Introduction
Nasal dorsum augmentation surgery is a popular cosmetic procedure, especially in a vibrant city like New York City. Netizens' real - life experiences and feedback can be incredibly valuable when it comes to ranking the best places and surgeons for this surgery. In this article, we will explore the ins and outs of nasal dorsum augmentation surgery in NYC, including top surgeons, techniques, materials, and what to expect during the process.
Importance of Netizen Feedback
Netizen feedback provides real - world insights into the actual outcomes of nasal dorsum augmentation surgeries. It includes patient experiences, post - operative results, satisfaction levels, and the overall professionalism of the surgical teams. By considering these reviews, potential patients can make more informed decisions, compare different surgeons, and understand the possible risks and rewards associated with the procedure.
Top Surgeons in New York City
Dr. David Cangello
Dr. David Cangello is a board - certified plastic surgeon in New York City. He is a world - renowned expert on scarless rhinoplasty. Through years of study and experience, his surgical skills and aesthetic instincts are top - notch. His scarless rhinoplasty, also known as “closed” rhinoplasty, has several advantages:
- It leaves no visible scars as there are no external incisions.
- Requires less operative time compared to the open approach in many cases, which generally leads to better patient outcomes.
- There is less postoperative pain and swelling because of minimal or no skin dissection off the bridge of the nose or an atraumatic subperichondrial dissection.
He is capable of performing complex procedures such as reducing a dorsal hump, refining a bulbous nasal tip, and augmenting the bridge of the nose. Many patients have lauded him for achieving superior, natural - looking rhinoplasty results.
Dr. Oleh Slupchynskyj
Dr. Oleh Slupchynskyj is a double - board - certified and fellowship - trained facial plastic surgeon. He has been recognized as one of America's top regional doctors by Castle Connolly Medical Ltd. for three consecutive years. As a revision rhinoplasty specialist, he examines common complications in patients of ethnic descent that require revision nose surgery.
His ethnic rhinoplasty patients often request nasal bridge elevation, refinement of a bulbous or rounded nasal tip, and nostril narrowing. He uses various methods to achieve a higher nasal bridge, such as utilizing cartilage harvested from the septum, ear, and rib. However, he also points out the limitations of some nasal dorsal implants, such as preformed alloplastic implants that are “one - size - fits - all” and may not address individual patient needs.
Dr. Moustafa Mourad
Dr. Moustafa Mourad is a board - certified plastic surgeon in New York City who specializes in various types of rhinoplasties, including primary rhinoplasty, revision rhinoplasty, functional rhinoplasty, ethnic rhinoplasty, and male rhinoplasty. With extensive training in facial plastic surgery and head and neck surgery, he is committed to delivering natural - looking cosmetic surgery that aligns with each patient’s aesthetic goals.
He uses advanced surgical techniques such as open rhinoplasty, which is useful for complex cases requiring greater access to nasal structures, and closed rhinoplasty, a less - invasive approach with a shorter recovery time and less post - operative swelling. His expertise in both cosmetic and functional rhinoplasty ensures that patients not only get an aesthetically pleasing nose but also improvement in nasal breathing.
Dr. Richard Westreich
Dr. Richard Westreich is a double - board - certified facial plastic surgeon at New Face NY. He curates personalized rhinoplasty treatment plans based on each patient's unique cosmetic concerns, functional needs, and long - term expectations. His approach is known for achieving natural, harmonious results.
He offers different types of rhinoplasty techniques, such as nasal tip plasty (reshaping the cartilage of the nasal tip), profile plasty (reducing a bump on the bridge of the nose), and polish rhinoplasty (for deviated noses with functional blockages). He also uses exparel for pain relief, which allows for a quicker recovery and less need for narcotics.
Dr. Masoud Saman
Dr. Masoud Saman is an Asian rhinoplasty specialist in New York City. He has an in - depth understanding of the facial aesthetic of Asian patients and caters to their specific needs. Asian rhinoplasty aims to address common anatomical features of Asian noses, such as a lower or less pronounced nasal bridge, a less projected or more bulbous nasal tip, thicker skin, and wider nostrils.
He uses precision incisions and strategically reshapes the nasal septum, bones, and nasal tip cartilage. The goal is to create a natural - looking and well - proportioned nose shape while preserving the patient's ethnic identity. He also offers revision rhinoplasty for those who are not satisfied with their initial Asian nose surgery results.
Techniques for Nasal Dorsum Augmentation
Autologous Graft Augmentation
Autologous grafts are one of the most commonly used materials for nasal dorsum augmentation. They have several advantages, such as being biocompatible and allowing for the replacement of “like tissue with like tissue.”
| Graft Source | Advantages | Disadvantages |
|---|---|---|
| Septal Cartilage | More rigid, easier to precisely shape, and usually straighter than auricular cartilage. Can be used for single - or multiple - layered grafts for different degrees of dorsal augmentation. | May be defective, insufficient, or missing in post - traumatic or secondary rhinoplasty patients. |
| Auricular Conchal Cartilage | Easy to harvest with low donor - site morbidity. Can be used as a single - layered implant or sutured together to increase girth and rigidity. | More brittle and difficult to carve than septal cartilage. May cause palpable and visible dorsal irregularities due to its intrinsic memory and possibility for resorption. |
| Costal Cartilage and Bone | Offer an abundance of material for augmentation of severely deficient dorsa. Can be used for simultaneous reconstruction of the dorsum and tip while maintaining a slim columella. | Donor - site has disadvantages such as pain, conspicuous scarring, increased operating time, risk of pneumothorax, and the need for a brief hospitalization. Costal cartilage may impart a stiffened feel and has issues with warping and resorption. |
| “Turkish Delight” (Diced Cartilage Grafts) | Becomes a pliable composite unit that can be molded with digital pressure in the first 2 - 3 postoperative weeks. Eliminates the need for a perfectly straight dorsal graft and reduces the risk of postoperative malposition or visibility. | If the cartilage chips fail to incorporate into the residual dorsum, graft migration may occur. |
Alloplast Graft Augmentation
Alloplastic materials are another option for nasal dorsum augmentation. They are often used when there is insufficient autologous tissue or to avoid donor - site morbidity. However, they also come with certain risks.
