Introduction
Combined nasal basal and nose bridge plastic surgery, commonly known as rhinoplasty, is a highly sought - after cosmetic and functional procedure. In New York City, a hub of medical excellence, there are numerous well - reputed doctors performing these surgeries. This article will delve into the top five such doctors, exploring their qualifications, unique techniques, and patient outcomes.
Understanding Combined Nasal Basal and Nose Bridge Plastic Surgery
Rhinoplasty is not just about aesthetic improvement; it can also enhance the function of the nose. The nasal base is the area at the bottom of the nose, including the nostrils and the nasal tip. The nose bridge, on the other hand, is the upper part of the nose between the eyes. Combined surgery aims to balance these two areas, creating a more harmonious and attractive facial appearance. It can address issues such as a deviated septum, a dorsal hump, a bulbous tip, or wide nostrils.
Importance of Choosing the Right Surgeon
Selecting a skilled and experienced surgeon is crucial for successful rhinoplasty. A good surgeon will understand the patient's goals, evaluate their facial anatomy, and recommend the most suitable approach. They will also have the technical expertise to perform the surgery safely and achieve natural - looking results. In New York City, where the competition is fierce, patients have access to some of the best rhinoplasty surgeons in the world.
Top Five Well - Reputed Doctors for Combined Nasal Basal and Nose Bridge Plastic Surgery in New York City
1. Dr. Andrew Jacono
Qualifications and Training
Dr. Andrew Jacono is a global authority in the field of facial plastic and reconstructive surgery. He has achieved dual board certification in facial plastic and reconstructive surgery as well as head and neck surgery. He is the surgical director of the New York Center for Facial Plastic and Laser Surgery. Dr. Jacono completed extensive training, including surgical rhinoplasty training, and has pioneered less - invasive techniques. He trained at top institutions and has a long - standing reputation for his innovative approach to surgery.
Unique Techniques
One of Dr. Jacono's unique features is his customized approach to preserving ethnic identity during rhinoplasty. He avoids over - done looks and aims for natural, beautiful nasal definition. He has developed techniques to refine droopy, more bulbous nasal tips and is a specialist in ethnic rhinoplasty, thick - skin rhinoplasty, middle eastern rhinoplasty, and African - American and Asian rhinoplasty. His techniques often involve avoiding breaking the nose and removing excessive cartilage, reducing the risk of an unnatural appearance.
Patient Outcomes and Testimonials
Patients travel from all over the world to visit Dr. Jacono's New York City surgery center. Many celebrities, socialites, and royalty have flocked to him for rhinoplasty and other surgical procedures. Testimonials often praise his attention to detail, artistic sensibility, and the natural - looking results he achieves. His results are often undetectable, yet dramatic in improving the patient's appearance and self - confidence.
2. Dr. David Cangello
Qualifications and Training
Dr. David Cangello is a board - certified plastic surgeon and a leading expert in rhinoplasty in NYC. He graduated from some of the nation’s finest universities and completed rigorous training. He is a member of the Rhinoplasty Society, an exclusive group of top nose surgeons worldwide. He has authored numerous articles in medical journals and has been named to Castle Connolly’s list of America’s top doctors and listed as a “super doctor” in the New York Times.
Unique Techniques
Dr. Cangello is one of only a few surgeons in the United States to offer preservation rhinoplasty. This modern approach preserves as much of the original nasal structure as possible, leading to natural - looking results, improved nasal function, and a lower risk of complications. He also prefers an open approach to rhinoplasty, performing a “component separation of the nose,” which allows for a more proportionate and balanced repositioning of the nose components.
Patient Outcomes and Testimonials
Patients have reported excellent results with Dr. Cangello's surgeries. His attention to detail and artistic vision are often praised in testimonials. Many patients have seen significant improvements in both the appearance and function of their noses, with minimal scarring and a relatively quick recovery time. His work has been featured in major media outlets, further validating his reputation.
3. Dr. Richard Westreich
Qualifications and Training
Dr. Richard Westreich is a double - board - certified facial plastic surgeon. He completed his postgraduate training in facial plastic surgery and otolaryngology at the prestigious Mt. Sinai Hospital in New York City. He has been listed by New York Magazine as one of the top plastic surgeons in New York for several consecutive years and has been recognized as a top doctor by the prestigious Castle Connolly group.
Unique Techniques
Dr. Westreich has developed sculptural rhinoplasty techniques, many of which he pioneered. His approach is based on the vision of an artist, focusing on creating highlights and shadows, as well as natural proportions. He is also skilled in various rhinoplasty techniques such as nasal tip plasty, profile plasty, and polish rhinoplasty. He prefers the closed rhinoplasty approach in many cases, which often leads to quicker healing and less scarring.
