The Top 10 Ranking List for Nasal Ala Reduction in New York City in 2025
Introduction
Nasal ala reduction, also known as alarplasty, is a sought - after cosmetic procedure in New York City. It involves narrowing the alar base of the nose, which can enhance facial symmetry and improve one's self - confidence. In this article, we will explore the top 10 surgeons for nasal ala reduction in New York City, taking into account their expertise, experience, patient reviews, and the quality of their work. Additionally, we'll provide an in - depth look at the procedure itself, including its benefits, techniques, risks, and recovery process.
Understanding Nasal Ala Reduction
What is Nasal Ala Reduction?
Nasal base reduction, or alarplasty, is a rhinoplasty technique aimed at narrowing the alar base of the nose. The alar base plays a crucial role in the overall proportion and appearance of the nose and its harmony with the rest of the face. An overly flared or wide alar base can make the nose look bottom - heavy, which is a concern for many patients seeking this procedure. It is a common procedure in both rhinoplasty and revision rhinoplasty, often requested by patients of African American, Middle Eastern, and Asian ethnicities, also known as ethnic rhinoplasty. The “ideal” nasal base width for Caucasians typically falls between the distance of the inner corners of the eyes, but in ethnic rhinoplasty, a more natural - looking base slightly outside these lines may be preferred.
Benefits of Nasal Ala Reduction
- Refines the Nose: It improves the overall appearance of the nose by reducing its width at the base, giving it a more proportionate look.
- Enhances Facial Symmetry: By correcting the width of the alar base, it brings better balance to the face, making other facial features stand out more evenly.
- Increases Self - Confidence: A more aesthetically pleasing nose can have a significant positive impact on a person's self - esteem and how they feel about their appearance.
- Reduces Nostril Size and Flare: This can address concerns related to overly large or flared nostrils, creating a more refined and subtle look.
- Long - lasting Results: Once the surgery is completed and the healing process is over, the results are generally permanent.
Anatomy Involved
Knowledge of nasal base anatomy is essential for determining the optimal surgical technique. The nostrils are separated by the columella, a vertical “column - like” structure in the center of the nose. The nasal sill extends from the bottom of the columella to the alar base insertion. The shape of the nostrils is influenced by multiple factors, including the anterior nasal spine, lower lateral cartilages, caudal septum, maxilla, upper lip, and the surrounding soft tissue and skin. Altering any of these elements can change the appearance and function of the nose. Surgeons must carefully evaluate each patient's unique nasal anatomy to choose the best surgical approach.
The Top 10 Surgeons for Nasal Ala Reduction in New York City
1. Dr. Sam Rizk
Dr. Sam Rizk combines his artistic background as a sculptor with his technical skills as a facial plastic and reconstructive surgeon. He is a double - board - certified New York facial plastic surgeon and the director of Manhattan Facial Plastic Surgery, PLLC. He is honest with patients and will only recommend surgery when the benefits far outweigh the risks. His expertise in the most advanced techniques in facelift, neck lift, eyelid surgery, and rhinoplasty in NYC is well - known. He has written and lectured extensively on current concepts related to rhinoplasty, including nasal ala reduction.
2. Dr. Sherrell J. Aston
Dr. Sherrell J. Aston is a world - renowned double - board - certified plastic surgeon. He is a professor of plastic surgery at New York University, a past president of the American Society for Aesthetic Plastic Surgery, and a fellow of the American College of Surgeons. For twenty - three years, he was the chairman of the plastic surgery department at Manhattan Eye Ear & Throat Hospital. He is an expert in the closed rhinoplasty technique, which avoids external incisions and scars on the nose. He has used this technique for thousands of noses, including nasal ala reduction procedures, and has lectured globally and written textbook chapters on the subject.
3. Dr. Steven J. Pearlman
Dr. Steven J. Pearlman is a distinguished facial plastic and reconstructive surgeon, educator, and humanitarian. He is uniquely dual - board - certified in both facial plastic and reconstructive surgery and head and neck surgery. With extensive clinical and academic backgrounds, he provides patients with in - depth expertise in the cosmetic and reconstructive surgery of the nose, face, and eyes. He has authored over 30 medical journal articles and book chapters and serves on the editorial board of several prestigious medical periodicals. He was the president of the American Academy of Facial Plastic and Reconstructive Surgery from 2004 - 2005 and is nationally renowned as a master specialist in nasal and facial beauty, offering excellent nasal ala reduction results.
