Introduction
In the bustling city of New York, the pursuit of beauty and the desire for facial harmony through plastic surgery, particularly rhinoplasty focused on adjusting the ratio of the nasal base to the philtrum, have become increasingly popular. This article aims to provide a comprehensive overview of some of the top doctors in New York City who specialize in these procedures, along with their plastic surgery results. Understanding the skills, expertise, and unique approaches of these doctors can help individuals make informed decisions when considering such delicate and intricate facial surgeries.
Importance of Nasal Base to Philtrum Ratio
The ratio of the nasal base to the philtrum plays a crucial role in facial aesthetics. A well - balanced nasal base to philtrum ratio can enhance facial symmetry, proportion, and overall attractiveness. The nasal base, which includes the width of the nostrils and the overall structure at the bottom of the nose, and the philtrum, the vertical groove between the nose and the upper lip, work together to create a harmonious facial appearance. An improper ratio can lead to a nose that appears too large, too wide, or out of proportion with the rest of the face, causing self - confidence issues for many individuals. Rhinoplasty procedures that target this ratio aim to correct these aesthetic concerns and create a more natural and appealing look.
Top Doctors in New York City for Nasal Base to Philtrum Adjustment
Dr. Andrew Jacono
Dr. Andrew Jacono is one of the most renowned rhinoplasty surgeons in New York City. He is the surgical director of the New York Center for Facial Plastic and Laser Surgery. Many outlets consider him one of the top rhinoplasty surgeons in the United States and the world. He has extensive training in surgical rhinoplasty and is known for his unique and innovative surgical approach.
Dr. Jacono prides himself on offering the most comprehensive, natural results possible. He has pioneered less - invasive techniques that avoid breaking the nose and removing excessive cartilage, which can often lead to an overdone look. One of his remarkable achievements is developing a customized approach to preserving ethnic identity during rhinoplasty while achieving a natural, beautiful nasal definition. He is also a specialist in ethnic rhinoplasty, thick - skin rhinoplasty, middle - eastern rhinoplasty, and African - American and Asian rhinoplasty.
Dr. Jacono's work is not only characterized by his surgical skills but also by his artistic sensibility. He has been drawing, painting, and sculpting since his youth, which has developed his expert aesthetic sense. His office on Park Avenue and 66th Street in New York City has been featured on the cover of the Plastic Surgery Practice Journal and many other publications. Celebrities, socialites, and even royalty have sought his services for rhinoplasty and other surgical procedures.
Patient testimonials are a testament to his success. For example, a young Latina woman who was unhappy with her dorsal hump and nasal tip had her tip refined and dorsal hump reduced by Dr. Jacono, achieving a more natural and beautiful look.
Dr. Cangello
Dr. Cangello is NYC's preeminent rhinoplasty surgeon, offering patients customized treatment plans and transformative results. He is highly skilled in nasal base reduction, which is often related to adjusting the nasal base to philtrum ratio. Nasal base reduction, or alarplasty, is a rhinoplasty technique that aims to narrow the alar base of the nose when it is excessively wide for the face.
He has in - depth knowledge of the nasal base anatomy. The width of the nasal base can be measured from the outer margin of one nostril to the outer margin of the opposite nostril, and its axis can be classified as vertical, divergent, or convergent. The nasal base should ideally fall between the distance between the inner corners of a patient's two eyes. Dr. Cangello carefully evaluates each patient's unique nasal anatomy to determine the optimal surgical technique.
There are three main surgical techniques that Dr. Cangello uses for nasal base reduction: alar wedge excision, nasal sill excision, and V - Y advancement. The alar wedge excision, also known as the weir incision, is preferred for minimizing excessively flared ala. The nasal sill excision is used for correcting enlarged nasal sill width along with excessive flare in the ala. The V - Y advancement technique is used to reposition the alar insertion if it is responsible for excessive nasal base width, although it is rarely performed due to the risk of leaving a scar on the face.
Patients who undergo nasal base reduction with Dr. Cangello can expect benefits such as refined and improved overall appearance of the nose, improved facial symmetry and balance, and increased self - confidence. The procedure has minimal risks when performed by an experienced surgeon like Dr. Cangello, and the recovery time is relatively short, usually around one to two weeks for the initial swelling and redness to subside.
Dr. Sam Rizk
Dr. Sam S. Rizk, the director of Manhattan Facial Plastic Surgery, is double - board - certified in facial cosmetic and reconstructive surgery. He is considered among the best rhinoplasty surgeons in New York City.
