New York City is a hub of medical excellence, especially when it comes to nasal surgeries, including the adjustment of nasal tip projection. This article will introduce you to the top experts in New York City hospitals who are highly skilled in this procedure, along with detailed information about nasal tip adjustment, the surgeons themselves, and related topics.
What is Nasal Tip Projection Adjustment?
Nasal tip projection refers to how far the nasal tip protrudes from the face. Adjusting nasal tip projection is a specialized part of rhinoplasty, also known as a nose job. This procedure can enhance the overall appearance of the nose and bring it into better balance with other facial features. Some of the reasons people may choose to have their nasal tip projection adjusted include:
- Correcting a nasal tip that is too prominent or not prominent enough.
- Improving facial harmony, as the nose is a central feature of the face.
- Boosting self - confidence by addressing concerns about the nose's appearance.
Key Factors in Evaluating Nasal Tip Projection
When assessing nasal tip projection, surgeons consider several important factors:
| Factor | Description |
|---|---|
| Goode Method | One of the most common methods to assess nasal tip projection. Surgeons determine where the alar line falls on the alar - facial crease and then measure the distance from the alar line to the nasal tip and from the nasal starting point to the nasal tip. The ideal ratio between these two measurements is generally in the range of 0.55 - 0.60. If the ratio exceeds the ideal, the nose is over - projected; if it's lower, the nose is under - projected. |
| Facial Proportions | The nose should be in proportion to the rest of the face. For example, in terms of facial width, the nostrils’ outer perimeter should generally not extend beyond the central fifth region of the face. And in terms of facial height, the nose should encompass almost the entire middle horizontal third of the total facial height. |
| Nasolabial Angle and Tip Rotation | The nasolabial angle (the angle created at the intersection of the columella and the upper lip) and tip rotation are important. Ideally, the nasolabial angle in women falls between 100 - 105 degrees, and for men, it falls between 90 - 95 degrees. Nasal tip rotation, determined in relation to the Frankfort horizontal plane, should ideally be in the range of 15 - 30 degrees in women and 0 - 15 degrees in men. |
The Ranking List of Experts in New York City
Dr. Yoel Shahar
Dr. Yoel Shahar is a well - known figure in the field of rhinoplasty in New York City. He has performed thousands of rhinoplasty and nose - reshaping procedures in his private practices in both New York City and Israel for nearly 25 years. He is the founder of the Natural Look Institute.
- Expertise: Dr. Shahar is not only a master in overall rhinoplasty but also has the skills to adjust nasal tip projection. He has a deep understanding of facial aesthetics and knows how to create a natural - looking result for each patient. He takes into account all facial features to achieve perfect facial harmony, which is crucial when adjusting the nasal tip projection to ensure that the new nose blends well with the rest of the face.
- Qualifications: He is a board - certified cosmetic surgeon, a board - certified general surgeon, an associate fellow of the American Medical Association, and a fellow of multiple surgical colleges. He is licensed in New York and New Jersey. He also participates in numerous professional conferences and teaches other cosmetic surgeons, which shows his high - level expertise and standing in the medical community.
- Patient Reviews: Patients have given him 5 - star ratings on Google. Many patients have expressed their satisfaction with the natural - looking results of their surgeries and the personalized care they received from Dr. Shahar. For example, one patient said that “Dr. Shahar understood what I wanted and executed it perfectly to my taste. I was very nervous before the procedure, but he was very approachable and built my confidence.”
Dr. Andrew Jacono
Dr. Andrew Jacono is the surgical director of the New York Center for Facial Plastic and Laser Surgery. He is considered one of the top rhinoplasty surgeons in the United States and the world.
- Expertise: He has extensive training in surgical rhinoplasty and has pioneered less - invasive techniques. In terms of adjusting nasal tip projection, he is especially good at refining droopy, more bulbous nasal tips. He has developed a customized approach to preserving ethnic identity during rhinoplasty, which means he can adjust the nasal tip projection while still maintaining the patient's unique ethnic features. His innovative methods avoid breaking the nose and removing excessive cartilage, reducing the risk of making the nose look over - done.