4. Dr. Andrew Jacono
Dr. Andrew Jacono is a global authority in facial plastic and reconstructive surgery. He is one of the few surgeons with dual - board certification in facial plastic and reconstructive surgery and head and neck surgery. He is the section head of facial plastic and reconstructive surgery at North Shore University Hospital Manhasset, an assistant clinical professor at the New York Eye and Ear Infirmary and Albert Einstein College of Medicine, and the director of the New York Center for Facial Plastic & Laser Surgery. He is known for his original, advanced approach to non - surgical and minimally invasive facial rejuvenation, as well as his skill in rhinoplasty, including nasal ala reduction for ethnic noses.
5. Dr. Yael Halaas
Dr. Yael Halaas is recognized as one of the best facial plastic surgeons in New York City. She is fully bilingual in English and Spanish and has a special interest in the treatment of the aging face, primary and reparative rhinoplasty, and hair loss treatment. She graduated in the top ten percent of her medical school class at Cornell University Medical College and is a member of the Alpha Omega Alpha medical honors society. She is board - certified by the American Board of Otolaryngology and the American Board of Facial Plastic and Reconstructive Surgery and a fellow of the American College of Surgeons. Her attention to detail and patient - centered approach make her a great choice for nasal ala reduction.
6. Dr. Maurice M. Khosh
Dr. Maurice M. Khosh is a well - known and dual - board - certified facial plastic surgeon in Manhattan. He is the past president of the New York Facial Plastic Surgery Society and a founding member of the New York Head and Neck Institute. He is an affiliate member of the Vascular Birthmarks Institute of New York and a surgical consultant for the Crime Victims Treatment Center at St. Luke's - Roosevelt Hospital Center. He has received multiple awards, including the Castle Connolly Top Doctor Award, the Patients' Choice Award, and the Best Doctors in America Award. His artistic background and extensive surgical experience allow him to create natural - looking results in nasal ala reduction procedures.
7. Dr. Jennifer Levine
Dr. Jennifer Levine is one of the few surgeons double - board - certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology – Head and Neck Surgery. Her philosophy is to provide natural, believable results that enhance a patient's appearance. She graduated with honors from Columbia University and received her medical doctorate from Cornell University Medical College, where she was elected to the Alpha Omega Alpha national medical honor society. Her post - doctoral training included residencies and fellowships at top institutions in New York. She is an expert in the latest invasive and non - invasive anti - aging treatments and can perform precise nasal ala reduction surgeries.
8. Dr. Benjamin Paul
Dr. Benjamin Paul is a facial plastic and reconstructive surgeon who practices in Manhattan. He is known for his exceptional talent in rhinoplasty, facelift, eyelid surgery, and hair restoration. He completed the prestigious honors program in medical education at Northwestern University and received his undergraduate and medical degree there. He then went on to complete his general surgery internship, otolaryngology - head and neck surgery residency, and facial plastic and reconstructive surgery fellowship at New York University. He prides himself on delivering natural, long - lasting results with minimal downtime, making him a top candidate for nasal ala reduction.
9. Dr. Joseph Rousso
Dr. Joseph Rousso specializes in rhinoplasty procedures, including nostril or alar base reduction. He has the education, training, and expertise needed for nose - shaping procedures. His focus on both artistic form and the functional aspect of the nose creates a balanced approach to his surgeries. He uses advanced techniques and his own proprietary rhinoplasty method, 3 - dreams, to minimize the width and size of the nostrils while maintaining symmetry and balance, resulting in natural - looking outcomes without noticeable scarring.
10. Dr. Lesley Rabach
Dr. Lesley Rabach is a top double - board - certified facial plastic surgeon who specializes in rhinoplasty and cosmetic nose surgery. She offers nostril reduction surgery and alar base reduction at LM Medical NYC in Greenwich Village and the Upper East Side. She can perform small, discreet incisions to adjust the size and shape of the nostrils, achieving refined and balanced results. Her expertise and patient - centered approach make her a valuable addition to the top 10 list for nasal ala reduction in New York City.
