Closed Rhinoplasty (Nose Surgery). This 17-year-old female patient underwent a closed rhinoplasty. She came to Aristocrat Plastic Surgery unhappy with the shape and size of her nose. Dr. Tehrani recommended a “closed rhinoplasty” procedure for her. In a closed rhinoplasty procedure, only internal incisions are made. This option is usually possible for less extensive cases. Dr. Tehrani uses the closed technique when possible since it results in no visible scars. While open nose surgery does create a scar across the columella, the incision is small, placed under the nose, and becomes virtually unintelligible within a few months. General anesthesia is used for most nose surgeries, but local anesthesia with intravenous sedation may be sufficient in some cases. Dr. Tehrani and our anesthesiologists will help you make the decision that is best for you. With an emphasis on diagnosis and with the aid of cosmetic computerized imaging, Dr. Therani will create a plan to obtain the most satisfying result for you. Dr. Kevin Tehrani, MD, FACS, is certified by the American Board of Plastic Surgery and is a fellow of the American College of Surgeons. He earned his medical degree at SUNY Downstate Medical Center, and currently holds the academic position of Assistant Clinical Professor in the Department of Surgery at SUNY Downstate Medical Center. In addition to his clinical work and unrivaled dedication to his patients, he has presented both nationally and internationally at major medical symposia. Dr. Tehrani has been published in leading peer-reviewed scientific journals, cementing his standing as one of New York’s premier plastic surgeons.