Introduction
Nasal cartilage reshaping, commonly known as rhinoplasty, is a highly sought - after cosmetic and reconstructive procedure in New York City. It can enhance a person's facial aesthetics, improve breathing function, and boost self - confidence. With numerous institutions offering this service, it can be overwhelming for patients to make a choice. In this article, we will evaluate five carefully selected institutions in New York City for nasal cartilage reshaping.
1. Natural Look Institute with Dr. Yoel Shahar
Surgeon's Expertise
Dr. Yoel Shahar is a well - renowned plastic surgeon in New York City. He has nearly 25 years of experience performing rhinoplasty and nose - reshaping procedures at his private practices in both New York City and Israel. He is often referred to as “Doctor Nose” and is a master of his craft. He is board - certified in cosmetic and general surgery and is an associate fellow of the American Medical Association, a fellow of the American College of Surgeons, the American College of Oral and Maxillofacial Surgeons, and the International College of Surgeon. His expertise also extends to diverse ethnic backgrounds, understanding the importance of maintaining unique facial characteristics.
Treatment Approach
Dr. Shahar emphasizes personalized and caring attention. During the initial consultation, he discusses the patient's goals, fears, and concerns about their nose. He is highly realistic about the expected results and never over - corrects. Instead, he recommends alternatives or minimal procedures to achieve natural - looking cosmetic surgery results. Safety is his top priority, and most procedures are performed in his on - site surgical facility accredited by the AAAHC. He is attended by excellent anesthesiologists and nurses, and the anesthesia options ensure quick recovery.
Range of Procedures
The institute offers various types of rhinoplasty procedures, including septorhinoplasty, endoscopic, open, closed, and revision rhinoplasty. These procedures can address different issues such as removing dorsal humps, narrowing wide tips, lifting droopy noses, straightening crooked noses, and reducing the size of the nose.
Cost and Patient Reviews
The cost of rhinoplasty at the Natural Look Institute can typically range from $7,000 to $20,000, depending on several factors. Patient reviews are overwhelmingly positive. Many patients praise Dr. Shahar's approachability, his ability to understand their needs, and the natural - looking results he achieves. For example, one patient said, “My experience with Dr. Shahar was a very positive one. He understood what I wanted and executed it perfectly to my taste. I was very nervous, but his approach made me confident, and I am very pleased with my results.”
2. Cangello Plastic Surgery with Dr. David Cangello
Surgeon's Expertise
Dr. David Cangello is a board - certified plastic surgeon in New York City and is widely recognized as a leader in rhinoplasty and a pioneer of preservation rhinoplasty. He is among an elite few surgeons to offer this modern approach to nose reshaping in the United States.
Treatment Approach - Preservation Rhinoplasty
Preservation rhinoplasty, offered by Dr. Cangello, preserves as much of the original nasal structure as possible. This approach retains the existing tissue, cartilage, and bone, allowing for a natural - looking result, improved nasal function, and a lower risk of complications. It is suitable for nasal bridge concerns such as removal of humps, general bridge reshaping, and correction of minor asymmetries. Compared to traditional nasal bridge surgical techniques, preservation rhinoplasty has several advantages. For instance, the dorsum is completely preserved, eliminating the need for dorsum reconstruction and cartilage grafts. The dissection takes place in a different plane, preserving the veins, arteries, and lymphatics, which almost eliminates bruising and swelling and reduces social downtime.
Range of Procedures
Dr. Cangello performs various nasal bridge surgeries, including narrowing the appearance of the nose, correcting a dorsal bump, fixing a saddle nose deformity, and improving breathing function. When narrowing the nose, he takes into account factors such as the width of the nasal base, the natural shape and desired aesthetic of the nasal tip, the proportions of the nose in relation to ethnicity and facial features, and the thickness and elasticity of the skin.
Cost and Potential Advantages
While specific cost details are not provided, the use of preservation rhinoplasty may potentially reduce the need for revision surgeries, which could save costs in the long run. The lower risk of complications and faster recovery associated with this approach are also significant benefits for patients.
