Introduction

The adjustment of the ratio of nasal ala width to length is a significant cosmetic procedure, especially for those who are not satisfied with the appearance of their nostrils. A well - proportioned nose can enhance facial symmetry and boost self - confidence. In New York City, a hub of medical excellence, there are several top - notch hospitals that offer this service. This article will introduce the top 5 hospitals in the city for this specific procedure.

What is Adjustment of the Ratio of Nasal Ala Width to Length?

The adjustment of the ratio of nasal ala width to length typically involves alar base reduction or alarplasty. This is a specialized cosmetic procedure focused on the alae, the outer edges of the nostrils. The alar base plays a crucial role in the overall proportion and appearance of the nose and its harmony with the rest of the face. An overly flared or wide alar base can lead to a nose that looks bottom - heavy.

Anatomy Involved

The nostrils are separated into right and left sides by the columella, the vertical “column - like” structure that runs down the center of the nose. The nasal sill extends from either side of the bottom of the columella and extends to the alar base insertion, or the segment of the nostril side wall where it meets the cheek - upper lip junction. The anterior nasal spine, lower lateral cartilages, caudal septum, maxilla, upper lip, and the soft tissue and skin that envelop the nose all contribute to the overall appearance of the nasal base and its width.

Common Techniques

• Alar Wedge Excision: Also known as the weir incision, it is the preferred technique for minimizing ala that are excessively flared to reduce wide nasal base from the frontal appearance. This technique removes wedge - shaped pieces of tissue from the nasal flare and spares an incision in the nostrils. It is ideal for avoiding an over - straightening of the ala, preserves the natural curvature of the ala, and avoids telltale incisions in the opening of each nostril.
• Nasal Sill Excision: Typically used in the correction of enlarged nasal sill width along with excessive flare in the ala. Sill reduction is indicated when the nasal base has a horizontal axis and the nostrils are enlarged.
• V - Y Advancement: Used to reposition the alar insertion if the lateral insertion of the ala is responsible for excessive nasal base width. However, it will leave a scar on the face, so it is rarely performed.

Top 5 Hospitals for Adjustment of the Ratio of Nasal Ala Width to Length in New York City

1. Cangello Plastic Surgery

Dr. Cangello at Cangello Plastic Surgery is NYC’s preeminent rhinoplasty surgeon. He offers patients customized treatment plans and transformative results. With decades of experience, he has honed his expansive skill in the nuanced medical field of rhinoplasty.

Services Offered

• Nasal Base Reduction: He is well - versed in all the common techniques of nasal base reduction, such as alar wedge excision, nasal sill excision, and can determine the best approach based on each patient’s unique nasal anatomy. The goal is not only to improve the appearance of the nose but also to enhance functionality while retaining the individual, racial, and ethnic characteristics of the patient.

Benefits for Patients

• Personalized Care: Dr. Cangello takes the time to evaluate each patient’s needs and goals, creating a tailored treatment plan.
• High Success Rate: His renowned ability to create noses that are both functionally superior and cosmetically beautiful is well - documented.
• Comprehensive Aftercare: Patients can expect proper guidance during the recovery process to ensure the best possible results.

Patient Testimonials

Many patients have left positive reviews about their experience at Cangello Plastic Surgery. They praise Dr. Cangello for his professionalism, attention to detail, and the natural - looking results they achieved.

2. SamanMD

Dr. Saman’s clinic is dedicated to providing the highest standard of care in alar base reduction surgery. The approach focuses on minimal invasiveness for maximum aesthetic enhancement.

Services Offered

• Alarplasty: The procedure involves making an incision in the natural crease of the nostril to remove excess tissue and reshape the nasal structure. The goal is to achieve a more aesthetically pleasing nose shape and improve the overall balance of facial features.
• Combined Procedures: Dr. Saman's nostril reduction procedure can be seamlessly integrated with other types of nose surgery, like rhinoplasty surgery, for a comprehensive facial transformation. Other rhinoplasty procedures offered include scarless rhinoplasty, ultrasonic rhinoplasty, ethnic rhinoplasty, asian rhinoplasty, and revision rhinoplasty.