Dr. Rizk combines art and cosmetic surgery. His background in sculpting allows him to give patients beautiful, natural - looking results. He is a leader in advanced rhinoplasty techniques, having pioneered the 3D HD rhinoplasty surgery, which involves less pain and less recovery time. He maintains the integrity of the patient's natural beauty by only performing the necessary changes as discussed and agreed upon with the patient.
During the consultation process, Dr. Rizk conducts a thorough examination of the internal and external structure of the nose. Photographs are taken and reviewed with the patient, and computer imaging may be used to show potential results. He also discusses what to expect before, during, and after the rhinoplasty and offers patients the opportunity to talk to other patients who have had the procedure with him.
Real - patient results demonstrate his expertise. For example, a patient with a long nose and a droopy tip had the nose shortened and the tip lifted by Dr. Rizk, resulting in a beautiful natural - looking outcome. Another patient with a damaged nose bridge and a deviated septum underwent reconstructive rhinoplasty and saw significant improvement in both the appearance and function of the nose.
Dr. Moustafa Mourad
Dr. Moustafa Mourad, a board - certified plastic surgeon in New York City, specializes in various types of rhinoplasties, including primary rhinoplasty, revision rhinoplasty, functional rhinoplasty, ethnic rhinoplasty, and male rhinoplasty. His skills extend beyond nose surgery to comprehensive facial plastic surgery for a fully harmonized facial appearance.
He is committed to delivering natural - looking cosmetic surgery that aligns with each patient's aesthetic goals. When considering patients for rhinoplasty, he evaluates several factors, such as good overall health, realistic expectations, clear aesthetic goals, and the patient's skin quality and bone structure. During the consultation, he thoroughly assesses the nasal anatomy and facial features to determine if the patient is an ideal candidate for the procedure.
Dr. Mourad utilizes advanced surgical techniques. The open rhinoplasty technique is chosen when greater access to the nasal structures is required, involving a small incision on the columella. The closed rhinoplasty technique is a less - invasive approach with all incisions made inside the nostrils, leaving no visible external scars. He also uses other techniques like cartilage grafting, bone restructuring, and the use of implants or grafts to enhance both the appearance and function of the nose.
Patient testimonials speak highly of Dr. Mourad and his staff. Many patients have praised his professionalism, patience, and the ability to understand their needs and provide personalized treatment.
Dr. Steven Wallach
Dr. Steven Wallach is a leading expert in plastic and reconstructive surgery in New York City. He is frequently consulted by major beauty publications and national medical and academic institutions.
He approaches rhinoplasty with a focus on customizing each procedure to meet the patient's needs and complement the rest of their unique facial features. He has different approaches for cosmetic rhinoplasty, including addressing dorsal humps, tip refinement, and alar base reduction. For a dorsal hump, he may shave down sections of the nasal bones and perform osteotomies to adjust the angling of the bones and restore a natural nasal shape.
In tip refinement, he modifies the lower lateral nasal cartilage and may use cartilage grafts to improve tip projection and contours. Alar base reduction surgery is often requested by patients with a wide nasal base and flaring nostrils. Dr. Wallach has several techniques to excise various portions of the alar rim to reduce the flare of the nostril and the nasal width.
He also addresses functional concerns related to the nose, such as external valve collapse, internal valve collapse, turbinate hypertrophy, and deviated septum. Dr. Wallach has a range of grafting options, including autologous grafting choices like ear cartilage, rib cartilage, septal cartilage, and temporalis fascia, as well as non - autologous grafting choices like acellular dermal matrix, irradiated or non - irradiated homograft costal cartilage, and synthetic grafts (although he prefers autologous tissue grafts when available).
Dr. Philip Miller
Dr. Philip Miller is a double - board - certified facial plastic surgeon. His practice, located in the heart of Manhattan, offers patients exceptional care and treatment in a discreet, confidential, and accredited environment.
He specializes in rhinoplasty, and his approach combines art and science with innovation and skill. He uses minimally - invasive techniques and breakthrough technology to provide patients with impeccable results. Dr. Miller offers different types of rhinoplasty, including revision rhinoplasty for patients who have had previous nose surgeries and non - surgical nose job or liquid rhinoplasty, which uses injectable fillers to reshape the nose without changing the cartilage or underlying bone.
Real - patient testimonials highlight his excellent results and the high - quality care provided by his team. Patients have reported improved breathing, better - looking noses, and increased self - confidence after undergoing rhinoplasty with Dr. Miller.
Dr. Barry M. Weintraub
Dr. Barry M. Weintraub is a top plastic surgeon in NYC with the philosophy that "less is more." His results are conservative and understated, with a keen eye toward natural beauty.
