The Editorial Journal

Notes from the practice.

Long-form articles on facial plastic surgery, nasal and sinus medicine, and the considered work of the Manhattan practice — written and reviewed by Dr. Moustafa Mourad, MD, FACS.

Recent

Published in the last three months.

Nose · Featured

Why the First Rhinoplasty Matters

The first operation works on the cleanest anatomy a surgeon will ever see. A look at why restraint, support, and an unhurried consultation set up a durable result — and reduce the odds of needing revision.

June 9, 20266 min read

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Nose

Why Some Rhinoplasties Look Natural and Others Look Operated

The difference between a natural result and an operated one is rarely about size. It is about proportion, preserved support, function, and how the nose heals over the months after surgery.

June 8, 20266 min

Pencil-sketch cross-section of nasal cartilage showing scarred and rebuilt support

Nose

What Scar Tissue Means in Revision Rhinoplasty

Scar tissue is the single biggest reason revision rhinoplasty is less predictable than a first operation. It changes dissection, swelling, contour, and timing — and it shapes how a surgeon plans the repair.

June 6, 20266 min

Pencil-sketch illustration of cartilage graft sources used in rhinoplasty

Nose

Cartilage Grafts in Rhinoplasty: What They Actually Do

Cartilage grafts are one of the most misunderstood parts of nose surgery. They are not filler — they are structural support used to straighten, reinforce, camouflage, and rebuild.

June 4, 20266 min

Pencil-sketch cross-section of the nasal airway showing valves and septum

Nose

Why Breathing Can Improve or Worsen After Rhinoplasty

The nose is an airway as much as a feature. Whether breathing improves or worsens after rhinoplasty depends on how the septum, valves, and structural support are handled.

June 2, 20265 min

Pencil-sketch of a calm consultation between patient and surgeon

Nose

Questions to Ask Before Choosing a Rhinoplasty Surgeon

A good consultation is a two-way evaluation. These are the questions that reveal whether a surgeon understands the nose as both a feature and an airway — and whether their experience fits your case.

May 31, 20265 min

Face

Choosing the Right Time of Year for Facelift Surgery in NYC

Calendar planning is often under-discussed in surgical consultations. A practical look at how seasonality, sun exposure, and the city's social calendar can shape facelift timing.

May 15, 20267 min

Pencil-sketch dual study showing the internal septum on the left and refined external dorsum on the right

Nose

Septoplasty vs. Rhinoplasty: Functional Surgery, Aesthetic Surgery, and When They Overlap

Two operations on the same anatomy with different goals — and how a dual-trained surgeon plans them as a single system when both are needed.

April 22, 20268 min

Pencil-sketch still-life of a physician's desk with endoscope, CT film, and chart

Sinus

What to Expect at a Sinus Surgery Consultation on Fifth Avenue

A walkthrough of what actually happens during a sinus consultation — from history-taking and endoscopy to imaging review and the decision tree that follows.

April 3, 20266 min

Earlier writing.

Nose
Preservation Rhinoplasty Philosophy: What It Means for Modern Nose Surgery
March 12, 2026