Introduction
Nasal bridge correction surgery is a popular cosmetic and reconstructive procedure in New York City. The nasal bridge plays a crucial role in the overall appearance and function of the nose. A well - proportioned nasal bridge can enhance facial harmony and improve breathing. In this article, we will explore five well - known and regular hospitals or clinics in New York City that offer nasal bridge correction surgery.
1. Cangello Plastic Surgery
Surgeon Expertise
Dr. David Cangello is a board - certified plastic surgeon in New York City and is widely recognized as a leader in rhinoplasty and a pioneer of preservation rhinoplasty. He has extensive experience in treating a variety of nasal bridge issues, including narrowing the nose, correcting dorsal bumps, and treating saddle nose deformities.
Preservation Rhinoplasty for the Nasal Bridge
One of the unique features of Dr. Cangello's practice is his expertise in preservation rhinoplasty. This modern approach to nose reshaping preserves as much of the original nasal structure as possible. By retaining the existing tissue, cartilage, and bone, it allows for a natural - looking result, improved nasal function, and a lower risk of complications. Preservation techniques are particularly well - suited for nasal bridge concerns, such as removal of humps, general bridge reshaping, and correction of minor asymmetries.
Compared to traditional nasal bridge surgical techniques, preservation rhinoplasty has several key benefits. In preservation rhinoplasty, the dorsum is completely preserved, eliminating the need for dorsum reconstruction and cartilage grafts. Instead of shaving down the dorsum, bone and cartilage removal occurs underneath the nose bridge, and the intact dorsum can be easily repositioned to lower the height of the nasal bridge. This approach eliminates the possibility of dorsum irregularities and reduces the need for revision rhinoplasty procedures.
Another difference is the dissection plane. In a preservation procedure, the perichondrium and the periosteum are left intact. By dissecting the nose below these thin tissue layers, the veins, arteries, and lymphatics are all preserved, almost eliminating bruising and swelling and minimizing the patient's social downtime. Dr. Cangello is among the first and one of just a handful of rhinoplasty surgeons in the United States who perform this dissection technique.
Procedures Offered
- Narrowing the Appearance of the Nose: When planning surgery to narrow the nasal bridge, several factors need to be considered, such as the width of the nasal base, the natural shape and desired aesthetic of the nasal tip, the proportions of the nose in relation to ethnicity and facial features, and the thickness and elasticity of the skin.
- Correcting a Dorsal Bump: Removing a hump on the bridge of the nose is a common motivation for rhinoplasty. However, it is a complex procedure that requires careful planning. In addition to hump removal, maneuvers such as osteotomies, consideration of the middle vault integrity, and revision of the nose tip position and shape may be necessary to achieve a proportionate, natural - looking, and functional result.
- Correcting a Saddle Nose Deformity: A saddle nose deformity occurs when the bridge of the nose is concave. It can be caused by a traumatic injury, a failed rhinoplasty, cocaine abuse, certain medical conditions, or be congenital. Surgical correction may involve restoration or augmentation of the nasal bridge using septal cartilage grafts, costal cartilage grafts, or synthetic biocompatible grafting materials.
- Improving Breathing Function: While the primary objective of nasal bridge surgery may be aesthetic, the preservation or improvement of breathing function is also important. Many patients experience a passive improvement in nasal function due to the correction of underlying nasal obstruction. In cases where the nasal bridge is deviated due to septal deviation, septoplasty may be incorporated into the surgical plan.
2. Mount Sinai - New York
Surgeon Qualifications
The facial plastic surgeons at Mount Sinai are double - board certified in facial plastic and reconstructive surgery and otolaryngology (ear, nose, and throat). Their vast expertise in nasal function, as well as nasal and facial aesthetics, ensures that patients' new noses will not only look better but also breathe better.
About Rhinoplasty at Mount Sinai
Rhinoplasty is one of the most common cosmetic surgeries performed in the U.S., and Mount Sinai offers comprehensive rhinoplasty services. The goal of each patient's rhinoplasty is to create natural, long - lasting results that improve the shape, size, and distinction of the nose.
Types of Rhinoplasty Procedures
There are two main types of rhinoplasty procedures offered at Mount Sinai:
- Primary Rhinoplasty: This surgery is performed for the first time to address cosmetic concerns and/or nasal breathing.
- Revision Rhinoplasty: This procedure is performed to address concerns or deformities resulting from prior nose surgeries.
