New York City is a global hub for plastic surgery, offering a wide range of options for those looking to adjust the nasal bridge structure. In this article, we will explore the top plastic surgery hospitals and surgeons in the city, along with the various procedures available, their benefits, and considerations. This preview of the ranking list aims to provide you with comprehensive information to make an informed decision about your nasal bridge adjustment surgery.
I. Importance of Nasal Bridge Structure Adjustment
The nasal bridge plays a crucial role in the overall appearance of the face. A well - structured nasal bridge can enhance facial harmony, balance, and self - confidence. Whether it's correcting a dorsal bump, narrowing a wide nose, or treating a saddle nose deformity, nasal bridge adjustment surgery can have a significant impact on a person's physical and emotional well - being.
II. Types of Nasal Bridge Adjustment Procedures
A. Preservation Rhinoplasty for the Nasal Bridge
Dr. David Cangello, a board - certified plastic surgeon in New York City, is a pioneer in preservation rhinoplasty. This modern approach 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.
1. Benefits compared to traditional surgery
- Dorsum preservation: The dorsum is completely preserved, eliminating the need for reconstruction and cartilage grafts. Any bone and cartilage removal occurs underneath the nose bridge, and the intact dorsum can be easily repositioned to lower the height of the nasal bridge. This reduces the possibility of dorsum irregularities and the need for revision rhinoplasty procedures.
- Reduced bruising and swelling: In a preservation procedure, the perichondrium and the periosteum are left intact. Dissecting the nose below these thin tissue layers preserves the veins, arteries, and lymphatics, almost eliminating bruising and swelling and minimizing their duration. This also reduces the patient's social downtime.
- More natural tip plasty: The tip plasty approach in a preservation procedure emphasizes a more natural look, avoiding problems with nose tip proportion that can be tell - tale signs of rhinoplasty.
B. Nasal Bridge Surgery to Narrow the Appearance of the Nose
When planning surgery to narrow the nasal bridge, several factors need to be considered:
| Factor | Description |
|---|---|
| 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 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 patients of other ethnicities seeking ethnic rhinoplasty to preserve an appearance fitting with their heritage. |
| Thickness and elasticity of the skin | Patients with Hispanic or African - American heritage often have thicker nasal skin. The elasticity of the skin must be properly evaluated, and patient expectations must be managed as the nose cannot be narrowed beyond what the skin can accommodate. |
C. Nasal Bridge Surgery to Correct a Dorsal Bump
Removing a dorsal bump on the nose may seem simple, but it requires a comprehensive rhinoplasty plan. In addition to hump removal, the surgeon may need to perform maneuvers such as:
- Osteotomies: To bring the width of the nose in proportion to the new bridge height.
- Spreader grafts: Consider the integrity of the middle vault of the nose to determine if spreader grafts are necessary.
- Tip revision: Revise the position and shape of the nose tip to harmonize with the slope of the nose.
D. Nasal Bridge Surgery to Correct a Saddle Nose Deformity
A saddle nose deformity occurs when the bridge of the nose is concave. It can be caused by a traumatic injury, a failed rhinoplasty, cocaine abuse, certain medical conditions, or be congenital. Surgical correction involves restoration or augmentation of the nasal bridge.
1. Mild cases
A graft of septal cartilage may be sufficient to build the appropriate height of the bridge.
2. Severe cases
More extensive grafting, such as costal cartilage grafting or a synthetic biocompatible grafting material, may be needed to build a strong bridge that will adequately support the reconstruction.
E. Nasal Bridge Surgery to Improve Breathing Function
For many patients, the primary objective of nasal bridge surgery may be aesthetic, but improving breathing function is also important. A deviated nasal bridge is often due to septal deviation, and septoplasty can be incorporated into the initial surgical plan to improve nasal airflow.
III. Top Plastic Surgeons for Nasal Bridge Adjustment in New York City
A. Dr. David Cangello
As mentioned earlier, Dr. Cangello is a leading expert in preservation rhinoplasty. He has extensive experience in various nasal bridge procedures and is known for his innovative techniques and natural - looking results. His approach has been recognized as a significant advancement in the field of rhinoplasty.
