Introduction
In New York City, the field of nasal bone repositioning technology is advancing rapidly, with numerous popular institutions offering cutting - edge procedures. These institutions and their techniques are revolutionizing the way patients achieve both aesthetic and functional improvements in their nasal structures. Whether it's for cosmetic reasons like reshaping the nose or functional issues such as breathing problems, the latest advancements in nasal bone repositioning are making these treatments more precise, less invasive, and with faster recovery times.
Popular Institutions and Their Innovative Techniques
Dr. Sam Rizk and the Piezosurgery Flex Device
Dr. Sam Rizk, a well - known plastic surgeon in NYC, has incorporated the piezosurgery flex device into his practice. Many patients worry that their nose job results won't meet expectations. Dr. Rizk addresses this concern by using this latest technology to get the best results for his patients.
The piezosurgery device uses ultrasonic vibrations to carefully shape the nasal bones. This technology offers several advantages over traditional methods. First, it provides superior bone restructuring and removal while eliminating risks to surrounding tissues such as the dura, nerves, and vessels. During surgery, the vibrations allow for a selective cut for the precise removal of bone tissue without harming nearby soft tissue. The micrometric control helps avoid unnecessary bone removal and keeps healthy tissue intact. Additionally, the cavitation effect reduces the risk of bone necrosis and maintains a blood - free surgical field, improving visibility and reducing complications.
After surgery, the vibrations from the device help reduce swelling and encourage bone healing, leading to faster recovery and better results. The technique is particularly beneficial for those seeking a more conservative approach to surgery with subtle outcomes and minimal downtime. Whether it's correcting a deviated septum, refining the nasal tip, or reducing a dorsal hump, the piezosurgery device allows Dr. Rizk to achieve exceptional accuracy.
Dr. David Cangello and Piezo Ultrasonic Rhinoplasty
Dr. David Cangello is a pioneer in implementing cutting - edge technology for rhinoplasty patients in NYC. He is one of the only facial plastic surgeons in the city to offer piezo ultrasonic rhinoplasty, a less invasive alternative to traditional rhinoplasty.
Piezo ultrasonic rhinoplasty uses a device that generates ultrasonic waves to aid in reshaping nasal bones. Dr. Cangello sends high - frequency ultrasonic waves directly to the nasal bone, allowing him to precisely remove specific bone fragments and dense cartilage without using traditional nose surgery instruments like chisels and rasps. These traditional instruments can cause additional trauma to surrounding tissues, leading to swelling, bleeding, and scarring. In contrast, piezo ultrasonic technology reduces adjacent injury to deep soft tissues, adjacent mucosal tissue, and overlying skin, resulting in less bleeding, minimal bruising, and reduced swelling. Patients can expect less pain and a shorter recovery period.
The benefits of this technique include negating complications from chisels or rasps, reducing trauma to surrounding tissues, minimizing bleeding and swelling, being more precise than traditional tools, eliminating accidental splinter fractures, being more gentle, supporting bone regeneration, offering a faster and more comfortable recovery, reducing postoperative pain, and achieving more natural - looking results. Ideal candidates for piezo ultrasonic rhinoplasty are those looking to improve the size and/or shape of their nose without altering the surrounding skin and tissues, including those with asymmetry, deviated septum, breathing problems, or a dorsal hump.
Dr. Gary Linkov and Nasal Reconstruction
Dr. Gary Linkov at City Facial Plastics in New York is a respected reconstructive and facial plastic surgeon. He specializes in nasal reconstruction, a complex procedure that restores both the function and form of the nose.
Nasal reconstruction may be necessary after trauma, removal of cancer, or a congenital defect. Dr. Linkov follows basic principles such as replacing like with like (using the same type of tissue to replace lost tissue), considering aesthetic units (subdividing the nose into subunits to guide reconstruction), and using the reconstructive ladder (a step - wise process for deciding the type of reconstruction).
The nose consists of three main structural components relevant to reconstruction: skin, cartilage, and mucosa. Knowing the nine nasal aesthetic units also helps in planning the reconstruction. Dr. Linkov has various options for nasal reconstruction, including secondary intention healing (letting the wound close on its own), primary intention (suture closure), skin grafts, local flaps, regional flaps, cartilage or bone grafts, and alloplastic materials. The recovery after nasal reconstruction depends on the type of procedure, with swelling, bruising, light bleeding, and pain expected in the first 1 - 2 weeks. Risks include unfavorable cosmetic outcome, pain, bleeding, infection, poor scarring, nasal breathing difficulty, nasal valve collapse, asymmetry, and prolonged healing.
