Introduction
New York City, a bustling metropolis, offers a wide array of options for nasal treatments, especially nasal laser treatments. These treatments can address various issues from rhinophyma to cosmetic concerns about the nose. In this article, we will summarize the top 4 popular institutions for nasal laser treatment in the city, exploring their services, expertise, and patient experiences.
1. Laser & Skin Surgery Center of New York
Overview
The Laser & Skin Surgery Center of New York is a distinguished dermatology and plastic surgery center. It is well - known for its advanced laser therapies, especially in the treatment of rhinophyma.
Treatment Details
Rhinophyma is a complex skin condition that alters the appearance of the nose. At this center, they use a variety of lasers for its treatment:
- Erbium YAG Laser: This laser vaporizes water in the skin cells to remove layers of skin at a time while creating micro - channels. It increases collagen production and healthy cell generation, resulting in smoother and less bulbous nasal skin.
- Fraxel Re:pair®: A fractional CO2 laser resurfacing procedure that works on a cellular level. It breaks the treatment area into zones to penetrate the dermis and resurface the uppermost skin layers. By removing excess layers of thickened skin and encouraging cell renewal, it can reduce the cosmetic signs of rhinophyma and improve the overall nasal shape.
- CO2 Re®: Precisely targets and vaporizes excess nose tissue, promotes skin resurfacing, reduces thickness, and reshapes the nose to improve its appearance.
- RF Ablation: Radiofrequency (RF) uses RF energy to precisely target and heat excess tissue on the nose, leading to controlled tissue ablation. This process promotes skin tightening, reduces thickness, and helps reshape the nose for an improved appearance.
Patient Experience
The center offers several advantages to patients. It has a minimal downtime, and the pain level is mild. The results are long - lasting. However, there may be side effects such as redness, swelling, or tenderness that subside within a few days. Patients may require more than one treatment. Local anesthesia is administered before the treatment, and the provider uses a handheld device to deliver laser energy into the skin.
Expertise
The fellowship - trained, board - certified dermatologists at the center are world experts in cosmetic and medical dermatology. They specialize in the most advanced laser therapies specifically tailored for rhinophyma. The center also has a state - of - the - art 30,000 + sq. foot facility that houses over 100 cutting - edge lasers, enabling precise and customized treatments. Additionally, it has an in - house research center, which keeps them at the forefront of dermatology.
Location and Appointment
They treat patients of all ages in their New York City and Southampton locations, where same - day appointments are available. You can contact them to learn more about their lasers and devices for rhinophyma treatment or to schedule a consultation.
FAQs
| Question | Answer |
|---|---|
| Is laser rhinophyma treatment safe? | Yes. The lasers used are FDA - approved, and studies continue to establish their record for safety and efficacy in treating many skin conditions, including rhinophyma. Board - certified physicians are highly trained in using these devices and can customize treatment for a safe and optimal outcome. |
| What are the possible side effects of laser rhinophyma treatment? | Possible side effects are bleeding, scarring, and pigmentary changes. |
| How long after laser rhinophyma treatment will I see results? | You should see improvement in redness, skin texture, and pore size shortly after the procedure, and as collagen levels increase, the results will continue to improve for the next 12 - 18 months. |
| Are laser rhinophyma treatment results permanent? | The effects of laser therapy are long - standing with a very low recurrence rate. |
| What is the recovery time after treatment? | The treated skin will have a wounded appearance that will last for 2 - 3 weeks. Slight swelling is common after the treatment, and the recovery process will continue over 3 - 4 weeks. |
2. Mount Sinai - New York
Overview
Mount Sinai's division of facial plastic and reconstructive surgery is renowned for its rhinoplasty (nose surgery) services. The nose is a central and defining feature of the face, and this center aims to create natural, long - lasting results that improve the shape, size, and distinction of the nose.
