Introduction
The appearance of the nose is a crucial aspect of facial aesthetics, and nasal tip cartilage cap shaping has become an increasingly popular procedure for those looking to enhance their nasal appearance. In New York City, there are several hospitals and clinics that offer high - quality nasal tip cartilage cap shaping services. This article will introduce five well - known and regular institutions in New York City for this type of procedure.
1. Mount Sinai
Overview of the Hospital
Mount Sinai is a large, tertiary hospital with a comprehensive range of medical resources. In the field of facial plastic and reconstructive surgery, it has a high reputation. Their division of facial plastic and reconstructive surgery is staffed by double - board - certified facial plastic and reconstructive surgeons and otolaryngologists (ear, nose, and throat specialists). These surgeons have vast expertise in nasal function, as well as nasal and facial aesthetics.
Services Related to Nasal Tip Cartilage Cap Shaping
Mount Sinai offers rhinoplasty, which includes procedures that can affect the nasal tip. Rhinoplasty can change the shape of the nose by modifying the bone and cartilage of the nasal framework. In the case of nasal tip cartilage cap shaping, the surgeons at Mount Sinai can carefully reshape the cartilage in the lower portion of the nasal framework. They can address various concerns such as a bulbous tip, a droopy tip, or an asymmetrical tip.
There are two main approaches to rhinoplasty at Mount Sinai: closed (endonasal) and open (external) rhinoplasty. Closed rhinoplasty, where all incisions are made inside the nose, has the advantage of no external scar and a relatively shorter operation time. Open rhinoplasty, with a small incision at the base of the nose, allows for better visualization of the nasal anatomy and more complex alterations and grafting.
Pre - and Post - operative Care
Patients interested in rhinoplasty at Mount Sinai start with an extensive consultation. Surgeons will develop an individualized treatment plan based on the patient's concerns and goals. Rhinoplasty surgery is usually performed on an outpatient basis under general anesthesia or a combination of local anesthesia and sedation. Before surgery, patients receive instructions on medications and recovery preparation. After surgery, they are given a short course of antibiotics and mild pain medication. The majority of swelling subsides within the first two weeks, but it may take up to a year for all swelling to fully fade. Patients are advised to avoid strenuous activities for two weeks after surgery and can typically return to work or school within one to two weeks.
2. Kassir Plastic Surgery
Surgeon Expertise
Dr. Kassir at Kassir Plastic Surgery is a triple - board - certified facial plastic surgeon with extensive experience in nasal tip rhinoplasty. Nasal tip rhinoplasty is a specialized procedure to change the shape of the tip of the nose, which can be performed for cosmetic reasons or to improve breathing.
Procedure Details
The surgery is performed under general anesthesia and usually takes around one to two hours. Dr. Kassir will make small incisions either inside the nostrils (endonasal approach) or across the columella (open approach). Through these incisions, he will sculpt and reposition the cartilage and soft tissue to give the nose its new shape. In some cases, cartilage grafting may be involved to create more support for the nasal tip. After the incisions are closed with stitches, the nose is taped to help with swelling, and patients can usually go home the same day with little to no discomfort.
Benefits and Recovery
There are several benefits to having nasal tip rhinoplasty at Kassir Plastic Surgery. It can improve appearance and boost self - confidence, and it may also improve breathing. The recovery after nasal tip rhinoplasty is often faster than other types of nose surgery because no bone is removed during the procedure. Most people feel comfortable enough to return to their normal activities within a few days, and the nose may be taped or splinted to aid in swelling reduction. Dr. Kassir and his team will provide specific recovery instructions.
3. New Face NY (Dr. Richard Westreich)
Surgeon Qualifications
Dr. Richard Westreich at New Face NY is a double - board - certified facial plastic surgeon. He has specialized training in all facial cosmetic and reconstructive procedures, including rhinoplasty. He completed his postgraduate training in facial plastic surgery and otolaryngology at the prestigious Mt. Sinai Hospital in New York City and has been recognized as one of the top plastic surgeons in New York.