Mount Sinai and Rhinoplasty
At Mount Sinai's division of facial plastic and reconstructive surgery, the goal of rhinoplasty is to create natural, long - lasting results that improve the shape, size, and distinction of the nose. The facial plastic surgeons are double - board - certified in facial plastic and reconstructive surgery and otolaryngology.
Rhinoplasty is a common cosmetic surgery in the US, with more than 213,000 people receiving a nose job each year. The procedure changes the shape of the nose by modifying the bone and cartilage of the nasal framework. It can be used to change the size and shape of the nose, modify the bridge, increase or decrease the size of the nostril openings, balance the facial features, improve nasal breathing, and reconstruct previously injured or disfigured noses.
There are two types of rhinoplasty: primary rhinoplasty (performed for the first time) and revision rhinoplasty (to address concerns from prior nose surgeries). Surgeons at Mount Sinai perform both closed (endonasal) and open (external) rhinoplasty. Closed rhinoplasty has the advantage of no external scar and a shorter operation time, while open rhinoplasty allows for better visualization of the nasal anatomy and more complex alterations. The hospital also takes a multidisciplinary approach, working with experts in rhinology and sinus surgery for patients with specific nasal concerns.
Dr. Joshua D. Zuckerman and Nasal Fracture Repair
Dr. Joshua D. Zuckerman, a broken nose plastic surgeon in the upper east side, offers expert nasal fracture repair. Nasal fractures require precise treatment to prevent long - term cosmetic and breathing issues.
During the initial consultation, Dr. Zuckerman evaluates the extent of the nasal injury through physical examination and imaging tests if necessary. The nasal fracture repair is typically performed under general anesthesia, where he carefully realigns the bones and, if needed, the cartilage. A septoplasty might be performed concurrently to improve breathing. After surgery, patients may experience swelling and bruising around the nose and under the eyes, which generally improve within two weeks. Post - operative care includes avoiding strenuous activities, using nasal splints or packing as instructed, and attending regular follow - up visits. The goal is to restore the nose to its pre - injury state or better, with the final results becoming apparent once the swelling has fully subsided, which may take several months.
Technological Advancements in Nasal Bone Repositioning
Computer - Aided Design and Manufacturing (CAD/CAM)
Computer - Aided Design and Manufacturing (CAD/CAM) has made significant inroads in craniomaxillofacial surgery, including nasal bone repositioning. With advancements in software technology and three - dimensional printing, surgeons can create tremendously accurate postoperative results and handle complex three - dimensional bony reconstructions with confidence.
CAD/CAM technology allows for the creation of guides that ensure exact bony repositioning or replacement. These guides can help in cutting the bone and act as splints to precisely reposition the bone and direct plate placement. Intraoperatively, the position of the bone can be guaranteed with the use of these guides and guidance technology. This technology has been applied in mandibular reconstruction, orthognathic surgery, maxillofacial trauma, and temporomandibular joint reconstruction, and its indications for application continue to grow.
Powered Rasp and Osteotome Improvements
At the Becker Rhinoplasty Center, new technologies are being used to enhance rhinoplasty procedures. The powered rasp is an advanced instrument for rhinoplasty. It reproduces the rasping approach to takedown or smoothing of the bony dorsum but provides greater precision than a manual instrument. A manual rasp can be a traumatic instrument that causes temporary damage to the nasal soft tissue, resulting in edema that may affect the surgical outcome. In contrast, a powered rasp minimizes tissue trauma and offers improved precision and technical ease. It can be attached to a commonly used reciprocating saw and allows for rasping under direct visualization at high speeds, up to 15,000 reciprocations per minute with a 5 - mm back - and - forth excursion.
Regarding osteotomes, Dr. Becker's team has conducted research on their sharpness. Maintaining sharp osteotomes is essential for precise reduction of the dorsal hump in rhinoplasty. Dull osteotomes can lead to over - reduction or uneven reduction of the nasal bones. Private maintenance of surgical instruments may help to retain instrument sharpness, and Dr. Becker uses custom - sized guarded osteotomes (2.5 mm and 3.0 mm) to minimize trauma and promote faster healing.
