Introduction to Closed Rhinoplasty in New York City
New York City stands as a global hub for medical innovation, boasting a plethora of world - class hospitals and expert surgeons, making it an ideal destination for closed rhinoplasty. Closed rhinoplasty, also known as endonasal rhinoplasty, is a surgical technique where all incisions are made inside the nose. This approach offers the advantages of no visible external scars and a potentially shorter recovery time. Let's delve into the top three hospitals renowned for this procedure in the Big Apple.
Mount Sinai - New York
Expertise and Surgeons
Mount Sinai is a prestigious medical institution. The division of facial plastic and reconstructive surgery at Mount Sinai is staffed with double - board - certified surgeons in facial plastic and reconstructive surgery and otolaryngology (ear, nose, and throat). Their vast expertise encompasses both nasal function and nasal and facial aesthetics. This ensures that patients not only achieve an improved appearance but also enjoy better breathing after the rhinoplasty procedure.
These surgeons are well - versed in performing both closed/endonasal (without an external incision) and open/external rhinoplasty. During the surgical consultation, they work closely with patients to determine which approach is most suitable based on the patient's unique anatomy, functional, and aesthetic goals. The ability to offer a personalized approach is a significant advantage.
Range of Rhinoplasty Services
Mount Sinai provides a comprehensive range of rhinoplasty services. Commonly known as a “nose job,” rhinoplasty at Mount Sinai can address a variety of concerns. It can change the size and shape of the nose, modify the bridge, increase or decrease the size of the nostril openings, balance facial features, improve nasal breathing for patients with chronic sinus problems or anatomical issues, and reconstruct previously injured or disfigured noses from accidents or nasal disease.
There are two main types of nose jobs offered: primary rhinoplasty, which is performed for the first time to address cosmetic concerns and/or nasal breathing; and revision rhinoplasty, which is done to correct issues or deformities resulting from prior nose surgeries.
Multidisciplinary Approach
One of the unique aspects of Mount Sinai is its multidisciplinary approach. For patients with specific concerns related to 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. This collaborative effort allows for comprehensive care and, in some cases, combined surgeries when appropriate.
Additionally, patients who undergo rhinoplasty for cosmetic improvements may benefit from the option of cheek or chin implants, as some areas of the face are intimately related and need to be addressed together to achieve the best outcomes. Whenever possible, the cosmetic surgeons at Mount Sinai combine procedures to reduce recovery time and lower operating costs.
Patient Care and Recovery
Patients interested in cosmetic treatments at Mount Sinai's division of facial plastic and reconstructive surgery start with an extensive consultation. The surgeons take the time to identify areas of concern and review the patient's goals, after which they develop an individualized treatment plan.
Rhinoplasty surgery at Mount Sinai is usually performed in an outpatient setting under general anesthesia or with a combination of local anesthesia and sedation. Before surgery, patients are given detailed instructions regarding medications and how to prepare for recovery. After surgery, a short course of antibiotics and mild pain medication is typically prescribed as some mild discomfort may persist for the first few days.
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 are generally expected to return to work or school within one to two weeks after surgery, and they are advised to avoid strenuous activities for two weeks after the procedure.
Cangello Plastic Surgery
Dr. David Cangello's Expertise
Dr. David Cangello is a world - renowned expert on scarless rhinoplasty, also known as closed rhinoplasty. Through years of diligent study and hands - on experience, his expert surgical skill and visionary aesthetic instincts allow him to create beautiful noses that seamlessly blend with each patient's existing facial characteristics. He is able to refine facial symmetry and enhance facial beauty while maintaining a completely natural - looking appearance.
For many patients, the closed approach of the scarless rhinoplasty performed by Dr. Cangello, which often involves minimal skin dissection, requires less operative time than the open approach rhinoplasty. This generally leads to better patient outcomes, including long - term results and a nose that is both beautiful and functional.
