Introduction

The nose tip plays a crucial role in facial aesthetics, and many individuals in New York City are seeking the best medical facilities to adjust its roundness. A well - shaped nose tip can enhance facial symmetry and overall attractiveness. In this article, we will explore the top five hospitals in New York City known for their expertise in adjusting the roundness of the nose tip, highlighting their unique features, surgeons, and treatment approaches.

1. Mount Sinai Hospital

Overview

Mount Sinai Hospital is a well - established medical institution in New York City. According to US News, it is ranked #35 in ear, nose & throat hospitals, with a score of 63.7/100. It is nationally ranked in 11 adult specialties and 4 pediatric specialties, which showcases its comprehensive medical capabilities.

Expertise in Nose Tip Adjustment

The division of facial plastic and reconstructive surgery at Mount Sinai has a team of double - board - certified facial plastic surgeons who are also otolaryngologists (ear, nose, and throat specialists). This dual certification equips them with in - depth knowledge of both nasal function and aesthetics. When it comes to adjusting the roundness of the nose tip, they understand how to create natural, long - lasting results while also ensuring proper breathing function.

Surgeons at Mount Sinai perform both closed/endonasal (without an external incision) and open/external rhinoplasty. The choice between these two techniques depends on the patient's unique anatomy, functional, and aesthetic goals. For instance, the closed approach offers the advantage of no external scar and a relatively shorter operation time, while the open approach allows for better visualization of the nasal anatomy and the performance of more complex alterations and grafting.

Comprehensive Approach

Mount Sinai takes a multidisciplinary approach to patient care. Patients have access to a wide range of specialists, including those in the division of rhinology and sinus surgery and the head and neck institute. This is particularly beneficial for patients with concerns related to nasal breathing, allergies, sinus disease, or deformities after cancer treatments. In some cases, combined surgeries can be performed to address multiple issues simultaneously.

Adolescent Considerations

Rhinoplasty, including nose tip adjustment, is common among teenagers. At Mount Sinai, if the procedure is for cosmetic reasons, they advise that younger patients wait until they stop growing and their nasal bone has reached its adult size. Typically, girls should wait until around age 15 after puberty, while boys may need to wait until 17 or 18 years or older. However, 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 Care

Patients interested in nose tip adjustment at Mount Sinai start with an extensive consultation to identify areas of concern and review their goals. Surgeons then develop an individualized treatment plan. The surgery is usually performed in an outpatient setting under general anesthesia or a combination of local anesthesia and sedation. Before surgery, patients are given instructions on medications and how to prepare for recovery. After surgery, a short course of antibiotics and mild pain medication may be prescribed. 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. Patients are expected to return to work or school within one to two weeks after surgery and should avoid strenuous activities for two weeks.

2. Dr. David Cangello's Practice

Expert Surgeon

Dr. David Cangello is a board - certified plastic surgeon highly experienced in performing rhinoplasty with specialized techniques to correct a bulbous nasal tip, which is often characterized by excessive roundness. He has gained a reputation as an expert in the field, with his work being featured on CBS and Fox News, as well as in numerous web and print publications such as Harper’s Bazaar, Seventeen Magazine, and Refinery 29.

Unique Approach to Nasal Tip Surgery

Dr. Cangello believes that traditional methods of nasal tip refinement, which often rely on suture and grafting techniques, can result in an unnatural appearance. He utilizes state - of - the - art rhinoplasty techniques, such as an endonasal approach (a minimally - invasive “closed” method). This approach reconfigures the tip cartilages and adds strategically placed dissolvable sutures to produce a structured yet natural - looking nasal tip without compromising the patient's underlying nasal structure.

For patients with dense or thicker than usual nasal skin, Dr. Cangello may determine that debulking of the fibrous fatty tissue around the nasal tip is necessary for a beautiful aesthetic and optimal functional result. Sometimes, a septal extension graft may also be used. By suturing the lower lateral cartilages, which form the tip of the nose, to the septal extension graft, a “tent pole” type structure is created that pushes out firmly against the undersurface of the thick skin, helping to create tip definition.

