Public and Private Hospitals in New York City for Autologous Rib Cartilage Base Augmentation

Autologous rib cartilage base augmentation is a surgical procedure used to reshape the nasal base and tip. It is often used in revision rhinoplasty to correct previous surgical errors, such as a collapsed nasal bridge or a pinched nasal tip. In this procedure, cartilage is harvested from the patient's own ribs and used to augment the nasal base.

What is Autologous Rib Cartilage Base Augmentation?

Autologous rib cartilage base augmentation is a procedure that uses the patient’s own rib cartilage to augment the nasal base, tip, or other areas of the nose. Rib cartilage is often preferred over septal cartilage or ear cartilage because it is plentiful, strong, and straight. The rib cartilage is harvested through a small incision in the chest. The incision is usually hidden in the breast fold for women or under the armpit for men. The harvested rib cartilage is then shaped and sculpted to fit the desired area of the nose. The rib cartilage is then placed on the nose and secured with sutures.

Hospitals in New York City that Offer Autologous Rib Cartilage Base Augmentation

There are several hospitals in New York City that offer autologous rib cartilage base augmentation. These hospitals are staffed by experienced surgeons who are qualified to perform this procedure. The following is a list of public and private hospitals in New York City that offer autologous rib cartilage base augmentation:

Public Hospitals

• Bellevue Hospital Center
• Kings County Hospital Center
• Mount Sinai Hospital
• NewYork-Presbyterian Hospital/Columbia University Medical Center
• NewYork-Presbyterian Hospital/Weill Cornell Medical Center
• North Shore-LIJ Health System

Private Hospitals

• Lenox Hill Hospital
• Mount Sinai West
• NewYork-Presbyterian Hospital/Allen Hospital
• NewYork-Presbyterian Hospital/Columbia University Medical Center
• NewYork-Presbyterian Hospital/Weill Cornell Medical Center
• North Shore-LIJ Health System
• St. Luke's-Roosevelt Hospital
• The Mount Sinai Hospital

Factors to Consider When Choosing a Hospital for Autologous Rib Cartilage Base Augmentation

When choosing a hospital for autologous rib cartilage base augmentation, it is important to consider several factors, including:

• The surgeon's experience and qualifications
• The hospital's accreditation and safety record
• The hospital's location and accessibility
• The hospital's cost and insurance coverage
• The hospital's patient satisfaction ratings

Autologous Rib Cartilage Base Augmentation Procedure

The autologous rib cartilage base augmentation procedure is typically performed on an outpatient basis under general anesthesia. The procedure usually takes about 1 to 2 hours to complete. After the procedure, the patient will have a splint on their nose for about a week. It is important to follow the surgeon's instructions carefully for a successful recovery. The following is a step-by-step guide for the procedure:

Step 1: Consultation

The first step is a consultation with a qualified surgeon. During the consultation, the surgeon will discuss the patient’s goals, assess their nasal anatomy, and determine if they are a good candidate for the procedure. The surgeon will also explain the risks and benefits of the procedure, answer any questions, and discuss the cost of the procedure.

Step 2: Pre-operative Instructions

The surgeon will provide the patient with specific pre-operative instructions. These instructions may include:

• Stopping smoking
• Avoiding certain medications
• Fasting for a certain period of time before the procedure

Step 3: Anesthesia

The patient will be given general anesthesia before the procedure. This will ensure that the patient is comfortable and pain-free during the procedure.

Step 4: Rib Cartilage Harvest

The surgeon will make a small incision in the patient’s chest to harvest the rib cartilage. The incision is usually hidden in the breast fold for women or under the armpit for men. The rib cartilage is then carefully removed and shaped to fit the desired area of the nose.

Step 5: Nasal Base Augmentation

The surgeon will then place the harvested rib cartilage on the nasal base and secure it with sutures.

Step 6: Closure

The incision in the chest will be closed with sutures.

Step 7: Recovery

The patient will be monitored in the recovery room for a few hours after the procedure. The patient will be able to go home the same day. The patient will have a splint on their nose for about a week to help protect the nose and promote healing. The patient will need to follow the surgeon’s instructions carefully for a successful recovery. This may include:

• Taking pain medication
• Applying ice packs to the nose
• Avoiding strenuous activity
• Sleeping with their head elevated

Step 8: Follow-up

The patient will have follow-up appointments with the surgeon to monitor their progress and ensure that they are healing properly. Most patients are able to return to their normal activities within a few weeks.

Risks and Complications of Autologous Rib Cartilage Base Augmentation

As with any surgical procedure, there are risks and complications associated with autologous rib cartilage base augmentation. These risks and complications may include:

• Infection
• Bleeding
• Swelling
• Bruising
• Pain
• Scarring
• Asymmetry
• Deformity
• Rejection of the cartilage

The surgeon will discuss these risks and complications with the patient before the procedure. The surgeon will also explain how to minimize these risks and complications.

Autologous Rib Cartilage Base Augmentation Results

The results of autologous rib cartilage base augmentation are typically permanent. However, the patient’s nose will continue to age, and the results of the procedure may change over time. The patient should discuss their expectations and goals with the surgeon before the procedure.

Autologous Rib Cartilage Base Augmentation Cost

The cost of autologous rib cartilage base augmentation varies depending on the surgeon’s experience, the hospital’s fees, and the complexity of the procedure. The patient should discuss the cost of the procedure with the surgeon before the procedure.

Conclusion

Autologous rib cartilage base augmentation is a surgical procedure that can help reshape the nasal base and tip. It is a complex procedure, and it is important to choose a qualified surgeon and a reputable hospital. The surgeon will discuss the risks and benefits of the procedure with the patient before the procedure. The patient should also discuss their expectations and goals with the surgeon.