Introduction
The appearance of the nose plays a crucial role in facial aesthetics. The nasal alar supporting structure, in particular, significantly impacts the overall look of the nose and the harmony of the face. For those in New York City seeking adjustments to the nasal alar supporting structure, choosing the right doctor is of utmost importance. In this article, we will introduce the top 5 doctors for nasal alar supporting structure adjustment in New York City, based on relevant information from top Google search results.
1. Dr. Lesley Rabach
Expertise and Specialties
Dr. Lesley Rabach is a top double - board certified facial plastic surgeon who specializes in rhinoplasty and cosmetic nose surgery. At LM Medical NYC in Greenwich Village and the Upper East Side, she offers nostril reduction surgery and alar base reduction.
Treatments Offered
- Nostril Reduction Surgery: Large or flared nostrils are often a genetic or ethnic trait, and they can appear more prominent when a person shows emotions. This surgery can be done without a complete nose job. Small, discreet incisions are made at the base of the nose to adjust the size and shape of the nostrils, resulting in smaller, narrower, and more refined nostrils while leaving the rest of the nose intact.
- Alar Base Reduction Surgery: The alar base is the triangular part of the nose where the nostrils meet the upper lip and cheek. When it is wide, the nose may seem out of proportion to the rest of the face. This surgery adjusts the width of the bottom portion of the nose by making small incisions at the crease alongside the nose at the cheek and in the nostril, improving nasal symmetry, reducing nostril size, and achieving better facial harmony.
Patient Testimonials and Reputation
While specific patient testimonials were not mentioned in the search results, as a double - board certified surgeon with a focus on rhinoplasty, she has established a reputation for providing high - quality care and effective results in nasal alar adjustment procedures.
2. Dr. Casian Monaco
Expertise and Specialties
Dr. Casian Monaco is located in New York City’s Upper East Side. He is well - known for his skills in nostril reduction surgery, performing it with precision and an artistic eye.
Treatments Offered
- Nostril Reduction Surgery: His approach focuses on resizing and reshaping the nostrils to enhance facial symmetry. He understands that even minor adjustments to the nostrils can have a profound impact on one's appearance.
- Alar Base Reduction: As a key part of nostril reduction surgery, this technique carefully resizes the base of the nostrils. It is particularly effective for patients who feel their nostrils are too wide or large in proportion to their nose and face. Dr. Monaco's experience ensures a natural, aesthetically pleasing outcome that respects the delicate balance of the facial structure.
Patient - Centered Approach
Dr. Monaco believes in a personalized approach to nostril reduction surgery. Recognizing that each face is unique, he plans each procedure to align with the individual’s aesthetic goals. This approach has made him a sought - after expert in nasal reshaping in the Upper East Side.
3. Dr. Steven Wallach
Expertise and Specialties
Dr. Steven Wallach is an aesthetic face and body expert in New York City. He is also actively involved in lecturing and teaching on trending issues in the field of cosmetic surgery. In rhinoplasty, he offers a variety of options tailored to individual patient needs.
Treatments Offered
| Treatment | Description |
|---|---|
| Alar Base Reduction | Often performed on patients with a wide nasal base (flaring nostrils). Different types of alar base reduction procedures are available, and most can be accomplished under local anesthesia. |
| Airway Obstruction or Breathing Difficulties | Some rhinoplasty procedures can correct airway obstruction or breathing problems caused by a septal deviation, nasal polyps, or internal/external valve collapse. Correcting these issues not only improves breathing but also enhances the overall facial appearance. |
| Graft Options | A surgical rhinoplasty procedure that requires grafting can use a patient’s own tissue, synthetic material, or cadaver material. This helps reduce the risk of infection and lessens extended nasal position. |
| Open vs. Closed Approach | Dr. Wallach can determine the appropriate surgical incision technique for each patient. Open rhinoplasty involves an incision at the base of the nose, while closed rhinoplasty makes all incisions inside the nose. |
| Osteotomies | This process is used to remove the nasal bone. An experienced surgeon like Dr. Wallach can cut, shave, and move the nasal bone to reshape the nose according to the patient's desired goal. |
| Tip Refinement | For patients with cleft, boxy, bulbous, or rounded nasal tips, this procedure can correct or improve the nasal tip. In some cases, a cartilage graft is required. |
Patient - Care Philosophy
Dr. Wallach and his professional staff believe in taking the time to help all their patients meet and succeed in their cosmetic and aesthetic goals. In their state - of - the - art facilities, patients are provided with educational resources and treated with respect.
4. Dr. Gary Linkov
Expertise and Specialties
Dr. Gary Linkov is a double - board certified and Ivy League - educated facial plastic surgeon. He takes a sophisticated approach to rhinoplasty, considering ethnic characteristics, cosmetic, and functional imperfections when planning the process and outcome.
