Introduction
In the bustling metropolis of New York City, the plastic surgery landscape is constantly evolving. The recent emergence of new large - scale plastic surgery hospitals dedicated to removing nasal prostheses has caught the attention of many. Rhinoplasty, a common plastic surgery procedure, can sometimes lead to the need for nasal prosthesis removal due to various reasons. In this article, we will explore the different aspects of rhinoplasty, nasal prosthesis removal, and the prominent hospitals and surgeons in New York City that are at the forefront of these procedures.
Understanding Rhinoplasty
What is Rhinoplasty?
Rhinoplasty, commonly known as a “nose job,” is one of the most common cosmetic surgeries performed in the United States. According to the latest statistics from the American Society of Plastic Surgeons, more than 213,000 people receive a nose job each year. The nose is the most central and defining feature on the face, and rhinoplasty aims to create natural, long - lasting results that improve the shape, size, and distinction of the nose. At Mount Sinai’s division of facial plastic and reconstructive surgery, the goal with each patient’s rhinoplasty is to enhance both the aesthetics and the function of the nose.
Functions of the Nose
The nose not only plays a prominent role in facial aesthetics but is also the primary organ of smell and functions as a vital part of the respiratory system. During a rhinoplasty, the facial plastic surgeons at Mount Sinai, who are double - board - certified in facial plastic and reconstructive surgery and otolaryngology (ear, nose, and throat), take into account both the external appearance and the internal functionality of the nose. They ensure that the new nose not only looks better but also breathes better.
Types of Rhinoplasty
| Type | Description |
|---|---|
| Primary Rhinoplasty | This surgery is performed for the first time to address cosmetic concerns and/or nasal breathing. For example, a patient may want to change the size and shape of the nose, modify the bridge, or increase or decrease the size of the nostril openings. |
| Revision Rhinoplasty | This procedure is performed to address concerns or deformities resulting from prior nose surgeries. Sometimes, the initial rhinoplasty may not achieve the desired results, or complications may arise, necessitating a revision. |
Open and Closed Rhinoplasty Techniques
There are two main techniques used in rhinoplasty: open (external) and closed (endonasal) rhinoplasty.
- Closed (Endonasal) Rhinoplasty: During this closed surgical approach, all of the incisions are made inside the nose. The advantage of this approach is the lack of an external scar and the relatively shorter duration of the operation. It is suitable for patients who require minor alterations to their nasal structures.
- Open (External) Rhinoplasty: In this open approach, a small incision is added at the base of the nose to increase the surgical field of vision. This approach allows for better visualization of the nasal anatomy and more complex alterations and grafting to be performed. It is typically used for patients who need more extensive nose reshaping.
Specific Rhinoplasty - Related Procedures
Nostril Reduction Surgery
Wide or flared nostrils are a common complaint among patients seeking rhinoplasty. Nostril reduction surgery can be performed without completing a complete nose job. At LM Medical NYC in Greenwich Village and the Upper East Side, small, discreet incisions can be made at the base of the nose to adjust the size and shape of the nostrils. This can result in smaller, narrower nostrils that look more refined, while the rest of the nose is left untouched. Dr. Casian Monaco at a clinic in New York City’s Upper East Side also specializes in nostril reduction surgery, focusing on resizing and reshaping the nostrils for enhanced facial symmetry.
Alar Base Reduction Surgery
The alar base is the triangular portion of the nose where the nostrils meet the upper lip and cheek. When the alar base is wide, it can seem disproportionate to the rest of the nose, or the nose may seem out of balance with the mouth and other facial features. Alar base reduction surgery adjusts the width of the bottom portion of the nose. Small incisions can be placed at the crease alongside the nose at the cheek and in the nostril to adjust the alar base. The result can improve nasal symmetry, reduce nostril size, and achieve better facial harmony.
Saddle Nose Repair
When the bridge of the nose collapses due to damage or injury, it can create a saddle nose deformity. Dr. Maurice M. Khosh, a double - board - certified facial plastic surgeon in Manhattan, specializes in saddle nose repair. He restores the structure and aesthetics of the nose for his patients. Surgical cartilage grafting is often required for major saddle nose deformities or to permanently repair the nose. Dr. Khosh has extensive experience in completing the needed cartilage harvesting and grafting to restore the support and shape of the nose.
Reasons for Nasal Prosthesis Removal
There are several reasons why a patient may need to have their nasal prosthesis removed:
- Infection: An infection around the nasal prosthesis can occur, which may be difficult to treat with antibiotics alone. In such cases, removing the prosthesis is often necessary to resolve the infection.
- Rejection: The body's immune system may reject the nasal prosthesis, leading to inflammation and other complications. This can cause discomfort and may affect the overall appearance of the nose.
- Unsatisfactory Results: Sometimes, the initial rhinoplasty with a prosthesis may not achieve the desired aesthetic results. The patient may be unhappy with the shape, size, or position of the nose, prompting them to seek removal of the prosthesis.
