Both public and private hospitals are among the top three for subperiosteal nasal dorsum rhinoplasty in New York City!

Introduction

New York City stands as a global hub for medical excellence, and when it comes to subperiosteal nasal dorsum rhinoplasty, both public and private hospitals are making significant strides. Rhinoplasty, often referred to as a “nose job,” is one of the most common cosmetic surgeries performed in the United States. In this article, we will explore the top hospitals and surgeons in New York City for subperiosteal nasal dorsum rhinoplasty, understand the procedure, its benefits, risks, and much more.

Understanding Rhinoplasty

What is Rhinoplasty?

Rhinoplasty is the surgical manipulation of the bone, cartilage, skin, and soft tissue of the nose to enhance its physical appearance. It can be divided into two main categories: functional rhinoplasty, which aims to correct breathing problems, and cosmetic rhinoplasty, which focuses on improving the aesthetic appearance of the nose. The nose is a central facial feature, and even minor adjustments can have a significant impact on the overall appearance and balance of the face.

Types of Rhinoplasty

• Primary Rhinoplasty: This surgery is performed for the first time to address cosmetic concerns and/or nasal breathing issues. It aims to reshape the nose to create a more harmonious facial appearance or improve its functionality.
• Revision Rhinoplasty: When patients are not satisfied with the results of a previous nose surgery or experience complications, revision rhinoplasty is performed. This procedure is more complex as it involves working with scar tissue and distorted nasal anatomy.
• Open Rhinoplasty: In this approach, a small incision is made across the columella (the central portion of the nose between the nostrils). It provides better visualization of the nasal anatomy, allowing for more complex alterations and grafting. However, it may leave a small external scar, which usually fades over time.
• Closed Rhinoplasty: All incisions are made inside the nose, resulting in no visible external scars. This approach is suitable for less complex cases and has a relatively shorter recovery time. However, it may be more technically challenging for the surgeon.

Top Surgeons and Hospitals in New York City

Private Hospitals and Surgeons

• Dr. Steven J. Pearlman: He is a distinguished facial plastic and reconstructive surgeon, educator, and humanitarian. Dr. Pearlman is uniquely dual - board certified in both facial plastic and reconstructive surgery and in head and neck surgery. With over 32 years of experience and more than 7,500 rhinoplasty procedures performed, he often utilizes the latest technology in rhinoplasty, including piezo ultrasonic rhinoplasty and preservation rhinoplasty techniques. His goal is to create a subtly elevated and naturally gorgeous version of the patient's self, addressing concerns without losing sight of the patient's identity.
• Dr. Andrew Jacono: A global authority in the field of facial plastic and reconstructive surgery, Dr. Jacono is known for his original, advanced approach to non - surgical and minimally invasive facial rejuvenation with flawless, yet natural results. He is one of a small group of surgeons that has achieved dual board certification in facial plastic and reconstructive surgery as well as head and neck surgery. He has performed thousands of primary and revision rhinoplasties and is considered by peers and patients alike to be one of the best nose surgeons in the world.
• Dr. Sam Rizk: Dr. Rizk merges his artistic background as a sculptor with his technical skill as a facial plastic and reconstructive surgeon. He is known for his expertise in the most advanced techniques in facelift, neck lift, eyelid surgery, and rhinoplasty in NYC. He is a double - board certified New York facial plastic surgeon and director of Manhattan Facial Plastic Surgery, PLLC. He is honest with patients and only recommends surgery when the benefit far outweighs the risk, discomfort, and expense.

Public Hospitals and Associated Surgeons

While private hospitals often dominate the headlines in the cosmetic surgery field, New York City's public hospitals also house some of the most skilled surgeons. For example, surgeons affiliated with hospitals like Bellevue Hospital Center, a renowned public institution, have extensive experience in rhinoplasty. These surgeons benefit from the diverse patient population and the high - volume of cases, which allows them to refine their skills. Many public hospital surgeons are also involved in academic research, contributing to the advancement of rhinoplasty techniques.

Subperiosteal Nasal Dorsum Rhinoplasty

What is Subperiosteal Nasal Dorsum Rhinoplasty?

Subperiosteal nasal dorsum rhinoplasty is a specialized technique that involves working beneath the periosteum (a dense layer of connective tissue covering the bone) of the nasal dorsum. This approach allows for precise manipulation of the bone and cartilage while minimizing damage to the surrounding soft tissues. By working subperiosteally, surgeons can achieve more accurate and natural - looking results, as the integrity of the overlying tissues is better preserved.

Benefits of Subperiosteal Nasal Dorsum Rhinoplasty

• Natural - looking Results: Since the soft tissues are less disrupted, the nose is more likely to have a smooth and natural appearance after surgery. The subperiosteal approach helps maintain the normal contours of the nose and reduces the risk of visible irregularities.
• Reduced Swelling and Bruising: As the technique is more gentle on the tissues, patients typically experience less swelling and bruising compared to traditional rhinoplasty methods. This can lead to a quicker recovery time and less discomfort during the postoperative period.
• Improved Healing: By preserving the periosteum, the blood supply to the nasal tissues is better maintained, which promotes faster and more efficient healing. This can also result in a more stable long - term outcome.

Preparing for Rhinoplasty

Consultation

The first step in the rhinoplasty process is a consultation with a qualified surgeon. During this consultation, the surgeon will assess the patient's nasal anatomy, discuss their goals and expectations, and perform a physical examination. The surgeon may also use advanced imaging technology, such as 3D imaging, to help the patient visualize the potential results of the surgery. It is important for the patient to be honest about their medical history, including any previous surgeries, allergies, and current medications.

