Introduction
Three - dimensional nasal basal shaping is a specialized and intricate plastic surgery procedure that can significantly enhance the appearance and function of the nose. In New York City, a hub of medical excellence, there are several top - notch hospitals offering outstanding plastic surgery services in this area. In this article, we will share the details of the plastic surgery institutions in the top 3 hospitals for three - dimensional nasal basal shaping in New York City in 2025.
Mount Sinai
Overview of Rhinoplasty at Mount Sinai
The nose plays a central and defining role in facial aesthetics, and it is also a vital part of the respiratory system. At Mount Sinai’s division of facial plastic and reconstructive surgery, the goal for each rhinoplasty (nose surgery) is to create natural, long - lasting results that improve the shape, size, and distinction of the nose. The facial plastic surgeons here are double board - certified in facial plastic and reconstructive surgery and otolaryngology (ear, nose, and throat). This means they have vast expertise in nasal function as well as nasal and facial aesthetics, ensuring that the new nose not only looks better but also breathes better.
Types of Rhinoplasty Procedures
- Primary Rhinoplasty: This surgery is performed for the first time to address cosmetic concerns and/or nasal breathing. Whether a patient wants to change the size and shape of the nose, modify the bridge, or improve breathing due to chronic sinus problems or anatomical issues, primary rhinoplasty can be a solution.
- Revision Rhinoplasty: If a patient has had prior nose surgeries and is experiencing concerns or deformities as a result, revision rhinoplasty can be performed to correct these issues.
Open and Closed Rhinoplasty Techniques
- Closed (Endonasal) Rhinoplasty: During this closed surgical approach, all of the incisions are made inside the nose. The advantage of this approach is the lack of an external scar and the relatively shorter duration of the operation. However, it may have limitations in terms of visualization and the complexity of alterations that can be made.
- Open (External) Rhinoplasty: In this open approach, a small incision is added at the base of the nose to increase the surgical field of vision. This allows for better visualization of the nasal anatomy and enables more complex alterations and grafting to be performed. However, it may leave a small external scar.
Multidisciplinary Approach and Additional Services
Mount Sinai patients have the resources of a large, tertiary hospital at their disposal. For patients with specific concerns related to their nasal breathing, nasal allergies, sinus disease, or deformity after cancer treatments, the hospital works closely with widely recognized experts in the division of rhinology and sinus surgery and the head and neck institute. Additionally, some patients who have rhinoplasty for cosmetic improvements may benefit from cheek or chin implants to improve facial balance, and the cosmetic surgeons try to combine procedures to reduce recovery time and lower operating costs.
Before and After Surgery Care
Patients interested in cosmetic treatments at Mount Sinai’s division of facial plastic and reconstructive surgery start with an extensive consultation to identify areas of concern and review their goals. The surgeons then develop an individualized treatment plan. Rhinoplasty surgery is usually performed in an outpatient setting under general anesthesia or with a combination of local anesthesia and sedation. After surgery, patients are given a short course of antibiotics and mild pain medication, and most of the swelling subsides within the first two weeks, although it may take up to a year for all the swelling to fully fade. Patients should expect to return to work or school within one to two weeks after surgery and are advised to avoid strenuous activities for two weeks after surgery.
Cost of Rhinoplasty
Cost is always a concern for patients. Insurance may cover surgery performed to improve breathing (e.g., deviated septum), but it does not cover surgery that is done for cosmetic reasons. Mount Sinai provides patients with expected costs prior to any intervention.
Facial Plastic Surgery NYC with Dr. Joseph J. Rousso
Importance and Complexity of Rhinoplasty
Rhinoplasty, also referred to as a “nose job,” is one of the most frequently requested facial cosmetic procedures. The nose is the centerpiece of a person’s face and defines much of their appearance. It is a very complex structure due to its three - dimensional architecture and important function in breathing. Rhinoplasty is arguably the most difficult plastic surgery procedure to perform and requires a deep and intricate understanding of the science of nasal function as well as the art of detail - oriented aesthetic surgery.
Dr. Rousso's Approach
Dr. Joseph J. Rousso, who performs over 120 rhinoplasties a year, emphasizes that no single technique can work on every patient since no two noses are the same. He pioneered the ‘3 - dreams’ assessment and approach, which refers to a “three - dimensional rhinoplasty that is elegantly aesthetic & medically secure” assessment and approach. This method allows for individual tailoring of rhinoplasty surgery while ensuring the use of the most comprehensive three - dimensional intraoperative high - definition endoscopic technology.
