The List of the Top Three Hospitals for Closed Rhinoplasty in New York City is Updated!
Closed rhinoplasty, also known as endonasal rhinoplasty, is a popular plastic surgery procedure that allows patients to reshape their noses without visible external scars. In New York City, a global hub for medical excellence, there are several hospitals renowned for their expertise in this field. Here, we present an updated list of the top three hospitals for closed rhinoplasty in New York City.
1. Mount Sinai - New York
Expertise and Surgeons
Mount Sinai's division of facial plastic and reconstructive surgery is a leading institution for rhinoplasty. The facial plastic surgeons at Mount Sinai are double - board - certified in facial plastic and reconstructive surgery and otolaryngology (ear, nose, and throat). Their vast expertise in nasal function, as well as nasal and facial aesthetics, ensures that patients not only get a better - looking nose but also improved breathing. They are capable of performing both closed (endonasal) and open (external) rhinoplasty and work closely with patients to determine the most appropriate surgical option based on their unique anatomy and goals (source: https://www.mountsinai.org/care/ent/services/facial - plastic - reconstructive - surgery/cosmetic/nose - surgery - rhinoplasty).
Procedure and Approach
During a rhinoplasty at Mount Sinai, the surgeons modify the bone and cartilage of the nasal framework. For closed rhinoplasty, all incisions are made inside the nose, which offers the advantage of no external scarring and a relatively shorter operation time. The surgeons carefully sculpt the upper portion of the nose's bone and reshape the lower - portion cartilage to bring the nose's dimensions into harmony. They also straighten and reshape the nasal septum to improve breathing and use necessary grafts to support and contour the final result.
Multidisciplinary Support
One of the significant advantages of choosing Mount Sinai is its multidisciplinary approach. Patients have access to a wide range of specialists and subspecialists throughout the health system. For those with specific concerns related to nasal breathing, nasal allergies, sinus disease, or deformity after cancer treatments, the hospital works closely with its experts in the division of rhinology and sinus surgery and the head and neck institute. In some cases, combined surgeries can be performed to address multiple issues comprehensively.
Patient Care
Patients interested in cosmetic treatments at Mount Sinai start with an extensive consultation to identify areas of concern and review their goals. The surgeons then develop an individualized treatment plan. Rhinoplasty surgery is usually performed in an outpatient setting under general anesthesia or with a combination of local anesthesia and sedation. Before surgery, patients are given instructions regarding medications and recovery preparation. After surgery, they are provided with a short course of antibiotics and mild pain medication. The majority of swelling subsides within the first two weeks, and patients can typically return to work or school within one to two weeks, while avoiding strenuous activities for two weeks.
2. Cangello Plastic Surgery
Expert Surgeon: Dr. David Cangello
Dr. David Cangello is a world - renowned expert on scarless rhinoplasty, also known as closed rhinoplasty. Through years of diligent study and experience, he has developed expert surgical skills and visionary aesthetic instincts. He can create beautiful noses that seamlessly blend with each patient's existing facial characteristics, refining facial symmetry and enhancing facial beauty while maintaining a completely natural - looking appearance (source: https://www.cangelloplasticsurgery.com/face/rhinoplasty/scarless - rhinoplasty/).
Unique Approach
Dr. Cangello uses a minimally invasive approach to closed rhinoplasty. In many cases, his technique involves minimal or no skin dissection off the bridge of the nose or an atraumatic subperichondrial dissection, which is performed by only a few surgeons in the United States. This results in less postoperative pain and swelling and more predictable healing. He always begins with a closed approach and very infrequently needs to open the nose. By using the closed approach, certain ligamentous structures that provide support to the tip are maintained, which helps in achieving better tip projection and aesthetics.
Procedure and Results
For the closed rhinoplasty procedure, Dr. Cangello makes parallel incisions that encircle nearly half of the nostril lining. He modifies the structure of the nose according to the patient's goals, such as reducing a dorsal hump, refining a bulbous nasal tip, or narrowing the nose. The result is a beautifully refined nose with much less swelling and minimal, if any, bruising, leading to a quicker than average recuperation. Most patients can go back to work in one week and resume normal activities in four weeks, although it takes approximately one year for the nose to completely heal and for the final results to be seen.
