Five Public Hospitals for Nasal Contour Reshaping in New York City

New York City is a hub for top - notch medical facilities, especially when it comes to nasal contour reshaping. Rhinoplasty, or nasal contouring, is a highly sought - after procedure for both cosmetic and functional reasons. This article will explore five public hospitals that consistently rank high for nasal contour reshaping procedures.

1. Mount Sinai

Expertise in Rhinoplasty

Mount Sinai's division of facial plastic and reconstructive surgery is well - known for its rhinoplasty services. The nose is a central and defining facial feature, and Mount Sinai aims to create natural, long - lasting results in every rhinoplasty procedure. The facial plastic surgeons here are double - board certified in facial plastic and reconstructive surgery and otolaryngology (ear, nose, and throat). Their vast expertise ensures that the new nose not only looks better but also functions better, with improved breathing ability.

According to the statistics from the American Society of Plastic Surgeons, more than 213,000 people receive a nose job each year in the U.S., and Mount Sinai is well - equipped to handle this demand. The surgeons perform both closed/endonasal (without an external incision) and open/external rhinoplasty. The choice of approach depends on the patient's unique anatomy and functional and aesthetic goals.

Types of Rhinoplasty

There are two main types of rhinoplasty at Mount Sinai. Primary rhinoplasty is performed for the first time to address cosmetic concerns and/or nasal breathing. Revision rhinoplasty, on the other hand, is carried out to address concerns or deformities resulting from prior nose surgeries.

For closed (endonasal) rhinoplasty, all incisions are made inside the nose. This approach has the advantage of no external scar and a relatively shorter operation time. Open (external) rhinoplasty involves a small incision at the base of the nose to increase the surgical field of vision, allowing for more complex alterations and grafting.

Multidisciplinary Approach

Patients at Mount Sinai have access to a wide range of specialists and subspecialists. For those with specific concerns related to nasal breathing, allergies, sinus disease, or deformity after cancer treatments, the hospital works closely with experts in the division of rhinology and sinus surgery and the head and neck institute. In some cases, combined surgeries can be performed.

Adolescent Rhinoplasty

When it comes to adolescent rhinoplasty, if the procedure is for cosmetic reasons, girls typically need to wait until around age 15 after puberty when their nasal bone has reached adult size, and boys may need to wait until 17 or 18 years or older. However, if it's to correct a breathing problem or repair the bone after an injury, it can be done before the patient is fully grown.

Before and After Care

Patients interested in rhinoplasty at Mount Sinai start with an extensive consultation. The surgeons then develop an individualized treatment plan. The 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 antibiotics and mild pain medication, and most swelling subsides within the first two weeks, though it may take up to a year for all swelling to fully fade. Patients can expect to return to work or school within one to two weeks after surgery and should avoid strenuous activities for two weeks.

Cost of Rhinoplasty

Insurance may cover surgery performed to improve breathing (e.g., deviated septum), but not cosmetic rhinoplasty. The hospital provides patients with expected costs prior to any intervention.

2. Columbia Surgery

About Rhinoplasty

Columbia Surgery offers cosmetic nose surgery (rhinoplasty) to correct and/or improve the appearance of the nose. It is commonly used for cosmetic enhancement and can also treat health - related issues such as obstructed breathing or structural abnormalities. The size and shape of the nose can be affected by genetics or injury, and rhinoplasty can help in various ways.

It can improve the nose size for better facial proportions, reduce the width of the nose at the bridge for symmetry, smooth visible humps or dips, reshape the nasal tip, nostrils, and repair nasal deviation. Correcting the nose can have a significant psychological impact, boosting self - esteem and improving social and professional interactions.

Rhinoplasty for Men

While rhinoplasty is more common among women, it is also popular among men. Male rhinoplasty patients typically experience more swelling and bruising than women due to the nature of the blood supply to their face and bony structure. Men usually need 6 - 8 weeks before resuming full - spectrum jogging and aerobic activities to allow the bones to heal and the tissues to reduce swelling.