In rhinoplasty, he employs the newest techniques in structural manipulation of cartilage that produce beautifully graceful contours and natural profiles. He uses the latest minimally invasive, non - surgical, and short - incision techniques to provide the maximum benefit to his patients. For example, instead of using unnaturally tight skin traction in facial plastic surgery, he gently suspends tissues and restores lost volume with fat transplantation.
Dr. Weintraub has extensive education and training, along with numerous honors and awards. He is a diplomate of the American Board of Plastic Surgery and a member of several professional associations. He has also been featured in various media outlets for his expertise in plastic surgery.
Plastic Surgery Results
The plastic surgery results achieved by these doctors in New York City are diverse and remarkable. Many patients have seen significant improvements in the appearance of their noses, with a more balanced nasal base to philtrum ratio, resulting in enhanced facial symmetry and attractiveness. For example, patients with wide nasal bases have successfully undergone nasal base reduction surgeries, leading to a more refined and proportionate nose. Those with nasal humps, bulbous tips, or droopy columellas have had these issues corrected, achieving a more natural and aesthetically pleasing look.
Functional improvements are also common. Patients with breathing difficulties due to deviated septums or nasal valve collapse have had these problems resolved during rhinoplasty procedures. The combination of aesthetic and functional results has led to increased self - confidence and improved quality of life for many patients.
A comparison of the results can be presented in the following table:
| Doctor | Aesthetic Results | Functional Results |
|---|---|---|
| Dr. Andrew Jacono | Natural, ethnic - identity - preserving results; refined nasal tips, reduced dorsal humps | Improved nasal breathing in some cases |
| Dr. Cangello | Reduced nasal base width, improved facial symmetry | Minimal impact on breathing; focused on aesthetics |
| Dr. Sam Rizk | Beautiful, natural - looking results; improved tip projection, shape | Enhanced nasal breathing, especially in reconstructive cases |
| Dr. Moustafa Mourad | Customized, natural - looking nose shapes; balanced facial features | Corrected breathing problems, such as deviated septum |
| Dr. Steven Wallach | Custom - tailored results; refined nasal structures | Resolved functional issues like valve collapse, turbinate hypertrophy |
| Dr. Philip Miller | Impeccable, harmonious nose shapes; improved profile | Restored nasal function in revision cases |
| Dr. Barry M. Weintraub | Conservative, natural - looking results; graceful nasal contours | Potential improvement in breathing with structural manipulation |
Factors to Consider When Choosing a Doctor
When considering a doctor for adjusting the ratio of the nasal base to the philtrum or any rhinoplasty procedure, several factors should be taken into account:
- Expertise and Experience: Look for doctors with extensive experience in rhinoplasty, especially those who have dealt with cases similar to yours. Check their training, certifications, and the number of procedures they have performed.
- Reputation: Read patient testimonials, reviews, and look for any awards or recognition the doctor has received. A good reputation is often a sign of high - quality care and successful results.
- Artistic Sense: Since rhinoplasty is as much an art as it is a science, a doctor with an artistic eye can create more natural and aesthetically pleasing results. Look for doctors who have a background in art or who are known for their aesthetic sensibility.
- Communication Skills: A doctor who can effectively communicate with you, understand your goals, and explain the procedure and potential results clearly is essential. You should feel comfortable asking questions and discussing your concerns.
- Cost: While cost should not be the only factor, it is an important consideration. Different doctors may charge different fees for the same procedure. Make sure to get a detailed cost estimate and understand what is included in the price.
Conclusion
In New York City, there are several highly skilled and experienced doctors who specialize in adjusting the ratio of the nasal base to the philtrum and performing rhinoplasty procedures. Doctors like Dr. Andrew Jacono, Dr. Cangello, Dr. Sam Rizk, Dr. Moustafa Mourad, Dr. Steven Wallach, Dr. Philip Miller, and Dr. Barry M. Weintraub have demonstrated their expertise through their unique surgical techniques, natural - looking results, and satisfied patients.
Whether you are looking to improve the aesthetics of your nose or address functional issues, these doctors can offer customized solutions to meet your needs. However, it is crucial to carefully consider the factors mentioned above when choosing a doctor. By doing so, you can increase the likelihood of achieving the desired results and having a positive plastic surgery experience.
If you are considering rhinoplasty or any related procedure, we encourage you to schedule consultations with these doctors to learn more about their approaches, see before - and - after photos, and discuss your specific goals. Take the time to make an informed decision, and you could be on your way to a more confident and beautiful you.
