New York City: The Best Hospitals for Nasal Base Combined with Nasal Tip Plastic Surgery in 2025
Introduction
New York City is a global hub for medical excellence, particularly in the field of plastic surgery. When it comes to nasal base combined with nasal tip plastic surgery, patients have a plethora of options. These procedures can significantly enhance both the appearance and functionality of the nose. In this article, we will explore the top hospitals and surgeons in New York City for these specific procedures, along with detailed information about the surgeries, candidates, risks, and recovery.
Understanding Nasal Base and Nasal Tip Plastic Surgery
Nasal Base Reduction
Nasal base reduction, also known as alarplasty, is a rhinoplasty technique aimed at narrowing the alar base of the nose. This procedure is often requested when the base of the nose is excessively wide for the face, which can lead to a bottom - heavy appearance. The alar base plays a crucial role in the overall proportion and harmony of the nose with the rest of the face.
The width of the nasal base can be measured from the outer margin of one nostril to the outer margin of the opposite nostril. It can be classified as vertical, divergent, or convergent. Generally, the nasal base should fall between the distance of the inner corners of a patient's two eyes. This procedure is common in ethnic rhinoplasty, especially for African American, Middle Eastern, and Asian patients, who may have a wider alar base. However, the “ideal” measurements represent the Caucasian aesthetic for nose proportions, and many patients seeking ethnic rhinoplasty prefer a more natural - looking nasal base that may fall slightly outside these lines.
Nasal Tip Surgery
Nasal tip surgery, or tip rhinoplasty, is a procedure to change the shape of the tip of the nose. It can make the nose wider or narrower, alter the angle between the nose and upper lip, or change the size or shape of the nostrils. This surgery can be performed for cosmetic reasons to improve appearance and boost self - confidence, or to enhance breathing if there are functional issues related to the nasal tip.
Top Hospitals and Surgeons in New York City
Mount Sinai - New York
At Mount Sinai's division of facial plastic and reconstructive surgery, the focus is on creating natural, long - lasting results in rhinoplasty. The facial plastic surgeons are double - board - certified in facial plastic and reconstructive surgery and otolaryngology (ear, nose, and throat). Their vast expertise in nasal function and aesthetics ensures that the new nose not only looks better but also breathes better.
They perform both closed/endonasal (without an external incision) and open/external rhinoplasty. The choice of approach depends on the patient's unique anatomy and their functional and aesthetic goals. The hospital offers a multidisciplinary approach, with access to a wide range of specialists and subspecialists. For patients with specific concerns related to nasal breathing, allergies, sinus disease, or deformity after cancer treatments, the hospital works closely with experts in the division of rhinology and sinus surgery and the head and neck institute. They can even perform combined surgeries when appropriate.
Alar Base Narrowing Manhattan with Dr. Cangello
Dr. Cangello is NYC's preeminent rhinoplasty surgeon. He offers customized treatment plans for nasal base reduction. When it comes to nasal base reduction surgery, he takes into account the patient's unique nasal anatomy to determine the best surgical technique. There are three main surgical techniques used alone or in combination to narrow the nasal base and/or reduce alar flare:
- 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. It removes wedge - shaped pieces of tissue from the nasal flare, avoiding an over - straightening of the ala and preserving its natural curvature, while also avoiding telltale incisions in the opening of each nostril.
- 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. In rare cases where the alar base is wide due to a large nasal sill with no flaring, the sill alone can be directly narrowed.
- V - Y advancement: Used to reposition the alar insertion if the lateral insertion of the ala is responsible for excessive nasal base width. However, this is rarely performed as it will leave a scar on the face.
Kassir Plastic Surgery
Dr. Kassir is a triple - board - certified facial plastic surgeon with extensive experience in nasal tip rhinoplasty. He works with patients to create a personalized treatment plan to achieve their desired results. Nasal tip rhinoplasty at Kassir Plastic Surgery has several benefits, including improving appearance, boosting self - confidence, and enhancing breathing. Recovery is often faster than other types of nose surgery as no bone is removed during the procedure.
The surgery is performed under general anesthesia and usually takes around one to two hours. Dr. Kassir makes small incisions either inside the nostrils (endonasal approach) or across the columella (open approach). Through these incisions, he sculpts and repositions the cartilage and soft tissue to give the nose its new shape. In some cases, grafting cartilage is used to create more support for the nasal tip.
