Introduction
Nasal augmentation with costal cartilage transplantation is a popular and advanced cosmetic surgery procedure. In New York City, a hub of medical excellence, there are numerous doctors who perform this procedure. This article aims to provide a high - score review of the doctors on the ranking list for nasal augmentation with costal cartilage transplantation in New York City in 2025. We will also delve into the procedure itself, the criteria for choosing a doctor, and what patients can expect from the surgery.
Understanding Nasal Augmentation with Costal Cartilage Transplantation
What is Costal Cartilage Transplantation for Nasal Augmentation?
Costal cartilage, which is the cartilage that connects the ribs to the breastbone, is used in nasal augmentation when more structural support or a larger volume of cartilage is required. Unlike other materials such as silicone implants, costal cartilage is a natural substance from the patient's own body, reducing the risk of rejection. However, it has its own set of challenges. According to the research in “Dorsal Augmentation Using Costal Cartilage: What Is the Best Way?”, the traditional use of costal cartilage in mono - block carved implant form can lead to problems such as warping, graft movability, and visible contour irregularity. On the other hand, using diced costal cartilage has some advantages like being relatively free from the risk of warping and displacement.
Benefits of Costal Cartilage in Nasal Augmentation
- Biocompatibility: Since it is the patient's own tissue, there is a lower risk of allergic reactions or rejection.
- Strength and Durability: Costal cartilage provides good structural support, which is especially important for significant nasal reshaping or reconstruction.
- Customizability: It can be carved and shaped to achieve the desired nasal appearance.
Challenges and Risks
- Harvesting Complications: The procedure of harvesting costal cartilage from the chest area can be more invasive and may lead to pain, scarring, and in rare cases, pneumothorax (collapsed lung).
- Aesthetic Complications: As mentioned earlier, issues like warping, graft displacement, and visible contour irregularities can occur.
- Resorption: There is a risk of the transplanted cartilage being resorbed over time, which can affect the long - term results of the surgery.
Criteria for Choosing a Doctor for Nasal Augmentation with Costal Cartilage Transplantation
Board Certification
Board - certified plastic surgeons or facial plastic surgeons are those who have met certain educational, training, and ethical standards. For example, in New York, doctors should be certified by relevant boards such as the American Board of Plastic Surgery or the American Board of Facial Plastic and Reconstructive Surgery. This ensures that the doctor has the necessary skills and knowledge to perform the procedure safely and effectively. Many of the top - rated doctors in the area, like Dr. Andrew Jacono, are dual - board certified in facial plastic and reconstructive surgery as well as head and neck surgery, which is a strong indicator of their expertise.
Experience
The number of years a doctor has been performing nasal augmentation with costal cartilage transplantation is crucial. A doctor with extensive experience is more likely to have encountered and solved a wide range of problems. For instance, doctors who have been in practice for over 20 years, such as Dr. Sherrell J. Aston, have likely performed numerous procedures and have refined their techniques over time.
Patient Reviews and Testimonials
Reading patient reviews can give you an insight into the doctor's bedside manner, the quality of the results, and the overall patient experience. Positive reviews from satisfied patients are a good sign. However, it's also important to look for reviews that provide detailed feedback. On platforms like Healthgrades, patients rate doctors based on their experience, and you can find ratings for many doctors in New York City who perform nasal septum surgery, sinus surgery, and other related procedures.
Portfolio of Previous Work
A doctor's portfolio of before - and - after photos can give you an idea of their aesthetic sense and the type of results they can achieve. Look for natural - looking results that are in line with your expectations. Doctors like Dr. Jacono showcase the results of their rhinoplasty procedures on their websites, allowing potential patients to assess their work.
High - Score Doctors in New York City for Nasal Augmentation with Costal Cartilage Transplantation
Dr. Andrew Jacono
Dr. Andrew Jacono is a global authority in the field of facial plastic and reconstructive surgery. He was named one of the top five rhinoplasty surgeons in America by Newsweek and the number one rhinoplasty surgeon in NYC. With over 8000 board - certified plastic surgeons and facial plastic surgeons in America, this is a significant achievement. Dr. Jacono performs customized rhinoplasties using both “closed” and “open” approaches, and he has extensive experience in using costal cartilage for reconstruction. He also specializes in revision rhinoplasty procedures, which require a high level of skill and expertise.
