The Best Options for Nasal Base Reshaping in New York City

In the bustling metropolis of New York City, individuals seeking nasal base reshaping have a plethora of top - notch options at their disposal. Nasal base reshaping procedures, such as alar base reduction and nostril reduction, have gained significant popularity for their ability to enhance facial symmetry and aesthetics. Let's explore some of the top hospitals and surgeons in the city known for their expertise in these procedures.

Top Surgeons and Clinics for Nasal Base Reshaping

Dr. Casian Monaco's Clinic

Located on New York City's Upper East Side, Dr. Casian Monaco's clinic is renowned for its excellence in nostril reduction surgery. Nostril reduction surgery here focuses on resizing and reshaping the nostrils to achieve enhanced facial symmetry. Dr. Monaco performs the surgery with precision and an artistic eye, ensuring that the results harmonize with each patient's unique facial features.

Alar base reduction, a key part of nostril reduction surgery, is carefully executed. It involves resizing the base of the nostrils, which is particularly effective for patients who feel their nostrils are too wide in proportion to their nose and face. Dr. Monaco's experience in this intricate procedure guarantees a natural, aesthetically pleasing outcome that respects the delicate balance of the facial structure. He believes in a personalized approach, understanding that each face is unique and tailoring each procedure to align with the individual's aesthetic goals.

Dr. Cangello's Practice

Dr. Cangello is NYC's preeminent rhinoplasty surgeon. His practice specializes in nasal base reduction, also known as alarplasty. This is a rhinoplasty technique intended to narrow the alar base of the nose when it is excessively wide for the face. The alar base plays a central role in the overall proportion and appearance of the nose and its harmony with the rest of the face. An overly flared or wide alar base can lead to a nose that looks bottom - heavy.

There are three main surgical techniques typically used by Dr. Cangello, either alone or in combination, to narrow the nasal base and/or reduce alar flare. The alar wedge excision, also known as the weir incision, is used to minimize excessively flared ala and reduce the wide nasal base from the frontal appearance. The nasal sill excision is used for correcting enlarged nasal sill width along with excessive flare in the ala. The v - y advancement technique is used to reposition the alar insertion if the lateral insertion of the ala is responsible for excessive nasal base width, though it is rarely performed due to the potential for leaving a scar on the face.

LM Medical NYC

At LM Medical NYC, with locations in Greenwich Village and the Upper East Side, they offer nostril reduction surgery and alar base reduction. Wide or flared nostrils are a common complaint among patients seeking rhinoplasty, and this clinic provides solutions to address these concerns. Dr. Lesley Rabach, a top double - board certified facial plastic surgeon who specializes in rhinoplasty and cosmetic nose surgery, leads the team.

Nostril reduction surgery at LM Medical NYC can be performed without a complete nose job. Small, discreet incisions are made at the base of the nose to adjust the size and shape of the nostrils, resulting in smaller, narrower, and more refined nostrils while leaving the rest of the nose untouched. Alar base reduction surgery, on the other hand, adjusts the width of the bottom portion of the nose by making small incisions at the crease alongside the nose at the cheek and in the nostril, which can improve nasal symmetry, reduce nostril size, and achieve better facial harmony.

Mount Sinai's Division of Facial Plastic and Reconstructive Surgery

Mount Sinai's division of facial plastic and reconstructive surgery has a team of double - board - certified facial plastic surgeons. Their goal with rhinoplasty, which can involve nasal base reshaping, is to create natural, long - lasting results that improve the shape, size, and distinction of the nose. These surgeons have vast expertise in nasal function as well as nasal and facial aesthetics, ensuring that the new nose will not only look better but also breathe better.

They perform both closed/endonasal (without an external incision) and open/external rhinoplasty. The choice of approach depends on the patient's unique anatomy and functional and aesthetic goals. The division also takes a multidisciplinary approach, with patients having access to a wide range of specialists and subspecialists. For patients with specific concerns related to nasal breathing, nasal allergies, sinus disease, or deformity after cancer treatments, they work closely with Mount Sinai's widely recognized experts in the division of rhinology and sinus surgery and the head and neck institute.

Natural Look Institute

Dr. Yoel S. Shahar, the founder of the Natural Look Institute, 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. Dr. Shahar has a gifted sense of aesthetics and will enhance the patient's natural beauty while maintaining facial harmony.

He offers a personalized approach during the consultation, where he discusses the patient's goals, fears, and what bothers them about their nose. Dr. Shahar will never over - correct and always recommends alternatives or minimal procedures to achieve natural - looking cosmetic surgery results. He also has vast experience with diverse ethnic backgrounds, understanding the importance of maintaining unique characteristics. His track record of countless satisfied patients and testimonials is a testament to his skill.

