Overview of Nasal Septum Cartilage Columella Extension
Nasal septum cartilage columella extension is a specialized plastic surgery procedure. The columella is the strip of tissue that separates the nostrils, and it plays a crucial role in the overall aesthetic and functional aspects of the nose. When the columella is not in an ideal position or has an improper shape, it can affect the symmetry and appearance of the nose. This procedure aims to correct such issues by using the patient's nasal septum cartilage.
Septoplasty, which is related to this procedure, is a surgical process to correct a deviated nasal septum. A deviated septum can lead to breathing difficulties, sinus problems, and other discomforts. The nasal septum, made of cartilage and bone, divides the two nasal cavities. If it deviates from the center, it can cause obstruction in the airway. According to the information from Cangello Plastic Surgery, septoplasty can also be used to straighten a crooked or deviated nose, similar to rhinoplasty.
Top 5 Famous Plastic Surgery Hospitals in New York City for Nasal Septum Cartilage Columella Extension
1. Mount Sinai - New York
Mount Sinai's division of facial plastic and reconstructive surgery is highly regarded. The facial plastic surgeons here are double - board certified in facial plastic and reconstructive surgery and otolaryngology. They have vast expertise in nasal function and aesthetics. For nasal septum cartilage columella extension, they can ensure that not only the aesthetic of the nose is improved but also the breathing function remains normal or is enhanced.
Mount Sinai performs both closed/endonasal (without an external incision) and open/external rhinoplasty procedures. They will choose the most appropriate approach based on the patient's unique anatomy and goals. For example, a closed rhinoplasty may be suitable for patients who want to avoid visible scars, while an open rhinoplasty allows for better visualization and more complex alterations.
2. Long Island Plastic Surgical Group
This group is recognized for excellence and is a pioneer in technological advancements in plastic surgery techniques. The plastic surgeons here are among the finest in the nation and are often called upon to present new developments at national and international professional meetings. They are well - versed in a wide range of advanced cosmetic and reconstructive procedures, including nasal septum cartilage columella extension.
They have a reputation for achieving consistent and high - quality results in body contouring, facelifts, and skin rejuvenation treatments. Their experience in these related fields can contribute to a more comprehensive and successful approach to nasal surgery.
3. Cangello Plastic Surgery
Dr. David Cangello at Cangello Plastic Surgery has in - depth knowledge of septoplasty procedures. Septoplasty is a key part of nasal septum cartilage columella extension as it may be necessary to correct the septum before or during the columella extension. Dr. Cangello tailors each septoplasty to the individual patient.
He usually makes an incision on the lower portion of the septum and then works through the nostrils to access the bone and cartilage. His five - step septoplasty procedure includes exposing the deviated septum, identifying and releasing the internal structures causing angulations, realigning the septum, reimplanting crushed cartilage when appropriate, and closing the incision. This meticulous approach can provide a solid foundation for the subsequent columella extension.
4. EskMD
Dr. Kwak at EskMD is a double - certified specialist in facial plastic surgery and ear, nose, and throat medicine. Septoplasty in New York City, a technically demanding and complex procedure, requires such expertise. He ensures the most precise and successful outcomes for patients with deviated septum - related issues, which may be relevant to nasal septum cartilage columella extension.
Every procedure at EskMD starts with a detailed private consultation. Dr. Kwak assesses the patient's medical records, prior surgeries, medications, anesthesia preferences, and goals for the procedure. This personalized approach helps in formulating a customized treatment plan for nasal surgery, including columella extension.
5. New York Facial Plastic Surgery (with Dr. Jacono)
Dr. Jacono is a dual - board certified facial plastic surgeon and a pioneer in his field. He has performed thousands of primary and revision rhinoplasties and is considered one of the best nose surgeons in the world. His specialization in facial aesthetic procedures makes him well - equipped to handle nasal septum cartilage columella extension.
Dr. Jacono specializes in creating extremely natural results. His aesthetically balanced surgical skills can provide unique and satisfactory outcomes for patients undergoing nasal surgery. He has surgical locations in both New York City and Long Island, offering convenience to patients.
Factors Affecting the Cost of Nasal Septum Cartilage Columella Extension
Surgeon's Credentials and Experience
A highly experienced and board - certified plastic surgeon or facial plastic surgeon will generally charge more. Surgeons like Dr. Jacono, who has performed thousands of rhinoplasties, and the double - board certified surgeons at Mount Sinai, have the skills and expertise to handle complex cases. Their experience reduces the risk of complications and increases the likelihood of a successful outcome. According to RealSelf, a typical surgeon's fee for septoplasty ranges from $1,000 to $2,000, but for a more experienced surgeon, the fee may be higher.
Type of Surgical Facility
The cost can vary depending on where the surgery is performed. There are three common options: private surgical suites, outpatient surgery centers, and hospitals. Private surgical suites, usually located at the surgeon's office, tend to be the least expensive as the surgeon can control overhead costs. Outpatient surgery centers are slightly more expensive, and hospitals are generally the most costly. For example, Dr. Jacono performs the majority of his surgeries in his private surgical suite to control costs.
