Introduction

New York City is a hub for medical excellence, particularly in the field of plastic surgery. When it comes to combined nasal base and nose tip plastic surgery, also known as rhinoplasty, several hospitals stand out for their expertise, advanced techniques, and patient - centered care. In this article, we will provide a detailed review of the top three hospitals in New York City for this specialized procedure.

Mount Sinai - New York

Expertise and Surgeons

Mount Sinai's division of facial plastic and reconstructive surgery is renowned for its rhinoplasty services. The facial plastic surgeons here are double - board certified in facial plastic and reconstructive surgery and otolaryngology (ear, nose, and throat). Their vast knowledge of nasal function and facial aesthetics ensures that patients not only achieve an improved appearance but also better breathing.

According to the hospital's official information, their surgeons perform both closed (endonasal) and open (external) rhinoplasty. The choice of approach depends on the patient's unique anatomy, functional, and aesthetic goals. The closed approach involves making all incisions inside the nose, resulting in no external scar and a relatively shorter operation time. On the other hand, the open approach adds a small incision at the base of the nose, allowing for better visualization of the nasal anatomy and enabling more complex alterations and grafting.

Multidisciplinary Approach

One of the key advantages of choosing Mount Sinai is its multidisciplinary approach. Patients have access to a wide range of specialists and subspecialists throughout the health system. For patients with specific concerns related to nasal breathing, nasal allergies, sinus disease, or deformity after cancer treatments, the hospital's team works closely with experts in the division of rhinology and sinus surgery and the head - neck institute. This collaborative effort can even lead to combined surgeries when appropriate, providing comprehensive care to patients.

Patient Experience

Before the surgery, patients undergo an extensive consultation to identify areas of concern and review their goals. The surgeons then develop an individualized treatment plan. Rhinoplasty surgery at Mount Sinai is usually performed in an outpatient setting under general anesthesia or a combination of local anesthesia and sedation. Patients are given detailed instructions regarding medications and recovery preparation.

After surgery, the majority of swelling subsides within the first two weeks, although it may take up to a year for all the swelling to fully fade. Most patients can return to work or school within one to two weeks after surgery, but they are advised to avoid strenuous activities for two weeks.

Cost Considerations

Cost is an important factor for many patients. Insurance may cover surgery performed to improve breathing, such as correcting a deviated septum, but it does not cover cosmetic rhinoplasty. Mount Sinai provides patients with expected costs prior to any intervention, ensuring transparency in the financial aspect of the treatment.

New York Group for Plastic Surgery

Surgeon Expertise

The New York Group for Plastic Surgery (NY GPS) has been satisfying patients in the Tarrytown and tri - state areas for over 27 years. Dr. Jordan Jacobs, a prominent surgeon at NY GPS, has received extensive training under globally acclaimed medical leaders and experts. He completed his medical education at Jefferson Medical College in Philadelphia, his residency in reconstruction at NYU, and fellowship training in craniofacial surgery, also at NYU. His association with NY GPS and its academic affiliation with Mount Sinai Doctors reflects his commitment to refining his expertise in the field.

Dr. Jacobs was recently awarded the top doctor title as featured in New York Magazine, which is a testament to his skills and reputation. Patients at NY GPS benefit from his knowledge and experience in performing rhinoplasty surgeries.

Benefits of Rhinoplasty at NY GPS

Rhinoplasty at NY GPS can effectively correct and improve a variety of nasal concerns. It can adjust the nose size in relation to facial proportions, correct nasal asymmetry, modify the width of the nasal bridge, and improve the size, position, or shape of the nostrils. Additionally, it can address issues such as a bulbous, droopy, hooked, or upturned nasal tip, visible bumps or depressions on the bridge of the nose, nasal disfigurement due to injury or trauma, and functional defects like a deviated septum.

Many patients also choose to combine rhinoplasty with other facial cosmetic procedures such as facelifts, brow lifts, ear shaping, and eyelid surgery at NY GPS. This offers the advantage of a single recovery period and an overall improvement in facial appearance.

Procedure and Recovery

The rhinoplasty surgery at NY GPS is a highly personalized and complicated procedure. The surgeon designs a medical program tailored to the patient's specific needs based on their facial structure and the overall goals for the procedure. It is performed on an outpatient basis at the on - site surgical facility, allowing patients to recover in the comfort of their own home.

There are two surgical techniques used: open rhinoplasty and closed rhinoplasty. The choice depends on the patient's concerns. Closed rhinoplasty, or endonasal rhinoplasty, involves making incisions inside the nose, eliminating visible external scarring. It is suitable for patients who only require minor alterations to their nasal structures. Open rhinoplasty, on the other hand, involves making a small incision on the exterior of the nose below the nasal tip. This approach provides better access to the bones and cartilage of the nose and is typically used for more extensive nose reshaping.