Treatment Details
Rhinoplasty is one of the most common cosmetic surgeries in the U.S. At Mount Sinai, it changes the shape of the nose by modifying the bone and cartilage of the nasal framework. After accessing the framework through carefully concealed incisions, the bone of the upper portion of the nose is sculpted and smoothed. The cartilage in the lower portion of the nasal framework is then carefully reshaped to bring all the dimensions of the nose into harmony. The nasal septum is straightened and reshaped to improve breathing, and any necessary grafts are used to support and contour the final result.
Types of Rhinoplasty
- Primary Rhinoplasty: Performed for the first time to address cosmetic concerns and/or nasal breathing.
- Revision Rhinoplasty: Performed to address concerns or deformities resulting from prior nose surgeries.
Techniques
- Closed (Endonasal) Rhinoplasty: All incisions are made inside the nose. The advantage is the lack of an external scar and a relatively shorter duration of the operation.
- Open (External) Rhinoplasty: A small incision is added at the base of the nose to increase the surgical field of vision. This approach allows for better visualization of the nasal anatomy and more complex alterations and grafting to be performed.
Multidisciplinary Approach
Patients at Mount Sinai have access to a wide range of specialists and subspecialists. For patients with specific concerns related to their nasal breathing, nasal allergies, sinus disease or deformity after cancer treatments, the center works closely with Mount Sinai’s widely recognized experts in the division of rhinology and sinus surgery and Mount Sinai’s head and neck institute. They can even perform combined surgeries when appropriate.
Adolescent Rhinoplasty
If a nose job is for cosmetic reasons, younger patients should wait until they stop growing and their nasal bone has reached its adult size. Typically, for girls this occurs after puberty around age 15, while boys may need to wait until they are 17 or 18 years or older. If the surgical procedure is to correct a breathing problem or repair the bone after an injury, it can be performed before the patient is fully grown.
Before and After Surgery Care
Patients start with an extensive consultation to identify areas of concern and review their goals. The 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. The majority of 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 avoid strenuous activities for two weeks after surgery.
Cost
Insurance may cover surgery performed to improve breathing (e.g., deviated septum), but it does not cover surgery that is done for cosmetic reasons. The center provides patients with expected costs prior to any intervention.
3. Natural Look Institute (Dr. Yoel Shahar)
Overview
Dr. Yoel Shahar at the Natural Look Institute is considered one of the best rhinoplasty surgeons in New York City. He has performed thousands of rhinoplasty/nose reshaping procedures at his private practices in both New York City and Israel for nearly 25 years.
Expertise
Dr. Shahar is a master at his craft. He is board - certified in cosmetic surgery, a board - certified general surgeon, and an associate fellow of the American Medical Association, among other certifications. He has vast experience with diverse ethnic backgrounds and understands the importance of maintaining unique characteristics. He is often referred to as “doctor nose” and has been named one of New York City’s best cosmetic surgeons.
Treatment Process
Before considering rhinoplasty, Dr. Shahar has a comprehensive consultation process. He asks about the patient's medical history, including past nose surgeries, nasal issues, and medications. He then conducts a physical exam and blood tests, carefully examining the nose (inside and outside), facial features, and facial proportions. Photos of the face and nose are taken from different angles to help envision the perfect nose for the patient. The patient and Dr. Shahar then exchange on goals and expectations for the rhinoplasty.
Customized Approach
Dr. Shahar never over - corrects and always recommends alternatives or minimal procedures to achieve natural - looking cosmetic surgery results. He is highly realistic about the expected cosmetic surgery results of each patient and encourages patients to be the same.
Patient Safety and Care
He performs most of the procedures in his on - site surgical facility, which is accredited by the AAAHc. He is attended by excellent anesthesiologists and nurses. The anesthesia provided is “sedation” where the patient breathes on their own and recovers quickly. Some procedures are performed under local anesthesia. He always personally follows up with his patients after the procedure.
Cost
The rhinoplasty cost in NYC can typically range from $7,000 to $20,000, depending on a number of different factors.