Open and Closed Rhinoplasty Techniques
Mount Sinai's expert facial plastic surgeons specialize in both open (external) and closed (endonasal) rhinoplasty procedures.
- Closed (Endonasal) Rhinoplasty: All incisions are made inside the nose, which has the advantage of no external scar and a relatively shorter operation time.
- Open (External) Rhinoplasty: A small incision is added at the base of the nose to increase the surgical field of vision, allowing for better visualization of the nasal anatomy and more complex alterations and grafting.
Multidisciplinary Approach
Patients at Mount Sinai have access to a wide range of specialists and subspecialists. For patients with specific concerns related to nasal breathing, nasal allergies, sinus disease, or deformity after cancer treatments, the hospital works closely with experts in the division of rhinology and sinus surgery and the head and neck institute. Combined surgeries can also be performed when appropriate.
Adolescent Rhinoplasty
Rhinoplasty is a common procedure among teenagers and youth. However, if it is for cosmetic reasons, younger patients should wait until they stop growing and their nasal bone has reached its adult size. Typically, girls should wait until around age 15 after puberty, and boys may need to wait until they are 17 or 18 years or older. If the surgery is to correct a breathing problem or repair the bone after an injury, it can be performed before the patient is fully grown.
Before and After Surgery Care
Patients start with an extensive consultation to identify areas of concern and review their goals. The surgeons then develop an individualized treatment plan. Rhinoplasty surgery is usually performed in an outpatient setting under general anesthesia or with a combination of local anesthesia and sedation. Before surgery, patients are given instructions regarding medications and how to prepare for recovery. After surgery, patients are given a short course of antibiotics and mild pain medication, and 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 should expect to return to work or school within one to two weeks after surgery and avoid strenuous activities for two weeks after surgery.
Cost of Rhinoplasty
Insurance may cover surgery performed to improve breathing (e.g., deviated septum), but it does not cover surgery done for cosmetic reasons. Mount Sinai provides patients with expected costs prior to any intervention.
3. Dr. Casian Monaco's Office
Expertise in Flat or Depressed Bridge Correction
Dr. Casian Monaco in New York City specializes in flat or depressed bridge correction surgery. This specific form of rhinoplasty addresses the unique aesthetic and functional concerns associated with a flat or depressed nasal bridge, which can be common in many ethnicities or a result of injury or congenital conditions.
Understanding Flat or Depressed Bridge Rhinoplasty
The nasal bridge plays a pivotal role in the overall appearance and profile of the face. A flat or depressed bridge can disrupt facial balance, often leading to a lack of definition and character in facial features. Dr. Monaco's approach to correcting this involves sculpting the nasal structure to enhance the bridge while ensuring that the changes harmoniously blend with the individual's facial anatomy.
Tailored Techniques
Dr. Monaco employs a variety of techniques to address the specific needs of each patient:
- Grafting: Using the patient's own tissue or synthetic materials to build up the nasal bridge.
- Osteotomy: Careful adjustment of the nasal bones to create a more defined bridge.
- Cartilage Sculpting: Reshaping and repositioning the cartilage for a more pronounced and natural - looking bridge.
The Impact of the Procedure
Correcting a flat or depressed nasal bridge goes beyond physical appearance. It often enhances breathing functionality, boosts self - confidence, and aligns a person's external appearance with self - identity. Dr. Monaco's patients, from diverse backgrounds across New York City and beyond, frequently express how this surgery has positively impacted their lives.
Why Choose Dr. Casian Monaco
Dr. Monaco's clinic in the upper east side of New York City is a hub of advanced plastic surgery techniques and patient - centered care. He has years of experience in facial plastic surgery and is adept at handling the complexities of nasal bridge correction. His empathetic approach, combined with technical precision, makes him a preferred choice for those seeking nuanced and culturally sensitive rhinoplasty. He offers personalized consultation, uses advanced surgical techniques, and provides comprehensive aftercare.
4. Dr. Maurice Khosh's Practice
Specialization in Saddle Nose Repair
Dr. Maurice Khosh is a double - board certified facial plastic surgeon with a successful practice in Manhattan, NY. He is a pioneer in saddle nose deformity correction and repair. When the bridge of the nose collapses due to damage or injury, creating a saddle - like shape, Dr. Khosh specializes in restoring the structure and aesthetics of the nose for his patients.
