Introduction
New York City, a hub of plastic surgery, offers a plethora of options for those seeking nasal dorsum width narrowing procedures. The nose, being a central and prominent feature of the face, significantly impacts facial aesthetics and overall harmony. Nasal dorsum width narrowing is a specialized area within rhinoplasty, aiming to enhance the appearance of the nose by reducing the width of the nasal bridge. In this article, we will explore the top plastic surgery hospitals and surgeons in New York City for this procedure, delve into the procedure itself, understand the patient experience, and weigh the associated costs and considerations.
Understanding Nasal Dorsum Width Narrowing
The Importance of the Nose in Facial Aesthetics
The nose is a key element in determining the balance and attractiveness of facial features. Its central location on the face makes it a focal point. When the nasal dorsum is too wide, it can disrupt the overall symmetry of the face, leading to self - consciousness and a negative impact on one's self - esteem. For instance, a wide nasal bridge may make the face appear bottom - heavy or lack harmony. As stated on New York Group for Plastic Surgery, the nose plays a crucial role in both the functionality of daily life (such as breathing) and the overall aesthetic appeal of the face.
What is Nasal Dorsum Width Narrowing?
Nasal dorsum width narrowing is a surgical procedure that is part of rhinoplasty. It involves reducing the width of the nasal bridge to create a more balanced and proportionate nose. This can be achieved through various techniques, such as osteotomies (breaking and repositioning the nasal bones) or by using preservation rhinoplasty methods that minimize damage to the nasal structure while achieving the desired width reduction. According to Cangello Plastic Surgery, factors like the width of the nasal base, the shape of the nasal tip, ethnicity, and skin thickness need to be considered when planning this surgery.
Top Plastic Surgery Hospitals and Surgeons in New York City
New York Group for Plastic Surgery
New York Group for Plastic Surgery has been serving patients in the Tarrytown and tri - state areas for over 27 years. Their rhinoplasty services are highly regarded. Dr. Jordan Jacobs at the practice has extensive training under globally acclaimed medical leaders. 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 at NYU. Dr. Jacobs has been recently awarded top doctor as featured in New York Magazine. The practice offers both open and closed rhinoplasty techniques, tailoring the approach to each patient's specific needs. They also take into account the patient's overall facial structure and goals to ensure natural - looking results. Patients can expect a personalized medical program designed to achieve their aesthetic and functional goals.
Dr. Yoel Shahar at Natural Look Institute
Dr. Yoel Shahar, also known as “Doctor Nose,” is one of the best rhinoplasty surgeons in New York City. He has performed thousands of rhinoplasty and nose - reshaping procedures over nearly 25 years in both New York City and Israel. He is a master at his craft, with a true artistic sense of aesthetics. Dr. Shahar has vast experience with diverse ethnic backgrounds and understands the importance of maintaining unique characteristics. He is board - certified in cosmetic surgery, a general surgeon, and an associate fellow of the American Medical Association. He participates in numerous professional conferences and is repeatedly featured on television and quoted in magazines. During the consultation, he emphasizes safety, provides personalized attention, and is transparent about the expected results. His surgical center is accredited by the AAHC, ensuring high - quality patient care.
Dr. Andrew Jacono at New York Center for Facial Plastic and Laser Surgery
Dr. Andrew Jacono is widely considered one of the top rhinoplasty surgeons in the United States and the world. He is the surgical director of the New York Center for Facial Plastic and Laser Surgery. Dr. Jacono has pioneered less - invasive techniques for rhinoplasty, avoiding breaking the nose and removing excessive cartilage. He has a customized approach to preserving ethnic identity during rhinoplasty, achieving natural and beautiful nasal definitions that exceed patients' expectations. He is especially renowned as a specialist in ethnic rhinoplasty, thick - skin rhinoplasty, and middle - eastern, African - American, and Asian rhinoplasty. He has been elected as one of the top facial plastic surgeons in America by Harper’s Bazaar and is on the prestigious Castle Connolly list of top doctors.
