Introduction to the top 4 specialized institutions for nasal bridge correction surgery in New York City!

Overview of Nasal Bridge Correction Surgery in New York City

New York City is a global hub for medical excellence, and when it comes to nasal bridge correction surgery, there are several top - notch specialized institutions. Nasal bridge surgery, also known as a part of rhinoplasty, is a surgical procedure that aims to improve the appearance and sometimes the function of the nose. This surgery can address a variety of issues such as a wide nasal bridge, a dorsal bump, a saddle nose deformity, or it can be used to narrow the appearance of the nose. In this article, we will introduce you to the top 4 specialized institutions for nasal bridge correction surgery in New York City.

1. Cangello Plastic Surgery

Surgeon and Expertise

Dr. David Cangello is a board - certified plastic surgeon in New York City. He is widely recognized as a leader in rhinoplasty and a pioneer of preservation rhinoplasty. Nasal bridge surgery is a fundamental part of his practice, and he is experienced in a range of techniques to successfully treat various nasal bridge issues.

Preservation Rhinoplasty for the Nasal Bridge

Dr. Cangello is among an elite few surgeons to offer preservation rhinoplasty, and he was one of the first rhinoplasty surgeons to introduce this technique in the U.S. This modern approach to nose reshaping preserves as much of the original nasal structure as possible. By retaining the existing tissue, cartilage, and bone, it allows for a natural - looking result, improved nasal function, and a lower risk of complications. Preservation techniques are well - suited for nasal bridge concerns such as the removal of humps, general bridge reshaping, and correction of minor asymmetries.

Comparison with Traditional Nasal Bridge Surgery

Specific Nasal Bridge Procedures

Narrowing the Appearance of the Nose

When planning surgical treatment to narrow an overly wide nose, several factors need to be considered:

• Width of the nasal base: A wide or flared alar base can give a bottom - heavy look to the nose. If the width of the nasal base extends beyond the inner canthus of each eye, a nasal base reduction should be incorporated into the surgical plan.
• Natural shape and desired aesthetic of the nasal tip: If the nasal tip is bulbous, broad, or drooping, it should be refined in a way that is in proportion to the new nasal bridge and in line with the patient’s desired aesthetic.
• Proportions of the nose in relation to ethnicity and facial features: “Ideal proportions” are typically designed with Caucasian features in mind. Additional considerations should be made for non - Caucasian patients seeking ethnic rhinoplasty to preserve an appearance fitting with their heritage.
• Thickness and elasticity of the skin: Evaluation of skin thickness and condition is related to ethnicity. Patients with Hispanic or African - American heritage often have thicker nasal skin. The elasticity of the skin must be properly evaluated when creating the surgical plan, and patient expectations must be managed as the nose cannot be narrowed beyond what the skin can accommodate.

Correcting a Dorsal Bump

Removing a hump or bump on the bridge of the nose may seem simple to a layperson, but it is a complex procedure. To ensure a proportionate, natural - looking, and functional result, the rhinoplasty surgeon must plan a series of maneuvers beyond hump removal, such as:

• Performing osteotomies to bring the width of the nose in proportion to the new bridge height.
• Considering the integrity of the middle vault of the nose to determine if spreader grafts are necessary.
• Revising the position and shape of the nose tip to harmonize with the slope of the nose.

Correcting a Saddle Nose Deformity

A saddle nose deformity is characterized by a concave bridge rather than a straight or convex one. It can range from a mild imperfection to a severe deformity and is commonly caused by a traumatic injury to the nose, a failed rhinoplasty, cocaine abuse, certain medical conditions, or it may be congenital. Surgical correction involves restoration or augmentation of the nasal bridge. In mild cases, a graft of septal cartilage may be sufficient, while in more severe cases and those involving the nasal tip, more extensive grafting such as costal cartilage grafting or a synthetic biocompatible grafting material may be needed.

Improving Breathing Function

For Dr. Cangello, form and function are synchronous. Many patients who undergo nasal bridge surgery experience a passive improvement in nasal function due to the correction of underlying nasal obstruction. In cases where a nasal bridge is deviated due to septal deviation, septoplasty, which can improve nasal airflow, will be incorporated into the initial surgical plan.