- Complications: Complications such as extrusion of the prosthesis, where it starts to push through the skin, or changes in the nasal tissue around the prosthesis, can also necessitate its removal.
Top Plastic Surgery Hospitals and Surgeons in New York City for Nasal Procedures
Mount Sinai
Mount Sinai’s division of facial plastic and reconstructive surgery is well - known for its rhinoplasty services. The facial plastic surgeons here are double - board - certified in facial plastic and reconstructive surgery and otolaryngology. They offer both open and closed rhinoplasty techniques and take a multidisciplinary approach, working closely with other specialists in the hospital, such as those in the division of rhinology and sinus surgery and the head and neck institute. This ensures that patients receive comprehensive care, especially for those with specific concerns related to nasal breathing, allergies, or sinus disease.
New York Group for Plastic Surgery
The New York Group for Plastic Surgery offers the best rhinoplasty in New York City. Dr. Jordan Jacobs at this institution has undergone extensive training under globally acclaimed medical leaders. He is dedicated to refining his expertise in the field. The group provides personalized rhinoplasty procedures, tailoring the medical program to each patient's specific needs based on their facial structure and goals. They offer both open and closed rhinoplasty techniques and can also combine rhinoplasty with other facial cosmetic procedures for an overall facial improvement with a single recovery period.
LM Medical NYC
LM Medical NYC in Greenwich Village and the Upper East Side offers nostril reduction surgery and alar base reduction. Dr. Lesley Rabach, a top double - board - certified facial plastic surgeon at this clinic, specializes in rhinoplasty and cosmetic nose surgery. She can address patients' concerns about wide or flared nostrils and help them achieve a more balanced and refined nose.
Dr. Maurice M. Khosh
Dr. Maurice M. Khosh is a renowned facial plastic surgeon in Manhattan, especially known for his expertise in saddle nose repair. He has received many awards and accolades for his achievements in the field of facial plastic surgery. Dr. Khosh has a special passion for completing challenging procedures and ensures that his patients not only have their nasal structure restored but also achieve an aesthetically balanced nose with their facial features.
Pre - and Post - Surgery Care
Pre - Surgery
Patients interested in rhinoplasty or nasal prosthesis removal at these institutions typically start with an extensive consultation. The surgeons will identify areas of concern and review the patient's goals. They will then develop an individualized treatment plan. Prior to surgery, patients are given instructions regarding medications and how to prepare for their recovery. This may include avoiding certain medications that can increase the risk of bleeding, such as aspirin, and following a specific diet or lifestyle modifications.
Post - Surgery
Rhinoplasty surgery is usually performed in an outpatient setting under general anesthesia or with a combination of local anesthesia and sedation. After surgery, patients are usually given a short course of antibiotics and mild pain medication 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 should expect to return to work or school within one to two weeks after surgery but are asked to avoid strenuous activities for two weeks after surgery.
Cost Considerations
The cost of rhinoplasty and nasal prosthesis removal can vary depending on several factors:
- Insurance Coverage: Insurance may cover surgery performed to improve breathing (e.g., deviated septum), but it does not cover surgery that is done for cosmetic reasons. For example, if a patient needs to remove a nasal prosthesis due to a functional issue such as an infection affecting breathing, insurance may provide some coverage, but if it is for purely aesthetic dissatisfaction, the patient will likely be responsible for the full cost.
- Type of Surgery: Revision rhinoplasty or complex procedures such as saddle nose repair are generally more expensive than primary rhinoplasty. The complexity of the nasal prosthesis removal, especially if there are complications or if it is part of a revision surgery, can also increase the cost.
- Anesthesia: The type of anesthesia used during the surgery and the duration of time spent under anesthesia also impact the cost. Procedures performed under general anesthesia are generally more expensive than those done under local anesthesia with sedation.
- Surgeon Experience and Reputation: Highly reputable surgeons with extensive experience may charge more for their services. For example, a well - known surgeon like Dr. Maurice M. Khosh may have a higher fee due to his expertise and track record of successful surgeries.
Conclusion
In 2025, New York City's new large - scale plastic surgery hospitals dedicated to removing nasal prostheses offer a wide range of services related to rhinoplasty and nasal procedures. From primary rhinoplasty to complex revision surgeries, and from nostril reduction to saddle nose repair, patients have access to top - notch surgeons and comprehensive care. The reasons for nasal prosthesis removal are diverse, and each patient's case is unique. Pre - and post - surgery care is crucial for a successful outcome, and cost is an important consideration that patients need to take into account.
If you are considering a rhinoplasty or nasal prosthesis removal in New York City, we encourage you to reach out to these top institutions and surgeons for a consultation. Explore your options, discuss your goals, and make an informed decision that is right for you. Share this article with others who may be interested in learning more about these plastic surgery procedures in the city.
