Introduction

Nasal base heightening surgery, a type of rhinoplasty, can significantly enhance the appearance and balance of one's face. New York City, being a hub of medical excellence, offers a plethora of options for those seeking this procedure. In this article, we will explore some of the top hospitals and surgeons in the city known for their expertise in nasal base heightening surgery. We will also discuss the procedure itself, factors to consider when choosing a surgeon, and what to expect during and after the surgery.

What is Nasal Base Heightening Surgery?

Nasal base heightening surgery is a specialized form of rhinoplasty that focuses on increasing the height of the nasal base. This can improve the overall shape of the nose, making it more balanced and harmonious with the rest of the face. The procedure involves reshaping the bone and cartilage of the nasal framework to achieve the desired height and contour. It can also address issues such as a flat or wide nasal base, which may affect the aesthetic appearance of the face.

There are different techniques used in nasal base heightening surgery, depending on the patient's specific needs and the surgeon's expertise. Some common techniques include:

• Cartilage Grafting: This involves using cartilage from another part of the body, such as the ear or rib, to build up the nasal base. Cartilage grafts can provide a natural-looking and long-lasting result.
• Implants: Synthetic implants made of materials such as silicone or Gore-Tex can be used to increase the height of the nasal base. Implants are a popular option as they are relatively quick and easy to place.
• Bone Augmentation: In some cases, the surgeon may use bone from the patient's own body or a synthetic bone substitute to augment the nasal base. Bone augmentation can provide a more permanent and stable result.

Top Hospitals and Surgeons in New York City

Mount Sinai

Mount Sinai is a well-known medical institution in New York City that offers a comprehensive range of rhinoplasty services, including nasal base heightening surgery. The facial plastic surgeons at Mount Sinai are double board-certified in facial plastic and reconstructive surgery and otolaryngology (ear, nose, and throat). They have vast expertise in nasal function, as well as nasal and facial aesthetics, ensuring that patients not only achieve a better-looking nose but also improved breathing.

The hospital offers both closed/endonasal (without an external incision) and open/external rhinoplasty procedures, depending on the patient's unique anatomy and goals. Mount Sinai also has a multidisciplinary approach, with access to a wide range of specialists and subspecialists, including experts in rhinology and sinus surgery. This allows for a more comprehensive and personalized treatment plan for patients.

Dr. Barry Weintraub

Dr. Barry Weintraub is a board-certified plastic surgeon in New York City who has over two decades of experience in performing rhinoplasty surgeries, including nasal base heightening. He is an Ivy League-educated surgeon at the Weill-Cornell Medical Center and is a national spokesperson for the American Board of Plastic Surgery.

Dr. Weintraub offers both functional and cosmetic rhinoplasty procedures. He performs rhinoplasty surgeries in his New York City office, which is equipped with state-of-the-art facilities and a team of board-certified anesthesiologists and fully licensed operating-room staff. Dr. Weintraub takes a personalized approach to each patient, ensuring that their individual needs and goals are met.

One of the things that sets Dr. Weintraub apart is his expertise in complex secondary and tertiary rhinoplasties. He is able to correct the results of prior surgeries that may have left patients dissatisfied with their appearance. Many patients seek his help from all over the world to correct aesthetic problems and achieve a more natural-looking nose.

Dr. Casian Monaco

Dr. Casian Monaco is known for his expertise in nostril reduction surgery, which can also be a part of nasal base heightening surgery. His clinic is located in New York City's Upper East Side and is renowned for delivering results that harmonize with each patient's unique facial features.

Dr. Monaco takes a personalized approach to each patient, understanding that every face is different. He uses advanced techniques to perform alar base reduction, a key component of nostril reduction surgery, which can improve facial symmetry and the overall shape of the nose. His artistic eye and attention to detail ensure that patients achieve a natural and aesthetically pleasing result.

Dr. David Cangello

Dr. David Cangello is a board-certified plastic surgeon in New York City who is widely recognized as a leader in rhinoplasty and a pioneer of preservation rhinoplasty. He has extensive experience in nasal bridge surgery, which can be related to nasal base heightening.

