Introduction
For individuals in New York City who are self - conscious about having overly large nostrils, over - large nostril reduction surgery, also known as alarplasty, can be a life - changing solution. This surgical procedure aims to create more balanced and aesthetically pleasing facial features. In this comprehensive guide, we will explore the top hospitals and surgeons in New York City offering this service, along with a breakdown of the costs and other important considerations.
Understanding Over - Large Nostril Reduction Surgery
What is Alarplasty?
Alarplasty is a specialized cosmetic procedure that focuses on modifying the width or shape of the nostrils. It targets the alar region of the nose, the area where the nostrils meet the cheeks. This type of rhinoplasty helps patients achieve facial harmony and balance by creating nostrils that are proportionate to the rest of the nose and face. Many people opt for alarplasty because large or flared nostrils can sometimes create the appearance of an oversized nose, preventing them from achieving the desired facial symmetry.
Procedure Details
The procedure usually involves making small, precise incisions at the base of the nose, either inside or at the crease where the nostril meets the cheek. The surgeon then removes excess tissue or cartilage and reshapes the nostrils to the desired size and shape. The incisions are closed with fine sutures, which are often strategically placed to minimize visible scarring. The surgery typically takes about 1 to 2 hours and is usually performed under local or general anesthesia, depending on the extent of the surgery and the patient's preference.
Top Hospitals and Surgeons in New York City
1. Mount Sinai - New York
Mount Sinai's division of facial plastic and reconstructive surgery is a leading destination for rhinoplasty, including alarplasty. The facial plastic surgeons here are double - board certified in facial plastic and reconstructive surgery and otolaryngology. They have vast expertise in nasal function as well as nasal and facial aesthetics. This means that patients can expect not only improved appearance but also potentially better breathing. The surgeons at Mount Sinai perform both closed/endonasal (without an external incision) and open/external rhinoplasty, tailoring the approach to each patient's unique anatomy and goals.
2. Joshua Zimm MD, Facial Plastic & Reconstructive Surgery
Dr. Joshua Zimm has received high praise from patients, including other physicians. One patient who had facetite and chin augmentation using filler under his care described him as the “doctor’s doctor.” Dr. Zimm takes the time to explain various procedures in detail, ensuring that patients understand why certain procedures are suitable for their goals. His friendly and patient - centered approach, combined with his skill in facial plastic surgery, makes him a popular choice for alarplasty in New York City.
3. Forest Hills Plastic Surgery
Forest Hills Plastic Surgery has received positive reviews for its excellent surgical results. One patient who had an earlobe repair at the clinic was extremely satisfied with the quick procedure and the fact that they didn't feel any pain during the surgery. Although this specific review is about earlobe repair, it reflects the overall quality of care and surgical expertise at the clinic, which also offers alarplasty services.
4. Aristocrat Plastic Surgery & Medaesthetics
Patients at Aristocrat Plastic Surgery & Medaesthetics have reported an excellent experience with Dr. Kevin and his team. They made the surgical journey smooth for patients, and patients were very happy with their results and the speed of their healing. The clinic's reputation for providing high - quality cosmetic surgery makes it a viable option for those seeking alarplasty.
5. RR Plastix NY Plastic Surgery Center
Located in Brooklyn, RR Plastix NY Plastic Surgery Center offers a wide range of procedures, including nose surgery such as alarplasty. The lead specialist at the clinic undertakes all procedures and treatments, and the clinic is accredited by the American Society for Aesthetic Plastic Surgery. This accreditation ensures that the clinic meets high standards of safety and quality in cosmetic surgery.
6. Leonard Grossman, M.D.
Dr. Leonard Grossman's practice in Brooklyn provides nose surgery procedures, including alarplasty, among its 36 available procedures across 3 different specialties. Although it is not accredited by any recognized accreditation institutes, the variety of procedures offered indicates a certain level of expertise in the field of facial plastic surgery.
7. New York Center for Facial Plastic & Laser Surgery
Situated in Manhattan, this center offers a comprehensive range of 39 procedures across 4 different specialties, with nose surgery being one of them. Patients considering alarplasty at this center can benefit from the diverse expertise available under one roof, although it is not accredited by recognized accreditation institutes.
