The Top 5 Hospitals for Combined Nasal Base and Nasal Bridge Plastic Surgery in New York City
New York City stands as a global hub for plastic surgery, especially when it comes to combined nasal base and nasal bridge plastic surgery. Rhinoplasty, a common term for nose surgery, is not only a cosmetic procedure but can also improve nasal functionality. In this article, we will explore the top 5 hospitals in New York City that excel in this specialized area of plastic surgery.
1. Mount Sinai - New York
Expertise and Reputation
Mount Sinai is renowned for its excellence in various medical fields, including 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 get natural, long - lasting results. According to the hospital's data, they perform a high volume of rhinoplasty surgeries each year, with a significant success rate in both cosmetic and functional improvements.
Types of Rhinoplasty Procedures
- Primary Rhinoplasty: This is performed for the first time to address cosmetic concerns and/or nasal breathing. For example, patients who have always been dissatisfied with the appearance of their nose due to a prominent bump on the bridge or wide nostrils may opt for primary rhinoplasty.
- Revision Rhinoplasty: This procedure is carried out to address concerns or deformities resulting from prior nose surgeries. The surgeons at Mount Sinai have the skills and experience to correct the issues and provide a satisfactory outcome.
Techniques Used
| Technique | Description | Advantages |
|---|---|---|
| Closed (Endonasal) Rhinoplasty | All incisions are made inside the nose. | Lack of an external scar and relatively shorter operation duration. |
| Open (External) Rhinoplasty | A small incision is added at the base of the nose to increase the surgical field of vision. | Better visualization of the nasal anatomy, allowing for more complex alterations and grafting. |
Multidisciplinary Approach
Mount Sinai offers a multidisciplinary approach to patients. For those with specific concerns related to their nasal breathing, nasal allergies, sinus disease, or deformity after cancer treatments, the hospital's experts in the division of rhinology and sinus surgery and the head and neck institute work closely together. In some cases, combined surgeries can be performed to achieve the best results.
2. Cangello Plastic Surgery
Surgeon's Expertise
Dr. David Cangello is a board - certified plastic surgeon in New York City and is widely recognized as a leader in rhinoplasty and a pioneer of preservation rhinoplasty. He has extensive experience in a range of techniques to successfully treat a variety of nasal bridge issues.
Preservation Rhinoplasty
Dr. Cangello is among an elite few surgeons to offer preservation rhinoplasty. This modern approach to nose reshaping preserves as much of the original nasal structure as possible. By retaining the existing tissue, cartilage, and bone, it allows for a natural - looking result, improved nasal function, and a lower risk of complications. Preservation techniques are well - suited for nasal bridge concerns, such as removal of humps, general bridge reshaping, and correction of minor asymmetries.
Comparison with Traditional Nasal Bridge Surgery
- Dorsum Preservation: In preservation rhinoplasty, the dorsum is completely preserved, eliminating the need for reconstruction and cartilage grafts. Instead of shaving down the dorsum, bone and cartilage removal occurs underneath the nose bridge, and the intact dorsum can be repositioned to lower the height of the nasal bridge. This reduces the possibility of dorsum irregularities and can cut down on revision rhinoplasty procedures.
- Dissection Plane: In a preservation procedure, the perichondrium and the periosteum are left intact. By dissecting the nose below these thin tissue layers, the veins, arteries, and lymphatics are all preserved, almost eliminating bruising and swelling and minimizing the patient's social downtime.
- Tip Plasty Approach: The tip plasty approach in a preservation procedure emphasizes a more natural look, avoiding some of the problems with nose tip proportion that can be tell - tale signs of rhinoplasty.
Specific Nasal Bridge Surgeries
- Narrowing the Nose: When planning to narrow the nasal bridge, factors such as the width of the nasal base, the natural shape and desired aesthetic of the nasal tip, the proportions of the nose in relation to ethnicity and facial features, and the thickness and elasticity of the skin are all taken into account.
