Introduction
Nasal three - dimensional reshaping, also known as rhinoplasty, is a highly sought - after plastic surgery procedure. In New York City, a hub of medical innovation and expertise, there are numerous plastic surgery hospitals that offer this service. This guide aims to provide comprehensive information about rhinoplasty, the top plastic surgery hospitals in NYC, and what to expect before, during, and after the procedure.
Understanding Nasal Three - Dimensional Reshaping (Rhinoplasty)
What is Rhinoplasty?
Rhinoplasty, commonly referred to as a “nose job” or nose reshaping, is a surgical procedure designed to improve the appearance of the nose and, in some cases, address breathing difficulties. As stated by Mount Sinai, a reputable medical institution in New York, rhinoplasty can enhance a patient's self - confidence and may even improve their ability to breathe. The nose is a defining feature of the face, and even subtle changes through rhinoplasty can have a significant impact on a person's overall appearance and aesthetics.
Reasons for Rhinoplasty
There are several reasons why individuals may choose to undergo rhinoplasty:
- Cosmetic Reasons: Many people are unhappy with the shape, size, or proportion of their nose. They may feel that their nose is too large, too small, too flat, too pointed, or has a visible bump or irregularity. Rhinoplasty can address these concerns, making the nose more aesthetically pleasing and in harmony with the rest of the face. For example, a patient may want to reduce the size of a large or prominent nose, sculpt the nose into a more attractive shape, correct a bulbous or drooping tip, or decrease the size of the nostrils.
- Functional Reasons: Some individuals experience breathing difficulties due to structural problems in the nose, such as a deviated septum. A deviated septum is a condition where the thin wall (septum) between the nostrils is displaced, causing obstruction in the nasal passages. Rhinoplasty can correct these functional defects, improving airflow and making it easier to breathe. Other functional issues that can be addressed include nasal valve repair and turbinate reduction.
- Correcting Trauma or Injury: If the nose has been disfigured due to an injury, such as a fracture, rhinoplasty can be used to repair and reshape the nose, restoring its normal appearance and function.
- Ethnic Rhinoplasty: People of different ethnic backgrounds may have specific nasal characteristics that they wish to modify. Ethnic rhinoplasty takes into account the unique anatomical features of different ethnic groups and aims to enhance the nose while maintaining its cultural and ethnic identity. For instance, Asian, African - American, and Hispanic patients may have specific nasal traits that require specialized techniques for optimal results.
- Revision Rhinoplasty: In cases where a previous rhinoplasty did not achieve the desired results or caused complications, revision rhinoplasty can be performed to correct the issues and improve the outcome.
Top Plastic Surgery Hospitals for Nasal Three - Dimensional Reshaping in New York City
Mount Sinai
Mount Sinai is a well - known medical center in New York City that offers comprehensive rhinoplasty services. Their expert plastic surgeons are experienced in both cosmetic and functional rhinoplasty. For cosmetic purposes, they can help patients achieve a more attractive nose shape, such as making a large nose smaller or sculpting the tip. In cases of functional problems, they can use their reconstructive skills to correct a deviated septum, which may be covered by medical insurance if it is primarily a medical procedure. The surgeons at Mount Sinai will discuss the patient's goals in detail and use state - of - the - art technology to give the patient an idea of what they will look like after the procedure.
Facial Plastic Surgery NYC (Dr. Joseph J. Rousso)
Dr. Joseph J. Rousso at Facial Plastic Surgery NYC is a highly experienced facial plastic surgeon who performs over 120 rhinoplasties a year. He emphasizes that no two noses are the same, and each patient requires a unique approach to rhinoplasty. Dr. Rousso pioneered the ‘3 - dreams’ assessment and approach, which refers to a “three - dimensional rhinoplasty that is elegantly aesthetic & medically secure.” This method allows for individual tailoring of the surgery while using the most comprehensive three - dimensional intraoperative high - definition endoscopic technology. He performs a variety of rhinoplasty procedures, including adolescent & teen rhinoplasty, Asian/ethnic rhinoplasty, deviated septum/septoplasty, and many others.
Gotham Plastic Surgery (Dr. Miller)
Dr. Miller at Gotham Plastic Surgery offers rhinoplasty in New York City. His functional rhinoplasty is performed on an outpatient basis at the JCAHO - accredited office - based surgery facility. The surgical times average 1 to 2.5 hours, and either general anesthesia or IV sedation may be used. Most incisions are made inside the nostrils (closed rhinoplasty), but in some cases, an open rhinoplasty with a small incision on the underside of the nose may be necessary. If a patient has a deviated septum, it can be corrected during the procedure with a septoplasty. After the surgery, a cast is applied to the nose for about a week, and patients may experience swelling, bruising, and stuffiness during the recovery period. Dr. Miller also has experience with preservation rhinoplasty, which offers a different approach to reducing a dorsal hump while preserving the original components of the nasal bridge.