B. Dr. Steven J. Pearlman
Dr. Pearlman is a distinguished facial plastic and reconstructive surgeon. He is uniquely dual - board certified in both facial plastic and reconstructive surgery and in head and neck surgery. With an extensive clinical and academic background, 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.
C. Dr. Sam Rizk
Dr. Rizk merges his artistic background as a sculptor with his technical skill as a facial plastic and reconstructive surgeon. He is honest with his patients and will only recommend surgery if the benefit far outweighs the risk, discomfort, and expense. He is known for his expertise in the most advanced techniques in facelift, neck lift, eyelid surgery, and rhinoplasty in NYC.
D. Dr. Sherrell J. Aston
Dr. Aston is a world - renowned double - board - certified plastic surgeon. He is a professor of plastic surgery at New York University, a past president of the American Society for Aesthetic Plastic Surgery, and a fellow of the American College of Surgeons. He is an expert in the closed rhinoplasty technique, which avoids incisions and scars on the outside of the nose. He has used this technique for thousands of noses, both primary and secondary procedures.
E. Dr. Maurice M. Khosh
Dr. Khosh is a well - known and dual - board - certified facial plastic surgeon practicing in Manhattan. He is the past president of the New York Facial Plastic Surgery Society and a founding member of the New York Head and Neck Institute. He is recognized by his patients and colleagues as an outstanding physician, having received multiple awards. His goal in cosmetic surgery is to create a natural and “non - operated” look that is harmonious with the overall appearance of each patient.
IV. Plastic Surgery Hospitals in New York City
A. Columbia University Plastic & Reconstructive Surgery
As one of New York’s best hospitals and a world - top medical center, Columbia University's plastic surgery program has a team of proficient plastic surgeons. They offer a wide range of plastic surgery services, including rhinoplasty. Their cosmetic care program provides surgical and non - surgical options to improve cosmetic health, while the reconstructive care program is world - leading in areas such as breast reconstruction after breast cancer, skin lesion excision, and reconstructive surgery for the nose and ears. The plastic surgery research laboratory at Columbia is also actively involved in research related to stem cells, tissue engineering, and the study of bone substitutes.
B. Other Reputable Hospitals
There are also other hospitals in New York City that are well - known for their plastic surgery departments. These hospitals have experienced surgeons and state - of - the - art facilities, providing high - quality care for patients seeking nasal bridge adjustment surgery.
V. Considerations When Choosing a Plastic Surgeon and Hospital
A. Surgeon's Experience and Expertise
Look for a surgeon who has extensive experience in nasal bridge adjustment procedures. Check their board certifications, the number of years in practice, and patient testimonials. A surgeon with a good track record is more likely to deliver satisfactory results.
B. Hospital's Reputation and Facilities
Choose a hospital with a good reputation for plastic surgery. Consider the quality of its facilities, the availability of advanced surgical equipment, and the hospital's safety record. A well - equipped hospital can provide better support during the surgical process and recovery.
C. Cost and Insurance
The cost of nasal bridge adjustment surgery can vary depending on the surgeon, the hospital, and the complexity of the procedure. Some insurance companies may cover certain functional aspects of the surgery, such as improving breathing. It's important to discuss the cost and insurance coverage with the surgeon and the hospital in advance.
D. Patient - Surgeon Communication
Effective communication between the patient and the surgeon is crucial. The surgeon should take the time to understand the patient's goals and expectations, and explain the procedure, risks, and recovery process clearly. A good patient - surgeon relationship can lead to better treatment outcomes.
VI. Conclusion
New York City offers a plethora of options for nasal bridge structure adjustment, with top - notch plastic surgeons and world - class hospitals. From preservation rhinoplasty to corrective surgeries for various nasal bridge issues, patients have access to a wide range of procedures. When choosing a plastic surgeon and hospital, it's essential to consider factors such as experience, reputation, cost, and communication. By making an informed decision, patients can achieve their desired nasal appearance and improve their overall quality of life.
If you're considering nasal bridge adjustment surgery in New York City, take the time to research and consult with multiple surgeons. Don't hesitate to ask questions and express your concerns. Share this article with others who may be interested in learning more about nasal bridge plastic surgery, and explore related topics on our website for further information.
