Introduction to Short Nose Extension Surgery in New York City

Short nose extension surgery, a form of rhinoplasty, has gained significant popularity in New York City. Rhinoplasty itself is a well - known and common surgical procedure aimed at altering the shape, size, and functionality of the nose. In NYC, where aesthetics and self - improvement are highly valued, the demand for short nose extension surgery has been on the rise. People are seeking this surgery not only for cosmetic reasons but also to enhance their facial harmony and overall appearance.

What is Short Nose Extension Surgery?

Short nose extension surgery is a specialized type of rhinoplasty. It focuses on lengthening a short nose, which can occur due to various factors such as genetics, trauma, or previous surgeries. The procedure typically involves the use of grafts, which can be from the patient's own tissue (such as cartilage from the ear, septum, or rib) or synthetic materials. By adding volume and length to the nose, surgeons can create a more balanced and aesthetically pleasing facial profile.

There are different techniques involved in short nose extension surgery. For example, open rhinoplasty may be used, which involves making an external incision on the columella (the strip of tissue between the nostrils). This allows the surgeon better access to the nasal structures and greater control during the grafting and reshaping process. Closed rhinoplasty, on the other hand, is performed entirely through internal incisions, leaving no visible external scars.

Importance of Facial Harmony

The nose is a central and defining feature of the face. In the context of short nose extension surgery, achieving facial harmony is of utmost importance. A well - proportioned nose can significantly enhance a person's overall attractiveness. Plastic surgeons in New York City take into account all the facial features, including the eyes, lips, and chin, when planning and performing short nose extension surgery. They aim to create a nose that complements the rest of the face, rather than just focusing on the nose itself.

For instance, if a patient has a short nose with a small tip and a wide bridge, a skilled surgeon will not only extend the nose but also refine the tip and narrow the bridge to achieve a more balanced look. This approach ensures that the results of the surgery are natural - looking and in harmony with the patient's unique facial characteristics.

Factors to Consider When Choosing a Surgeon for Short Nose Extension Surgery

Expertise and Experience

When it comes to short nose extension surgery, expertise and experience are crucial. Since this is a complex and delicate procedure, it requires a surgeon who has extensive knowledge of nasal anatomy and the various surgical techniques available. Dr. Yoel Shahar, for example, is one of the top rhinoplasty surgeons in New York City. He has over 30 years of experience and has performed thousands of rhinoplasty procedures, including those related to short nose extension. His experience allows him to handle the intricacies of the surgery with precision and confidence.

Surgeons with a high volume of short nose extension surgeries under their belt are more likely to have encountered a wide range of cases and challenges. They can draw on their past experiences to anticipate potential issues during the surgery and develop effective solutions. This is especially important as each patient's nose is unique, and personalized surgical plans are often required.

Board Certification

Board certification is an important factor to consider when choosing a surgeon for short nose extension surgery. A board - certified plastic surgeon has met the rigorous standards set by a recognized medical board. For example, in the United States, the American Board of Plastic Surgery is a highly respected organization. Surgeons who are certified by this board have completed extensive training in plastic surgery, including both residency and fellowship programs, and have passed comprehensive exams.

Dr. Yoel Shahar is a board - certified cosmetic and general surgeon. His dual certification demonstrates his broad - based expertise in the field of plastic surgery. Board - certified surgeons are also required to participate in continuing medical education, which ensures that they stay updated with the latest advancements in surgical techniques and patient care.

Artistic Sense

An artistic sense is another essential quality in a short nose extension surgeon. The goal of the surgery is not only to extend the nose but also to create a natural - looking and aesthetically pleasing result. Surgeons with an artistic eye can visualize the final outcome of the surgery based on the patient's facial features and desires. Dr. Sam Rizk, for example, has an artistic background as a sculptor. This unique combination of artistic talent and surgical skill allows him to approach short nose extension surgery with a creative and personalized perspective.

An artistic surgeon can assess the patient's facial symmetry, proportions, and individual characteristics to determine the most appropriate shape and length for the nose. They can use their creativity to blend the new nose with the rest of the face seamlessly, ensuring that the results look natural and not overly "operated - on."

Patient Reviews and Testimonials

Patient reviews and testimonials provide valuable insights into a surgeon's skills and patient care. Reading about the experiences of other patients who have undergone short nose extension surgery can help you gauge the surgeon's reputation and the quality of their work. Dr. Yoel Shahar has numerous positive patient reviews. One patient mentioned that "I got nose reshaping surgery done by Dr. Shahar in December of 2021 in New York City. I've always been insecure about my features, particularly my nose. When I went in for a consultation, Dr. Shahar knew exactly what needed to be done for me to end up with a natural look."

Positive reviews often highlight the surgeon's ability to understand the patient's concerns, provide personalized treatment plans, and achieve excellent results. Negative reviews, on the other hand, can alert you to potential issues such as poor communication, long recovery times, or sub - optimal surgical outcomes. It's important to read a variety of reviews to get a comprehensive understanding of the surgeon's performance.

