Introduction

Saddle nose deformity, characterized by a visible depression or collapse of the nasal bridge, is not only a cosmetic concern but also often has functional consequences such as nasal obstructions and breathing difficulties. In New York City, there are several hospitals and surgeons renowned for their expertise in saddle nose plastic surgery. This article will evaluate the top 5 selected hospitals for saddle nose plastic surgery in New York City, looking at the surgeons, their techniques, and patient experiences.

What is Saddle Nose Deformity?

A saddle nose deformity occurs when the bridge of the nose collapses due to damage or injury, resulting in an abnormal shape. From the profile, the nasal bridge is concave, similar to a saddle, and the tip of the nose may turn upward due to lack of support, creating a “pug” nose. This condition can detract from the attractiveness of the face and cause functional breathing problems.

Causes of Saddle Nose Deformity

• Trauma: Sports injuries, violence, vehicle accidents, and falls can cause damage to the nasal bridge, leading to a saddle nose deformity. For example, a boxer may develop a “boxer’s nose” due to repeated blows to the nose.
• Infection: Diseases such as syphilis or leprosy can weaken the cartilage in the nose, resulting in a saddle nose. Although these infections are less common today, they can still have long - term effects on the nasal structure.
• Autoimmune Diseases: Conditions like Wegener’s disease, granulomatosis polyangiitis, and relapsing polychondritis can attack the cartilage in the nose, causing it to collapse.
• Intranasal Drug Use: Habitual use of cocaine, powdered drugs, or excessive use of nasal decongestant sprays can damage the nasal cartilage and lead to a saddle nose deformity.
• Surgical Complications: Septoplasty or rhinoplasty procedures that remove too much cartilage can cause the bridge of the nose to collapse, resulting in a saddle nose.

Symptoms of Saddle Nose Deformity

All saddle nose deformities will have a depression or collapse of the nose bridge. In mild cases, this may be the only symptom. However, in more severe cases, the bridge collapse and concave are deep, which can shorten the bridge of the nose and result in loss of support for the nasal tip. A crease across the lower part of the nose may form, and the nasal tip can rotate upward. Some people may also experience breathing obstruction due to the nasal valve collapse.

Top 5 Hospitals for Saddle Nose Plastic Surgery in New York City

1. Practice of Dr. Maurice M. Khosh

Surgeon Overview

Dr. Maurice M. Khosh is a double - board certified facial plastic surgeon. He is a pioneer in saddle nose deformity correction and repair and has a successful practice in Manhattan, NY. He has received many awards and accolades for his achievements in the field of facial plastic surgery and is highly esteemed by his colleagues and patients. He has a special passion for completing challenging procedures like saddle nose repair that can have a dramatic impact on his patients’ lives.

Treatment Techniques

For major saddle nose deformities or to permanently repair the nose, Dr. Khosh uses surgical cartilage grafting. He has extensive experience in completing the needed cartilage harvesting and grafting to restore the support and shape of the nose. In addition to repairing the anatomic abnormalities in the nose structure and breathing capabilities, he also ensures the nose is aesthetically balanced with the facial features. He is well - versed in all techniques for saddle nose reconstruction, including filler injections, cartilage grafts from the ear and the rib, bone grafts from the skull, and manufactured implants. He tailors the reconstructive options and the approach for repair (open rhinoplasty vs. closed rhinoplasty) to the extent of the deformity and the underlying cause of the collapse.

Patient Experiences

Dr. Khosh's patients have had overwhelmingly positive experiences. Many have praised his surgical skills, bedside manner, and the excellent results of their surgeries. For example, some patients who had their noses reset by Dr. Khosh after fractures reported little discomfort and were highly satisfied with the aesthetic and functional outcomes. Patients also appreciate his patience in answering their questions and addressing their concerns during the entire process, from consultation to post - operative care.

2. Practice of Dr. Joshua D. Rosenberg

Surgeon Overview

Dr. Joshua D. Rosenberg is a fellowship - trained, dual board certified facial plastic surgeon and a respected facial reconstructive expert. His background makes him an excellent choice for those considering saddle nose repair surgery.

Treatment Techniques

Repairing a saddle nose usually requires cartilage grafting or the use of implants to help restore the bridge. The tip of the nose may also require careful attention to create a desirable shape. Dr. Rosenberg uses the most advanced techniques available to create a well - supported nasal bridge to address the concave shape and reshape the tip for the desired appearance.

Patient Experiences

Although specific patient reviews were not as detailed as those for Dr. Khosh, patients can expect high - quality care from a surgeon with his level of expertise. His training and specialization suggest that he can provide effective solutions for saddle nose deformities, both in terms of functionality and aesthetics.