Dr. Cangello offers preservation rhinoplasty, a modern approach that preserves as much of the original nasal structure as possible. This technique can result in a natural-looking nose with improved nasal function and a lower risk of complications. He also has experience in treating a variety of nasal bridge issues, such as removing humps, reshaping the bridge, and correcting saddle nose deformities.

New York Group for Plastic Surgery

The New York Group for Plastic Surgery offers the best rhinoplasty in New York City, including nasal base heightening surgery. Dr. Jordan Jacobs, a surgeon at the practice, has undergone extensive training and has received awards for his work. He is dedicated to producing beautiful and natural-looking results in a professional, relaxed, and supportive environment.

The group's surgeons take a personalized approach to each patient, designing a medical program tailored to their specific needs based on their facial structure and the overall goals for the procedure. They offer both open and closed rhinoplasty techniques, depending on the patient's requirements. The rhinoplasty surgery is performed on an outpatient basis at their on-site surgical facility, allowing patients to recover in the comfort of their own home.

Dr. John E. Sherman

Board-certified plastic surgeon Dr. John Sherman has performed numerous rhinoplasty procedures in New York City. He can provide natural-looking results for patients seeking nasal base heightening surgery. Dr. Sherman and his team are dedicated to providing outstanding care and results, taking the time to understand each patient's individual needs and aesthetic goals.

He offers different rhinoplasty approaches, including closed rhinoplasty and external rhinoplasty, as well as septoplasty if needed. Dr. Sherman's experience and expertise allow him to address a wide variety of concerns with the appearance of the nose, ensuring that patients achieve a refined and balanced look.

Factors to Consider When Choosing a Surgeon

Choosing the right surgeon for your nasal base heightening surgery is crucial for achieving the best results. Here are some factors to consider:

• Board Certification: Ensure that the surgeon is board-certified by the American Board of Plastic Surgery. This indicates that the surgeon has met the highest standards of training and expertise in plastic surgery.
• Experience: Look for a surgeon who has extensive experience in performing nasal base heightening surgery or rhinoplasty in general. An experienced surgeon will be more familiar with the different techniques and can handle any complications that may arise during the procedure.
• Reputation: Check the surgeon's reputation by reading patient reviews and testimonials. You can also ask for before-and-after photos of their previous patients to get an idea of their work.
• Communication: A good surgeon will take the time to listen to your concerns and goals and will communicate clearly with you throughout the process. They should be able to explain the procedure, the risks and benefits, and what to expect during and after the surgery.
• Hospital Affiliation: Consider the surgeon's hospital affiliation. A surgeon who is affiliated with a reputable hospital is more likely to have access to the latest technology and resources, which can contribute to a better outcome.
• Cost: While cost should not be the only factor in your decision, it is important to consider. Make sure to get a clear understanding of the total cost of the surgery, including the surgeon's fee, anesthesia fee, and any other associated costs. Some insurance companies may cover part of the cost if the surgery is considered medically necessary, so it's worth checking with your insurance provider.

Preparing for Nasal Base Heightening Surgery

Once you have chosen a surgeon, there are several steps you can take to prepare for your nasal base heightening surgery:

• Consultation: Schedule a consultation with your surgeon to discuss your goals, expectations, and medical history. The surgeon will examine your nose and may take photographs to help plan the procedure. They will also explain the surgical technique, the risks and benefits, and what to expect during and after the surgery.
• Medical Clearance: Your surgeon may require you to have a medical clearance from your primary care physician or a specialist. This is to ensure that you are in good health and able to undergo the surgery.
• Medications and Supplements: Inform your surgeon about all the medications and supplements you are taking, including over-the-counter medications and herbal supplements. Some medications and supplements may increase the risk of bleeding or interact with the anesthesia, so your surgeon may advise you to stop taking them before the surgery.
• Smoking and Alcohol: Smoking and alcohol can have a negative impact on your recovery, so it's important to stop smoking and limit your alcohol consumption before and after the surgery. Smoking can delay the healing process and increase the risk of complications, while alcohol can interact with the medications and affect your judgment.
• Arrange for Help: Arrange for someone to drive you home after the surgery and stay with you for the first 24 to 48 hours. You will need help with daily activities such as cooking, cleaning, and taking care of yourself during your recovery.
• Prepare Your Home: Before the surgery, make sure your home is prepared for your recovery. Stock up on groceries, medications, and other essentials. Set up a comfortable recovery area with plenty of pillows and a reclining chair.

