Introduction

Nasal bone plastic surgery, also known as rhinoplasty, is a popular cosmetic and reconstructive procedure. In New York City, there are several public Class - Three Grade - A plastic hospitals that offer high - quality nasal bone plastic surgery services. This article will introduce some of these well - known hospitals, including their services, expertise, and other important aspects.

Mount Sinai Hospital

Overview of Rhinoplasty at Mount Sinai

At Mount Sinai's division of facial plastic and reconstructive surgery, rhinoplasty is a core service. The nose is a central facial feature, and in addition to its aesthetic role, it is also crucial for smell and respiration. The goal of rhinoplasty at Mount Sinai is to create natural and long - lasting results that enhance the shape, size, and distinction of the nose. The facial plastic surgeons here are double - board certified in facial plastic and reconstructive surgery and otolaryngology (ear, nose, and throat). Their in - depth knowledge of nasal function and facial aesthetics ensures that patients not only get a better - looking nose but also improved breathing.

Types of Rhinoplasty

There are different types of rhinoplasty procedures available at Mount Sinai:

• Primary Rhinoplasty: This is the first - time surgery to address cosmetic concerns and/or nasal breathing. According to the latest statistics from the American Society of Plastic Surgeons, more than 213,000 people receive a nose job each year in the US, and many of these could be primary rhinoplasties. A primary rhinoplasty changes the shape of the nose by modifying the bone and cartilage of the nasal framework. After accessing the framework through carefully concealed incisions, the bone of the upper portion of the nose is sculpted and smoothed, and the cartilage in the lower portion is reshaped to bring all dimensions of the nose into harmony. The nasal septum is also straightened and reshaped to improve breathing, and necessary grafts are used to support and contour the final result.
• Revision Rhinoplasty: This procedure is performed to address concerns or deformities resulting from prior nose surgeries. Some cases of primary rhinoplasty lead to various post - operative nasal imperfections. Approximately 15% of revision or secondary surgical manipulations are acceptable for an experienced plastic surgeon. Most of the revision rhinoplasties are due to minor deformities in the nasal dorsum like cartilaginous spur or mild focal depression.

Open and Closed Rhinoplasty Techniques

The surgeons at Mount Sinai specialize in both open (external) and closed (endonasal) rhinoplasty procedures:

• Closed (Endonasal) Rhinoplasty: In this approach, all incisions are made inside the nose. The advantage of this method is the lack of an external scar and a relatively shorter operation time. Patients may prefer this option if they are concerned about visible scarring.
• Open (External) Rhinoplasty: A small incision is added at the base of the nose in this open approach to increase the surgical field of vision. This allows for better visualization of the nasal anatomy and enables more complex alterations and grafting to be performed. Surgeons can have a more precise view of the nasal structures, which is beneficial for achieving more accurate results, especially in cases where significant structural changes are required.

Multidisciplinary Approach

Mount Sinai patients have access to a large, tertiary hospital's resources. For patients with specific concerns related to their nasal breathing, nasal allergies, sinus disease, or deformity after cancer treatments, the hospital works closely with widely recognized experts in the division of rhinology and sinus surgery and the head and neck institute. In some cases, combined surgeries can even be performed. This multidisciplinary approach ensures comprehensive and personalized care for patients undergoing rhinoplasty.

Combining Procedures

Some areas of the face are closely related and often need to be addressed together for the best outcomes. Patients who have rhinoplasty for cosmetic improvements may benefit from cheek or chin implants to improve facial balance. Whenever possible, the cosmetic surgeons at Mount Sinai combine procedures to reduce recovery time and lower operating costs. For example, a patient having a rhinoplasty might also have a chin implant during the same surgical session, which can lead to a more harmonious facial appearance and potentially save on overall medical expenses.

Adolescent Rhinoplasty

Rhinoplasty is common among teenagers and youth. However, if the surgery is for cosmetic reasons, younger patients should wait until they stop growing and their nasal bone has reached its adult size. Typically, for girls, this occurs after puberty around age 15, while boys may need to wait until they are 17 or 18 years or older. If the surgical procedure is being performed to correct a breathing problem or repair the bone after an injury, it can be performed before the patient is fully grown.

Before and After Surgery Care

Patients interested in cosmetic treatments at Mount Sinai's division of facial plastic and reconstructive surgery start with an extensive consultation to identify areas of concern and review their goals. The surgeons then develop an individualized treatment plan. Rhinoplasty surgery is usually performed in an outpatient setting under general anesthesia or with a combination of local anesthesia and sedation. Prior to surgery, patients are given instructions regarding medications and how to prepare for their recovery. After surgery, patients are usually given a short course of antibiotics and mild pain medication as some mild discomfort may persist for the first few days. The majority of swelling subsides within the first two weeks, although it may take up to a year for all the swelling to fully fade. Patients should expect to return to work or school within one to two weeks after surgery, and they are asked to avoid strenuous activities for two weeks after surgery.