Dr. Saman's Clinic

Dr. Saman's clinic is dedicated to providing the highest standard of care in alar base reduction surgery. The focus is on minimal invasiveness for maximum aesthetic enhancement, aiming to create a subtle yet impactful change in the nose shape that perfectly harmonizes with the patient's unique facial features.

Alarplasty, or alar base reduction surgery, at this clinic involves carefully making an incision in the natural crease of the nostril to remove excess tissue and reshape the nasal structure. The procedure can effectively reduce the width of wide nostrils, improve the nose shape and facial features, reduce nasal blockage, and is compatible with other rhinoplasty procedures. Dr. Saman also offers various types of rhinoplasty, including scarless rhinoplasty, ultrasonic rhinoplasty, ethnic rhinoplasty, asian rhinoplasty, and revision rhinoplasty.

Dr. Jeffrey Lisiecki's Practice

Dr. Jeffrey Lisiecki, a surgeon specially trained in facial aesthetic and rhinoplasty, offers alar base reduction in NYC. This common surgery, also known as alarplasty or nostril reduction surgery, aims to adjust the width of the nose's bottom part to reduce nostril size, improve nasal symmetry, and create facial harmony.

During the alarplasty procedure, the surgeon numbs the area, makes an incision to remove tissue where the nostril and the cheek meet, removes a wedge of the nostril, and brings the nostrils inwards. The specialists may combine several techniques for more satisfying results. The ideal candidates for this procedure should be in good health, non - smokers, have recovered from previous nose - related surgeries, and have realistic expectations about the outcome.

Understanding Nasal Base Reshaping Procedures

Types of Nasal Base Reshaping

Nasal base reshaping can involve several procedures, each tailored to the patient's specific needs. Here are some of the most common ones:

• Alar Base Reduction: This is one of the most popular procedures. It focuses on narrowing the alar base, which is the part of the nose where the nostrils meet the upper lip and cheek. By reducing the width of the alar base, the nose can appear more in proportion with the rest of the face. The techniques used can include alar wedge excision, nasal sill excision, and v - y advancement, as mentioned earlier.
• Nostril Reduction: This procedure is aimed at resizing and reshaping the nostrils. It can improve facial symmetry, correct asymmetrical nostrils, reduce nostril size, refine the nasal tip, and enhance overall facial harmony.
• Full Rhinoplasty: While not strictly just a nasal base reshaping procedure, rhinoplasty can also address the nasal base. It involves modifying the bone and cartilage of the nasal framework to change the overall shape, size, and function of the nose. It can be used to correct breathing problems, reconstruct a previously injured nose, or simply improve the aesthetics of the nose.

Candidates for Nasal Base Reshaping

Not everyone is a suitable candidate for nasal base reshaping procedures. Ideal candidates typically meet the following criteria:

• Good Health: Patients should be in good general health, as any underlying health conditions can increase the risks associated with surgery. They should have no major health issues such as heart disease, diabetes (uncontrolled), or other chronic illnesses.
• Realistic Expectations: It's crucial for patients to have realistic expectations about the results of the surgery. No surgery can create a "perfect" nose, and patients should understand that the outcome will be an improvement based on their unique facial features.
• Non - Smokers: Smoking can impede the healing process and increase the risk of complications. Therefore, non - smokers are generally better candidates for nasal base reshaping procedures. If a patient smokes, they are usually advised to quit at least a few weeks before and after the surgery.
• Specific Concerns: Patients should have specific concerns about the appearance or function of their nose related to the nasal base. For example, they may have wide nostrils, a wide alar base, or problems with nasal breathing that can be addressed through these procedures.

Benefits of Nasal Base Reshaping

The benefits of nasal base reshaping are numerous, both aesthetically and functionally:

• Aesthetic Improvement: One of the primary benefits is the enhancement of facial aesthetics. A well - proportioned nose can improve the overall balance and harmony of the face, making the patient look more attractive. It can correct asymmetries, reduce the size of wide nostrils, and create a more refined nasal appearance.
• Improved Self - Confidence: When patients are happy with the appearance of their nose, it can have a significant positive impact on their self - confidence. They may feel more comfortable in social situations and have a better self - image.
• Better Nasal Function: In some cases, nasal base reshaping can also improve nasal function. For example, reducing nasal blockage can improve breathing, which can lead to better sleep quality and overall well - being.

