Introduction

Closed rhinoplasty has become a popular choice for those seeking to enhance the appearance of their nose without visible external scarring. In New York City, a hub of medical excellence, there are numerous hospitals and surgeons offering this procedure. This article aims to provide a comprehensive guide to the hospital rankings for closed rhinoplasty in New York City, along with essential information about the procedure itself, including its benefits, recovery process, and cost factors. Whether you're a local resident or traveling to the city for this transformative procedure, this guide will help you make an informed decision.

What is Closed Rhinoplasty?

Closed rhinoplasty, also known as endonasal rhinoplasty, is a surgical technique where all incisions are made inside the nose. Through these internal cuts, the surgeon can rearrange or remove bone and cartilage to reshape the nose. This approach is ideal for patients with smaller, more symmetrical noses who desire minor alterations. The main advantages of closed rhinoplasty include no visible scarring, shorter surgery and healing times, less swelling after surgery, and the ability for patients to return to normal activities sooner. However, it may not be suitable for patients with major structural issues, as the limited visibility and smaller working space can make it challenging to perform more extensive corrections.

Benefits vs. Drawbacks

Candidates for Closed Rhinoplasty

Ideal candidates for closed rhinoplasty are individuals who are in good physical health and unhappy with certain aspects of their nose's appearance. These may include having a dorsal hump, a bulbous or droopy nasal tip, nasal asymmetry, or a nose that is too wide or long. However, it's important that candidates have realistic expectations about the results of the procedure. For example, a person whose nose has experienced serious trauma or has significant structural problems may not be a suitable candidate for closed rhinoplasty and may require an open rhinoplasty instead. Teenagers considering the procedure should also ensure that their nasal bone has fully developed, typically around 14 - 15 years old for girls and 16 - 17 years old for boys, and demonstrate emotional maturity to handle the process.

Hospital Rankings for Closed Rhinoplasty in New York City

Based on various factors such as surgeon expertise, patient reviews, success rates, and the range of services offered, the following hospitals and surgeons are highly regarded for closed rhinoplasty in New York City:

1. New York Center for Facial Plastic Surgery - Dr. Andrew Jacono

Dr. Andrew Jacono is a dual - board - certified facial plastic surgeon with over twenty years of experience. He has been chosen as one of the top - closed rhinoplasty surgeons in New York. Dr. Jacono never breaks the nose during rhinoplasty, instead reshaping and repositioning it to avoid excessive trauma. He has numerous satisfied patients with his natural - looking results, as shown by the many before - and - after photos on his website. His practice offers personalized consultations to determine if a patient is a good candidate for closed rhinoplasty and provides detailed information about the procedure, cost, and recovery.

2. Cangello Plastic Surgery - Dr. David Cangello

Dr. David Cangello is a world - renowned expert on scarless rhinoplasty. Through years of study and experience, he has developed techniques that allow for minimal skin dissection and a closed approach in most cases. His method results in less postoperative pain and swelling, quicker recovery, and excellent aesthetic and functional outcomes. Dr. Cangello's personal philosophy on closed vs. open rhinoplasty is based on achieving ideal tip and lower third of the nose aesthetics, and he has learned from masters in Turkey and Europe to perfect his techniques. He has been featured in many publications and television shows for his outstanding work.

3. New York Group for Plastic Surgery - Dr. Jordan Jacobs

Dr. Jordan Jacobs has undergone extensive training under globally acclaimed medical leaders. He received his medical education at Jefferson Medical College in Philadelphia, completed his residency in reconstruction at NYU, and pursued fellowship training in craniofacial surgery at NYU as well. The New York Group for Plastic Surgery has been satisfying patients in the Tarrytown and tri - state areas for over 27 years. Dr. Jacobs offers both open and closed rhinoplasty options, and during a consultation, he will determine the best approach based on the patient's unique needs and goals. The practice emphasizes producing beautiful and natural - looking results in a professional and supportive environment.

4. Mount Sinai - Division of Facial Plastic and Reconstructive Surgery

The facial plastic surgeons at Mount Sinai are double board - certified in facial plastic and reconstructive surgery and otolaryngology. They perform both closed and open rhinoplasty, carefully assessing each patient's anatomy and goals to determine the most appropriate approach. The hospital's multidisciplinary approach allows patients to have access to experts in rhinology and sinus surgery if needed, especially for those with concerns related to nasal breathing or other nasal conditions. The goal is to create natural, long - lasting results that improve both the appearance and function of the nose.

5. Dr. John E. Sherman's Plastic Surgery and Cosmetic Surgery Center

Board - certified plastic surgeon Dr. John Sherman has over 30 years of experience performing rhinoplasty procedures. He uses the closed rhinoplasty approach in approximately 50% of his patients and is able to visualize all the nasal structures and predict the outcome of the procedure due to his extensive experience. Dr. Sherman focuses on providing individualized care, spending time with patients to define their aesthetic goals. He also offers functional airway correction along with cosmetic rhinoplasty when necessary, and his practice emphasizes safety and achieving the best possible results.

