Introduction
Open rhinoplasty is a surgical procedure that has gained significant popularity in New York City. The nose, being a central and defining feature of the face, greatly impacts one's overall appearance and self - confidence. Whether it's for cosmetic reasons, such as improving the shape or size of the nose, or for functional purposes like correcting breathing problems, open rhinoplasty can provide transformative results. In this article, we will explore the top plastic surgery hospitals and surgeons in New York City for open rhinoplasty, delving into their qualifications, expertise, and patient experiences.
What is Open Rhinoplasty?
Open rhinoplasty involves making a small incision on the columella, the strip of tissue that separates the nostrils, in addition to incisions inside the nose. This approach provides the surgeon with better access to the nasal structures, allowing for more precise and complex reshaping of the bone and cartilage. As a result, it is often preferred for patients who require extensive nose reconstruction or who have more significant cosmetic or functional concerns. According to New York Group for Plastic Surgery, the open rhinoplasty method is typically utilized on patients who need a more extensive nose reshaping compared to the closed rhinoplasty technique, which only involves incisions inside the nose.
Benefits of Open Rhinoplasty
Open rhinoplasty offers several benefits that make it a popular choice for many patients:
- Enhanced Visualization: The open approach allows surgeons to have a clear view of the nasal structures, enabling them to make more accurate adjustments. This can lead to more predictable and satisfactory results, especially in complex cases. As stated in Dr. Cangello's website, the open approach allows for better visualization of the nasal anatomy and more complex alterations and grafting to be performed.
- Greater Precision: With better access to the nasal framework, surgeons can perform intricate maneuvers to reshape the nose according to the patient's specific needs and desired aesthetic. They can precisely modify the nasal tip, bridge, and nostrils to achieve a more harmonious and natural - looking appearance.
- Improved Functional Outcomes: In addition to cosmetic improvements, open rhinoplasty can also address functional issues such as breathing problems. By properly repositioning and reshaping the nasal structures, surgeons can enhance the airflow through the nose, improving the patient's quality of life.
Factors to Consider When Choosing a Plastic Surgery Hospital for Open Rhinoplasty
Selecting the right plastic surgery hospital for open rhinoplasty is a crucial decision that can significantly impact the outcome of the procedure. Here are some important factors to consider:
Surgeon's Expertise and Experience
The surgeon's skills and experience play a vital role in the success of an open rhinoplasty. Look for a surgeon who is board - certified in plastic surgery or facial plastic and reconstructive surgery. They should have extensive experience performing open rhinoplasty procedures and a proven track record of delivering excellent results. According to Zocdoc, many top rhinoplasty surgeons in New York City have received multiple board certifications and have years of hands - on experience in the field.
Hospital Accreditation and Facilities
Ensure that the plastic surgery hospital is accredited by recognized organizations. Accreditation indicates that the hospital meets certain standards of quality and safety. Additionally, the hospital should have state - of - the - art facilities, including well - equipped operating rooms and advanced medical technology. Mount Sinai's division of facial plastic and reconstructive surgery, for example, provides patients with access to a large, tertiary hospital's resources and a wide range of specialists.
Patient Reviews and Testimonials
Reading patient reviews and testimonials can give you valuable insights into the experiences of others who have undergone open rhinoplasty at a particular hospital. Look for positive reviews that mention the surgeon's skill, bedside manner, and the overall quality of care provided. You can find patient reviews on various platforms, such as the hospital's website, online review sites, and social media.
Cost and Insurance Coverage
The cost of open rhinoplasty can vary depending on several factors, including the surgeon's fees, the complexity of the procedure, and the location of the hospital. It's important to get a detailed quote from the hospital and understand what is included in the cost. Additionally, check if your insurance policy covers any part of the procedure. Reconstructive surgeries to correct injuries or serious health issues may be partially covered by insurance, while cosmetic rhinoplasty procedures are typically not covered.
Top Plastic Surgery Hospitals and Surgeons in New York City for Open Rhinoplasty
New York Group for Plastic Surgery
The New York Group for Plastic Surgery (NY GPS) has been serving patients in the Tarrytown and tri - state areas for over 27 years. Dr. Jordan Jacobs, a key surgeon at NY GPS, has undergone extensive training under globally acclaimed medical leaders. He received his medical education at Jefferson Medical College in Philadelphia, completed his residency in reconstruction at NYU, and pursued fellowship training in craniofacial surgery at NYU as well. Recently awarded top doctor as featured in New York magazine, Dr. Jacobs and the NY GPS team offer personalized rhinoplasty programs tailored to each patient's needs. They perform both open and closed rhinoplasty procedures and take the time to explain the surgical options and potential outcomes to patients during the consultation process.