Before - and - After Photos

Before - and - after photos are an important tool for evaluating a surgeon's skills. Reputable surgeons typically have a portfolio of before - and - after photos of their short nose extension surgery patients. These photos allow you to see the range of results that the surgeon can achieve. When viewing the photos, pay attention to the naturalness of the results, the symmetry of the nose, and the overall improvement in the patient's facial appearance.

Dr. Steven Pearlman, a top rhinoplasty surgeon in NYC, encourages patients to ask to see his before - and - after photos during the consultation. He believes that these photos are a testament to the level of professionalism and the quality of his work. Make sure that the photos are of actual patients and that they are presented in a clear and consistent manner, with similar lighting and angles in the before and after shots.

Ranking of Surgeons for Short Nose Extension Surgery in New York City

Dr. Yoel Shahar

Dr. Yoel Shahar is widely regarded as one of the best rhinoplasty surgeons in New York City. He has over 30 years of experience performing rhinoplasty procedures, including short nose extension surgeries. His practice, the Natural Look Institute, is conveniently located on Park Avenue in NYC. Dr. Shahar is a board - certified cosmetic and general surgeon, which means he has in - depth knowledge and expertise in plastic surgery.

One of the key advantages of choosing Dr. Shahar is his commitment to achieving natural - looking results. He never over - corrects and always recommends the most minimal procedure to achieve the maximum natural - looking outcome. During the consultation, he takes the time to understand the patient's goals and concerns and analyzes the patient's face and nose to ensure perfect facial harmony. For example, if a patient has a short nose with a droopy tip, he will carefully plan the surgery to extend the nose while also refining the tip to create a more balanced and aesthetically pleasing look.

Dr. Shahar also emphasizes patient safety and care. He performs most of the procedures in his on - site surgical facility, which is accredited by the AAAHC. He is attended by excellent anesthesiologists and nurses, and the anesthesia provided is "sedation," where the patient breathes on their own and recovers quickly. After the surgery, he personally follows up with his patients to ensure their well - being.

Patient reviews of Dr. Shahar are overwhelmingly positive. Many patients have praised his kindness, professionalism, and ability to deliver excellent results. For instance, a patient said, "My experience with Dr. Shahar was a very positive one. He understood what I wanted and he executed it perfectly to my taste. I was very nervous to have this procedure done, but he was very approachable and helped me build my confidence."

Dr. Andrew Jacono

Dr. Andrew Jacono is a global authority in the field of facial plastic and reconstructive surgery. He is one of a small group of surgeons who have achieved dual board certification in facial plastic and reconstructive surgery as well as head and neck surgery. Dr. Jacono is known for his innovative and minimally invasive techniques in rhinoplasty, including short nose extension surgery.

He has developed customized approaches to rhinoplasty, especially when it comes to preserving ethnic identity. This is important as many patients with short noses may have unique ethnic features that need to be considered during the surgery. For example, in ethnic rhinoplasty, he takes into account the cultural and genetic characteristics of the patient's nose to ensure that the results are natural and in line with the patient's ethnic background.

Dr. Jacono's rhinoplasty practice is located in the heart of New York City, on Park Avenue and 66th Street. His office has been featured on the cover of plastic surgery practice journal, which is a testament to his reputation and the quality of his work. Patients from all over the world travel to see Dr. Jacono for rhinoplasty and other surgical procedures, which speaks to his expertise and the high - quality results he delivers.

Dr. Steven Pearlman

Dr. Steven Pearlman is a distinguished facial plastic and reconstructive surgeon, educator, and humanitarian. He is uniquely dual board certified in both facial plastic and reconstructive surgery and in head and neck surgery. With extensive clinical and academic backgrounds in both fields, Dr. Pearlman provides his patients with unique expertise in the cosmetic and reconstructive surgery of the nose, face, and eyes.

He has performed over 7,500 rhinoplasties in his career and has been chosen as a top doctor by New York magazine and Castle Connolly. Dr. Pearlman emphasizes the importance of achieving natural - looking results and takes into account the patient's individual concerns and anatomy when planning short nose extension surgery. He offers a variety of rhinoplasty techniques, including piezo ultrasonic rhinoplasty, ethnic rhinoplasty, teenage rhinoplasty, revision rhinoplasty, and septoplasty.

During the consultation, Dr. Pearlman uses 2 - D mirror computer imaging and Vectra 3D imaging to help patients visualize their results. This allows for a more informed decision - making process and helps the patient have a better understanding of what to expect from the surgery. His patient care is also highly regarded, as he takes the time to answer all the patient's questions and ensure their comfort throughout the process.

Dr. Sam Rizk

Dr. Sam Rizk is a double - board certified New York facial plastic surgeon and the director of Manhattan Facial Plastic Surgery, PLLC. What sets Dr. Rizk apart is his unique combination of an artistic background as a sculptor and his technical skill as a facial plastic and reconstructive surgeon. This combination allows him to approach short nose extension surgery with a creative and aesthetically - driven perspective.