Preparing for Nasal Base Reshaping Surgery

Consultation

The first step in preparing for nasal base reshaping surgery is a consultation with a qualified surgeon. During this consultation, the surgeon will:

• Listen to the patient's concerns and goals for the surgery.
• Conduct a physical examination of the nose, including an evaluation of the nasal anatomy, skin thickness, and any pre - existing nasal issues.
• Discuss the available surgical options and recommend the most appropriate procedure based on the patient's needs and anatomy.
• Show before - and - after photos of previous patients to give the patient an idea of the potential results.
• Answer any questions the patient may have about the surgery, including the risks, recovery process, and expected downtime.

Medical Evaluation

The surgeon may also request a medical evaluation, which may include:

• A review of the patient's medical history, including any past surgeries, allergies, and current medications.
• Blood tests to check for any underlying health conditions or to assess the patient's general health status.
• Imaging studies, such as X - rays or CT scans, to get a better understanding of the nasal structure.

Lifestyle Changes

Patients are usually advised to make some lifestyle changes before the surgery, such as:

• Quitting smoking at least two weeks before and after the surgery to promote better healing.
• Avoiding alcohol consumption for a certain period before the surgery, as alcohol can thin the blood and increase the risk of bleeding.
• Discontinuing the use of certain medications, such as blood - thinning medications (e.g., aspirin, ibuprofen), as they can also increase the risk of bleeding. This should be done under the guidance of the surgeon.

The Surgical Process

Anesthesia

The type of anesthesia used for nasal base reshaping surgery depends on the complexity of the procedure and the patient's preference. Options include:

• Local Anesthesia: This is often used for less invasive procedures, such as some cases of alar base reduction. Local anesthesia numbs the area around the nose, and the patient may be given a sedative to help them relax during the surgery.
• General Anesthesia: For more extensive procedures, such as full rhinoplasty, general anesthesia is usually used. Under general anesthesia, the patient is unconscious throughout the surgery.

Surgical Techniques

The specific surgical techniques used for nasal base reshaping vary depending on the procedure. As mentioned earlier, alar base reduction can involve alar wedge excision, nasal sill excision, or v - y advancement. Nostril reduction may involve making incisions at the base of the nose to adjust the size and shape of the nostrils. In rhinoplasty, the surgeon may sculpt the bone and cartilage of the nasal framework through carefully concealed incisions.

Duration of Surgery

The duration of the surgery also depends on the complexity of the procedure. Simple alar base reduction or nostril reduction procedures may take around one to two hours, while more complex rhinoplasty surgeries can take three to four hours or even longer.

Recovery Process

Immediate Post - Surgery

After the surgery, patients will usually spend some time in the recovery area under the supervision of medical staff. They may experience some swelling, bruising, and discomfort in the nose area. A nasal splint may be placed to support the nose and help it heal in the correct shape. The patient may also be given pain medication to manage any pain.

Initial Recovery Period

The initial recovery period typically lasts about one to two weeks. During this time, patients should expect the following:

• Swelling and bruising around the nose and eyes, which will gradually subside. The swelling may be more noticeable in the first few days after surgery and will start to improve over time.
• Restricted physical activity. Patients are usually advised to avoid strenuous exercise, bending over, and heavy lifting for at least a few weeks to prevent excessive bleeding and swelling.
• Follow - up appointments with the surgeon to monitor the healing process and remove any sutures or the nasal splint. Sutures are typically removed about one week after surgery.

Long - Term Recovery

Full recovery from nasal base reshaping surgery can take several months. The swelling may continue to improve gradually over this time, and the final results of the surgery will become more apparent. Patients should follow the surgeon's post - operative instructions carefully, which may include:

• Keeping the nose clean and dry to prevent infection.
• Avoiding wearing glasses on the nose for a certain period to prevent pressure on the healing nose.
• Using any prescribed medications, such as antibiotics or nasal sprays, as directed.

Risks and Complications

Like any surgical procedure, nasal base reshaping surgery carries some risks and potential complications, although they are relatively rare when performed by an experienced surgeon. Some of the possible risks include:

• Infection: There is a small risk of infection at the surgical site. Symptoms of infection may include increased pain, redness, swelling, and discharge. Patients who experience these symptoms should contact their surgeon immediately.
• Bleeding: Some bleeding is normal after surgery, but excessive bleeding can be a complication. In rare cases, patients may require additional treatment to control the bleeding.
• Scarring: While surgeons try to minimize scarring, there may be some visible scarring, especially with more invasive procedures. However, the scars are usually well - hidden and fade over time.
• Asymmetry: Achieving perfect symmetry is challenging, and there is a possibility of some asymmetry in the nose after surgery. In most cases, this is minor and may not be noticeable, but in some cases, additional surgery may be required to correct it.