City Facial Plastics with Dr. Gary Linkov
Dr. Gary Linkov is a top - rated plastic surgeon in New York City. City Facial Plastics offers nostril or alar base reductions to balance the nose. Nostril reduction surgery involves removing tissue in strategic locations at the base of the nose to improve symmetry and narrow the nose. It can be performed in combination with other nasal cosmetic or functional procedures or as an isolated procedure. When performed as a standalone procedure, it can be done under local anesthesia in the office setting with minimal risk.
Dr. Linkov uses different techniques for nostril reduction, such as alar wedge excision, nasal sill excision, and V - to - Y advancement. These techniques are often combined in various configurations to create the ideal aesthetics. He also takes into account ethnic variations in nasal aesthetics when performing these procedures.
Dr. Barry Weintraub
Dr. Barry Weintraub is a board - certified and Ivy League - educated plastic surgeon. He has more than two decades of experience and is a national spokesperson for the American Board of Plastic Surgery. He performs rhinoplasty surgery at his New York City office.
Rhinoplasty at Dr. Weintraub's practice can be divided into functional and cosmetic rhinoplasty. Functional rhinoplasty corrects breathing problems such as nasoseptal deviation, turbinate hypertrophy, and middle - vault collapse, and is often insurance - reimbursable. Cosmetic rhinoplasty addresses aesthetic problems like a hump or bump on the nose, a bulbous tip, a too - wide or too - flat bridge, or large nostrils. He performs both closed and open rhinoplasty, with a preference for using the closed approach for primary “virgin” rhinoplasties and the open approach for complex secondary and tertiary rhinoplasties.
Philip Miller MD
Dr. Philip Miller is a distinguished double - board - certified facial plastic surgeon with over 20 years of expertise. He offers nose tip surgery, specifically tip plasty, to patients looking for more subtle improvement. Tip plasty focuses on the nose tip and may involve tip reduction or adjustments to create a better angle and a more pleasing look without a complete rhinoplasty.
The procedure can usually be performed with IV sedation (twilight anesthesia) and intubation. A small incision is made on the inside or outside of the nose, and the nasal tip is reshaped, rotated, or reduced to be more harmonious with other facial features. Dr. Miller uses the Natra Look® process to ensure natural - looking outcomes, considering the patient's desires, facial structure, and features to create a personalized treatment plan.
Dr. Richard Westreich at New Face NY
Dr. Richard Westreich, a double - board - certified facial plastic surgeon, leads New Face NY. Their team specializes in transformative rhinoplasty procedures tailored to enhance both form and function. Rhinoplasty at New Face NY can address cosmetic concerns such as an overly - wide tip, a large dorsal hump, or functional concerns like a deviated septum or a crooked nose.
They offer different types of rhinoplasty, including ethnic rhinoplasty, which preserves the unique features of the patient's ethnic identity, and revision rhinoplasty for correcting the results of a previous rhinoplasty. The cost of rhinoplasty depends on factors such as medical tests, surgeon's fees, anesthesia fees, medications, and facility fees. Portions of a functional rhinoplasty may be eligible for insurance coverage.
Dr. Rapaport at Rapaport Plastic Surgery
Dr. Rapaport is a board - certified plastic surgeon with over 25 years of experience. He customizes every rhinoplasty procedure to the individual patient. Rhinoplasty at his practice can be categorized in different ways, such as full rhinoplasty or tipplasty, cosmetic or functional rhinoplasty, reduction or augmentation rhinoplasty, and primary or revision rhinoplasty.
Dr. Rapaport most often performs full reduction rhinoplasties for patients with a bump on the bridge of their nose and a wide nasal tip. He shaves or rasps the bone and cartilage to reduce the hump and then addresses the tip with conservative cartilage removal or internal suturing. He also performs alar base resections if needed. He individualizes his approach between open and closed rhinoplasty based on the patient's anatomy, complexity, and goals.
Candidates for Nasal Base Combined with Nasal Tip Plastic Surgery
Good candidates for these combined procedures typically have concerns related to both the nasal base and the nasal tip. For nasal base reduction, candidates may have an excessively wide alar base, alar flaring, a wide nasal base relative to the intercanthal distance, or nasal asymmetry. For nasal tip surgery, candidates may be dissatisfied with a bulbous, boxy, drooping, overly long or short, hooked, or overly - projected nasal tip.