- Correcting a Dorsal Bump: To ensure a proportionate, natural - looking, and functional result, the rhinoplasty surgeon must plan a series of maneuvers beyond hump removal, including osteotomies, consideration of the middle vault integrity, and revision of the nose tip position and shape.
- Correcting a Saddle Nose Deformity: This involves restoration or augmentation of the nasal bridge. In mild cases, a graft of septal cartilage may be sufficient, while more severe cases may require costal cartilage grafting or synthetic biocompatible grafting materials.
- Improving Breathing Function: The primary objective of nasal bridge surgery may be aesthetic, but the preservation or improvement of breathing function is also crucial. In many cases, a nasal bridge that is deviated is due to septal deviation, and septoplasty may be incorporated into the initial surgical plan.
3. New York Group for Plastic Surgery
Comprehensive Rhinoplasty Services
The New York Group for Plastic Surgery offers some of the best rhinoplasty services in New York City. Rhinoplasty at NY GPS can effectively correct and improve various aspects of the nose, such as nose size in relation to facial proportions, nasal asymmetry, nose width at the bridge, size, position or shape of the nostrils, nasal tip appearance, visible bumps or depressions on the bridge, nasal disfigurement due to injury, and functional defects like a deviated septum.
Patient - Centered Approach
The surgeons at NY GPS understand that every patient is unique. They develop an individualized treatment plan for each patient based on their facial structure and the overall goals for the procedure. The surgery is performed on an outpatient basis at their on - site surgical facility, allowing patients to recover in the comfort of their own home.
Surgical Techniques
| Technique | Description | Suitability |
|---|---|---|
| Closed Rhinoplasty (Endonasal) | Surgical incisions are made inside the nose. | Preferred for patients who only require minor alterations to their nasal structures to achieve their desired results, as it eliminates visible external scarring. |
| Open Rhinoplasty | A small incision is placed on the exterior of the nose directly below the nasal tip across the columella. | Utilized on patients who require a more extensive nose reshaping, as it grants better access to the bones and cartilage of the nose. |
Combining Procedures
Many patients at NY GPS choose to combine rhinoplasty with other facial cosmetic procedures such as facelifts, brow lifts, ear shaping, and eyelid surgery. This offers the added benefit of only a single recovery period and an overall improvement in the face's appearance.
4. Columbia Surgery
Hospital Reputation and Expertise
Columbia University is one of New York's best hospitals and a world - class medical center. The plastic surgeons at Columbia are proficient in multiple areas of specialization, including cosmetic nose surgery (rhinoplasty). The hospital has a long - standing history of excellence in plastic and reconstructive surgery, and its surgeons are at the forefront of clinical and laboratory research in the field.
Range of Plastic Surgery Services
Columbia offers a wide range of plastic surgery services, not just limited to rhinoplasty. Their cosmetic care program provides surgical and non - surgical options to improve cosmetic health, while the reconstructive care program addresses issues like breast reconstruction after breast cancer, skin lesion excision, and reconstructive surgery for the nose and ears. In the context of rhinoplasty, their surgeons have the skills and resources to handle various cases, from simple cosmetic improvements to complex reconstructive surgeries.
Plastic Surgery Team
The division of plastic & reconstructive surgery at Columbia has a team of board - certified surgeons. Each surgeon has their own area of expertise, but collectively they can offer comprehensive care to patients seeking rhinoplasty. For example, Dr. Christine Rohde is a highly skilled clinician, researcher, and teacher, specializing in microsurgery, abdominal wall reconstruction, and cosmetic surgery, including rhinoplasty.
5. Rapaport Plastic Surgery
Surgeon's Experience
Board - certified plastic surgeon Dr. Rapaport, with over 25 years of experience, has the expertise necessary for optimal rhinoplasty results. Rhinoplasty is one of the most commonly performed aesthetic surgical procedures in the United States, and Dr. Rapaport has refined his techniques over the years to provide the best outcomes for his patients.
