Introduction
The nose is a prominent and crucial facial feature, playing a significant role in both aesthetics and functionality. In New York City, a diverse range of hospitals and clinics offer top - notch services for nostril shape remodeling, also known as rhinoplasty. Rhinoplasty can address a variety of concerns, from enhancing the appearance of the nose to improving breathing difficulties. This article will explore the well - reputed options for nostril shape remodeling in New York City, providing detailed information about procedures, surgeons, and associated costs.
Understanding Rhinoplasty
What is Rhinoplasty?
Rhinoplasty, commonly referred to as a “nose job,” is one of the most popular cosmetic surgeries in the United States. According to the latest statistics from the American Society of Plastic Surgeons, more than 213,000 people receive a nose job each year. It involves the surgical manipulation of the bone, cartilage, skin, and soft tissue of the nose to make its physical appearance more pleasing and, in some cases, to improve its functionality.
There are two main types of rhinoplasty: primary rhinoplasty and revision rhinoplasty. Primary rhinoplasty is performed for the first time to address cosmetic concerns and/or nasal breathing issues. Revision rhinoplasty, on the other hand, is carried out to correct concerns or deformities resulting from prior nose surgeries.
Benefits of Rhinoplasty
The benefits of rhinoplasty are numerous. From a cosmetic perspective, it can:
- Change the size and shape of the nose
- Modify the bridge of the nose
- Increase or decrease the size of the nostril openings
- Balance the facial features
- Correct nasal disfigurement due to injury or trauma
Functionally, rhinoplasty can improve nasal breathing for patients with chronic sinus problems, anatomical problems such as a deviated septum, or breathing difficulties caused by a congenital defect of the nose.
Candidates for Rhinoplasty
Good candidates for rhinoplasty are generally in good overall health, do not smoke, and have realistic expectations for the outcome of the surgery. Younger patients should wait until their nasal bones are fully developed. For girls, this typically occurs after puberty around age 15, while boys may need to wait until they are 17 or 18 years or older. However, if the surgical procedure is being performed to correct a breathing problem or repair the bone after an injury, it can be done before the patient is fully grown.
Well - Reputed Hospitals and Clinics for Nostril Shape Remodeling in New York City
Mount Sinai
At Mount Sinai’s division of facial plastic and reconstructive surgery, the goal of each rhinoplasty procedure is to create natural, long - lasting results that improve the shape, size, and distinction of the nose. The facial plastic surgeons at Mount Sinai are double - board certified in facial plastic and reconstructive surgery and otolaryngology (ear, nose, and throat). This vast expertise in nasal function and nasal and facial aesthetics ensures that patients' new noses not only look better but also breathe better.
The surgeons at Mount Sinai perform both closed/endonasal (without an external incision) and open/external rhinoplasty. The choice of approach depends on the patient's unique anatomy and functional and aesthetic goals. In addition to cosmetic rhinoplasty, a significant number of surgeries are performed to improve breathing or repair the nasal structure after an injury. Mount Sinai patients also have access to a wide range of specialists and subspecialists through the large, tertiary hospital system, and combined surgeries can be performed when appropriate.
New York Group for Plastic Surgery
The New York Group for Plastic Surgery offers some of the best rhinoplasty services in New York City. Dr. Jordan Jacobs, a well - trained surgeon at the clinic, has undergone extensive training under globally acclaimed medical leaders and experts. He is recently awarded as a top doctor featured in New York Magazine.
The clinic's rhinoplasty can effectively correct and improve the appearance of various nasal issues, including nose size in relation to facial proportions, nasal asymmetry, nose width at the bridge, size and shape of the nostrils, nasal tip irregularities, visible bumps or depressions on the bridge, nasal disfigurement, and functional defects such as a deviated septum. Many patients at the clinic also choose to combine rhinoplasty with other facial cosmetic procedures, such as facelifts, brow lifts, ear shaping, and eyelid surgery, for an overall facial improvement with a single recovery period.
Gotham Plastic Surgery
Dr. Miller at Gotham Plastic Surgery performs functional rhinoplasty on an outpatient basis at the JCAHO - accredited office - based surgery facility. Surgical times average 1 to 2.5 hours, and either general anesthesia or IV sedation may be used. Most incisions are made on the inside of the nostrils (closed rhinoplasty), but in some cases, a small, well - hidden incision is made on the underside of the nose (open rhinoplasty).
