Introduction
Closed rhinoplasty is a highly sought - after surgical procedure in New York City. It offers the advantage of no visible external scars as all incisions are made inside the nostrils. This procedure can be used to correct various nasal issues such as dorsal humps, bulbous tips, and nasal asymmetry. In this article, we will explore the top - rated closed rhinoplasty providers in New York City, along with a detailed look at the procedure, its benefits, and what to expect during and after the surgery.
Closed Rhinoplasty: An Overview
What is Closed Rhinoplasty?
Closed rhinoplasty, also known as endonasal rhinoplasty, is a surgical technique where all incisions are made within the nostrils. Through these internal incisions, surgeons can rearrange or remove bone and cartilage to reshape the nose. This procedure is suitable for patients with smaller, more symmetrical noses and can shorten the nose's length, reduce dorsal humps, and refine the nasal tip.
Benefits of Closed Rhinoplasty
- No Visible Scarring: Since the incisions are inside the nose, there are no external scars, which is a significant advantage for many patients.
- Shorter Recovery Time: Generally, patients experience less swelling and have a quicker recovery compared to open rhinoplasty. They can return to normal activities sooner.
- Less Surgical Trauma: There is less manipulation of nasal tissues, resulting in less postoperative pain and a more predictable healing process.
Drawbacks of Closed Rhinoplasty
- Limited Visibility: Surgeons have to work in a more confined space with limited visibility, which can make it more challenging to address complex structural issues.
- Not Suitable for Major Corrections: It may not be the best option for patients with severely damaged or significantly deformed noses that require extensive reconstruction.
Top Closed Rhinoplasty Surgeons in New York City
Dr. David Cangello
Dr. David Cangello is a world - renowned expert on scarless rhinoplasty in New York City. He has developed a reputation for achieving superior, natural - looking rhinoplasty results. His surgical skill and aesthetic instincts allow him to create beautiful noses that blend seamlessly with each patient's existing facial characteristics. He is one of the few surgeons who can achieve excellent results with the closed approach, especially in addressing the lower third of the nose. Dr. Cangello's patients often report minimal swelling and bruising and a quicker recovery period.
Dr. Andrew Jacono
Dr. Andrew Jacono is a dual - board - certified facial plastic surgeon with over twenty years of experience in the field. He is considered the best - closed rhinoplasty surgeon in New York. He has extensive training and can perform both open and closed rhinoplasty based on patient needs. Dr. Jacono is known for his ability to deliver the most naturally impressive results possible. He has treated a wide range of patients, from everyday people to prominent socialites and celebrities. His before - and - after photos showcase the effectiveness of his closed rhinoplasty procedures.
Dr. Yoel S. Shahar
Dr. Yoel Shahar has performed thousands of rhinoplasty procedures over nearly 25 years. He is a master at his craft and has a great eye for aesthetics. Dr. Shahar is board - certified and affiliated with several professional organizations. He always takes into account the patient's overall facial harmony during the procedure. He offers personalized and caring attention to his patients, from the initial consultation to the post - operative follow - up. His approach to rhinoplasty is conservative, aiming for natural - looking results.
Dr. John E. Sherman
With over 30 years of experience, Dr. John Sherman has performed numerous rhinoplasty procedures. He uses the closed rhinoplasty approach in approximately 50% of his patients. His extensive experience allows him to visualize the internal structures and predict the outcome of the procedure accurately. Dr. Sherman emphasizes both the aesthetic and functional aspects of rhinoplasty, often performing septoplasty at the same time to improve breathing.
Dr. Daniel Maman
Dr. Daniel Maman is a Harvard fellowship - trained and board - certified plastic surgeon. He is experienced in both open and closed rhinoplasty techniques. His approach to rhinoplasty is to balance the patient's aesthetic desires with their facial proportions. Dr. Maman provides in - depth consultations and personalized treatment plans. He also offers a high level of pre - and post - operative care, ensuring the patient's comfort and the best possible results.
