Introduction
In New York City, nasal alar base resection, also known as alarplasty, has become a popular cosmetic procedure. Many individuals are looking to refine the appearance of their noses by reducing the width of the alar base. This article will explore the advantages of this procedure, the selected hospitals in New York City that offer it, and the associated prices.
What is Nasal Alar Base Resection?
Nasal base reduction, or alarplasty, is a rhinoplasty technique aimed at narrowing the alar base of the nose. The alar base plays a crucial role in the overall proportion and appearance of the nose and its harmony with the rest of the face. An overly flared or wide alar base can make the nose look bottom - heavy. It is a common procedure in both primary rhinoplasty and revision rhinoplasty, especially among patients of African American, Middle Eastern, and Asian descent, often referred to as ethnic rhinoplasty.
Anatomy Involved
The nostrils are separated by the columella, a vertical “column - like” structure running down the center of the nose. The nasal sill extends from either side of the bottom of the columella to the alar base insertion, where the nostril side wall meets the cheek - upper lip junction. The anterior nasal spine, lower lateral cartilages, caudal septum, maxilla, upper lip, and the soft tissue and skin around the nose all contribute to the overall appearance and width of the nasal base. Altering any of these elements can change the nostril shape and nasal function.
Advantages of Nasal Alar Base Resection
- Refines and Improves Nose Appearance: By reducing the width of the alar base, the nose appears more refined, enhancing its overall aesthetic appeal. It can correct a nose that looks too big or wide at the bottom.
- Improves Facial Symmetry and Balance: A well - proportioned nose contributes to better facial symmetry, creating a more balanced and harmonious look.
- Boosts Self - Confidence: When patients are satisfied with the appearance of their nose, it can have a positive impact on their self - esteem and confidence.
- Decreases Nostril Size: This procedure effectively reduces the size of the nostrils, which can be a concern for many individuals, especially those with wide nostrils.
- Reduces Nostril Flare: For patients with flared nostrils, alarplasty can reduce the flare, resulting in a more aesthetically pleasing nose shape.
- Long - lasting Results: Once the surgery is done, the results are generally long - lasting, providing a permanent solution to the problem of a wide alar base.
Selected Hospitals in New York City for Nasal Alar Base Resection
Dr. Cangello's Clinic
Dr. Cangello is a preeminent rhinoplasty surgeon in NYC. He offers customized treatment plans for nasal base reduction. With decades of experience, he has honed his skills to create noses that are both functionally superior and cosmetically beautiful. His knowledge of nasal anatomy allows him to determine the optimal surgical technique for each patient, while still retaining the individual, racial, and ethnic characteristics unique to that patient.
Dr. Saman's Clinic
Dr. Saman's clinic is dedicated to providing the highest standard of care in alar base reduction surgery. Their approach focuses on minimal invasiveness for maximum aesthetic enhancement. He offers a range of rhinoplasty procedures in addition to alar base reduction, such as scarless rhinoplasty, ultrasonic rhinoplasty, ethnic rhinoplasty, Asian rhinoplasty, and revision rhinoplasty. Dr. Saman takes the time to discuss with patients their goals and sets realistic expectations during the consultation.
Dr. Jeffrey Lisiecki's Practice
As a surgeon specially trained in facial aesthetic and rhinoplasty, Dr. Jeffrey Lisiecki offers alar base reduction in NYC. He provides a detailed overview of the procedure to patients and ensures that they are well - informed about the process. His goal is to help patients achieve nasal symmetry and a more harmonious facial appearance. The practice also offers tips on preparing for the surgery and the recovery process.
Dr. Casian Monaco's Clinic
Located in New York City’s Upper East Side, Dr. Casian Monaco performs nostril reduction surgery with precision and an artistic eye. He believes in a personalized approach, understanding that each patient has unique facial features and aesthetic goals. His experience in alar base reduction ensures a natural and aesthetically pleasing outcome that respects the delicate balance of the facial structure.
LM Medical NYC
At LM Medical NYC, located in Greenwich Village and the Upper East Side, they offer nostril reduction surgery and alar base reduction. Dr. Lesley Rabach, a top double - board certified facial plastic surgeon, specializes in rhinoplasty and cosmetic nose surgery. The clinic provides options for patients who want to adjust the size and shape of their nostrils without a complete nose job.