Dr. David Cangello at Cangello Plastic Surgery
Dr. David Cangello is a board - certified plastic surgeon in New York City and a leader in rhinoplasty, especially known as a pioneer of preservation rhinoplasty. Preservation rhinoplasty for the nasal bridge, offered by Dr. Cangello, preserves as much of the original nasal structure as possible. This approach results in a natural - looking result, improved nasal function, and a lower risk of complications. He can perform various nasal bridge surgeries, including narrowing the appearance of the nose, correcting a dorsal bump, fixing a saddle nose deformity, and improving breathing function. His expertise and modern techniques make him a top choice for nasal dorsum width narrowing procedures.
Dr. Sachin Shridharani at Luxurgery
Dr. Sachin Shridharani offers rhinoplasty nose surgery to patients in the New York City metro area. He performs many revision rhinoplasties for patients who are unsatisfied with previous surgeries. Dr. Shridharani has extensive experience and board - certified training. He can choose between open and closed rhinoplasty techniques based on the patient's needs. During an open rhinoplasty, he makes an incision across the columella to expose the underlying bone and cartilage for more precise reshaping, while a closed rhinoplasty involves incisions hidden inside the nose. He also offers non - surgical rhinoplasty options using dermal fillers for minor contour irregularities. Patients appreciate his knowledge, kindness, and professionalism, as evident from the numerous positive testimonials on his website.
The Procedure: Nasal Dorsum Width Narrowing
Pre - operative Consultation
The pre - operative consultation is a crucial step in the nasal dorsum width narrowing process. Surgeons will conduct a detailed discussion with the patient to understand their goals, motivations, and concerns. They will also review the patient's medical history, including any previous nose surgeries, nasal issues, or medical conditions that may affect the procedure. Physical examinations, including a thorough assessment of the nose (inside and outside), facial features, and proportions, are conducted. Surgeons will take photos of the face and nose from different angles to better visualize the desired changes and develop a personalized surgical plan. For example, on Natural Look Institute's website, it is described that Dr. Yoel Shahar conducts a careful evaluation in his “mirror” room to analyze the face and nose for perfect facial harmony.
Anesthesia Options
There are different anesthesia options available for nasal dorsum width narrowing surgery. Local anesthesia with heavy sedation may be used, where the patient is awake but relaxed during the procedure. This option is typically used for less complex cases. General anesthesia is another choice, especially for more extensive procedures. The choice of anesthesia depends on the complexity of the surgery, the patient's preference, and the surgeon's recommendation. As mentioned on New York Group for Plastic Surgery's website, the surgeon will determine the most suitable anesthesia option for each patient based on these factors.
Surgical Techniques
Open Rhinoplasty
In open rhinoplasty, a small incision is made on the exterior of the nose directly below the nasal tip across the columella. This allows the surgeon better access to the bones and cartilage of the nose. It is often used for more extensive nose reshaping, including significant nasal dorsum width narrowing. While it leaves a small scar on the underside of the nose, this scar can usually be well - hidden within the nasal contours. According to Luxurgery's website, during open rhinoplasty, the surgeon can lift up the soft tissues of the nose to expose the underlying bone and cartilage, making it easier to shave off bumps or reshape the bone and cartilage as needed.
Closed Rhinoplasty
Closed rhinoplasty, also known as endonasal rhinoplasty, involves making all the surgical incisions inside the nose. It is a preferred technique for patients who only require minor alterations to their nasal structures. One of the main advantages of closed rhinoplasty is that it eliminates any visible external scarring after the operation. However, the surgeon's access to the nasal structures is somewhat limited compared to open rhinoplasty. Surgeons can still address both cosmetic and structural concerns within the limitations of this technique.
