The Ranking List of Doctors for Alar Base Elevation in New York City is Announced!
Introduction
Alar base elevation or reduction procedures have gained significant popularity in New York City as individuals seek to enhance the appearance of their noses and improve facial symmetry. In this article, we will not only provide you with valuable insights into the alar base elevation and reduction procedures but also present a comprehensive ranking list of doctors in New York City who are highly skilled and experienced in performing these surgeries.
Understanding Alar Base and Related Procedures
What is Alar Base?
The alar base is the area at the entrance to the nose, where the nostrils meet the upper lip and cheek. The ideal nose and nostril width are difficult to define and depend on many factors, including the size of the face and mouth, and the width of the nose. To evaluate symmetry and balance, surgeons often rely on an imaginary vertical line originating from the inner corner of the eye to determine where the external border of each nostril should be placed. If the nostrils are wider and lie outside this imaginary vertical line, it can result in an unbalanced facial appearance.
Problems Associated with Wide Nostrils
Wide or flaring nostrils, commonly referred to as “alar flare,” can be caused by several factors:
- Genetics: Genetically wide nostrils are often inherited and present from birth. Variations in nostril size, shape, or thickness can be attributed to genetic factors.
- Poorly Performed Rhinoplasty: Nostrils that were made too wide or asymmetric during a previous nose job can also lead to an unbalanced appearance.
- Over - projected Tip: A nose that has been over - projected, with an overly prominent nasal tip, can make the alar base seem wider than it actually is.
- Aging: Loss of structural support in the area due to aging can cause the alar base to collapse inwards and appear larger.
- Unbalanced Facial Harmony: The base of the nose may not be in proportion to the rest of the nose or features of the face. A large upper lip can also make the distance between the nostrils appear greater.
- Alar Wings or Flanges: Excessive overgrowth of cartilage at the base of each nostril, also known as alar wings or flanges, can contribute to wide nostrils.
Benefits of Alar Base Reduction
Alar base reduction surgery, also known as weir excisions, alarplasty, or nasal sill wedge resection, offers several benefits:
- Refined Appearance: It can create a more symmetrical, aesthetically pleasing nose, refining and improving the overall appearance of the nose.
- Facial Symmetry: Corrects asymmetrical nostrils, where one nostril is larger than the other, and improves facial symmetry and balance.
- Boosted Confidence: By enhancing the appearance of the nose, it can boost the patient's self - confidence.
- Size Reduction: Reduces the size of the nostrils and reduces nostril flare, resulting in long - lasting results.
Common Techniques for Alar Base Reduction
Alar Wedge Excision
Also known as the weir incision, this is the preferred technique for minimizing ala that are excessively flared to reduce a wide nasal base from the frontal appearance. The wedge excision technique removes wedge - shaped pieces of tissue from the nasal flare and spares an incision in the nostrils. It is ideal for avoiding an over - straightening of the ala, preserves the natural curvature of the ala, and has the added benefit of avoiding telltale incisions in the opening of each nostril.
Nasal Sill Excision
This technique is typically used in the correction of an enlarged nasal sill width along with excessive flare in the ala. Sill reduction is indicated when the nasal base has a horizontal axis and the nostrils are enlarged. When the alar base is wide because of a large nasal sill and presents no flaring (although this is very rare), the sill alone can be directly narrowed.
V - Y Advancement
A 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. However, this is rarely performed as it will leave a scar on the face.
Ranking List of Doctors for Alar Base Elevation in New York City
Dr. Sam Rizk
Dr. Sam Rizk is a double - board - certified facial plastic surgeon. He has had extensive training in both cosmetic and reconstructive rhinoplasty at New York’s best hospitals, including Memorial Sloan Kettering Cancer Center and New York Hospital, as well as Manhattan Eye, Ear and Throat Hospital. He has performed very difficult adjustments in cancer patients after cancer removal, which requires significant artistry and ingenuity. Dr. Rizk also has a specialization in ethnic rhinoplasty. He uses innovative techniques, such as a special suture that narrows the base of the nose, and is very conservative with nostril reductions to ensure natural - looking results with inconspicuous scars. He was voted by peers to New York Magazine’s 2013 top doctors and was featured in Town & Country magazine as one of the masters of the subtle lift and tweak that will turn back time.