3. Clinic of Dr. Rousso

Surgeon Overview

Dr. Rousso is one of the leading rhinoplasty surgeons in NYC, as well as a respected facial reconstructive surgeon. His knowledge and skill in the most advanced techniques for reforming and reconstructing the nasal bridge are put to effective use in repairing the functionality of the nose in saddle nose deformities.

Treatment Techniques

Dr. Rousso uses his expertise in the most advanced techniques for reforming and reconstructing the nasal bridge. When paired with his eye for facial aesthetics and artistry, he can create a new nose that is beautiful and balanced within the facial features while correcting any functional issues.

Patient Experiences

While specific patient feedback is limited in the available resources, his reputation as a leading rhinoplasty and facial reconstructive surgeon in NYC indicates that patients can expect a high - standard of care. His ability to address both the aesthetic and functional aspects of saddle nose deformities is a significant advantage for patients seeking treatment.

4. Practice of Dr. Jeremy Nikfarjam

Surgeon Overview

Dr. Jeremy Nikfarjam is a board - certified plastic surgeon in NYC. He has the knowledge and experience to assess patients for saddle nose repair and recommend appropriate treatment plans.

Treatment Techniques

Dr. Nikfarjam offers both surgical and non - surgical saddle nose treatments. Minor depressions on the nose can be leveled with facial filler injections, while cartilage grafting and rhinoplasty may be required for more severe deformities. He can explain the procedure and risks to patients and recommend a customized treatment plan based on their goals.

Patient Experiences

Although individual patient testimonials are not prominently available, the option of both surgical and non - surgical treatments allows patients more flexibility in choosing the most suitable approach for their saddle nose deformity. His personalized approach to patient care can help patients make informed decisions about their treatment.

5. LM Medical NYC

Surgeon Overview

Dr. Lesley Rabach at LM Medical NYC is a double board - certified facial plastic and reconstructive surgeon. She has the experience and skill to complete the complex procedure of saddle nose rhinoplasty.

Treatment Techniques

Saddle nose rhinoplasty at LM Medical NYC involves nose reconstruction with cartilage grafts and stents to add support to the nasal structure and open the collapsed nasal valves. Dr. Lesley is able to restore the shape of the nose and improve its function.

Patient Experiences

While there is limited patient - specific information provided, the fact that Dr. Lesley is double board - certified and experienced in complex nasal reconstruction procedures gives patients confidence in the quality of care they can receive at LM Medical NYC. The ability to address both the shape and function of the nose is crucial for patients with saddle nose deformities.

Comparing the Hospitals and Surgeons

Expertise and Specialization

Treatment Options

Patient Experience and Reputation

Dr. Maurice M. Khosh has a large number of positive patient reviews, highlighting his surgical skills, bedside manner, and patient - centered care. While the other surgeons also have solid credentials, there is relatively less patient - specific feedback available. However, their expertise and training suggest that they can provide high - quality care and satisfactory results.

Considerations When Choosing a Hospital for Saddle Nose Plastic Surgery

Surgeon's Expertise

Look for a surgeon who is board - certified in facial plastic and reconstructive surgery and has extensive experience in saddle nose repair. Check their track record, patient reviews, and any awards or recognition they have received in the field.

Treatment Options

Consider the range of treatment options available at the hospital. Some patients may prefer non - surgical treatments for minor deformities, while others may require surgical reconstruction. A hospital that offers both options gives you more flexibility in choosing the best approach for your condition.

Cost and Insurance

Understand the cost of the procedure and whether your insurance will cover it. Most insurance companies consider the surgical repair of a saddle nose deformity to be reconstructive rather than cosmetic and therefore cover the costs of surgery. However, it's important to confirm this with your insurance provider.

Location and Accessibility

Choose a hospital that is conveniently located for you, especially considering post - operative follow - up appointments. You may also want to consider the hospital's facilities and the quality of its pre - and post - operative care.

Conclusion

In New York City, there are several excellent hospitals and surgeons for saddle nose plastic surgery. Dr. Maurice M. Khosh stands out with his vast experience, positive patient reviews, and comprehensive approach to saddle nose repair. However, Dr. Joshua D. Rosenberg, Dr. Rousso, Dr. Jeremy Nikfarjam, and Dr. Lesley Rabach at LM Medical NYC also offer high - quality services with their unique expertise and treatment options. When choosing a hospital for saddle nose plastic surgery, it's important to consider the surgeon's expertise, treatment options, cost, insurance, and location. By doing thorough research and consulting with multiple surgeons, you can make an informed decision that best meets your needs and goals.

If you or someone you know is considering saddle nose plastic surgery in New York City, we encourage you to schedule consultations with these top - rated surgeons. Discuss your concerns, expectations, and the available treatment options to find the best solution for your saddle nose deformity. Share this article with others who may be interested in learning more about saddle nose plastic surgery in New York City.