Introduction
New York City is a hub of medical excellence, especially when it comes to cosmetic surgery, and closed rhinoplasty is a popular choice for those looking to enhance their facial aesthetics. Closed rhinoplasty, which involves making incisions inside the nostrils, offers advantages such as a shorter recovery time and no visible scarring. In this article, we will explore the top experts in hospitals for closed rhinoplasty in New York City, along with important considerations for choosing a surgeon and understanding the procedure.
Understanding Closed Rhinoplasty
Closed rhinoplasty is a surgical technique used to reshape the nose for both aesthetic and functional reasons. Unlike open rhinoplasty, which involves an incision across the columella (the tissue between the nostrils), closed rhinoplasty incisions are hidden inside the nostrils. This technique is suitable for patients requiring less extensive corrections, and it allows for a quicker recovery with less post - operative swelling. However, it may have limitations in cases where significant reshaping is needed.
The procedure typically involves separating the nasal skin from the bone and cartilage, sculpting the underlying structures to achieve the desired shape, and then redraping the skin. The surgeon may use various techniques such as cartilage grafting, bone restructuring, or the use of implants to enhance the results.
Top Experts in Closed Rhinoplasty in New York City
1. Dr. Sherrell J. Aston
Dr. Sherrell J. Aston is a world - renowned double - board - certified plastic surgeon. He is a professor of plastic surgery at New York University, past president of the American Society for Aesthetic Plastic Surgery, and has served as the chairman of the plastic surgery department at Manhattan Eye Ear & Throat Hospital for twenty - three years. He is an expert in the closed rhinoplasty technique, having used it for thousands of noses in both primary and secondary procedures. He has lectured to plastic surgeons around the world and written textbook chapters on closed rhinoplasty. His extensive experience and expertise make him a top choice for patients seeking closed rhinoplasty in New York City.
2. Dr. Andrew Jacono
Dr. Andrew Jacono is a global authority in the field of facial plastic and reconstructive surgery. He is one of a small group of surgeons with dual board certification in facial plastic and reconstructive surgery as well as head and neck surgery. Dr. Jacono is known for his innovative techniques and natural - looking results. He has developed an intensely customized approach to rhinoplasty, especially when it comes to preserving ethnic identity. He has extensive experience in closed rhinoplasty and has used techniques such as 3 - d endoscopic rhinoplasty for superior visualization during the procedure. His work has been recognized by the prestigious Castle Connolly independent organization for rating doctors, and he has been hailed as one of the best nose job surgeons in the country.
3. Dr. Steven J. Pearlman
Dr. Steven J. Pearlman is a distinguished facial plastic and reconstructive surgeon, educator, and humanitarian. He is uniquely dual board certified in both facial plastic and reconstructive surgery and in head and neck surgery. With over 30 years of experience, he has authored over 30 medical journal articles and book chapters and serves on the editorial board of several prestigious medical periodicals. He served as president of the American Academy of Facial Plastic and Reconstructive Surgery from 2004 - 2005. Dr. Pearlman provides his patients with unique expertise and understanding in the cosmetic and reconstructive surgery of the nose, face, and eyes. His artistic approach and meticulous attention to detail make him a highly sought - after surgeon for closed rhinoplasty.
4. Dr. Sam Rizk
Dr. Sam Rizk is a leading facial plastic surgeon specializing in rhinoplasty. He combines his artistic background as a sculptor with his technical skill as a facial plastic and reconstructive surgeon. Dr. Rizk uses advanced techniques, such as 3D high - definition imaging, to ensure optimal outcomes in closed rhinoplasty. He is known for his honesty with patients and will only recommend surgery if the benefits far outweigh the risks, discomfort, and expense. He has written and lectured extensively on current concepts related to rhinoplasty and other facial plastic procedures, and his innovative approach has earned him international recognition.
5. Dr. Yael Halaas
Dr. Yael Halaas is recognized as one of the best facial plastic surgeons in New York City. She is fully bilingual in English and Spanish and has a special interest in primary and reparative rhinoplasty, among other areas. She is board certified by the American Board of Otolaryngology and the American Board of Facial Plastic and Reconstructive Surgery and is a fellow of the American College of Surgeons. Dr. Halaas uses her multi - cultural background and liberal arts education to welcome international clientele. Her focus on achieving natural - looking results and her commitment to patient care make her a great option for closed rhinoplasty.
Choosing the Right Closed Rhinoplasty Surgeon
Qualifications and Certifications
When choosing a surgeon for closed rhinoplasty, it is crucial to ensure they are board - certified. Look for certifications from the American Board of Plastic Surgery, the American Board of Facial Plastic and Reconstructive Surgery, or the American Board of Otolaryngology. These certifications indicate that the surgeon has undergone extensive training and meets high - quality standards in the field. For example, Dr. Sherrell J. Aston, Dr. Andrew Jacono, and Dr. Steven J. Pearlman all hold relevant dual board certifications, which is a strong indicator of their expertise.
Reputation and Reviews
Research the surgeon's reputation by reading patient reviews and testimonials. Positive, consistent patient reviews are a good sign of a surgeon's skill and patient - centered approach. You can also look for recognition by media or industry publications. For instance, Dr. Andrew Jacono has been named one of the best rhinoplasty surgeons in America by Castle Connolly, and his work has been featured in various media outlets. Surgeons like Dr. Cangello have also been consistently featured in major publications such as Harper’s Bazaar, Elle, and InStyle, which speaks to their reputation in the field.
