Introduction
A deviated nose can be both a cosmetic concern and a functional problem, causing breathing difficulties and other issues. In New York City, there are several hospitals and medical facilities renowned for their expertise in deviated nose correction. Whether through septoplasty, rhinoplasty, or a combination of procedures, patients have access to top - notch medical professionals. This article will explore the best options for deviated nose correction in the city, along with detailed information about the procedures, recovery, and associated factors.
Understanding Deviated Nose and Related Conditions
What is a Deviated Septum?
The septum is the wall of cartilage that separates the two nasal passages. When it is bent, crooked, or irregular in shape, it is called a deviated septum. This can occur due to various reasons such as birth trauma, physical injury, or natural development. A deviated septum can lead to a range of problems, including nasal obstruction, difficulty breathing, sinus issues, and in some cases, changes in the appearance of the nose. For instance, a septum that shifts more than 50% towards one side can cause significant breathing problems, and it may also lead to compensatory hypertrophy of the inferior turbinate on the opposite side (Cangello Plastic Surgery).
Common Symptoms of a Deviated Septum
- Nasal congestion: One or both nostrils may feel constantly stuffed up, making it difficult to breathe through the nose.
- Sinus problems: Deviated septums can obstruct the normal drainage of the sinuses, leading to recurrent sinus infections, headaches, and facial pain.
- Nosebleeds: Areas of the deviated septum may be more exposed to dry air, increasing the risk of nosebleeds.
- Snoring and sleep apnea: Breathing difficulties caused by a deviated septum can contribute to snoring and, in some cases, sleep apnea, which can disrupt sleep patterns and affect overall health.
Types of Deviated Nose Correction Procedures
Septoplasty
Septoplasty is a surgical procedure designed to correct a deviated nasal septum. It aims to straighten the partition between the two nasal cavities so that it runs down the center of the nose. This corrective surgery can make breathing easier by improving the airflow through the nasal passages. The procedure is typically done under general anesthesia. The surgeon usually makes an incision on the lower portion of the septum and then works through the nostrils to access the bone and cartilage targeted in the procedure. There are several steps involved in a septoplasty, including exposing the deviated septum, identifying and releasing the internal structures causing angulations, realigning the septum, reimplanting crushed cartilage (if appropriate), and closing the incision. Septoplasty can be performed using a closed or open technique or via an endoscope, depending on the patient's unique anatomy and needs (Cangello Plastic Surgery).
Rhinoplasty
Commonly known as a “nose job,” rhinoplasty is a more comprehensive procedure that can address both the functional and aesthetic aspects of the nose. It can change the shape, size, and projection of the nose, as well as improve nasal breathing for patients with chronic sinus problems or anatomical issues. Rhinoplasty involves modifying the bone and cartilage of the nasal framework. After making carefully concealed incisions, the surgeon sculpts and smooths the bone of the upper portion of the nose and reshapes the cartilage in the lower portion. The nasal septum may also be straightened and reshaped to improve breathing. There are two main types of rhinoplasty: primary rhinoplasty, which is performed for the first time to address cosmetic and/or breathing concerns, and revision rhinoplasty, which is done to correct issues or deformities resulting from prior nose surgeries (Mount Sinai - New York).
Septorhinoplasty
Septorhinoplasty is a combination of septoplasty and rhinoplasty. This procedure is suitable for patients who have a deviated septum and also wish to improve the appearance of their nose. It allows for the correction of both functional and aesthetic problems in a single operation. However, it's important to note that most insurance companies do not cover the fees for the cosmetic aspect of rhinoplasty, even when it is performed in conjunction with septoplasty (Pearlman Aesthetic Surgery).
Top Hospitals and Surgeons for Deviated Nose Correction in New York City
Cangello Plastic Surgery
Dr. David Cangello at Cangello Plastic Surgery is a well - known plastic surgeon in New York City for septoplasty. He tailors each septoplasty procedure to the individual patient, taking into account the unique structure of the septum. Dr. Cangello's approach involves exposing the bony and cartilaginous portions of the septum, freeing the cartilage from its attachments to the bone, removing or repositioning any obstructive cartilage or bone, and realigning the remaining bone and cartilage for structural support. He uses a variety of techniques, including closed, open, and endoscopic approaches, to achieve the best results. The risks associated with septoplasty, such as bleeding, septal hematoma, septal perforation, and hyposmia, are rare when performed by a board - certified plastic surgeon like Dr. Cangello. Patients can expect a recovery period of one to two months, with swelling and congestion typically lasting a few days to a week (Cangello Plastic Surgery).