Dr. Rousso's Office
Dr. Rousso has the education, training, and expertise in rhinoplasty. He uses advanced techniques and his own proprietary rhinoplasty method, 3 - dreams, to minimize the width and size of the nostrils while retaining symmetry and balance. His focus on both the artistic form and the function of the nose creates natural - looking results without noticeable scarring.
Surgical Techniques for Nasal Alar Base Resection
Alar Wedge Excision
Also known as the weir incision, this is the preferred technique for minimizing excessively flared alae. It involves removing wedge - shaped pieces of tissue from the nasal flare, sparing an incision in the nostrils. This technique helps avoid over - straightening of the ala and preserves the natural curvature of the ala. It also has the advantage of avoiding tell - tale incisions in the opening of each nostril.
Nasal Sill Excision
This technique is typically used in the correction of enlarged nasal sill width along with excessive flare in the ala. Sill reduction is indicated when the nasal base has a horizontal axis and the nostrils are enlarged. In rare cases where the alar base is wide due to a large nasal sill with no flaring, the sill alone can be directly narrowed.
V - Y Advancement
This technique is used to reposition the alar insertion if the lateral insertion of the ala is responsible for excessive nasal base width. However, it is rarely performed as it will leave a scar on the face.
Candidates for Nasal Alar Base Resection
Ideal candidates for nasal alar base resection are individuals who are concerned about the excessive width of the base of their nose. They should meet the following criteria:
- Be in good general health.
- Be non - smokers or willing to quit smoking for a certain period before and after the surgery.
- Have fully recovered from any previous surgeries near or around the nose area.
- Have realistic expectations about the outcome of the surgery.
Risks and Recovery
Risks
Although nasal alar base resection is a fairly common procedure, it does carry some risks. When performed by an experienced surgeon, the risks are minimal. However, potential risks include infection, bleeding, and scarring. In rare cases, there may be issues with nasal function or asymmetry.
Recovery
The recovery time for nasal alar base resection is roughly one to two weeks. Immediately after surgery, the base of the nose will be slightly swollen and red, but this will gradually subside. Stitches are typically removed one week after surgery. Full recovery takes approximately one month. Patients are advised to avoid rubbing or bumping the nose for one month following surgery. They can usually return to work immediately if they desire, but should avoid strenuous activities and exercise for a few weeks.
Prices of Nasal Alar Base Resection in New York City
The cost of nasal alar base resection, or alarplasty, in New York City can vary widely. On average, patients can expect to pay between $3,000 and $7,000. Several factors influence the cost:
| Factor | Explanation |
|---|---|
| Surgeon’s Experience | Experienced and well - qualified rhinoplasty surgeons typically charge higher fees due to their extensive training and successful track records. |
| Geographic Location | Surgeries in New York City are generally more expensive due to the higher cost of living and greater demand for cosmetic procedures. |
| Facility and Anesthesia Fees | The type of facility (hospital vs. private surgical suite) and the type of anesthesia (general vs. local) can impact the overall cost. |
| Post - operative Care and Medications | Follow - up visits, pain medication, antibiotics, and other aftercare products should be factored into the total cost. |
| Complexity of the Procedure | If the surgery requires extensive work on the cartilage or additional techniques to address breathing issues or is combined with other rhinoplasty procedures, the price may increase. |
Insurance and Financing
Alarplasty is often classified as a cosmetic procedure, so most health insurance plans do not cover the cost. However, if the surgery is performed to correct functional issues, such as breathing difficulties due to nasal obstructions, some insurance providers might cover a portion of the costs. Many clinics offer financing options, such as payment plans or work with third - party financing companies to provide loans specifically for cosmetic procedures.
Conclusion
Nasal alar base resection is a popular and effective cosmetic procedure in New York City. It offers numerous advantages, including improving the appearance of the nose, enhancing facial symmetry, and boosting self - confidence. There are several selected hospitals and surgeons in the city who are well - experienced in performing this procedure. However, patients should carefully consider the risks, recovery process, and cost before making a decision. It is important to consult with a qualified and experienced surgeon to set realistic expectations and achieve the best possible results.
Are you interested in learning more about nasal alar base resection? Contact one of the selected hospitals in New York City for a consultation and take the first step towards a more confident you!