Patient Outcomes and Testimonials
Patients appreciate Dr. Westreich's approachable bedside manner and his ability to listen to their concerns. His patients often report achieving natural - looking results that enhance their overall facial harmony. Testimonials also mention his use of exparel for pain relief, which allows for a quicker and more comfortable recovery.
4. Dr. Elie Levine
Qualifications and Training
Dr. Elie Levine graduated from Columbia College with a 4.0, earning the distinctions of Phi Beta Kappa and Magna Cum Laude. He earned his MD from the Yale School of Medicine, graduating Cum Laude and finishing in the top 10% of his class. He continued his training at the Mount Sinai Medical Center in general surgery and plastic and reconstructive surgery. He is one of the few plastic surgeons in New York City who completed an advanced aesthetic fellowship at the New York Eye and Ear Infirmary of Mount Sinai.
Unique Techniques
Dr. Levine is experienced in both open and closed rhinoplasty techniques. He uses his artistic eye to achieve beautiful, youthful, and natural - looking results. He also performs revision rhinoplasty for patients who are unhappy with previous surgeries. He takes each patient's ethnicity, concerns, and ideals into account to create a customized surgical plan.
Patient Outcomes and Testimonials
Patient testimonials for Dr. Levine are overwhelmingly positive. Many patients praise his ability to understand their desired outcomes and provide natural - looking results. His use of advanced techniques has led to minimal bruising and swelling during recovery. Patients also appreciate his thorough explanations and the attention he and his staff give during the entire process.
5. Dr. Barry Weintraub
Qualifications and Training
Dr. Barry Weintraub is a board - certified New York plastic surgeon regarded worldwide as a top rhinoplasty surgeon with decades of experience. He is an expert in both primary rhinoplasty and complex revisionary cases.
Unique Techniques
Dr. Weintraub believes in a personalized approach, taking each patient's ethnicity and facial structure into account to achieve the most natural - looking results. He understands that “one nose does not fit all” and tailors his surgeries accordingly. He is also skilled in addressing breathing issues such as a deviated septum or turbinate hypertrophy during rhinoplasty.
Patient Outcomes and Testimonials
Patients have reported high satisfaction with Dr. Weintraub's surgeries. His long - standing reputation in the field speaks to his ability to deliver successful outcomes. He is known for his attention to detail and his commitment to creating a nose that not only looks good post - operatively but will age well over time.
Factors to Consider When Choosing a Surgeon
Board Certification
Board certification is a crucial factor when choosing a rhinoplasty surgeon. It indicates that the surgeon has met the rigorous standards set by the relevant medical board and has the necessary training and skills to perform the surgery safely and effectively. All the top five doctors mentioned above are board - certified, which is a sign of their competence.
Experience
Experience matters in rhinoplasty. Surgeons with years of experience have encountered a wide range of cases and are better equipped to handle complications and achieve optimal results. The top doctors in New York City have extensive experience in performing combined nasal basal and nose bridge plastic surgeries, having treated numerous patients over the years.
Patient Reviews and Testimonials
Reading patient reviews and testimonials can provide valuable insights into a surgeon's bedside manner, the quality of their work, and the patient experience. Positive reviews from satisfied patients are a good indication that the surgeon is reliable and skilled. You can find these reviews on the surgeon's website, online review platforms, and through word - of - mouth.
Technique and Approach
Different surgeons may have different techniques and approaches to rhinoplasty. Some may prefer open rhinoplasty, while others may use a closed approach. Some may specialize in preservation rhinoplasty or other innovative techniques. It's important to discuss the surgeon's technique and approach with them to ensure it aligns with your goals and expectations.
Artistic Vision
Rhinoplasty is not just a medical procedure; it's also an art form. A surgeon with an artistic vision can create a nose that complements the patient's facial features and enhances their overall appearance. The top surgeons in New York City are known for their artistic sensibilities and their ability to create natural - looking results.
Preparing for Combined Nasal Basal and Nose Bridge Plastic Surgery
Initial Consultation
The initial consultation is a crucial step in the process. During this consultation, the surgeon will evaluate your nasal anatomy, discuss your goals and expectations, and recommend the most suitable approach. They will also explain the risks and benefits of the surgery and answer any questions you may have.
Medical Evaluation
You will undergo a comprehensive medical evaluation to ensure you are in good health and a suitable candidate for surgery. This may include a physical examination, blood tests, and a review of your medical history. The surgeon will also assess your nasal function and any existing nasal conditions.
