When it comes to reconstructing the internal structure of the nostrils in New York City, patients are often on the lookout for institutions with a stellar reputation. The following are five such institutions that stand out in the field, each offering specialized expertise and a range of treatment options to address different nasal concerns.
1. Mount Sinai - New York
Mount Sinai is a well - known institution for rhinoplasty and nasal reconstruction. Its division of facial plastic and reconstructive surgery is staffed with double - board certified facial plastic and reconstructive surgeons who are also experts in otolaryngology (ear, nose, and throat). This dual expertise ensures that patients not only achieve aesthetic improvements but also enjoy better nasal function.
Treatment Approaches
- Closed/Endonasal Rhinoplasty: All incisions are made inside the nose, resulting in no external scar and a relatively shorter operation time. This approach is suitable for less complex cases where the nasal framework can be accessed and modified from within the nostrils. For example, patients with minor asymmetries or slight modifications to the nasal tip may benefit from this technique.
- Open/External Rhinoplasty: A small incision is added at the base of the nose to increase the surgical field of vision. This allows for more complex alterations and grafting to be performed. It is often used for cases where extensive reconstruction of the nasal framework, such as correcting a severely deviated septum or rebuilding a damaged nose, is required.
Patient Considerations
- For adolescent patients, if the rhinoplasty is for cosmetic reasons, girls are typically advised to wait until around age 15 (after puberty), and boys until 17 or 18 years when their nasal bones have reached adult size. However, if the surgery is to correct a breathing problem or repair an injury, it can be performed earlier.
- The cost of rhinoplasty can vary. Insurance may cover surgery performed to improve breathing, such as for a deviated septum, but not cosmetic procedures. Before any intervention, patients are provided with expected costs.
2. Columbia Surgery
Columbia Surgery offers comprehensive cosmetic nose surgery (rhinoplasty) services. Rhinoplasty here can address both cosmetic concerns and health - related issues such as obstructed breathing or structural abnormalities in the nose. It has a long - standing reputation for providing high - quality care and achieving excellent results.
Benefits of Rhinoplasty
| Benefit | Description |
|---|---|
| Improved Facial Proportions | Adjusts the nose size to create better harmony with other facial features. For instance, reducing the width of the nose at the bridge can enhance facial symmetry. |
| Enhanced Profile | Smooths visible humps or dips in the nose, giving a more pleasing side - view. This can significantly improve a patient's self - confidence. |
| Reshaped Nasal Tip | Addresses issues like a large, bulbous, drooping, or upturned nasal tip, creating a more refined appearance. |
| Correct Nasal Deviation | Repairs nasal deviation and improves symmetry, which can also improve breathing function in some cases. |
Gender - Specific Considerations
Although rhinoplasty is more common among women, men also frequently undergo this procedure. Due to the nature of the blood supply and bony structure in men's faces, male patients typically experience more swelling and bruising than women. Men usually need 6 - 8 weeks before resuming a full spectrum of jogging and aerobic activities to allow the bones to heal and tissues to reduce swelling.
3. Slupchynskyj's Practice
Dr. Oleh Slupchynskyj specializes in rhinoplasty surgery in NYC and New Jersey, with a particular focus on revision rhinoplasty. Many patients who have had unsuccessful previous nose surgeries turn to him to correct problems and improve both nose function and aesthetics.
Revision Rhinoplasty Procedures
- Auricular Cartilage Grafts: This is a time - tested approach, especially when a patient has previously had septoplasty, which removed a large amount of septal cartilage. Auricular cartilage is used because of its long - lasting survival benefit, abundant availability in the neck and head area, resistance to resorption and infection, and its softness and pliability after implantation. However, careful planning is required to maximize its benefits.
- Pinched Nose Tip Revision: This is often done to relieve breathing difficulties caused by nasal valve collapse, which can also have an aesthetic impact. Dr. Slupchynskyj adds back cartilage to the lower and upper lateral cartilages while rebuilding the nasal tip, using a cartilage shield graft or a strut graft taken from the ear, septum, or both. He usually advocates an open rhinoplasty for better access and visibility of the tip structures and lower lateral cartilage for optimal grafting.
Patient Selection and Consultation
Patients suitable for revision rhinoplasty are those unhappy with the results of a previous rhinoplasty due to functional problems, aesthetic issues, or both. They must also be in good health and at least six months removed from the initial surgery to allow post - surgery swelling to resolve (this restriction may be waived if there is a significant health risk due to functional difficulty). During the consultation, Dr. Slupchynskyj evaluates the patient's health, obtains information about the initial surgery, and formulates a surgical plan to achieve the desired results.
4. Kassir Plastic Surgery
Dr. Kassir is a triple - board certified surgeon and an expert in facial plastic surgery, with over 25 years of experience performing thousands of rhinoplasty procedures. His practice in New York and New Jersey offers a wide range of rhinoplasty options.
