The New Ranking of Public Plastic Surgery for Nasal Tip Rotation Plasty in New York City is Released!

New York City is renowned as a global hub for plastic surgery, and nasal tip rotation plasty is one of the most sought - after procedures. With the release of the new ranking of public plastic surgery for nasal tip rotation plasty, patients now have a clearer understanding of the top surgeons and clinics in the city. In this comprehensive article, we will delve into the details of nasal tip rotation plasty, the top surgeons in New York City, the different techniques involved, and what patients should consider before undergoing the procedure.

Understanding Nasal Tip Rotation Plasty

What is Nasal Tip Rotation Plasty?

Nasal tip rotation plasty is a surgical procedure aimed at changing the angle and position of the nasal tip. It can improve the overall appearance of the nose by enhancing facial symmetry and creating a more aesthetically pleasing profile. The nose is a central feature of the face, and even a slight adjustment to the nasal tip can have a significant impact on a person's facial aesthetics.

Why People Choose Nasal Tip Rotation Plasty

• Aesthetic Improvement: Many individuals are dissatisfied with the appearance of their nasal tip, such as a droopy or bulbous tip. Nasal tip rotation plasty can refine the tip, making it more proportionate to the rest of the face and creating a more balanced and attractive look.
• Correcting Deformities: Some people may have nasal tip deformities due to birth defects, trauma, or previous surgeries. This procedure can correct these issues and restore a normal - looking nasal tip.
• Boosting Self - Confidence: An improved appearance can have a positive impact on a person's self - esteem and confidence. When patients are happy with the appearance of their nose, they may feel more comfortable in social and professional situations.

Top Surgeons for Nasal Tip Rotation Plasty in New York City

Dr. Andrew Jacono

Dr. Andrew Jacono is one of the most highly regarded rhinoplasty surgeons in New York City and the United States. He is the surgical director of the New York Center for Facial Plastic and Laser Surgery. Renowned for his unique and innovative surgical approach, he has extensive training in surgical rhinoplasty.

Dr. Jacono has pioneered less - invasive techniques that avoid breaking the nose and removing excessive cartilage, which can lead to an overdone look. He has also developed a customized approach to preserving ethnic identity during rhinoplasty while achieving a natural, beautiful nasal definition. His rhinoplasty practice, located in the heart of New York City on Park Avenue and 66th Street, has been featured on the cover of the Plastic Surgery Practice Journal. He has been voted one of the best rhinoplasty surgeons in America and named a top rhinoplasty doctor in Grazia magazine. Harper's Bazaar has elected him as one of the top facial plastic surgeons in America, specifically noting his expertise in minimally invasive rhinoplasty, eyelid lifts, and mini facelifts. He has also been chosen as one of the top rhinoplasty surgeons in the world by the prestigious Castle Connolly independent organization for rating doctors.

Dr. Kassir

Dr. Kassir is a triple - board - certified facial plastic surgeon with extensive experience performing nasal tip rhinoplasty. He works closely with patients to create a personalized treatment plan to help them achieve their desired results. The benefits of having nasal tip rhinoplasty with Dr. Kassir include improved appearance, boosted self - confidence, and in some cases, improved breathing. The recovery after this procedure is often faster than other types of nose surgery as no bone is removed during the operation. He uses advanced techniques, making small incisions either inside the nostrils (endonasal approach) or across the columella (open approach) to sculpt and reposition the cartilage and soft tissue, and in some cases, may also use grafting cartilage for support.

Dr. David Cangello

Dr. David Cangello is a board - certified plastic surgeon highly experienced in performing rhinoplasty to correct a bulbous nasal tip. He takes a comprehensive approach in every nasal tip surgery he performs. Traditional techniques for nasal tip refinement often result in an unnatural appearance, but Dr. Cangello utilizes state - of - the - art rhinoplasty techniques, such as an endonasal approach (a minimally - invasive “closed” method), to refine a bulbous nasal tip without compromising the patient's underlying nasal structure. He reconfigures the tip cartilages and adds strategically placed dissolvable sutures to produce a structured yet natural - looking nasal tip. For patients with dense or thicker nasal skin, he may determine that debulking of the fibrous fatty tissue around the nasal tip and using a septal extension graft are necessary for an optimal result. He has been lauded as NYC’s foremost rhinoplasty expert and has been featured on CBS and Fox News, as well as in countless web and print publications.