Patient Trust
Patients from all over the world have lauded Dr. Cangello for his beautiful and natural - looking results. He is recognized as New York City's premier scarless rhinoplasty expert and has been featured in countless publications and television shows, including Harper's Bazaar, Refinery 29, Seventeen Magazine, CBS, and Fox News.
3. New York Center for Facial Plastic & Laser Surgery
Expert Surgeon: Dr. Andrew Jacono
Dr. Andrew Jacono is a dual - board - certified facial plastic surgeon with over twenty years of experience in the field. He is known for his original, advanced approach to non - surgical and minimally invasive facial rejuvenation, as well as his expertise in closed rhinoplasty. He has been chosen as the best - closed rhinoplasty surgeon in New York and is often called upon by colleagues and media around the world to provide his expert opinion (source: https://www.newyorkfacialplasticsurgery.com/rhinoplasty/closed - rhinoplasty).
Closed Rhinoplasty Expertise
During a closed rhinoplasty, Dr. Jacono tactfully rearranges or removes bone and cartilage through internal incisions hidden within the nostrils. This procedure can shorten the nose's length, shave down dorsal humps, and refine the nasal tip. One of the best aspects of his approach is that since all incisions are made within the nose, there is no visible scarring, and surgery and healing times are quicker. He has a high success rate in performing closed rhinoplasty, as demonstrated by numerous before - and - after photos of his patients.
Patient - Centered Approach
Dr. Jacono believes in a patient - centered approach. He takes the time to understand each patient's concerns and goals and discusses the available options during the consultation. He will also consider the patient's nasal complications and overall physical health to determine if a closed rhinoplasty is the right choice. For patients who are good candidates, he delivers the most naturally impressive results possible, improving their self - esteem and facial appearance.
Factors to Consider When Choosing a Hospital for Closed Rhinoplasty
Surgeon's Expertise
The expertise of the surgeon is perhaps the most crucial factor. Look for surgeons who are board - certified in facial plastic and reconstructive surgery or otolaryngology. Check their experience in performing closed rhinoplasty, their success rates, and their patient testimonials. Surgeons like those at Mount Sinai, Dr. David Cangello, and Dr. Andrew Jacono have extensive experience and a proven track record of delivering excellent results.
Hospital Facilities and Resources
Consider the facilities and resources available at the hospital. A well - equipped hospital with access to advanced technology and a multidisciplinary team of specialists can ensure better patient care and surgical outcomes. For example, Mount Sinai's vast network of specialists allows for comprehensive treatment of nasal - related issues.
Patient Reviews and Reputation
Reading patient reviews and researching the hospital's reputation can provide valuable insights. Positive reviews from previous patients indicate high - quality care, patient satisfaction, and successful surgical outcomes. Look for reviews on independent review platforms and the hospital's website.
Cost and Insurance
Cost is also an important consideration. The cost of closed rhinoplasty can vary depending on the surgeon's expertise, the complexity of the procedure, and the hospital's location. While insurance may cover surgery performed to improve breathing (such as for a deviated septum), it usually does not cover cosmetic rhinoplasty. It is essential to discuss the cost and available payment or financing options with the hospital or surgeon before the procedure.
What to Expect Before, During, and After Closed Rhinoplasty
Before the Procedure
Before closed rhinoplasty, patients will have an initial consultation with the surgeon. During this consultation, the surgeon will evaluate the patient's nasal anatomy, discuss their goals, and determine if they are a suitable candidate for the procedure. The patient may also be asked to undergo some pre - operative tests, such as blood tests and imaging studies, to assess their overall health. The surgeon will provide instructions on medications to avoid before surgery, such as blood - thinners, and lifestyle changes, such as quitting smoking, to ensure a smooth recovery.
