The ranking of experts for nasal bone reduction technology in New York City and the projects carried out!

Introduction

Nasal bone reduction, also known as rhinoplasty, is a popular cosmetic and reconstructive procedure in New York City. The city is home to many skilled experts in this field, each with their own unique techniques and specialties. In this article, we will explore the ranking of experts for nasal bone reduction technology in New York City and the various projects they carry out. We will also delve into the different types of rhinoplasty, their benefits, risks, and what to expect during the recovery process.

Top Experts in Nasal Bone Reduction Technology in New York City

Dr. Andrew Jacono

Dr. Andrew Jacono is a dual - board certified plastic surgeon with over 20 years of experience. He is an expert in ethnic rhinoplasty, which is designed to reshape the nose while respecting the patient's ethnic heritage. Different ethnic groups have unique nasal characteristics, and Dr. Jacono has innovated specialized techniques to address these differences.

• Asian Rhinoplasty: Asian patients often have lower nasal bridges, flatter nasal tips, wider frontal views, thicker skin, and weaker cartilage support. Dr. Jacono inserts cartilage grafts for nasal tip support, makes small incisions around the nostrils to diminish the width of the nasal base, and places internal cartilage grafts to elevate the nasal bridge. He prefers using the body's natural cartilage over synthetic implants as it heals better and looks more natural.
• African American Rhinoplasty: African American patients typically have lower, flatter, and/or wider nasal bridges, wider nostrils, and broader nasal tips that lack definition. Dr. Jacono harvests cartilage grafts from the nasal septum or ribs to augment flatter nasal bridges. He also surgically narrows the nasal bones or uses injectable fillers like Restylane for non - invasive bridge refinement. To increase nasal tip and nostril support, he uses grafts and performs alar base reduction.
• Hispanic Rhinoplasty: Hispanic patients often present with flatter nasal bridges, wider nostrils, dorsal humps, droopier and more bulbous nasal tips, and thicker nasal skin. Dr. Jacono adds cartilage to lift the nasal tip, reduces nostril size by making incisions within the nose and removing skin tissue, and uses fine micro - instruments to smooth the nasal bridge.

Dr. David Cangello

Dr. David Cangello is a pioneer in implementing cutting - edge technology for rhinoplasty patients in New York City. He is one of the only facial plastic surgeons in NYC to offer piezo ultrasonic rhinoplasty, a less invasive alternative to traditional rhinoplasty.

• What is Piezo Ultrasonic Rhinoplasty? This surgical procedure uses a device that generates ultrasonic waves to aid in reshaping nasal bones. Dr. Cangello sends high - frequency ultrasonic waves directly to the nasal bone, allowing him to precisely remove specific bone fragments and dense cartilage without using traditional instruments like chisels and rasps.
• Benefits: Piezo ultrasonic rhinoplasty offers several advantages. It reduces trauma to surrounding soft tissues, blood vessels, and nerves, minimizes bleeding and swelling, is more precise than traditional methods, eliminates accidental splinter fractures, is more gentle, supports bone regeneration, offers a faster and more comfortable recovery, reduces postoperative pain, and achieves more natural - looking results.
• Candidates: Ideal candidates for piezo ultrasonic rhinoplasty are those seeking to improve the size and/or shape of their nose without significant alterations to the surrounding skin and tissues. It can be used for various nose - reshaping purposes, such as correcting asymmetry, deviated septum, improving breathing problems, refining the nasal tip, removing a dorsal hump, and smoothing bony irregularities on the nasal bridge.

Dr. Dibelius

Dr. Dibelius is a highly - regarded revision rhinoplasty surgeon in NYC. Revision rhinoplasty, also known as secondary rhinoplasty, is a complex procedure to correct aesthetic or breathing problems with the nose after an initial surgery.

• Common Reasons for Revision Rhinoplasty: Patients may seek revision rhinoplasty due to nostril deformities, nasal bone deformities, breathing difficulties, tip deformities, excessive nose size reduction or narrowing, nasal valve collapse, or nasal or septal deviation.
• Dr. Dibelius' Approach: He is dedicated to rhinoplasty exclusively and has been trained in the most advanced revision rhinoplasty techniques. His consultation is highly patient and problem - focused, with a primary goal of education. He performs a thorough examination, reviews the case in detail, and takes the time to ensure the patient understands the procedure and what to expect.
• The Procedure: Revision rhinoplasty is usually performed on an outpatient basis under general anesthesia using an open technique. In cases where reshaping is difficult, a cartilage graft from the nasal septum, ear, or rib may be required. Dr. Dibelius is an expert in the use of rib grafts in revision rhinoplasty and utilizes innovative techniques to reduce postoperative infection.