Dr. Philip J. Miller

Dr. Philip J. Miller is a distinguished double - board - certified facial plastic surgeon with more than 20 years of expertise and experience in Manhattan, New York. He offers nose tip surgery to patients looking for more subtle improvement. His tip plasty procedure focuses specifically on the nose tip and may involve tip reduction or adjustments to create a better angle and more pleasing look. He uses the natra look® process to evaluate and expand the typical plastic surgery experience, ensuring that patients receive natural and pleasing results. He conducts thorough and patient - centric treatment plans, examining the entire face to create better facial symmetry and a more flattering nose shape, which can improve the patient's quality of life by addressing aesthetic concerns that impact self - confidence.

Dr. Barry Weintraub

Dr. Barry Weintraub is a board - certified and Ivy League - educated plastic surgeon. He is a national spokesperson for the American Board of Plastic Surgery and has more than two decades of experience. He performs rhinoplasty surgery at his New York City office. His approach to rhinoplasty combines both functional and aesthetic considerations. Functional rhinoplasty addresses breathing problems such as nasoseptal deviation, turbinate hypertrophy, and middle - vault collapse, while cosmetic rhinoplasty corrects aesthetic issues like a hump on the nose, a bulbous tip, or nostrils of an improper size. He performs all of his surgeries with precision and care, striving for the best, as he understands that his patients will live with the result for the rest of their lives. A significant portion of his practice involves complex revision rhinoplasties, and he takes great pride in helping patients who were dissatisfied with the results of prior surgeries.

Techniques Used in Nasal Tip Rotation Plasty

Tongue - in - Groove Technique

The tongue - in - groove technique was originally described for the treatment of an elongated nose by Rethi in 1934. In this technique, the medial crura are advanced cephaloposteriorly onto the caudal septum. It can be performed in both open and endonasal rhinoplasty. According to a study in "Preserving Nasal Tip Rotation and Projection in Open Septorhinoplasty", patients who underwent a tongue - in - groove procedure had a significant increase in nasal tip rotation at 1 - year post - operatively. However, this technique may require overcorrection due to possible loss of nasal tip rotation over time, which could be attributable to gravitational forces on the nasal tip and the intrinsic resiliency of the lateral crura.

Caudal Septal Extension Graft

The caudal septal extension graft was first described by Byrd et al in 1997. It is used to control nasal length, tip rotation, projection, and shape. The medial crura are fashioned similarly to the tongue - in - groove technique but are secured to a cartilage graft fixed to the caudal septum. This graft lengthens the caudal septum and can decrease nasal tip rotation when needed. The study also found that patients who had a caudal septal extension graft had a significant decrease in nasal tip rotation at 1 - year post - operatively. The change is likely due to the loss in nasal tip rotation over time because of gravitational forces, similar to the tongue - in - groove technique.

Caudal Septal Replacement Graft

The caudal septal replacement graft was introduced by Foda in 2008 for restoring nasal tip support in cases with caudal septal deficiency. It is used when there is significant caudal septal deficiency or deformity, requiring complete replacement of the caudal strut. Although there was a trend toward increased nasal tip rotation in patients receiving a caudal septal replacement graft in the study, the difference was not significant. When performing this procedure, additional variables need to be considered compared to the other two techniques, as the caudal septal replacement graft must be secured to the nasal spine and crest, as well as the dorsal septum, and is typically performed with extended spreader grafts.

Comparing Different Techniques

Preparing for Nasal Tip Rotation Plasty

Choosing the Right Surgeon

Selecting a qualified and experienced surgeon is crucial for the success of nasal tip rotation plasty. Patients should check for board certification, preferably by the American Board of Plastic Surgery. They should also look into the surgeon's reputation among other medical professionals and patient testimonials. Speaking to patients who have undergone similar procedures with the surgeon can provide valuable insights. Additionally, patients should ensure that the surgeon has hospital privileges and operates in a safe and sterile environment.

