The top three hospitals for subperiosteal nasal dorsum rhinoplasty in New York City are having an on - line strength PK!

Introduction to Subperiosteal Nasal Dorsum Rhinoplasty in New York City

Subperiosteal nasal dorsum rhinoplasty is a highly specialized and popular cosmetic procedure. It focuses on reshaping the nasal dorsum, aiming to improve the aesthetic appearance of the nose while ensuring its functionality. In New York City, there are numerous hospitals and clinics that offer this procedure, each with its own unique strengths and expertise. In this article, we will explore three of the top - rated places that are essentially in an “online strength PK” scenario, meaning they are highly competitive based on their online reputation, patient reviews, and professional achievements.

1. Mount Sinai Hospital

Overview

Mount Sinai is a well - known name in the medical field, especially in New York City. Its division of facial plastic and reconstructive surgery is dedicated to providing high - quality rhinoplasty services. The hospital is associated with experienced facial plastic surgeons who are double - board certified in facial plastic and reconstructive surgery and otolaryngology (ear, nose, and throat). This dual certification ensures that patients receive comprehensive care that addresses both the aesthetic and functional aspects of the nose.

Surgeons' Expertise

The surgeons at Mount Sinai have vast expertise in nasal function as well as nasal and facial aesthetics. They understand that the nose is not only a key facial feature but also a vital part of the respiratory system. Therefore, they strive to create natural, long - lasting results that improve the shape, size, and distinction of the nose while ensuring that the patient's breathing remains unimpaired or is even improved. For example, they are proficient in performing both closed/endonasal (without an external incision) and open/external rhinoplasty, and they can determine the most appropriate approach based on the patient's unique anatomy and goals.

Range of Procedures

• Primary Rhinoplasty: This is often performed for patients looking to address cosmetic concerns and/or improve nasal breathing for the first time. The surgeons at Mount Sinai carefully analyze the patient's facial structure and expectations to create a personalized treatment plan. For instance, they may reshape the nasal framework to correct a dorsal hump or adjust the size of the nostrils.
• Revision Rhinoplasty: When patients are not satisfied with the results of a previous nose surgery or have developed complications, Mount Sinai's surgeons are equipped to perform revision rhinoplasty. This complex procedure requires a high level of skill and experience to correct the issues and achieve a more satisfactory outcome.

Multidisciplinary Approach

One of the significant advantages of choosing Mount Sinai is its multidisciplinary approach. Patients have access to a wide range of specialists and subspecialists throughout the health system. For those with specific concerns related to nasal breathing, nasal allergies, sinus disease, or deformity after cancer treatments, the hospital's facial plastic surgeons work closely with experts in the division of rhinology and sinus surgery and the head and neck institute. This collaborative effort ensures that patients receive the most comprehensive and effective treatment possible.

Patient Care and Recovery

Before the surgery, patients undergo an extensive consultation to identify areas of concern and review their goals. The surgeons then develop an individualized treatment plan. Rhinoplasty at Mount Sinai is usually performed in an outpatient setting under general anesthesia or with a combination of local anesthesia and sedation. After the surgery, patients are given a short course of antibiotics and mild pain medication to manage any discomfort. The majority of swelling subsides within the first two weeks, although it may take up to a year for all the swelling to fully fade. Patients are advised to avoid strenuous activities for two weeks after surgery and can generally return to work or school within one to two weeks.

2. Dr. Barry Weintraub's Practice

Surgeon's Profile

Dr. Barry Weintraub is a board - certified plastic surgeon with an Ivy League education from the Weill - Cornell Medical Center. He is a national spokesperson for the American Board of Plastic Surgery and has over two decades of experience in performing rhinoplasty surgeries in New York City. With his mature aesthetic judgment and keen eye for natural beauty, he is highly sought after by patients looking for a rhinoplasty that enhances their facial features while maintaining a natural appearance.

Understanding of Rhinoplasty

Dr. Weintraub views rhinoplasty as a combination of science and art. He classifies nasal surgeries into two main groups: functional rhinoplasty (correcting breathing problems) and cosmetic rhinoplasty (correcting aesthetic problems). Functional problems such as nasoseptal deviation, turbinate hypertrophy, and middle - vault collapse can be addressed during the same procedure as cosmetic changes, and often, insurance may cover the functional aspect of the surgery.

Techniques Used

• Closed Rhinoplasty: This approach, where there are no external incisions made to the nose, is often used for primary “virgin” rhinoplasties. It offers the advantage of no visible scars and can be a suitable option for patients with less complex nasal issues. Dr. Weintraub's skill in performing closed rhinoplasty allows him to make precise modifications to the nasal structure without the need for an external opening.
• Open Rhinoplasty: For more complex cases, such as secondary or tertiary rhinoplasties where sophisticated grafting and manipulation might be necessary, Dr. Weintraub uses the open approach. This method provides better visualization of the nasal anatomy, allowing for more detailed corrections and the use of grafts to achieve the desired results.

Patient - Centered Approach

Dr. Weintraub believes in a patient - centered approach. When a patient considers rhinoplasty, he emphasizes the importance of having realistic expectations and being fully informed about the procedure. He takes the time to understand each patient's unique concerns and goals, and he provides personalized advice and treatment options. He also encourages patients to ask questions during the consultation process and to be actively involved in the decision - making regarding their surgery.