If the patient has a deviated septum, breathing will be improved by adjusting the septum and inner structures of the nose with a septoplasty. After the surgery, a cast is applied to the nose and removed after approximately one week, and nasal packing may be used to control bleeding and is removed the morning after surgery. Most patients experience little pain during recovery, and swelling and bruising fade over several weeks.
New York Surgical Arts
New York Surgical Arts has two convenient locations in Midtown Manhattan and Garden City, Long Island. The doctors at the clinic, such as Dr. Carey Nease and Dr. Gordon Andan, are highly qualified. Dr. Nease studied art before becoming a surgeon, bringing a creative sensibility to his patients, and has over 10,000 surgical procedures under his belt. Dr. Andan is a board - certified leader in his field and is named a diplomate of the American Board of Cosmetic Surgery.
Rhinoplasty at New York Surgical Arts can reshape the nose according to the patient's exact specifications, fix problems of asymmetry, blocked breathing passages, or general dissatisfaction. The procedure can be performed using open or closed surgical methods. Open rhinoplasty is optimal for patients struggling with persistent breathing problems or those who wish to dramatically alter the appearance of their nose, while closed rhinoplasty is typically used when minimal reshaping is required.
Dr. Cangello's Plastic Surgery
Dr. David Cangello is an expert board - certified rhinoplasty surgeon in NYC. He is one of only a few surgeons in the United States to offer preservation rhinoplasty, a technique that allows him to deliver the most natural - looking results with a shorter recovery time. Dr. Cangello has developed a reputation for achieving superior, natural - looking rhinoplasty results through his artistic insight and surgical precision.
He performs rhinoplasty considering the overall facial aesthetics, aiming to make the nose blend seamlessly with other facial features. He offers both open and closed rhinoplasty, with a preference for the open approach as it allows for better visualization of the internal nasal structures and a “component separation of the nose” to achieve more proportionate and balanced results. Dr. Cangello also has experience in ethnic rhinoplasty, sensitive to the cosmetic surgical needs of patients from different ethnic backgrounds.
Dr. Barry Weintraub's Practice
Dr. Barry Weintraub is a board - certified and Ivy League - educated plastic surgeon at the Weill - Cornell Medical Center. He is a national spokesperson for the American Board of Plastic Surgery and has more than two decades of experience. Dr. Weintraub performs rhinoplasty surgery at his New York City office.
His rhinoplasty can address both functional and aesthetic problems. Functional problems such as nasoseptal deviation, turbinate hypertrophy, and middle - vault collapse can be corrected, and this category is usually insurance - reimbursable. Aesthetic problems like a hump or bump on the nose, a bulbous tip, or wide nostrils can also be improved. He performs both closed and open rhinoplasty, with a preference for the closed approach in primary rhinoplasty and the open approach in complex secondary and tertiary rhinoplasties.
Types of Rhinoplasty Procedures
Open Rhinoplasty
In an open rhinoplasty procedure, the doctor makes a gentle incision under the tip of the nose, between the nostrils. This approach provides the surgeon with comprehensive access to the nasal structures, allowing for extensive reshaping. It is often used for patients who require significant changes to the nose, such as those with complex nasal deformities or those undergoing revision rhinoplasty. The open approach allows for better visualization of the nasal anatomy, enabling the surgeon to make more precise adjustments and perform complex grafting procedures. Although it leaves a small scar on the underside of the nose, the scar can usually be well - hidden within the nasal contours.
Closed Rhinoplasty
Closed rhinoplasty involves making all incisions inside the nose. This technique is generally considered preferable for patients who only need minor alterations to their nasal structures to achieve their desired results. It has the advantage of eliminating any visible external scarring after the operation. However, it may be more limited in terms of the extent of reshaping that can be achieved compared to open rhinoplasty. The surgeon still has access to most of the nose to address both cosmetic and structural concerns through the small, discreet incisions placed inside the nostrils.
Preservation Rhinoplasty
Preservation rhinoplasty offers a different approach to reducing a dorsal hump while preserving the original components of the nasal bridge. Changes are made deeper within the nasal structure, and the upper portion of the nose is eased downward to smooth out the dorsal hump. Because the dorsum structure is not altered, there is no need for cartilage grafting during this procedure. This technique produces a natural result and provides an alternative to the traditional structural rhinoplasty technique for the right patient, with the potential for a quicker recovery time.
