Introduction

In New York City, individuals seeking nasal base padding with allogeneic dermis have a variety of excellent hospital options. The procedure can address various nasal concerns, from cosmetic improvements to functional enhancements. This article explores several renowned hospitals in the city that are well - equipped to handle such treatments, delving into their services, expertise, and research efforts.

1. Mount Sinai

Overview

Mount Sinai's division of rhinology, sinus surgery, and allergy is a leader in treating nasal and sinus diseases. Their multidisciplinary team, which includes fellowship - trained surgeons and experts in allergy medical treatment, is committed to providing the best care for patients. They use state - of - the - art technology and aim for the least invasive treatment for each individual.

Services Related to Nasal Conditions

The hospital treats a wide range of nasal and sinus conditions, including acute and chronic sinusitis, nasal polyps, nasal obstructions, and nosebleeds. When it comes to medical management, they focus on maximizing it for hard - to - treat sinusitis cases and use surgery as a last resort. One of their novel treatments is the use of dissolvable steroid implants (Propel) for patients with polyp disease and severe chronic sinusitis. This treatment directly delivers steroid therapy to the sinus cavity while reducing systemic steroid absorption.

For surgical cases, they use minimally invasive techniques. For example, in patients with severe frontal sinusitis who have had multiple prior surgeries, they use the Draf III frontal sinus procedure. This endoscopic technique maximizes the opening of the frontal sinuses and their communication with the nasal cavity, allowing for effective topical irrigation therapy and easy access in an office setting.

Research and Clinical Trials

Physicians and researchers at Mount Sinai are actively involved in endoscopic sinus surgery research. They offer prominent rhinology clinical trials, with areas of study including alternative sinusitis treatments for those who have failed on traditional therapies, virtual reality, and reducing the recurrence rate of nasal polyps. This research not only benefits current patients but also contributes to the advancement of nasal and sinus treatment in the long run.

2. Cangello Plastic Surgery

Nasal Base Reduction Focus

Cangello Plastic Surgery specializes in nasal base reduction, also known as alarplasty. This rhinoplasty technique is used to narrow the alar base of the nose when it is excessively wide for the face. The alar base plays a crucial role in the overall proportion and appearance of the nose and its harmony with the rest of the face.

Patient Considerations

The procedure is common among patients seeking ethnic rhinoplasty, such as those of African American, Middle Eastern, and Asian descent. It should be noted that the “ideal” measurements for nasal base width often represent the Caucasian aesthetic, but many patients seeking ethnic rhinoplasty prefer a more natural - looking nasal base with a width slightly outside the lines of the inner canthus. The surgery offers benefits like refining 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.

Surgical Techniques

There are three main surgical techniques used alone or in combination to narrow the nasal base and/or reduce alar flare. The alar wedge excision, also known as the weir incision, is used to minimize excessively flared ala. It removes wedge - shaped pieces of tissue from the nasal flare and avoids an over - straightening of the ala while preserving its natural curvature and avoiding telltale incisions in the nostril openings. The nasal sill excision is typically used for correcting enlarged nasal sill width along with excessive ala flare, especially when the nasal base has a horizontal axis and the nostrils are enlarged. The V - Y advancement technique is used to reposition the alar insertion when the lateral insertion of the ala is responsible for excessive nasal base width, but it rarely performed due to the potential of leaving a scar on the face.

Risks and Recovery

Nasal base reduction at Cangello Plastic Surgery is a relatively common procedure with minimal risks when performed by an experienced surgeon. It can be done under local anesthesia if performed alone (without concomitant rhinoplasty). The recovery time is about one to two weeks, with the base of the nose being slightly swollen and red immediately after surgery, which will gradually subside. Stitches are usually removed one week after surgery, and full recovery takes approximately one month. Patients are advised not to rub or bump the nose for one month following surgery. Although rare, risks can include infection, bleeding, and scarring.

3. Weill Cornell Medicine

Multidisciplinary Facial Care

Weill Cornell Medicine's Department of Otolaryngology - Head and Neck Surgery offers comprehensive, state - of - the - art cosmetic or reconstructive medical and surgical care for the face, head, and neck. Their multidisciplinary team, which includes plastic and reconstructive surgeons, neurologists, facial nerve physical therapists, and speech therapists, provides a personalized approach to treating facial aesthetic conditions.

Why Choose Weill Cornell Medicine

They are partnered with New York - Presbyterian, one of the top hospital systems in New York City and the U.S. The hospital focuses on comfort and compassion during the surgical treatment of face and neck conditions. Surgeons use the latest regional anesthetics and medications to allow for quick recovery and faster healing. All patient care is based on the latest research and knowledge about facial surgical treatments, including their own in - house research.

Conditions Treated

Their academically based program provides treatments for a wide range of conditions related to trauma, cancer, and elective cosmetic procedures. In terms of nasal conditions, they can treat deviated septum. They also offer cosmetic facial surgery, including rhinoplasty, which could potentially involve nasal base padding with allogeneic dermis as part of the treatment plan.

4. NYU Langone Health

Expertise in Rhinology and Skull Base Surgery

The Division of Rhinology and Endoscopic Skull Base Surgery at NYU Langone Health's Department of Otolaryngology — Head and Neck Surgery is highly skilled in treating sinonasal and skull base diseases. They provide clinical care and train clinicians in the latest treatments for a variety of nasal and sinus - related conditions, from severe nosebleeds and sinus infections to skull base tumors, cerebrospinal fluid leaks, and advanced sinus cancers.

