Introduction
Columella strut implantation is a crucial procedure in rhinoplasty, which can greatly impact the appearance and function of the nose. In New York City, a hub of medical excellence, there are numerous doctors skilled in this area. This article aims to provide a comprehensive high - score inventory of doctors for columella strut implantation in New York City, taking into account various factors such as their expertise, experience, patient satisfaction, and success rates.
Understanding Columella Strut Implantation
The columella is the central part of the nose that separates the nostrils. Columella strut implantation is a surgical technique used to support and reshape the nasal tip. It can correct issues such as nasal tip under - projection, retracted columella, and under - rotated tip. This procedure is often combined with other rhinoplasty techniques to achieve the best aesthetic and functional results.
As stated in "The hump columellar strut: a reliable technique for correction of nasal tip underprojection," nasal tip under - projection is a common issue in rhinoplasty cases, whether due to congenital or post - traumatic deformity. The use of a columellar strut harvested from the autologous nasal bone and cartilage of the resected hump can be an effective solution. In this study, 15 cases with major tip projection or misalignment abnormalities were treated with this technique, and all patients showed improvement in tip projection, which was maintained over time.
Factors Affecting Doctor Rankings
Expertise and Training
Doctors who have specialized training in rhinoplasty and related fields are more likely to perform columella strut implantation successfully. For example, Dr. Richard Westreich, a double - board - certified facial plastic surgeon at New Face NY, completed his postgraduate training in facial plastic surgery and otolaryngology at the prestigious Mt. Sinai Hospital in New York City. His specialized training equips him with in - depth knowledge of nasal anatomy and advanced surgical techniques.
Another example is Dr. Jordan Jacobs of the New York Group for Plastic Surgery. He received his medical education at Jefferson Medical College in Philadelphia, completed his residency in reconstruction at NYU, and pursued fellowship training in craniofacial surgery at NYU. His extensive training under globally acclaimed medical leaders and experts makes him well - versed in rhinoplasty procedures, including columella strut implantation.
Experience
Experience plays a vital role in any surgical procedure. Doctors with a long - standing practice in rhinoplasty have likely encountered a wide range of cases and can handle unexpected situations more effectively. Dr. Maurice M. Khosh, who is vastly experienced in treating patients with saddle nose deformity and other nasal issues, can draw on his experience to perform columella strut implantation with precision. He is well - versed in all techniques for nasal reconstruction, including using various graft materials such as cartilage from the ear and the rib, and bone grafts from the skull.
Patient Satisfaction
Patient satisfaction is a key indicator of a doctor's performance. Doctors who prioritize patient communication, understand their expectations, and achieve satisfactory results are highly regarded. Reading patient reviews and testimonials can provide valuable insights into a doctor's bedside manner and the quality of care they provide. For instance, Dr. Westreich's patients have praised his ability to listen to their concerns and achieve natural - looking results. One patient said, "The work he has done on my rhinoplasty is everything I wanted. I did not want my nose to look like it had any work done, I just wanted to reduce the size in certain areas. He really listened to everything I wanted."
Success Rates
The success rate of columella strut implantation procedures performed by a doctor is an important factor. Success can be measured by the improvement in nasal appearance, function, and the long - term stability of the results. A doctor with a high success rate is more likely to be recommended by colleagues and trusted by patients. The study in "The hump columellar strut: a reliable technique for correction of nasal tip underprojection" reported that all 15 patients treated with the described technique showed improvement in tip projection, and no graft reabsorption, infection, or extrusion were observed during the follow - up period, indicating a high success rate for this particular approach.
Top Doctors for Columella Strut Implantation in New York City
Dr. Richard Westreich
Dr. Westreich is a well - known facial plastic surgeon in New York City. His sculptural rhinoplasty techniques, many of which he pioneered, are based on the vision of an artist. He focuses on creating natural proportions and ensuring that the results appear as if the patient was born with them. In rhinoplasty procedures, which often involve columella strut implantation, he curates the treatment plan based on the patient's unique cosmetic concerns, functional needs, and long - term expectations. His use of Exparel for pain management also contributes to a better patient experience during recovery.
Dr. Jordan Jacobs
Dr. Jacobs at the New York Group for Plastic Surgery has a strong academic background and extensive training in craniofacial surgery. He is dedicated to refining his expertise in the field. When it comes to columella strut implantation, he can design a personalized medical program based on the patient's facial structure and goals. The group has a reputation for producing beautiful and natural - looking results, and Dr. Jacobs' patients have reported high levels of satisfaction with their rhinoplasty outcomes.
Dr. Maurice M. Khosh
Dr. Khosh has a wealth of experience in treating complex nasal deformities, including saddle nose deformity. His knowledge of different grafting techniques and his ability to tailor the reconstructive options to each patient make him a top choice for columella strut implantation. He uses computer imaging during the consultation to communicate clearly with the patient about the intended outcome of the nasal reconstruction, which helps manage patient expectations.
Comparing the Doctors
| Doctor | Expertise and Training | Experience | Patient Satisfaction | Success Rates |
|---|---|---|---|---|
| Dr. Richard Westreich | Double - board - certified in facial plastic surgery and otolaryngology, trained at Mt. Sinai Hospital. Pioneered many sculptural rhinoplasty techniques. | Years of experience in rhinoplasty, with a large patient base. | High patient satisfaction, patients praise his listening skills and natural - looking results. | Based on patient testimonials and successful cases, has a high success rate in rhinoplasty, including columella strut implantation. |
| Dr. Jordan Jacobs | Medical education at Jefferson Medical College, residency at NYU, and fellowship training in craniofacial surgery at NYU. | Part of a well - established plastic surgery group with years of practice. | Positive patient reviews, noted for his professional and caring approach. | Achieves satisfactory results in rhinoplasty procedures, which is likely reflective of a good success rate for columella strut implantation. |
| Dr. Maurice M. Khosh | Experienced in treating complex nasal deformities, knowledgeable about various grafting techniques. | Long - standing practice in nasal reconstruction, treating a wide range of patients. | Patients trust his expertise, especially in difficult cases. | High success rate in treating nasal deformities, which implies reliable results in columella strut implantation. |
The Procedure of Columella Strut Implantation
The procedure of columella strut implantation typically involves several steps. First, anesthesia is administered, which can be local, general, or intravenous sedation, depending on the patient's needs and the complexity of the surgery. Incisions are then made, either within the nostrils (closed rhinoplasty) or across the columella (open rhinoplasty). The nasal skin is then raised to access the underlying structures.
The columellar strut, which can be made from various materials such as autologous nasal bone and cartilage (as described in the previous study), is trimmed to the appropriate size and shape. It is then placed between the medial crura and fixed using sutures. In some cases, additional procedures may be performed simultaneously, such as correcting a deviated septum or reshaping the nasal tip.
After the necessary changes are made, the nasal skin is redraped, and the incisions are closed. The patient is then monitored during the recovery period, which may involve swelling, bruising, and other normal postoperative symptoms. The use of pain - relief medications and proper after - care instructions are crucial for a smooth recovery.
Recovery and After - Care
Recovery after columella strut implantation is an important phase. As in other rhinoplasty procedures, patients can expect swelling and bruising around the eyes and nose. Dr. Westreich uses Exparel to provide pain relief for up to three days post - surgery, which reduces the need for narcotics and enables a quicker recovery. Patients usually go home with a splint on their nose for about a week.
During the recovery period, patients are advised to use a saline nasal spray to keep the nostrils moist and a decongestant spray to keep the nasal airway open. Applying ointments on the incision lines and steroid cream can help with healing and reduce inflammation. Taking arnica and bromelain caplets can reduce bruising, and eating a diet rich in antioxidants, vitamins C and E, and protein can support the healing process. Patients should also avoid strenuous exercise for 2 - 3 weeks and sleep with their head elevated for the first 3 - 5 days.
Potential Risks and Complications
As with any surgical procedure, columella strut implantation carries some risks and complications. These can include specific risks from anesthesia administration, such as allergic reactions or respiratory problems. Excess bleeding during or after the surgery is also a possible complication. The collapse of the nasal structure may occur if the strut is not properly placed or if there is insufficient support. Scarring can be a concern, especially in open rhinoplasty where an external incision is made. Additionally, the results may be different from the patient's expectations, which can lead to dissatisfaction.
However, these risks can be minimized by selecting a highly skilled and experienced doctor. Doctors with a good track record are more likely to anticipate and manage potential complications effectively.
Conclusion
In New York City, there are several top - notch doctors for columella strut implantation. Dr. Richard Westreich, Dr. Jordan Jacobs, and Dr. Maurice M. Khosh stand out for their expertise, experience, patient satisfaction, and success rates. When considering columella strut implantation, patients should carefully evaluate these factors and choose a doctor who best suits their needs and expectations.
If you are considering columella strut implantation or other rhinoplasty procedures, we encourage you to schedule a consultation with one of these highly - recommended doctors. By doing so, you can take the first step towards achieving the aesthetic and functional improvements you desire for your nose. Remember, a well - informed decision is the key to a successful surgical outcome.
