Top five plastic surgery hospitals for congenital nasal deformity repair in New York City!
Congenital nasal deformities can have a significant impact on a person's appearance and quality of life. In New York City, there are several outstanding plastic surgery hospitals that specialize in the repair of such deformities. This article will introduce you to the top five of these institutions, including their expert surgeons, advanced techniques, and successful case studies.
1. New York Nose Reconstruction Facial Plastic Surgeon | Manhattan
Expert Surgeon: Dr. Khosh
Dr. Khosh has extensive experience in nasal reconstruction from any cause, including congenital abnormalities. He has dealt with various nasal problems such as nasal fractures, defects from trauma or cancer removal, and congenital nose deformities.
Techniques Used
- Cartilage and Bone Grafts: For saddle nose deformities, which can be caused by severe nasal fractures, underlying medical conditions, or drug use, he uses cartilage or bone grafts to support the nose. For example, in cases of patients with Wegener’s granulomatosis who develop nasal collapse, he has used bone grafts from the skull and cartilage grafts from the ear to restore the normal shape and function of the nose.
- Flap Procedures: When dealing with skin cancer removal defects on the nose, he uses a variety of flap techniques. These include skin grafts, local skin flaps, forehead flaps, nasolabial flaps, etc. For instance, in a 74 - year - old woman with basal cell skin cancer of the tip of her nose, he used a cartilage graft from the ear to restore the projection of the nasal tip and a two - staged forehead flap to replace the missing skin.
Case Studies
| Patient | Problem | Procedure |
|---|---|---|
| 84 - year - old woman with skin cancer of the nose | 1.5 x 2.0 cm defect of nasal ala | Cartilage graft from the ear, two - staged nasolabial skin flap |
| 74 - year - old woman with skin cancer of the nose | Missing nasal tip skin and cartilage | Cartilage graft from the ear, two - staged forehead flap |
2. NYC Nasal Reconstruction | New York Nose Trauma Repair Surgery | UES
Expert Surgeon: Dr. Gary Linkov
Dr. Gary Linkov at City Facial Plastics in New York is a respected reconstructive and facial plastic surgeon. He has spent years helping those with facial trauma, including nose injuries, recover the function and form of their facial features.
Techniques Used
- Reconstructive Principles: He follows basic principles such as “replace like with like,” which means using the same type of tissue to replace lost tissue. For example, replacing skin on the tip of the nose with adjacent skin for a better color and thickness match. He also considers aesthetic units of the nose. If 50% or more of a subunit is affected, the remainder of the subunit is removed and the entire subunit is replaced.
- Diverse Reconstruction Options: These include secondary intention healing (letting the area heal on its own), primary intention (suture closure for smaller defects), skin grafts (from areas like the back of the ear), local flaps (rearranging adjacent tissue), regional flaps (recruiting tissue from non - adjacent areas like the cheek or forehead), cartilage/bone grafts (using ear, rib, or septal cartilage), and alloplastic materials (for large nasal defects with significant loss of structural support).
Who is a Good Candidate
- Cancer Patients: After skin cancers like basal cell carcinoma and squamous cell carcinoma on the nose are removed, nose reconstruction can be used to close the defect.
- Trauma Victims: Various nasal injuries may require reconstruction, such as those from motor vehicle accidents or sports injuries.
- Congenital Defect Patients: Cleft lip patients sometimes have nasal deformities that may require correction, and conditions like nasal dermoid cyst may also need nose reconstruction after the lesion is removed.
3. Cleft Rhinoplasty Post Cleft Lip Repair | Mount Sinai - New York
Expertise in Cleft Lip Nasal Deformity
Mount Sinai’s division of facial plastic and reconstructive surgery is a global leader in the treatment of cleft lip nasal deformity. Cleft lip is a congenital defect where the skin and muscle below the nose do not completely join before birth, often leading to nasal asymmetry and breathing difficulties.
Techniques and Approach
- Cleft Rhinoplasty for Teens: Patients with a cleft lip (with or without cleft palate) may undergo multiple surgical procedures. The final surgical repair is typically a cleft rhinoplasty, most often performed between the ages of 15 and 17. It is more complicated than traditional rhinoplasty due to the altered nose anatomy and scarring from previous surgeries.