Ethnic Rhinoplasty
Ethnic rhinoplasty is designed to address the specific nasal characteristics and aesthetic goals of patients from different ethnic backgrounds, such as African - American, Middle Eastern, Asian, and Latin American descent. Surgeons performing ethnic rhinoplasty must be sensitive to preserving the patient's unique ethnic or cultural appearance while delivering beautiful, natural - looking results. Specialized techniques, such as cartilage grafting or nasal implants, may be required. For example, in patients of Asian or African - American descent, the nasal bridge can be almost flat with broad - based nostrils, and ethnic rhinoplasty can raise the bridge height, narrow the nostril base, and provide detail to the broad nasal tip.
Before and After Rhinoplasty
Before Rhinoplasty
Patients interested in rhinoplasty typically start with an extensive consultation with the surgeon. During the consultation, the surgeon will identify the patient's areas of concern, review their goals, and conduct a physical examination of the nose and nasal passages. Based on this information, the surgeon will develop an individualized treatment plan, explaining the surgical approach, potential risks, and expected outcomes. Patients may also be given instructions on how to prepare for the surgery, such as quitting smoking and stopping certain blood - thinning medications in the 3 - 4 weeks leading up to the procedure.
After Rhinoplasty
After rhinoplasty, patients can expect a recovery period. Immediately after the surgery, they will be sent home with individualized home - care instructions. A splint is usually applied to the nose to maintain the new shape, and in some cases, nasal packing may be used. Patients may experience swelling, bruising, and stuffiness in the first few days. Most of the swelling subsides within the first two weeks, but it may take up to a year for all the swelling to fully fade. Mild pain medication and antibiotics may be prescribed. Patients are usually advised to take 1 to 2 weeks off work or school and avoid strenuous activities for several weeks. They should also follow the surgeon's instructions regarding wearing glasses, blowing their nose, and sleeping positions to ensure proper healing and the best possible aesthetic results.
Cost of Rhinoplasty in New York City
The cost of rhinoplasty in New York City can vary widely depending on several factors:
Type of Surgery
The complexity of the procedure is a major factor in determining the cost. Revision rhinoplasty, which involves correcting a previous surgery, is the most complex and time - consuming procedure, often requiring cartilage grafting. As a result, it carries a higher price tag compared to primary rhinoplasty. Septoplasty, which straightens the septum, tends to be the most affordable type of rhinoplasty.
Anesthesia
The type of anesthesia used during the surgery and the duration of time spent under anesthesia also impact the cost. Procedures performed under general anesthesia are generally more expensive than those done under local anesthesia with sedation. Anesthesia costs are often calculated based on time, so longer surgeries will incur higher expenses.
Location
The location of the surgeon's practice can influence the cost. Surgeons practicing in high - cost - of - living areas such as New York City charge more than those in smaller towns or rural areas. This discrepancy is primarily due to the higher operational costs of running a practice in these areas.
Surgeon Experience and Reputation
The experience and reputation of the surgeon also play a role in determining the cost of rhinoplasty. Highly reputable surgeons with extensive experience may charge more for their services. It is important to select a board - certified plastic surgeon with positive reviews and credentials to ensure the procedure is performed safely and effectively.
Additional Costs
In addition to the surgeon's fees, there are other costs associated with rhinoplasty. Pre - operative appointments, which may include a consultation, examination, blood work, and other tests, usually come with separate fees. Operating fees charged by the surgery center or clinic where the rhinoplasty is performed cover the use of the facility, including the operating room, equipment, and staff. Post - operative care costs include prescription medications for pain management and other necessary care items, such as nasal dressings or saline sprays, as well as the cost of follow - up appointments with the surgeon.
Conclusion
In New York City, there are numerous well - reputed hospitals and clinics offering high - quality nostril shape remodeling services. Rhinoplasty can bring about significant aesthetic and functional improvements to the nose, but it is a complex procedure that requires careful consideration. Patients should choose a qualified and experienced surgeon, have realistic expectations, and understand the entire process from consultation to recovery. Whether you are looking to enhance the appearance of your nose or improve its functionality, the options in New York City provide a wide range of expertise and techniques to meet your needs.
If you are considering nostril shape remodeling, take the first step by scheduling a consultation with a reputable surgeon. Discuss your goals, ask questions, and learn more about the procedure. By doing so, you can make an informed decision and embark on a journey to a more confident and comfortable you.