- Qualifications: He has achieved dual board certification in facial plastic and reconstructive surgery as well as head and neck surgery. He is also a fellow of the American Academy of Facial Plastic and Reconstructive Surgery and the American College of Surgeons. He has been elected as one of the top facial plastic surgeons in America by Harper’s Bazaar and one of the top rhinoplasty surgeons in the world by the prestigious Castle Connolly independent organization for rating doctors.
- Patient Reviews: Many patients travel from all over the world to visit Dr. Jacono. His before - and - after photos show dramatic and natural - looking results. For instance, a young Latina woman was unhappy with her dorsal hump and nasal tip. Dr. Jacono refined her tip and reduced her dorsal hump, achieving a result that the patient was extremely satisfied with.
Dr. Kassir
Dr. Kassir is a triple - board - certified facial plastic surgeon with extensive experience in nasal tip rhinoplasty.
- Expertise: When it comes to adjusting nasal tip projection, Dr. Kassir has a personalized approach. He can make the nose wider or narrower, change the angle between the nose and upper lip, or change the size or shape of the nostrils, all of which can impact nasal tip projection. He uses advanced techniques during the surgery, such as making small incisions (either endonasal or open approach) to sculpt and reposition the cartilage and soft tissue to achieve the desired tip projection.
- Procedure Details: The surgery is usually performed under general anesthesia and takes around one to two hours. After the surgery, the nose is taped to help with swelling, and patients usually feel little to no discomfort and can go home the same day. The recovery from tip rhinoplasty is often faster than other types of nose surgery because no bone is removed during the procedure.
- Patient Consideration: He is very patient - oriented. He will work with patients to create a personalized treatment plan based on their goals and facial features. He also answers all of the patients' questions during the consultation to help them make an informed decision about the procedure.
Dr. Steven J. Pearlman
Dr. Steven J. Pearlman is a distinguished facial plastic and reconstructive surgeon with a wide range of professional credentials.
- Expertise: He is uniquely dual board - certified in both facial plastic and reconstructive surgery and in head and neck surgery. With his extensive clinical and academic backgrounds, he has in - depth knowledge of the anatomy and aesthetics of the nose. He can precisely adjust the nasal tip projection to enhance the patient's nasal appearance and overall facial harmony. His expertise in nasal and facial beauty allows him to offer comprehensive solutions for patients seeking nasal tip adjustment.
- Academic Contribution: He has authored over 30 medical journal articles and book chapters and serves on the editorial board of several prestigious medical periodicals. He also served as the president of the American Academy of Facial Plastic and Reconstructive Surgery from 2004 - 2005. His academic achievements reflect his high - level expertise and influence in the field.
- Patient Care: He provides compassionate and attentive patient care. He combines the most sophisticated and advanced medical procedures and techniques to ensure that patients receive the best possible treatment. He is known for his ability to transform people's faces and boost their self - confidence through his surgical skills.
Dr. Sherrell J. Aston
Dr. Sherrell J. Aston is a world - renowned double - board - certified plastic surgeon and one of the foremost experts in aesthetic plastic surgery.
- Expertise: He is an expert in the closed rhinoplasty technique, which can also be applied to adjusting nasal tip projection. This technique avoids incisions and scars on the outside of the nose, providing a more aesthetically pleasing result. He has used the closed technique for thousands of noses, both in primary and secondary procedures. He has a profound understanding of the nasal structure and can make precise adjustments to the nasal tip to achieve the desired projection.
- Professional Achievements: He is a professor of plastic surgery at New York University, the past president of the American Society for Aesthetic Plastic Surgery, and a fellow of the American College of Surgeons. He has been the chairman of the plastic surgery department at Manhattan Eye Ear & Throat Hospital for twenty - three years. He is invited to lecture and operate in numerous countries to teach his advanced surgical techniques, which shows his international recognition in the field.
- Teaching and Sharing: He is not only a skilled surgeon but also an educator. He has written scientific papers, textbooks, and teaching videos for plastic surgeons, contributing to the knowledge and development of the field.