Analysis Using Aesthetic Nasal Polygons

When determining his surgical approach, Dr. Cangello uses the concept of aesthetic nasal polygons. He analyzes the nose as geometric units, which allows for a mathematical analysis of the underlying nasal structures. This understanding of how shadows and light influence the appearance of the nose helps him rearrange or reconstruct the nasal structures in a way that is symmetrical and aesthetically pleasing, ensuring that the nasal surface reflects light in a natural - looking manner.

Candidate Evaluation

Typically, patients with a bulbous nasal tip are those who are concerned about their nose being too round or wide at the tip and lacking definition. A bulbous nasal tip can be caused by several genetic factors, such as dense soft - tissue coverage, prominently rounded or dome - shaped tip cartilages, poorly defined hypertrophic lower lateral cartilages, or poor cartilage strength. Dr. Cangello carefully evaluates each patient to determine the specific anatomical factors leading to the presentation of the bulbous tip and then establishes the best surgical solution.

3. Kassir Plastic Surgery

Skilled Surgeon

Dr. Kassir is a triple - board - certified facial plastic surgeon with extensive experience in nasal tip rhinoplasty. His expertise allows him to create personalized treatment plans for patients seeking to adjust the roundness of their nose tips.

Benefits of Nasal Tip Rhinoplasty

There are several benefits to having nasal tip rhinoplasty at Kassir Plastic Surgery. Firstly, it can improve a patient's appearance and boost self - confidence. Secondly, it can enhance breathing, especially if there are structural issues related to the nose tip. Additionally, recovery after nasal tip rhinoplasty is often faster than other types of nose surgery because no bone is removed during the procedure.

Surgical Procedure

The surgery is performed under general anesthesia and usually takes around one to two hours. Dr. Kassir makes small incisions, either inside the nostrils (endonasal approach) or across the columella, the strip of skin that separates the nostrils (open approach). Through these incisions, he sculpts and repositions the cartilage and soft tissue to give the nose tip its new shape. In some cases, grafting cartilage 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. Patients typically feel little to no discomfort after the surgery and can go home the same day.

Recovery

Recovery from tip rhinoplasty surgery at Kassir Plastic Surgery is typically fairly quick and easy. Since this surgery only involves the tip of the nose, there is usually less swelling and bruising than with a full rhinoplasty. Most people feel comfortable enough to return to their normal activities within a few days. The nose might be taped or splinted to help with swelling. Dr. Kassir and his team provide specific instructions on what to expect during recovery and how to best care for the nose after surgery.

4. New Face NY (Dr. Richard Westreich)

Renowned Surgeon

Dr. Richard Westreich is a double - board - certified facial plastic surgeon leading the team at New Face NY. He has been recognized as one of the top plastic surgeons in New York by New York Magazine for several consecutive years and has received many other awards and accolades throughout his career, including being recognized as a top doctor by the prestigious Castle Connolly group.

Techniques for Nose Tip Adjustment

Dr. Westreich offers a variety of techniques for adjusting the roundness of the nose tip. Nasal tip plasty involves reshaping the cartilage of the nasal tip. The two paired horseshoe - like cartilages that make up the tip of the nose have their length, width, bending contour, and symmetry carefully adjusted. Some nasal tips may only require a small amount of cartilage removal to narrow, while others may need sutures, grafts, or other techniques for a more dramatic change in shape.

For a bulbous tip, Dr. Westreich has specific strategies. A bulbous tip can be caused by thick skin, weak cartilage, overdeveloped lower lateral cartilages, nasal septal deviation, or previous nasal trauma. He may use suturing to create a more refined nasal tip or cartilage grafting for further refinement. In most cases, open rhinoplasty is only used for specific technical reasons, as Dr. Westreich prefers the closed approach for several benefits, such as quicker healing, easier establishment of the tip - profile relationship, and preservation of the blood supply to the nasal skin, which can result in less scarring and thinning of the skin over time.

