Introduction
Open rhinoplasty is a widely sought - after surgical procedure, especially in New York City, a hub for medical excellence. Patients from all over the world come to NYC for rhinoplasty, drawn by the city's top - notch hospitals, experienced surgeons, and advanced medical technology. This article will provide comprehensive statistics and information about the top 4 hospitals for open rhinoplasty in New York City.
What is Open Rhinoplasty?
Open rhinoplasty is a surgical technique used to reshape the nose. Unlike closed rhinoplasty, where all incisions are made inside the nose, open rhinoplasty involves making a small incision across the columella, the strip of tissue that connects the nasal tip to the bottom of the nose. This allows surgeons better access to the underlying nasal structures, enabling more precise and complex alterations.
The procedure typically involves lifting the nose's skin off the underlying architecture, rearranging or removing bone and cartilage from the nasal bridge and tip, and then re - draping the skin over the new framework and closing the incisions with sutures. According to available research, open rhinoplasty is often preferred when a nose requires cartilage grafting or when a nasal tip needs extra support, and it is also suitable for patients with larger, more projected noses and those with severely asymmetrical or crooked bridges.
Top 4 Hospitals for Open Rhinoplasty in New York City
1. Mount Sinai
Overview
Mount Sinai is a well - known medical institution with a high - quality division of facial plastic and reconstructive surgery. The facial plastic surgeons at Mount Sinai are double - board - certified in facial plastic and reconstructive surgery and otolaryngology (ear, nose, and throat). Their expertise covers both nasal function and nasal and facial aesthetics, ensuring that patients not only get an improved - looking nose but also a nose that functions better.
Statistics and Services
- Procedure Volume: Although specific numbers for open rhinoplasty are not publicly available, given that rhinoplasty is one of the most common cosmetic surgeries in the U.S., with over 213,000 people receiving a nose job each year according to the American Society of Plastic Surgeons, Mount Sinai likely performs a significant number of rhinoplasty procedures due to its reputation and patient flow.
- Types of Procedures: They perform both closed/endonasal and open/external rhinoplasty. The choice of procedure depends on the patient's unique anatomy, functional, and aesthetic goals. Surgeons work closely with patients to determine the most appropriate surgical option.
- Multidisciplinary Approach: Patients at Mount Sinai have access to a wide range of specialists and subspecialists. For patients with specific concerns related to nasal breathing, nasal allergies, sinus disease, or deformity after cancer treatments, the hospital's team works closely with experts in the division of rhinology and sinus surgery and the head and neck institute. They can even perform combined surgeries when appropriate.
Patient Outcomes
Since the surgeons are highly trained and experienced, patients generally report high satisfaction rates. After the procedure, patients still look like themselves but with more natural and symmetrical facial features. The majority of swelling subsides within the first two weeks, and patients can usually return to work or school within one to two weeks, although it may take up to a year for all the swelling to fully fade.
2. New York - Presbyterian/Columbia University Irving Medical Center
Overview
This hospital is a top - tier medical facility, ranked No. 4 in the nation by U.S. News & World Report’s Best Hospitals. It has nationally - ranked surgical specialties in both adult and children’s fields, including heart surgery, GI surgery, lung surgery, and pediatric equivalents. While specific statistics for open rhinoplasty may not be as prominent as for its other well - known specialties, its reputation for surgical excellence and comprehensive care makes it a strong candidate for rhinoplasty.
Statistics and Services
- Accreditation and Reputation: Being highly ranked by U.S. News & World Report indicates a high level of quality in patient care, surgical expertise, and research. This suggests that the surgeons performing open rhinoplasty at this hospital are likely to be well - trained and experienced, and the hospital has the resources and infrastructure to support successful surgical outcomes.
- Comprehensive Care: The hospital offers a comprehensive range of medical services, which can be beneficial for patients undergoing rhinoplasty. For example, if a patient has any underlying medical conditions that need to be managed during the surgical process or recovery, the hospital has the necessary specialties and resources to provide appropriate care.