Plastic Surgery & Dermatology of NYC (Dr. Elie Levine)
Dr. Elie Levine at Plastic Surgery & Dermatology of NYC takes an artistic, nuanced, and customized approach to rhinoplasty. His goal is to improve overall facial aesthetics in the most natural - looking way possible, rather than creating a one - size - fits - all “designer nose.” He can address a wide range of concerns, such as changing the size or shape of the nose, removing a bump, reshaping the nostrils, or correcting functional problems. The procedure is performed in their accredited in - office surgical facility, and patients can go home the same day. Dr. Levine is experienced in both open and closed rhinoplasty techniques and uses a state - of - the - art computer imaging system to help patients visualize their potential results.
New York Group for Plastic Surgery (Dr. Jordan Jacobs)
The New York Group for Plastic Surgery, led by Dr. Jordan Jacobs, offers the best rhinoplasty in New York City. Dr. Jacobs has extensive training under globally acclaimed medical leaders and experts. He can effectively correct various nose - related issues, including nose size in relation to facial proportions, nasal asymmetry, and functional defects such as a deviated septum. Patients can choose to combine rhinoplasty with other facial cosmetic procedures, such as facelifts, brow lifts, ear shaping, and eyelid surgery, for an overall facial improvement with a single recovery period. The surgery is performed on an outpatient basis at their on - site surgical facility, and the surgical team will design a personalized medical program based on the patient's specific needs.
Preparing for Rhinoplasty
Initial Consultation
The first step in the rhinoplasty process is an initial consultation with a plastic surgeon. During this consultation, the surgeon will examine the patient's nose and facial structure, discuss the patient's goals and expectations, and explain the available options and potential risks. They will also take pre - operative photographs, which may be digitally manipulated to show the patient the intended end result. It is important for the patient to be open and honest about their desires and concerns, and to have realistic expectations about the outcome of the surgery. For example, Dr. Philip J. Miller, a leading rhinoplasty expert in NYC, spends a significant amount of time during the initial consultation to understand the patient's needs and explain any limitations based on the patient's existing nasal structure and skin condition.
Medical Evaluation
The patient will also undergo a comprehensive medical evaluation to ensure they are in good health and a suitable candidate for rhinoplasty. This may include a physical examination, blood tests, and other diagnostic tests as needed. The surgeon will review the patient's medical history, including any previous surgeries, allergies, and current medications. It is important for the patient to inform the surgeon of any health issues or medications they are taking, as this can affect the safety and outcome of the surgery. For instance, patients who smoke may be advised to quit smoking several weeks before the surgery to improve the healing process.
Pre - operative Instructions
Before the surgery, the patient will receive pre - operative instructions from the surgeon. These instructions may include avoiding certain medications, such as aspirin, ibuprofen, and other blood - thinning medications, for a specified period of time before the surgery. The patient may also be asked to stop taking herbal supplements and vitamins, as these can also increase the risk of bleeding. In addition, the patient will be advised on how to prepare for the day of the surgery, such as arranging for someone to drive them home after the procedure and having a comfortable place to rest during the recovery period.
The Rhinoplasty Procedure
Anesthesia
The type of anesthesia used for rhinoplasty depends on the extent of the procedure and the patient's preference. It can range from local anesthesia with sedation to general anesthesia. Local anesthesia with sedation allows the patient to be awake but relaxed during the procedure, while general anesthesia puts the patient to sleep. The anesthesiologist will discuss the options with the patient and determine the most appropriate type of anesthesia based on the patient's health and the complexity of the surgery. For example, in some minor rhinoplasty procedures, local anesthesia with sedation may be sufficient, while more extensive surgeries may require general anesthesia.
Surgical Techniques
There are two main surgical techniques for rhinoplasty: open rhinoplasty and closed rhinoplasty.
- Open Rhinoplasty: In open rhinoplasty, a small incision is made on the exterior of the nose directly below the nasal tip across the columella (the narrow strip of tissue that separates the nostrils). This allows the surgeon better access to the bones and cartilage of the nose, making it easier to reshape and reconstruct the nasal structures. Open rhinoplasty is typically used for more complex cases, such as severe nasal deformities or revision rhinoplasties. However, it may leave a small scar on the underside of the nose, although this scar can usually be well - hidden within the nasal contours.
- Closed Rhinoplasty: In closed rhinoplasty, all the incisions are made inside the nose. This technique is preferred for patients who only require minor alterations to their nasal structures, as it eliminates any visible external scarring. Although the incisions are small and inside the nostrils, the surgeon still has access to most of the nose to address both cosmetic and structural concerns.
Procedure Steps
Once the anesthesia has taken effect, the surgeon will make the incisions according to the chosen technique. They will then carefully reshape the bone and cartilage of the nose to achieve the desired shape and size. If a patient has a deviated septum, the surgeon will correct it during the procedure to improve breathing. After the reshaping is complete, the incisions are closed with sutures, and a cast or splint may be applied to the nose to support the new shape and reduce swelling. In some cases, nasal packing may be used to control bleeding, but this is usually removed within a day or two after the surgery.