Dr. John E. Sherman

Dr. John E. Sherman is a plastic surgeon with over 40 years of experience. He specializes in treating nasal fractures, which can cause aesthetic and functional issues to the nose.

• About Nasal Fractures: Nasal fractures are common and can occur due to physical trauma, accidents, previous surgeries, congenital conditions, or sports injuries. The ultimate goal of nasal fracture treatment is to restore or refine the appearance and function of the nose.
• Timing of Treatment: If the nasal bones are not fixed immediately after a fracture, it is best to wait at least 4 days for swelling to resolve. After that, a closed reduction of the nasal fracture can be performed under local or sedation anesthesia. If the patient delays for more than 2 weeks, an open reduction may be required.
• Subsequent Treatment: After nasal trauma, the nasal septum may warp, causing a deviated septum. Dr. Sherman can correct the septum through a septoplasty procedure, which may be reimbursed through insurance as it is a functional problem.
• Benefits: Treating nasal fractures can improve aesthetics, boost self - esteem, provide lasting results, and improve functionality by making breathing easier.

Dr. Rizk

Dr. Rizk specializes in bulbous nose tip surgery, providing natural - looking results with minimal downtime.

• What is a Bulbous Nose? A bulbous nose is a condition where the skin of the nose thickens and enlarges, causing it to look bulky, red, and misshapen. This can affect a person's self - esteem and confidence.
• How Dr. Rizk Treats It: He is a top NYC double - board certified facial plastic surgeon. He can contour a bulbous nose by surgically removing excess tissue or cartilage from the tip and bridge. He also uses rhinoplasty techniques such as osteotomies and spreader grafts to improve airflow through the nasal passages.
• The Procedure: During the bulbous nose tip rhinoplasty procedure, Dr. Rizk makes incisions in the nostrils or inside and around the base of the nose to access the nose cartilage and bone structures. He then reshapes these structures, reduces excess tissue, and sculpts them into a more aesthetically pleasing form. After the incisions are closed, he may use splints or tape to maintain the new shape of the nose as it heals.

Dr. Philip Miller

Dr. Philip Miller is a top facial plastic surgeon in New York City who performs reduction rhinoplasty, one of the most common rhinoplasty surgeries.

• Reduction Rhinoplasty Details: In reduction rhinoplasty, nasal cartilage and bone are removed, trimmed, or rearranged to achieve a smaller shape. This is done through small incisions inside the nostrils. The exterior skin is left intact, and it shrinks down to adopt the new shape during the healing process.
• Candidates: If you struggle with self - consciousness due to a large nose, you may be a good candidate for reduction rhinoplasty. However, factors such as age, skin condition or thickness, and pre - existing injuries may limit the amount of reduction that can be achieved.
• Benefits: Reduction rhinoplasty can improve facial symmetry, create a more flattering nose shape, and enhance the quality of life by boosting the patient's self - confidence.

Dr. Yoel Shahar

Dr. Yoel Shahar is a prominent rhinoplasty surgeon in New York City. He is a board - certified facial plastic surgeon with over 30 years of experience.

• Personalized Services: Dr. Shahar provides personalized services to help patients achieve their aesthetic goals. He uses the latest techniques and technologies to create a natural - looking nose.
• Consultation Process: During the free consultation, he discusses the patient's goals, answers questions, and examines the facial features to evaluate whether rhinoplasty is appropriate. He also reviews the medical history, conducts a physical exam, takes photos, and has an in - depth discussion about the patient's expectations.
• Benefits of Choosing Dr. Shahar: He has extensive experience, offers a free consultation, uses the latest techniques, and is committed to achieving natural, harmonious results. He also takes into account the patient's ethnic background and ensures that the nose reshaping is in harmony with the overall facial features.

Types of Nasal Bone Reduction Projects

Ethnic Rhinoplasty

Ethnic rhinoplasty is designed to address the unique nasal characteristics of different ethnic groups. As mentioned earlier, each ethnicity has distinct nasal features, and the goal is to reshape the nose while maintaining the patient's ethnic identity. The common techniques used in ethnic rhinoplasty include augmenting flat nasal bridges, refining wide or short nasal tips, and narrowing nostril bases.

Piezo Ultrasonic Rhinoplasty

This is a modern and less invasive approach to nasal bone reduction. It uses ultrasonic waves to precisely reshape the nasal bones, reducing trauma to the surrounding tissues and providing a faster recovery time. It can be used for various nose - reshaping purposes, such as correcting nasal asymmetry, refining the nasal tip, and removing dorsal humps.