3. Columbia University Medical Center - Center for Craniofacial Regeneration
Research and Innovation
This institution is at the forefront of research in engineered nasal cartilage. The researchers, such as Avital Mendelson, Jeffrey M. Ahn, and Jeremy J. Mao, developed a bioactive scaffold that can recruit cells in the nasal dorsum in vivo and induce chondrogenesis of the recruited cells. This is a significant development as current augmentative and reconstructive rhinoplasty surgeries have limitations. Autologous grafts are associated with donor - site trauma and morbidity, while synthetic materials often yield an unnatural appearance and are prone to infection or dislocation.
Treatment Approach - Cell Homing
The cell - homing approach developed at the center uses a bilayered scaffold with alginate containing gelatin microspheres encapsulating cytokines atop a porous poly (lactic - co - glycolic acid) (PLGA) base. The gelatin microspheres are fabricated to contain recombinant human TGFβ3 at different doses. This approach has the potential to serve as an alternative material for augmentative and reconstructive rhinoplasty, combining the advantage of autologous tissue formation with synthetic, biocompatible materials.
Range of Procedures
Although this is more of a research - based approach at present, it holds promise for future rhinoplasty procedures. If successful, it could be used for various nasal reconstruction and augmentation needs, potentially providing a more natural and less invasive option for patients.
Long - Term Potential
The research at Columbia University Medical Center has the potential to revolutionize nasal cartilage reshaping. It could offer new treatment options for patients, especially those who have limitations with traditional methods. However, it may take time for this technology to be widely available for clinical use.
4. LM Medical NYC with Dr. Lesley Rabach
Surgeon's Expertise
Dr. Lesley Rabach is a double - board - certified facial plastic surgeon. She is also board - certified in otolaryngology - head and neck surgery. Her dual expertise in both facial reconstruction for function and plastic surgery for aesthetics makes her well - suited for nose trauma repair and nasal reconstruction surgery.
Treatment Approach
Nasal reconstruction surgery at LM Medical NYC focuses on restoring both the function and aesthetics of the nose. In cases of nose injury or disfigurement, repairs may be needed to the bone and cartilage structure to restore proper breathing. Once the functional aspect is corrected, Dr. Lesley can reshape the exterior of the nose for a balanced, beautiful nose that matches the facial features.
Range of Procedures
The clinic offers nasal reconstruction surgery for patients who have suffered from sports injuries, auto accidents, falls, burns, skin cancer, or other events that have resulted in nose disfigurement. Rhinoplasty can also be performed in conjunction with trauma repair to create the desired nose shape.
Patient Testimonials
Patient testimonials for Dr. Lesley Rabach are extremely positive. Patients praise her expertise, professionalism, and the natural - looking results she achieves. One patient said, “Dr. Lesley Rabach is incredible at what she does. She recommends small adjustments that look so natural but also give a noticeable result. She's absolutely lovely to be around, and I'll be turning to her for her recommendations in the future.”
5. Mount Sinai - Division of Facial Plastic and Reconstructive Surgery
Surgeon's Expertise
The facial plastic surgeons at Mount Sinai are double - board - certified in facial plastic and reconstructive surgery and otolaryngology (ear, nose, and throat). Their vast expertise in nasal function, as well as nasal and facial aesthetics, ensures that patients not only get a better - looking nose but also improved breathing function.
Treatment Approach
The surgeons at Mount Sinai take a comprehensive approach to rhinoplasty. They perform both closed/endonasal (without an external incision) and open/external rhinoplasty, depending on the patient's unique anatomy and functional and aesthetic goals. For patients with specific concerns related to nasal breathing, nasal allergies, sinus disease, or deformity after cancer treatments, they work closely with the division of rhinology and sinus surgery and the head and neck institute, and can even perform combined surgeries when appropriate.
Range of Procedures
The division offers 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. Some patients may also benefit from combining rhinoplasty with cheek or chin implants to improve facial balance.
Patient Care and Recovery
Patients start with an extensive consultation to identify areas of concern and review their goals. A personalized treatment plan is then developed. Rhinoplasty surgery is usually performed in an outpatient setting under general anesthesia or with a combination of local anesthesia and sedation. After surgery, patients are given a short course of antibiotics and mild pain medication, and the majority of swelling subsides within the first two weeks, although it may take up to a year for all the swelling to fully fade.