Cost and Insurance Considerations
Cost of Closed Rhinoplasty
The cost of closed rhinoplasty in New York City can vary widely depending on several factors. These include the surgeon's level of experience and reputation, the complexity of the procedure, the location of the surgical facility, and any additional fees such as anesthesia and post - operative care. Generally, rhinoplasty costs can range from $7,000 to $20,000. It is important for patients to discuss the cost with their chosen surgeon and to inquire about any available payment or financing options.
Insurance Coverage
Insurance typically does not cover purely cosmetic rhinoplasty. However, if the surgery is performed to correct a breathing problem, such as a deviated septum, insurance may provide some coverage. It is essential for patients to check with their insurance provider to understand their policy's terms and requirements for rhinoplasty coverage. Surgeons can also assist patients in working with their insurance companies to determine eligibility and to obtain pre - certification if necessary.
The Closed Rhinoplasty Procedure
Consultation
The first step in the closed rhinoplasty process is the consultation. During this meeting, the patient will discuss their goals, concerns, and expectations with the surgeon. The surgeon will perform a physical examination of the nose, taking into account factors such as the skin thickness, bone and cartilage structure, and overall facial harmony. Photos may be taken from different angles to help the surgeon plan the procedure and to give the patient a better idea of the potential results. The surgeon will also discuss the risks, benefits, and limitations of the procedure and answer any questions the patient may have.
Surgery
Closed rhinoplasty is usually performed under general anesthesia or with a combination of local anesthesia and sedation. The surgeon will make parallel incisions that encircle nearly half of the nostril lining. Through these incisions, the surgeon can access the bone and cartilage of the nose. They will then reshape the nasal structure according to the patient's goals, which may include reducing a dorsal hump, refining the nasal tip, or narrowing the nose. Minimal dissection of the skin off the bridge of the nose is often required, which helps to reduce swelling and bruising. The surgery typically takes between 1 and 2 hours, depending on the complexity of the procedure.
Recovery
After the surgery, a surgical tape and splint will be placed on the nose to support it in its new position. The patient may experience some swelling and discomfort in the days following the procedure, but this is usually manageable with pain medication. Most patients can return to work within one week, although they should avoid strenuous activities for at least three to four weeks. The splint will be removed after about one week. It may take up to a year for the nose to fully heal and for the final results to be visible. During this time, the patient should follow the surgeon's instructions regarding post - operative care, which may include avoiding certain medications, wearing sunglasses carefully, and protecting the nose from injury.
Choosing the Right Surgeon
Selecting the right surgeon for your closed rhinoplasty is crucial for achieving the best possible results. Here are some factors to consider:
Board Certification
Make sure the surgeon is board - certified in plastic surgery or facial plastic and reconstructive surgery. Board certification indicates that the surgeon has met the high standards of training and experience set by the relevant professional organizations.
Experience
Look for a surgeon who has extensive experience in performing closed rhinoplasty. Ask about the number of procedures they have done and request to see before - and - after photos of their previous patients. Experienced surgeons are more likely to handle any potential complications and to achieve the desired aesthetic and functional results.
Reputation
Read patient reviews and testimonials to get an idea of the surgeon's reputation. You can also ask for referrals from friends, family, or other healthcare professionals. A surgeon with a good reputation is more likely to provide high - quality care and excellent results.
Communication and Compatibility
Choose a surgeon with whom you feel comfortable communicating. They should listen to your concerns, answer your questions thoroughly, and involve you in the decision - making process. A good surgeon - patient relationship is essential for a successful surgery and a positive overall experience.
Conclusion
Closed rhinoplasty in New York City offers a great option for those looking to improve the appearance and function of their nose without visible scars. With a variety of highly skilled surgeons available, patients can find a provider who can meet their specific needs and expectations. However, it is important to do thorough research, have realistic expectations, and choose a qualified surgeon. Whether you are looking to correct a minor nasal imperfection or to address a more significant issue, closed rhinoplasty can provide a natural - looking and long - lasting solution.
If you are considering closed rhinoplasty in New York City, we encourage you to schedule a consultation with one of the top - rated surgeons mentioned in this article. Take the time to discuss your goals, understand the procedure, and make an informed decision. By doing so, you can take the first step towards achieving the nose you have always wanted.
