Introduction to the top 5 well - reputed hospitals for closed rhinoplasty in New York City!
What is Closed Rhinoplasty?
Closed rhinoplasty, also known as endonasal rhinoplasty, is a surgical procedure where all incisions are hidden within the nostrils. Through these internal cuts, the bone and cartilage are carefully rearranged or removed. This can be used to shorten the nose's length, shave down dorsal humps, and refine the nasal tip.
It is a great option for patients with smaller, more symmetrical noses. One of the main advantages is that there is no visible scarring, and the surgery and healing times are generally quicker. However, it is better suited for less severe nasal issues and may not be able to fix major structural problems. The results of a closed rhinoplasty are typically long - lasting, often a lifetime.
Top 5 Well - Reputed Hospitals for Closed Rhinoplasty in New York City
1. Mount Sinai - New York
At Mount Sinai's division of facial plastic and reconstructive surgery, the goal of rhinoplasty is to create natural, long - lasting results that improve 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). They perform both closed/endonasal and open/external rhinoplasty. For closed rhinoplasty, all incisions are made inside the nose, resulting in no external scar and a relatively shorter operation time. The hospital takes a multidisciplinary approach, with access to a wide range of specialists for patients with specific nasal concerns. Additionally, they can perform combined surgeries when appropriate, such as combining rhinoplasty with cheek or chin implants to improve facial balance.
The surgeons at Mount Sinai are highly experienced in nasal function as well as nasal and facial aesthetics. This means that patients can expect not only an improved appearance but also better breathing after the surgery. Before the surgery, patients go through an extensive consultation to identify areas of concern and review their goals. Rhinoplasty surgery is usually performed in an outpatient setting under general anesthesia or with a combination of local anesthesia and sedation. After the surgery, patients are given instructions for recovery, including taking a short course of antibiotics and mild pain medication. The majority of swelling subsides within the first two weeks, and patients can typically return to work or school within one to two weeks after surgery, while avoiding strenuous activities for two weeks.
2. Offices of Dr. Andrew Jacono
Dr. Andrew Jacono is a dual - board - certified facial plastic surgeon with over twenty years of experience in the field. He is well - known for performing closed rhinoplasty procedures. During a closed rhinoplasty with Dr. Jacono, he rearranges or removes bone and cartilage through internal incisions, without breaking the nose. Instead, he reshapes and repositions it to avoid excessive trauma. The stitches are placed exclusively within the nostrils and are absorbable, so they do not need to be manually removed.
Dr. Jacono has a long list of satisfied patients, and his before - and - after photos show significant improvements in patients' nasal appearance. For example, he has successfully addressed dorsal humps, droopy nasal tips, and wide nasal tips in various patients. Ideal candidates for his closed rhinoplasty are those who are unhappy with their nose's appearance but whose nasal complications are not extremely dramatic. Good physical health and refraining from alcohol and tobacco before and after the procedure are also important. Patients interested in surgery with Dr. Jacono can contact his offices in New York City or on Long Island for a consultation.
3. Offices associated with Dr. Steven J. Pearlman
Dr. Steven J. Pearlman is a distinguished facial plastic and reconstructive surgeon, educator, and humanitarian. He is uniquely dual - board - certified in both facial plastic and reconstructive surgery and in head and neck surgery. With his extensive clinical and academic backgrounds in both fields, he provides patients with unique expertise in the cosmetic and reconstructive surgery of the nose, face, and eyes. He has authored over 30 medical journal articles and book chapters and serves on the editorial board of several prestigious medical periodicals.
Dr. Pearlman offers closed rhinoplasty procedures, striving to provide compassionate and attentive patient care paired with the most sophisticated and advanced medical procedures and techniques. He can help change the size and shape of the nose, modify the bridge, and refine the tip through the closed approach. His goal is to create natural - looking results that enhance the patient's facial features and self - confidence. Patients who come to him for a closed rhinoplasty can expect a thorough consultation where he will understand their goals and expectations, and then develop an individualized treatment plan.
