When it comes to nasal bone reduction technology in New York City, several institutions stand out for their expertise, advanced techniques, and high - quality patient care. In this article, we will review the top five institutions that are making a mark in this field. We'll explore the procedures they offer, the benefits, and what patients can expect from each one.
1. Dr. David Cangello's Practice
Advanced Technology: Piezo Ultrasonic Rhinoplasty
Dr. David Cangello is a leading nose surgery specialist in New York City. He is a pioneer in implementing cutting - edge technology, specifically piezo ultrasonic rhinoplasty. This technique uses a device that generates ultrasonic waves to aid in reshaping nasal bones. Unlike traditional rhinoplasty instruments such as chisels and rasps, which can cause additional trauma to surrounding tissues, the piezo ultrasonic technology allows for more precise cuts.
The ultrasonic waves are sent directly to the nasal bone, enabling Dr. Cangello to precisely remove specific bone fragments and dense cartilage. This results in less adjacent injury to deep soft tissues, adjacent mucosal tissue, and overlying skin. As a result, patients experience less bleeding, minimal bruising, and reduced swelling. The recovery period is also shorter, and the reshaping of the nose is more accurate.
Benefits of Piezo Ultrasonic Rhinoplasty
- Precision: The cuts made by the piezo device are much more precise compared to traditional instruments, reducing the risk of accidental splinter fractures.
- Less Trauma: It negates complications from chisels or rasps, reducing trauma to surrounding soft tissues, blood vessels, and nerves.
- Faster Recovery: Patients can expect less pain and a shorter recovery period, with reduced swelling allowing for earlier visibility of the final results.
- Natural - Looking Results: Dr. Cangello's artistic insight and surgical precision ensure that the rhinoplasty results perfectly complement each patient's unique face.
Candidates and Risks
Candidates for piezo ultrasonic rhinoplasty are individuals seeking to improve the size and/or shape of their nose without significant alterations to the surrounding skin and tissues. It is suitable for various nose - reshaping needs, such as correcting asymmetry, removing a dorsal hump, and refining the nasal tip. Although the procedure is considered very safe when performed by a board - certified physician like Dr. Cangello, all nose surgeries carry some risks, including bleeding, infection, nasal dryness, and scarring. However, the risks are greatly reduced compared to traditional rhinoplasty methods.
2. Dr. John E. Sherman's Practice
Nasal Fracture Treatment
Addressing nasal fractures is a specialty of Dr. John E. Sherman. Nasal fractures can occur due to physical trauma, accidents, sports injuries, or congenital conditions. These fractures can not only cause aesthetic changes but also functional issues such as difficulty in breathing.
Dr. Sherman has over 40 years of experience and has performed thousands of facial fracture operations. He is a member of the prestigious American Society of Maxillofacial Surgeons, and his ability to balance patients' features with customizable procedures based on their unique anatomy is well - known.
Treatment Process
The timing of treatment after a nasal fracture is crucial. If the nasal bones are not fixed immediately, it is best to wait at least 4 days for swelling to resolve. After that, a closed reduction of the nasal fracture can be performed under local or sedation anesthesia, which takes less than one hour and doesn't require any incisions. However, if the patient delays for more than 2 weeks, an open reduction may be necessary after waiting 4 to 6 weeks.
After a nasal fracture, the cartilage of the nasal septum can warp, causing a deviated septum. Dr. Sherman can correct the septum through septoplasty, which can be done in the office or hospital and may be reimbursed through insurance due to it being a functional problem.
Benefits and Recovery
The benefits of addressing nasal fractures with Dr. Sherman's treatment include improved aesthetics, boosted self - esteem, lasting results, and improved functionality. The recovery time depends on the techniques used and the condition of the nose. Minor modifications may require 1 - 2 weeks of recovery, while significant reconstructive surgery may take 3 - 8 weeks. Dr. Sherman can remove sutures 5 - 7 days after the procedure, and the scars usually fade over time.
3. Top Nasal Septum Surgery Doctors in New York
Finding the Right Surgeon
There are 970 doctors who perform nasal septum surgery (septoplasty) in New York. Some of the top options with at least 3 or more past patient ratings include Dr. Ashutosh Kacker, Dr. Calvin Wei, Dr. Mukesh Prasad, and others. These doctors have an average rating of 4.3 stars, which indicates a high level of patient satisfaction.
Septoplasty is a surgical procedure to correct a deviated septum, which can cause nasal obstruction and breathing difficulties. When choosing a doctor, patients can consider factors such as the doctor's experience, patient reviews, and the hospital or clinic where the procedure will be performed.
Importance of a Skilled Surgeon
A skilled nasal septum surgeon can accurately diagnose the problem and perform the procedure with precision. This helps to ensure a successful outcome, reducing the risk of complications such as bleeding, infection, and persistent nasal obstruction. Surgeons like those on this list are likely to have the expertise to handle various anatomical variations and provide personalized treatment plans.
