Introduction

The nose plays a crucial role in both facial aesthetics and functionality. In New York City, there are numerous plastic hospitals and clinics specializing in nasal - related procedures, especially those related to the nasal base. This article aims to provide a comprehensive summary of the top ten plastic hospitals that focus on nasal base - related treatments, covering their services, expertise, and other important aspects.

1. Mount Sinai - New York

Services and Expertise

Mount Sinai's division of facial plastic and reconstructive surgery offers rhinoplasty services with a goal of creating natural, long - lasting results. The facial plastic surgeons are double - board - certified in facial plastic and reconstructive surgery and otolaryngology. They have vast expertise in nasal function as well as nasal and facial aesthetics, ensuring that patients' new noses not only look better but also breathe better.

The hospital performs both closed (endonasal) and open (external) rhinoplasty. Closed rhinoplasty involves making all incisions inside the nose, resulting in no external scar and a relatively shorter operation time. Open rhinoplasty, on the other hand, adds a small incision at the base of the nose to increase the surgical field of vision, allowing for more complex alterations and grafting.

For patients with specific concerns related to nasal breathing, allergies, sinus disease, or deformity after cancer treatments, Mount Sinai provides a multidisciplinary approach. They work closely with experts in the division of rhinology and sinus surgery and the head and neck institute, and can even perform combined surgeries when appropriate.

Cost and Insurance

Insurance may cover surgery performed to improve breathing (e.g., deviated septum), but it does not cover cosmetic rhinoplasty. The hospital provides patients with expected costs prior to any intervention.

Before and After Care

Patients start with an extensive consultation to identify areas of concern and review their goals. Surgeons then develop an individualized treatment plan. Rhinoplasty is usually performed on an outpatient basis under general anesthesia or a combination of local anesthesia and sedation. After surgery, patients are given a short course of antibiotics and mild pain medication. Most swelling subsides within the first two weeks, and patients can return to work or school within one to two weeks. Strenuous activities should be avoided for two weeks after surgery.

2. Cangello Plastic Surgery

Specialization in Nasal Base Reduction

Cangello Plastic Surgery is well - known for nasal base reduction, also known as alarplasty. This technique is used to narrow the alar base of the nose when it is excessively wide for the face. It is a common procedure in rhinoplasty and revision rhinoplasty, especially for patients of African American, Middle Eastern, and Asian ethnicities.

The benefits of nasal base reduction surgery include refining and improving the overall appearance of the nose, improving facial symmetry and balance, increasing self - confidence, decreasing the size of the nostrils, and reducing nostril flare with long - lasting results.

Surgical Techniques

Dr. Cangello uses three main surgical techniques to narrow the nasal base and/or reduce alar flare. The alar wedge excision (weir incision) is used to minimize excessively flared ala and reduce a wide nasal base from the frontal appearance. The nasal sill excision is typically used to correct enlarged nasal sill width along with excessive ala flare. The V - Y advancement technique is used to reposition the alar insertion when the lateral insertion of the ala is responsible for excessive nasal base width, although it leaves a scar on the face.

Risks and Recovery

Nasal base reduction is a fairly common procedure with minimal risks when performed by an experienced surgeon. If done alone, it can be performed under local anesthesia. Recovery time is about one to two weeks, with the base of the nose being slightly swollen and red immediately after surgery. Stitches are usually removed one week after surgery, and full recovery takes approximately one month. Risks can include infection, bleeding, and scarring.

3. Dr. Barry Weintraub

Expertise in Rhinoplasty

Dr. Barry Weintraub is a board - certified New York plastic surgeon regarded worldwide as a top rhinoplasty surgeon with decades of experience. He is an expert in both primary rhinoplasty and complex revisionary cases. When performing rhinoplasty, he takes each patient's ethnicity and facial structure into account to achieve the most natural - looking results.

If patients are suffering from breathing issues such as a deviated septum or turbinate hypertrophy, Dr. Weintraub can tailor the rhinoplasty surgery to address these concerns.

Surgical Secrets

Dr. Weintraub believes that "one nose does not fit all" and that the secret to rhinoplasty is to create a nose that looks good not only post - operatively but also for decades to come. He also emphasizes the importance of the nasal tip in helping patients appear young and that the choice between open and closed rhinoplasty depends on the case. For male rhinoplasty, he aims to create a nose that retains masculinity.

4. New York Group for Plastic Surgery

Rhinoplasty Services

The New York Group for Plastic Surgery offers some of the best rhinoplasty services in New York City. Rhinoplasty at this group can effectively correct and improve various nasal issues, including nose size in relation to facial proportions, nasal asymmetry, nose width at the bridge, size and shape of the nostrils, nasal tip abnormalities, visible bumps or depressions on the bridge, nasal disfigurement due to injury, and functional defects such as a deviated septum.

They offer both open and closed rhinoplasty techniques. Closed rhinoplasty is preferred for patients who only require minor alterations to their nasal structures as it eliminates visible external scarring. Open rhinoplasty is used for more extensive nose reshaping, although it leaves a small scar on the underside of the nose.