Consultation

During the consultation, patients should be open and honest about their concerns and goals. The surgeon will examine the nose, take measurements, and may use imaging techniques to show the patient the potential results. They will also discuss the appropriate technique for the patient's nose and explain the procedure, including the risks, recovery process, and expected outcomes. Patients should ask questions during the consultation to ensure they have a clear understanding of everything.

Medical Clearance

Patients will need to provide medical clearance from their family physician. This is to ensure that they are in good general health and can safely undergo the surgery. The physician may perform a physical examination, order blood tests, and review the patient's medical history.

Pre - operative Instructions

Surgeons will provide pre - operative instructions to patients, which may include avoiding certain medications that can increase bleeding, such as aspirin and non - steroidal anti - inflammatory drugs, for a certain period before the surgery. Patients may also be advised to stop smoking, as it can delay the healing process. They will be given prescriptions to be filled in advance, such as antibiotics and pain medication.

The Procedure and Recovery

The Procedure

Nasal tip rotation plasty is usually performed under general anesthesia or a combination of local anesthesia and sedation. The surgeon will make incisions, either inside the nostrils (endonasal approach) or with a small additional incision at the base of the nose (open approach). Through these incisions, the surgeon will manipulate the cartilage and soft tissue to change the angle and position of the nasal tip. Grafts may be used to support and contour the final result. After the surgery, the nose will be taped or splinted to help with swelling and to hold the new shape in place.

Recovery

The recovery process varies from patient to patient. There will be some swelling and bruising, which is normal. The majority of swelling usually subsides within the first two weeks, but it may take up to a year for all the swelling to fully fade. Patients are usually advised to take one to two weeks off work or school and avoid strenuous activities for at least two weeks after surgery. They should also sleep facing upright and elevated to minimize swelling. The surgeon will provide specific instructions on how to care for the nose during the recovery period, such as keeping the incisions clean and following the medication schedule.

Cost and Insurance

Cost Factors

The cost of nasal tip rotation plasty can vary widely. Factors that influence the cost include the surgeon's fees, which are based on their experience and the complexity of the procedure. The type and length of anesthesia, as well as who administers it, also contribute to the cost. The location of the surgery, whether it is in the doctor's own surgical suite or a hospital, is another factor. Additionally, pre - and post - surgery care, including tests, garments, and medication, can affect the overall cost.

Insurance Coverage

Insurance may cover the surgery if it is performed to improve breathing, such as in cases of a deviated septum. However, if the surgery is for cosmetic reasons, it is usually not covered by insurance. Patients should check with their insurance provider before the surgery to understand their coverage.

Risks and Complications

As with any surgical procedure, nasal tip rotation plasty has some risks and complications. These may include infection, bleeding, bruising, nasal blockage, numbness in the tip of the nose, and difficulty breathing through the nose. There is also a risk of an unsatisfactory aesthetic result, such as an unnatural - looking nose or asymmetry. However, the risk of complications can be minimized by choosing a qualified and experienced surgeon and following the pre - and post - operative instructions carefully.

Conclusion

The new ranking of public plastic surgery for nasal tip rotation plasty in New York City provides valuable information for patients considering this procedure. With top - notch surgeons like Dr. Andrew Jacono, Dr. Kassir, Dr. David Cangello, Dr. Philip J. Miller, and Dr. Barry Weintraub, patients have access to high - quality care and expertise. By understanding the different techniques, preparing for the procedure, and being aware of the recovery process, risks, and costs, patients can make an informed decision.

If you are considering nasal tip rotation plasty, we encourage you to schedule a consultation with a qualified surgeon in New York City. Take the time to research and find the surgeon who best meets your needs and expectations. Remember, a successful nasal tip rotation plasty can not only improve your appearance but also boost your self - confidence and quality of life.