Introduction
Nasal base heightening and related nose surgeries have become increasingly popular in New York City. People with concerns about the shape and size of their noses often seek professional help to achieve a more balanced and aesthetically pleasing facial appearance. In this article, we will introduce several hospitals and clinics that are highly recommended by those who have undergone nasal base heightening surgery in New York City, along with detailed information about the procedures, surgeons, and other relevant aspects.
Understanding Nasal Base Procedures
Nasal Base Reduction and Its Significance
Nasal base reduction, also known as alarplasty, is a key rhinoplasty technique. The alar base plays a central role in the overall proportion and appearance of the nose and its harmony with the rest of the face. An overly flared or wide alar base can lead to a nose that looks bottom - heavy. This procedure is commonly requested, especially in ethnic rhinoplasty for patients of African American, Middle Eastern, and Asian descent. The width of the nasal base can be measured from the outer margin of one nostril to the outer margin of the opposite nostril, and generally, it should fall between the distance between the inner corners of a patient's two eyes.
Benefits of nasal base reduction surgery include refining and improving the overall appearance of the nose, improving facial symmetry and balance, enhancing self - confidence, decreasing the size of the nostrils, reducing nostril flare, and providing long - lasting results.
Anatomy Involved in Nasal Base Reduction
Knowledge of nasal base anatomy is essential for determining the optimal surgical technique. The nostrils are separated by the columella, and the nasal sill extends from either side of the bottom of the columella to the alar base insertion. The anterior nasal spine, lower lateral cartilages, caudal septum, maxilla, upper lip, and the soft tissue and skin enveloping the nose all contribute to the overall appearance and width of the nasal base. Altering any of these structural elements can change the appearance of the nostril shape and affect nasal function.
Surgical Techniques for Nasal Base Reduction
- Alar Wedge Excision: Also known as the weir incision, it is the preferred technique for minimizing excessively flared ala to reduce a wide nasal base from the frontal appearance. This technique removes wedge - shaped pieces of tissue from the nasal flare, spares an incision in the nostrils, and preserves the natural curvature of the ala.
- Nasal Sill Excision: Typically used in the correction of enlarged nasal sill width along with excessive flare in the ala. Sill reduction is indicated when the nasal base has a horizontal axis and the nostrils are enlarged.
- V - Y Advancement: Used to reposition the alar insertion if the lateral insertion of the ala is responsible for excessive nasal base width. However, it will leave a scar on the face, so it is rarely performed.
Recommended Hospitals and Clinics in New York City
Cangello Plastic Surgery
Dr. Cangello is NYC’s preeminent rhinoplasty surgeon at Cangello Plastic Surgery. He offers patients customized treatment plans and transformative results. With decades of experience, he has honed his expansive skills in this nuanced medical field. His ability to create noses that are both functionally superior and cosmetically beautiful is highly regarded. Nasal base reduction at his clinic can be performed under local anesthesia if done alone. Recovery time is roughly one to two weeks, with full recovery taking approximately one month. Risks are minimal when working with an experienced surgeon like Dr. Cangello, but can include infection, bleeding, and scarring.
LM Medical NYC
At LM Medical NYC, located in Greenwich Village and the Upper East Side, nostril reduction surgery and alar base reduction are among the nose surgery options available. Dr. Lesley Rabach, a top double - board - certified facial plastic surgeon, specializes in rhinoplasty and cosmetic nose surgery. Wide or flared nostrils are a common complaint among patients, and these procedures can address the issue of an imbalanced nose and face. Small, discreet incisions can be made at the base of the nose to adjust the size and shape of the nostrils or the alar base, resulting in a more refined and harmonious appearance.
