Introduction
Nasal columella extension with cartilage transplantation is a specialized and intricate surgical procedure in the field of rhinoplasty. It aims to improve the aesthetic appearance and functional aspects of the nose, particularly enhancing the shape and position of the nasal columella. In New York City, a hub of medical excellence, there are several doctors renowned for their high - level technical skills in this procedure. This article will introduce the top 3 doctors in this regard, analyzing their expertise, achievements, and surgical approaches.
Dr. Andrew Jacono
Professional Background
Dr. Andrew Jacono is a globally recognized authority in the field of facial plastic surgery. He has over a decade of experience and has been performing rhinoplasty procedures on a large scale. He is the surgical director of the New York Center for Facial Plastic and Laser Surgery. His practice is centered in New York City, where he has treated numerous patients seeking rhinoplasty solutions.
Recognition and Awards
He has received multiple prestigious recognitions. Newsweek named him one of the top 5 rhinoplasty surgeons in America and the number one rhinoplasty surgeon in NYC in 2021. He has also been elected as one of the top facial plastic surgeons in America by Harper’s Bazaar and chosen as one of the top rhinoplasty surgeons in the world by the Castle Connolly independent organization. These accolades speak volumes about his expertise and reputation in the industry.
Technical Skills in Nasal Columella Extension with Cartilage Transplantation
- Customized Approaches: Dr. Jacono customizes his rhinoplasties, including nasal columella extension procedures. He assesses each patient's unique nasal anatomy, ethnic background, and aesthetic goals. For instance, in cases of ethnic rhinoplasty, he ensures that the procedure preserves the patient's ethnic identity while achieving a natural and beautiful nasal definition. When it comes to nasal columella extension, he carefully selects the most appropriate cartilage source, such as the nasal septum, ear, or rib, based on the patient's needs.
- Minimally - Invasive Techniques: He has pioneered less - invasive techniques that avoid breaking the nose and removing excessive cartilage. This reduces the risk of over - correction and makes the recovery process smoother for the patients. In nasal columella extension, these techniques can minimize damage to the surrounding tissues, leading to less swelling, bruising, and pain post - surgery.
- Expertise in Cartilage Grafting: In nasal columella extension with cartilage transplantation, cartilage grafting is a crucial step. Dr. Jacono is highly skilled in harvesting and placing cartilage grafts. He uses the body's own bone and cartilage to reconstruct the patient's nose, which reduces the risk of rejection and provides a more natural - looking result. In some cases, he also utilizes cartilage from a tissue bank, eliminating the need for an additional donor site and its associated incisions and recovery time.
Patient Testimonials
Patients from all over the world travel to visit Dr. Jacono's New York City surgery center. His patients often praise his attention to detail, natural results, and his ability to make them feel comfortable throughout the process. Many report that their nasal appearance and breathing have significantly improved after the procedure, with a high level of satisfaction.
Dr. Richard Westreich
Professional Background
Dr. Richard Westreich is a double - board - certified facial plastic surgeon leading the team at New Face NY. He completed his postgraduate training in facial plastic surgery and otolaryngology at the prestigious Mt. Sinai Hospital in New York City. He has been listed by New York magazine as one of the top plastic surgeons in New York for several consecutive years and recognized as a top doctor by the Castle Connolly group.
Technical Skills in Nasal Columella Extension with Cartilage Transplantation
- Artistic Approach: Dr. Westreich approaches nasal surgery from an artistic perspective. He focuses on creating highlights and shadows, as well as natural proportions, in the nose. In nasal columella extension, this means that he aims to make the extended columella blend seamlessly with the rest of the nose and face, creating a harmonious and aesthetically pleasing appearance. For example, he may use sculptural techniques to shape the cartilage graft in a way that mimics the natural contours of the nasal columella.
- Diverse Rhinoplasty Techniques: He is proficient in various rhinoplasty techniques, including open and closed approaches. In nasal columella extension, the choice of approach depends on the patient's specific situation. The open approach allows for better visualization and access to the nasal structures, which can be beneficial for more complex cases of columella extension. The closed approach, on the other hand, may be preferred for patients who desire a quicker recovery and less visible scarring.