Techniques for Nasal Tip Cartilage Cap Shaping
Dr. Westreich offers various rhinoplasty techniques related to nasal tip shaping. Nasal tip plasty involves reshaping the cartilage of the nasal tip. The length, width, bending contour of the paired horseshoe - like cartilages that make up the tip of the nose, and their symmetry determine the look. Some nasal tips can be narrowed with a small amount of cartilage removal, while others may need sutures, grafts, or other techniques for more dramatic changes. For patients with a bulbous tip, techniques such as suturing to create a more refined nasal tip and cartilage grafting can be used.
Dr. Westreich has expertise in both open and closed rhinoplasty approaches. He prefers the closed approach in many cases as patients often heal quicker, the tip - profile relationship is easier to establish and predict, and the blood supply to the nasal skin is preserved, which can result in less scarring and thinning of the skin over time.
Recovery and Results
After rhinoplasty, swelling and bruising are normal. Dr. Westreich uses exparel to provide pain relief for up to three days post - surgery, reducing the need for narcotics and enabling a quicker recovery. Patients go home with a splint on their nose for about a week. Plan to take a week off work or school and avoid strenuous exercise for 2 - 3 weeks. Positive results will appear gradually and may take up to a year to be fully visible.
4. Cangello Plastic Surgery (Dr. David Cangello)
Specialty in Nasal Tip Deformity Correction
Dr. David Cangello at Cangello Plastic Surgery specializes in pinched nasal tip correction, which is related to nasal tip cartilage cap shaping. A pinched nasal tip occurs when the lower lateral cartilages are overly narrowed or weakened, resulting in a malposition of the lateral crus of the lower lateral cartilage, which can lead to an obtuse lateral crural resting angle, nostril collapse, and a pinched tip appearance.
Surgical Techniques for Correction
Dr. Cangello employs advanced surgical techniques to correct a pinched nasal tip. He may use an open or closed rhinoplasty approach depending on the complexity of the case. In an open rhinoplasty, a V - shaped incision across the columella provides direct access to the nasal structures, while closed rhinoplasty involves incisions within the nostrils. He uses techniques such as cartilage reconstruction and grafting, management of lateral crura with lateral crural strut grafts, and various suturing techniques to correct the lateral crural resting angle, enhance tip projection and definition, and restore balance to the nose.
Recovery Process
Following pinched nasal tip correction surgery, patients can expect some initial swelling and bruising, which typically resolve over the following weeks. Dr. Cangello will provide detailed post - operative care instructions, and patients are encouraged to rest and avoid strenuous activities during the initial recovery period. He will schedule follow - up appointments to monitor progress and ensure a smooth recovery process. Since he uses piezo ultrasonic rhinoplasty, swelling is significantly diminished, and results can typically be seen within several weeks instead of months.
5. Natural Look Institute (Dr. Yoel Shahar)
Surgeon's Experience and Reputation
Dr. Yoel Shahar at the Natural Look Institute has performed thousands of rhinoplasty/nose reshaping procedures for nearly 25 years in both New York City and Israel. He is a board - certified cosmetic surgeon, a board - certified general surgeon, and an associate fellow of the American Medical Association, among other credentials. He is often referred to as “doctor nose” and has been named one of New York City's best cosmetic surgeons.
Rhinoplasty for Nasal Tip Enhancement
Dr. Shahar offers various rhinoplasty procedures that can include nasal tip cartilage cap shaping. He understands the importance of achieving perfect facial harmony and will consider all of a patient's facial features before performing a nose job. Rhinoplasty can be used to address concerns such as a wide tip, a droopy nose tip, or an asymmetrical tip. He has experience in primary and secondary rhinoplasty, and he will always recommend alternatives or minimal procedures to achieve natural - looking cosmetic surgery results.
Pre - operative Evaluation and Post - operative Care
Before rhinoplasty, Dr. Shahar will conduct a comprehensive pre - operative evaluation. This includes discussing the patient's medical history, performing a physical exam of the nose and facial features, taking photos of the face and nose from different angles, and having in - depth discussions about the patient's goals and expectations. Rhinoplasty surgery is usually performed in his on - site surgical facility which is accredited by the AAAHC. After surgery, he will personally follow up with the patients. The typical rhinoplasty recovery involves some swelling and bruising under the eyes, which usually alleviates within a week or so. The minimal discomfort is easily controlled with analgesics, and final results may take months of recovery time, but the improvement lasts indefinitely.