Rhinoplasty Techniques

Rhinoplasty at Columbia Surgery can be performed by either an "open" or a "closed" procedure. In an open procedure, incisions are made inside the nose and a small one between the nostrils at the base of the nose to expose and visualize the underlying bone and cartilage for reconstruction. In a closed procedure, all incisions are made inside the nose, leaving no visible scarring. While many procedures can be done via the closed technique, more complex cases may require an open procedure. After an open procedure, any incision scars are virtually unnoticeable due to their placement along natural creases around the nose.

Anesthesia and Recovery

The surgery can be performed under local or general anesthesia. Before surgery, patients are advised to avoid taking aspirin, Advil, Motrin, or other aspirin - containing products for two weeks and stop smoking to aid in healing. After surgery, discomfort may include swelling, bruising around the eyes, aching around the nasal area, minor headaches, mild bleeding, and nasal stuffiness. Bruising and swelling usually dissipate within two to three weeks, and most patients resume their normal routines within a week to ten days. Most swelling subsides within a few weeks, although complete resolution can take several months.

3. New York Group for Plastic Surgery

Benefits of Rhinoplasty

The New York Group for Plastic Surgery offers the best rhinoplasty in New York City. Rhinoplasty can be highly beneficial for patients of all ages, genders, and ethnicities who are dissatisfied with the appearance of their nose. As long as patients are in good overall health, have a fully - developed nose, and realistic expectations, nose reshaping surgery can be an ideal solution for aesthetic or functional concerns.

It can correct issues such as nose size in relation to facial proportions, nasal asymmetry, nose width at the bridge, size and shape of the nostrils, bulbous or droopy nasal tips, visible bumps or depressions on the bridge, nasal disfigurement due to injury, and functional defects like a deviated septum.

Candidates for Rhinoplasty

Teenage candidates for rhinoplasty must display heightened emotional maturity, and the skeletal structure of the nose must be fully formed. For girls, this is typically between the ages of 14 and 15, and for boys between 16 and 17. Patients of any age should understand that rhinoplasty will help them achieve a nose that blends with their natural beauty, not perfection or the appearance of someone else.

Combining Procedures

Many patients choose to combine rhinoplasty with other facial cosmetic procedures such as facelifts, brow lifts, ear shaping, and eyelid surgery. This offers the benefit of a single recovery period. The expert team at the New York Group for Plastic Surgery is happy to discuss all cosmetic options with patients during the initial consultation.

Surgical Process

Rhinoplasty surgery is performed on an outpatient basis at the on - site surgical facility. It usually takes about one to two hours. The surgery may use local anesthesia and heavy sedation or general anesthesia, depending on the complexity of the adjustments and the surgeon's recommendation. There are two surgical techniques: open rhinoplasty and closed rhinoplasty. Closed rhinoplasty, or endonasal rhinoplasty, involves making incisions inside the nose, eliminating visible external scarring and is suitable for patients who need minor alterations. Open rhinoplasty involves a small incision on the exterior of the nose below the nasal tip, providing better access to the bones and cartilage and is used for more extensive nose reshaping.

Recovery and Results

Recovery after rhinoplasty takes several weeks. Most patients can return to light activities, including work, after about one full week of healing. If the surgery is combined with other procedures, the recovery time will increase. Patients should wait for the surgeon's approval before resuming strenuous activities. The results of rhinoplasty start to become apparent after about one to two weeks when the initial bruising and swelling start to subside. However, slight swelling may persist for several months to a full year depending on the complexity of the surgery.

Cost Factors

The cost of rhinoplasty is influenced by several factors. Insurance coverage depends on whether the surgery is reconstructive (partially covered) or cosmetic (usually not covered). The type of surgery, such as revision rhinoplasty (more complex and expensive) or septoplasty (more affordable), also affects the cost. Anesthesia type and duration, the location of the surgeon's practice, and the surgeon's experience and reputation all play a role. Additional costs include pre - operative appointments, operating fees, and post - operative care.

4. James P. Bradley, MD

Ideal Candidates

Dr. James P. Bradley's practice is known for rhinoplasty in New York. Ideal candidates are in good overall health, do not have circulatory or healing problems, and are non - smokers or willing to quit before the procedure for faster recovery. For teenagers, nose surgery is recommended when the nasal structure has reached its adult size, usually age 15 or 16 for girls and a year later for boys.