4. Dr. Philip Miller's Practice
Reduction Rhinoplasty
Dr. Philip Miller is a top facial plastic surgeon in New York City, and reduction rhinoplasty is one of the most common rhinoplasty surgeries he performs. Many people in New York complain about having a large nose that throws off the proportions of their entire face. Reduction rhinoplasty involves removing, trimming, or rearranging nasal cartilage and bone through small incisions inside the nostrils to achieve a smaller nose shape.
Procedure Details
There are two main approaches to reduction rhinoplasty: closed (endonasal) and open (external). In a closed rhinoplasty, incisions are made inside the nostrils, leaving no visible stitches or scars. The surgeon can then lift the underlying cartilage and bone to re - contour the nose. In an open rhinoplasty, a small incision is placed between the nostrils on the underside of the nose, allowing better access to the nose structures.
The choice of approach depends on the amount of reduction needed and the specific areas of the nose that require work. In some cases, adjustments may also be made to the nostrils to keep them in proportion to the rest of the nose.
Benefits and Recovery
The benefits of reduction rhinoplasty by Dr. Miller include better facial symmetry, a more flattering nose shape, and an improved quality of life. Full results usually take 6 - 12 weeks to be seen, and healing continues for the entire first year. Patients can expect bruising and swelling, especially around the eyes, which usually disappear within three weeks. They need to wear a firm splint over their nose for at least one week and refrain from rigorous physical activity for 3 - 6 weeks. The final results gradually become apparent as the swelling goes down.
5. Dr. Dibelius's Practice - Revision Rhinoplasty
Complex Procedure
Revision rhinoplasty, also known as secondary rhinoplasty, is a complex procedure to correct aesthetic or breathing problems with the nose after an initial surgery. Dr. Dibelius is a highly - regarded revision rhinoplasty surgeon in New York City. His practice is dedicated exclusively to rhinoplasty, and he has been trained in the most advanced revision rhinoplasty techniques.
Common Reasons for Revision
Patients may seek revision rhinoplasty due to various reasons, such as nostril deformities, nasal bone deformities, breathing difficulties, tip deformities, excessive nose size reduction or narrowing, nasal valve collapse, and nasal or septal deviation. Dr. Dibelius understands that revision rhinoplasty patients often have a lot of anxiety, and his consultation is highly patient and problem - focused.
Procedure and Results
The revision rhinoplasty procedure is usually performed on an outpatient basis under general anesthesia, often using an open technique for better visualization and precision. In some cases, a cartilage graft from the nasal septum, ear, or rib may be required, and Dr. Dibelius is an expert in using rib grafts. His goal is to restore a natural - appearing and functional nose that looks aesthetically beautiful and breathes well. Many patients have reported excellent results and are highly satisfied with Dr. Dibelius's work.
Comparison of the Five Institutions
| Institution | Main Procedure | Benefits | Recovery Time | Target Patients |
|---|---|---|---|---|
| Dr. David Cangello's Practice | Piezo Ultrasonic Rhinoplasty | Precision, less trauma, faster recovery, natural - looking results | Acute recovery about one week, final results 6 months (earlier due to reduced swelling) | Those seeking nose reshaping without major tissue alterations |
| Dr. John E. Sherman's Practice | Nasal Fracture Treatment | Improved aesthetics, self - esteem, functionality, lasting results | 1 - 2 weeks for minor mods, 3 - 8 weeks for major surgery | Patients with nasal fractures |
| Top Nasal Septum Surgery Doctors | Septoplasty | Correction of deviated septum, improved breathing | Varies depending on the case | People with a deviated septum causing breathing problems |
| Dr. Philip Miller's Practice | Reduction Rhinoplasty | Better facial symmetry, flattering nose shape, improved quality of life | Full results 6 - 12 weeks, healing 1 year | Those unhappy with a large nose |
| Dr. Dibelius's Practice | Revision Rhinoplasty | Correction of aesthetic and functional issues after initial surgery | Varies depending on the complexity of the case | Patients dissatisfied with the results of previous rhinoplasty |
Conclusion
In New York City, these five institutions are at the forefront of nasal bone reduction technology. Dr. David Cangello offers the advanced piezo ultrasonic rhinoplasty for precise and less - invasive nose reshaping. Dr. John E. Sherman has extensive experience in treating nasal fractures and their associated complications. The top nasal septum surgery doctors can effectively correct deviated septums. Dr. Philip Miller specializes in reduction rhinoplasty to address large - nose concerns, and Dr. Dibelius is an expert in revision rhinoplasty for patients with previous surgery issues.
If you are considering nasal bone reduction or any related procedure, it is essential to do thorough research and consult with the appropriate specialists. We encourage you to reach out to these institutions, schedule consultations, and learn more about their services. Take the first step towards achieving the nose you desire and enhancing your overall quality of life.
