Top 5 Institutions for Nasal Bone Reduction Technology in New York City

Nasal bone reduction is a delicate and complex procedure that requires advanced technology and highly skilled surgeons. In New York City, several institutions stand out for their expertise in this field. This article will introduce you to the top 5 institutions known for their outstanding nasal bone reduction technology in 2025.

1. Cangello Plastic Surgery

Introduction

Cangello Plastic Surgery is renowned for its cutting - edge technology and personalized approach to nasal surgeries. Dr. David Cangello, a leading plastic surgeon in NYC, is a pioneer in implementing advanced surgical techniques.

Unique Technologies

Piezo Ultrasonic Rhinoplasty: This is a revolutionary surgical procedure offered at Cangello Plastic Surgery. Instead of using traditional nose surgery instruments like chisels and rasps, it uses a device that generates ultrasonic waves to aid in reshaping nasal bones. According to PRS Global Open, piezo ultrasonic technology can create a less invasive alternative to traditional rhinoplasty. It allows for more precise cuts, less trauma to surrounding tissues, reduced bleeding, minimal bruising, and a shorter recovery period. The ultrasonic waves are sent directly to the nasal bone, enabling Dr. Cangello to precisely remove specific bone fragments and dense cartilage. For example, in a traditional rhinoplasty, instruments such as rasps and chisels can cause additional trauma to the surrounding tissues, which may lead to swelling, bleeding, and scarring. In contrast, piezo ultrasonic rhinoplasty minimizes these risks. This type of rhinoplasty surgery can be used in both open and closed rhinoplasty under general anesthesia. It provides an advantage as it causes less adjacent injury to deep soft tissues, adjacent mucosal tissue, and overlying skin, which translates into a more comfortable recovery for patients.

Preservation Rhinoplasty with Precision Osteotomies: Dr. Cangello is also one of the first plastic surgeons to offer preservation rhinoplasty in the U.S. In preservation rhinoplasty, the dorsum, including the thin layers of lymphatic and blood - rich tissue above (the periosteum and the perichondrium), is preserved. He uses precise nasal osteotomies in this approach. While in a traditional nasal bridge procedure, the surgeon typically removes a piece of the nasal bone and relies on grafts to shape the dorsum, in preservation rhinoplasty, Dr. Cangello uses very precise osteotomies to reshape the dorsum while preserving the native structure for a more natural - looking result. By making a nasofrontal osteotomy across the radix and connecting it with lateral osteotomies, the entire bony pyramid of the nose can move as one flexible joint. This technique minimizes patient downtime, provides natural - looking results, and reduces the incidence of revision rhinoplasty procedures. Dr. Cangello uses a preservation approach in up to 80% of his rhinoplasty procedures.

Success Cases

Many patients at Cangello Plastic Surgery have achieved superior, natural - looking rhinoplasty results. Dr. Cangello's artistic insight and surgical precision allow him to produce results that perfectly complement the unique face of every patient. His patients often praise the quality of their rhinoplasty outcomes and the reduced recovery time compared to traditional methods.

2. Gotham Plastic Surgery

Introduction

Gotham Plastic Surgery offers innovative solutions for nasal problems, with a particular focus on microrhinoplasty. This technique is a significant advancement in nose job procedures, especially for patients who want to remove a hump or bump on the nose.

Unique Technologies

MicroRhinoplasty: Developed as an alternative to traditional rhinoplasty for hump or bump removal, microrhinoplasty is a less invasive technique. In a traditional rhinoplasty, an osteotomy is commonly used to reduce humps or bumps on the bridge of the nose, which requires the surgeon to manually fracture the nasal bones. This is a complex procedure, usually performed under general anesthesia, and results in significant swelling, bruising, and long recovery times. In contrast, at Gotham Plastic Surgery, Dr. Miller uses an innovative air - powered microrasp and only a local anesthesia for microrhinoplasty. He accesses the treatment area through a tiny incision in the nostril and then uses the specialized microrasp to remove the obtrusive bony layers with extreme precision until the desired contour is achieved. Patients report very little pain, minimal swelling and bruising, and usually return to normal activities within a few days. The procedure can be completed in as little as five minutes, making it a convenient option for many patients.