4. Offices of Dr. Sherrell J. Aston
Dr. Sherrell J. Aston is a world - renowned double - board - certified plastic surgeon and one of the world's foremost experts in aesthetic plastic surgery. He is a professor of plastic surgery at New York University, past president of the American Society for Aesthetic Plastic Surgery, and has held important positions at institutions like the Manhattan Eye Ear & Throat Hospital. He is an expert in the closed rhinoplasty technique and has used it for thousands of noses, both in primary and secondary procedures.
Dr. Aston has lectured to plastic surgeons around the world and written textbook chapters on closed rhinoplasty. His closed rhinoplasty approach avoids incisions and scars on the outside of the nose. He takes into account the patient's overall facial features and works to create a nose that is in harmony with the rest of the face. Patients can expect a high - level of skill and artistry when undergoing a closed rhinoplasty with Dr. Aston. His experience and reputation in the field make him a top choice for those seeking closed rhinoplasty in New York City.
5. Offices of Dr. David Cangello
Dr. David Cangello is a world - renowned expert on scarless rhinoplasty, which is a type of closed rhinoplasty. Through years of study and experience, his surgical skill and aesthetic instincts allow him to create beautiful noses that blend seamlessly with each patient's existing facial characteristics. He uses a minimally invasive approach with limited or no skin dissection off the bridge of the nose, which often results in less postoperative pain and swelling and more predictable healing.
Dr. Cangello can perform a variety of modifications to the nose through a scarless rhinoplasty, such as reducing a dorsal hump, refining a bulbous tip, and narrowing the nose. He always begins with a closed approach and very rarely finds the need to open the nose. His approach also maintains certain ligamentous structures that provide support to the tip, which helps in achieving ideal tip aesthetics. Recovery from his scarless rhinoplasty is generally quicker, with most patients able to return to work in one week and resume normal activities in four weeks.
Comparison of the Top 5 Hospitals
| Hospital/Surgeon | Surgeon Certification | Approach Advantages | Special Features | Recovery Time |
|---|---|---|---|---|
| Mount Sinai | Double - board - certified in facial plastic and reconstructive surgery and otolaryngology | No external scar, multidisciplinary approach, potential for combined surgeries | Access to wide range of specialists, emphasis on both appearance and breathing improvement | Majority of swelling subsides in 2 weeks, return to work in 1 - 2 weeks, avoid strenuous activity for 2 weeks |
| Dr. Andrew Jacono | Dual - board - certified facial plastic surgeon | No broken nose, absorbable stitches, many successful before - and - after cases | Extensive experience, customized approach for non - extreme nasal issues | Not explicitly stated but typical closed rhinoplasty recovery |
| Dr. Steven J. Pearlman | Dual - board - certified in facial plastic and reconstructive surgery and head and neck surgery | Expertise in cosmetic and reconstructive nose surgery, individualized treatment | Author of many medical articles, academic background | Not explicitly stated but tailored to patient's procedure |
| Dr. Sherrell J. Aston | Double - board - certified plastic surgeon | Avoids external scars, extensive experience in closed rhinoplasty | Global recognition, textbook author on closed rhinoplasty | Not explicitly stated but expected closed rhinoplasty recovery |
| Dr. David Cangello | Board - certified plastic surgeon | Minimally invasive, less pain and swelling, ideal tip aesthetics | Scarless rhinoplasty expertise, quicker recovery (work in 1 week, normal activities in 4 weeks) | One week to return to work, four weeks to resume normal activities |
Cost Considerations for Closed Rhinoplasty in New York City
The cost of closed rhinoplasty in New York City can vary widely. It generally depends on several factors, such as the surgeon's level of expertise, the complexity of the surgery, and the location of the hospital or surgical facility. Cosmetic rhinoplasty is usually not covered by insurance, but if the surgery is performed to improve breathing (e.g., correcting a deviated septum), insurance may provide some coverage.
