your nostrils, whereas a closed rhinoplasty places incisions within your nose, reducing visible scarring.

Seeing women and men for rhinoplasty in Ridgewood and Teaneck (Bergen County, NJ) offices, Dr. Milgrim will explain to you during your consultation what are the advantages of each surgical approach and what would be his recommended approach for your nose. Open rhinoplasty is needed in certain cases where it would produce a more precise alteration of your nasal shape than with closed rhinoplasty. Closed rhinoplasty lends to quicker healing time and no visible scarring because of its less invasive nature. Both techniques have their benefits, and based on Dr. Milgrim’s experience, most rhinoplasties can be performed through a closed technique. Patients travel to Dr. Milgrim from other states and countries due to his ability to deliver a scarless nose / minimization of post-operative scars. Depending on the look you would like to achieve, he will work with you to develop an individualized treatment plan for your specific cosmetic procedure.

Ethnic Noses

Regardless of your ethnicity, a visit to our office guarantees exceptional results designed to fit your unique needs and appearance. The size, structure, characteristics and details of your nose make you who you are and Dr. Milgrim does his best to preserve these characteristics while addressing cosmetic concerns you point out. He understands how important your ethnic features are to you and works to maintain your natural appearance out of respect for your heritage.

Before, During and After Your Rhinoplasty Procedure

  • Before: Dr. Milgrim will provide you with a surgical plan and guidelines to optimize results – such as avoiding certain medications, vitamins, supplements, and smoking. His office staff will help you prepare for surgery – stock up on certain prescriptions, lip balm, beverages, and Arnica Montana. You should have a friend or family member accompany you to surgery and arrange for transportation back home.
  • During: After the patient is properly anesthetized, Dr. Milgrim views the internal structure, modifies the bone, cartilage, and/or tissues to achieve the desired result. After this, he repositions tissues and skin and closes any internal or external incisions that were made. While most rhinoplasty procedures range from 3-4 hours, Dr. Milgrim prides himself on his average surgery time being roughly one hour. His approach of lowering surgical time decreases trauma and speeds up the recovery process.
  • After: Dr. Milgrim’s patients tend to describe the recovery process as being uncomfortable, rather than painful. There will be some amount of swelling and bruising, so many patients prefer to remain at home for the first several days. After three days, pain is decreased severely, with swelling and bruising over after one week. Most of his patients take 1–2 weeks maximum off of work or school to recover from rhinoplasty. Splints and/or sutures are usually removed within one week, at which point the individual will begin to get an idea about the result of their surgery. It often takes 6-12 months for the nose to take its final post-operative shape.

Watch Our Patient’s Rhinoplasty Video Journal

  • WATCH VIDEO - Milgrim Plastic Surgery: Meet Karin - Pre-Op Natural Nose RhinoplastyBefore the ProceDure
  • WATCH VIDEO Diary: KarinDay 2 after the procedure
  • WATCH VIDEO Diary: Karin Pt. 2Day 3 after the procedure
  • WATCH VIDEO Diary: Karin Pt. 3Day 4 after the procedure

Why Choose Dr. Milgrim for Your Rhinoplasty Procedure?

Highly trained in the art of nasal reconstruction and an expert in the field of Rhinoplasty procedures, Dr. Milgrim is considered one of the best facial plastic surgeons in NJ. His expertise and advanced techniques allow him to minimize scars, bruising and swelling. There are a few surgeons in NJ and NY that matches his training, skills, and experience in closed rhinoplasty. His bedside manners and friendly, non-judgmental, approachable personality make patients feel comfortable to consult with him privately and take the journey together toward a beautiful, highly-customized nose.

Please email or call Milgrim Plastic Surgery for a complimentary consultation with Dr. Milgrim.

Dr. Milgrim often sees patients who come to his Bergen County offices from communities such as Ridgewood, Wayne, Paramus, Alpine, Tenafly, Demarest, Cresskill, Englewood, Fort Lee, Closter and Upper Saddle River. Call or email Dr. Milgrim’s office today 201.357.4702 for your complimentary consultation.

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