Comparative Table of the Five Hospitals
| Hospital | Surgeon Qualifications | Main Approaches | Recovery Time | Specialties |
|---|---|---|---|---|
| Mount Sinai | Double - board - certified facial plastic and reconstructive surgeons and otolaryngologists | Closed (endonasal) and open (external) rhinoplasty | Majority of swelling subsides in 2 weeks, full swelling fade in up to 1 year, return to work in 1 - 2 weeks | Comprehensive rhinoplasty with focus on nasal function and aesthetics |
| Kassir Plastic Surgery | Triple - board - certified facial plastic surgeon | Endonasal and open approaches for nasal tip rhinoplasty | Most people return to normal activities in a few days | Specialized nasal tip rhinoplasty |
| New Face NY (Dr. Richard Westreich) | Double - board - certified facial plastic surgeon | Open and closed rhinoplasty, with preference for closed in many cases | Take a week off work or school, avoid strenuous exercise for 2 - 3 weeks, full results in up to 1 year | Advanced nasal tip plasty techniques |
| Cangello Plastic Surgery (Dr. David Cangello) | Board - certified plastic surgeon | Open and closed rhinoplasty for pinched nasal tip correction | Swelling resolves in weeks, results visible in several weeks with piezo ultrasonic rhinoplasty | Pinched nasal tip correction |
| Natural Look Institute (Dr. Yoel Shahar) | Board - certified cosmetic and general surgeon with multiple credentials | Primary and secondary rhinoplasty with focus on facial harmony | Swelling and bruising alleviate within a week, full results in months | Achieving natural - looking nose reshaping |
Factors to Consider When Choosing a Hospital
Surgeon's Expertise
The expertise of the surgeon is one of the most important factors. Look for surgeons who are board - certified and have extensive experience in nasal tip cartilage cap shaping. Surgeons with specialized training and a good track record of successful procedures are more likely to deliver the desired results. For example, a surgeon like Dr. Westreich with his advanced nasal tip plasty techniques or Dr. Kassir with his specialized nasal tip rhinoplasty experience may be more suitable for patients with specific nasal tip concerns.
Approach and Technique
Different hospitals and surgeons may use different approaches and techniques for nasal tip cartilage cap shaping. The open and closed rhinoplasty approaches have their own advantages and disadvantages. The closed approach may be preferred for patients who want a quicker recovery and less visible scarring, while the open approach may be necessary for more complex cases. It's important to discuss with the surgeon which approach is most suitable for your nasal anatomy and goals.
Pre - and Post - operative Care
Good pre - and post - operative care is essential for a successful procedure and a smooth recovery. A hospital or clinic that provides comprehensive pre - operative evaluations, including discussions about medical history, physical exams, and goal - setting, can help ensure that the procedure is safe and effective. Post - operative care, such as pain management, follow - up appointments, and instructions for recovery, is also crucial. Hospitals like Mount Sinai and the Natural Look Institute are known for their detailed pre - and post - operative care.
Cost
The cost of nasal tip cartilage cap shaping can vary depending on factors such as the type of surgery, the complexity of the case, the type of anesthesia, and the location of the hospital. Reconstructive surgeries to correct injuries or serious health issues may be partially covered by insurance, while cosmetic rhinoplasty is usually not. It's important to have a clear understanding of the cost and any additional fees, such as pre - operative appointments, operating fees, and post - operative care expenses, before making a decision.
Conclusion
In New York City, these five hospitals - Mount Sinai, Kassir Plastic Surgery, New Face NY, Cangello Plastic Surgery, and the Natural Look Institute - offer high - quality nasal tip cartilage cap shaping services. Each institution has its own unique strengths, whether it's the comprehensive resources of Mount Sinai, the specialized expertise of Dr. Kassir in nasal tip rhinoplasty, the advanced techniques of Dr. Westreich, the proficiency of Dr. Cangello in pinched nasal tip correction, or the focus on natural - looking results of Dr. Shahar. When considering nasal tip cartilage cap shaping, patients should carefully evaluate these factors and choose the hospital and surgeon that best meets their needs and expectations.
If you're interested in learning more about nasal tip cartilage cap shaping or scheduling a consultation, don't hesitate to reach out to these well - known institutions in New York City. Share this article with friends or family who may also be interested in this procedure, and continue to explore related topics in facial plastic surgery for a better understanding of your options.