Closed Rhinoplasty Technique
Scarless rhinoplasty performed by Dr. Cangello allows for various modifications to the nose. These include reducing a dorsal hump on the bridge, de - projecting an over - projected nose, refining a bulbous or boxy nasal tip, narrowing a nose, elevating a droopy nose, and augmenting the bridge of the nose. In some cases, and only in the hands of an expert like Dr. Cangello, even revision rhinoplasty can be performed using the closed approach.
The premiere advantage of scarless rhinoplasty is that it leaves the patient with no visible scars afterward. Moreover, because there is less manipulation of nasal tissues, particularly with Dr. Cangello's approach which often involves minimal or no skin dissection off the bridge of the nose or an atraumatic subperichondrial dissection (a technique used by very few other surgeons in the United States), there is less postoperative pain and swelling and more predictable healing.
Patient Selection and Consultation
Ideal candidates for scarless rhinoplasty at Cangello Plastic Surgery are generally healthy women and men who are dissatisfied with their nasal appearance. They may want to correct a projecting hump on the nasal bridge, refine the nasal tip, modify the length of the nose, improve nasal symmetry and facial balance, attain a natural - looking nose that blends with existing facial features, or improve breathing if anatomical irregularities are contributing to breathing complications.
During the consultation, Dr. Cangello will create a custom treatment plan for each patient's procedure and determine the steps necessary for their unique “closed” surgery. He will make parallel incisions that encircle nearly half of the nostril lining and modify the structure of the nose tailored to the patient's goals.
Recovery Process
After the scarless rhinoplasty, surgical tape and a splint are placed to support the nose and set it in its new position. One week after surgery, Dr. Cangello removes the surgical tape and splint. The downtime associated with this procedure, combined with Dr. Cangello's approach of limited or no skin dissection and subperichondrial dissection, is more mild than with an open rhinoplasty procedure. Because there is less bruising and swelling, most patients are able to go back to work in one week and can resume normal activities in four weeks.
It will be approximately one year before the nose has completely healed and final results are seen. Following the procedure, patients are advised to avoid non - contact sports (such as jogging, biking, hiking, rowing) for at least three to four weeks and avoid all contact sports (such as surfing, skating, skiing, baseball, basketball, tennis) for at least six weeks.
New York Plastic Surgical Group (Dr. John E. Sherman)
Dr. John E. Sherman's Experience
Board - certified plastic surgeon Dr. John E. Sherman has performed numerous rhinoplasty procedures on both men and women and is known for providing natural - looking results. Over the past 30 years, he has operated on countless patients desiring both cosmetic improvement and functional improvement of the nose.
The result of the rhinoplasty operation depends on two main factors: the patient's anatomy and cosmetic goal, and the experience of the surgeon and his familiarity with all techniques. Dr. Sherman and his team of medical professionals at the plastic surgery and cosmetic surgery center in New York City are dedicated to providing outstanding care and achieving the desired results for each patient.
Closed Rhinoplasty Expertise
Dr. Sherman uses the closed rhinoplasty approach in approximately 50% of his patients. Thanks to his 30 + years of extensive closed - rhinoplasty experience, he is able to visualize all the structures and predict the outcome of the procedure. The advantage of the endonasal approach is less swelling and the lack of an external scar.
However, Dr. Sherman also recognizes the indications for an open approach (external rhinoplasty). If there is a need for cartilage grafting, if the nose needs straightening, or if there is a significant airway problem, he may prefer the open approach, which allows for precise placement of cartilage grafts and better visualization of the underlying anatomy.
Comprehensive Rhinoplasty Services
The rhinoplasty services at the New York Plastic Surgical Group address a wide range of concerns. In addition to cosmetic improvements, the procedure can also involve septoplasty, which is performed to correct structural irregularities with the septum to alleviate associated breathing difficulties. Dr. Sherman will correct the septum at the same time as performing the rhinoplasty, thus improving the patient's breathing.
The hospital also offers clear information about the cost of rhinoplasty. Cosmetic rhinoplasty is not covered by insurance, but insurance can cover septoplasty for patients who need to undergo surgery to improve their breathing. Financing options are available to help with the payment process.
