Closed Rhinoplasty (Nose Surgery). Our 22-year-old female patient underwent a closed rhinoplasty. She came to Aristocrat Plastic Surgery feeling unhappy about the hump in her nose. In her consultation with Dr. Tehrani, he 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 became Chief Resident in General Surgery during his residency at New York’s Beth Israel Medical Center. Dr. Tehrani holds the academic position of Assistant Clinical Professor in the Department of Surgery at SUNY Downstate Medical Center, and proudly served as a Lieutenant Commander in the Naval Reserves Medical Corps. In addition to his clinical work and unrivaled dedication to his patients, he works to further the field and 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.