Specialization and Experience
Choose a surgeon who specializes in rhinoplasty, especially closed rhinoplasty. Experience is key in achieving successful results. Look for surgeons with a long history of performing rhinoplasty procedures and ask to see before - and - after photos of their previous patients. Dr. Sherrell J. Aston has used the closed rhinoplasty technique for thousands of noses, demonstrating his extensive experience in this area. Similarly, Dr. Andrew Jacono has a large portfolio of successful rhinoplasty cases, including many closed rhinoplasties, which showcases his proficiency.
Pre - Surgery Considerations
Consultation
A comprehensive pre - surgery consultation is essential. During this consultation, the surgeon will assess your nasal structure, discuss your aesthetic goals, and determine if you are a suitable candidate for closed rhinoplasty. They will also create a customized treatment plan tailored to your needs. For example, Dr. Mourad will conduct a thorough examination of your facial features and nasal anatomy during the consultation and explain the surgical techniques and the expected recovery process.
Medical Evaluation
The surgeon will review your medical history and perform a physical examination to ensure you are in good health for the procedure. This includes checking for any underlying medical conditions, allergies, or previous surgeries that may affect the outcome. Some surgeons, like Dr. Shahar, may also order blood tests or imaging studies to get a better understanding of your nasal anatomy.
Setting Realistic Expectations
It is important to have realistic expectations about the results of closed rhinoplasty. The surgeon should explain what can and cannot be achieved through the procedure. They will consider your facial features and nasal anatomy to ensure the final result is harmonious with your overall appearance. For example, in some cases, a minor adjustment to the nasal tip or bridge may be the most appropriate approach to achieve a natural - looking improvement.
The Closed Rhinoplasty Procedure
Anesthesia
Closed rhinoplasty can be performed under general anesthesia or local anesthesia with intravenous sedation. The choice of anesthesia depends on the complexity of the procedure and the patient's preference. For more complex cases, general anesthesia may be recommended to ensure the patient is comfortable and relaxed throughout the surgery. In less extensive procedures, local anesthesia with sedation may be sufficient.
Surgical Steps
The surgeon will make incisions inside the nostrils and carefully separate the nasal skin from the bone and cartilage. They will then sculpt the bone and cartilage to achieve the desired shape, which may involve reducing a dorsal hump, refining the nasal tip, or narrowing the nasal bridge. In some cases, cartilage grafting or the use of implants may be necessary to enhance the results. Finally, the skin will be redraped over the new nasal structure, and the incisions will be closed with sutures.
Duration of the Procedure
The duration of closed rhinoplasty can vary depending on the complexity of the case. On average, the procedure takes between 1 - 3 hours. However, more extensive surgeries may take longer. The surgeon will give you an estimate of the expected duration during the consultation.
Post - Surgery Care and Recovery
Managing Swelling and Bruising
Swelling and bruising are common after closed rhinoplasty. A splint will typically be placed on the nose to help maintain its new shape and reduce swelling. Cold compresses can be used to alleviate swelling and bruising around the eyes and nose, but it is important to avoid direct contact with the skin. Advil should be avoided as it may increase bleeding. The swelling and bruising usually peak within the first few days and gradually subside over the next few weeks.
Follow - up Visits
Regular follow - up visits with the surgeon are essential to monitor the healing process. The surgeon will remove the splint after a few days and assess the initial healing phase. They will also check for any signs of infection or complications and provide guidance on post - operative care. For example, Dr. Cangello will schedule follow - up appointments to ensure the incisions are healing properly and the nose is taking on the desired shape.
Tips for a Smooth Recovery
- Rest with your head elevated to reduce swelling.
- Avoid strenuous activities for the first few weeks to prevent bleeding or trauma to the nose.
- Follow the surgeon's instructions regarding medications, wound care, and diet.
- Stay hydrated to promote overall health and better healing.
- Be patient, as it may take several months for the final results of the surgery to fully emerge.
Potential Risks and Complications
Anesthesia Risks
As with any surgical procedure, there are risks associated with anesthesia. These can include allergic reactions, respiratory problems, or adverse effects on the heart or other organs. However, these risks are relatively rare, especially when the procedure is performed by an experienced anesthesiologist.
Bleeding and Infection
There is a risk of bleeding during and after the surgery. The surgeon will take precautions to minimize this risk, such as using appropriate surgical techniques and prescribing medications to prevent excessive bleeding. Infection is another potential complication, but it can be reduced by using sterile surgical techniques and prescribing antibiotics as needed.
Unsatisfactory Results
In some cases, the patient may not be satisfied with the final results of the closed rhinoplasty. This could be due to factors such as unexpected changes in the nasal shape, asymmetry, or failure to achieve the desired aesthetic goals. Revision rhinoplasty may be necessary to correct these issues, but it is a more complex procedure and should be carefully considered.
Conclusion
Choosing the right expert for closed rhinoplasty in New York City is crucial for achieving the best possible results. The top surgeons mentioned in this article, such as Dr. Sherrell J. Aston, Dr. Andrew Jacono, Dr. Steven J. Pearlman, Dr. Sam Rizk, and Dr. Yael Halaas, have the qualifications, experience, and reputation to perform successful closed rhinoplasty procedures. By carefully considering the factors discussed, including qualifications, reputation, and patient - centered care, you can make an informed decision about your surgeon. Additionally, understanding the pre - surgery, surgical, and post - surgery processes, as well as the potential risks and complications, will help you prepare for a smooth and successful closed rhinoplasty experience.
If you are considering closed rhinoplasty in New York City, we encourage you to schedule a consultation with one of these top experts. Take the time to research and meet with the surgeon to discuss your goals and concerns. This will allow you to build a relationship with the surgeon and gain confidence in their ability to provide you with the results you desire. Don't hesitate to reach out and take the first step towards enhancing your facial aesthetics with closed rhinoplasty.