Comprehensive Rhinoplasty Benefits

In addition to nose tip adjustment, rhinoplasty at New Face NY offers both cosmetic and functional benefits. Cosmetic benefits include reducing the size of the dorsal hump, narrowing an overly wide nose, correcting a pinched - looking nose tip, reshaping overly large or wide nostrils, improving overall facial harmony and proportionality, and enhancing self - confidence. Functional benefits involve correcting a deviated septum for healthier breathing, reducing snoring and mouth - breathing, restoring a broken or crooked nose, and improving sleep quality.

Recovery and Tips

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. Most patients find the recovery uncomfortable rather than painful. They are advised 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. Dr. Westreich also provides a list of recovery tips, such as using a saline nasal spray, applying ointments on the incision lines, using arnica and bromelain caplets, taking low - dose steroid pills, applying ice packs, sleeping with the head elevated, and eating a diet rich in antioxidants, vitamins, and protein.

5. Plastic Surgery & Dermatology of NYC (Dr. Elie Levine)

Highly Qualified Surgeon

Dr. Elie Levine is an award - winning plastic surgeon. He graduated from Columbia College with a 4.0, earning the distinctions of Phi Beta Kappa and Magna Cum Laude. He earned his MD from the Yale School of Medicine, graduating Cum Laude and finishing in the top 10% of his class. He continued his training at the Mount Sinai Medical Center and was selected to complete an advanced aesthetic fellowship beyond his plastic surgery training at the New York Eye and Ear Infirmary of Mount Sinai. He has also been named a Castle Connolly top doctor, a New Beauty top doctor, and a New York Times super doctor.

Techniques and Experience

Dr. Levine is experienced in both open and closed rhinoplasty techniques. In “closed” rhinoplasty (endonasal rhinoplasty), all the incisions are made inside the nose, while in “open” rhinoplasty (external rhinoplasty), a small external incision is made across the skin between the nostrils at the base of the nose (the “columella”). The choice of technique depends on many factors, including the extent of the surgery and the patient's unique anatomy. He also performs revision rhinoplasty for patients who are not satisfied with the results of a previous nose surgery.

Benefits of Rhinoplasty

For patients seeking to adjust the roundness of the nose tip, rhinoplasty at Dr. Levine's practice can offer a range of benefits. It can change the size and shape of the nose, remove the hump, straighten the bridge, reshape the tip of the nose, correct a bulbous or drooping tip, change the angle or “up - turn” of the nose, reshape, decrease, or increase nostril size, bring the nose into balance with the rest of the face, correct breathing/functional problems, correct a deviated septum, repair the nose after an injury, and address issues from previous nose surgeries.

Patient Experience and Results

Many patients have shared positive experiences with Dr. Levine. For example, some patients have reported nearly undetectable bruising and mild swelling during recovery due to his advanced techniques. Patients have also been satisfied with the natural - looking results that enhance their facial symmetry and overall appearance. Dr. Levine takes an honest and direct approach, using his artistic eye to help each patient achieve their cosmetic goals while stressing beautiful, youthful, and natural - looking results.

Comparison of the Top Five Hospitals

Conclusion

In New York City, there are several top - notch hospitals and surgeons offering specialized services for adjusting the roundness of the nose tip. Mount Sinai Hospital provides a comprehensive, multidisciplinary approach, while Dr. David Cangello stands out with his unique surgical techniques. Kassir Plastic Surgery offers the advantage of faster recovery, and New Face NY, led by Dr. Richard Westreich, has a reputation for using advanced methods and focusing on patient comfort during recovery. Plastic Surgery & Dermatology of NYC, with Dr. Elie Levine at the helm, combines high - end qualifications with excellent patient results.

If you are considering adjusting the roundness of your nose tip, we encourage you to thoroughly research these options, schedule consultations, and discuss your goals and concerns with the surgeons. By making an informed decision, you can achieve the natural - looking results you desire and enhance your facial aesthetics and self - confidence. Share this article with others who may be interested in nose tip adjustment in New York City and continue exploring more about rhinoplasty and facial plastic surgery on our website.