Introduction
Deviated nose correction is a significant concern for many individuals in New York City. A deviated septum can lead to various issues such as breathing difficulties, sinus problems, and affect facial aesthetics. In this article, we will explore the top plastic surgery hospitals and surgeons in New York City for deviated nose correction, along with details about the procedures, their benefits, risks, and recovery.
Understanding Deviated Nose and Relevant Procedures
What is a Deviated Septum?
The nasal septum is the wall that divides the two nasal cavities. When it deviates from the center line and into one of the nasal cavities, it can impede airflow due to narrowing in the affected cavity. Deviations of the septum can often lead to nasal obstruction and sinus issues. A deviated septum can be the result of an injury or can occur during childbirth. If the septum that functions as a wall between the two sides of the nose shifts towards one side at a degree greater than 50%, it can cause difficulty breathing. In some cases, this shift causes the inferior turbinate on the opposite side to enlarge, which is referred to as compensatory hypertrophy (Cangello Plastic Surgery).
Septoplasty: A Solution for Deviated Septum
Septoplasty is a surgical procedure to correct a deviated nasal septum. Also referred to as septal reconstruction or submucous septal resection, this corrective surgery straightens the partition between the two nasal cavities known as the nasal septum so that it runs down the center of the nose in the ideal anatomical formation. The surgery is typically indicated for individuals with recurrent rhinitis, a deviated septum, or other chronic sinusitis. It can also be performed to alleviate recurrent epistaxis (nosebleeds) due to septal impaction or septal spur. Additionally, it can be done for cosmetic purposes to straighten a crooked or deviated nose (Cangello Plastic Surgery).
During a septoplasty operation, which is generally done under general anesthesia, the surgeon will usually make an incision on the lower portion of the septum, known as the caudal septum. He then works through the nostrils to access the bone and cartilage targeted in the procedure. The procedure usually involves steps such as exposing the deviated septum, identifying and releasing the internal structures causing angulations, realigning the septum, reimplanting crushed cartilage (when appropriate), and closing the incision. The surgeon may use a closed or open technique or via an endoscope, depending on the patient's unique anatomy and needs (Cangello Plastic Surgery).
Rhinoplasty and Its Role in Deviated Nose Correction
Rhinoplasty, commonly known as a “nose job,” is another important procedure related to deviated nose correction. It can not only improve the appearance of the nose but also address functional defects such as a deviated septum. Rhinoplasty can help correct issues like nose size in relation to facial proportions, nasal asymmetry, nose width at the bridge, size, position or shape of the nostrils, nasal tip that appears bulbous, droopy, hooked or upturned, visible bumps or depressions on the bridge, nasal disfigurement due to injury or trauma, and more (New York Group for Plastic Surgery).
There are two main types of rhinoplasty techniques: open and closed. In a closed rhinoplasty (endonasal rhinoplasty), all the incisions are made inside the nose, which eliminates any visible external scarring after the operation. It is generally preferred for patients who only require minor alterations to their nasal structures. An open rhinoplasty involves making a small incision on the exterior of the nose directly below the nasal tip across the narrow strip of tissue that separates the nostrils (columella). This method grants the surgeon better access to the bones and cartilage of the nose but leaves a small scar on the underside of the nose that can be well - hidden within the nasal contours. It is typically used for patients who require a more extensive nose reshaping (New York Group for Plastic Surgery).
Top Plastic Surgery Hospitals and Surgeons for Deviated Nose Correction in New York City
Cangello Plastic Surgery
Dr. David Cangello at Cangello Plastic Surgery is well - known for septoplasty in New York City. He has in - depth knowledge of the nasal anatomy and tailors each septoplasty to the individual patient. His approach to septoplasty involves a careful process, starting with exposing the bony and cartilaginous portions of the septum by elevating the mucosal lining that covers them. He then frees the cartilage portion of the septum from its attachments to the bone, removes and/or repositions any cartilage or bone causing obstruction or narrowing of the airway, and realigns the remaining portion of the bone and cartilage for structural support within the nasal cavity. After the septum is straightened, he temporarily stabilizes it with a splint, small plastic tubes, or internal sutures (Cangello Plastic Surgery).
Septoplasty at Cangello Plastic Surgery has a very low risk of complications when performed by Dr. Cangello, who is a board - certified plastic surgeon. However, rare complications such as bleeding, septal hematoma, septal perforation, and hyposmia (decreased sense of smell) have been reported. During recovery, patients can expect mild to moderate tenderness or pain at the front of the nose, as well as stuffiness due to swelling. Nasal drainage of blood and mucous is also common. Swelling and congestion inside the nose usually last between two and three days, and drainage may continue for up to five days. Full recovery generally takes one to two months (Cangello Plastic Surgery).
New York Group for Plastic Surgery
The New York Group for Plastic Surgery, under the leadership of Dr. Jordan Jacobs, offers top - notch rhinoplasty services in New York City. Dr. Jacobs has undergone extensive training under globally acclaimed medical leaders and experts. He received his medical education at Jefferson Medical College in Philadelphia, completed his residency in reconstruction at NYU, and pursued fellowship training in craniofacial surgery, also at NYU.