- Cartilage Manipulation: When it comes to cartilage transplantation for nasal columella extension, Dr. Westreich is skilled in manipulating different types of cartilage. He can use septal cartilage, which is a common and reliable source for grafting, to provide support and structure to the extended columella. If septal cartilage is insufficient, he may also use cartilage from the ear or ribs, adapting his techniques accordingly to ensure a successful outcome.
Patient - Centered Care
Dr. Westreich takes the time to understand each patient's cosmetic concerns, functional needs, and long - term expectations. He curates personalized treatment plans for nasal columella extension, ensuring that the patient's goals are met. He also provides detailed pre - and post - operative instructions and support, helping patients through the recovery process with minimal discomfort.
Dr. John E. Sherman
Professional Background
Dr. John Sherman is a board - certified plastic surgeon who has been performing rhinoplasty procedures for over 30 years. His practice is located in New York City, where he and his team are dedicated to providing outstanding care and natural - looking results for patients seeking rhinoplasty.
Technical Skills in Nasal Columella Extension with Cartilage Transplantation
- Experience - Based Decision Making: With his 30 + years of experience, Dr. Sherman has seen a wide range of nasal anatomies and conditions. In nasal columella extension, he can accurately assess the patient's nasal structure and determine the most appropriate surgical approach and cartilage source. For example, if a patient has a deviated septum along with the need for columella extension, he can address both issues simultaneously, improving both the aesthetic and functional aspects of the nose.
- Closed and Open Rhinoplasty Expertise: Dr. Sherman is well - versed in both closed and open rhinoplasty approaches. The closed approach, which he uses in approximately 50% of his patients, offers advantages such as less swelling and no external scarring. In some cases of nasal columella extension, the closed approach may be sufficient to place the cartilage graft accurately. However, if cartilage grafting is more complex or if there is a need for better visualization of the nasal structures, he may opt for the open approach.
- Functional and Aesthetic Balance: He emphasizes both the functional and aesthetic aspects of nasal surgery. In nasal columella extension, he ensures that the extended columella not only looks good but also does not compromise the patient's nasal breathing. For example, he may correct any underlying septal issues during the procedure to improve airflow while enhancing the appearance of the nose.
Cost and Insurance Considerations
Dr. Sherman provides detailed information about the cost of the rhinoplasty procedure, including nasal columella extension. Cosmetic rhinoplasty is usually not covered by insurance, but if there are functional issues such as a deviated septum that require correction, a portion of the procedure may be eligible for insurance coverage. He works with patients to determine the best financing options and helps them navigate the insurance process.
Comparing the Three Doctors
| Doctor | Recognition | Technical Focus | Patient - Centered Aspects |
|---|---|---|---|
| Dr. Andrew Jacono | Named one of the top 5 rhinoplasty surgeons in America by Newsweek; recognized by Harper’s Bazaar and Castle Connolly | Customized approaches, minimally - invasive techniques, expertise in cartilage grafting | Patients from around the world seek his services; known for making international patients feel comfortable |
| Dr. Richard Westreich | Listed by New York magazine as a top plastic surgeon; recognized by Castle Connolly | Artistic approach, diverse rhinoplasty techniques, cartilage manipulation | Curates personalized treatment plans and provides detailed pre - and post - operative support |
| Dr. John E. Sherman | 30 + years of experience performing rhinoplasty | Experience - based decision making, closed and open rhinoplasty expertise, balance of function and aesthetics | Provides clear information about cost and insurance; helps patients with financing and insurance processes |
Conclusion
In conclusion, Dr. Andrew Jacono, Dr. Richard Westreich, and Dr. John E. Sherman are among the top doctors in New York City when it comes to the technical level of nasal columella extension with cartilage transplantation. Each doctor brings unique skills, experiences, and patient - centered approaches to the table. Dr. Jacono's global recognition, minimally - invasive techniques, and ability to preserve ethnic identity make him a top choice for many patients. Dr. Westreich's artistic vision and diverse rhinoplasty techniques ensure natural and harmonious results. Dr. Sherman's long - standing experience and focus on both function and aesthetics provide reliable and comprehensive care.
If you are considering nasal columella extension with cartilage transplantation in New York City, we encourage you to research these doctors further, schedule consultations with them, and make an informed decision based on your individual needs and preferences. Remember, choosing the right doctor is crucial for achieving the best possible outcome for your nasal surgery.
