Introduction
Nasal ala reduction and correction are popular plastic surgery procedures in New York City. Many individuals seek these procedures to improve the appearance of their noses and achieve better facial symmetry. In this article, we will explore the ranking list of institutions for nasal ala reduction and correction in New York City, along with detailed information about the procedures, surgeons, and related aspects.
Understanding Nasal Ala Reduction and Correction
What is Nasal Ala Reduction?
Nasal base reduction, or alarplasty, refers to a rhinoplasty technique that is intended to narrow the alar base, or base, of the nose in cases where it is excessively wide for the face. The alar base plays a central role in the overall proportion and appearance of the nose and its harmony with the rest of the face. An overly flared or wide alar base can lead to a nose that looks bottom - heavy. Most rhinoplasty and revision rhinoplasty patients who are looking for nasal base reduction surgery voice a concern with a nose that looks too big or too wide at the bottom.
The width of the nasal base can be measured from the outer margin of one nostril to the outer margin of the opposite nostril, and its axis can be classified as vertical, divergent, or convergent. Generally, the nasal base should fall between the distance between the inner corners of a patient’s two eyes. In other words, if you extend a vertical line towards the face from the inner canthus (corner of the eye) on each eye, the nasal base should not exceed those two lines.
Benefits of Nasal Ala Reduction
- Refines and improves the overall appearance of the nose
- Improves facial symmetry and balance
- Improves self - confidence
- Decreases the size of the nostrils
- Reduces nostril flare
- Provides long - lasting results
Anatomy Involved in Nasal Ala Reduction
Knowledge of the nasal base anatomy is essential to determining the optimal surgical technique in certain nasal base reduction rhinoplasty patients. The nostrils are separated into right and left sides by the columella, the vertical “column - like” structure that runs down the center of the nose. The nasal sill extends from either side of the bottom of the columella and extends to the alar base insertion, or the segment of the nostril side wall where it meets the cheek - upper lip junction.
In evaluating the shape of the nostrils from the base, it is clear that the anterior nasal spine, lower lateral cartilages, caudal septum, maxilla, upper lip, and the soft tissue and skin that envelope the nose are all contributing factors in the overall appearance of the nasal base and its width. Altering any one of these structural elements of the nose or their relationship to one another can change the appearance and attractiveness of the nostril shape and affect nasal function.
Surgical Techniques for Nasal Ala Reduction
Alar Wedge Excision
The alar wedge excision, also known as the weir incision, is the preferred technique for minimizing ala that are excessively flared to reduce 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. This technique 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
The nasal sill excision is typically used in the correction of 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. The sill alone is directly narrowed when the alar base is wide because of a large nasal sill and presents no flaring, however, this is very rare.
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.
Candidates for Nasal Ala Reduction
Candidates for nasal base reduction are individuals who have concerns with the excessive width of the base of their nose. They may feel that their nose looks disproportionate to their face, which can affect their self - confidence. This concern can be more prominent in people with certain ethnic backgrounds where wider alar bases are more common.
Risks and Recovery of Nasal Ala Reduction
Risks
Nasal base reduction is a fairly common procedure with minimal risks when working with an experienced surgeon. Although rare, risks can include infection, bleeding, and scarring. If performed alone (without concomitant rhinoplasty), it can be performed under local anesthesia only.
Recovery
Recovery time for nasal base reduction is roughly one to two weeks. Patients can expect that the base of their nose will be slightly swollen and red immediately following surgery, but this will subside gradually over the recovery period. Any stitches are typically removed one week after surgery. Full recovery takes approximately one month. Patients should be careful not to rub or bump the nose for one month following surgery. Although patients will have sutures that they may not want to show in public, they are able to go back to work immediately following surgery if they desire.
The Ranking List of Institutions for Nasal Ala Reduction and Correction in New York City
Top Surgeons in Different Areas of New York
Albany Area
- Dr. Steven Yarinsky: Spent two years in intensive cosmetic and reconstructive surgery training at Medical College of Ohio. He dedicates over 150 hours every three years of continuing medical education. Named a “regional top doctor” by Castle Connolly from 2014 - 2017 and is the only plastic surgeon between Albany and Montreal to be elected and hold membership in the American Society for Aesthetic Plastic Surgery (ASAPS).
- Dr. William F. Deluca Jr.: Began his career as a certified plastic surgeon in Albany over 28 years ago. Specializes in cosmetic surgery of the face, breast, and body. Obtained his plastic surgery training at Eastern Virginia Medical College and Manhattan Eye, Ear, and Nose Hospital. Certified by both the American Board of Surgery and the American Board of Plastic Surgery.
- Dr. Edwin F. Williams III: Double - board certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology. Has a strong interest in plastic surgery of the face, head, and neck after his extensive training in otolaryngology - head and neck surgery and a fellowship in cosmetic and reconstruction surgery of the nose, eyes, face, and neck.
- Dr. Jeffrey Rockmore: A board - certified plastic surgeon with an uncommon approach to aesthetic enhancement. Competed his medical degree at Albany Medical College and plastic surgery training at Albany Medical Center Hospital and additional cosmetic surgery training at Manhattan Eye, Ear & Throat Hospital. Holds two board certifications and is a member of several professional organizations.
Buffalo Area
- Dr. Todd B. Koch: A board - certified plastic surgeon. Underwent rigorous training at the State University of New York at Buffalo and the Medical College of Ohio. Specializes in various plastic surgery problems including reconstructive, cosmetic, and hand surgeries.
- Dr. David A. Sherris: A double - board certified facial plastic surgeon. An internationally recognized leader in facial plastic and reconstructive surgery. Can offer state - of - the - art facial rejuvenation procedures with both surgical and non - surgical options. Has been voted annually to “Best Doctors in America” by his peers since 2005.