Benefits for Patients

• Minimal Invasiveness: The clinic’s approach aims to cause less trauma to the patient while still achieving excellent results.
• Range of Options: Patients have the choice to combine different procedures according to their aesthetic goals.
• Educated Consultation: During the consultation, Dr. Saman discusses the different types of incision techniques and explains the expected recovery period, ensuring patients have a full understanding of the procedure.

Patient Testimonials

Patients appreciate the clinic’s patient - centered approach and the subtle yet impactful changes they see in their nose shape after the surgery.

3. LM Medical NYC

LM Medical NYC in Greenwich Village and the Upper East Side offers nostril reduction surgery and alar base reduction. Dr. Lesley Rabach, a top double - board certified facial plastic surgeon who specializes in rhinoplasty and cosmetic nose surgery, is available for consultations.

Services Offered

• Nostril Reduction Surgery: Small, discreet incisions can be made at the base of the nose to adjust the size and shape of the nostrils, resulting in smaller, narrower nostrils that look more refined while leaving the rest of the nose untouched.
• Alar Base Reduction Surgery: Small incisions can be placed at the crease alongside the nose at the cheek and in the nostril to adjust the alar base, improving nasal symmetry, reducing nostril size, and achieving better facial harmony.

Benefits for Patients

• Experienced Surgeon: Dr. Lesley Rabach's expertise in rhinoplasty gives patients confidence in the outcome of the procedure.
• Minimal Scarring: The use of small, discreet incisions helps to minimize visible scarring.
• Improved Facial Harmony: The procedures are designed to create a more balanced and harmonious appearance of the face.

Patient Testimonials

Patients report satisfaction with the professionalism of the staff and the natural - looking results of their surgeries.

4. Facial Plastic Surgery NYC (Dr. Joseph Rousso)

Dr. Rousso specializes in rhinoplasty procedures that create the desired beauty and balance for those wanting nostril or alar base reduction. He uses advanced techniques and his own proprietary rhinoplasty method, 3 - dreams.

Services Offered

• Precision Alar Base Reduction: His focus on artistic form and the needed function of the nose creates a balanced approach to the procedures. He can minimize the width and size of the nostrils while retaining symmetry and balance of the aesthetic features, and the results look natural without any noticeable scarring.

Benefits for Patients

• Balanced Approach: Dr. Rousso takes into account both the aesthetic and functional aspects of the nose.
• Advanced Techniques: The use of his proprietary method and advanced surgical techniques increases the likelihood of achieving the desired results.
• Natural - Looking Results: Patients can expect a more balanced nose that looks natural and in harmony with the rest of their facial features.

Patient Testimonials

Patients commend Dr. Rousso for his expertise and the positive impact the surgery has had on their self - confidence.

5. Dr. Jeffrey Lisiecki

Dr. Jeffrey Lisiecki, a surgeon specially trained in facial aesthetic and rhinoplasty, offers an alar base reduction in NYC. The procedure is also known as alarplasty or nostril reduction surgery, and the goal is to adjust the width of the nose’s bottom part, reduce nostril size, improve nasal symmetry, and create facial harmony.

Services Offered

• Alarplasty: During the procedure, the surgeon will numb the area under operation using an anesthetic. An incision is made to remove tissue where the nostril and the cheek meet, and a wedge of the nostril is removed. The nostrils are then brought inwards to create improved balance with the face.

Benefits for Patients

• Minimal Scarring: The surgeon can hide the scars under the nose creases.
• Natural Results: The procedure is designed to create a natural appearance, aligning the nose with the rest of the facial features.
• Less Invasive: Compared to rhinoplasty, alarplasty is a less invasive procedure.

Patient Testimonials

Patients are happy with the post - surgery results, including the reduced nostril size and improved facial harmony.