For example, at some hospitals, the cost can be affected by additional procedures that might be combined with the closed rhinoplasty, like chin implants for better facial balance. Surgeons with more experience and a higher reputation may charge more for their services. Patients should discuss the price of the surgery and available payment or financing options with their chosen surgeon during the consultation.
Patient Selection and Candidate Criteria
Good candidates for closed rhinoplasty are those who are generally in good physical health. They should be free from serious medical conditions that could interfere with the surgery or recovery process. It is also important that patients have realistic expectations about the results of the surgery. Closed rhinoplasty is more suitable for patients with smaller nasal issues, such as a minor dorsal hump or a slightly droopy tip.
Patients who have had significant nasal trauma or major structural problems may not be the best candidates for a closed rhinoplasty. Additionally, patients should refrain from smoking and excessive alcohol consumption before and after the surgery, as these can negatively impact the healing process. Women who are pregnant or breastfeeding are typically advised to wait until after they have completed their pregnancy and weaning before undergoing rhinoplasty.
Pre - operative and Post - operative Care
Pre - operative Care
Before the closed rhinoplasty surgery, patients usually have an extensive consultation with the surgeon. During this consultation, the surgeon will discuss the patient's goals, examine the nose, and explain the procedure in detail. Patients may be asked to provide medical clearance from their family physician. They will also receive instructions on how to prepare for the surgery, which may include avoiding certain medications that can increase bleeding, such as aspirin and non - steroidal anti - inflammatory drugs. Patients may also be asked to stop smoking and limit alcohol intake in the weeks leading up to the surgery.
Post - operative Care
After the surgery, patients will typically have a splint placed on the nose to support it and help it maintain its new shape. The splint is usually removed after about a week. Patients may experience some swelling and bruising, which is normal. Mild pain medication and antibiotics are often prescribed to manage pain and prevent infection. Patients are advised to apply ice compresses to the eyes to minimize bruising in the early postoperative period. They should also avoid strenuous activities, such as exercise and heavy lifting, for several weeks after the surgery. It may take up to a year for the nose to fully heal and for the final results to be visible.
Potential Risks and Complications
As with any surgical procedure, closed rhinoplasty has some potential risks and complications. These can include infection, bleeding, adverse reactions to anesthesia, and dissatisfaction with the cosmetic results. There is also a risk of changes in nasal sensation, such as numbness or a reduced sense of smell. In rare cases, the nose may not heal properly, or there may be problems with the shape of the nose after the surgery.
However, choosing a highly qualified and experienced surgeon can significantly reduce these risks. Surgeons at the top - rated hospitals in New York City are well - trained to minimize complications and handle any issues that may arise during or after the surgery. They will discuss these potential risks with patients during the consultation so that patients can make an informed decision about the surgery.
Conclusion
Closed rhinoplasty is a popular and effective procedure for improving the appearance of the nose, especially for patients with relatively minor nasal concerns. New York City is home to several well - reputed hospitals and surgeons who specialize in closed rhinoplasty. Mount Sinai, the offices of Dr. Andrew Jacono, Dr. Steven J. Pearlman, Dr. Sherrell J. Aston, and Dr. David Cangello all offer high - quality closed rhinoplasty services, each with their own unique advantages.
When considering closed rhinoplasty, it is important for patients to do their research, choose a qualified surgeon, and have realistic expectations about the results. Understanding the pre - operative and post - operative care, as well as the potential risks and complications, is also crucial. By making an informed decision, patients can achieve the desired improvement in their nasal appearance and enhance their overall facial aesthetics.
If you are interested in closed rhinoplasty in New York City, we encourage you to schedule a consultation with one of the top surgeons mentioned in this article. Take the time to discuss your goals and concerns, and explore the options available to you. Your journey to a more confident and beautiful you starts with that first step.