New York City Area
- Dr. Steven J. Pearlman: A distinguished facial plastic and reconstructive surgeon, educator, and humanitarian. Uniquely dual - board certified in both facial plastic and reconstructive surgery and in head and neck surgery. Has authored over 30 medical journal articles and book chapters and served as the president of the American Academy of Facial Plastic and Reconstructive Surgery from 2004 - 2005.
- Dr. Sam Rizk: Merges an artistic background as a sculptor with his technical skill as a facial plastic and reconstructive surgeon. An expert in the most advanced techniques in facelift, neck lift, eyelid surgery, and rhinoplasty in NYC. Double - board certified and director of Manhattan Facial Plastic Surgery, PLLC.
- Dr. Sherrell J. Aston: A New York City world - renowned double - board certified plastic surgeon. Professor of plastic surgery at New York University, past president of the American Society for Aesthetic Plastic Surgery, and an expert in the closed rhinoplasty technique, which avoids incisions and scars on the outside of the nose.
- Dr. Robert J. Morin: A board - certified plastic surgeon who specializes in reconstructive and cosmetic surgery of the head and face. Has a specific interest in nasal reconstruction, ear reconstruction, and cosmetic and cleft rhinoplasty after extensive additional training in craniofacial surgery, facial cosmetic surgery, and pediatric plastic surgery.
- Dr. Yael Halaas: Recognized as one of the best facial plastic surgeons in New York City. Specializes in the treatment of the aging face, primary and reparative rhinoplasty, and the medical and surgical treatment of hair loss. Board - certified by the American Board of Otolaryngology and the American Board of Facial Plastic and Reconstructive Surgery and a fellow of the American College of Surgeons.
- Dr. Andrew Jacono: A global authority in the field of facial plastic and reconstructive surgery. Known for his original, advanced approach to non - surgical and minimally invasive facial rejuvenation with flawless, yet natural results. Dual - board certified and serves as section head of facial plastic and reconstructive surgery at North Shore University Hospital Manhasset and director of the New York Center for Facial Plastic & Laser Surgery.
- Dr. Maurice M. Khosh: A well - known and dual - board certified facial plastic surgeon in Manhattan. Past president of the New York Facial Plastic Surgery Society and a founding member of the New York Head and Neck Institute. Has received multiple awards including the Castle Connolly Top Doctor Award.
- Dr. Jennifer Levine: One of only a few surgeons who are double - board certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology – Head and Neck Surgery. Focuses on delivering natural, believable results that enhance one’s appearance. Has a unique approach to developing individualized treatment plans for each patient.
- Dr. Benjamin Paul: A facial plastic and reconstructive surgeon who practices in Manhattan. Known for exceptional talent in rhinoplasty, facelift, and eyelid surgery, and hair restoration. Has made great strides in facial plastic surgery techniques and has lectured at over 30 conferences in the past decade.
Rochester Area
- Dr. Stephen M. Evangelisti: Drawn to Rochester by the reputation of Dr. Robert McCormick. Has experience in plastic surgery, head and neck cancer surgery, and hand surgery. His military experience has refined his approach to plastic surgery, focusing on avoiding complications and meeting patient needs. His private practice focuses on breast cancer and skin cancer reconstruction, as well as hand and aesthetic surgery.
- Dr. Vito C. Quatela: Known as one of the top facial plastic surgeons in the Buffalo, Syracuse, and Rochester, NY region. His reputation extends nationally and internationally. Developed a comprehensive practice that includes a medical spa and a hair restoration center. Served as the president of the American Academy of Facial Plastic and Reconstructive Surgery and established the HUGS foundation.
Syracuse Area
- Dr. Sang W. Kim: After graduating from Harvard Medical School, decided to follow his passion in facial plastic surgery. Completed a residency in otolaryngology - head and neck surgery at Harvard and a fellowship in facial plastic surgery under the tutelage of a world - renowned facial plastic and hair transplant surgeon.
- Dr. Dean De Roberts: A board - certified plastic surgeon in Syracuse. Has been recognized with several awards in plastic surgery, including the Glancy Award from the Southeastern Society of Plastic Surgeons. Trained with the latest advancements in technology and performed more than 3,800 procedures as chief resident in plastic surgery.
Top Hospitals and Clinics for Nasal Ala Reduction
Memorial Sloan Kettering Cancer Center
Although known for cancer treatment, it is nationally ranked in ear, nose, and throat specialties. It offers high - quality medical services and advanced surgical techniques. Patients can expect a team of experienced surgeons and medical staff to perform nasal ala reduction procedures with precision and care.
Mount Sinai - New York
Offers advanced rhinology and sinus surgery services at multiple locations throughout Manhattan. The medical staff at Mount Sinai are well - trained and experienced in nasal surgeries, including nasal ala reduction. They strive to provide convenient and high - level medical care to patients in different neighborhoods of New York City.
Conclusion
Nasal ala reduction and correction are important plastic surgery procedures that can significantly improve the appearance of the nose and overall facial symmetry. In New York City, there are numerous top - notch surgeons and institutions that offer these services. From experienced surgeons with extensive training and international recognition to well - equipped hospitals and clinics, patients have a wide range of options to choose from.
If you are considering nasal ala reduction or correction, it is crucial to do thorough research, consult with multiple surgeons, and choose an institution that meets your needs and expectations. By making an informed decision, you can achieve the desired results and enhance your self - confidence. We encourage you to explore further by scheduling consultations with the surgeons and institutions mentioned in this article and learning more about their services and patient experiences.