What to Expect During the Surgery

Nasal base heightening surgery is typically performed on an outpatient basis under general anesthesia or with a combination of local anesthesia and sedation. The length of the surgery depends on the complexity of the procedure and the surgical technique used. Here is a general overview of what to expect during the surgery:

1. Anesthesia: You will be given anesthesia to make you comfortable and pain-free during the surgery. The type of anesthesia used will depend on your preference and the surgeon's recommendation.
2. Incision: The surgeon will make incisions either inside the nose (closed rhinoplasty) or on the outside of the nose (open rhinoplasty) to access the nasal framework. The incisions are carefully placed to minimize scarring.
3. Reshaping the Nasal Base: The surgeon will then reshape the bone and cartilage of the nasal base to achieve the desired height and contour. This may involve using cartilage grafts, implants, or bone augmentation techniques.
4. Closure: Once the nasal base has been reshaped, the surgeon will close the incisions with sutures. A splint or cast may be placed on the nose to support the new shape and protect it during the healing process.
5. Recovery Room: After the surgery, you will be taken to the recovery room where you will be monitored closely until the anesthesia wears off. You may experience some pain, swelling, and bruising, which can be managed with pain medication and ice packs.

Recovery and Aftercare

The recovery period after nasal base heightening surgery varies from patient to patient, but most patients can expect to take about one to two weeks off work or school. Here are some tips for a smooth recovery:

• Rest: Get plenty of rest and avoid strenuous activities for at least two weeks after the surgery. This will help your body heal and reduce the risk of complications.
• Keep Your Head Elevated: Keep your head elevated as much as possible, especially during the first few days after the surgery. This will help reduce swelling and bruising.
• Apply Ice Packs: Apply ice packs to your nose and eyes for the first 24 to 48 hours after the surgery to reduce swelling and pain. Make sure to wrap the ice packs in a towel to avoid direct contact with your skin.
• Follow Your Surgeon's Instructions: Follow your surgeon's instructions regarding medications, wound care, and activity restrictions. Take all medications as prescribed and keep your follow-up appointments.
• Maintain a Healthy Diet: Eat a healthy diet rich in fruits, vegetables, and protein to help your body heal. Avoid eating foods that are high in sodium, as this can increase swelling.
• Avoid Smoking and Alcohol: Continue to avoid smoking and alcohol during your recovery. Smoking can delay the healing process and increase the risk of complications, while alcohol can interact with the medications and affect your judgment.
• Be Patient: It takes time for the swelling and bruising to go down and for the final results of the surgery to become apparent. Be patient and give your body time to heal.

Potential Risks and Complications

Like any surgical procedure, nasal base heightening surgery carries some risks and complications. However, with a skilled surgeon and proper aftercare, the risks can be minimized. Some potential risks and complications include:

• Bleeding: There may be some bleeding during or after the surgery. In most cases, the bleeding can be controlled with pressure or medication. However, in rare cases, a blood transfusion may be necessary.
• Infection: There is a risk of infection after the surgery. Your surgeon will prescribe antibiotics to reduce the risk of infection. If you develop signs of infection, such as fever, redness, or swelling, contact your surgeon immediately.
• Swelling and Bruising: Swelling and bruising are common after nasal base heightening surgery. The swelling and bruising usually subside within a few weeks, but it may take up to a year for all the swelling to fully fade.
• Scarring: While the incisions are carefully placed to minimize scarring, there may be some visible scarring after the surgery. In most cases, the scars will fade over time and become less noticeable.
• Asymmetry: There is a risk of asymmetry in the nose after the surgery. Your surgeon will do their best to ensure that the nose is symmetrical, but in some cases, a secondary procedure may be necessary to correct any asymmetry.
• Breathing Problems: In rare cases, nasal base