- Specialized Approach: They use the existing lip scar from the prior cleft lip repair to enhance the shape and function of the nose. By repositioning this scarred skin into the nose, it helps address the lack of internal nasal lining on the cleft lip side and optimizes the cleft lip scar, reducing the need for grafting from other body areas.
Results and Expectations
Cleft rhinoplasty is safe and effective in achieving a more aesthetically balanced nose with improved breathing function. However, achieving perfect symmetry is challenging, especially when viewing the nose from below. Swelling around the nose can take up to one year to completely subside, so it may take time to fully appreciate the improvements in appearance.
4. Nasal Reconstructive Surgery Westchester White Plains NYC, NY
Expert Surgeon: Dr. Goldberg
Dr. Goldberg performs nasal reconstruction surgery to correct deformities caused by skin cancer, trauma, or congenital deformities. He uses a variety of surgical techniques to address different nasal problems.
Techniques Used
- Surgical Access: The nose can be accessed for reconstruction through an incision at the bottom of the nasal columella or from incisions placed inside the nose. The choice depends on the location of the site to be reconstructed and other factors.
- Comprehensive Reconstruction: During the surgery, he separates the skin from the bone and cartilage at the site requiring reconstruction. He may use bone grafts to increase the bone structure, and remove or add cartilage and skin as needed. The added tissue can be donated tissue, synthetic material, or tissue from the patient's own body.
Recovery Process
Patients can expect bruising, swelling, and slight bleeding for the first three days after surgery. They should closely follow Dr. Goldberg’s instructions on wound care, including applying ointment and changing dressings. Most patients can return to normal schedules within a week after surgery and resume vigorous exercise after three weeks. A follow - up consultation is typically scheduled within the first 6 - 8 weeks.
5. Best Nasal Fracture Treatment NYC | Dr. John E. Sherman
Expertise in Nasal Fractures
Dr. John E. Sherman has over 40 years of experience in plastic surgery and has performed thousands of facial fracture operations. He is well - known for helping patients balance their features through customizable procedures based on their unique anatomy.
Timing and Treatment of Nasal Fractures
- Immediate and Delayed Treatment: If the nasal bones are not fixed immediately after a fracture, it is best to wait at least 4 days for swelling to resolve. Then, a closed reduction of the nasal fracture can be performed under local or sedation anesthesia. If the patient delays for more than 2 weeks, an open reduction may be necessary after 4 - 6 weeks.
- Subsequent Treatment (Septoplasty): After nasal trauma, the cartilage of the nasal septum can warp, causing a deviated septum. Correction of the septum can be done at any time and may be reimbursed through insurance as it is a functional problem.
Benefits and Results
- Improved Aesthetics and Function: Addressing nasal fractures can improve the appearance of the nose, boost self - esteem, provide lasting results by permanently adjusting the position of the nasal bones and cartilage, and improve functionality by making breathing easier.
- Recovery and Final Results: Recovery time depends on the techniques used and the condition of the nose. The final results may not be visible immediately due to swelling, but patients can enjoy a more balanced appearance and relief from breathing issues.
Choosing the Right Hospital for Congenital Nasal Deformity Repair
When choosing a plastic surgery hospital for congenital nasal deformity repair in New York City, several factors should be considered. First, the experience and expertise of the surgeons are crucial. Surgeons with a long - standing track record in dealing with congenital nasal problems are more likely to provide successful outcomes. Second, the hospital's use of advanced techniques and technologies can also impact the quality of the repair. Additionally, patient reviews and case studies can give you an idea of the hospital's success rate and patient satisfaction. Finally, the hospital's after - care services, including follow - up consultations and rehabilitation programs, are important for ensuring a smooth recovery.
Conclusion
In New York City, these top five plastic surgery hospitals offer excellent options for the repair of congenital nasal deformities. From the expert surgeons at each institution to the advanced techniques and comprehensive care provided, patients can have confidence in the treatment they receive. Whether it's dealing with cleft lip nasal deformities, nasal fractures, or defects from skin cancer, these hospitals have the knowledge and resources to address a wide range of congenital nasal problems.
If you or someone you know is suffering from a congenital nasal deformity, we encourage you to reach out to these hospitals for a consultation. Take the first step towards improving your appearance and quality of life by exploring the possibilities of nasal deformity repair in New York City.