Patient - Centered Approach

The team at New York Group for Plastic Surgery focuses on providing a personalized experience. They discuss all cosmetic options with patients during the initial consultation, including the possibility of combining rhinoplasty with other facial cosmetic procedures such as facelifts, brow lifts, ear shaping, and eyelid surgery for an overall facial improvement with a single recovery period.

Recovery and Cost

Most patients can return to light activities after about one week of healing, and strenuous activities should be avoided for about four to six weeks. The cost of rhinoplasty is influenced by factors such as insurance coverage, type of surgery, anesthesia, location, and surgeon experience. Reconstructive surgeries may be partially covered by insurance, while cosmetic procedures are usually out - of - pocket.

5. Columbia Surgery

Comprehensive Plastic Surgery Programs

Columbia Surgery is one of New York's best hospitals with a well - established plastic and reconstructive surgery program. Their cosmetic care program offers surgical and non - surgical options for improving cosmetic health, including cosmetic nose surgery (rhinoplasty). The reconstructive care department is world - leading in dealing with issues like breast reconstruction after breast cancer, skin lesion excision, and reconstructive surgery for the nose and ears.

Their plastic surgeons 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.

Research and Education

The plastic surgery research laboratory at Columbia is conducting numerous research studies related to stem cells, tissue engineering, and the study of bone substitutes. They also focus on the applications of gene therapy to wound healing. As an academic medical center, they have programs for students and healthcare professionals, including a plastic surgery residency program and surgical CME events.

6. City Facial Plastics

Nasal Reconstruction Expertise

City Facial Plastics, with Dr. Gary Linkov as the key surgeon, is well - known for nasal reconstruction. Nose reconstruction involves restoring areas that have been damaged or removed, such as after trauma, cancer removal, or due to congenital defects.

Dr. Linkov follows basic principles like "replace like with like", using aesthetic units, and following a reconstructive ladder. He uses advanced techniques and cutting - edge medical technology to restore the function of the nasal passages and ensure the balance and aesthetics of the nose appearance.

Reconstruction Options

The options for nasal reconstruction include secondary intention healing, primary intention (suture closure), skin graft, local flap, regional flap, cartilage/bone graft, and the use of alloplastic materials. The choice of option depends on surgical skill set, surgeon preference, size and extent of defect, and patient preference and medical condition.

Recovery and Risks

Recovery after nasal reconstruction surgery depends on the type of reconstruction. Swelling, bruising, light bleeding, and pain can be expected in the first 1 - 2 weeks. Risks include unfavorable cosmetic outcome, pain, bleeding, infection, poor scarring, nasal breathing difficulty, nasal valve collapse, asymmetry, and prolonged healing.

7. Facial Plastic Surgery - NYC (Dr. Joseph Rousso)

Reconstructive Rhinoplasty

Dr. Joseph Rousso is one of the top facial plastic and reconstructive surgeons in New York City. His primary specialties include rhinoplasty and facial reconstruction, which are crucial for nasal reconstruction. Unlike cosmetic rhinoplasty, nasal reconstruction often involves rebuilding lost or damaged tissues, such as skin, bone, and cartilage grafts.

Dr. Rousso aims to achieve both biological function and aesthetic form with every reconstructive rhinoplasty procedure, ensuring that patients have a beautiful, balanced, and functional nose after severe trauma.

8. Natural Look Institute (Dr. Yoel Shahar)

Rhinoplasty Specialization

Dr. Yoel Shahar is considered one of the best rhinoplasty surgeons in New York City. He has performed thousands of rhinoplasty and nose - reshaping procedures over nearly 25 years. His practice in New York City and Israel specializes in facial rejuvenation, body contouring, fillers, and injectables.

Dr. Shahar offers different types of rhinoplasty procedures, including septorhinoplasty, endoscopic, open, closed, and revision rhinoplasty. He always considers all the patient's facial features to achieve perfect facial harmony.

Patient - Oriented Approach

During the initial consultation, Dr. Shahar discusses the patient's goals, fears, and concerns about the nose. He never over - corrects and always recommends alternatives or minimal procedures to achieve natural - looking cosmetic surgery results. He performs a careful evaluation, including discussing the patient's medical history, conducting a physical exam, taking photos of the face and nose, and exchanging on goals and expectations.

Cost and Recovery

The cost of rhinoplasty in NYC with Dr. Shahar can range from $7,000 to $20,000, depending on various factors. After surgery, the patient is usually discharged about 2 - 3 hours later. A small splint is removed after 5 days. Some swelling and bruising may appear but usually alleviate within a week. Final results may take months, but the improvement is long - lasting.

Comparison of the Top Ten Plastic Hospitals

Conclusion

In conclusion, New York City is home to a plethora of top - notch plastic hospitals and clinics that specialize in nasal base - related procedures. Each of the top ten hospitals mentioned in this article has its own unique strengths, whether it's the comprehensive services at Mount Sinai, the nasal base reduction expertise at Cangello Plastic Surgery, or the reconstructive skills at City Facial Plastics. When considering a nasal - related procedure, patients should carefully evaluate their specific needs, budget, and the hospital's reputation and expertise.

If you're interested in learning more about nasal base - related plastic surgery, we encourage you to share this article with others who might benefit. You can also explore the official websites of these hospitals or schedule a consultation to discuss your options further. Take the first step towards achieving your desired nasal appearance and functionality today!