Cost of Rhinoplasty

Cost is always a concern for patients. Insurance may cover surgery performed to improve breathing (e.g., for a deviated septum), but it does not cover surgery that is done for cosmetic reasons. Mount Sinai provides patients with expected costs prior to any intervention, allowing patients to make informed decisions about their treatment.

NewYork - Presbyterian Hospital

Plastic Surgery Services

The expert team of plastic surgeons at NewYork - Presbyterian Hospital is dedicated to improving patients’ quality of life through various cosmetic and reconstructive surgeries. The hospital has specialists with a wide range of expertise in aesthetic procedures, such as breast augmentation and reduction, facial rejuvenation, liposuction, abdominoplasty, and rhinoplasty. In the field of rhinoplasty, the surgeons are well - trained to address both cosmetic and functional issues related to the nose. They can reshape the nose to achieve a more balanced facial appearance and also improve nasal breathing if needed.

Reconstructive Surgery Specializations

Reconstructive surgery specializations at NewYork - Presbyterian include breast reconstruction, cleft lip and palate repair, skin cancer, and major flap procedures. In relation to nasal surgery, they may be involved in reconstructing the nose after trauma or in cases where there are congenital nasal deformities. The hospital has a comprehensive approach to plastic surgery, with the ability to handle complex cases and provide patients with holistic care.

Contact Information

For patients interested in the plastic surgery services at NewYork - Presbyterian / Weill Cornell, they can contact the division of plastic and reconstructive surgery at 646 - 962 - 4210. This contact number allows patients to inquire about rhinoplasty procedures, set up consultations, and get more information about the hospital's services.

Weill Cornell Medicine

Range of Plastic and Reconstructive Surgery Services

Weill Cornell plastic and reconstructive surgery provides high - quality care in the full spectrum of plastic, reconstructive, and aesthetic surgery. Their clinical expertise includes cosmetic and reconstructive surgery of the face, neck, eyes, nose, ears, cheekbones, and chin in both the adult and pediatric populations. In the area of rhinoplasty and nasal reconstruction, they have the skills and experience to handle different cases, from simple cosmetic enhancements to complex reconstructions after trauma or disease.

Pediatric Plastic Surgery

The hospital has a congenital and craniofacial pediatric surgery program that is a leader in the care for children with complex facial deformities. For pediatric patients with nasal problems, this program can offer specialized treatment. The surgical team members regularly organize and participate in non - profit missions to other countries, such as Colombia, Honduras, Ecuador, and China, to treat children with cleft lips, cleft palates, and other craniofacial conditions. This experience and dedication to improving the lives of children also translate into high - quality care for pediatric rhinoplasty patients in New York City.

Patient - Focused Care

As part of their commitment to providing patient - focused care, they encourage patients to actively participate in their treatment plan. Before proceeding with elective surgeries, they provide extensive information about the procedure, including any potential risks and complications, as well as realistic expectations of results. The majority of procedures are performed on an ambulatory basis, and in state - of - the - art surgical suites, the surgeons use the latest regional anesthetics and medications that allow patients to recover more quickly and heal faster.

Contact Information

Weill Cornell has multiple locations in New York City with consistent operating hours from Monday to Friday, 09:00 am - 05:00 pm. Contact numbers for different locations are available, such as (646) 962 - 4210. Patients can call these numbers to learn more about rhinoplasty services, schedule consultations, and get guidance on the entire treatment process.

Columbia University

Plastic Surgery Excellence

Columbia University's plastic and reconstructive surgery department is one of New York’s best and a world - class medical center. The plastic surgeons on the clinical staff are proficient in multiple areas of specialization, ranging from routine, non - surgical cosmetic procedures to complex reconstructive operations and body contouring surgery after significant weight loss. In terms of rhinoplasty, they have the knowledge and skills to perform both primary and revision surgeries with high precision.

Comprehensive Plastic Surgery Programs

The plastic surgery programs at Columbia include various services:

• Cosmetic Care: The cosmetic care program provides surgical and non - surgical options to improve cosmetic health. For the nose, this includes cosmetic nose surgery (rhinoplasty). They can address issues such as changing the size and shape of the nose, modifying the bridge of the nose, and increasing or decreasing the size of the nostril openings.
• Reconstructive Care: The surgeons are world leaders in reconstructive care for issues like breast reconstruction after breast cancer, skin lesion excision, and reconstructive surgery for the nose and ears. In nasal reconstruction, they can handle cases of noses damaged by trauma, disease, or previous surgeries.
• Cleft Palate / Cleft Lip Care: Cleft lip and cleft palate are common conditions that affect thousands of newborns every year. Through their craniofacial surgery program, they can provide specialized care for these patients, which may also involve nasal surgery as part of the overall treatment plan to correct facial deformities.
• Orthoplastic Surgery Care: The Columbia orthoplastic surgery program brings together leading experts in orthopedic and reconstructive plastic surgery for thoughtful, personalized treatment options. This approach can be beneficial in cases where nasal surgery is combined with other facial or body surgeries to achieve the best results.
• Breast Reconstructive Care: Although not directly related to nasal surgery, it showcases the hospital's comprehensive approach to plastic surgery. The breast cancer reconstructive surgery program is dedicated to empowering individuals who have undergone breast cancer surgery to help them reclaim their physical and emotional well - being.