Dr. David Cangello
Dr. David Cangello is a board - certified plastic surgeon who is well - known for his expertise in open rhinoplasty. He is one of only a few surgeons in the United States to offer preservation rhinoplasty, a technique that allows for more natural - looking results with a shorter recovery time. Dr. Cangello performs a “component separation of the nose” during open rhinoplasty, which can only be done using an open approach. This technique allows for the individual components of the nose to be separated and repositioned in the most proportionate and balanced way, resulting in superior and natural - looking rhinoplasty results. He has been featured in numerous media outlets, including Fox News, CBS, Harper's Bazaar, and Seventeen magazine, and has received rave reviews from his patients.
Mount Sinai's Division of Facial Plastic and Reconstructive Surgery
The facial plastic surgeons at Mount Sinai are double board - certified in facial plastic and reconstructive surgery and otolaryngology (ear, nose, and throat). Their vast expertise in nasal function, as well as nasal and facial aesthetics, ensures that patients not only achieve improved cosmetic results but also better breathing function. They offer both open and closed rhinoplasty techniques and work closely with patients to determine the most appropriate surgical option based on their unique anatomy and goals. The hospital also provides a multidisciplinary approach, with access to experts in rhinology and sinus surgery for patients with specific concerns related to nasal breathing or sinus disease.
Top Rhinoplasty Surgeons in Different Areas of New York City
Albany Area
In the Albany area, several surgeons stand out for their skills in rhinoplasty. Dr. Steven Yarinsky spent two years in intensive cosmetic and reconstructive surgery training at the Medical College of Ohio. He dedicates over 150 hours every three years to continuing medical education, perfecting his techniques and learning about the latest cosmetic procedures. He was named a “regional top doctor” by Castle Connolly from 2014 - 2017 and is the only plastic surgeon between Albany and Montreal to be a member of the American Society for Aesthetic Plastic Surgery (ASAPS). Dr. William F. Deluca Jr. has over 28 years of experience as a certified plastic surgeon in Albany. He trained alongside several noted plastic surgeons, including Dr. Thomas Rees and Dr. Sherrell J. Aston. He obtained his plastic surgery training at Eastern Virginia Medical College and Manhattan Eye, Ear, and Nose Hospital and is certified by both the American Board of Surgery and the American Board of Plastic Surgery.
Buffalo Area
Dr. Todd B. Koch, a board - certified plastic surgeon in Buffalo, has undergone a rigorous training course. He completed his medical school education at the State University of New York at Buffalo, trained for five years in general surgery at Millard Fillmore Hospital, and then spent two years at the Medical College of Ohio for plastic surgery specialty training. Dr. David A. Sherris is a double - board certified facial plastic surgeon in Buffalo. He and his team at the Clinic of Facial Plastic Surgery offer state - of - the - art facial rejuvenation procedures, including rhinoplasty. He has been voted annually to “Best Doctors in America” by his peers since 2005.
New York City Area
In New York City, there are numerous highly skilled rhinoplasty surgeons. Dr. Steven J. Pearlman is a distinguished facial plastic and reconstructive surgeon, educator, and humanitarian. He is dual board - certified in facial plastic and reconstructive surgery and head and neck surgery. He has authored over 30 medical journal articles and book chapters and served as president of the American Academy of Facial Plastic and Reconstructive Surgery from 2004 - 2005. Dr. Sam Rizk combines his artistic background as a sculptor with his technical skills as a facial plastic and reconstructive surgeon. He is known for his expertise in advanced techniques in facelift, neck lift, eyelid surgery, and rhinoplasty in NYC. Dr. Sherrell J. Aston is a world - renowned double board - certified plastic surgeon. He is a 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, having used it for thousands of noses.
Rochester Area
Dr. Stephen M. Evangelisti, originally from Westchester, was drawn to Rochester by the reputation of Dr. Robert McCormick. He completed his training at the University of Rochester in plastic surgery, head and neck cancer surgery, and hand surgery. His experience in the military has refined his approach to plastic surgery, focusing on avoiding complications and meeting patients' needs. Dr. Vito C. Quatela is known as one of the top facial plastic surgeons in the Buffalo, Syracuse, and Rochester regions. His expertise in facial plastic surgery is recognized nationally and internationally. He has served as the president of the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) and established the HUGS (Help Us Give Smiles) foundation.
Syracuse Area
Dr. Sang W. Kim explored two pathways to become a plastic surgeon and decided to focus on facial plastic surgery after graduating from Harvard Medical School. He completed his residency in otolaryngology - head and neck surgery at the Harvard combined program and then a fellowship in facial plastic surgery under the tutelage of Dr. Daniel Rousso. Dr. Dean DeRoberts is a board - certified plastic surgeon in Syracuse. He has worked hard to perfect the skills required for face, body, and breast reconstruction and has received several awards in plastic surgery, including the Glancy award from the Southeastern Society of Plastic Surgeons.