Factors to Consider When Choosing a Hospital

Surgeon's Experience

The experience of the surgeon is of utmost importance. A surgeon with many years of experience in performing nasal ala width - to - length adjustment procedures is more likely to achieve successful results. Surgeons like Dr. Cangello, Dr. Saman, Dr. Lesley Rabach, Dr. Rousso, and Dr. Jeffrey Lisiecki have all demonstrated their expertise in the field through their long - standing practices and positive patient outcomes.

Range of Services

Some hospitals offer a single procedure, while others provide a comprehensive range of rhinoplasty - related services. For example, SamanMD offers not only alarplasty but also various other types of rhinoplasty, such as scarless rhinoplasty and ethnic rhinoplasty. This gives patients more options to achieve their desired aesthetic goals.

Cost

The cost of the procedure can vary depending on the hospital, the complexity of the surgery, and the surgeon’s expertise. Patients should consider their budget and compare the costs among different hospitals. However, it is important not to compromise on the quality of care for a lower price.

Patient Reviews

Reading patient reviews can provide valuable insights into the hospital’s services, the surgeon’s skills, and the overall patient experience. Positive reviews about the professionalism of the staff, the quality of the after - care, and the satisfaction with the results can be good indicators of a reliable hospital.

After - care Services

Proper after - care is crucial for a successful recovery and optimal results. Hospitals that offer comprehensive after - care services, such as regular follow - up appointments, guidance on wound care, and advice on activities to avoid during the recovery period, are more favorable.

Recovery Process and Risks

Recovery Process

The recovery process for the adjustment of the ratio of nasal ala width to length typically spans 1 - 2 weeks for the initial healing. However, the full recovery process, seeing the long - lasting results, may take up to 1 - 3 months. Here is a general breakdown of the recovery period:

• Immediate Post - surgery: Patients can expect the base of their nose to be slightly swollen and red immediately following surgery. If sutures are used, they are typically removed one week after surgery.
• First Week: Patients should avoid strenuous activities and exercise. They may need to keep the area clean and follow the doctor’s instructions regarding wound care. Swelling and bruising may be present but will gradually subside.
• Second Week: Most patients can resume normal activities at this stage, but they should still be careful not to rub or bump the nose. Some swelling may still be visible.
• Long - term: It may take several months for the final results to be fully apparent as the swelling completely subsides and the nose heals.

Risks

Like any cosmetic or reconstructive surgery, the adjustment of the ratio of nasal ala width to length carries potential risks. These can include:

• Infection: Although rare, an infection can occur at the surgical site. Patients should follow the doctor’s instructions on wound care to minimize this risk.
• Bleeding: Minor bleeding may occur during or after the surgery. The surgeon will take measures to control bleeding during the procedure, and patients should report any excessive bleeding to their doctor.
• Asymmetry: There is a risk of the nostrils not being perfectly symmetrical after the surgery. However, an experienced surgeon can minimize this risk by using precise surgical techniques.
• Scarring: While efforts are made to minimize scarring, some scarring may still be visible. Different hospitals use different techniques to reduce the visibility of scars, such as making incisions in natural creases.

Conclusion

New York City is home to some of the best hospitals for the adjustment of the ratio of nasal ala width to length. Hospitals like Cangello Plastic Surgery, SamanMD, LM Medical NYC, Facial Plastic Surgery NYC (Dr. Joseph Rousso), and Dr. Jeffrey Lisiecki offer high - quality services with experienced surgeons. When choosing a hospital, patients should consider factors such as the surgeon’s experience, the range of services, cost, patient reviews, and after - care services. It is also important to be aware of the recovery process and the potential risks associated with the procedure. By making an informed decision, patients can achieve the desired aesthetic results and improve their self - confidence.

If you are considering the adjustment of the ratio of nasal ala width to length, we encourage you to research these top hospitals further, schedule consultations, and discuss your goals with the surgeons. Share this article with others who may be interested in this topic and explore more about rhinoplasty and related procedures to make the best decision for your cosmetic journey.