Introduction
Septal cartilage rhinoplasty is a highly sought - after procedure in New York City, offering both functional and aesthetic benefits. Whether it's to correct a deviated septum for better breathing or to reshape the nose for a more balanced appearance, many individuals turn to top - notch plastic institutions. In this article, we will explore the top 4 powerful plastic institutions in New York City for septal cartilage rhinoplasty, their unique features, and what patients can expect from them.
Understanding Septal Cartilage Rhinoplasty and Septoplasty
What is Septoplasty?
Septoplasty is a surgical procedure aimed at correcting a deviated nasal septum. The nasal septum is the partition between the two nasal cavities. When it deviates from the center line, it can cause various issues. According to the information from Top Google Search Results, “septoplasty is a surgical procedure to correct a deviated nasal septum. Also referred to as septal reconstruction or submucous septal resection, this corrective surgery straightens the partition between the two nasal cavities so that it runs down the center of the nose in the ideal anatomical formation.”
Deviations of the septum can be due to an injury or occur during childbirth. A deviation of more than 50% can lead to difficulty breathing, and in some cases, cause compensatory hypertrophy of the inferior turbinate on the opposite side. Septoplasty not only helps in improving breathing but can also alleviate recurrent rhinitis, sinusitis, and nosebleeds. It can even be done for cosmetic purposes to straighten a crooked nose.
How Septoplasty Relates to Septal Cartilage Rhinoplasty
Septal cartilage is often used in rhinoplasty procedures. Rhinoplasty can be either for cosmetic enhancement or to correct functional problems related to the nose. Septoplasty can be a part of a more comprehensive septal cartilage rhinoplasty procedure. For example, if a patient has a deviated septum and also wants to change the appearance of their nose, a combined approach may be taken. During septal cartilage rhinoplasty, the surgeon can reshape the nose using the septal cartilage while also correcting the deviated septum.
Top 4 Plastic Institutions for Septal Cartilage Rhinoplasty in New York City
1. Cangello Plastic Surgery
Dr. David Cangello at Cangello Plastic Surgery is a well - known name in the field of septoplasty in New York City. He is an expert in nasal surgery, and his approach to septoplasty is highly personalized.
Procedure Details
Dr. Cangello usually makes an incision on the lower portion of the septum, known as the caudal septum, and then works through the nostrils to access the bone and cartilage. Most septoplasty procedures with him are comprised of five steps: initial incision to expose the deviated septum, identifying and releasing the internal structures causing angulations, realigning the septum, reimplanting crushed cartilage (when appropriate), and closure of the incision. He will elevate the mucosal lining to expose the bony and cartilaginous portions of the septum, free the cartilage from its attachments to the bone, remove or reposition any cartilage or bone causing obstruction, and then realign the remaining bone and cartilage for structural support. After straightening the septum, he may use a splint, small plastic tubes, or internal sutures to temporarily stabilize it.
Patient Eligibility
This surgery is typically suitable for individuals with recurrent rhinitis, a deviated septum, or other chronic sinusitis. It can also be performed to alleviate recurrent epistaxis due to septal impaction or septal spur, and for cosmetic purposes to straighten a crooked nose. However, patients presenting with acute sinus or nasal infection, untreated diabetes, bleeding diathesis, or severe hypertension are not candidates for septoplasty.
Risks and Recovery
Septoplasty by Dr. Cangello is a common surgical procedure with a very low risk of complications. Rare complications such as bleeding, septal hematoma, septal perforation, and hyposmia have been reported. During recovery, patients can experience mild to moderate tenderness or pain at the front of the nose, as well as stuffiness due to swelling. Nasal drainage of blood and mucous is also common. Swelling and congestion inside the nose usually last between two and three days, and drainage may continue for up to five days. Full recovery generally takes one to two months. Dr. Cangello may prescribe a pain reliever for the first day following surgery and a saline spray or irrigation treatment several times a day for the week after surgery to clear nasal congestion.
2. Pearlman Aesthetic Surgery
Dr. Steven Pearlman at Pearlman Aesthetic Surgery offers renowned septoplasty services in Manhattan. He is a double - board - certified otolaryngologist and facial and reconstructive plastic surgeon.
Diagnosis and Treatment Approach
To diagnose a deviated septum, Dr. Pearlman conducts a careful examination of the inside of the nose using a headlight, a nasal speculum, and in some cases, a flexible or rigid nasal endoscope. If the nose is congested, a medicated nasal spray may be used to improve visibility. For a deeper inspection, a CT scan may be used, especially for patients with recurrent sinusitis. Intra - nasal photographs taken with a nasal endoscopic camera are also used to circumvent the need for a CT scan. Septoplasty at Pearlman Aesthetic Surgery is usually performed from inside the nose by a closed, scarless, or endonasal approach. Dr. Pearlman moves, scores, reshapes, or removes crooked cartilage and bone to correct the septum and improve functionality.
Combined Procedures
If a patient has a deviated septum and wants to improve the appearance of their nose, septoplasty and rhinoplasty can be performed together as a septorhinoplasty. However, patients should be aware that most insurance companies do not cover fees for rhinoplasty, even when it is performed with a septoplasty.
Recovery and Results
Since the majority of septoplasty surgeries are performed from the inside through a closed or endonasal approach, there is much less recovery and downtime needed. Dr. Pearlman typically tells patients that their mothers couldn't tell they had anything done 2 days after surgery. Only in very extreme circumstances does the nose need to be “opened” to correct an extremely deviated septum. A septoplasty at Pearlman Aesthetic Surgery can drastically improve nasal functionality, allowing patients to breathe more easily and enjoy a newfound quality of life.
