Noah Sands, MD, Facial Cosmetic & Reconstructive Surgery

There’ll be no bad days (gentle reminder we only have so many turns around the sun 🌞).

One of the best parts of my job is the ability to regularly work with the Mount Sinai Facial Plastic Surgery Fellow (who has completed residency, and is voluntarily pursuing additional training in Plastics for a year.) is a remarkably talented, calm, poised and conscientious surgeon. Every case we’ve done together has been value add for both of us. I am extremely proud of him for being offered/accepting an academic position at Emory in Atlanta. They really don’t come better - humble, thoughtful, meticulous, technically gifted, and with a very keen eye. Overall such a great dude (only knock on him is as an Eagle’s fan). I’ve greatly enjoyed working with the fellow each year. I share a small part of the credit with my plastics colleagues and fellowship director . Everyone benefits from JRo’s initiatives in making this one of the more coveted fellowships Nationally.

Love how this one turned out 🫶🏻.

Generally speaking, I suggest this profile appearance to female rhinoplasty patients of mine. A gradual, soft transition to the tip from the bridge. Not a slope, not a straight line, but a gently curved transition from top to tip.

Mount Sinai anti-aging task force 2022. (You can’t choose your work family, but man did I get did I get lucky.) These plastics colleagues inspire me to be a better version of myself, and have become close friends all at once. Looking forward to an even better year ahead.

Out of office (‘oot of office’ in Canadian)

My niece angel Kyra ❤️

A better strong female nose.

Revision rhinoplasty using MTF rib cartilage for a sweet patient (shown 6 months post op). The bridge-tip relationship was altered considerably and nose overall straightened/narrowed.

Rhinoplasty for a class act of a Middle Eastern young man/ university professor. Common features of Middle Eastern noses include prominent bridge, droopy and underprojected tip related to weak cartilage, and wide nostrils. A large number of structural cartilage grafts are generally needed to stabilize and shape the nose. Here, augmentation was also done above the hump to help lengthen the nose.

I aspire to offer world class rhinoplasty surgery for patients. This was a difficult revision for a sweet female patient with a poor outcome from prior surgery in a foreign country. Her own rib cartilage was used to lengthen an overly rotated nose, and add forward projection to a flat tip. Her bony bridge was narrowed, while stabilizing the middle portion.

Do one thing a day that you really enjoy 🙏🏼.

Saddle nose repair for a lady with a heart of gold. Nasal deformity related to a medical condition. Rib cartilage was used to rebuild the nose.

Graceful contour achieved through detailed planning and ex*****on for this young lady.

Honing an already nice nose for a patient with true natural beauty.

I look forward to spoiling you for all the years to come, baby Kyra. I love you already 💕 .

The greatest gift my parents ever gave me was my kid brother. Happy birthday Jer, I would do absolutely anything for you.

I almost never post early post op photos, but this lovely patient wanted me to share her profile at 2 weeks. We both think she looks great! I frequently use a strong stabilizing cartilage graft at the base (caudal septal extension graft) in female rhinoplasty, which allows for long-lasting control and positioning of the tip.

9 months post rhinoplasty result for a very cool patient with a good starting point. All angles appear smooth and graceful, and compliment her pretty face.

Delighted for this pretty young lady, 6 months following rhinoplasty motivated by breathing issues. Her attention to fine detail parallels mine, which called for nearly perfect ex*****on. Given her very thin skin envelope, various camouflage techniques were used (temporalis fascia, finely diced cartilage) to give the nose a soft and smooth finish. The changes are relatively subtle individually, but make a real difference when taken as a whole.

I really try to do good by every patient, evoke change in their life, and make a material difference in their sense of self. I could not be happier for this young gal, who underwent rhinoplasty, chin augmentation with implant, and neck liposuction. I appreciate her permission to share these photos, and more importantly I appreciate her for who she is.

Not underdone, not overdone.

Installing one in the consult room first thing Monday 💭✨🌿🧘‍♂️. (inspo .ovadia )

Revision septorhinoplasty using MTF (cadaveric rib) cartilage. In my view, a gentle/gradual curve leading to a strong tip is ideal for a female profile.

Was really special skiing out West with two of my earliest childhood friends (see photo three as proof that we literally potty trained together). We’ve mostly grown out of the awkward high school phase (photo 4 on a high school Israel trip - numerous f***y packs involved, awkward hair cuts, oversized athleisure, ignore the ci**rs). These friendships are irreplaceable. Other than immediate family, noone understands my past, my idiosyncrasies, or my value system better.

Cleft rhinoplasty for a young man born with cleft lip/palate deformity. Such patients have associated nasal deformities that skew the septum and tip, and distort the nostril on the cleft side (see base view).

Rhinoplasty to correct for various asymmetries and contour irregularities. Tip was deprojected slightly and straightened. Like this male model needed to be better looking! 🤦🏻‍♂️

Asian rhinoplasty (female). The general theme is augmentation of the tip and bridge, typically using rib cartilage, while substantially reducing nostril width. The bridge here was augmented using finely diced cartilage in a dissolvable biological glue graft (DCGG).

Living in three different cities, and with prohibitive border restrictions for nearly two years, made this year’s family holiday time extra meaningful. We just couldn’t get a single photo taken together in the span of a week!

This kind man developed rhinophyma of his nose in his middle-age years, which was a source of undue attention and insecurity. Rhinophyma is a condition in which the glands of the nasal skin thicken and are chronically inflamed. He is 6 weeks following combination treatment with electrodessication (shaving with a heat wand) and laser resurfacing. While still healing, he reports being much more comfortable in his own skin over the holidays.