2. Monaco MD

Surgeon and Specialization

Dr. Casian Monaco, MD, is based in New York City’s Upper East Side. He specializes in wide bridge nose correction, or nasal bridge rhinoplasty, and has transformed this procedure into an art form by seamlessly blending surgical precision with aesthetic vision.

Understanding Wide Bridge Nose Correction

A wide nasal bridge can impact both the aesthetic balance of the face and, in some cases, functional aspects such as breathing. Dr. Monaco offers a tailored approach to nasal bridge rhinoplasty, addressing individual concerns while ensuring natural, harmonious results that complement each patient’s unique facial structure.

The Art and Science of Nasal Bridge Rhinoplasty

Dr. Monaco’s approach is grounded in a deep understanding of facial anatomy and aesthetics. He utilizes advanced surgical techniques to meticulously sculpt the nasal bridge to achieve a more proportionate and pleasing appearance. His method is not just about reducing the width of the nasal bridge but also about enhancing the overall harmony of the face.

Key Aspects of Wide Bridge Nose Correction

• Reshaping the nasal structure: Careful modification of the bone and cartilage to achieve the desired width and profile.
• Enhancing facial harmony: Ensuring the reshaped nose complements other facial features for a balanced look.
• Personalized surgical plans: Each procedure is uniquely tailored to the patient’s specific anatomy and aesthetic goals.

Why Choose Dr. Monaco

Opting for nasal bridge rhinoplasty is a significant decision, and choosing the right surgeon is crucial. Dr. Casian Monaco stands out with his expertise, artistic vision, and commitment to patient - centered care. His practice in New York City’s Upper East Side is equipped with state - of - the - art technology, ensuring the highest standards of safety and precision in every procedure.

Results and Patient Experiences

The outcome of a wide bridge nose correction goes beyond physical transformation. Dr. Monaco’s patients often report heightened self - esteem, natural - looking results, and an improved overall quality of life. His personalized care approach ensures that each patient’s experience is tailored to their individual needs and aesthetic aspirations.

3. Mount Sinai - New York

Medical Team and Facilities

At Mount Sinai’s division of facial plastic and reconstructive surgery, the facial plastic surgeons are double - board - certified in facial plastic and reconstructive surgery and otolaryngology (ear, nose, and throat). They have vast expertise in nasal function as well as nasal and facial aesthetics. The institution provides access to a wide range of specialists and subspecialists, and patients have the resources of a large, tertiary hospital at their disposal.

Rhinoplasty Overview

Rhinoplasty, commonly known as a “nose job,” is one of the most common cosmetic surgeries in the U.S. It changes the shape of the nose by modifying the bone and cartilage of the nasal framework. At Mount Sinai, the goal is to create natural, long - lasting results that improve the shape, size, and distinction of the nose while also improving nasal breathing in many cases.

Types of Rhinoplasty Procedures

Primary Rhinoplasty

This surgery is performed for the first time to address cosmetic concerns and/or nasal breathing. It involves accessing the nasal framework through carefully concealed incisions, sculpting and smoothing the bone of the upper portion of the nose, reshaping the cartilage in the lower portion, straightening and reshaping the nasal septum to improve breathing, and using any necessary grafts to support and contour the final result.

Revision Rhinoplasty

This procedure is performed to address concerns or deformities resulting from prior nose surgeries. It is often more complex and may require additional techniques to correct the issues.

Open and Closed Rhinoplasty Techniques

Closed (Endonasal) Rhinoplasty

During this closed surgical approach, all of the incisions are made inside the nose. The advantage is the lack of an external scar and the relatively shorter duration of the operation. It is usually preferred for patients who only require minor alterations to their nasal structures.

Open (External) Rhinoplasty

A small incision is added at the base of the nose to increase the surgical field of vision. This approach allows for better visualization of the nasal anatomy and more complex alterations and grafting to be performed. It is typically used for patients who require a more extensive nose reshaping.

