Introduction
Nasal wing elevation is a significant procedure in the field of rhinoplasty. In New York City, a hub of medical excellence, numerous institutions and surgeons offer services related to this specialized procedure. This article aims to explore the various aspects of nasal wing elevation in New York City, including nasal analysis, top surgeons, and leading institutions. By delving into the available information, patients can make more informed decisions when considering nasal wing elevation.
Nasal Analysis: The Foundation of Rhinoplasty
Before undergoing nasal wing elevation or any rhinoplasty procedure, a comprehensive nasal analysis is crucial. According to the source from Cangello Plastic Surgery, nasal analysis in rhinoplasty is the process plastic surgeons use to determine how the proportions and contours of an individual nose compare to the aesthetic standard considered “ideal”.
Facial Proportions in Nasal Analysis
Facial Height: Dr. Cangello starts by dividing the face into three equal horizontal thirds. The top third extends from the hairline to just between the eyebrows, the middle third from just below the glabella to the subnasale, and the lower third from the subnasale to the menton. Ideally, the nose should cover almost the entire middle horizontal third of the total facial height. For those with unbalanced horizontal thirds, adjustments are made during nasal surgery to improve the overall facial appearance.
Facial Width: The face is also sectioned into equal vertical fifths. The central fifth is used to determine the ideal width of the nose in relation to the facial width. The outer perimeter of the nostrils should not extend beyond the central fifth region. If the nostrils flare outside this margin, it can be corrected during rhinoplasty. However, ethnic noses may have different standards, and a wider nasal base can maintain ethnically diverse beauty.
Surface Landmarks of the Nose
Dr. Cangello also reviews the surface landmarks of the nose, which play a vital role in the shape of the nasal anatomy. These include:
- Radix: The centermost point of the depression between the glabella, known as the root of the nose.
- Dorsum: Connects the nose to the rest of the face, with an upper bone segment and a lower cartilage segment.
- Upper Vault: A pair of nasal bones attached to the frontal and maxillary bones, affecting the nose width.
- Middle Vault: Composed of the dorsal part of the nasal septum and two upper lateral cartilages, critical for the nose's appearance and function.
- Nasal Tip: Located in the lower third of the nose, ideally the most forward - projecting part.
- Alar Rim: The convex arc above each nostril, influencing the appearance of the nasal tip and nostrils.
- Columella: The vertical bridge of soft tissue under the nasal tip, between the nostrils.
- Alar Base: Where the base of the nose attaches to the face and the upper lip.
- Nostril Sill: The area of skin at the base of the nostril.
Naso - Facial Relationships
Brow Tip Aesthetic Line: Curves from the bottom of the inner eyebrow towards the nose, along the nasal bridge, and back towards the nasal tip. Ideally, it should be free of irregularities. During nasal analysis, steps are taken to ensure symmetry and an elongated hourglass shape.
Nasofrontal Angle: The angle created by the intersection of the glabella and the dorsum. In women, the radix below this angle should ideally measure 115 - 125 degrees, and in men, 120 - 130 degrees. If the vertex of the angle is out of the ideal range, it can lead to a nose that appears too short or too long.
Nasolabial Angle & Tip Rotation: The nasolabial angle is the angle at the intersection of the columella and the upper lip. In women, the ideal range is 100 - 105 degrees, and in men, 90 - 95 degrees. Deviations from this range can cause an under - rotated or over - rotated nasal tip. The most accurate way to determine nasal tip rotation is by using the Frankfort horizontal plane, with an ideal angle range of 15 - 30 degrees in women and 0 - 15 degrees in men.
Nasal Tip Projection: Determined by how far the nasal tip protrudes from the face. The Goode method is commonly used, where the ratio between two measurements is an accurate assessment. The ideal tip projection ratio is in the range of 0.55 - 0.60.
Columellar Show: The amount of columellar sidewall visible when viewing the nose from the profile. The ideal amount is 2 - 4 millimeters. Excess or insufficient columellar show can affect the overall aesthetic of the nose.
Nasal Tip & Nasal Base: There is no ideal shape for the nasal tip on the frontal view. The goal is to ensure it is in balance with the overall naso - facial features. The ideal nasal base generally has a soft triangular shape when viewed proximally. If the nose is too wide, nasal base reduction surgery may be required.
Top Rhinoplasty Surgeons in New York City for Nasal Wing Elevation
When it comes to nasal wing elevation, choosing the right surgeon is of utmost importance. New York City is home to many highly skilled rhinoplasty surgeons.
