Introduction

The nose holds a central and defining position in our facial aesthetics. When it comes to nasal ala - related surgeries, New York City is home to some of the most powerful plastic institutions. These institutions offer a wide range of procedures, from nasal base reduction to full - fledged rhinoplasty, with highly skilled surgeons at the helm. In this article, we will explore the top 4 plastic institutions in New York City for nasal ala - related surgeries, along with their services, expertise, and what makes them stand out.

The Significance of Nasal Ala - Related Surgeries

The nasal ala plays a crucial role in the overall appearance and proportion of the nose and the face. An overly wide or flared nasal ala can lead to an imbalanced look, while proper shaping through surgery can enhance facial symmetry, improve self - confidence, and even address breathing issues in some cases.

Here are some reasons why people opt for nasal ala - related surgeries:

• Aesthetic Enhancement: To achieve a more refined and harmonious facial appearance by correcting a wide or irregular nasal ala.
• Breathing Improvement: In some cases, nasal ala surgery can also be part of a procedure to improve nasal breathing, especially when the shape of the ala is obstructing the airways.
• Correcting Asymmetry: To address any visible asymmetry in the nasal ala, which can be a source of self - consciousness for many individuals.

Top 4 Plastic Institutions for Nasal Ala - Related Surgeries in New York City

1. Cangello Plastic Surgery

Services Offered

Cangello Plastic Surgery specializes in nasal base reduction, also known as alarplasty. This technique is designed to narrow the alar base of the nose, which is crucial for achieving a more balanced and aesthetically pleasing nose. The width of the nasal base can significantly affect the overall look of the face, and an overly wide base can make the nose appear bottom - heavy.

There are three main surgical techniques used in nasal base reduction at Cangello Plastic Surgery:

1. Alar Wedge Excision: This is the preferred technique for minimizing excessively flared ala. It involves removing wedge - shaped pieces of tissue from the nasal flare, while sparing an incision in the nostrils. This method helps to avoid over - straightening of the ala and preserves its natural curvature. It also has the advantage of not leaving tell - tale incisions in the nostril openings.
2. Nasal Sill Excision: Typically used in the correction of enlarged nasal sill width along with excessive flare in the ala. It is indicated when the nasal base has a horizontal axis and the nostrils are enlarged. In rare cases, when the alar base is wide due to a large nasal sill and there is no flaring, the sill alone can be directly narrowed.
3. V - Y Advancement: Used to reposition the alar insertion if the lateral insertion of the ala is responsible for excessive nasal base width. However, this technique is rarely performed as it will leave a scar on the face.

Expertise of Dr. Cangello

Dr. Cangello is NYC’s preeminent rhinoplasty surgeon. He has spent decades honing his expansive skill in this nuanced medical field. When evaluating each patient, he takes into account the unique nasal anatomy, which is essential for determining the optimal surgical technique. He aims to achieve an improvement in the appearance of the nose while enhancing functionality and still retaining the individual, racial, and ethnic characteristics unique to the patient. His ability to create noses that are both functionally superior and cosmetically beautiful has earned him a reputation for providing customized treatment plans and transformative results.

Patient Considerations

Nasal base reduction at Cangello Plastic Surgery is a fairly common procedure with minimal risks when performed by an experienced surgeon like Dr. Cangello. If the procedure is performed alone (without concomitant rhinoplasty), it can be done under local anesthesia only. The recovery time is roughly one to two weeks, with the base of the nose being slightly swollen and red immediately after surgery. This swelling will gradually subside over the recovery period. Stitches are typically removed one week after surgery, and full recovery takes approximately one month. Patients are advised to be careful not to rub or bump the nose for one month following surgery, and although rare, risks can include infection, bleeding, and scarring.

2. Natural Look Institute

Services Offered

The Natural Look Institute offers rhinoplasty services, which is one of the most common procedures in New York City. Rhinoplasty not only reshapes the nose but also has a significant impact on the balance of facial features. This includes removing the dorsal hump, narrowing a wide tip, lifting a droopy nose, straightening a crooked nose, reducing the size of the nose, and more. When it comes to nasal ala - related aspects, these procedures can help correct issues such as wide nostrils or an unbalanced nasal base.