He is known for his honesty and will only recommend surgery if he believes the benefit far outweighs the risk, discomfort, and expense for the patient. In short nose extension surgery, he carefully assesses the patient's facial features and nose structure to determine the most appropriate grafting and reshaping techniques. For example, if a patient has a short nose with thick skin, he will use techniques that are suitable for thick - skin noses to ensure a smooth and natural - looking result.

Dr. Rizk has written and lectured extensively on current concepts related to rhinoplasty, necklifts, facelifts, and other facial plastic procedures. This demonstrates his expertise and his commitment to staying updated with the latest advancements in the field. His patients appreciate his personalized approach and his ability to achieve beautiful and natural - looking results.

Dr. Sherrell J. Aston

Dr. Sherrell J. Aston is a world - renowned double - board - certified plastic surgeon who is one of the world's foremost experts in aesthetic plastic surgery. He is a professor of plastic surgery at New York University and has been the chairman of the plastic surgery department at Manhattan Eye Ear & Throat Hospital for twenty - three years.

Dr. Aston is an expert in the closed rhinoplasty technique, which can be very beneficial in short nose extension surgery as it avoids incisions and scars on the outside of the nose. He has used the closed technique for thousands of noses, both primary and secondary procedures. His experience and expertise in nasal surgery allow him to handle complex cases and achieve excellent results in short nose extension.

He is also an author of scientific papers, textbooks, and teaching videos for plastic surgeons and is invited to lecture and operate in numerous countries to teach his advanced surgical techniques. This shows his high standing in the plastic surgery community and his commitment to sharing his knowledge with other surgeons.

The Surgical Process of Short Nose Extension Surgery

Consultation

The consultation is the first and most important step in the short nose extension surgery process. During the consultation, the surgeon will have a detailed conversation with the patient to understand their goals, concerns, and expectations. For example, a patient may want to extend their short nose to improve their facial symmetry or to correct a breathing problem. The surgeon will also ask about the patient's medical history, including any previous nose surgeries, nasal conditions, and current medications.

The surgeon will then perform a physical examination of the patient's nose and face. This includes examining the nose from the outside and inside, assessing the thickness of the skin, the bone structure of the upper section of the nose, and the cartilage resistance in the lower portion. They will also take photos of the patient's nose from different angles to help visualize the desired outcome and to plan the surgery.

Dr. Yoel Shahar, for instance, conducts a careful evaluation in his "mirror" room during the consultation. He analyzes the patient's face and nose to ensure perfect facial harmony and explains to the patient what can and cannot be achieved with the surgery. He also provides the patient with information about the different surgical techniques, the recovery process, and the potential risks and complications.

Pre - operative Preparation

Once the patient decides to proceed with the short nose extension surgery, pre - operative preparation begins. This may include getting a physical examination and blood tests to ensure that the patient is in good health for the surgery. The patient may also be asked to stop taking certain medications, such as blood thinners, for a period of time before the surgery to reduce the risk of bleeding.

Smoking can also have a negative impact on the surgical outcome and the healing process. Therefore, patients are usually advised to quit smoking several weeks before the surgery. The surgeon may also provide the patient with pre - operative instructions on how to care for their nose and face before the surgery, such as keeping the area clean and avoiding strenuous activities.

The Surgery

Short nose extension surgery is typically performed under general anesthesia, although some cases may be done under local anesthesia with sedation. The surgeon will make the appropriate incisions, either through open or closed rhinoplasty techniques, depending on the patient's specific needs. Once the incisions are made, the surgeon will access the nasal structures and prepare to insert the grafts.

The grafts can be harvested from the patient's own body, such as cartilage from the ear, septum, or rib. Autologous grafts are preferred as they are less likely to be rejected by the body. The surgeon will carefully shape and position the grafts to extend the nose and create the desired shape. They will also make any necessary adjustments to the nasal bone and cartilage to ensure a stable and natural - looking result.

The surgery can take several hours, depending on the complexity of the case. During the procedure, the surgeon will work closely with the anesthesiologist to ensure the patient's safety and comfort. After the surgery is completed, the incisions will be closed, and a splint may be placed on the nose to support the new structure and help with the healing process.

Post - operative Care and Recovery

After the short nose extension surgery, the patient will be taken to a recovery area where they will be monitored closely by the medical staff. The patient is usually discharged about 2 - 3 hours after surgery, but they may need to rest at home for a few days. There will be some swelling and possibly some bruising under the eyes, which is normal and usually alleviates within a week or so.

The patient will be given post - operative instructions on how to care for their nose, such as keeping the area clean, avoiding touching or blowing the nose, and taking prescribed medications. The surgeon will also schedule follow - up appointments to monitor the healing process and to remove the splint, usually after 5 days. The final results of the surgery may take months to fully appear as the swelling subsides and the nose settles into its new shape.

It's important for the patient to follow the surgeon's instructions carefully during the recovery period to ensure a smooth and successful recovery. For example, they may need to avoid strenuous exercise and