Patient Experience and Recovery
Patients who come to Dr. Sherman for rhinoplasty start with a consultation where the surgeon spends considerable time with them to define the aesthetic goals of the procedure. This may include a second visit to the office to further clarify the goals. Computer imaging is not used as it does not fully address the individual anatomy, skin type, and the surgeon's ability to achieve the goals through surgery.
Rhinoplasty surgery at the New York Plastic Surgical Group may be performed in the fully accredited office or in the hospital, depending on the patient's age, general health, and any additional procedures. After the surgery, the patient is advised to apply ice compresses to the eyes to minimize bruising. The downtime varies according to the complexity of the operation, but bruising is almost totally gone by 10 - 12 days after rhinoplasty. A splint is placed over the nose and is removed at roughly 6 or 7 days after surgery. Patients are asked to refrain from exercise for 3 - 4 weeks after rhinoplasty and avoid jarring activities such as running for at least 1 month after surgery.
Comparison of the Top Three Hospitals
| Hospital | Expertise Highlights | Services Offered | Recovery Advantages | Unique Features |
|---|---|---|---|---|
| Mount Sinai - New York | Double - board - certified surgeons in facial plastic and reconstructive surgery and otolaryngology | Primary and revision rhinoplasty, septoplasty, combined surgeries, and potential cheek/chin implants | Most swelling subsides in two weeks, return to work in 1 - 2 weeks | Multidisciplinary approach with rhinology and head - neck institute |
| Cangello Plastic Surgery | World - renowned expert Dr. David Cangello in scarless rhinoplasty | Scarless rhinoplasty for various nose modifications, including revision in some cases | Less postoperative pain and swelling, return to work in one week, resume normal activities in four weeks | Minimal or no skin dissection and atraumatic subperichondrial dissection |
| New York Plastic Surgical Group (Dr. John E. Sherman) | 30 + years of rhinoplasty experience, ability to use both closed and open approaches | Cosmetic rhinoplasty, septoplasty, potential airway correction | Bruising almost gone in 10 - 12 days, splint removed in 6 - 7 days | Extensive experience in predicting outcomes of closed rhinoplasty |
Factors to Consider When Choosing a Hospital for Closed Rhinoplasty
Surgeon's Expertise
The skill and experience of the surgeon are of utmost importance. Look for surgeons who are board - certified in relevant fields such as facial plastic and reconstructive surgery or otolaryngology. Their track record, number of successful procedures, and familiarity with the closed rhinoplasty technique can greatly influence the outcome of the surgery.
Range of Services
Consider the range of services offered by the hospital. If you have additional concerns such as breathing problems or if you may need a revision rhinoplasty in the future, a hospital that can provide comprehensive care is a better choice. Some hospitals may also offer the option of combining procedures to achieve better overall results.
Patient Experience and Reviews
Reading patient reviews and testimonials can give you insights into the patient experience at the hospital. Look for feedback on aspects such as the consultation process, the level of care during and after surgery, and the satisfaction with the final results. Positive patient experiences often indicate a well - run hospital with a patient - centric approach.
Recovery Support
The support provided during the recovery period is crucial. Hospitals that offer detailed instructions, follow - up appointments, and support for managing pain, swelling, and other post - operative issues can make the recovery process smoother. Shorter recovery times and less discomfort are also important considerations.
Conclusion
In conclusion, New York City offers some of the best hospitals for closed rhinoplasty, with Mount Sinai, Cangello Plastic Surgery, and the New York Plastic Surgical Group (Dr. John E. Sherman) standing out as top choices. Each hospital has its own unique strengths, whether it's the multidisciplinary approach at Mount Sinai, the scarless rhinoplasty expertise of Dr. David Cangello, or the extensive experience of Dr. John E. Sherman in closed rhinoplasty.
If you are considering closed rhinoplasty, it is essential to do your research, schedule consultations with surgeons at these hospitals, and carefully evaluate the factors mentioned above. This will help you make an informed decision and choose the hospital and surgeon that best meets your needs and expectations.
Take the next step towards achieving the nose you desire by reaching out to these top - notch hospitals in New York City. Contact them for consultations, ask questions, and start your journey to a more confident you through closed rhinoplasty.