Dissolvable Flexible Plates and Dome Stabilization Technique
Surgeons in Austria, Amsterdam, and England, in collaboration with Ethicon Corporation, have developed an absorbable plate made of dissolvable suture material. This PDS flexible plate is now FDA - approved and has been used successfully for over 10 years. Research has shown that it facilitates the surgical correction of severe septal deviations in severely twisted noses. The plate completely re - absorbs within 25 weeks, avoiding the long - term complications of artificial implants. Dr. Becker was one of the first 5 surgeons in the US to use this technology in a patient for septorhinoplasty.
Dr. Becker has also introduced a dome stabilization suture technique. This technique utilizes a single permanent or absorbable suture placed via open or cartilage delivery approaches. It helps maintain symmetry of the domes in the face of unpredictable healing forces, makes subtle changes in cases of mild tip asymmetries, corrects small irregularities in domal height, and provides subtle narrowing of the interdomal distance. Over a 2 - year period, 100 rhinoplasties were performed using this technique, and no complications were noted, indicating its effectiveness in contributing to the stability and symmetry of the nasal tip.
Benefits of Advanced Nasal Bone Repositioning Technology
| Benefit | Description |
|---|---|
| Precision | Advanced technologies like the piezosurgery device, piezo ultrasonic rhinoplasty, and powered rasps allow for more precise bone cutting, shaping, and removal, leading to better - fitting grafts and more accurate reshaping of the nasal structure. |
| Minimal Trauma | These techniques reduce trauma to surrounding tissues such as soft tissues, blood vessels, and nerves. This results in less bleeding, swelling, bruising, and pain during and after the surgery. |
| Faster Recovery | With reduced trauma and improved healing processes (such as the use of devices that encourage bone healing), patients can expect a shorter recovery period and be able to return to their normal activities more quickly. |
| Better Aesthetic Results | The ability to precisely shape the nasal bones and cartilage leads to more natural - looking results that better balance the facial features and meet the patient's aesthetic goals. |
| Lower Complications | Technologies like piezo ultrasonic rhinoplasty and CAD/CAM reduce the risk of complications such as accidental fractures, infections, and poor scarring. |
Choosing the Right Institution and Surgeon
When considering nasal bone repositioning in New York City, it is crucial to choose the right institution and surgeon. Here are some factors to consider:
- Experience and Expertise: Look for surgeons with extensive experience in nasal bone repositioning procedures. Check their credentials, board certifications, and the number of successful surgeries they have performed.
- Technological Advancements: Institutions that embrace the latest technologies are more likely to offer better results. For example, a surgeon who uses a piezosurgery device or piezo ultrasonic rhinoplasty may be able to provide a more precise and less invasive procedure.
- Patient Reviews: Read patient reviews and testimonials to get an idea of the surgeon's bedside manner, the quality of care, and the overall patient experience. Positive reviews from past patients are a good indication of a surgeon's competence.
- Multidisciplinary Approach: Institutions that take a multidisciplinary approach, like Mount Sinai, are beneficial, especially for patients with complex nasal issues. They can collaborate with other specialists to provide comprehensive care.
- Personal Consultation: Schedule a personal consultation with the surgeon. This will allow you to discuss your goals, concerns, and expectations. It also gives you an opportunity to assess the surgeon's communication skills and whether you feel comfortable working with them.
Conclusion
In 2025, New York City remains at the forefront of nasal bone repositioning technology. With institutions like those led by Dr. Sam Rizk, Dr. David Cangello, Dr. Gary Linkov, and the teams at Mount Sinai and Becker Rhinoplasty Center, patients have access to a wide range of innovative techniques and advanced technologies. These advancements offer numerous benefits, including greater precision, minimal trauma, faster recovery, better aesthetic results, and lower complications. When choosing an institution and surgeon, it is important to consider factors such as experience, technological adoption, patient reviews, multidisciplinary approach, and personal consultation.
If you are considering nasal bone repositioning, take the time to research and find the right professional for your needs. Whether it's for cosmetic reasons or to address functional issues, the advancements in this field can help you achieve the best possible outcome. Share this article with others who may be interested in learning more about nasal bone repositioning technology in New York City, and feel free to explore related topics to further expand your knowledge.