8. Dr. Philip Miller
Dr. Philip Miller is a double - board certified facial plastic surgeon with offices in both New York City and New Orleans. He has over two decades of experience and is considered an expert in rhinoplasty and facial rejuvenation procedures. His proprietary consultation process, called the Natra Look, helps patients explore their aesthetic confidence in a safe and collaborative environment. Dr. Miller specializes in nose, nostril, and alar base reduction surgery, and he is known for creating personalized treatment plans that preserve patients' unique features, including ethnic identity.
9. Dr. Moustafa Mourad
Dr. Moustafa Mourad, a distinguished New York City - based facial plastic and reconstructive surgeon, is renowned for his expertise in various rhinoplasty procedures. He offers procedures such as teenage rhinoplasty, primary rhinoplasty, revision rhinoplasty, ethnic rhinoplasty, and male rhinoplasty. His commitment to excellence and personalized care has earned him a reputation as a top specialist in facial plastic surgery, making him a sought - after surgeon for alarplasty.
10. Dr. Lesley Rabach
Dr. Lesley Rabach is a top double - board certified facial plastic surgeon at LM Medical NYC in Greenwich Village and the Upper East Side. She specializes in rhinoplasty and cosmetic nose surgery. Patients interested in nostril or alar base reduction surgery can schedule a consultation with her to discuss their goals and treatment options.
11. Dr. Joseph Rousso
Dr. Joseph Rousso has the education, training, and expertise in rhinoplasty needed for alar base or nostril reduction. He uses advanced techniques and his own proprietary rhinoplasty method, 3 - dreams, to minimize the width and size of the nostrils while retaining symmetry and balance. His focus on creating natural - looking results makes him a popular choice for patients in New York City.
12. Dr. Jacono
Dr. Jacono is a dual - board certified facial plastic surgeon and a pioneer in his field. He has performed thousands of primary and revision rhinoplasties and is considered one of the best nose surgeons in the world. He specializes in creating extremely natural results and has surgical locations in both New York City and Long Island. His vast experience and high - end surgical skills make him a prime option for patients considering alarplasty.
Cost Considerations for Alarplasty in New York City
Overall Cost Range
The cost of alarplasty surgery in New York City can vary widely. On average, patients can expect to pay between $3,000 and $9,000. However, this range is influenced by several factors, and the actual cost for each patient may fall outside of this general range.
Factors Affecting the Cost
| Factor | Explanation |
|---|---|
| Surgeon's Experience | Experienced and well - qualified rhinoplasty surgeons typically charge higher fees. Surgeons with a long history of successful procedures and a portfolio of satisfied patients are in high demand. For example, a surgeon like Dr. Philip Miller, with over two decades of experience, may charge more than a less - experienced surgeon due to his expertise and reputation. |
| Geographic Location | New York City is a major metropolitan area with a high cost of living. The prices for alarplasty are generally higher here compared to smaller towns or regions with a lower cost of living. The greater demand for cosmetic procedures in the city also contributes to the higher prices, but it also means that patients have access to a larger pool of experienced surgeons. |
| Facility and Anesthesia Fees | The type of facility where the surgery is performed impacts the cost. Hospitals usually have higher facility fees than private surgical suites. Anesthesia fees also vary depending on the type of anesthesia used (general anesthesia is more expensive than local anesthesia) and the experience of the anesthesia team. |
| Post - operative Care and Medications | Post - operative care, including follow - up visits, pain medication, antibiotics, and other aftercare products, adds to the total cost. Patients need to factor in these additional expenses when budgeting for the surgery. |
| Complexity of the Procedure | If the surgery requires extensive work on the cartilage, additional techniques to address breathing issues, or if it is combined with other rhinoplasty procedures, the cost will be higher. For example, a patient who also needs to correct a deviated septum in addition to alarplasty will likely pay more than someone having a simple alar reduction. |
Insurance Coverage and Financing Options
Insurance Coverage
Alarplasty is often considered a cosmetic procedure, and most health insurance plans do not cover it. However, if the surgery is performed to correct functional issues, such as breathing difficulties due to nasal obstructions, some insurance providers might cover a portion of the costs. It is crucial for patients to check with their insurance company well in advance to understand the specifics of their plan and whether any part of the procedure might be covered for medical reasons.