Expertise of Dr. Shahar

Dr. Shahar is one of the best nose job surgeons in NYC. He has years of experience and talent in performing rhinoplasty procedures. His consultative approach is patient - centered. During the initial consultation, he offers personalized and caring attention, spending time to answer any questions patients may have. He analyzes the patient's face and nose to advise on what is needed to achieve the best results, and then allows the patient to decide whether to follow his advice. He is highly realistic about the results of each patient and never over - corrects. Instead, he recommends the most minimal procedure to achieve the maximum natural - looking result. He also informs patients about the latest non - surgical alternatives to rejuvenate the face, such as fat injection and fillers.

Dr. Shahar performs both primary and secondary rhinoplasty. Secondary rhinoplasty is often more complicated than primary rhinoplasty, as it is used to fix specific persisting imbalances either newly formed or that became more noticeable after the first rhinoplasty. However, his experience and expertise allow him to successfully handle these challenging cases.

Patient Considerations

Most rhinoplasty procedures at the Natural Look Institute are done under local or general anesthesia. Patients are given pre - op directions to follow before coming to the on - site surgical facility, and post - op instructions and advice after the procedure. The nose and eyes may swell for a few days after surgery, and it can take a few months for the swelling to completely disappear and to see the full results. Patients are required to avoid intense exercise, maintain a healthy lifestyle, and fully rest after the procedure. They must also follow all post - op instructions and follow up with Dr. Shahar to achieve the best possible and most natural - looking results.

3. Mount Sinai - New York

Services Offered

At Mount Sinai's division of facial plastic and reconstructive surgery, rhinoplasty is a core service. The goal of each rhinoplasty procedure is to create natural, long - lasting results that improve the shape, size, and distinction of the nose. The surgeons here are double - board - certified in facial plastic and reconstructive surgery and otolaryngology (ear, nose, and throat). This dual certification means they have vast expertise in both nasal function and nasal and facial aesthetics. Their rhinoplasty services can be used to change the size and shape of the nose, modify the bridge of the nose, increase or decrease the size of the nostril openings, balance the facial features, improve nasal breathing for patients with chronic sinus problems or anatomical problems, and reconstruct previously injured or disfigured noses.

There are two types of rhinoplasty procedures offered: primary rhinoplasty, which is performed for the first time to address cosmetic concerns and/or nasal breathing, and revision rhinoplasty, which is done to address concerns or deformities resulting from prior nose surgeries. The surgeons also specialize in both open (external) and closed (endonasal) rhinoplasty techniques. Closed rhinoplasty involves making all incisions inside the nose, with the advantage of no external scar and a relatively shorter operation time. Open rhinoplasty adds a small incision at the base of the nose to increase the surgical field of vision, allowing for better visualization of the nasal anatomy and more complex alterations and grafting.

Multidisciplinary Approach

One of the unique aspects of Mount Sinai is its multidisciplinary approach. Patients have access to a wide range of specialists and subspecialists within the large, tertiary hospital system. For patients with specific concerns related to their nasal breathing, nasal allergies, sinus disease, or deformity after cancer treatments, the surgeons work closely with Mount Sinai’s widely recognized experts in the division of rhinology and sinus surgery and the head and neck institute. They can even perform combined surgeries when appropriate, which is beneficial for patients with complex nasal issues.

Patient Considerations

Patients interested in rhinoplasty at Mount Sinai start with an extensive consultation to identify areas of concern and review their goals. The surgery is usually performed in an outpatient setting under general anesthesia or a combination of local anesthesia and sedation. Before surgery, patients are given instructions regarding medications and how to prepare for recovery. After surgery, they are given a short course of antibiotics and mild pain medication. The majority of swelling subsides within the first two weeks, but it may take up to a year for all the swelling to fully fade. Patients are expected to return to work or school within one to two weeks after surgery and are asked to avoid strenuous activities for two weeks. The cost of rhinoplasty may be covered by insurance if it is performed to improve breathing, but not for purely cosmetic reasons.