Dr. Andrew Jacono
Dr. Andrew Jacono is one of the leading rhinoplasty surgeons in New York City. He is the surgical director of the New York Center for Facial Plastic and Laser Surgery. Many consider him one of the top rhinoplasty surgeons in the United States and globally due to his unique and innovative surgical approach. He has extensive training in surgical rhinoplasty and offers comprehensive, natural results. He has pioneered less - invasive techniques, avoiding breaking the nose and removing excessive cartilage. He is also a specialist in ethnic rhinoplasty, and his customized approach preserves ethnic identity while achieving beautiful nasal definition. His practice is located in the heart of New York City, and he has been recognized by Harper's Bazaar, Castle Connolly, and other prestigious organizations.
Dr. Steven J. Pearlman
Dr. Steven J. Pearlman is a distinguished facial plastic and reconstructive surgeon. He is uniquely dual - board certified in both facial plastic and reconstructive surgery and in head and neck surgery. With extensive clinical and academic backgrounds, he provides patients with unique expertise in the cosmetic and reconstructive surgery of the nose, face, and eyes. He has authored over 30 medical journal articles and book chapters and serves on the editorial board of many prestigious medical periodicals. He was the president of the American Academy of Facial Plastic and Reconstructive Surgery from 2004 - 2005.
Dr. Sherrell J. Aston
Dr. Sherrell J. Aston is a world - renowned double - board - certified plastic surgeon. He is a professor of plastic surgery at New York University, a past president of the American Society for Aesthetic Plastic Surgery, and a fellow of the American College of Surgeons. He is an expert in the closed rhinoplasty technique, which avoids external incisions and scars on the nose. He has used this technique for thousands of noses and has lectured and written about it extensively.
Leading Institutions for Nasal Wing Elevation in New York City
In addition to top surgeons, several institutions in New York City are well - known for their expertise in rhinoplasty and nasal wing elevation.
NYU Langone Health
NYU Langone Health is a top - ranked academic health system. It has 13 top - ranked specialties in the nation according to U.S. News & World Report's “Best Hospitals” 2024–2025, including the no. 1 ranking for neurology and neurosurgery and a tie for no. 1 for pulmonology and lung surgery. The otolaryngology department at NYU Langone has experienced surgeons who can perform nasal wing elevation with high - quality care. The institution is recognized for its commitment to patient safety and quality, receiving top rankings from Vizient, The Leapfrog Group, and the Centers for Medicare and Medicaid Services (CMS). All NYU Langone inpatient locations have Magnet® designation, which speaks to the high - level of nursing care and teamwork.
NYC Health + Hospitals
All hospitals within the NYC Health + Hospitals system have been named to the U.S. News & World Report's 2024 - 2025 ‘Best Hospitals’ list. They are recognized for excellence in treating various conditions, including heart failure, heart attack, hip fracture, kidney failure, diabetes, and chronic obstructive pulmonary disease (COPD). While not specifically focused on rhinoplasty, these hospitals provide a wide range of medical services and may have surgeons with experience in nasal procedures.
Patient Considerations for Nasal Wing Elevation
When considering nasal wing elevation in New York City, patients should take several factors into account.
Surgeon's Experience and Reputation
As shown by the profiles of top surgeons like Dr. Jacono, Dr. Pearlman, and Dr. Aston, experience and reputation are key. Patients should look for surgeons with extensive training in rhinoplasty, a history of successful procedures, and positive patient testimonials. Board certifications in relevant specialties also indicate a high level of expertise.
Institutional Resources and Quality of Care
Choosing an institution with a good reputation for patient safety and quality is crucial. Institutions like NYU Langone Health have a long - standing commitment to these aspects, with high - level rankings from independent organizations. The availability of advanced technologies and a team of experienced medical staff can contribute to better surgical outcomes.
Cost and Insurance
Cost is an important consideration. The price of nasal wing elevation can vary depending on the surgeon, the complexity of the procedure, and the institution. Patients should also check with their insurance providers to see if the procedure is covered, as some insurance policies may cover rhinoplasty if it is deemed medically necessary.
Recovery and Aftercare
Recovery after nasal wing elevation can take several weeks. Patients should discuss the recovery process with their surgeon, including what to expect in terms of pain, swelling, and restrictions. Aftercare, such as follow - up appointments and proper wound care, is also essential for a successful outcome.
Conclusion
In New York City, there is a wealth of resources available for those considering nasal wing elevation. From the comprehensive nasal analysis techniques used by experienced surgeons to the top - ranked institutions providing high - quality care, patients have many options. By understanding the importance of nasal analysis, researching top surgeons and institutions, and considering key patient factors, individuals can make well - informed decisions about their nasal wing elevation procedure. Whether for cosmetic reasons or to address functional issues, the medical community in New York City is well - equipped to meet the needs of patients. If you are considering nasal wing elevation, take the time to explore your options and consult with a qualified surgeon to start your journey towards a more confident and aesthetically pleasing nose.