The Open Rhinoplasty Procedure
Pre - operative Consultation
Before undergoing open rhinoplasty, patients will have a pre - operative consultation with their surgeon. During this consultation, the surgeon will conduct a physical examination of the nose, discuss the patient's goals and expectations, and review the patient's medical history. The surgeon will also explain the open rhinoplasty procedure, including the surgical techniques that will be used, the potential risks and complications, and the expected recovery process. The patient may be asked to provide photographs of their nose from different angles to help the surgeon plan the procedure. In some cases, the surgeon may use computer imaging to show the patient the potential results of the surgery.
The Surgery
Open rhinoplasty is typically performed on an outpatient basis under general anesthesia or a combination of local anesthesia and sedation. The surgery usually takes about one to two hours, depending on the complexity of the procedure. As described on Dr. Cangello's website, the surgeon will first make a small incision on the columella and then carefully separate the nasal skin from the bone and cartilage. The bone and cartilage will then be sculpted and reshaped according to the pre - planned surgical design. Sometimes, osteotomies (fracture of the nasal bones) may be necessary to narrow the dorsum of the nose, particularly after reduction of a large dorsal hump. Grafts may also be used to support and contour the final result. Once the desired shape has been achieved, the skin envelope is draped back onto the nose, and the incisions are closed with sutures.
Post - operative Care
After the surgery, the patient will be given a splint to maintain the new shape of the nose. The splint is usually removed after about one week. The patient may experience some swelling, bruising, and discomfort in the days following the surgery, but these symptoms can be managed with pain medication and cold compresses. The patient will need to follow the surgeon's instructions carefully, which may include avoiding strenuous activities, wearing glasses, blowing the nose, and sleeping on the sides or stomach for a certain period of time. It's important to attend all follow - up appointments with the surgeon to monitor the healing process and ensure the best possible results. Most patients are able to return to light activities, such as work, after about one week, but it may take several months to a full year for the swelling to completely subside and the final results to be fully visible.
Cost of Open Rhinoplasty in New York City
The cost of open rhinoplasty in New York City can vary widely depending on several factors. According to the American Society of Plastic Surgeons (ASPS), the average cost of rhinoplasty in the United States ranges from $5,000 to $10,000. However, in New York City, due to the high demand and the level of excellence in medical services, prices may be higher. Factors that influence the cost include:
- Surgeon's Experience and Reputation: Highly reputable surgeons with extensive experience may charge more for their services.
- Complexity of the Procedure: Revision rhinoplasty, which involves correcting a previous surgery, is more complex and time - consuming than primary rhinoplasty and therefore carries a higher price tag.
- Anesthesia and Facility Fees: The type of anesthesia used and the fees charged by the surgery center or hospital also contribute to the overall cost.
- Location: Surgeons practicing in high - cost - of - living areas like New York City may charge more than those in smaller towns or rural areas.
In addition to the surgical fees, there may be additional costs such as pre - operative appointments, operating fees, post - operative care, and prescription medications. It's important to discuss all potential costs with your surgeon before the procedure to avoid any surprises.
Risks and Complications of Open Rhinoplasty
Like any surgical procedure, open rhinoplasty carries some risks and complications. While most patients experience a successful outcome, it's important to be aware of the potential risks. Some of the common risks and complications include:
- Infection: There is a risk of infection at the surgical site, which can usually be treated with antibiotics.
- Bleeding: Some bleeding may occur during or after the surgery, but it is usually minor and can be controlled. In rare cases, more significant bleeding may require additional treatment.
- Scarring: Although the incisions made during open rhinoplasty are carefully placed and typically heal well, there is still a risk of visible scarring. However, the scar on the columella is usually well - hidden within the nasal contours and becomes less noticeable over time.
- Unsatisfactory Results: In some cases, the patient may not be satisfied with the final results of the surgery. This could be due to factors such as unexpected swelling, asymmetry, or an appearance that does not meet the patient's expectations. Revision surgery may be necessary to correct these issues.
- Breathing Problems: While open rhinoplasty is often performed to improve breathing function, there is a small risk of developing new or worsening breathing problems after the surgery. This may be due to factors such as scar tissue formation or improper repositioning of the nasal structures.
Conclusion
Open rhinoplasty is a highly effective surgical procedure that can enhance the appearance and function of the nose. New York City is home to some of the best plastic surgery hospitals and surgeons in the world, offering patients a wide range of options for open rhinoplasty. When choosing a hospital and surgeon, it's important to consider factors such as the surgeon's expertise, hospital accreditation, patient reviews, and cost. By doing thorough research and consulting with multiple surgeons, patients can make an informed decision and increase their chances of achieving successful and satisfying results. If you are considering open rhinoplasty, take the first step and schedule a consultation with a reputable surgeon in New York City. Discover the possibilities of transforming your nose and boosting your confidence.