4. LM Medical NYC

Services Offered

LM Medical NYC offers nostril reduction surgery and alar base reduction. Wide or flared nostrils are a common complaint among patients seeking rhinoplasty, and these procedures can address this issue. Nostril reduction surgery can be performed without a complete nose job. Small, discreet incisions are made at the base of the nose to adjust the size and shape of the nostrils, resulting in smaller, narrower nostrils that look more refined while leaving the rest of the nose untouched. Alar base reduction surgery adjusts the width of the bottom portion of the nose by placing small incisions at the crease alongside the nose at the cheek and in the nostril. This can improve nasal symmetry, reduce nostril size, and achieve better facial harmony.

Expertise of Dr. Lesley Rabach

Dr. Lesley Rabach is a top double - board - certified facial plastic surgeon who specializes in rhinoplasty and cosmetic nose surgery. Her expertise allows her to accurately assess each patient's needs and perform these delicate procedures with precision. She understands the importance of achieving natural - looking results and takes into account the patient's facial features and ethnic background to ensure the best outcome.

Patient Considerations

For patients considering nostril or alar base reduction surgery at LM Medical NYC, they can expect a personalized consultation with Dr. Lesley. The procedures are designed to minimize discomfort and downtime. However, as with any surgery, there are some risks involved, such as infection, bleeding, and scarring. Recovery time will vary depending on the individual and the extent of the procedure, but patients can generally expect some swelling and bruising in the initial days, which will gradually subside. They will need to follow the post - op instructions provided by Dr. Lesley to ensure proper healing and the best possible results.

Comparing the Four Institutions

General Considerations for Nasal Ala - Related Surgeries

Candidate Selection

Good candidates for nasal ala - related surgeries are physically healthy, psychologically stable, and have realistic expectations. For cosmetic procedures, they should be seeking improvement rather than perfection. Age is also a factor, especially for cosmetic rhinoplasty. Girls usually reach the appropriate age for surgery after puberty around age 15, while boys may need to wait until they are 17 or 18 years or older when their nasal bone has reached its adult size. However, if the surgery is for correcting a breathing problem or repairing a nasal injury, it can be performed before full growth.

Pre - operative Preparation

Patients should have a detailed consultation with their surgeon. They need to provide a comprehensive medical history, including any previous nose surgeries, injuries, allergies, breathing difficulties, medications, vitamins, or recreational drug use, and whether they smoke. Surgeons will give specific instructions on eating, drinking, smoking, and taking or avoiding certain vitamins and medications before surgery. Arrangements should be made for someone to drive the patient home after surgery and assist them for a few days if needed.

Post - operative Care

After surgery, patients can expect swelling, bruising, and some discomfort. Pain medication will be prescribed to manage the pain. Cold compresses can be used to reduce swelling. Patients should keep their head elevated in the first few days. They should avoid blowing their nose for a week or so while the tissues heal. If there is nasal packing, it will be removed after a few days. All dressings, splints, and stitches will be removed within one or two weeks. Strenuous activities should be avoided for a few weeks, and sun exposure and hitting or rubbing the nose should be avoided for a longer period. Surgeons will schedule follow - up visits to monitor the healing process.

Conclusion

In conclusion, New York City is a hub for high - quality nasal ala - related surgeries. The top 4 plastic institutions we've explored - Cangello Plastic Surgery, Natural Look Institute, Mount Sinai - New York, and LM Medical NYC - each offer unique services, have highly skilled surgeons, and take a patient - centered approach. Whether you're looking for nasal base reduction, full - scale rhinoplasty, or nostril reduction, these institutions have the expertise to help you achieve your desired results. It's important to carefully consider your goals, research each institution, and have in - depth consultations with the surgeons before making a decision.

If you're considering nasal ala - related surgeries, we encourage you to reach out to these institutions to schedule a consultation. Take the time to learn more about the procedures, the surgeons' expertise, and the expected outcomes. Share your concerns and goals openly, and make an informed decision that's right for you. Remember, your journey to a more confident and harmonious facial appearance starts with the first step of seeking professional advice.