Comparison of the Top 10 Surgeons
| Surgeon | Specialty | Certifications | Notable Achievements |
|---|---|---|---|
| Dr. Sam Rizk | Facial plastic and reconstructive surgery, especially rhinoplasty | Double - board certified | Extensive writing and lecturing on rhinoplasty techniques |
| Dr. Sherrell J. Aston | Plastic surgery, closed rhinoplasty | Double - board certified | Professor at NYU, past president of ASAPS, author of surgical textbooks |
| Dr. Steven J. Pearlman | Facial plastic and reconstructive surgery, head and neck surgery | Dual - board certified | Author of over 30 medical articles, past president of AAFPRS |
| Dr. Andrew Jacono | Facial plastic and reconstructive surgery, head and neck surgery | Dual - board certified | Global authority, section head at North Shore University Hospital |
| Dr. Yael Halaas | Facial plastic surgery, rhinoplasty, hair loss treatment | Board - certified in otolaryngology and facial plastic surgery | Member of Alpha Omega Alpha, top medical school graduate |
| Dr. Maurice M. Khosh | Facial plastic surgery | Dual - board certified | Multiple awards, past president of NY Facial Plastic Surgery Society |
| Dr. Jennifer Levine | Facial plastic and reconstructive surgery, otolaryngology | Double - board certified | Honors from Columbia and Cornell, expert in anti - aging treatments |
| Dr. Benjamin Paul | Facial plastic and reconstructive surgery, rhinoplasty | Board - certified | Prestigious medical education, natural - looking results |
| Dr. Joseph Rousso | Rhinoplasty, nostril and alar base reduction | Certified | Proprietary rhinoplasty method |
| Dr. Lesley Rabach | Facial plastic surgery, rhinoplasty | Double - board certified | Specializes in discreet incisions for nostril adjustment |
Techniques for Nasal Ala Reduction
Alar Wedge Excision
Also known as the weir incision, this is the preferred technique for minimizing excessively flared ala. It involves removing wedge - shaped pieces of tissue from the nasal flare. This method spares incisions in the nostrils, avoids over - straightening of the ala, and preserves the natural curvature of the ala. It also has the advantage of not leaving telltale incisions in the nostril openings.
Nasal Sill Excision
This technique is typically used to correct enlarged nasal sill width along with excessive ala flare. Sill reduction is indicated when the nasal base has a horizontal axis and the nostrils are enlarged. In rare cases, when the alar base is wide due to a large nasal sill and there is no flaring, only the sill may be directly narrowed.
V - Y Advancement
The V - Y advancement technique is used to reposition the alar insertion when the lateral insertion of the ala is responsible for excessive nasal base width. However, it is rarely performed because it will leave a scar on the face.
Risks and Recovery
Risks
Nasal ala reduction is a relatively common procedure, and when performed by an experienced surgeon, the risks are minimal. However, potential risks include infection, bleeding, and scarring. In very rare cases, patients may experience adverse reactions to anesthesia or complications related to the surgical site not healing properly.
Recovery
If performed alone (without concomitant rhinoplasty), nasal ala reduction can be done under local anesthesia. The recovery time is typically around one to two weeks. Immediately after surgery, the base of the nose will be slightly swollen and red, but this will gradually subside. Stitches are usually removed about one week after surgery, and full recovery takes approximately one month. Patients should avoid rubbing or bumping the nose for a month following the procedure. They can return to work immediately if they wish, despite having sutures, but strenuous activities should be avoided for a longer period to ensure proper healing.
Conclusion
New York City is home to some of the most skilled and experienced surgeons for nasal ala reduction. The top 10 surgeons listed in this article have a proven track record of delivering excellent results, whether it's in creating natural - looking noses, addressing ethnic rhinoplasty needs, or using the latest surgical techniques. Understanding the procedure, its benefits, risks, and recovery process is crucial for anyone considering nasal ala reduction. By choosing one of these top surgeons, patients can have confidence in achieving the desired aesthetic and functional improvements to their noses.
Call - to - Action
If you're considering nasal ala reduction in New York City, we encourage you to do further research on these top 10 surgeons. You can schedule consultations with them to discuss your goals, concerns, and the details of the procedure. Share this article with friends or family who might be interested in learning more about nasal ala reduction. And continue exploring related topics on facial plastic surgery to make an informed decision about your journey towards a more confident you.