Pre - operative Instructions
Your surgeon will provide you with pre - operative instructions, which may include avoiding certain medications, supplements, and vitamins that can increase the risk of bleeding. You may also be asked to stop smoking several weeks before surgery to ensure proper healing. Additionally, you will need to arrange for someone to drive you home after the surgery and to assist you during the initial recovery period.
Setting Realistic Expectations
It's important to set realistic expectations for the surgery. While rhinoplasty can significantly improve the appearance and function of your nose, it may not completely transform your face. Your surgeon will help you understand what can be achieved based on your facial anatomy and goals.
The Surgery Process
Anesthesia
The surgery is typically performed under general anesthesia or local anesthesia with intravenous sedation. The choice of anesthesia will depend on the extent of the surgery and your personal preferences. Your anesthesiologist will discuss the options with you and ensure your comfort during the procedure.
Incision Placement
The surgeon will make incisions either inside the nostrils (closed rhinoplasty) or across the columella (open rhinoplasty). The choice of incision placement depends on the complexity of the surgery and the surgeon's preference. Open rhinoplasty allows for better visualization of the nasal structures, while closed rhinoplasty may result in less visible scarring.
Reshaping the Nasal Structure
Once the incisions are made, the surgeon will reshape the nasal bone and cartilage to achieve the desired shape. This may involve removing excess bone or cartilage, adding cartilage grafts, or adjusting the position of the nasal structures. The surgeon will also address any breathing issues, such as a deviated septum, during this stage.
Closing the Incisions
After the necessary changes have been made, the surgeon will close the incisions with sutures. The sutures may be dissolvable or require removal after a certain period. A splint will be applied to the nose to support the new shape and aid in the healing process.
Recovery and Aftercare
Immediate Post - operative Period
After the surgery, you will be monitored in the recovery area until the anesthesia wears off. You may experience some pain, swelling, and bruising around the eyes and nose. Your surgeon will prescribe pain medication and provide instructions on how to manage these symptoms. You will also need to keep your head elevated to reduce swelling.
Removal of Splint and Sutures
The splint will typically be removed after about a week, and the sutures may be removed at the same time or a few days later. At this point, you will start to see a significant improvement in the appearance of your nose, although some swelling may still be present.
Swelling and Bruising
Swelling and bruising are normal after rhinoplasty and can take several weeks to subside completely. Cold compresses can help reduce swelling, and your surgeon may recommend using arnica or other supplements to minimize bruising. You should avoid strenuous activities and wearing glasses on your nose during the recovery period.
Long - term Recovery
Full recovery from rhinoplasty can take several months to a year. During this time, the swelling will continue to gradually subside, and the final results of the surgery will become more apparent. You will need to follow up with your surgeon regularly to monitor your progress and ensure proper healing.
Risks and Complications
General Surgical Risks
As with any surgery, rhinoplasty carries some general risks, such as bleeding, infection, adverse reactions to anesthesia, and scarring. These risks can be minimized by choosing a qualified and experienced surgeon and following the pre - operative and post - operative instructions carefully.
Nasal - specific Risks
Specific risks associated with rhinoplasty include changes in the shape of the nose that may not meet your expectations, breathing difficulties, asymmetry, and numbness in the nose. These risks are rare but can occur, and your surgeon will discuss them with you during the consultation.
Revision Surgery
In some cases, revision surgery may be necessary to correct any issues that arise after the initial surgery. Revision rhinoplasty is a more complex procedure and should be performed by an experienced surgeon. However, with proper planning and execution, the majority of patients are satisfied with the results of their initial rhinoplasty.
Conclusion
Combined nasal basal and nose bridge plastic surgery can be a life - changing procedure for many patients. In New York City, patients have access to some of the best rhinoplasty surgeons in the world, such as Dr. Andrew Jacono, Dr. David Cangello, Dr. Richard Westreich, Dr. Elie Levine, and Dr. Barry Weintraub. When choosing a surgeon, it's important to consider factors such as board certification, experience, patient reviews, technique, and artistic vision. By following the pre - operative and post - operative instructions and having realistic expectations, patients can achieve beautiful and natural - looking results. If you are considering rhinoplasty, take the time to research your options and schedule a consultation with a qualified surgeon to discuss your goals and determine the best approach for you.
If you're interested in learning more about combined nasal basal and nose bridge plastic surgery or want to schedule a consultation with one of the top surgeons in New York City, don't hesitate to reach out. Share this article with others who may be considering rhinoplasty and explore related topics on our website for more in - depth information.