Patient Outcomes
Based on its overall ranking and reputation, patients can expect high - quality surgical outcomes. The hospital's emphasis on patient safety, advanced clinical technologies, and experienced medical staff should contribute to a lower risk of complications and a better recovery process.
3. Offices of Experienced Rhinoplasty Surgeons
While not traditional large - scale hospitals, the offices of some well - known rhinoplasty surgeons in New York City can also be considered as premier destinations for open rhinoplasty. For example, the practice of Dr. Andrew Jacono and Dr. John E. Sherman.
Dr. Andrew Jacono's Practice
- Procedure Specialization: Dr. Jacono is a dual - board - certified facial plastic surgery expert with over twenty years of experience. He has extensive training in rhinoplasty surgery and often performs open rhinoplasty. He uses this technique when a nose requires cartilage grafting, when a nasal tip needs extra support, or for patients with larger, more projected noses or severely asymmetrical or crooked bridges.
- Patient Testimonials: His practice showcases numerous before - and - after photos of open rhinoplasty patients, which indicate high - quality results. Patients report satisfaction with the refinement of their nasal features, such as reduction of dorsal humps, lifting of nasal tips, and reduction of nostril size.
- Recovery Information: Dr. Jacono provides detailed recovery guidelines. After surgery, patients can expect the nose to swell, with the majority of swelling resolving within 4 weeks. He also advises on activities to avoid during different stages of recovery, such as avoiding physical activity during the first week when the nose is in a cast.
Dr. John E. Sherman's Practice
- Experience and Technique: Dr. Sherman is a board - certified plastic surgeon with over 30 years of experience in performing rhinoplasty procedures. He prefers an open approach (external rhinoplasty) if there is an indication for cartilage grafting, if the nose needs straightening, or if there is a significant airway problem. He is also able to visualize all the structures and predict the outcome of the procedure well, having extensive closed - rhinoplasty experience as well.
- Cost and Insurance: The cost of rhinoplasty in his practice depends on several factors, including the specific needs of each patient and the techniques required. Cosmetic rhinoplasty is not covered by insurance, but insurance can cover septoplasty for patients who need to improve their breathing. He is on staff at well - regarded hospitals such as the New York Presbyterian Hospital - Weill - Cornell University Medical Center and Manhattan Eye Ear and Throat Hospital.
- Patient - Centered Care: Dr. Sherman spends considerable time with patients to define their aesthetic goals and does not rely solely on computer imaging. He is committed to providing individualized care and natural - looking results.
4. Clinics with High - Quality Rhinoplasty Services
There are also clinics in New York City that offer high - quality open rhinoplasty services. For example, some of the clinics listed on MyMediTravel, such as Monica Tadros, MD, FACS NJ, A. Joshua Zimm MD, and Forest Hills Plastic Surgery, are known for their rhinoplasty procedures.
Statistics and Services
- Patient Reviews: These clinics have relatively high patient ratings. For instance, Monica Tadros, MD, FACS NJ has a 5.0 rating, and A. Joshua Zimm MD has a 4.9 rating. Patients often praise the surgeons' expertise, patient - centered care, and the quality of the results.
- Cost and Options: The cost of rhinoplasty in these clinics can vary. Some clinics offer prices starting from $676, while for others, the price is on request. This provides patients with a range of options depending on their budget and the specific requirements of their procedure.
Recovery and Success Rates
Most patients generally need 2 - 3 weeks to resume normal activities, although strenuous activities should be avoided for 3 - 6 weeks. Rhinoplasty in New York City has a high success rate of between 85% and 90% due to the advanced technology and the surgeons' extensive experience.
Factors to Consider When Choosing a Hospital for Open Rhinoplasty
Surgeon Experience
The experience of the surgeon is one of the most crucial factors. Look for surgeons who are board - certified in facial plastic and reconstructive surgery and otolaryngology. Surgeons with many years of experience are more likely to have encountered a wide range of cases and can handle complex situations during the open rhinoplasty procedure. For example, at Mount Sinai, the double - board - certified surgeons have vast experience in nasal function and aesthetics, which is essential for achieving both functional and aesthetic goals.