Revision Rhinoplasty

Revision rhinoplasty is for patients who are dissatisfied with the results of a previous rhinoplasty procedure. It is a more complex surgery that requires the skills of a highly trained specialist. The surgeon may need to use cartilage grafts, fat grafting, and other innovative techniques to correct the aesthetic or functional problems of the nose.

Nasal Fracture Treatment

Nasal fractures can cause significant aesthetic and functional issues. Treatment involves either closed or open reduction of the nasal bones, depending on the timing of the treatment. In some cases, additional procedures such as septoplasty may be required to correct a deviated septum caused by the fracture.

Bulbous Nose Tip Surgery

This surgery is aimed at reducing the size and reshaping the tip of a bulbous nose. The surgeon removes excess tissue or cartilage from the tip and bridge of the nose, and may also use techniques to improve airflow through the nasal passages.

Reduction Rhinoplasty

Reduction rhinoplasty is used to make the nose smaller by removing, trimming, or rearranging the nasal cartilage and bone. It is a popular procedure for patients who are self - conscious about a large nose, and it can improve facial symmetry and overall appearance.

Benefits and Risks of Nasal Bone Reduction

Benefits

• Improved Aesthetics: Nasal bone reduction can enhance the appearance of the nose, making it more in proportion with the rest of the face. This can improve facial symmetry and overall attractiveness.
• Boosted Self - Esteem: Many people who are unhappy with the appearance of their nose may experience low self - confidence. A successful nasal bone reduction procedure can help improve self - esteem and body image.
• Enhanced Functionality: In some cases, nasal bone reduction can also improve breathing problems caused by a deviated septum or other nasal issues.

Risks

• Bleeding and Infection: As with any surgical procedure, there is a risk of bleeding and infection. However, these risks can be minimized by choosing a skilled surgeon and following post - operative care instructions.
• Scarring: Although most incisions made during nasal bone reduction are placed in inconspicuous locations, there is still a risk of visible scarring. However, modern techniques have significantly reduced the likelihood of noticeable scars.
• Unsatisfactory Results: There is a possibility that the patient may not be satisfied with the final results of the surgery. This can be due to factors such as unrealistic expectations or unforeseen complications during the procedure.
• Anesthesia Risks: General anesthesia is commonly used during nasal bone reduction surgery, and there are associated risks with anesthesia, such as allergic reactions, breathing problems, and nausea.

What to Expect During the Recovery Process

The recovery process after nasal bone reduction varies depending on the type of procedure performed and the individual patient. However, there are some general guidelines:

Immediate Post - Operative Period

• You will likely experience swelling and bruising around the nose and eyes. This is normal and will gradually subside over time.
• You may need to wear a splint on your nose for a few days to a week to support the new shape of the nose and protect it during the healing process.
• There may be some discomfort and pain, which can be managed with pain medication prescribed by your doctor.

First Week

• Swelling and bruising will start to improve, but you may still have some restrictions on physical activity. It is important to avoid strenuous exercise and activities that could put pressure on your nose.
• You will need to keep your head elevated while sleeping to reduce swelling.
• Your doctor will schedule a follow - up appointment to check on your healing progress and remove any sutures if necessary.

Weeks 2 - 4

• Most of the swelling and bruising should have subsided by this time, and you may start to see the initial results of the surgery. However, the final results may not be fully visible for several months as the nose continues to heal and settle into its new shape.
• You can gradually resume normal activities, but you should still avoid contact sports or activities that could cause trauma to your nose.

Long - Term Recovery

• It may take up to a year for the nose to fully heal and for the final results of the surgery to be apparent. During this time, you should continue to follow your doctor's advice regarding care and maintenance of your nose.
• Some patients may experience minor changes in their nasal appearance over time, such as a slight shift in the shape of the nose or some loss of cartilage support. Your doctor can monitor these changes and recommend any necessary additional treatments if needed.

Conclusion

New York City is home to some of the top experts in nasal bone reduction technology. Each of the experts mentioned in this article has their own unique skills and specialties, whether it's ethnic rhinoplasty, piezo ultrasonic rhinoplasty, revision rhinoplasty, or other nasal - related procedures. The different types of nasal bone reduction projects offer a range of solutions for patients looking to improve the appearance and functionality of their noses. While there are benefits to nasal bone reduction, it is important to be aware of the associated risks and to have realistic expectations about the results. By choosing a qualified and experienced surgeon and following the proper pre - and post - operative care instructions, patients can increase their chances of a successful outcome.

If you are considering nasal bone reduction, we encourage you to schedule a consultation with one of the experts in New York City. They can provide you with more detailed information about the procedure, answer your questions, and help you determine if it is the right option for you. Don't hesitate to take the first step towards achieving the nose you've always wanted!