Patient Reviews
Patients have had positive experiences with Dr. Shahar. One patient said, "My experience with Dr. Shahar was a very positive one. I went to him for under - eye surgery. He understood what I wanted and he executed it perfectly to my taste. I was very nervous to have this procedure done so it was good that Dr. Shahar was very approachable." Another patient who had nose realignment due to a childhood accident said, "Recovery was minimal! My bandages came off in 5 days and a week later I had no more bruising! You know the doctor did a precise cautious job when there is minimal bruising or other signs of damage."
4. Dr. Adam Kolker
Overview
Dr. Adam Kolker is a board - certified NYC plastic surgeon with extensive expertise in rhinoplasty. He focuses on achieving facial harmony while enhancing the nose's appearance.
Customized Approach
Dr. Kolker believes that the ideal rhinoplasty is customized to the patient's unique anatomical features and desires. He considers the innate proportion of the nose in keeping with facial harmony and maintaining balance with all facial features. His approach goes beyond just removing a prominent dorsal hump and focuses on creating a natural and beautiful outcome that never looks “done.”
Preparation and Procedure
Approximately two weeks prior to the nose job, patients have a comprehensive visit in the office. A complete list of what to do and what to avoid is reviewed, prescriptions for post - op medications are given, and routine laboratory testing is ordered. The surgery is an outpatient procedure performed under general anesthesia in his fully accredited surgical facility on Park Avenue in NYC. The procedure duration is often approximately two to three hours, but may vary depending on the specific techniques and goals. An external splint is placed on the nose in most cases, and internal packing is rarely used.
Recovery and Results
After the surgery, patients are cared for in the recovery room and go home with a friend or relative when fully awake and comfortable. In the first 48 hours, patients are recommended to sleep on their back in an elevated position and use cold compresses. The primary swelling resolves in about one week, and most patients go back to work or school around this time. The initial recovery period typically takes about two weeks for visible bruising and swelling to diminish. While certain results are visible immediately, the final result becomes evident approximately six to twelve months after rhinoplasty.
FAQs
| Question | Answer |
|---|---|
| When can I wear glasses after rhinoplasty? | You’ll be advised to refrain from wearing glasses for a short time following a rhinoplasty. Once swelling of the bridge of your nose has settled, many restrictions may be lifted and you should be wearing glasses again between four and six weeks after your rhinoplasty. |
| Is rhinoplasty covered by insurance? | Most rhinoplasty procedures are elective aesthetic plastic surgery procedures and are not covered by medical insurance. Rhinoplasties performed to correct breathing problems, including correction of a functionally significant deviated septum or repair of deformities as a result of traumatic injury or nasal fracture may, on occasion, qualify for partial insurance reimbursement. |
| Does rhinoplasty hurt? | Rhinoplasty is performed under intravenous sedation or general anesthesia, ensuring that you will not feel any discomfort during the procedure. Long - acting local anesthetic is also administered during rhinoplasty, making it quite comfortable immediately after surgery as well. Most post - surgical discomfort is mild and can be well - managed with over - the - counter pain medications and non - opioid prescription medication. |
| Do I need to tape my nose after rhinoplasty? | Medical tapes are applied to the nose on completion of rhinoplasty surgery and will remain in place for approximately one week. Tape is most often removed between 5 and 8 days after surgery. On occasion, depending on techniques used and individual anatomy, Dr. Kolker may recommend continuing the use of tape on the nose for several weeks following surgery to aid in healing and minimize swelling. |
Conclusion
In conclusion, these four institutions in New York City - Laser & Skin Surgery Center of New York, Mount Sinai - New York, Natural Look Institute (Dr. Yoel Shahar), and Dr. Adam Kolker - offer a range of nasal laser treatment and rhinoplasty services. Each has its own unique strengths, whether it's the advanced laser technologies for rhinophyma at the Laser & Skin Surgery Center, the multidisciplinary approach at Mount Sinai, the customized and patient - centric care of Dr. Yoel Shahar, or the focus on facial harmony by Dr. Adam Kolker.
If you are considering nasal laser treatment or rhinoplasty, we encourage you to research further and schedule consultations with these institutions. Discuss your concerns, goals, and expectations to find the best option for you. Don't hesitate to reach out and take the first step towards achieving the nose you desire.