What to Expect During the Closed Rhinoplasty Procedure

Before the procedure, you will have an initial consultation with your chosen surgeon. During this consultation, the surgeon will examine your nose, discuss your goals, and determine if closed rhinoplasty is the right option for you. You may also be asked to provide a medical history and undergo some preoperative tests. The surgeon will explain the procedure in detail, including the risks, benefits, and expected results. They will also provide you with instructions on how to prepare for the surgery, such as avoiding certain medications and smoking.

On the day of the surgery, you will be given anesthesia. This can be local anesthesia with heavy sedation or general anesthesia, depending on the complexity of the procedure and your surgeon's recommendation. Once the anesthesia takes effect, the surgeon will make incisions inside your nose. Through these incisions, they will access the bone and cartilage of the nose and make the necessary adjustments, such as reducing a dorsal hump, refining the nasal tip, or correcting nasal asymmetry. After the surgery is complete, the incisions will be closed, and a splint will be placed on your nose to support the new shape during the healing process.

The average surgery time for closed rhinoplasty takes between 1 and 2 hours, but this can vary depending on the complexity of the case.

Recovery Process After Closed Rhinoplasty

Immediately after the surgery, you will need someone to drive you home and stay with you for the first 24 to 48 hours. You may experience some swelling, bruising, and mild discomfort, which is normal. Your surgeon will prescribe pain medication and antibiotics to help manage the pain and prevent infection. It's important to follow your surgeon's post - operative instructions carefully. This may include keeping your head elevated, applying ice compresses to reduce swelling, and avoiding strenuous activities.

Most of the swelling will subside within the first two weeks, but it may take up to a year for all the swelling to fully fade. You should expect to return to light activities, such as work, after about one week, but you may need to avoid strenuous exercise for 3 - 4 weeks and all contact sports for at least six weeks. A splint will be placed on your nose and will usually be removed after about one week. It's also crucial to attend all follow - up appointments with your surgeon to monitor your healing progress and ensure that you are achieving the desired results.

Cost of Closed Rhinoplasty in New York City

The cost of closed rhinoplasty in New York City can vary widely depending on several factors. These factors include:

1. Surgeon's Experience and Reputation

Highly experienced and well - reputed surgeons may charge more for their services. Surgeons who have a long track record of successful closed rhinoplasty procedures and are recognized in the field often command higher fees. Their expertise can lead to better results and a lower risk of complications, which is an important consideration for many patients.

2. Complexity of the Procedure

The more complex the rhinoplasty procedure, the higher the cost. If you require significant changes to your nose, such as correcting a severe dorsal hump, extensive tip refinement, or multiple structural adjustments, the surgery will take more time and skill, resulting in a higher cost. Revision rhinoplasty, which is correcting a previous nose surgery, is also typically more expensive due to its complexity.

3. Anesthesia and Facility Fees

The type of anesthesia used during the surgery and the cost of the surgical facility also impact the overall price. Procedures performed under general anesthesia are generally more expensive than those done under local anesthesia with sedation. Facility fees include the use of the operating room, equipment, and nursing staff. Surgeries performed in a hospital setting may have higher facility fees compared to those in an outpatient surgical center.

4. Additional Costs

There are also additional costs to consider, such as pre - operative appointments (consultation, examination, blood work), operating fees, and post - operative care. Post - operative care may include the cost of prescription medications, nasal dressings, and follow - up appointments. It's important to discuss all these potential costs with your surgeon during the consultation to have a clear understanding of the total cost of the procedure.

On average, the cost of closed rhinoplasty in New York City can range from several thousand dollars to over ten thousand dollars. However, it's important to remember that cost should not be the only factor when choosing a surgeon and a hospital for your procedure. The quality of care, surgeon's expertise, and the likelihood of achieving your desired results are also crucial considerations.

Insurance Coverage

Insurance coverage for closed rhinoplasty depends on the reason for the surgery. If the rhinoplasty is being performed for cosmetic reasons, it is typically not covered by insurance. However, if the surgery is necessary to correct a breathing problem, such as a deviated septum, or to repair a nasal injury, it may be partially or fully covered by insurance. You should contact your insurance provider before the surgery to determine your coverage and what documentation is required. Your surgeon's office can also assist you in working with your insurance company to obtain pre - certification if applicable.

Conclusion

Closed rhinoplasty can be a life - changing procedure for those who are unhappy with the appearance of their nose. In New York City, there are several top - notch hospitals and surgeons who specialize in this technique, offering high - quality care and excellent results. When considering closed rhinoplasty, it's important to do thorough research, choose a board - certified surgeon with extensive experience, and have realistic expectations about the procedure and its results. Remember to factor in the cost, recovery process, and insurance coverage as well. By making an informed decision, you can achieve the nose you've always desired.

If you're interested in closed rhinoplasty in New York City, we encourage you to reach out to the hospitals and surgeons mentioned in this article for a consultation. Take the time to discuss your goals, ask questions, and learn more about the procedure. Share this article with your friends and family who may also be interested in this topic, and explore related topics such as the latest trends in rhinoplasty techniques or tips for a smooth recovery.