Recovery from rhinoplasty at NY GPS requires following the surgeon's pre - operative and post - operative instructions carefully. Most patients can return to light activities, including work, after about one full week of healing. However, they must wait for the surgeon's approval before resuming strenuous activities, such as exercising, which usually takes about four to six weeks. The results of the surgery start to become apparent after about one to two weeks of recovery, but it may take several months to a full year for the final results to be visible due to residual swelling.

Cost Factors

The cost of rhinoplasty at NY GPS is influenced by several factors. Insurance coverage plays a significant role. Reconstructive surgeries to correct injuries or serious health issues may be partially covered, while cosmetic rhinoplasty procedures are typically not covered. The complexity of the procedure also affects the cost. Revision rhinoplasty, which involves correcting a previous surgery, is more complex and expensive than primary rhinoplasty. The type of anesthesia used, the location of the surgeon's practice, and the surgeon's experience and reputation are other factors that contribute to the overall cost. Additionally, there are pre - operative appointments, operating fees, and post - operative care expenses that patients need to consider.

Dr. Barry Weintraub's Practice

Surgeon's Profile

Dr. Barry Weintraub is a board - certified plastic surgeon who is Ivy League educated at the Weill - Cornell Medical Center. He is a national spokesperson for the American Board of Plastic Surgery and has more than two decades of experience. In his surgical prime, he has a mature aesthetic judgment and a keen eye for natural beauty. His extensive experience makes him a sought - after surgeon for rhinoplasty in New York City.

Rhinoplasty Offerings

Dr. Weintraub performs both functional and cosmetic rhinoplasty. Functional rhinoplasty focuses on correcting breathing problems such as nasoseptal deviation, turbinate hypertrophy, and middle - vault collapse. These issues are often insurance - reimbursable and can be addressed simultaneously with cosmetic changes. Cosmetic rhinoplasty aims to correct aesthetic problems such as a hump or bump on the nose, a bulbous or ill - defined tip, a plunging tip upon smiling, a too - wide or too - flat bridge, and nostrils that are too big, small, or wide.

He has expertise in both closed and open rhinoplasty techniques. Primary rhinoplasty can often be performed using the closed approach, while secondary or tertiary rhinoplasties, which may require sophisticated grafting and manipulation, are often corrected using the open approach. Dr. Weintraub particularly enjoys performing complex secondary and tertiary rhinoplasties and has helped many patients who were dissatisfied with the results of prior surgeries.

Patient Consultation and Care

Dr. Weintraub emphasizes the importance of a proper consultation. When choosing a plastic surgeon for rhinoplasty, patients should check for board certification by the American Board of Plastic Surgery, ensure that the physician attends a major hospital and is in good standing, confirm their reputation among other medical professionals, and speak to the surgeon's patients who have undergone similar procedures.

During the consultation, Dr. Weintraub takes the time to listen to the patient's concerns and develop a trusting relationship. He prefers his rhinoplasty patients to be in a comfortable state of twilight sleep during the procedure, ensuring a smooth and comfortable experience. He insists on the most sterile conditions in his New York City operating room, with board - certified anesthesiologists and state - of - the - art monitoring equipment.

After surgery, there is usually a short period of minimal swelling and sometimes bruising. Dr. Weintraub provides detailed post - operative instructions, including the use of a heat - sensitive splint to hold the delicate nasal structures in place. He does not use uncomfortable and outdated nasal packing but prefers modern inflatable splints. He also advises patients on when they can return to their normal lifestyle and exercise routine.

Patient Selection and Criteria

The best candidates for rhinoplasty with Dr. Weintraub are well - balanced, in good general health, and have realistic expectations. They should be highly motivated to make the change, be able to pause their daily responsibilities for the procedure, and have the financial means to afford the elective cosmetic surgery. For out - of - town or overseas patients, he advises a two - night post - operative stay and can arrange special reduced - rate hotel accommodations and a private nurse if needed.

Comparative Analysis

Conclusion

In conclusion, Mount Sinai - New York, the New York Group for Plastic Surgery, and Dr. Barry Weintraub's practice are among the top choices in New York City for combined nasal base and nose tip plastic surgery. Each of these institutions offers unique advantages, whether it's the multidisciplinary approach at Mount Sinai, the surgeon's reputation and personalized treatment at NY GPS, or Dr. Weintraub's expertise in complex rhinoplasties.

If you are considering rhinoplasty, we encourage you to do further research, schedule consultations with the surgeons at these hospitals, and discuss your goals and concerns in detail. By making an informed decision, you can achieve the desired results and improve both the appearance and functionality of your nose. Remember to take your time, ask questions, and choose the option that best suits your needs.