Recovery from Rhinoplasty
Immediate Post - operative Care
After the rhinoplasty surgery, the patient will wake up in the recovery room, where they will be monitored by the medical staff. They may experience some pain, swelling, bruising, and nasal stuffiness. Pain medication will be prescribed to manage the pain, and icing and head elevation can help to control the swelling. The patient will need someone to drive them home and stay with them for the first 24 to 48 hours after the surgery in case they need any assistance. For example, patients may have difficulty sleeping and may need help with daily activities such as eating and getting dressed.
Initial Recovery Period
Most patients are able to return to light activities, including work, after about one week of healing. However, strenuous physical activity should be avoided for at least three to six weeks to allow the nose to heal properly. Swelling and bruising are common during the initial recovery period, but they will gradually fade over time. The cast or splint is usually removed after about one week, and the sutures may be removed a few days later. During this time, the patient should follow the surgeon's instructions carefully, such as avoiding blowing their nose, wearing glasses on the bridge of the nose, and exposing the nose to direct sunlight.
Long - term Recovery and Results
While the initial swelling and bruising will subside within a few weeks, it may take several months to a full year for the final results of the rhinoplasty to become apparent. Slight swelling may persist for a longer period, especially in the nasal tip area. It is important for the patient to be patient and follow up with the surgeon regularly during the recovery process. The surgeon will monitor the healing progress and provide any necessary advice or adjustments. Once the nose has fully healed, the patient should notice a significant improvement in the appearance and function of their nose, which can boost their self - confidence and overall quality of life.
Cost of Rhinoplasty in New York City
Factors Affecting the Cost
The cost of rhinoplasty in New York City can vary widely depending on several factors:
- Insurance Coverage: Reconstructive surgeries to correct injuries or serious health issues may be partially covered by insurance since they are deemed medically necessary. However, cosmetic rhinoplasty procedures are typically not covered by insurance, and the patient will be responsible for paying the surgeon's fee entirely out of pocket.
- Type of Surgery: The complexity of the procedure is a major factor in determining the cost. Revision rhinoplasty, which involves correcting a previous surgery, is the most complex and time - consuming procedure, often requiring cartilage grafting. As a result, it carries a higher price tag compared to primary rhinoplasty. On the other hand, septoplasty, which straightens the septum, tends to be the most affordable type of rhinoplasty.
- Anesthesia: The type of anesthesia used during the surgery and the duration of time spent under anesthesia also impact the cost. Procedures performed under general anesthesia are generally more expensive than those done under local anesthesia with sedation. Anesthesia costs are often calculated based on time, so longer surgeries will incur higher expenses.
- Location: The location of the surgeon's practice can influence the cost. Surgeons practicing in high - cost - of - living areas such as New York City charge more than those in smaller towns or rural areas. This discrepancy is primarily due to the higher operational costs of running a practice in these areas.
- Surgeon Experience and Reputation: The experience and reputation of the surgeon also play a role in determining the cost of rhinoplasty. Highly reputable surgeons with extensive experience may charge more for their services. It is important to select a board - certified plastic surgeon with positive reviews and credentials to ensure the procedure is performed safely and effectively.
Additional Costs
In addition to the surgeon's fee, there are other costs associated with rhinoplasty:
- Pre - operative Appointments: Before the procedure, the patient will have one or more pre - operative appointments, which may include a consultation, examination, blood work, and other tests. These appointments are usually not included in the cost of the surgery and will come with separate fees.
- Operating Fees: There are operating fees charged by the surgery center or clinic where the rhinoplasty is performed. These fees cover the use of the facility, including the operating room, equipment, and staff.
- Post - operative Care: After the surgery, there are several post - operative expenses to consider, such as the cost of prescription medications for pain management and other necessary care items, such as nasal dressings or saline sprays. The patient will also need to attend follow - up appointments with the surgeon to monitor their healing progress, and these follow - up visits may have associated costs.
Non - Surgical Alternatives to Rhinoplasty
Non - Surgical Rhinoplasty
Non - surgical rhinoplasty, also known as the “15 - minute nose job” or liquid rhinoplasty, is a minimally invasive alternative to surgical rhinoplasty. This procedure involves using injectable dermal fillers to reshape the nose. It can improve the appearance of the nose and overall facial symmetry in less than thirty minutes. For example, dermal fillers can be used to minimize the appearance of a bump on the bridge of the nose, lift the tip of the nose, or fill in depressions. The results are immediate but temporary, usually lasting from one to five years depending on the type of filler used.
Benefits and Limitations
The benefits of non - surgical rhinoplasty include its minimal invasiveness, no downtime, and relatively low cost compared to surgical rhinoplasty. It is also a good option for patients who are not ready for surgery or want to see how they would look with a different nose shape before committing to a surgical procedure. However, non - surgical rhinoplasty has its limitations. It cannot repair a deviated sept