Treatments Offered
- Overall Rhinoplasty Procedures: He can perform various types of rhinoplasty, including overall size reduction or enlargement, alar base or nostril reduction, nasal tip reshaping, reshaping the nasal bridge (hump removal and straightening), Asian or ethnic rhinoplasty, nasal valve repair, and nasal obstruction removal.
- Open vs. Closed Rhinoplasty: Dr. Linkov carefully weighs the evidence to decide the best approach for each patient. Closed rhinoplasty involves making incisions inside the nose, while open rhinoplasty makes a small incision at the mid - columella and a few internal incisions. Each approach has its own advantages and disadvantages, and he selects the one that best suits the patient's case.
Reputation and Success Rate
Dr. Linkov has performed more rhinoplasty procedures than the majority of facial plastic surgeons in New York. His vast experience, pre - operative systematic analysis, and attention to detail have made him the number one choice for rhinoplasty patients in the U.S. and worldwide. According to published data, his rhinoplasty success rate is more than 90%.
5. Dr. Sam Rizk
Expertise and Specialties
Dr. Sam Rizk is a double - board certified facial plastic surgeon in New York City. He specializes in creating balanced, natural - looking results through advanced surgical techniques for nose reduction surgeries, especially for patients with big noses.
Treatments Offered
- Big Nose Treatment: A big nose can be characterized by a wide or prominent bridge, an enlarged tip, a long profile, or flared nostrils. Dr. Rizk's comprehensive approach addresses the complex anatomical aspects of nose reduction surgery, including anatomical evaluation, structural modifications (such as refined reshaping of the nasal bridge, expert tip refinement techniques, strategic nostril width adjustment, and preservation of crucial support structures), and consideration of individual facial harmony.
- Rhinoplasty: This common nose job procedure involves making incisions either inside the nostrils or across the columella. The underlying structure of cartilage and bone may be manipulated to create the desired shape. In some cases, tissue from other areas of the body may be used to augment the nose.
Patient - Centered Techniques
Dr. Rizk's pioneering approach to rhinoplasty focuses on precision, artistry, and patient - centric outcomes. His personalized approach ensures that every procedure fits the patient's unique facial structure and aesthetic goals, delivering refined results that boost confidence and self - esteem.
Factors to Consider When Choosing a Doctor for Nasal Alar Supporting Structure Adjustment
Qualifications and Certifications
Look for doctors who are board - certified in facial plastic surgery or a relevant specialty. Board certification indicates that the doctor has met certain standards of education, training, and experience. For example, Dr. Lesley Rabach is a double - board certified facial plastic surgeon, which is a strong indicator of her expertise.
Experience
An experienced doctor is more likely to have encountered a variety of cases and be able to handle potential complications. Dr. Gary Linkov has performed more rhinoplasty procedures than many of his peers in New York, which gives him an edge in dealing with different nasal conditions.
Patient Reviews and Testimonials
Reading patient reviews and testimonials can provide insights into the doctor's bedside manner, the quality of care, and the satisfaction of previous patients. Although not all doctors in this list had specific reviews mentioned, positive patient feedback is a good sign.
Personalized Approach
Each patient's nose and aesthetic goals are unique. A doctor who takes a personalized approach, like Dr. Casian Monaco and Dr. Sam Rizk, will design a treatment plan that is tailored to the individual, resulting in more natural and satisfactory results.
Cost and Insurance
The cost of nasal alar supporting structure adjustment can vary depending on the doctor's experience, the complexity of the procedure, and other factors. Additionally, check if the doctor accepts insurance for any functional aspects of the surgery. For example, some insurance companies may cover rhinoplasty if it is done to correct breathing problems.
Conclusion
In New York City in 2025, there are several highly qualified doctors for nasal alar supporting structure adjustment. Dr. Lesley Rabach, Dr. Casian Monaco, Dr. Steven Wallach, Dr. Gary Linkov, and Dr. Sam Rizk each bring their unique expertise, skills, and patient - centered approaches to the field of rhinoplasty. When considering a nasal alar adjustment, it is important to carefully evaluate these doctors based on factors such as qualifications, experience, patient reviews, personalized approach, and cost. By choosing the right doctor, patients can achieve the desired aesthetic and functional results for their noses.
If you are interested in nasal alar supporting structure adjustment, we encourage you to reach out to these doctors for consultations. Take the time to discuss your goals, concerns, and expectations, and make an informed decision about your treatment. Share this article with others who may be interested in this topic, and continue exploring related information on facial aesthetics and rhinoplasty.