Preservation Rhinoplasty
Preservation rhinoplasty is a modern approach offered by some surgeons, such as Dr. David Cangello. This technique preserves as much of the original nasal structure as possible. It involves leaving the dorsum intact and making bone and cartilage removals underneath the nose bridge. By doing so, it can reduce the risk of dorsum irregularities and lower the need for revision rhinoplasty. Additionally, the dissection in preservation rhinoplasty takes place in a different plane, preserving the lymphatics and blood vessels, which almost eliminates bruising and swelling and reduces the patient's social downtime.
Patient Experience and Recovery
Immediately After Surgery
After nasal dorsum width narrowing surgery, patients will need someone to drive them home and stay with them for the first 24 to 48 hours. They will be in bed with their head raised to reduce bleeding and swelling. There will likely be internal dressings in the nose for one to seven days, and a splint will be taped to the nose for protection and support. Slight bleeding and drainage of mucus and old blood are common for a few days after the surgery. Patients are advised to avoid any strenuous activity for several weeks to prevent raising blood pressure to the face, not to blow their nose, and to take baths instead of showers while the bandages are on. They should also wear clothes that button to avoid hitting the nose when dressing.
Recovery Time
The recovery time for nasal dorsum width narrowing varies from patient to patient. Most patients are able to return to light activities, including work, after about one full week of healing. However, if the surgery was combined with additional cosmetic procedures, the recovery time will increase. Strenuous activities, such as exercising, should be avoided until the surgeon gives approval, which is usually after about four to six weeks. Swelling after the surgery often persists for several weeks to months, and it may take up to a full year to see the final results. As Mount Sinai's website mentions, the majority of swelling subsides within the first two weeks, but full resolution can take up to a year.
Follow - up Appointments
Regular follow - up appointments with the surgeon are essential during the recovery period. These appointments allow the surgeon to monitor the patient's healing progress, remove any sutures or dressings, and address any concerns or complications. The surgeon will also provide guidance on post - operative care and when the patient can resume normal activities. For example, Dr. Shridharani asks his patients to wear a splint for one week after surgery and removes it during the post - op office visit.
Cost and Considerations
Factors Affecting the Cost
The cost of nasal dorsum width narrowing in New York City can vary significantly. Insurance coverage is an important factor. Reconstructive surgeries to correct injuries or serious health issues may be partially covered by insurance, while cosmetic rhinoplasty procedures are typically not. The type of surgery also impacts the cost. Revision rhinoplasty, which involves correcting a previous surgery, is more complex and time - consuming, thus carrying a higher price tag compared to primary rhinoplasty. The type of anesthesia used and the duration of time spent under anesthesia also contribute to the cost. Procedures under general anesthesia are generally more expensive than those with local anesthesia and sedation. Additionally, the location of the surgeon's practice, with high - cost - of - living areas like New York City having higher prices, and the surgeon's experience and reputation can influence the cost. Highly reputable surgeons with extensive experience may charge more for their services.
Additional Costs
There are additional costs associated with nasal dorsum width narrowing surgery. Pre - operative appointments, which may include consultations, examinations, blood work, and other tests, usually come with separate fees. Operating fees, charged by the surgery center or clinic, cover the use of the facility, equipment, and staff. Post - operative care also incurs costs, such as prescription medications for pain management, nasal dressings, saline sprays, and follow - up appointments with the surgeon. It is essential for patients to have a thorough discussion with their surgeon about all potential additional costs to plan accordingly.
Conclusion
When it comes to nasal dorsum width narrowing in New York City, patients have access to some of the best plastic surgery hospitals and surgeons in the world. The procedure offers the opportunity to enhance facial aesthetics and improve self - confidence. By understanding the procedure, the patient experience, and the associated costs, individuals can make informed decisions about their rhinoplasty journey. Whether it's choosing the right surgeon, considering the surgical techniques, or planning for the recovery period, every step is crucial. If you're considering nasal dorsum width narrowing, we encourage you to schedule a consultation with one of the top surgeons mentioned in this article. Take the time to discuss your goals, ask questions, and ensure that you're making the best choice for your needs. Remember, a beautiful and balanced nose can transform your appearance and boost your self - esteem.