Complexity of the Procedure
If the patient has a severely deviated septum, crooked nasal bones, or other complications, the procedure will be more complex. This may require more advanced techniques such as cartilage scoring, contouring, and the use of spreader grafts. Additional procedures, like turbinate reduction, may also be necessary to improve the airway. A more complex procedure will take more time and resources, thus increasing the cost.
Anesthesia
General anesthesia, which requires a licensed anesthetist to monitor the patient throughout the procedure, is more expensive than local anesthesia. An anesthesiologist (MD) will generally charge more than a nurse anesthetist (CRNA). The choice of anesthesia depends on the complexity of the surgery and the patient's preferences.
Pre - and Post - Procedure Care
Patients can expect to pay for a pre - surgery consultation, CT scan, pain medication, nasal steroids or sprays to reduce swelling, and antibiotics to reduce the risk of infection. Some patients may also invest in a humidifier to aid in the recovery process. Additionally, follow - up appointments with the surgeon are necessary to ensure proper healing.
Insurance Coverage
Insurance may cover part of the cost if the procedure is deemed medically necessary, such as to correct a deviated septum that causes breathing problems. However, if the procedure is mainly for cosmetic purposes, insurance will typically not cover it. For example, if a patient undergoes both septoplasty and cosmetic rhinoplasty, they will have to pay a portion of the surgical fee out of pocket.
New Price List in New York City (Estimated)
Please note that these are estimated prices based on available data and factors affecting the cost. The actual prices may vary depending on individual cases and hospitals.
| Hospital | Surgeon's Fee | Anesthesia Fee | Surgical Facility Fee | Pre - and Post - Procedure Care | Total Estimated Cost |
|---|---|---|---|---|---|
| Mount Sinai - New York | $2,000 - $5,000 | $1,000 - $3,000 | $3,000 - $6,000 | $500 - $1,500 | $6,500 - $15,500 |
| Long Island Plastic Surgical Group | $1,800 - $4,500 | $900 - $2,800 | $2,800 - $5,500 | $450 - $1,300 | $6,050 - $14,100 |
| Cangello Plastic Surgery | $1,900 - $4,800 | $950 - $2,900 | $2,900 - $5,800 | $480 - $1,400 | $6,230 - $14,900 |
| EskMD | $2,100 - $5,200 | $1,100 - $3,200 | $3,100 - $6,200 | $520 - $1,600 | $6,820 - $16,200 |
| New York Facial Plastic Surgery (Dr. Jacono) | $2,200 - $5,500 | $1,200 - $3,500 | $2,500 - $5,000 (private surgical suite) | $550 - $1,700 | $6,450 - $15,700 |
Recovery Process
The recovery process after nasal septum cartilage columella extension is crucial for achieving the best results. After the surgery, patients may experience mild to moderate tenderness or pain at the front of the nose, as well as stuffiness due to swelling. Nasal drainage of blood and mucous is also common.
Swelling and congestion inside the nose usually last between two and three days, and drainage may continue for up to five days. Patients are advised to sleep with their head in an elevated position to reduce swelling. Over - the - counter (OTC) medications usually suffice for pain, but the surgeon may prescribe a pain reliever for the first day following surgery. A saline spray or irrigation treatment several times per day for the week following surgery can help clear any nasal congestion.
Full recovery generally takes one to two months. During this time, patients should avoid strenuous activities and vigorous nose blowing for 10 - 14 days. As healing progresses, patients will notice an improvement in their breathing and the appearance of their nose.
Benefits of Nasal Septum Cartilage Columella Extension
Aesthetic Improvement
The procedure can enhance the symmetry and appearance of the nose. A well - positioned and shaped columella can make the nose look more balanced and in harmony with the other facial features. This can boost the patient's self - confidence and improve their overall facial aesthetics.
Functional Improvement
If the septum is deviated, correcting it during the columella extension can improve breathing. A deviated septum can cause obstruction in the airway, leading to problems such as nasal congestion, sleep apnea, and sinus infections. By straightening the septum, these issues can be alleviated, and the patient can breathe more easily.
Conclusion
Nasal septum cartilage columella extension is a specialized and beneficial plastic surgery procedure in New York City. The top 5 hospitals mentioned - Mount Sinai, Long Island Plastic Surgical Group, Cangello Plastic Surgery, EskMD, and New York Facial Plastic Surgery (with Dr. Jacono) - offer high - quality services provided by experienced surgeons. The cost of the procedure is influenced by various factors such as surgeon's credentials, surgical facility, complexity of the procedure, anesthesia, pre - and post - procedure care, and insurance coverage. The recovery process requires patience and following the surgeon's instructions. Overall, this procedure can provide both aesthetic and functional improvements to the patient.
If you are considering nasal septum cartilage columella extension, it is recommended to schedule a consultation with a qualified surgeon at one of these top hospitals. Discuss your goals, concerns, and budget to make an informed decision. You can also ask the surgeon about before - and - after photos of previous patients to get an idea of the possible results. Share this article with others who may be interested in this topic to spread awareness and help them make the right choices for their plastic surgery journey.