Benefits for Patients

The short treatment time is a major advantage of microrhinoplasty at Gotham Plastic Surgery. Most procedures can be completed in 5 - 15 minutes, which is much faster than traditional rhinoplasty. The use of local anesthesia also reduces the risks associated with general anesthesia. Additionally, the minimal pain and discomfort during and after the procedure, along with the quick resolution of symptoms, make it an attractive option for patients who are bothered by a small bump on their nose but do not want a more invasive and time - consuming traditional rhinoplasty. Patients can usually resume normal activities within 1 - 2 days, although strenuous activity should be avoided for 4 - 6 weeks.

3. New York Plastic Surgery Group (Dr. John E. Sherman)

Introduction

Dr. John E. Sherman of the New York Plastic Surgery Group has over 40 years of experience in plastic surgery. He is well - known for his expertise in treating nasal fractures and reshaping the nose after trauma.

Techniques for Nasal Fracture Treatment

Closed Reduction of Nasal Fracture: When a patient has a nasal fracture, if the nasal bones are not fixed immediately, it is best to wait at least 4 days for the swelling to resolve. After that, Dr. Sherman can perform a closed reduction of the nasal fracture under local anesthesia or sedation anesthesia. This procedure takes less than one hour and does not require any incisions. However, if the patient delays for more than 2 weeks, the simple closed reduction cannot be performed because the nasal bones are not as mobile. In such cases, Dr. Sherman may recommend waiting 4 - 6 weeks for an open reduction of the nasal fracture. According to Canadian Medical Association Journal, accurate timing of treatment is crucial for the success of nasal fracture reduction.

Reconstruction Techniques: In addition to fracture reduction, Dr. Sherman uses various reconstruction techniques for the nose. He can use cartilage grafts from elsewhere in the body to modify the nose if necessary. Regional flaps can be used when the nose is severely damaged, where a portion of skin from another area of the body is excised and used to modify the nose. Local flaps involve manipulating the position of nasal tissue by using tissue from the cheeks or forehead. Skin grafts are also an option for nose reconstruction. After making modifications, Dr. Sherman carefully closes the incisions using suture closure to prevent scarring. In some cases, depending on the underlying anatomy and the complexity of the procedure, he may leave the incision open for secondary intention healing, allowing the body to form new tissue.

Patient - centric Approach

Dr. Sherman takes a patient - centric approach, considering the patient's medical history, aesthetic goals, and overall health. During the consultation, he discusses the patient's expectations and the best treatment plan for their needs. He also provides detailed pre - operative instructions, such as stopping medications and supplements that thin the blood, temporarily stopping smoking, and arranging for transportation home after the procedure. His extensive experience and personalized approach have helped many patients achieve life - changing results in terms of both appearance and function of the nose.

4. Natural Look Institute (Dr. Yoel Shahar)

Introduction

Dr. Yoel Shahar of the Natural Look Institute is one of the best rhinoplasty surgeons in New York City. With nearly 25 years of experience in performing rhinoplasty and nose reshaping procedures, he is known for his artistic eye and ability to achieve natural - looking results.

Range of Rhinoplasty Procedures

Diverse Rhinoplasty Types: Dr. Shahar offers a wide range of rhinoplasty procedures, including septorhinoplasty, endoscopic, open, closed, and revision rhinoplasty. He understands that each patient has unique needs and facial features, and he carefully selects the appropriate procedure based on the patient's goals. For example, cosmetic rhinoplasty can involve modifying the bone shape, cartilage, and skin to change the appearance of the nose, while it can also be used to improve breathing. Dr. Shahar always considers all the patient's other facial features to obtain perfect facial harmony, ensuring that the nose reshaping not only looks good but also fits well with the overall face.