Dr. Sherrell J. Aston
Dr. Sherrell J. Aston is a world - renowned double - board - certified plastic surgeon. He is an expert in the closed rhinoplasty technique, which avoids incisions and scars on the outside of the nose. Having used the closed technique for thousands of noses, both primary and secondary procedures, he has the experience and knowledge to handle costal cartilage transplantation. He is also a professor of plastic surgery at New York University and has trained many other surgeons in the field.
Dr. Steven J. Pearlman
Dr. Steven J. Pearlman is uniquely dual - board certified in both facial plastic and reconstructive surgery and in head and neck surgery. He has extensive clinical and academic backgrounds in both fields, providing his patients with unique expertise in the cosmetic and reconstructive surgery of the nose. He has authored over 30 medical journal articles and book chapters, which demonstrates his in - depth knowledge and research in the area of nasal surgery.
Dr. Sam Rizk
Dr. Sam Rizk combines his artistic background as a sculptor with his technical skill as a facial plastic and reconstructive surgeon. This combination allows him to achieve aesthetically pleasing results in nasal augmentation. He is known for his expertise in the most advanced techniques in facelift, neck lift, eyelid surgery, and rhinoplasty in NYC. His careful approach to surgery, where he ensures the benefit outweighs the risk, discomfort, and expense for patients, is highly regarded.
Cost Considerations in Nasal Augmentation with Costal Cartilage Transplantation
Factors Affecting the Cost
The cost of nasal augmentation with costal cartilage transplantation can vary widely depending on several factors. The experience and reputation of the doctor play a significant role. Well - known and highly - skilled doctors may charge more for their services. The complexity of the procedure is also a factor. If the patient requires extensive reshaping or has pre - existing nasal conditions, the surgery may be more complicated and thus more expensive. Additionally, the location of the surgical facility in New York City can affect the cost. Facilities in prime locations may have higher overhead costs, which can be passed on to the patient.
Cost Comparison in New York City
While it's difficult to provide an exact cost, a general estimate for nasal augmentation with costal cartilage transplantation in New York City can range from $10,000 to $25,000 or more. This includes the surgeon's fee, anesthesia fees, facility fees, and the cost of any necessary post - operative care. It's important to note that these are just rough estimates, and patients should get a detailed quote from their chosen doctor.
Pre - operative and Post - operative Care
Pre - operative Care
Before the surgery, patients will typically have a consultation with the doctor. During this consultation, the doctor will assess the patient's nasal anatomy, discuss the patient's goals and expectations, and explain the procedure in detail. Patients may need to undergo a physical examination, including blood tests and imaging studies, to ensure they are in good health for the surgery. They may also be asked to stop taking certain medications that can increase the risk of bleeding, such as aspirin and some herbal supplements.
Post - operative Care
After the surgery, patients will need to follow the doctor's instructions carefully. This may include keeping the head elevated to reduce swelling, taking prescribed medications to prevent infection and manage pain, and avoiding strenuous activities for a certain period. The doctor will schedule follow - up appointments to monitor the healing process and make sure there are no complications. In some cases, patients may need to wear a nasal splint for a few weeks to support the new nasal structure.
Conclusion
Nasal augmentation with costal cartilage transplantation is a complex but rewarding procedure when performed by a skilled and experienced doctor. In New York City, there are several high - score doctors who have the expertise and reputation to deliver excellent results. When choosing a doctor, it's important to consider factors such as board certification, experience, patient reviews, and the doctor's portfolio. Cost is also a consideration, but it should not be the only factor. By taking the time to research and choose the right doctor, patients can increase their chances of achieving their desired nasal appearance.
If you are considering nasal augmentation with costal cartilage transplantation in New York City, we encourage you to reach out to the doctors mentioned in this article for a consultation. Take the next step in your aesthetic journey and explore the possibilities for your new look.
