The new list of hospitals for nasal valve inversion correction in New York City is out!

Introduction

Nasal valve inversion correction is a crucial surgical procedure that can significantly enhance both the appearance and function of the nose. In New York City, a new list of hospitals specializing in this procedure has been released, offering hope to those suffering from nasal valve - related issues. Before delving into the details of the hospitals, it is essential to understand what nasal valve collapse is, its causes, symptoms, and the various treatment options available.

Understanding Nasal Valve Collapse

What are Nasal Valves?

The nasal valves are the narrow passages that allow air into the nose. Beginning at the nostrils, they run through the protruding portion of the nose into the sinus cavity. There are two main types of nasal valves: the internal and external nasal valves. The internal nasal valve is located at the top and narrowest area of the nose, ensuring airflow through the area at the top of the bridge. The external nasal valves are in the nostrils and allow the flare of the nostrils.

What is Nasal Valve Collapse?

Nasal valve collapse, also known as vestibular stenosis, refers to the loss of cartilage support that keeps the sidewalls of the nose open during breathing. It is the most commonly missed diagnosis in patients with persistent nasal obstruction, especially those who do not see relief from allergy treatment or deviated septum surgery.

Causes of Nasal Valve Collapse

1. Congenital Defects: Some individuals are born with a weak nasal valve structure, which can lead to collapse without any trauma. For example, a congenital narrow nostril can contribute to nasal valve problems.
2. Trauma to the Nose: Trauma or injury to the nose can occur in auto - accidents, contact sports, or as a result of violence. This can damage the structure of the nose, including the cartilage that supports the nasal valves. For instance, an undetected cartilage fracture of the nose can lead to nasal valve collapse.
3. Deviated or Perforated Septum: A deviated septum, where the bone and/or cartilage portion of the nose is deflected to one side, can cause mechanical obstruction. This deflection can be a result of normal development or facial/nasal trauma. A perforated septum can also affect the nasal valve's function.
4. Damage from Inhaled/Snorted Chemicals or Drugs: Prolonged use of certain chemicals or drugs inhaled or snorted through the nose can damage the nasal tissues and cartilage, leading to nasal valve collapse.
5. Previous Rhinoplasty: A poorly executed nose job is a common cause of collapsed nasal valves. When too much cartilage is removed or the nose is reshaped too narrowly, it can cause the nasal valve to collapse. The nose may appear “pinched,” and the airways can be obstructed.
6. Aging: As a person ages, the cartilage in the nose can become weaker, leading to progressive weakness, droopy tip heaviness, and narrowing of the valves. The type of collapse may be fixed or dynamic, with dynamic vestibular stenosis symptoms often noticed during exercise or sleep.

Symptoms of Nasal Valve Collapse

• Severe nasal congestion
• Resistance when breathing
• Nosebleeds
• Obstruction of the nasal and sinus passageways
• Snoring
• Mouth breathing
• Crusting around the nostril

A simple technique to test for nasal valve collapse is the Cottle's maneuver. By pulling either cheek to hold the nostril to the side, if breathing improves, it may indicate a nasal valve collapse. However, a proper diagnosis by a medical professional is still necessary.

Treatment Options for Nasal Valve Collapse

Non - Surgical Treatments

Some non - surgical treatments can provide temporary relief for nasal valve collapse. One such option is the use of breathe - right strips. These strips stent the sidewalls of the nose in a more open position, widening the internal nasal valve and decreasing resistance during breathing. However, they do not offer a permanent solution to the problem.

