View Our Patient Results on Instagram
David L. Cangello, M.D., F.A.C.S. is a board-certified plastic surgeon specializing in rhinoplasty and facial plastic surgery. His credentials, experience, and recognition set him apart as one of New York City’s premier nose surgery specialists.
Dr. Cangello is highly sought after by major media outlets for his expertise in rhinoplasty and facial plastic surgery. He has been featured on:
Dr. Cangello pioneered the use of Preservation Rhinoplasty in New York City—a cutting-edge technique that preserves as much of your natural nasal structure as possible while achieving your aesthetic goals. He is also regarded as one of the early pioneers of Preservation Rhinoplasty in the United States, helping introduce and advance a technique that surgeons across the country are now actively seeking to learn. In addition to performing this approach, Dr. Cangello lectures on Preservation Rhinoplasty—including recently delivering the scientific lecture to the Department of Plastic Surgery at Manhattan Eye, Ear & Throat Hospital, home to one of the nation’s most prestigious cosmetic surgery fellowships. This approach offers:
He also specializes in Piezo Ultrasonic Rhinoplasty, which uses advanced ultrasonic technology for precise bone reshaping with minimal trauma to surrounding tissues, resulting in:
To further refine bone contours, Dr. Cangello combines Piezo ultrasonic cutting with a powered cylindrical burr, allowing for exceptionally smooth sculpting and detailed shaping that surpass what either tool can achieve alone.
Dr. Cangello’s Component Separation technique carefully separates each of the seven structural components of the nose, modifies them individually, and repositions them in perfect harmony—ensuring results that look natural and integrated with superior long-term stability.
Rhinoplasty is a surgical procedure that reshapes the nose by modifying the bone and cartilage structure beneath the skin. The procedure can address a wide range of concerns—from cosmetic imperfections to functional breathing problems—and often corrects both simultaneously.
Cosmetic Rhinoplasty focuses on improving the appearance of your nose to enhance facial harmony and boost your confidence. Common cosmetic concerns include:
Functional Rhinoplasty addresses structural problems that impair breathing and nasal function. These may include:
Many patients benefit from combined cosmetic and functional rhinoplasty, which simultaneously improves appearance and breathing function in a single procedure.
Rhinoplasty is widely regarded as one of the most technically demanding cosmetic procedures. This is because the nose is central to facial aesthetics, and even small changes in proportion can significantly impact overall facial harmony. The procedure requires not only surgical precision but also an artistic eye to create results that look natural and complement your unique facial features.
Elizabeth’s Story
Jasmine’s Story
Angie’s Story
Concerns: Dorsal Hump, Downward Tip
Concerns: Dorsal Hump, Downward Tip
Concerns: Dorsal Hump, Downward Tip
Your rhinoplasty journey begins with a comprehensive private consultation at Dr. Cangello’s Park Avenue office in Manhattan. During this appointment:
This consultation is your opportunity to ensure you and Dr. Cangello share the same vision for your results. For patients traveling from other parts of the country or abroad, virtual consultations are also available, allowing you to begin the planning process from anywhere.
Rhinoplasty typically takes 2 hours to complete, though complex cases may take longer. Here’s what happens:
Anesthesia: Dr. Cangello uses either general anesthesia or local anesthesia with intravenous sedation, depending on the extent of your procedure and your preferences.
Incision Approach: Dr. Cangello primarily uses an open rhinoplasty approach, which involves:
While a closed rhinoplasty (incisions only inside the nose) is an option, Dr. Cangello prefers the open approach because it allows him to perform his signature Component Separation technique.
Component Separation Technique: The nose is composed of seven separate structural components held together by ligaments. Dr. Cangello carefully separates each component, modifies them individually, and then repositions them in perfect harmony. This approach ensures:
Reshaping the Nasal Structure: Depending on your goals, Dr. Cangello may:
Closure: Dr. Cangello closes all incisions with sutures that either dissolve on their own or are removed within one week. The incision across the columella heals beautifully and becomes nearly imperceptible over time.
Splinting: After surgery, Dr. Cangello applies a splint to maintain the new nasal shape during initial healing. Soft splints may also be placed inside the nose if septoplasty was performed.