Rhinoplasty at the New York Group for Plastic Surgery can effectively correct a wide range of nasal issues. It is a highly personalized procedure, and the surgeon designs a medical program tailored to the patient's specific needs based on their facial structure and the overall goals for the procedure. The surgery is performed on an outpatient basis at their on - site surgical facility. Patients can choose between local anesthesia and heavy sedation (where they will be awake for the procedure) or general anesthesia depending on the complexity of the desired adjustments and the surgeon's recommendation. The choice between open and closed rhinoplasty is also determined during the consultation based on the patient's concerns (New York Group for Plastic Surgery).
Recovery from rhinoplasty at this facility involves several weeks. Most patients are able to return to light activities, including work, after about one full week of healing. However, it is essential to wait for the surgeon's approval before resuming more strenuous activities, such as exercising, which is generally possible after about four to six weeks. The results of the rhinoplasty start to become apparent after about one to two weeks of recovery when the initial bruising starts to dissipate and swelling appears more minor. However, slight swelling may persist for several months to a full year depending on the extent and complexity of the surgery (New York Group for Plastic Surgery).
Pearlman Aesthetic Surgery
Dr. Steven Pearlman at Pearlman Aesthetic Surgery is a double - board - certified otolaryngologist (ear, nose and throat doctor) and facial and reconstructive plastic surgeon. He is renowned for his septoplasty services in New York City. Septoplasty at his clinic is usually performed from inside the nose by a closed, scarless, or endonasal approach. Dr. Pearlman moves, scores, reshapes, or removes crooked cartilage and bone to correct the septum and improve functionality.
He takes a comprehensive approach, starting with a full nose examination and imaging to detect a deviated septum and determine if the patient is a candidate for septoplasty. If a patient is interested in combining a rhinoplasty with their septoplasty (septorhinoplasty), he uses advanced Mirror® 2D and Vectra® 3D imaging to demonstrate the potential changes to the nose to help the patient envision their future results. Recovery from septoplasty at Pearlman Aesthetic Surgery is relatively quick, with little downtime as most surgeries are performed from the inside through a closed or endo - nasal approach. The incision heals so that it is barely visible, if at all, and only when viewed up close and from below the nose (Pearlman Aesthetic Surgery).
Mount Sinai - New York
At Mount Sinai's division of facial plastic and reconstructive surgery, the facial plastic surgeons are double - board - certified in facial plastic and reconstructive surgery and otolaryngology (ear, nose and throat). Their vast expertise in nasal function, as well as nasal and facial aesthetics, ensures that patients not only get a nose that looks better but also breathes better.
The surgeons at Mount Sinai perform both closed/endonasal (without an external incision) and open/external rhinoplasty. The choice of approach depends on the patient's unique anatomy and functional and aesthetic goals. They also take a multidisciplinary approach, working closely with Mount Sinai's widely recognized experts in the division of rhinology and sinus surgery and the head and neck institute for patients with specific concerns related to their nasal breathing, nasal allergies, sinus disease or deformity after cancer treatments. Rhinoplasty at Mount Sinai can address both cosmetic and functional issues, such as changing the size and shape of the nose, improving nasal breathing, and reconstructing previously injured or disfigured noses (Mount Sinai - New York).
Kassir Plastic Surgery
Dr. Kassir at Kassir Plastic Surgery performs rhinoplasty in his beautiful Park Avenue offices in New York. He has performed thousands of surgeries on patients worldwide. When patients come for a rhinoplasty consultation, he and his staff go over the procedure in - depth and explain the recovery process. The surgery is conducted in one of their state - of - the - art operating rooms. Dr. Kassir and his team pay close attention to the patient's concerns and help them achieve their desired results (Kassir Plastic Surgery).
Plastic Surgery & Dermatology of NYC (Dr. Elie Levine)
Dr. Elie Levine at Plastic Surgery & Dermatology of NYC is an award - winning plastic surgeon. He is experienced in both open and closed rhinoplasty techniques. He thoroughly examines both the internal and external structures of the patient's nose to determine the best technique for the nose surgery. Dr. Levine also performs revision rhinoplasty for patients who are not satisfied with the results of their previous nose surgeries.
His patients have reported excellent results, with minimal bruising and swelling during recovery. Dr. Levine takes an honest and direct approach to rhinoplasty surgery, using his artistic eye and steady hand to help each patient achieve their cosmetic goals, while stressing beautiful, youthful, and natural - looking results. He also addresses functional issues such as airway obstruction and chronic nasal congestion through procedures like septoplasty and turbinate reduction, which can be combined with cosmetic rhinoplasty (Plastic Surgery & Dermatology of NYC).
Dr. Adam Kolker
Dr. Adam Kolker is a board - certified NYC plastic surgeon known for his rhinoplasty expertise. He takes a meticulous approach to rhinoplasty, customizing the procedure to the patient's unique anatomical features and desires. His goal is to achieve a natural and beautiful outcome that never looks “done.” He possesses extensive knowledge of the art and science of nose surgery and uses techniques that maintain or improve breathing, such as employing spreader grafts to improve the appearance and function of the nose.