Patient Consultation and Safety: Safety is a top priority at the Natural Look Institute. Dr. Shahar performs most of the procedures in his on - site surgical facility, which is accredited by the AAAHC. He is attended by excellent anesthesiologists and nurses. During the patient consultation, he offers personalized and caring attention. He spends time answering all the patient's questions, performs a careful evaluation in his “mirror” room, analyzing the face and nose to achieve perfect facial harmony. He is also highly realistic about the expected cosmetic surgery results of each patient and never over - corrects. Instead, he recommends minimal procedures to achieve natural - looking cosmetic surgery results.

Patient Testimonials

Many patients have left positive testimonials about their experiences with Dr. Shahar. For example, one patient who had under - eye surgery with him said that he understood what the patient wanted and executed the procedure perfectly. Another patient who had their nose realigned due to a childhood accident fracture reported minimal recovery time, with the bandages coming off in 5 days and no more bruising after a week. They were very satisfied with the natural - looking results and the excellent pre - and post - surgery service.

5. Dr. Philip Miller's Practice

Introduction

Dr. Philip Miller is a top facial plastic surgeon in New York City, known for his expertise in reduction rhinoplasty. His practice focuses on helping patients who are unhappy with the size of their nose achieve a more balanced and harmonious facial appearance.

Reduction Rhinoplasty

Surgical Approach: Reduction rhinoplasty, also known as nose reduction, is a common surgery at Dr. Miller's practice. In this procedure, nasal cartilage and bone are removed, trimmed, or rearranged through small incisions inside the nostrils to achieve a smaller nose shape. The exterior skin is left intact, and during the healing process, it shrinks down to adopt the new shape. Depending on the amount of reduction desired, the nostrils may also need to be reduced to keep everything in proportion, and tiny incisions are made on each nostril, which leave only very fine scars hidden within the crease between the nostril and the face. There are two main approaches to reduction rhinoplasty: closed (endonasal) and open (external). In a closed rhinoplasty, incisions are made inside the nostrils, leaving no visible stitches or scars. In an open rhinoplasty, a small incision is placed between the nostrils on the underside of the nose, allowing the surgeon to access more areas of the nose.

Benefits for Patients

The benefits of reduction rhinoplasty by Dr. Miller are numerous. Firstly, it can improve facial symmetry by bringing the nose into proportion with the eyes, mouth, and cheeks. An oversized nose can throw the entire facial appearance out of balance, and reduction rhinoplasty addresses this issue. Secondly, it can create a more flattering nose shape by reducing ridges, bumps, and excessive width. Finally, it can improve the patient's quality of life by boosting self - confidence. Patients who are self - conscious about their large nose often gain renewed confidence after the procedure, which can have a positive impact on all areas of their lives.

Comparison of the Top 5 Institutions

Conclusion

In New York City in 2025, these top 5 institutions - Cangello Plastic Surgery, Gotham Plastic Surgery, New York Plastic Surgery Group, Natural Look Institute, and Dr. Philip Miller's Practice - offer some of the best nasal bone reduction technologies and expertise. Each institution has its own unique approach, techniques, and benefits. Cangello Plastic Surgery stands out for its innovative piezo ultrasonic and preservation rhinoplasty techniques, while Gotham Plastic Surgery offers a quick and less invasive microrhinoplasty option. The New York Plastic Surgery Group has vast experience in treating nasal fractures, and the Natural Look Institute focuses on achieving natural - looking results with a patient - centric approach. Dr. Philip Miller's practice is well - known for reduction rhinoplasty to improve facial symmetry.

If you are considering nasal bone reduction, it is essential to do thorough research and schedule consultations with these experts. During the consultation, discuss your goals, concerns, and expectations to find the best institution and surgeon for your needs. Don't hesitate to ask questions, review before - and - after photos, and read patient testimonials. Take the first step towards a more confident you by exploring these top - notch institutions in New York City!