Hospital Reputation
A hospital's reputation can be an indicator of the quality of care. Hospitals like New York - Presbyterian/Columbia University Irving Medical Center, which is highly ranked by U.S. News & World Report, have a reputation for excellence in surgical and medical care. This suggests that they have high - quality facilities, a team of experienced medical staff, and a commitment to patient safety and satisfaction.
Range of Services
Consider hospitals or clinics that offer a comprehensive range of services. For open rhinoplasty, this may include pre - surgical consultations to accurately assess the patient's needs and goals, as well as post - surgical care to ensure a smooth recovery. Some hospitals, like Mount Sinai, also offer a multidisciplinary approach, which can be beneficial for patients with complex nasal issues related to breathing, allergies, or sinus disease.
Cost and Insurance
The cost of open rhinoplasty can vary widely depending on the hospital, the surgeon, and the specific procedure. Cosmetic rhinoplasty is usually not covered by insurance, but insurance may cover surgery performed to improve breathing, such as septoplasty. It is important to understand the cost breakdown and whether insurance reimbursement is possible. For example, in the practices of Dr. John E. Sherman, he works with patients to determine insurance coverage and offers financing options if needed.
Pre - surgery Considerations
Patient Evaluation
Before undergoing open rhinoplasty, patients need to have a comprehensive evaluation. This includes a physical examination of the nose, a discussion of the patient's aesthetic goals, and an assessment of their overall health. Surgeons will evaluate the nasal anatomy, including the shape of the nasal bones and cartilage, the condition of the septum, and the skin quality. They will also consider the patient's age, as younger patients (especially teenagers) may need to wait until their nasal bone has reached its adult size if the surgery is for cosmetic reasons.
Expectations and Communication
It is crucial for patients to have realistic expectations about the outcome of open rhinoplasty. Surgeons should communicate clearly with patients about what can and cannot be achieved through the surgery. This may involve showing before - and - after photos of similar patients, discussing the potential risks and complications, and explaining the recovery process. For example, Dr. Sherman at his practice spends a lot of time with patients to define their aesthetic goals and does not use computer imaging as the sole means of visualizing the outcome, as it may not fully account for individual anatomy and the surgeon's capabilities.
Recovery Process
Immediate Post - surgery
After open rhinoplasty, patients will typically have a cast on their nose for about a week. During this time, they should avoid physical activity and get plenty of rest. Ice compresses are often recommended to minimize bruising around the eyes. Some mild discomfort may persist for the first few days, and patients are usually given a short course of antibiotics and mild pain medication.
First Week of Recovery
In the first week, the key is to avoid strenuous activities. Patients may experience swelling and bruising, but these should start to improve. For example, in Dr. Jacono's practice, he monitors the patient's recovery during this time and advises on activities to avoid to ensure proper healing.
Second Week and Beyond
During the second week, the cast is usually removed, and the surgeon will perform an examination to check the progress of recovery. Bruising and swelling will have improved enough for the patient to be comfortably in public. By the third and fourth weeks, most of the swelling will have resolved, and patients may return to their normal activities. However, they should still avoid strenuous activities such as intense exercise for 3 - 6 weeks. The final result of rhinoplasty may take up to a year to fully manifest, with the last few months having very minimal changes.
Conclusion
New York City offers a plethora of options for patients seeking open rhinoplasty. The top 4 hospitals and clinics mentioned in this article - Mount Sinai, New York - Presbyterian/Columbia University Irving Medical Center, the practices of experienced surgeons like Dr. Andrew Jacono and Dr. John E. Sherman, and some high - rated clinics on MyMediTravel - all provide high - quality services with experienced surgeons, advanced technology, and comprehensive care. When choosing a facility for open rhinoplasty, patients should consider factors such as surgeon experience, hospital reputation, range of services, and cost and insurance. By doing so, they can increase their chances of a successful and satisfying rhinoplasty experience.
If you are considering open rhinoplasty in New York City, we encourage you to do further research, schedule consultations with multiple surgeons, and ask questions to ensure you make an informed decision. Share this article with others who may be interested in learning more about open rhinoplasty in New York City.