Financing Options
Given the relatively high cost of alarplasty, many patients explore financing options. Some clinics offer in - house payment plans, allowing patients to pay for the procedure over a period of time. Additionally, there are third - party financing companies that provide loans specifically for cosmetic procedures. Patients should discuss these options during their consultation with the surgeon to find a plan that fits their budget.
Pre - operative and Post - operative Considerations
Pre - operative Consultation
An initial consultation with a skilled rhinoplasty surgeon is essential. During this consultation, the surgeon will perform a thorough examination of the patient's nasal structures, review their medical history, and discuss their goals and concerns. The surgeon may also use rhinoplasty photos or digital imaging to help the patient visualize potential outcomes. It is important for patients to be honest about their expectations and any pre - existing medical conditions during this consultation.
Pre - operative Preparation
Two weeks before and after surgery, patients should avoid medications that contain aspirin or ibuprofen, as these can increase bleeding. They should also stop taking herbal remedies and over - the - counter supplements. Active smokers should stop smoking, as smoking can slow the healing process and increase the risk of infection. Patients may also need to have a complete physical examination, including blood tests, as part of their pre - operative preparation.
Post - operative Care
After the surgery, patients may need to wear a nasal splint for the first week to protect and support the nose. They should rest in bed with their head raised higher than their chest to reduce bleeding and swelling. For a few days after the surgery, they may experience slight bleeding and drainage of mucus, and the surgeon may place a “drip pad” under the nose to absorb the drainage. Patients should avoid strenuous activity, take baths instead of showers, avoid blowing their nose, eat high - fiber foods to avoid constipation, and not make any extreme facial expressions. They should also not rest eyeglasses or sunglasses on their nose for at least several weeks to prevent pressure and wear SPF 30 sunscreen when outside to avoid permanent discoloration.
Recovery Time
The recovery period for alarplasty can vary from person to person. In general, patients can expect to experience swelling and discomfort for a few days. Most patients can return to work and normal activities within a week, but full healing and the final results may take several months to become fully apparent. Strenuous activities should be avoided for 2 - 3 weeks after surgery.
Success Rate and Risks
Success Rate
Nose surgery, including alarplasty, is known to have around an 80% to 90% success rate. When performed by a skilled and experienced surgeon, most patients are satisfied with the aesthetic and functional improvements achieved through the procedure.
Risks and Complications
As with any surgery, alarplasty has possible risks and complications. These include bleeding, infection, numbness, permanent nerve damage, and an adverse reaction to the anesthesia. Other potential risks are difficulty breathing through the nose, an uneven - looking nose, persisting pain, swelling, and discoloration, scarring, septal perforation, and the need for a second or third surgery. Patients should be aware of these risks and contact their surgeon immediately if they suspect any of the symptoms.
Alternatives to Alarplasty
If a patient does not want to undergo surgery or if it is not suitable for them, there are non - surgical alternatives. Filler injections, such as Botox, Juvaderm, and Restylane, can be used to change the shape of the nose. These injections only require a short visit to the doctor, are not painful, and do not involve incisions or stitches. However, the results are not permanent, and maintenance treatments are required to sustain the desired appearance.
Conclusion
Over - large nostril reduction surgery in New York City offers a solution for those looking to enhance their facial appearance and achieve better symmetry. There are numerous top - notch hospitals and surgeons in the city, each with their own unique strengths and expertise. The cost of the procedure varies based on multiple factors, and patients should carefully consider insurance coverage and financing options. Pre - operative and post - operative care are crucial for a successful outcome, and patients should be aware of the risks and alternatives associated with the surgery. By making an informed decision and choosing the right surgeon, patients can increase their chances of a positive and life - changing experience.
We encourage you to share this informative article with anyone who might be interested in over - large nostril reduction surgery in New York City. If you have further questions or would like to explore this topic in more detail, feel free to research additional resources or consult with a qualified rhinoplasty surgeon.