Preparing for Nasal Tip Projection Adjustment
If you are considering having your nasal tip projection adjusted, there are several steps you should take:
Consultation
Schedule a consultation with one of the experts mentioned above. During the consultation:
- Discuss your goals and expectations clearly with the surgeon. Be honest about what you hope to achieve from the procedure.
- The surgeon will conduct a physical examination of your nose, including inside and outside, and assess your facial features and proportions. They may also take photos of your face and nose from different angles to better plan the surgery.
- The surgeon will explain the procedure, including the type of anesthesia, the surgical technique, the expected recovery time, and any potential risks or complications.
- Ask any questions you may have about the surgery, such as the cost, the post - operative care, and the long - term results.
Medical History and Tests
The surgeon will ask you about your medical history, including any past nose surgeries, nasal issues, medications you are taking, and any underlying medical conditions. You may also need to undergo some blood tests and other examinations to ensure that you are in good health for the surgery.
Lifestyle Adjustments
Before the surgery, you may need to make some lifestyle adjustments:
- Stop smoking, as smoking can affect the healing process and increase the risk of complications.
- Avoid taking certain medications, such as aspirin and anti - inflammatory drugs, which can increase bleeding during the surgery.
- Arrange for someone to accompany you to the hospital on the day of the surgery and to take care of you during the initial recovery period at home.
The Procedure and Recovery
The Procedure
The adjustment of nasal tip projection is usually performed under general or local anesthesia, depending on the complexity of the procedure. The surgeon will make incisions (either inside the nostrils or across the columella, depending on the surgical technique) and then sculpt and reposition the cartilage and soft tissue to adjust the tip projection. In some cases, cartilage grafting may be required to provide more support for the new tip projection.
Recovery
The recovery process after nasal tip projection adjustment varies from person to person. Generally:
- There may be some swelling and bruising around the eyes and nose, which is normal and usually subsides within a week or two.
- The surgeon will remove the splint or tape from the nose after a few days. You may need to wear a nasal splint for a certain period to support the new nasal structure during the healing process.
- You may experience some discomfort, pain, or a feeling of congestion in the nose. The surgeon will prescribe appropriate pain medications to relieve these symptoms.
- It is important to follow the surgeon's post - operative instructions carefully, such as avoiding strenuous activities, not blowing your nose for a certain period, and keeping your head elevated while sleeping to reduce swelling.
- The final results of the surgery may take several months to fully appear as the swelling gradually subsides and the nose heals completely.
Potential Risks and Complications
As with any surgical procedure, adjusting nasal tip projection has some potential risks and complications, including:
- Infection: There is a risk of infection at the surgical site. The surgeon will usually prescribe antibiotics to prevent infection, and you need to keep the surgical area clean as instructed.
- Bleeding: Some bleeding may occur during or after the surgery. In most cases, it can be controlled, but in rare cases, additional treatment may be required.
- Scarring: Although surgeons try to minimize scarring, there may still be some visible scars, especially if an open approach is used. However, with proper wound care, the scars usually fade over time.
- Unsatisfactory Results: The final results may not meet your expectations. This could be due to various factors, such as unexpected healing processes or difficulty in achieving the exact desired tip projection. In such cases, a revision surgery may be considered, but it is a more complex procedure.
- Breathing Problems: In some cases, there may be temporary or permanent changes in breathing function. The surgeon will evaluate your nasal function before and after the surgery to minimize this risk.
Conclusion
Adjusting nasal tip projection can be a life - changing procedure for many people, enhancing their appearance and boosting their self - confidence. In New York City, there are many highly skilled experts who can perform this procedure with excellent results. However, it is important to choose a qualified and experienced surgeon, have realistic expectations, and follow the pre - and post - operative instructions carefully. If you are considering nasal tip projection adjustment, take the time to research and consult with the experts to make an informed decision.
Don't let concerns about your nose hold you back. Reach out to one of these top experts in New York City today to schedule a consultation and take the first step towards achieving the nose you've always wanted. Share this article with others who may be interested in nasal tip projection adjustment, and let them benefit from this valuable information.