Types of Rhinoplasty Performed
- Adolescent & Teen Rhinoplasty: For cosmetic reasons, younger patients should wait until they stop growing and their nasal bone has reached its adult size (around age 15 for girls and 17 or 18 for boys). However, if the surgery is to correct a breathing problem or repair the bone after an injury, it can be performed before full growth.
- Asian/Ethnic Rhinoplasty: This type of rhinoplasty takes into account the unique nasal characteristics and aesthetic goals of patients from different ethnic backgrounds.
- Deviated Septum/Septoplasty: A procedure to correct a deviated nasal septum, which can improve breathing.
- Nasal Fractures: Repair of nasal fractures to restore the shape and function of the nose.
- Nasal Valve Repair: To improve nasal airflow by addressing problems with the nasal valve.
- Nostril Reduction: To reduce the size of the nostrils for a more balanced appearance.
- Rhinophyma Treatment: Treatment for rhinophyma, a skin condition that affects the nose.
- Rhinoplasty Revision: For patients who have had previous rhinoplasty and need further correction.
- Saddle Nose Repair: To correct a saddle - shaped deformity of the nose.
Columbia University
Overall Plastic Surgery at Columbia
Columbia University is one of New York’s best hospitals and the world’s top medical centers. The plastic & reconstructive surgery care at Columbia has the experience that few other programs can match. The plastic surgeons on the clinical staff are proficient in multiple areas of specialization, ranging from routine, non - surgical cosmetic procedures to complex reconstructive operations and body contouring surgery after significant weight loss. The division is at the forefront of clinical and laboratory research in plastic surgery and is a recognized national and international leader in the field.
Specific Rhinoplasty and Related Services
Cosmetic nose surgery (rhinoplasty) is one of the many cosmetic procedures offered at Columbia. The hospital also provides reconstructive care for the nose, which can be important for patients who have had nasal injuries or diseases. The plastic surgery team at Columbia takes a comprehensive approach, considering both the aesthetic and functional aspects of the nose. The surgeons are dedicated to providing personalized treatment options to meet the unique needs of each patient.
Research and Education
The plastic surgery research laboratory at Columbia is currently conducting numerous research studies, including those related to stem cells, tissue engineering, and the study of bone substitutes. A major focus is on applications of gene therapy to wound healing. As part of a major academic medical center and Ivy League university, Columbia also has a responsibility to educate the next generation of plastic surgeons and keep its peers up - to - date on the latest best practices.
Comparisons between the Three Institutions
| Hospital | Expertise Focus | Approach | Additional Services | Research and Education |
|---|---|---|---|---|
| Mount Sinai | Comprehensive rhinoplasty with focus on both function and aesthetics; double - board - certified surgeons in relevant fields | Offers both open and closed rhinoplasty techniques; multidisciplinary approach for complex cases | Combination of procedures like cheek or chin implants for better facial balance; non - invasive enhancing treatments | Large plastic surgery residency program, but less emphasis on extensive laboratory research compared to Columbia |
| Facial Plastic Surgery NYC (Dr. Rousso) | High - end rhinoplasty with a personalized, three - dimensional approach; vast experience in various types of rhinoplasty | Pioneered the ‘3 - dreams’ assessment and approach; use of advanced endoscopic technology | Focus mainly on rhinoplasty and related nasal surgeries | Not as well - known for large - scale research and education initiatives as the other two institutions |
| Columbia University | Broad - spectrum plastic surgery expertise including rhinoplasty; world - leading in reconstructive care | Comprehensive and personalized approach considering aesthetic and functional aspects | Full range of plastic surgery services from routine cosmetic to complex reconstructive procedures | At the forefront of plastic surgery research in areas like stem cells and gene therapy; active in educating future plastic surgeons |
Conclusion
In conclusion, New York City offers top - notch plastic surgery institutions for three - dimensional nasal basal shaping. Mount Sinai provides comprehensive rhinoplasty services with a focus on function and aesthetics, along with a multidisciplinary approach. Dr. Joseph J. Rousso offers a highly personalized and advanced approach to rhinoplasty, tailored to each patient's unique needs. Columbia University combines extensive plastic surgery expertise with cutting - edge research and education initiatives. Whether you are looking for a cosmetic enhancement or reconstructive solution for your nose, these institutions have the resources and expertise to help you achieve your goals.
If you are considering three - dimensional nasal basal shaping, we encourage you to research further, schedule consultations with the surgeons at these institutions, and make an informed decision based on your specific needs and preferences. Share this article with others who may be interested in nasal plastic surgery to help them on their journey.