Recovery and Results

Dr. Weintraub prefers his rhinoplasty patients to be in a comfortable state of twilight sleep during the procedure. After the surgery, patients are given instructions on how to care for their nose, including the use of heat - sensitive splints and modern inflatable splints instead of uncomfortable nasal packing. There will be a short period of minimal swelling and sometimes bruising, which can be managed with mild pain medication, a broad - spectrum antibiotic, and medication to reduce swelling. Patients are advised to take a few days of bed rest and follow a specific recovery schedule to ensure the best possible results.

3. Dr. David Cangello's Practice

Expertise in Scarless Rhinoplasty

Dr. David Cangello is a world - renowned expert on scarless rhinoplasty. His years of diligent study and experience have allowed him to develop a unique surgical skill and visionary aesthetic instincts. He is able to create beautiful noses through scarless rhinoplasty that seamlessly blend with each patient's existing facial characteristics, enhancing facial symmetry and beauty while retaining a completely natural - looking appearance.

Scarless Rhinoplasty Procedure

Scarless rhinoplasty, also known as “closed” rhinoplasty, is a technique that Dr. Cangello has mastered. Through this approach, he can make a variety of modifications to the nose, such as reducing a dorsal hump on the bridge, de - projecting an over - projected nose, refining a bulbous or boxy nasal tip, narrowing a nose, elevating a droopy nose, and augmenting the bridge of the nose. In some cases, he can even perform revision rhinoplasty using the closed approach. The primary advantage of scarless rhinoplasty is that it leaves the patient with no visible scars afterward, and there is less manipulation of nasal tissues, resulting in less postoperative pain and swelling and more predictable healing.

Philosophy on Closed vs. Open Rhinoplasty

Dr. Cangello has a unique philosophy when it comes to the debate between closed and open rhinoplasty. While many surgeons have switched from the closed to the open approach to improve aesthetic outcomes, he has learned from masters in Turkey and Europe who can achieve excellent results through a closed approach. He believes that by using the closed approach, he can modify the dorsum and tip and see the effects of the changes made instantaneously. He also maintains certain ligamentous structures that provide support to the tip, which need to be reconstructed in the open approach. If not done properly, this can lead to aesthetic issues.

Patient Selection and Expectation Management

Ideal candidates for scarless rhinoplasty are generally healthy individuals who are unsatisfied with their nasal appearance and have specific goals, such as correcting a projecting hump on the nasal bridge or refining the nasal tip. Dr. Cangello emphasizes the importance of managing patients' expectations. He explains that while he has expert surgical skill, he must work within the framework of each patient's existing nasal and facial features. He provides detailed information about the procedure, recovery, and potential results during the consultation to ensure that patients have a realistic understanding of what to expect.

Recovery Process

After a scarless rhinoplasty performed by Dr. Cangello, surgical tape and a splint are placed to support the nose and set it in its new position. One week after surgery, the tape and splint are removed. The downtime associated with this procedure is more mild than with an open rhinoplasty procedure, as there is less bruising and swelling. Most patients are able to go back to work in one week and resume normal activities in four weeks. However, it will take approximately one year before the nose has completely healed and the final results are seen.

Comparative Analysis of the Three Providers

Expertise

All three providers - Mount Sinai Hospital, Dr. Barry Weintraub's practice, and Dr. David Cangello's practice - have highly skilled surgeons. Mount Sinai's surgeons have dual certifications in facial plastic and reconstructive surgery and otolaryngology, which allows them to handle both functional and aesthetic issues comprehensively. Dr. Weintraub has extensive experience and a reputation for his aesthetic judgment, especially in handling complex revision rhinoplasties. Dr. Cangello is a world - recognized expert in scarless rhinoplasty, with a unique approach to achieving excellent results through the closed technique.

Range of Procedures

Mount Sinai offers a wide range of rhinoplasty procedures, including primary and revision rhinoplasties, and can handle cases related to sinus problems and nasal reconstruction. Dr. Weintraub is proficient in both closed and open rhinoplasty techniques, catering to different levels of nasal complexity. Dr. Cangello specializes in scarless rhinoplasty, but he can also perform other modifications within the scope of this approach, such as revision rhinoplasty in select cases.

Patient Care

Each provider emphasizes patient care. Mount Sinai has a multidisciplinary approach, providing patients with access to a wide range of specialists. Dr. Weintraub takes a patient - centered approach, spending time with patients to understand their goals and providing detailed information. Dr. Cangello focuses on managing patient expectations and provides personalized treatment plans for scarless rhinoplasty, with clear instructions on the recovery process.

Recovery and Results

The recovery time and results can vary slightly among the three. Mount Sinai's patients may have a typical recovery period of up to a year for full swelling to subside. Dr. Weintraub's patients can expect a relatively short period of swelling and bruising, with specific post - operative care instructions. Dr. Cangello's scarless rhinoplasty generally offers a quicker recovery with less swelling and bruising, and the absence of visible scars is a significant advantage for many patients.

Conclusion

In conclusion, Mount Sinai Hospital, Dr. Barry Weintraub's practice, and Dr. David Cangello's practice are all top contenders in the field of subperiosteal nasal dorsum rhinoplasty in New York City. Each has its own unique strengths, whether it's the multidisciplinary approach and comprehensive expertise at Mount Sinai, Dr. Weintraub's experience in complex cases and patient - centered care, or Dr. Cangello's specialization in scarless rhinoplasty. Patients considering this procedure should carefully evaluate their own needs, preferences, and expectations when choosing a provider. By doing so, they can increase the likelihood of achieving the desired results and a positive surgical experience.

If you are interested in learning more about subperiosteal nasal dorsum rhinoplasty or are considering this procedure, we encourage you to reach out to these providers for a consultation. You can also research further by reading patient reviews and success stories to make an informed decision.