Consultation and Objectives

During the consultation, Dr. Bradley has a detailed discussion with patients about their preferences and concerns and conducts a full - facial evaluation. The objectives of rhinoplasty include individualized correction of nasal shape based on facial features, improvement in nasal breathing and sleep apnea, removal of the nasal bridge (dorsal) hump, creation of a refined nasal tip, and symmetrical nostrils.

Rhinoplasty Techniques and Options

The exact rhinoplasty techniques depend on the patient's case and are discussed during the initial consultation. There are three main options: cosmetic nasal reshaping, which uses cartilage and bony reduction for a prominent dorsal hump and straightening for nasal deviation; functional rhinoplasty, which focuses on relieving nasal obstruction through techniques like septoplasty and inferior turbinate reduction; and secondary ('redo') rhinoplasty, which is more complicated and usually requires cartilage grafting for patients who had a previous rhinoplasty.

Preparation and Procedure

Before the rhinoplasty surgery, patients are given instructions to avoid specific medicines, stop smoking, and arrange transportation home. Anesthesia is administered during the procedure, and the incision is made either inside the nose or between the nostrils. Bone, soft tissue, and cartilage are removed, repositioned, or reshaped, and cartilage or bone grafts may be used. The incisions are then closed with surgical sutures, and the whole procedure can take an hour or more depending on the difficulty.

Recovery

After surgery, patients have a plastic splint on their nose for the first week to reduce swelling. Some may experience bruising around the eyes, which can be reduced by icing and head elevation. Nasal sprays are started after a week to reduce congestion, and patients should avoid blowing their nose gently. Patients typically stay home from work for around one week and avoid physically taxing activities until cleared. The final result may take months to become fully visible as the swelling resolves.

5. Dr. Westreich at New Face NY

What is Rhinoplasty

Dr. Westreich at New Face NY specializes in transformative rhinoplasty procedures. Rhinoplasty can be for cosmetic or functional reasons. Cosmetic rhinoplasty addresses aesthetic concerns like an overly - wide tip or a large dorsal hump, while functional rhinoplasty addresses medical concerns such as a deviated septum or a crooked or broken nose.

Benefits of Rhinoplasty

The cosmetic benefits include reducing the size of the dorsal hump, narrowing the nose structure, reshaping the nasal tip, correcting a pinched - looking tip, refining the nostrils, improving facial harmony and proportionality, and boosting self - confidence. The functional benefits involve correcting a deviated septum for healthier breathing, reducing snoring and mouth - breathing, restoring a broken or crooked nose, and improving sleep quality and overall quality of life.

Types of Rhinoplasty

There are additional types of rhinoplasty offered. Ethnic rhinoplasty is tailored to preserve the unique features of the patient's ethnic identity and heritage. Revision rhinoplasty is for patients who had a botched nose job and need to correct external deformities, cosmetic concerns, or functional problems.

Cost of Rhinoplasty

Cosmetic rhinoplasty is not covered by insurance, but portions of a functional rhinoplasty to fix a deviated septum or other medical conditions may be eligible for insurance coverage, depending on the specific insurance plan. The overall cost depends on factors such as medical tests, surgeon's fees, anesthesia fees, medications, and facility fees.

The Rhinoplasty Procedure

The rhinoplasty procedure at New Face NY is catered to the patient's specific needs. It is performed at the state - of - the - art surgical center under local or general anesthesia and concludes within 2 to 3 hours. The steps include anesthesia delivery, making incisions (either closed or open), reshaping the nose structure, correcting a deviated septum if present, and closing the incisions.

Recovery and Tips

Swelling and bruising are normal after rhinoplasty. Dr. Westreich uses exparel to provide pain relief for up to three days post - surgery, reducing the need for narcotics and enabling a quicker recovery. Patients go home with a splint on their nose for about a week. Recovery tips include using saline nasal sprays, applying ointments and steroid creams, taking arnica and bromelain caplets, low - dose steroid pills, applying ice packs, sleeping with the head elevated, and following a proper diet.

Comparative Analysis of the Five Hospitals