Medical Evaluation

Before undergoing rhinoplasty, patients will need to have a comprehensive medical evaluation. This may include blood tests, a physical examination, and a review of the patient's medical history. The purpose of this evaluation is to ensure that the patient is in good health and can safely undergo the surgery. If the patient has any underlying medical conditions, such as high blood pressure or diabetes, the surgeon may work with the patient's primary care physician to manage these conditions before the surgery.

Pre - operative Instructions

Patients will receive pre - operative instructions from their surgeon, which may include stopping certain medications, such as aspirin and non - steroidal anti - inflammatory drugs (NSAIDs), as these can increase the risk of bleeding. They may also be advised to avoid smoking and alcohol for a certain period before and after the surgery, as these can interfere with the healing process. Patients should also arrange for someone to drive them home after the surgery and stay with them for the first 24 hours.

The Rhinoplasty Procedure

Anesthesia

Rhinoplasty can be performed under general anesthesia or a combination of local anesthesia and sedation. The choice of anesthesia depends on the complexity of the procedure and the patient's preference. General anesthesia ensures that the patient is completely unconscious and pain - free during the surgery, while local anesthesia with sedation numbs the nose and surrounding area while the patient remains relaxed but awake.

Surgical Steps

1. Incision: The surgeon will make incisions according to the chosen approach (open or closed). In an open rhinoplasty, a small incision is made across the columella, while in a closed rhinoplasty, the incisions are made inside the nose.
2. Reshaping the Nose: The surgeon will then access the bone and cartilage of the nasal framework. They may sculpt the bone of the upper portion of the nose and reshape the cartilage in the lower portion to bring all the dimensions of the nose into harmony. If necessary, the nasal septum may be straightened and reshaped to improve breathing.
3. Grafting: In some cases, the surgeon may use grafts to support and contour the final result. Grafts can be made from the patient's own tissue (such as cartilage from the ear or rib) or from synthetic materials.
4. Closure: After the nose has been reshaped, the surgeon will close the incisions with sutures. A splint may be placed on the outside of the nose to support the new shape and help with healing.

Recovery and Aftercare

Immediate Post - operative Period

After the surgery, patients will be taken to a recovery area where they will be monitored closely. They may experience some swelling, bruising, and mild pain, which can be managed with pain medication prescribed by the surgeon. A nasal splint will be in place for several days to a week to support the nose and help it maintain its new shape. Patients may also have nasal packing to control bleeding, which will usually be removed a few days after the surgery.

Recovery Timeline

• First Week: Most of the swelling and bruising will be most noticeable during the first week. Patients should rest as much as possible, keep their head elevated, and avoid strenuous activities. They may also need to avoid blowing their nose for the first week to prevent damage to the healing tissues.
• Second Week: The swelling and bruising will start to subside, and patients may be able to return to work or school. However, they should still avoid activities that could cause injury to the nose.
• Several Weeks to Months: The swelling will continue to decrease over the next several weeks to months. It may take up to a year for all the swelling to fully fade, and the final results of the surgery to become apparent. During this time, patients should follow their surgeon's instructions regarding sun protection, as the nose may be more sensitive to the sun.

Follow - up Appointments

Patients will need to have regular follow - up appointments with their surgeon to monitor their healing progress. The surgeon will check the incisions, remove the sutures and splint if necessary, and assess the overall results of the surgery. These appointments are important to ensure that the patient is healing properly and to address any concerns or complications that may arise.

Cost of Rhinoplasty in New York City

The cost of rhinoplasty in New York City can vary widely depending on several factors, including the surgeon's level of expertise, the complexity of the procedure, the surgical facility, and the geographic location. On average, the cost of rhinoplasty in NYC can range from $10,000 to $30,000. However, in more complex cases or with highly experienced surgeons, the cost can be even higher. It is important to note that insurance may cover the cost of rhinoplasty if it is performed to correct a breathing problem, such as a deviated septum, but it typically does not cover cosmetic rhinoplasty. Many surgeons offer financing options to help patients manage the cost of the surgery.

Risks and Complications of Rhinoplasty

Like any surgical procedure, rhinoplasty carries some risks and potential complications. These can include:

• Asymmetry: Achieving perfect symmetry in the nose can be challenging, and there may be some minor differences between the two sides of the nose after surgery. However, in most cases, these differences are not noticeable to others.
• Breathing Problems: In some cases, the surgery may cause or worsen breathing problems. This can be due to swelling, scar tissue formation, or changes in the nasal structure. If breathing problems persist after the swelling has gone down, further treatment may be required.
• Wound Healing Issues: There is a risk of wound infection, slow healing, or the formation of excessive scar tissue. Patients should follow their surgeon's instructions regarding wound care to minimize these risks.
• Alteration in Sense of Smell: Some patients may experience a temporary or permanent change in their sense of smell after rhinoplasty. This is usually due to damage to the olfactory nerves during the surgery.
• Dissatisfaction with the Results: Despite the surgeon's best efforts, some patients may not be satisfied with the final results of the surgery. It is important for patients to have realistic expectations and to communicate their goals clearly with the surgeon before the procedure.

Conclusion

New York City offers a wealth of options for subperiosteal nasal dorsum rhinoplasty, with both public and private hospitals and surgeons among the top in the field. Whether you are looking to improve the appearance of your nose or correct a breathing problem, it is essential to choose a qualified and experienced surgeon who can understand your goals and provide you with the best possible results. By understanding the procedure, the recovery process, and the potential risks and complications, you can make an informed decision about whether rhinoplasty is right for you. If you are considering rhinoplasty, we encourage you to schedule a consultation with a reputable surgeon to discuss your options further.