Education and Training

They offer extensive educational programs. Medical students can take electives in otolaryngology and head and neck surgery as part of NYU Grossman School of Medicine's curriculum. Residents complete rotations in rhinology and endoscopic skull base surgery, perform a large number of endoscopic sinus surgery procedures using advanced techniques and technology, and gain experience in anterior skull base surgery and orbital procedures. They also host a continuing medical education course, the New York Advanced Rhinology and Sinus Surgery Course, for practicing otolaryngologists and residents.

Research and Clinical Services

The division has several ongoing rhinology research projects exploring antibiotic use in patients with unilateral purulent sinusitis, prophylactic antibiotic use in patients with nasal packing for epistaxis, physiology of cerebrospinal fluid circulation, and management of the nasolacrimal duct during extended maxillary procedures. Their otolaryngologists provide comprehensive care for people with nasal and sinus disorders, such as chronic sinusitis, allergic rhinitis, and deviated nasal septums, and collaborate with other departments to diagnose, treat, and manage skull base tumors, cerebrospinal fluid leaks, and head and neck cancer.

5. New York Eye & Ear Infirmary of Mount Sinai

Specialized Nasal Care

New York Eye & Ear Infirmary of Mount Sinai specializes in conditions of the nose and sinuses. Their fellowship - trained rhinologists use state - of - the - art therapies and treatment options. They treat patients with both surgical and non - surgical therapies, and when surgery is necessary, they use minimally invasive techniques.

Treatment Options

Some patients can be treated with medication, such as antibiotics, antihistamines/decongestants, or nasal steroids, which are delivered directly into the sinus cavity to minimize systemic absorption. For surgical cases, their expert surgeons perform minimally invasive, image - guided endoscopic surgery, which results in improved outcomes, fewer complications, and quicker recovery time. Many patients can also be treated with minimally invasive procedures in the office without anesthesia.

Conditions Treated

They treat a wide range of conditions, including allergies, allergic fungal sinusitis, acute and chronic sinusitis, nasal polyps and obstructions, severe and chronic nosebleeds (epistaxis), rhinitis, Graves’ disease, aspirin - exacerbated respiratory disease (AERD), cerebrospinal fluid (CSF) rhinorrhea, pituitary tumors, inverted papilloma, benign and malignant skull base tumors, and nasal cancer.

Research Efforts

Collaborating with colleagues throughout the Mount Sinai Health System, their rhinology specialists are involved in research areas such as endoscopic sinus surgery to improve patient outcomes, alternative sinusitis treatments for those who have been unsuccessful with traditional therapies, virtual reality for pain relief, and reducing the recurrence rate of nasal polyps. Appropriate patients have the option to participate in clinical trials.

6. Secondary Cleft Rhinoplasty - Stephen Warren, MD

Focus on Cleft - Related Nasal Surgery

Dr. Stephen Warren specializes in secondary cleft rhinoplasty, which includes a variety of reconstructive techniques performed after the initial cleft lip repair. A cleft can affect the shape of the nose, airflow, and facial growth, and secondary cleft rhinoplasty aims to address these issues.

Procedure Details

In young adults or adults, the procedure is typically performed using an open rhinoplasty technique, which requires a small incision across the columella. The skin is elevated, and the nasal bones and cartilage are reshaped. Various grafts, such as septal extension grafts, tip grafts, spreader grafts, ala rim grafts, and columella grafts, are often used. The surgery can also include septoplasty, turbinate reduction, and removal of deviated bone from inside the nose, as well as midface augmentation with implants or fat grafting, dentoalveolar bone grafting in preparation for dental implants, and cleft lip scar revision.

Benefits and Candidates

The benefits of secondary cleft rhinoplasty include reshaping a poorly defined, uneven, and wide nasal tip, increasing the projection of a droopy nasal tip, improving the symmetry of the ala rims and bases, changing the size and/or shape of the nostrils, straightening a deviated columella or elongating a short columella, straightening a crooked nose or narrowing a wide nose, removing a hump or correcting a depression in the bridge of the nose, improving facial balance, lengthening a short nose, and relieving nasal airway obstruction. Good candidates are non - smokers, physically and psychologically healthy, and realistic with their goals for the surgery.

Recovery

After surgery, a splint is placed on the nose, and patients should avoid public exposure for about 1 week. They can gradually return to normal activities over the next 3 weeks. After 8 weeks, the nasal bones and cartilage will have knitted together, and they can return to unrestricted activities. It takes about a year for the nose to settle into its final contour as the minor residual swelling resolves and the skin envelope contracts.

Comparison of Hospitals

Conclusion

In New York City, patients have an array of excellent options when it comes to hospitals for nasal base padding with allogeneic dermis and related nasal procedures. Mount Sinai, Cangello Plastic Surgery, Weill Cornell Medicine, NYU Langone Health, New York Eye & Ear Infirmary of Mount Sinai, and the practice of Dr. Stephen Warren each offer unique expertise, treatment approaches, and research initiatives. Whether it's treating sinus diseases, performing nasal base reduction, or handling cleft - related nasal surgery, these institutions are well - equipped to meet the diverse needs of patients.

If you are considering a nasal procedure, it is advisable to do further research, schedule consultations with the hospitals or surgeons, and discuss your specific concerns and goals. This will help you make an informed decision and choose the option that is best for you. Share this article with others who might be interested in nasal procedures in New York City and continue exploring related topics to gain more knowledge about nasal health and treatment.