LM Medical NYC
Dr. Lesley Rabach at LM Medical NYC offers both septoplasty and rhinoplasty for deviated septum repair. Dr. Rabach is double - board certified in facial plastic surgery and otolaryngology - head and neck surgery. If breathing function or treating sinus issues is the main concern, septoplasty can be a suitable option. For those who also desire a new shape for their nose, deviated septum repair surgery can be combined with rhinoplasty. Dr. Rabach's extensive expertise in restoring function and improving the form of the nose has earned her an excellent reputation for rhinoplasty and septoplasty results (LM Medical NYC).
Mount Sinai - New York
At Mount Sinai's division of facial plastic and reconstructive surgery, the facial plastic surgeons are double - board certified in facial plastic and reconstructive surgery and otolaryngology. They perform both closed/endonasal and open/external rhinoplasty, depending on the patient's unique anatomy and functional and aesthetic goals. The surgeons at Mount Sinai are highly experienced in improving both the appearance and the breathing function of the nose. Rhinoplasty at Mount Sinai is designed to create natural, long - lasting results. The hospital also offers a multidisciplinary approach, with access to experts in rhinology and sinus surgery for patients with specific concerns related to nasal breathing, allergies, or sinus disease (Mount Sinai - New York).
Pearlman Aesthetic Surgery
Dr. Steven Pearlman at Pearlman Aesthetic Surgery is a double - board certified otolaryngologist and facial and reconstructive plastic surgeon. He is known for his septoplasty procedures, which are usually performed using a closed, scarless, or endonasal approach. Dr. Pearlman focuses on improving the functionality of the nose while leaving a strong support along the bridge and bottom of the nose, so that the appearance of the nose is not altered. He also uses advanced mirror® 2D and vectra® 3D imaging during consultations to help patients envision the potential changes to their nose. In addition to septoplasty, he can perform septorhinoplasty for patients who wish to improve both the function and appearance of their nose. The recovery period after septoplasty is relatively short, and Dr. Pearlman and his staff closely guide patients through the post - operative care (Pearlman Aesthetic Surgery).
City Facial Plastics
Dr. Gary Linkov at City Facial Plastics in Manhattan offers septoplasty to restore the shape and function of the nasal passages. He is a board - certified facial plastic surgeon with extensive experience in treating all conditions of the nose. Dr. Linkov can perform septoplasty alone or in combination with rhinoplasty based on the patient's preferences. There are different surgical approaches for septoplasty, including closed, open, and endoscopic techniques. Dr. Linkov carefully assesses each patient to determine the most appropriate approach. The risks and complications of septoplasty are carefully explained to patients, and he provides detailed pre - and post - operative instructions to ensure a smooth recovery (City Facial Plastics).
The Klausner Institute
Dr. Lee Ann M. Klausner at The Klausner Institute is a double - board certified plastic surgeon who is an expert in rhinoplasty, including deviated septum repair. She works with patients to develop custom treatment plans tailored to their specific needs and goals. Septoplasty at The Klausner Institute can address both cosmetic and functional issues related to a deviated septum. Dr. Klausner has performed countless successful procedures and is known for her ability to provide the best possible results while maintaining a natural appearance. The recovery period after deviated septum repair surgery at The Klausner Institute is typically 2 - 3 weeks for patients to return to daily activities, with full recovery taking between 1 - 3 months (The Klausner Institute).
NYU Langone Health
NYU Langone's otolaryngologists and plastic and reconstructive surgeons can perform various procedures for deviated nose correction. Septoplasty is used to center the septum and correct airflow disturbances. If an injury is the cause of the nasal obstruction or if surgery changes the appearance of the nose, septorhinoplasty may be performed. In some cases, submucosal resection or turbinate outfracture may also be done to open the nasal passages. The surgeons at NYU Langone use minimally invasive techniques and perform surgery in an outpatient setting, allowing patients to return home on the same day. They also address other structural abnormalities in the nasal passages if present (NYU Langone Health).