Surgical Treatments

Surgical correction is often required for a permanent solution to nasal valve collapse. The following are some common surgical procedures:

1. Cartilage Grafts: Surgical correction of nasal valve collapse often involves using cartilage grafts to restore support to the sidewalls of the nose. For the internal nasal valve, spreader grafts or onlay grafts are placed in the middle nasal vault. The external nasal valve can be treated with alar batten grafts, lateral crural strut grafts, or columellar strut grafts to restore the lower third of the nose. If there is no cartilage left in the nasal septum, ear cartilage or rib cartilage may be used.
2. Minimally Invasive Suture Techniques: These techniques can be used without cartilage grafts to widen the nasal valve. They are relatively less invasive and may have a shorter recovery time.
3. Septoplasty: In cases where a deviated septum is contributing to nasal valve collapse, septoplasty may be performed. The goal of this surgery is to reposition the deviated cartilage and bone in the septum to the middle or “midline” of the nose, opening the nasal airway and relieving obstruction.
4. Revision Rhinoplasty: If the nasal valve collapse was caused by a previous rhinoplasty, revision rhinoplasty can be performed to repair the nose's function and restore its desired shape. This may involve correcting issues such as a pinched or over - narrowed nose.

New List of Hospitals for Nasal Valve Inversion Correction in New York City

1. LM Medical NYC

At LM Medical NYC, they offer nasal valve repair surgery to restore the shape and function of the nose. Dr. Lesley Rabach, a talented facial plastic surgeon, can perform nasal valve repair surgery to open collapsed nasal passages. If the nasal collapse was caused by a poor nose job, Dr. Lesley can complete rhinoplasty revision. Patients can schedule an exam and consultation with her at clinics in Greenwich Village and the Upper East Side to discuss their nasal valve repair options.

2. Facial Plastic Surgery NYC - Dr. Rousso

Dr. Rousso offers nasal valve repair surgery to relieve patients with collapsed valves and improve their health and comfort. He is an expert at rhinoplasty revisions, including repairing nasal valves that have collapsed due to a poorly executed nose job. Additionally, he can address nasal valve collapse caused by trauma and congenital issues. Repairing nasal valves can be simple or complex depending on the location of the collapse, and more extensive surgery often involves cartilage grafts and other reconstructive techniques.

3. Center for Cosmetic Plastic Surgery - Dr. Tadros

Dr. Tadros provides nasal valve collapse surgery at the center in NJ & NYC. As one of the best ENT (Ear, Nose, and Throat) doctors in New York, he accepts most POS and PPO insurances for any medical issues related to the nose as an out - of - network provider. He has in - depth knowledge of nasal valve collapse, its causes, and the appropriate surgical treatments.

4. Dr. Maurice M. Khosh

Dr. Khosh is an expert in the diagnosis and treatment of nasal valve obstruction and nasal vestibular stenosis repair. He published one of the first scientific articles pertaining to the management of nasal valve obstruction and has lectured nationally on the “prevention and treatment of nasal valve collapse during rhinoplasty.” He can offer solutions for patients suffering from nasal obstruction following rhinoplasty or nasal trauma.

5. Dr. Joshua D. Rosenberg

Dr. Joshua D. Rosenberg offers nasal valve repair with septoplasty or revision rhinoplasty at his offices in NYC and the Upper East Side. He has expertise in correcting both internal and external nasal valve damage. For internal nasal valve repairs, he may use spreader grafts to open the valves, and external nasal valve repairs are part of a rhinoplasty surgery to improve the nostrils' and lower nasal passages' support and shape for better airflow and appearance.

6. Mount Sinai - New York

Mount Sinai offers multiple treatment options for patients with nasal obstruction, including nasal valve stenosis. They have a comprehensive approach, ranging from minor in - office procedures to complex nasal reconstruction using advanced techniques such as autologous rib grafting. Their team actively participates in research and tracks surgical outcomes to provide the highest quality of care.

7. NY Facial Plastics - Dr. Horn

At NY Facial Plastics, Dr. Horn, a highly skilled board - certified surgeon, performs nasal valve repair. This procedure is used for both cosmetic and reconstructive purposes, including improving breathing, correcting birth defects, and changing the shape of the nose. The center is committed to helping patients achieve both functional and cosmetic outcomes.