Causes and Symptoms of Saddle Nose Deformities
The saddle nose shape is caused by a collapse of the nose structure, which can be due to trauma (such as sports injuries, violence, vehicle accidents, and falls), infection (e.g., syphilis or leprosy), autoimmune diseases (e.g., Wegener's disease, granulomatosis polyangiitis, and relapsing polychondritis), intranasal drug use (e.g., cocaine, powdered drugs, and habitual nasal decongestant spray use), or surgical complications (e.g., septoplasty or rhinoplasty). Symptoms can include a depression or collapse of the nose bridge, shortening of the bridge, loss of support for the nasal tip, formation of a crease across the lower part of the nose, upward rotation of the nasal tip, and breathing obstruction due to nasal valve collapse.
Surgical Cartilage Grafting Repair
For major saddle nose deformities or to permanently repair the nose, surgical cartilage grafting is required. Dr. Khosh has extensive experience in completing the needed cartilage harvesting and grafting to restore the support and shape of the nose. Saddle nose repairs are a form of rhinoplasty but are more complicated than a typical nose shaping procedure as they require grafting new cartilage to restore the nose structure and shape.
Other Services
Dr. Khosh also offers solutions for patients with a wide nasal bridge. Non - surgical options include the injection of facial fillers such as Restylane or Juvederm to elevate the height of the nose, creating a perceived narrowing of the bridge. Surgical options involve a closed rhinoplasty procedure with osteotomy to bring the nasal bones closer together.
Patient Reviews
Dr. Khosh has received many positive patient reviews. Patients praise his surgical skills, bedside manner, and the exceptional results of his surgeries. They also appreciate his staff's kindness and helpfulness throughout the treatment process.
5. Dr. Barry Weintraub's Practice
Surgeon Background
Dr. Barry Weintraub is a board - certified plastic surgeon and is Ivy League educated 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 in performing rhinoplasty surgery at his New York City office.
What is Rhinoplasty?
Rhinoplasty can be divided into 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, and this category is usually insurance reimbursable. Aesthetic problems include a hump or bump of the nose, a bulbous or ill - defined tip, a too - wide or too - flat bridge, and abnormal nostril size or shape.
Approach to Rhinoplasty
Dr. Weintraub prefers to perform rhinoplasty with the patient in a comfortable state of twilight sleep. He insists on the most sterile conditions in his operating room, with board - certified anesthesiologists and state - of - the - art monitoring equipment. He performs the surgery himself with precision and care, and all wounds are sewn in multiple layers by his own hand.
Patient Considerations
The best candidates for rhinoplasty are well - balanced, in good general health, and have realistic expectations. They should be highly motivated, able to pause their daily responsibilities for the procedure, and have the financial means for the elective cosmetic surgery. Dr. Weintraub also advises out - of - town or overseas patients on post - operative stays and can provide access to reduced - rate hotels and private nurses.
After - Surgery Care
After rhinoplasty surgery, there will be a short period of minimal swelling and sometimes bruising. Patients must follow all instructions provided by Dr. Weintraub, including taking mild pain medication, a broad - spectrum antibiotic, and medication to reduce swelling. Dr. Weintraub applies a heat - sensitive splint to hold the delicate structures in place and uses modern inflatable splints instead of uncomfortable and outdated nasal packing. He will advise patients on when they can return to their normal lifestyle and exercise routine.
Conclusion
In conclusion, New York City offers a plethora of options for nasal bridge correction surgery. Cangello Plastic Surgery, Mount Sinai - New York, Dr. Casian Monaco's Office, Dr. Maurice Khosh's Practice, and Dr. Barry Weintraub's Practice are all well - known and regular institutions in this field. Each has its own unique features, whether it's the expertise in preservation rhinoplasty, double - board - certified surgeons, specialization in specific nasal conditions like saddle nose repair or flat bridge correction, or a patient - centered approach with extensive after - care. When considering nasal bridge correction surgery, patients should carefully research these options, consult with the surgeons, and choose the one that best meets their needs and expectations.
If you're interested in learning more about nasal bridge correction surgery or scheduling a consultation with one of these experts, we encourage you to reach out to the respective clinics or hospitals. Share this article with others who may be considering similar procedures, and explore related topics such as post - operative care, the latest techniques in rhinoplasty, and the impact of nasal bridge correction on overall facial aesthetics.