Factors to Consider When Choosing a Hospital or Surgeon
Surgeon's Expertise and Experience
Look for a surgeon who is board - certified in relevant fields such as facial plastic surgery, otolaryngology, or plastic surgery. Experience is also crucial, as surgeons who have performed a large number of deviated nose correction procedures are more likely to achieve successful outcomes. Check the surgeon's patient reviews and before - and - after photos to get an idea of their skills and the quality of their work.
Hospital Facilities and Resources
The hospital should have state - of - the - art facilities, including well - equipped operating rooms and advanced diagnostic tools. Access to a multidisciplinary team of specialists, such as anesthesiologists, sinus experts, and nurses, can also contribute to a better surgical experience and recovery.
Patient Care and Support
Good patient care starts from the initial consultation. The surgeon and the hospital staff should be able to answer all your questions, provide detailed information about the procedure, and offer emotional support throughout the process. Post - operative care, including follow - up appointments and instructions, is also an important aspect of patient care.
Cost and Insurance Coverage
Deviated nose correction procedures can be expensive. It's important to understand the cost of the surgery, including surgeon's fees, hospital fees, anesthesia fees, and any additional costs. Check with your insurance provider to see if the procedure is covered. Some insurance companies may cover the functional aspect of the surgery (such as septoplasty for breathing problems), but not the cosmetic aspect (rhinoplasty for appearance).
Preparing for Deviated Nose Correction Surgery
Consultation
During the consultation, the surgeon will examine your nose, discuss your goals and expectations, and recommend the most appropriate procedure. They may also take photos of your nose for reference and to help you visualize the potential results. You should be prepared to ask questions about the procedure, risks, recovery, and any other concerns you may have.
Medical Evaluation
You will likely need to undergo a medical evaluation, including a physical examination, blood tests, and possibly imaging tests such as a CT scan. This is to ensure that you are in good health and suitable for surgery. If you have any underlying medical conditions, such as diabetes or high blood pressure, they will need to be well - controlled before the surgery.
Lifestyle Changes
To prepare for the surgery, you may need to make some lifestyle changes. This may include stopping smoking at least 2 weeks before surgery, as smoking can affect blood flow and delay the healing process. You may also need to avoid certain medications and supplements that can increase the risk of bleeding, such as aspirin and herbal supplements. Additionally, you should arrange for someone to accompany you to the hospital on the day of the surgery and to take care of you during the initial recovery period.
Recovery and Aftercare
Immediate Post - operative Period
After the surgery, you will be monitored in the recovery room until the effects of the anesthesia wear off. You may experience some pain, swelling, and congestion in the nose. Nasal drainage of blood and mucous is also common. The surgeon may prescribe pain relievers, antibiotics, and saline sprays to help with the recovery. You will need to rest with your head elevated to reduce swelling.
Short - term Recovery
Swelling and congestion inside the nose usually last between two and three days, and drainage may continue for up to five days. You may need to avoid strenuous activities, such as exercise and heavy lifting, for at least a week after surgery. It's important to follow the surgeon's instructions regarding wound care, nasal cleansing, and any restrictions on activities.
Long - term Recovery
Full recovery from deviated nose correction surgery can take one to two months. During this time, the swelling will gradually subside, and you will start to see the final results of the surgery. You may still need to attend follow - up appointments with the surgeon to monitor your progress and ensure proper healing. It's important to be patient and give your body enough time to recover.
Conclusion
New York City offers a wide range of excellent hospitals and surgeons for deviated nose correction. Whether you are dealing with a functional problem such as difficulty breathing or a cosmetic concern, there are options available to meet your needs. By carefully considering factors such as surgeon's expertise, hospital facilities, patient care, and cost, you can make an informed decision about where to have your deviated nose correction surgery. It's important to follow the pre - and post - operative instructions provided by your surgeon to ensure a successful recovery and the best possible results.
If you are considering deviated nose correction surgery, we encourage you to schedule a consultation with one of the top hospitals and surgeons mentioned in this article. Take the time to discuss your goals and concerns, and gather all the information you need to make the right choice for your health and well - being.