Comparison of the Five Institutions
| Institution | Surgeon Expertise | Treatment Approach | Range of Procedures | Unique Selling Points |
|---|---|---|---|---|
| Natural Look Institute | Dr. Yoel Shahar has 25 - year experience, board - certified in multiple areas, and has expertise in diverse ethnic backgrounds | Personalized, realistic about results, safety - first, uses on - site accredited facility | Septorhinoplasty, endoscopic, open, closed, and revision rhinoplasty | High patient satisfaction, natural - looking results, attention to detail |
| Cangello Plastic Surgery | Dr. David Cangello is a pioneer of preservation rhinoplasty | Preservation rhinoplasty with lower risk of complications, reduced bruising and swelling | Nasal bridge surgeries for various concerns | Modern, less - invasive approach to nose reshaping |
| Columbia University Medical Center | Research team with expertise in tissue engineering | Cell - homing approach using bioactive scaffolds | Potential for future reconstructive and augmentative rhinoplasty | Cutting - edge research, potential for more natural and less - invasive treatments |
| LM Medical NYC | Dr. Lesley Rabach is double - board - certified in facial plastic and otolaryngology | Focus on restoring both function and aesthetics in nasal reconstruction | Nasal reconstruction surgery and combined rhinoplasty | Expertise in nose trauma repair, positive patient testimonials |
| Mount Sinai | Double - board - certified surgeons in facial plastic and otolaryngology | Multidisciplinary approach, choice of open or closed rhinoplasty | Primary and revision rhinoplasty, combined procedures | Resources of a large hospital, comprehensive care |
Factors to Consider When Choosing an Institution
Surgeon's Experience and Expertise
The experience and expertise of the surgeon are of utmost importance. A surgeon with years of experience in rhinoplasty and a proven track record of successful surgeries is more likely to achieve the desired results. Surgeons who are board - certified and have expertise in specific areas such as ethnic rhinoplasty or nasal reconstruction should be given preference.
Treatment Approach
Each institution may have a different treatment approach. Some may focus on natural - looking results, while others may offer more innovative or less - invasive techniques. Patients should choose an approach that aligns with their goals and preferences. For example, if a patient wants a quick recovery with minimal swelling, preservation rhinoplasty offered by Dr. Cangello may be a good option.
Range of Procedures
Patients should consider the range of procedures offered by the institution. If a patient has complex nasal issues, such as a previous failed rhinoplasty or a nose injury, an institution that offers revision rhinoplasty or nasal reconstruction surgery may be more suitable.
Cost and Insurance Coverage
Cost is an important factor for many patients. While insurance may cover surgery performed to improve breathing, it usually does not cover cosmetic rhinoplasty. Patients should obtain detailed cost information from the institution and understand what is included in the price. Some institutions may also offer payment plans or financing options.
Patient Reviews and Testimonials
Reading patient reviews and testimonials can provide valuable insights into the quality of care and the results achieved by the institution. Positive reviews from satisfied patients are a good indication of the institution's reliability and the surgeon's skills.
Conclusion
When it comes to nasal cartilage reshaping in New York City, these five institutions offer a wide range of options for patients. Each institution has its own strengths, whether it's the experienced surgeons at Natural Look Institute, the innovative preservation rhinoplasty at Cangello Plastic Surgery, the cutting - edge research at Columbia University Medical Center, the expertise in nose trauma repair at LM Medical NYC, or the comprehensive care at Mount Sinai. Patients should carefully consider the factors mentioned above and consult with the surgeons to make an informed decision. Remember, choosing the right institution is crucial for achieving the best results and a positive surgical experience.
If you are considering nasal cartilage reshaping, we encourage you to reach out to these institutions for a consultation. Share your concerns and goals with the surgeons, and they will be able to guide you through the process. Feel free to share this article with others who may be interested in nasal cartilage reshaping, and explore more about rhinoplasty and related topics to make the best choice for yourself.