Research and Education

The plastic surgery research laboratory at Columbia is currently conducting numerous research studies, including those related to stem cells, tissue engineering, and the study of bone substitutes. A major focus of the laboratory is on applications of gene therapy to wound healing. This research can potentially have implications for future improvements in rhinoplasty techniques and recovery processes. As part of a major academic medical center and Ivy League university, they also have a responsibility to educate the next generation of plastic surgeons and keep their peers up - to - date on the latest best practices.

Contact Information

To get in touch with one of the plastic surgeons at Columbia for rhinoplasty or other plastic surgery procedures, patients can call (212) 305 - 3103 or request an appointment online. The hospital also has multiple office locations in New York City, including Washington Heights, Midtown, East Side, Westchester, and New Jersey, making it convenient for patients from different areas to access their services.

NYU Langone Health

Plastic Surgery Services

NYU Langone has two locations in Manhattan. The board - certified plastic surgeons from the Hansjörg Wyss department of plastic surgery specialize in cosmetic and reconstructive procedures for both adults and children. Their plastic surgery services cover a wide range, including rhinoplasty. They offer the latest techniques in cancer surgery reconstruction, cleft and congenital craniofacial surgery, hand surgery, cosmetic surgery, anti - aging therapies, gender - affirming surgery, and oculoplastic surgery.

Rhinoplasty and Related Services

In terms of rhinoplasty, they can perform both cosmetic and reconstructive procedures. Cosmetic procedures of the face include rhinoplasty, chin reshaping, neck liposuction, and mole removal. Reconstruction procedures may be required following cancer surgery or trauma of the face or body. The surgeons at NYU Langone use the latest techniques and provide comprehensive and compassionate care for patients within a comfortable setting. They also offer a plastic surgery resident clinic, where medical doctors pursuing advanced training in plastic surgery provide cosmetic procedures at a reduced cost, which can be an option for patients on a budget.

Specialized Care for Children

The hospital provides plastic surgery services for children to manage conditions that result in head and facial developmental deformities. Services for children are provided through Hassenfeld Children’s Hospital at NYU Langone. This includes cases where children may have nasal deformities due to congenital conditions or trauma. They also help people with disabilities resulting from cranial or peripheral nerve defects, as well as those with hearing and speech difficulties as a result of airway deformities.

Unique Services

NYU Langone is the only approved team in New York State with the ability to perform a face transplant for people who have experienced a traumatic injury or have a congenital facial malformation. Although not directly related to rhinoplasty, it showcases the hospital's high - level expertise and advanced capabilities in the field of plastic surgery. Many procedures are performed in their state - of - the - art center at NYU Langone Ambulatory Care Center — East 41st Street, which has full - service outpatient operating rooms and exam rooms, as well as a digital x - ray suite. There is also a playroom for children and an orthodontic unit featuring entertainment systems at each dental chair, creating a child - friendly environment.

Contact Information

Patients can contact NYU Langone plastic surgery associates at two locations. For the 41st Street location (222 East 41st Street, New York, NY, 10017), the phone number is 212 - 263 - 3030. For the 47th Street location (305 East 47th Street, Suite 1A, New York, NY, 10017), the phone number is 212 - 355 - 5779.

Factors to Consider When Choosing a Hospital for Nasal Bone Plastic Surgery

Surgeon's Expertise

When choosing a hospital for nasal bone plastic surgery, the expertise of the surgeons is of utmost importance. Look for surgeons who are board - certified in plastic surgery and have specific experience in rhinoplasty. For example, at Mount Sinai, the facial plastic surgeons are double - board certified in facial plastic and reconstructive surgery and otolaryngology, which means they have in - depth knowledge of both the aesthetic and functional aspects of the nose. Check their track record, patient testimonials, and the number of successful rhinoplasty surgeries they have performed.

Range of Services

A hospital that offers a wide range of services related to rhinoplasty is beneficial. It should be able to perform both primary and revision rhinoplasties, as well as address functional issues such as breathing problems. For instance, NewYork - Presbyterian offers a comprehensive suite of plastic surgery services, including rhinoplasty, breast surgery, and reconstructive procedures for various conditions. This means that if there are any associated issues or if a patient requires a combination of procedures, the hospital can provide all - in - one care.

Multidisciplinary Approach

Hospitals with a multidisciplinary approach are often better equipped to handle complex cases. As seen at Mount Sinai, patients have access to experts in rhinology and sinus surgery, which can be crucial in cases where there are underlying sinus problems or other nasal issues. A team of different specialists working together can ensure a more comprehensive and personalized treatment plan.

Facility and Technology

The quality of the hospital's facilities