8. Klausner Institute - Dr. Lee Ann M. Klausner

Dr. Lee Ann M. Klausner, a double - board - certified facial plastic surgeon, can permanently correct nasal valve collapse issues. As one of NYC's leading experts in cosmetic rhinoplasty, functional rhinoplasty, revision rhinoplasty, and septal perforation repair, she rebuilds the nose during surgery, often using cartilage grafting to create more structural support. She can effectively address both the aesthetic and medical needs of patients.

Benefits of Seeking Treatment in New York City Hospitals

New York City is a hub for medical excellence, and the hospitals on this new list offer several benefits:

1. Expert Surgeons: The hospitals have highly skilled and experienced surgeons who are experts in nasal valve inversion correction. These surgeons have in - depth knowledge of the nose's anatomy and physiology and are well - versed in the latest surgical techniques.
2. Advanced Technology: NYC hospitals are equipped with state - of - the - art medical technology, which allows for more accurate diagnoses and more effective treatments. This technology can enhance the surgical outcomes and reduce the risk of complications.
3. Comprehensive Care: Patients can expect comprehensive care, from initial consultation to post - operative follow - up. The hospitals offer personalized treatment plans based on each patient's specific needs and conditions.
4. Research and Innovation: Many of these hospitals are involved in research and clinical trials, which means patients may have access to the latest treatment options and innovative surgical techniques.

Considerations When Choosing a Hospital for Nasal Valve Inversion Correction

When selecting a hospital for nasal valve inversion correction, the following factors should be considered:

1. Surgeon's Experience: Check the surgeon's experience in performing nasal valve repair surgeries. Look for their success rates, patient testimonials, and any relevant publications or research.
2. Hospital Reputation: Research the hospital's reputation for providing high - quality care in the field of facial plastic surgery and nasal procedures. Online reviews and patient feedback can be helpful in this regard.
3. Insurance Coverage: Determine if the hospital and the procedure are covered by your insurance. Some insurance companies may have specific protocols that need to be met before approving the surgery.
4. Location and Accessibility: Consider the hospital's location and how easy it is for you to travel to and from the facility. You will need to attend pre - operative consultations and post - operative follow - up appointments.
5. Cost: Understand the total cost of the procedure, including surgical fees, anesthesia fees, hospital charges, and any post - operative medications or care. Compare the costs among different hospitals, but remember that quality of care should be the primary consideration.

Recovery After Nasal Valve Inversion Correction

The recovery process after nasal valve inversion correction can vary from patient to patient. However, some general guidelines can be provided:

1. Immediate Post - Operative Period: Right after the surgery, patients may experience some swelling and bruising around the nose. Pain can be managed with over - the - counter painkillers such as ibuprofen or aspirin. It is important to keep the head elevated to reduce swelling.
2. Swelling and Healing: The nose may remain swollen for 2 - 8 weeks, depending on the individual's healing time. Most patients are able to return to their regular physical activity two weeks after surgery, but strenuous activities should be avoided for a longer period.
3. Post - Operative Appointments: It is crucial to attend all post - operative doctor appointments to ensure proper healing. The doctor will monitor the progress, remove any sutures or stents if necessary, and provide instructions on care and medications.
4. Aftercare: Patients should avoid blowing their nose during the recovery period to prevent any damage to the surgical site. Following the doctor's instructions regarding diet, hygiene, and rest is essential for a smooth recovery.

Conclusion

The release of the new list of hospitals for nasal valve inversion correction in New York City is a significant development for those suffering from nasal valve collapse. Nasal valve collapse can have a profound impact on a person's quality of life, affecting breathing, sleep, and overall well - being. With the availability of expert surgeons, advanced technology, and comprehensive care in these NYC hospitals, patients have a better chance of successful treatment and improved nasal function. Whether the cause of nasal valve collapse is congenital, due to trauma, or a previous nose job, there are effective treatment options available.

If you are experiencing symptoms of nasal valve collapse, we encourage you to take action. Consult with one of the hospitals on this list to discuss your condition and explore the treatment options. Don't let nasal valve issues hold you back from living a healthy and comfortable life. Share this information with others who may benefit from it, and continue to educate yourself about nasal health and the latest advancements in nasal valve correction procedures.