Dr. Anthony P. Sclafani
Dr. Anthony P. Sclafani is recognized as a top doctor in the field of facial plastic surgery / otolaryngology at Weill Cornell Medicine. He is among the top 7 percent of the nation’s physicians and among the top 10 percent of the region’s specialists, as listed by Castle Connolly Medical Ltd. Castle Connolly selects doctors based on criteria such as excellence in patient care, education, residency, board - certification, fellowships, professional reputation, hospital affiliation, medical school faculty appointment, experience, and disciplinary history.
Dr. Casian Monaco
Located in New York City’s Upper East Side, Dr. Casian Monaco performs nostril reduction surgery with precision and an artistic eye. His clinic is renowned for delivering results that harmonize with each patient’s unique facial features. He believes in a personalized approach to nostril reduction surgery, understanding that each face is unique and planning each procedure to align with the individual’s aesthetic goals.
Dr. Lesley Rabach
Dr. Lesley Rabach is a top double - board - certified facial plastic surgeon who specializes in rhinoplasty and cosmetic nose surgery. At LM Medical NYC in Greenwich Village and the Upper East Side, she offers nostril or alar base reduction surgery. Her expertise allows her to make small, discreet incisions at the base of the nose to adjust the size and shape of the nostrils, resulting in smaller, narrower nostrils that look more refined.
Dr. Cangello
Dr. Cangello is NYC’s preeminent rhinoplasty surgeon. He offers patients customized treatment plans and transformative results. With decades of experience, he has honed his expansive skill in creating noses that are both functionally superior and cosmetically beautiful. He carefully evaluates each patient’s unique nasal anatomy to determine the surgical technique that will best achieve an improvement in the appearance of the nose and enhance functionality while still retaining the individual, racial, and ethnic characteristics unique to that patient.
Factors to Consider When Choosing a Doctor for Alar Base Elevation
Qualifications and Experience
Ensure that the doctor is board - certified in facial plastic surgery or a relevant specialty. Look for a doctor with extensive experience in performing alar base elevation or reduction procedures. A doctor with a long - standing practice and a high volume of successful surgeries is more likely to have the skills and expertise to deliver the desired results.
Reputation and Reviews
Research the doctor’s reputation in the medical community and among patients. Read online reviews and testimonials from previous patients to get an idea of their satisfaction levels. A doctor with a good reputation is more likely to provide high - quality care and achieve positive outcomes.
Portfolio of Work
Ask to see before - and - after photos of the doctor’s previous alar base elevation or reduction surgeries. This will give you an idea of their aesthetic style and the quality of their work. Look for natural - looking results that are in line with your aesthetic goals.
Communication and Bedside Manner
During your consultation, pay attention to how well the doctor communicates with you. They should listen to your concerns, answer your questions thoroughly, and explain the procedure and expected outcomes in a way that you can understand. A doctor with a good bedside manner will make you feel comfortable and confident throughout the process.
Cost and Insurance
Discuss the cost of the procedure with the doctor’s office. Alar base elevation or reduction surgery is typically considered a cosmetic procedure and may not be covered by insurance. However, some doctors may offer financing options to help you manage the cost.
Pre - operative and Post - operative Care
Pre - operative Care
Before the surgery, your doctor will conduct a thorough evaluation of your nasal anatomy and overall health. They may take photos from different angles to assess which areas need attention. You may be asked to stop taking certain medications, such as blood thinners, to reduce the risk of bleeding during the surgery. It is also important to follow any dietary and lifestyle instructions provided by your doctor, such as avoiding smoking and alcohol before the procedure.
Post - operative Care
After the surgery, you can expect the base of your nose to be slightly swollen and red. You will need to follow your doctor’s instructions for post - operative care, which may include keeping your head elevated, applying cold compresses, and taking prescribed medications to manage pain and prevent infection. Stitches are typically removed one week after surgery, and full recovery takes approximately one month. You should avoid rubbing or bumping your nose during the recovery period and follow up with your doctor for regular check - ups.
Conclusion
Alar base elevation or reduction surgery can be a life - changing procedure for individuals looking to enhance the appearance of their noses and improve facial symmetry. In New York City, there are several highly skilled and experienced doctors who can perform these surgeries. When choosing a doctor, it is important to consider factors such as qualifications, experience, reputation, portfolio of work, communication skills, and cost. By doing your research and making an informed decision, you can increase your chances of achieving the desired results and a successful recovery.
If you are considering alar base elevation or reduction surgery, we encourage you to reach out to one of the doctors on our ranking list. Schedule a consultation to discuss your goals, ask questions, and learn more about the procedure. Remember, taking the first step towards improving your appearance can lead to a boost in self - confidence and a more satisfying life. Share this article with friends or family who may also be interested in this topic.