| Material | Advantages | Disadvantages |
|---|---|---|
| Silicone | Practically inert, firm consistency for easy sculpting, non - porous to impede bacterial colonization. | Feels like a foreign body under the skin, slippery surface for difficult handling, prone to complications such as inflammation, migration, exposure, calcification, resorption of underlying bone, and extrusion. |
| Expanded Polytetrafluoroethylene (Gore - Tex) | Low tissue reactivity, outstanding biocompatibility, reasonable cost, encourages tissue ingrowth for stability, and can be easily shaped. | May slowly change shape and develop prominent edges over time, has a short - term extrusion rate of ~ 3%, and may be slippery in the early postoperative period. The whitish color may be visible externally in thin - skinned individuals. |
| Porous Polyethylene (Medpor) | Allows rapid ingrowth of vascularized tissue for a highly stable and biocompatible complex, resistant to infection, resorption, extrusion, and deformation. Firm for easy sculpting without compromising pore structure. | Can create an unnatural appearance over the nasal dorsum due to its stiffness, and its rough surface makes insertion cumbersome. |
| Hydroxyapatite | Composition resembles human bone and permits bony in growth. The granular form is easily molded and has a low infection rate. | The block form is extremely brittle, difficult to carve, and abrasive. Requires rigid fixation to the nasal skeleton for stability. The granular form provides little structural support. |
Patient Considerations
Candidate Criteria
To be a good candidate for nasal dorsum augmentation surgery, patients should meet certain criteria:
- Be in good overall health, with no underlying medical conditions that could complicate surgery or the healing process.
- Have realistic expectations about the outcome of the surgery. It's important to understand the potential changes and limitations.
- Have specific aesthetic goals, such as correcting a projecting hump on the nasal bridge, refining the nasal tip, or improving nasal symmetry and facial balance.
- Some patients may also have functional reasons, such as improving breathing if anatomical irregularities are contributing to breathing complications.
- The surgeon will evaluate the patient's skin quality and bone structure to ensure they are suitable for the surgical procedure.
- The patient's ability to heal properly will also be considered to ensure a smooth recovery and optimal results.
Recovery Process
The recovery process after nasal dorsum augmentation surgery can vary depending on the surgical technique and the patient's individual factors. Generally:
- A surgical tape and a splint will be placed to support the nose and set it in its new position. The splint is usually removed after one week.
- Swelling and bruising are normal after the surgery. Most patients experience bruising around the eyes, nose tenderness, and facial puffiness. Cold packs and prescribed medications can help manage these symptoms.
- Patients are advised to take a week off work or school and avoid strenuous exercise for 2 - 3 weeks. It may take up to a year for the final results to fully emerge as swelling gradually subsides.
- Following the surgeon's post - operative instructions is crucial. This may include using a saline nasal spray to keep the nostrils moist, applying ointments on the incision lines, taking low - dose steroid pills to reduce swelling, and sleeping with the head elevated.
Cost Considerations
The cost of nasal dorsum augmentation surgery in New York City can vary based on several factors:
- The complexity of the surgery: More complex procedures may require more time and resources, resulting in a higher cost.
- The specific techniques used: Some advanced techniques or the use of certain materials may be more expensive.
- The surgeon's expertise: Highly experienced and well - known surgeons may charge more for their services.
- Additional procedures: If cartilage grafts, implants, or other supplementary procedures are needed, the cost will increase.
- Anesthesia fees, medications, and facility fees are also part of the overall cost.
Potential Risks and Complications
As with any surgical procedure, nasal dorsum augmentation surgery carries potential risks and complications:
- Infection: Although the risk is relatively low, an infection can occur at the surgical site. It may require antibiotic treatment.
- Scarring: While surgeons take measures to minimize scarring, especially in closed rhinoplasty, there is still a possibility of visible scarring. In open rhinoplasty, a small scar on the columella may heal well but could still be noticeable in some cases.
- Unsatisfactory results: The final outcome may not meet the patient's expectations. This could be due to factors such as over - or under - correction, asymmetry, or an unnatural appearance.
- Extrusion: Alloplastic implants may extrude, especially if the implant is too large, the recipient bed is not suitable, or there is excessive tension on the overlying skin.
- Resorption: Autologous grafts may resorb over time, which can affect the long - term results of the augmentation.
- Breathing problems: In some cases, the surgery may cause or exacerbate breathing difficulties, especially if there is damage to the nasal structures during the procedure.
Conclusion
When it comes to nasal dorsum augmentation surgery in New York City, there are several top - notch surgeons offering a variety of techniques and materials. Netizen feedback can play a crucial role in helping patients choose the right surgeon and procedure. By carefully considering the candidate criteria, understanding the recovery process, cost, and potential risks, patients can make informed decisions about their nasal augmentation journey.
If you are considering nasal dorsum augmentation surgery, we encourage you to schedule a consultation with one of the experienced surgeons mentioned in this article. They can provide you with personalized advice based on your specific needs and goals. Share this article with others who may be interested in learning more about nasal dorsum augmentation in NYC!