After surgery, you’ll spend time in recovery while the anesthesia wears off. You may experience:
Dr. Cangello will provide detailed post-operative instructions and prescribe appropriate pain medication to keep you comfortable during the first few days.
Recovery from rhinoplasty is a gradual process. Understanding the timeline helps you set realistic expectations and plan accordingly.
Rhinoplasty is not one-size-fits-all. Dr. Cangello offers several specialized approaches to meet your unique needs:
Open Rhinoplasty (Dr. Cangello’s Preferred Approach)
Closed Rhinoplasty
Preservation Rhinoplasty is an innovative technique that Dr. Cangello pioneered in New York City. This approach:
Dr. Cangello uses advanced surgical techniques and his artistic eye to determine which structures can be preserved while still achieving your desired results.
Dr. Cangello utilizes Piezo Ultrasonic technology for precise bone reshaping. This advanced technique:
Before
Post-Op Video
Dr. Cangello is sensitive to the unique cosmetic and structural needs of patients from diverse ethnic backgrounds. He specializes in rhinoplasty for patients of:
Ethnic rhinoplasty requires specialized techniques and a deep understanding of how to:
Dr. Cangello’s approach honors your cultural identity while delivering beautiful, natural-looking results that enhance your unique features.
If you’re unhappy with a previous rhinoplasty, revision rhinoplasty can help. Dr. Cangello specializes in complex revision cases and can:
Revision rhinoplasty is more complex than primary rhinoplasty and requires a surgeon with extensive experience. Dr. Cangello’s expertise in complex nasal anatomy makes him an ideal choice for revision cases.
Men often seek rhinoplasty to enhance their appearance while maintaining masculine nasal features. Dr. Cangello understands the unique aesthetic goals of male patients and focuses on:
Many patients seek rhinoplasty not just for cosmetic reasons, but to improve their breathing and nasal function. Dr. Cangello can address multiple structural problems that impair airflow:
Deviated Septum: The septum (wall between nasal passages) is misaligned, blocking airflow. Dr. Cangello can straighten the septum through septoplasty, often combined with cosmetic rhinoplasty.
Collapsed Nasal Valve: The internal or external nasal valve collapses during breathing, restricting airflow. Dr. Cangello can use cartilage grafts or structural modifications to restore proper valve function.
Enlarged Turbinates: These structures inside the nose regulate airflow and humidity. When enlarged, they obstruct breathing. Dr. Cangello can reduce turbinate size to improve airflow.
Nasal Obstruction from Trauma: Previous injury or trauma can cause structural deformities that block breathing. Rhinoplasty can correct these deformities and restore function.
Patients who undergo functional rhinoplasty often report:
When combined with cosmetic rhinoplasty, functional improvements are achieved simultaneously with aesthetic enhancement.
For patients seeking a less-invasive option or wanting to “test drive” changes before committing to surgery, non-surgical rhinoplasty offers an excellent alternative.
Non-surgical rhinoplasty uses dermal fillers (typically hyaluronic acid-based) to temporarily reshape your nose. This in-office procedure can:
Non-surgical rhinoplasty is ideal for patients seeking subtle refinements or those not yet ready for surgery. However, for significant reshaping or functional improvements, surgical rhinoplasty offers permanent, transformative results.
Many patients choose to combine rhinoplasty with other facial procedures for enhanced results and improved facial harmony. Dr. Cangello offers several complementary treatments:
A weak or recessed chin can make your nose appear larger. Chin augmentation using a chin implant or filler can:
A facelift combined with rhinoplasty can:
Eyelid surgery combined with rhinoplasty can:
A neck lift combined with rhinoplasty can:
Septoplasty (straightening a deviated septum) is often combined with cosmetic rhinoplasty to:
Like any surgical procedure, rhinoplasty carries potential risks. However, when performed by a board-certified plastic surgeon like Dr. Cangello, serious complications are rare.
According to the American Society of Plastic Surgeons, potential rhinoplasty complications include:
Dr. Cangello prioritizes patient safety through:
If you’re considering rhinoplasty, your first step is a private consultation with Dr. Cangello at his Park Avenue office in Manhattan. During this appointment, you’ll:
Dr. Cangello believes that informed, confident patients achieve the best outcomes. He takes time to ensure you understand every aspect of your procedure and feel comfortable with your decision.
To make the most of your consultation:
