Introduction
A deviated nose can cause not only aesthetic concerns but also functional issues such as breathing difficulties. In New York City, there are numerous hospitals and medical facilities that offer high - quality deviated nose correction procedures. Here, we present a carefully selected list of 5 hospitals renowned for their expertise in this field.
1. Mount Sinai - New York
Expertise and Reputation
Mount Sinai is a well - established tertiary hospital in New York City. Its division of facial plastic and reconstructive surgery has a stellar reputation for rhinoplasty (nose surgery), including the correction of deviated noses. The facial plastic surgeons at Mount Sinai are double - board certified in facial plastic and reconstructive surgery and otolaryngology (ear, nose, and throat). Their vast expertise in nasal function and aesthetics ensures that patients not only get an improved - looking nose but also better breathing.
Procedures Offered
- Primary Rhinoplasty: This is performed for the first time to address cosmetic concerns and/or nasal breathing problems caused by a deviated nose. The surgeons at Mount Sinai carefully modify the bone and cartilage of the nasal framework through concealed incisions. For example, they sculpt and smooth the upper portion of the nose bone and reshape the lower - portion cartilage to bring all dimensions of the nose into harmony.
- Revision Rhinoplasty: In cases where a previous nose surgery has resulted in concerns or deformities, Mount Sinai's surgeons use their skills to address these issues. They employ various techniques to correct the problems and achieve a more satisfactory outcome.
- Open and Closed Rhinoplasty:
- Closed (Endonasal) Rhinoplasty: All incisions are made inside the nose, resulting in no external scar and a relatively shorter operation time. This approach is suitable for patients who require less extensive changes.
- Open (External) Rhinoplasty: A small incision is added at the base of the nose to increase the surgical field of vision. This allows for more complex alterations and grafting, making it ideal for more significant corrections.
Multidisciplinary Approach
Mount Sinai patients have access to a wide range of specialists and subspecialists. For patients with specific concerns related to nasal breathing, 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 and neck institute. In some cases, combined surgeries can be performed to provide comprehensive care.
Patient Care
Patients interested in deviated nose correction at Mount Sinai start with an extensive consultation. The surgeons develop an individualized treatment plan based on the patient's concerns and goals. Rhinoplasty surgery is usually performed on an outpatient basis under general anesthesia or a combination of local anesthesia and sedation. Before and after surgery, patients receive detailed instructions on medications and recovery. The majority of swelling subsides within the first two weeks, and patients can typically return to work or school within one to two weeks after surgery.
2. Stephen M. Warren, MD
Surgeon's Qualifications
Dr. Stephen M. Warren is a board - certified plastic surgeon specializing in aesthetic and reconstructive facial surgery. He trained in plastic surgery at Harvard and completed his specialty training in craniofacial surgery at NYU Langone Medical Center. He is also a tenured associate professor of plastic surgery at NYU Langone Medical Center and has an outstanding academic and professional background.
Rhinoplasty Techniques
Dr. Warren offers a variety of rhinoplasty techniques. He can use either a closed or an open technique depending on the patient's needs. For patients seeking smaller changes in their nose, the closed technique (incisions limited to inside of the nostrils) may be sufficient. When larger or more complicated changes are required, the open technique (incision across the columella) is used. He also frequently uses septal extension grafts, tip grafts, spreader grafts, ala rim grafts, and columella grafts to achieve the desired results.
Benefits of Treatment
Patients who undergo rhinoplasty with Dr. Warren can expect several benefits. The surgery can reshape a poorly defined, uneven, and wide nasal tip, increase the projection of a droopy nasal tip, improve the symmetry of the ala rims and bases, and change the size and/or shape of the nostrils. It can also straighten a deviated columella, elongate a short columella, and correct a crooked or wide nose. Additionally, rhinoplasty can relieve nasal airway obstruction by straightening a deviated nasal septum and reducing enlarged turbinates.
Recovery and Results
After surgery, a splint is placed on the nose, and patients need to stay out of the limelight for about 1 week. They can gradually return to normal activities over the next 3 weeks. After 8 weeks, the nasal bones and cartilage will have knitted together, and unrestricted activities can be resumed. It takes about a year for the nose to settle into its final contour as minor residual swelling resolves and the skin envelope continues to contract.
3. NYU Langone Health
Specialized Teams
NYU Langone has a team of otolaryngologists who specialize in head and neck surgery and plastic and reconstructive surgeons. These professionals work together to provide comprehensive treatment for deviated noses. Their combined expertise allows them to address both the functional and aesthetic aspects of nose correction.
Procedures for Deviated Nose
- Septoplasty: This procedure is used to center the septum, creating two nasal passages of the same size. By straightening or repositioning the deviated section of the septum, it corrects any airflow disturbance. The surgeon makes an incision in the tissue lining the septum and may remove small pieces of damaged cartilage or bone if necessary.
- Septorhinoplasty: If an injury is the cause of a nasal obstruction or if septoplasty changes the appearance of the nose, NYU Langone surgeons perform septorhinoplasty. They correct the position of the septum and address other structural problems. For example, if the area between the septum and the bridge of the nose is too narrow, they may widen it to improve breathing. Surgeons may also remove cartilage from the septum and place it in other areas to improve both breathing and the shape of the nose.
- Submucosal Resection: In this procedure, a surgeon removes small sections of the septum, the turbinates, or both to open the nasal passages. They access the septum or turbinates through the nostrils and make a small incision in the layer of soft tissue lining the nasal passage. This allows them to remove portions of the underlying bone structure without disturbing the outer layer of tissue that helps keep the nasal passages hydrated.
- Turbinate Outfracture: Along with submucosal resection or laser procedures, surgeons may permanently reposition the turbinates to provide more space in the nasal passages. This involves breaking the thin bones of the turbinates to reposition them.
Minimally Invasive Approach
NYU Langone uses minimally invasive techniques for these procedures. Most surgeries are performed in an outpatient setting, allowing patients to return home on the same day. However, since the procedures are performed under general anesthesia, patients need to arrange for someone to accompany them home.
4. Dr. David Cangello (Cangello Plastic Surgery)
Septoplasty Expertise
Dr. David Cangello is well - known for his expertise in septoplasty, a surgical procedure to correct a deviated nasal septum. He tailors each septoplasty to the individual patient's unique anatomy. The septoplasty procedure generally involves making an incision on the lower portion of the septum and working through the nostrils to access the bone and cartilage.
Procedure Steps
Most septoplasty procedures at Cangello Plastic Surgery are comprised of five steps. First, the surgeon exposes the deviated septum by making an initial incision. Then, the internal structures causing angulations are identified and released. Next, the septum is realigned. If appropriate, crushed cartilage is reimplanted. Finally, the incision is closed. Dr. Cangello will also temporarily stabilize the septum with a splint, small plastic tubes, or internal sutures.
Candidate Selection
Septoplasty at Cangello Plastic Surgery is typically indicated for individuals with recurrent rhinitis, a deviated septum, or other chronic sinusitis. It can also be performed to alleviate recurrent epistaxis (nosebleeds) due to septal impaction or septal spur. However, patients presenting with acute sinus or nasal infection, untreated diabetes, bleeding diathesis, or severe hypertension are not candidates for the procedure.
Risks and Recovery
Septoplasty is a common surgical procedure with a very low risk of complications. Rare complications such as bleeding, septal hematoma, septal perforation, and hyposmia (decreased sense of smell) have been reported. During recovery, patients can experience mild to moderate tenderness or pain at the front of the nose, as well as stuffiness due to swelling. Nasal drainage of blood and mucous is also common. Swelling and congestion inside the nose usually last between two and three days, and drainage may continue for up to five days. Full recovery generally takes one to two months.
5. Dr. Adam R. Kolker (Dr. Kolker's Practice)
Comprehensive Rhinoplasty
Dr. Adam R. Kolker, a board - certified NYC plastic surgeon, offers comprehensive rhinoplasty services for deviated nose correction. He takes a meticulous approach, considering facial harmony and balance. His goal is to provide results that are both aesthetically pleasing and natural - looking, never looking “done”.
Customized Treatment Plans
During the consultation, Dr. Kolker performs a thorough examination of the nose and face. He uses digital photography and imaging software to help patients precisely articulate and define the appearance they are seeking. He formulates a personalized treatment plan based on the patient's unique anatomical features and desires. His rhinoplasty can address various structural issues such as dorsal hump, nasal width, asymmetry, prominent nasal tip, drooping nasal tip, post - traumatic deformities, and nasal airway problems.
Open vs. Closed Rhinoplasty
Dr. Kolker offers both open and closed rhinoplasty techniques. The closed rhinoplasty may be more beneficial for minor changes and allows for a shorter surgery and recovery. The open rhinoplasty approach is used when more extensive structural modifications are required. He carefully selects the most appropriate technique based on the patient's specific needs.
Recovery and Aftercare
After rhinoplasty at Dr. Kolker's practice, patients are cared for in the recovery room by registered nurses. They can go home with a friend or relative once they are fully awake and comfortable, usually one to two hours after the completion of surgery. In the first 48 hours, patients are recommended to sleep on their back in an elevated position and apply cold compresses and light ice packs to minimize bruising and swelling. The primary swelling resolves in about one week, and most patients can return to work or school around this time. The final results become evident approximately six to twelve months after rhinoplasty.
Conclusion
In New York City, these five hospitals and practices offer a wide range of services for deviated nose correction. Whether you are looking for a more aesthetically - focused rhinoplasty or a functional correction of nasal breathing problems, they have the expertise and experience to meet your needs. Each of these institutions has highly qualified surgeons, advanced techniques, and a patient - centered approach to ensure the best possible outcomes.
If you are considering deviated nose correction, we encourage you to schedule a consultation with one of these hospitals or practices. Discuss your concerns and goals with the surgeons, and they will be able to guide you through the process and help you make an informed decision. Share this article with others who may be interested in deviated nose correction, and explore other related topics on nasal health and plastic surgery to gain more knowledge.