Multidisciplinary Approach

For patients with specific concerns related to their nasal breathing, nasal allergies, sinus disease, or deformity after cancer treatments, Mount Sinai’s surgeons work closely with the division of rhinology and sinus surgery and the head and neck institute. They can even perform combined surgeries when appropriate.

Combining Procedures

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.

Adolescent Rhinoplasty

Rhinoplasty is common among teenagers, but if it is for cosmetic reasons, girls should wait until around age 15 after puberty, and boys until they are 17 or 18 years or older when their nasal bone has reached its adult size. If the surgery is 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 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. After surgery, patients are given a short course of antibiotics and mild pain medication, and they should expect most of the swelling to subside within the first two weeks, although it may take up to a year for all the swelling to fully fade.

Cost of Rhinoplasty

Insurance may cover surgery performed to improve breathing (e.g., deviated septum), but it does not cover cosmetic rhinoplasty. The hospital provides patients with expected costs prior to any intervention.

4. New York Group for Plastic Surgery

Surgeon and Reputation

Dr. Jordan Jacobs of the New York Group for Plastic Surgery has undergone extensive training under globally acclaimed medical leaders and experts. He is a highly experienced rhinoplasty surgeon, and the practice has been satisfying patients in the Tarrytown and tri - state areas for over 27 years by producing beautiful and natural - looking results in a professional, relaxed, and supportive environment.

Benefits of Rhinoplasty

If you are dissatisfied with the appearance of your nose, rhinoplasty can be highly beneficial for patients of all ages, genders, and ethnicities. As long as you are in good overall health, have a fully - developed nose, and realistic expectations, nose reshaping surgery may be an ideal solution for your aesthetic or functional concerns.

Problems Rhinoplasty Can Correct

• Nose size in relation to facial proportions.
• Nasal asymmetry.
• Nose width at the bridge of the nose.
• Size, position, or shape of the nostrils.
• Nasal tip that appears bulbous, droopy, hooked, or upturned.
• Visible bumps or depressions on the bridge of the nose.
• Nasal disfigurement due to injury or trauma.
• Functional defects such as a deviated septum.

Candidates for Rhinoplasty

Age Considerations

For teenage candidates, girls should be between 14 - 15 years old and boys between 16 - 17 years old to ensure the skeletal structure of the nose has fully formed. It is important for patients of any age to understand that rhinoplasty can enhance natural beauty but not achieve perfection.

Combining with Other Procedures

Many patients choose to combine rhinoplasty with other facial cosmetic procedures such as facelifts, brow lifts, ear shaping, and eyelid surgery for an overall facial improvement with a single recovery period.

What to Expect from Rhinoplasty

Rhinoplasty is a highly - personalized and complicated procedure. The surgeon will design a medical program tailored to your specific needs based on your facial structure and goals. The surgery is performed on an outpatient basis at the on - site surgical facility and typically takes about one to two hours. The type of anesthesia (local with heavy sedation or general) depends on the complexity of the adjustments and the surgeon’s recommendation.

Open and Closed Rhinoplasty Techniques

Closed (Endonasal) Rhinoplasty

The surgical incisions are made inside the nose, eliminating any visible external scarring. It is usually used for patients who only require minor alterations to their nasal structures.

Open Rhinoplasty

A small incision is made on the exterior of the nose directly below the nasal tip across the columella. This method grants better access to the bones and cartilage of the nose but leaves a small scar on the underside of the nose. It is typically used for patients who require a more extensive nose reshaping.

Recovery and Results

Recovery from rhinoplasty involves several weeks. Most patients can return to light activities after about one week, but it may take four to six weeks to resume strenuous activities. The results begin to become apparent after about one to two weeks when the initial bruising and swelling start to subside, but slight swelling may persist for several months to a full year.

Cost of Rhinoplasty

The cost of rhinoplasty is influenced by factors such as insurance coverage, type of surgery (revision rhinoplasty is more expensive than primary), anesthesia, location of the practice, and the surgeon’s experience and reputation. Additional costs include pre - operative appointments, operating fees, and post - operative care.

Conclusion