Mount Sinai
Mount Sinai’s division of facial plastic and reconstructive surgery offers rhinoplasty services. The facial plastic surgeons are double - board - certified in facial plastic and reconstructive surgery and otolaryngology. Their expertise ensures that patients not only get an improved appearance but also better nasal function. They perform both closed/endonasal (without an external incision) and open/external rhinoplasty, tailoring the approach to the patient's unique anatomy and goals. Rhinoplasty at Mount Sinai can be used to change the size and shape of the nose, modify the bridge, adjust nostril size, balance facial features, improve breathing, and reconstruct previously injured or disfigured noses. The hospital also takes a multidisciplinary approach, working closely with experts in rhinology and sinus surgery for patients with specific nasal concerns.
City Facial Plastics (Dr. Gary Linkov)
Skilled NYC facial plastic surgeon Dr. Gary Linkov at City Facial Plastics specializes in alar base narrowing. Wide, flaring, or large nostrils can be corrected through this specialized cosmetic nose surgery. He can provide patients with solutions to create a more attractive nasal appearance. Patients can reach out to him for surgical consultations to learn more about the procedure.
Dr. Philip Miller's Practice
Dr. Philip Miller, a double - board - certified facial plastic surgeon with offices in New York City and New Orleans, specializes in nose, nostril, and alar base reduction surgery. His proprietary consultation process, Natra Look, evaluates the patient's nose and other facial features while considering their specific issues and aesthetic goals. Alarplasty, a cosmetic procedure for nostril reshaping, can treat cosmetic concerns such as nasal shape, size, and even breathing issues. The ideal candidates for alar base reduction are non - smokers, in good general health, and at least 16 years of age. The procedure is performed under local anesthesia in less than one hour on an outpatient basis, and recovery time is relatively quick.
Other Related Nasal Procedures and Considerations
Endoscopic Sinus Surgery
Although not directly related to nasal base heightening, endoscopic sinus surgery is an important nasal procedure. Chronic rhinosinusitis can have a significant impact on a patient's quality of life, and endoscopic sinus surgery may be considered in medically refractory patients. Outcome measures for this surgery include both subjective (such as patient - reported symptom severity using tools like the SNOT - 22) and objective (endoscopic grading systems, recurrence/revision rate, etc.) factors. Early surgical intervention may deliver better symptomatic outcomes, and the extent of surgery and post - operative care also play important roles in the success of the procedure.
Cost and Insurance
The cost of nasal base heightening and related nose surgeries can vary widely. For example, alarplasty in New York City can cost anywhere between $6,000 to $9,000, but the actual cost depends on factors such as the patient's aesthetic goals, the length and involvement of the surgery, anesthesia and facility fees, and the surgeon's experience. Insurance may cover surgery performed to improve breathing (such as in the case of a deviated septum), but it generally does not cover cosmetic - only procedures.
Pre - and Post - operative Care
Before surgery, patients usually have an extensive consultation with the surgeon to identify areas of concern and review their goals. The surgeon then develops an individualized treatment plan. Patients are given instructions regarding medications and how to prepare for recovery. After surgery, patients are typically given a short course of antibiotics and mild pain medication. Swelling usually subsides within the first two weeks, but it may take up to a year for all the swelling to fully fade. Patients should avoid strenuous activities for a certain period after surgery, and in the case of nasal base reduction, they should be careful not to rub or bump the nose for one month.
Conclusion
In conclusion, New York City offers a wide range of options for those considering nasal base heightening and related nose surgeries. Hospitals and clinics like Cangello Plastic Surgery, LM Medical NYC, Mount Sinai, City Facial Plastics, and Dr. Philip Miller's practice have experienced surgeons who can provide customized treatment plans and achieve excellent results. Understanding the procedures, associated risks, costs, and pre - and post - operative care is crucial for anyone contemplating such a surgery. If you are interested in nasal base heightening or related procedures, it is highly recommended that you schedule a consultation with a qualified surgeon to discuss your specific needs and goals.
Ready to take the next step towards a more confident you? Contact one of the recommended hospitals or clinics in New York City today to schedule a consultation. Explore your options and discover how nasal base heightening surgery can enhance your facial appearance and boost your self - confidence!