3. Manhattan Facial Plastic Surgery (Dr. Sam Rizk)
Dr. Sam Rizk at Manhattan Facial Plastic Surgery is considered among the best rhinoplasty surgeons in New York City. He is double - board - certified in facial cosmetic and reconstructive surgery.
Expertise in Rhinoplasty and Septoplasty
Dr. Rizk combines art and cosmetic surgery. He pioneered the 3D HD rhinoplasty surgery, which involves less pain and less recovery time. During a rhinoplasty or septoplasty consultation, he conducts a thorough examination of the internal and external structure of the nose, takes photographs, and reviews possible computer imaging with the patient. He also discusses what to expect before, during, and after the surgery and may offer to connect the patient with other patients who have had rhinoplasty with him.
Surgical Process
All rhinoplasty and septoplasty procedures are performed under general anesthesia. Depending on the patient's needs, an open or closed approach may be used. Dr. Rizk uses tissue glue instead of nasal packing, which can create pain and shape distortion. After the surgery, swelling and bruising will be apparent over the next few days, and prescribed medication will be administered to alleviate any pain or discomfort. Patients are required to follow postoperative instructions, including taking medication regularly, changing bandages and dressings, returning for follow - up appointments, and notifying Dr. Rizk if any problems or complications develop.
Real Patient Results
Dr. Rizk has achieved many successful results. For example, he has performed rhinoplasty on patients with long noses and droop tips, damaged nose bridges with deviated septums, and wide tips, providing beautiful natural - looking results. With over 15 years of experience in facial cosmetic surgery, he has developed a number of renowned techniques that he shares at conferences worldwide.
4. City Facial Plastics (Dr. Gary Linkov)
Dr. Gary Linkov at City Facial Plastics is a highly experienced facial plastic surgeon who offers septoplasty to restore the shape and function of the nasal passages.
Evaluation and Patient Selection
Dr. Linkov carefully assesses each patient to determine if they are a good candidate for septoplasty. Not all patients with a deviated septum require surgery. He considers the degree of septal deviation and if the symptoms correspond to the objective findings on examination. For example, someone with reduced nasal breathing on one side all the time and a septum that is deviated to that side may be a good candidate, while a patient with intermittent nasal obstruction and a slightly deviated septum may not be. There are also several reasons beyond nasal breathing obstruction to consider septoplasty, such as bleeding, facial pain, and sleep apnea.
Surgical Approaches
There are three main types of approaches to septoplasty surgery at City Facial Plastics: closed (the most common type involving an internal incision to expose the cartilage), open (a less common choice for more extensive procedures involving an incision on the outside of the nose and the inside), and endoscopic (a minimally invasive approach for posterior - based septal deflections). The five major steps of septoplasty surgery include anesthesia (using 1% lidocaine with epinephrine for local anesthesia to reduce bleeding), incision, dissection, removal of the deviated segment of cartilage and/or bone while leaving a sufficient amount for structural support, and closure (with internal nose splints sutured into place).
Recovery and Risks
During recovery, the nose will be stuffy for the first few days to weeks, and there may be light bleeding from the nose for the first 48 hours. The internal nasal splints are removed at the first follow - up appointment at 1 week postoperatively. It is important to avoid strenuous activity for at least 1 week postoperatively. Risks and complications of septoplasty include bleeding, infection, poor scarring, undesirable aesthetic result, upper dental numbness, persistent or relapse of deviation, septal perforation, saddle nose, persistent nasal congestion, decreased sense of smell, and septal hematoma.
Choosing the Right Plastic Institution
Surgeon's Expertise and Experience
When choosing a plastic institution for septal cartilage rhinoplasty, the surgeon's expertise and experience are crucial. Look for surgeons who are board - certified in relevant fields such as facial plastic and reconstructive surgery or otolaryngology. Surgeons with extensive experience in septoplasty and rhinoplasty, like the ones at the four institutions mentioned above, are more likely to achieve better results and handle any potential complications.
Patient Reviews and Testimonials
Reading patient reviews and testimonials can provide valuable insights into the quality of care and results offered by a plastic institution. Positive reviews about the surgeon's bedside manner, communication skills, and the final outcomes of the surgeries are good signs. You can also look for before - and - after photos to get an idea of the surgeon's work.
Cost and Insurance Coverage
Cost is an important factor to consider. Septoplasty is often covered by insurance if it is performed for functional reasons, but rhinoplasty for cosmetic purposes may not be. It is essential to understand the cost breakdown, including surgeon's fees, anesthesia fees, and facility fees. Check with your insurance provider to see what is covered and get a clear estimate from the plastic institution before making a decision.
Conclusion
New York City is home to some of the top plastic institutions for septal cartilage rhinoplasty. Cangello Plastic Surgery, Pearlman Aesthetic Surgery, Manhattan Facial Plastic Surgery, and City Facial Plastics each offer unique expertise, personalized approaches, and a commitment to patient satisfaction. Whether you are looking to correct a deviated septum for better breathing or to enhance the appearance of your nose, these institutions can provide the necessary care and surgical skills. Before undergoing any procedure, it is important to do thorough research, consult with multiple surgeons, and make an informed decision based on your individual needs and goals.
If you are considering septal cartilage rhinoplasty in New York City, don't hesitate to reach out to these institutions for a consultation. Learn more about their services, ask questions, and take the first step towards achieving the nose you desire and improving your overall quality of life.