Customized Rhinoplasty Procedures
Dr. Rapaport customizes every rhinoplasty procedure to the individual patient. He offers a variety of rhinoplasty techniques, including full rhinoplasty vs. tipplasty, cosmetic vs. functional rhinoplasty, reduction rhinoplasty vs. augmentation rhinoplasty, and primary vs. revision rhinoplasty. For example, full reduction rhinoplasties are often performed on patients with a bump on the bridge of their nose and a desire to refine the tip. This procedure involves shaving or rasping the bone and cartilage that make up the bump and then correcting any open roof deformity.
Open vs. Closed Rhinoplasty
Dr. Rapaport individualizes his approach between open and closed rhinoplasty depending on the patient's anatomy, complexity, and goals. Open rhinoplasty provides a full view of the nasal tip cartilage, allowing for more precise suturing, grafting, and manipulation of the tip, but it may result in increased swelling, a prolonged healing period, and a columellar scar. Closed rhinoplasty offers faster healing, less pronounced swelling, and no visible scar, but it has limitations in terms of access and visibility for complex cases.
Recovery and Results
Following a full rhinoplasty at Rapaport Plastic Surgery, patients typically spend the first day resting at home with their head elevated. They wear a splint for approximately four days and can return to work five to seven days after the procedure. Swelling, bruising, and a stuffy nose feeling are common, and patients should avoid strenuous activity for about a month and contact sports for at least three months. Final rhinoplasty results are visible in approximately one year and are permanent.
Factors to Consider When Choosing a Hospital for Rhinoplasty
Surgeon's Qualifications
It is crucial to choose a surgeon who is board - certified in plastic surgery or facial plastic and reconstructive surgery. Check their experience, training, and reputation. Look for surgeons who have performed a significant number of rhinoplasty surgeries and have a good track record of successful outcomes. Reading patient testimonials and reviews can also give you an idea of the surgeon's skills and patient satisfaction.
Hospital's Reputation
The reputation of the hospital is an important factor. Hospitals with a long - standing history of excellence in plastic surgery, such as Mount Sinai and Columbia University, are more likely to have the necessary resources, advanced technology, and a team of experienced medical staff. A good - reputed hospital also adheres to strict safety and quality standards.
Range of Services
Consider a hospital that offers a wide range of rhinoplasty services. This includes different types of rhinoplasty procedures (primary, revision, functional, cosmetic), as well as the ability to combine rhinoplasty with other facial cosmetic procedures. A hospital with a comprehensive approach can better meet your individual needs and goals.
Cost and Insurance Coverage
The cost of rhinoplasty can vary depending on several factors, such as the complexity of the procedure, the type of anesthesia used, and the location of the hospital. Reconstructive surgeries to correct injuries or serious health issues may be partially covered by insurance, while cosmetic rhinoplasty procedures are typically not. It is important to have a clear understanding of the cost and insurance coverage before making a decision.
Recovery and After - Care
Find out about the hospital's recovery and after - care services. A good hospital will provide detailed instructions on post - operative care, including pain management, swelling reduction, and follow - up appointments. The availability of support during the recovery period can greatly impact your overall experience and the final outcome of the surgery.
Conclusion
New York City offers a plethora of options for combined nasal base and nasal bridge plastic surgery. The top 5 hospitals mentioned in this article - Mount Sinai, Cangello Plastic Surgery, New York Group for Plastic Surgery, Columbia Surgery, and Rapaport Plastic Surgery - each have their own unique strengths, whether it's the expertise of their surgeons, the range of services offered, or their innovative techniques. When considering rhinoplasty, it is essential to carefully evaluate these hospitals based on the factors discussed above.
If you are interested in combined nasal base and nasal bridge plastic surgery, we encourage you to reach out to these hospitals for consultations. Schedule appointments, discuss your goals and concerns with the surgeons, and make an informed decision that is right for you. Remember, a well - chosen hospital and surgeon can make all the difference in achieving the results you desire and ensuring a safe and successful surgery.