Types of Rhinoplasty
- Revision Rhinoplasty: When the initial rhinoplasty procedure is unsatisfactory, Dr. Kassir can perform a revision to correct the results, improve the appearance of the nose, and address any breathing problems.
- Teen Rhinoplasty: Dr. Kassir has expertise in performing rhinoplasty on teenagers. He takes into account the still - developing facial structure of adolescents and carefully assesses the appropriateness of the procedure.
- Ethnic Rhinoplasty: He commonly performs African American rhinoplasty, Asian rhinoplasty, Hispanic rhinoplasty, and Middle Eastern rhinoplasty, understanding the unique nasal characteristics and aesthetic goals of different ethnic groups.
- Celebrity Rhinoplasty: Many celebrities choose Dr. Kassir for their rhinoplasty needs. His extensive experience and skill allow him to achieve the desired results while maintaining a natural appearance.
- Male Rhinoplasty: Considering the different male anatomy and aesthetic preferences, such as the desire for more acute angles and sharp definitions, Dr. Kassir tailors the procedure accordingly.
- Non - surgical Rhinoplasty: Also known as liquid rhinoplasty, this minimally invasive alternative uses injectable fillers to improve the appearance of the nose without the need for surgery. It is suitable for patients with minor concerns or those not ready to commit to surgery.
Recovery and Cost
The recovery from rhinoplasty at Kassir Plastic Surgery is relatively quick. The initial recovery phase is fast, with most patients reporting little pain and swelling due to the use of precise and ultrasonic instruments. The second phase involves skin swelling, which gradually decreases over several weeks to months. The cost of primary rhinoplasties starts at $20,000 and may increase depending on factors such as the surgeon's experience, the location of the surgical facility, and the work needed on the nose, especially if grafts (such as rib cartilage) are required. Insurance may cover some functional aspects of rhinoplasty, such as procedures to improve breathing.
5. UCSF Health (NYC Outreach or Related Clinics)
UCSF Health's nasal reconstruction services aim to restore or refine nasal form and function. There are various causes of nasal abnormalities, including congenital defects, car accidents, physical altercations, and previous surgeries. Their surgeons carefully evaluate patients in the clinic to determine the most appropriate treatment approach.
Preparation and Procedure
- Preparation: Patients meet with a surgeon to discuss their medical history, including past surgeries, health problems, and medications. A general head and neck exam, including a detailed investigation of the nasal airway, is performed. Once surgery is scheduled, patients need to get a history and physical from their primary care physician or the UCSF medical center's prepare department 1 - 2 weeks prior to the procedure. Blood thinners may need to be discontinued if advised by the prescribing physician.
- Procedure: Most patients have general anesthesia during the procedure. Surgeons use either an open or closed approach depending on the case. In a closed approach, incisions are made inside the nostrils, while an open approach involves an incision in the skin between the nostrils. The surgeon then modifies the nasal bone, cartilage, or both, and may take cartilage from other parts of the body such as the ear or rib if needed. After the procedure, incisions are closed with dissolvable or permanent sutures, and a splint may be placed externally or internally.
Recovery and Follow - up
Although it takes up to six months for the body to fully heal, most patients can return to work or school after two weeks of recuperation. They need to come back to the office to have sutures or the splint removed. Following the surgeon's discharge instructions is crucial for a smooth recovery.
General Considerations for Nostril Reconstruction
Before choosing an institution for reconstructing the internal structure of the nostrils, patients should consider several factors:
- Surgeon's Expertise: Look for surgeons who are board - certified and have extensive experience in nasal reconstruction. Their expertise can significantly impact the success of the procedure and the final outcome.
- Range of Services: An institution that offers a wide range of rhinoplasty and reconstruction procedures can better address different patient needs. For example, having options for both primary and revision rhinoplasty, as well as ethnic - specific rhinoplasty, is beneficial.
- Patient Reviews and Testimonials: Reading about other patients' experiences can give an idea of the quality of care, the success rate of the procedures, and the level of patient satisfaction at a particular institution.
- Cost and Insurance Coverage: Understand the cost of the procedure and whether insurance will cover any part of it. It's important to have a clear understanding of the financial implications before proceeding with the surgery.
- Recovery and After - care: Consider the institution's approach to recovery and after - care. This includes the length of recovery time, the support provided during the healing process, and the availability of follow - up appointments.
Conclusion
Reconstructing the internal structure of the nostrils is a significant decision that requires careful consideration of the institution and surgeon. Mount Sinai, Columbia Surgery, Slupchynskyj's Practice, Kassir Plastic Surgery, and UCSF Health (NYC - related) are all well - regarded institutions in New York City, each with its own unique strengths and expertise in nasal reconstruction. By thoroughly researching these options and consulting with the professionals at these institutions, patients can make an informed decision that best suits their needs and goals.
If you're considering reconstructing the internal structure of your nostrils, take the time to explore these institutions further. Reach out for consultations, ask questions, and gather all the information you need to ensure a successful and satisfying outcome. Share this article with others who may be in a similar situation and encourage them to make an informed choice in their nasal reconstruction journey.