Dr. Kolker conducts the rhinoplasty surgery in his fully accredited surgical facility on Park Avenue in NYC. The office - based surgery suite is accredited by the AAAASF (American Association for the Accreditation of Ambulatory Surgery Facilities). Recovery at his clinic follows a structured process, with clear guidelines on activities during different stages of recovery, such as refraining from wearing glasses for a short time, and gradually resuming light activities and then unrestricted activity (Dr. Adam Kolker).
Cohen/Winters Aesthetic & Reconstructive Surgery
Although located in neighboring northern NJ (only 30 to 45 minutes southeast of NYC), Cohen/Winters Aesthetic & Reconstructive Surgery is a great option for those seeking rhinoplasty in the NYC area. The surgeons here have extensive experience, especially in reconstructive surgery, which is crucial for patients who need complex nose reshaping or revision rhinoplasty. They prioritize patient comfort and take the time to understand the patient's concerns and goals.
Their Vanguard Surgical Center in Maywood, NJ, provides a state - of - the - art environment for rhinoplasty procedures. Patients are cared for by top - tier anesthesiologists and clinicians before and after surgery. After the surgery, patients can choose to stay at the comfortable recovery rooms at the surgery center or a local hotel with appropriate care arrangements. The team at Cohen/Winters also provides detailed healing and recovery instructions and is available for any questions or concerns (Cohen/Winters Aesthetic & Reconstructive Surgery).
Comparing the Procedures: Septoplasty vs. Rhinoplasty
Aspect | Septoplasty | Rhinoplasty |
---|---|---|
Purpose | To correct a deviated septum and improve breathing. Can also be done for mild cosmetic improvement of a crooked nose. | To improve the appearance of the nose (cosmetic) and can also address functional issues like a deviated septum. |
Technique | Typically performed from inside the nose by a closed, scarless, or endonasal approach. Involves moving, scoring, reshaping, or removing crooked cartilage and bone in the septum. | Can be open (external) or closed (endonasal). Open rhinoplasty has an additional small incision on the columella for better access; closed rhinoplasty has all incisions inside the nose. |
Recovery | Relatively quick with little downtime. Mild to moderate tenderness, stuffiness, and nasal drainage for a few days. Full recovery in 1 - 2 months. | Several weeks of recovery. Return to light activities in about a week, but wait for 4 - 6 weeks for strenuous activities. Swelling may persist for several months to a year. |
Insurance Coverage | All or partial (depending on the insurance plan) for the functional procedure when there is breathing blockage and documented treatment for nasal obstruction. | Mostly not covered for cosmetic purposes. May be partially covered if it is for correcting breathing problems related to a deviated septum or nasal fracture. |
Factors to Consider When Choosing a Plastic Surgery Hospital or Surgeon
Surgeon's Experience and Expertise
It is crucial to choose a surgeon with extensive experience in deviated nose correction procedures. Surgeons who have performed a large number of septoplasties or rhinoplasties are more likely to have mastered the techniques and be able to handle various complications that may arise during the surgery. For example, a surgeon like Dr. David Cangello, who has a deep understanding of septoplasty procedures and tailors each operation to the individual patient, is more likely to provide a successful outcome.
Board Certification
Board - certified plastic surgeons have met the rigorous standards set by the relevant medical boards. They have undergone extensive training and demonstrated proficiency in their field. For instance, Dr. Jordan Jacobs at the New York Group for Plastic Surgery and Dr. Steven Pearlman at Pearlman Aesthetic Surgery are board - certified, which gives patients confidence in their abilities to perform safe and effective procedures.
Reputation and Patient Reviews
Reading patient reviews and testimonials can give you an idea of the surgeon's reputation and the quality of care provided. Positive reviews from satisfied patients, like those for Dr. Elie Levine at Plastic Surgery & Dermatology of NYC, indicate that the surgeon is skilled, professional, and cares about the patient's well - being. You can also ask to talk with former patients to get first - hand information about their experiences.
Facility Accreditation
Make sure the surgical facility is accredited. Accreditation ensures that the facility meets certain safety and quality standards. For example, Dr. Adam Kolker's surgical facility on Park Avenue in NYC is accredited by the AAAASF, which is a sign of its reliability and commitment to patient safety.
Cost and Insurance Coverage
Understand the cost of the procedure and the insurance coverage. Different hospitals and surgeons may have different pricing structures. Some procedures like septoplasty may be partially covered by insurance if they are for functional reasons, while cosmetic rhinoplasty is usually not covered. It is important to have a clear discussion with the surgeon's office about all potential costs, including pre - operative appointments, operating fees, and post - operative care (New York Group for Plastic Surgery).
Risks and Recovery
Septoplasty Risks and Recovery
Septoplasty is generally a safe procedure with a low risk of complications. However, rare complications such as bleeding, septal hematoma, septal perforation, and hyposmia (decreased sense of smell) have been reported. During recovery, patients can experience mild to moderate tenderness or pain at the front of the nose, as well as