In general, candidates should be in good overall health, have realistic expectations for the results of the surgery, and be over a certain age (usually 15 - 18 years old for girls and 17 - 18 years old for boys if the surgery is for cosmetic reasons, to allow for full nasal bone development). They should also be non - smokers or willing to quit smoking before the surgery, as tobacco products can compromise the healing process.
Types of Rhinoplasty Procedures
Primary Rhinoplasty
Primary rhinoplasty is performed for the first time to address cosmetic concerns and/or nasal breathing issues. It can involve changing the size and shape of the nose, modifying the bridge, increasing or decreasing the size of the nostril openings, balancing the facial features, improving nasal breathing, or reconstructing a previously injured or disfigured nose.
Revision Rhinoplasty
Revision rhinoplasty is done to address concerns or deformities resulting from prior nose surgeries. It is often more complex than primary rhinoplasty as it may involve correcting scar tissue and dealing with the limitations of a previous surgeon's aesthetic and the patient's own anatomy.
Open and Closed Rhinoplasty Techniques
Closed (Endonasal) Rhinoplasty: All incisions are made inside the nose. The advantage of this approach is the lack of an external scar and a relatively shorter duration of the operation. However, it may limit the surgeon's access and visibility, making it less suitable for complex cases.
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. But it may result in increased swelling, a prolonged healing period, and a small scar on the columella.
Pre - surgery Considerations
Before undergoing nasal base combined with nasal tip plastic surgery, patients should have an extensive consultation with the surgeon. During this consultation, the patient should discuss their concerns, goals, and medical history. The surgeon will then develop an individualized treatment plan, which may include a physical examination of the nose, imaging studies, and a discussion of the surgical approach.
Patients may need to stop taking certain medications and supplements that can thin the blood, such as NSAIDs (ibuprofen, naproxen), aspirin, and vitamin E, several weeks before the surgery. They should also stop smoking, as it can decrease blood flow to the skin and compromise the healing of the surgical site. Additionally, patients may need to pick up prescribed medications, such as antibiotics, pain medication, and a sedative medication (if needed), and arrange for an escort home after the surgery.
Surgery and Recovery
Surgery
Nasal base combined with nasal tip plastic surgery is usually performed under general anesthesia or a combination of local anesthesia and sedation. The surgery can take several hours, depending on the complexity of the case. During the surgery, the surgeon will make incisions, reshape the bone and cartilage of the nasal framework, adjust the nasal tip, and close the incisions.
Recovery
After the surgery, patients can expect some swelling, bruising, and mild discomfort. They will usually be given a short course of antibiotics and mild pain medication. The majority of swelling subsides within the first two weeks, but it may take up to a year for all the swelling to fully fade. Patients should plan to take one to two weeks off work or school and avoid strenuous activities for at least two weeks after surgery. They should also follow the surgeon's instructions regarding post - surgery care, such as keeping the head elevated, applying cold packs, and using saline nasal sprays.
Risks and Complications
As with any surgery, nasal base combined with nasal tip plastic surgery carries some risks. These can include infection, bleeding, scarring, poor aesthetic outcome, asymmetry, nasal obstruction (from over - correction), numbness in the tip of the nose, difficulty breathing through the nose, and “Q” or “teardrop” deformity (when the nasal sill is entered at its most lateral extent) or lip malposition. However, these risks can be minimized by choosing an experienced and board - certified surgeon and following all pre - and post - surgery instructions.
Cost of the Procedures
The cost of nasal base combined with nasal tip plastic surgery can vary widely depending on several factors, including the surgeon's experience and reputation, the complexity of the case, the location of the surgery, the type of anesthesia used, and any additional procedures that may be required. Cosmetic rhinoplasty is usually not covered by insurance, but if the surgery is performed to improve breathing (such as correcting a deviated septum), a portion of the cost may be eligible for insurance coverage. It is important for patients to have a detailed discussion with the surgeon about the expected costs before the surgery.
Conclusion
New York City offers a wide range of options for nasal base combined with nasal tip plastic surgery. With top - notch hospitals and experienced surgeons, patients can achieve both aesthetic and functional improvements in their nose. However, it is crucial for patients to do their research, choose a qualified surgeon, and have realistic expectations. By carefully considering all aspects of the surgery, from pre - surgery preparation to post - surgery recovery, patients can have a successful and satisfying plastic surgery experience.
If you are considering nasal base combined with nasal tip plastic surgery, we encourage you to schedule a consultation with one of the reputable surgeons in New York City. Discuss your concerns, ask questions, and learn more about the procedures to make an informed decision about your nose surgery journey.