During the Procedure
Closed rhinoplasty is typically performed under general anesthesia or a combination of local anesthesia and sedation to ensure the patient's comfort. The surgeon makes incisions inside the nostrils and then proceeds to modify the bone and cartilage of the nose. The specific techniques used will depend on the patient's goals, such as reducing a hump, refining the tip, or correcting a deviated septum. The surgery usually takes between 1 to 3 hours, depending on the complexity of the procedure.
After the Procedure
After the surgery, the patient will be taken to a recovery area where they will be monitored closely. They may experience some swelling, bruising, and discomfort in the nose and around the eyes, which is normal. The surgeon will provide pain medication to manage the discomfort. A nasal splint will be placed to support the nose and keep it in its new position, and it will usually be removed after about a week. Most patients can return to work or school within one to two weeks, but they should avoid strenuous activities for about 3 to 6 weeks. It may take up to a year for the nose to fully heal and for the final results to be apparent.
Risks and Complications of Closed Rhinoplasty
Although closed rhinoplasty is generally considered a safe procedure, like any surgery, it carries some risks and potential complications. These can include:
- Bleeding: Some bleeding is normal after surgery, but excessive bleeding may require medical attention.
- Infection: There is a risk of infection, which can usually be treated with antibiotics.
- Allergic Reaction to Anesthesia: Although rare, some patients may have an allergic reaction to the anesthesia used during the surgery.
- Permanent Numbness: There may be some temporary or permanent numbness in the nose.
- Difficulty Breathing: In some cases, patients may experience difficulty breathing through the nose after surgery.
- Uneven - Looking Nose: Achieving perfect symmetry is challenging, and there may be some minor asymmetry in the final result.
- Discoloration: The skin around the nose may become discolored, which usually fades over time.
- Scarring: While closed rhinoplasty avoids external scars, there may be some internal scarring, which can affect the appearance and function of the nose in rare cases.
- Septal Perforation: A hole may develop in the nasal septum, which may require further treatment.
- Need for Additional Surgery: In some cases, additional surgery may be required to correct any complications or to achieve the desired results.
Alternatives to Closed Rhinoplasty
If you are unable to undergo closed rhinoplasty or are looking for less invasive options, there are alternatives available:
Filler Injections
Filler injections are a non - invasive option for improving the appearance of the nose. The filler is injected into the nose to change its shape, such as filling in a dorsal hump or enhancing the tip. This procedure is quick, requires little to no downtime, and can provide immediate results. However, the results are temporary and typically last for several months to a year.
Botox
Botox can also be used to address some nasal issues, such as reducing the appearance of a droopy nasal tip. It works by relaxing the muscles in the nose, which can improve the shape. Similar to filler injections, Botox is a non - invasive procedure with minimal downtime, but the results are temporary.
Nasal Strips
If the main concern is improving breathing, nasal strips can be a simple and non - invasive solution. Nasal strips are a type of bandage with adhesive and embedded splints or plastic ribs that are applied across the bridge of the nose and the sides of the nostrils. They can keep the airway open, making breathing easier.
Conclusion
New York City offers some of the best hospitals and surgeons for closed rhinoplasty. Mount Sinai, Cangello Plastic Surgery, and the New York Center for Facial Plastic & Laser Surgery stand out as top choices due to their expert surgeons, advanced techniques, and excellent patient care. When considering closed rhinoplasty, it is important to carefully research and choose a hospital and surgeon that meet your needs and expectations. Factors such as surgeon expertise, hospital facilities, patient reviews, and cost should all be taken into account. Remember, closed rhinoplasty is a significant decision, and understanding the procedure, its risks, and alternatives is crucial. If you are interested in closed rhinoplasty, schedule a consultation with a reputable surgeon to discuss your goals and determine the best course of action for you.
For more information on closed rhinoplasty or to schedule a consultation at one of the top hospitals in New York City, don't hesitate to reach out to the respective facilities. Take the first step towards achieving the nose you've always wanted and enhancing your confidence and appearance.
