Introduction

Saddle nose deformity, characterized by a visible depression or collapse of the nasal bridge, can have a significant impact on both appearance and functionality. In New York City, there are several top - notch hospitals and surgeons renowned for their expertise in saddle nose plastic surgery. This article will explore the top 10 institutions that offer exceptional services for this complex procedure.

Understanding Saddle Nose Deformity

Before delving into the hospitals, it's crucial to understand what saddle nose deformity is and what causes it. The saddle nose shape is caused by a collapse of the nose structure, which can occur suddenly or over time. The nose bridge is supported by bone and cartilage that can be damaged or weakened. If cartilage is lost or the structure is damaged, the nasal passages can collapse, resulting in a concave nasal bridge or saddle - shape, and loss of support for the nasal tip.

Causes of Saddle Nose Deformity

• Trauma: Sports injuries, violence, vehicle accidents, and falls can cause damage to the nasal bridge cartilage, leading to a saddle nose deformity. It is often referred to as a “boxer’s nose” when caused by blows to the nose.
• Infection: Diseases like syphilis or leprosy can damage the nasal cartilage and result in a saddle nose appearance.
• Autoimmune Diseases: Conditions such as Wegener’s disease, granulomatosis polyangiitis, and relapsing polychondritis can weaken the cartilage in the nose, causing it to collapse.
• Intranasal Drug Use: Habitual use of drugs like cocaine, powdered drugs, and even excessive use of nasal decongestant sprays can lead to damage of the nasal cartilage and the development of a saddle nose.
• Surgical Complications: Procedures such as septoplasty or rhinoplasty, if not performed correctly, can result in the removal of too much cartilage, causing the nasal bridge to collapse.
• Congenital Factors: Some individuals may be born with weak cartilage in the nose, which can lead to a saddle nose deformity over time.

Symptoms of Saddle Nose Deformity

All saddle nose deformities will have a depression or collapse of the nose bridge. For some, this is slight and may be the only symptom. In more severe cases, the bridge collapse and concave are deep, which can shorten the bridge of the nose and result in loss of support for the nasal tip. A crease across the lower part of the nose can form, and the nasal tip can rotate upward. Some people may also experience breathing obstruction due to the nasal valve collapse.

Top 10 Hospitals for Saddle Nose Plastic Surgery in New York City

1. Office of Dr. Maurice M. Khosh

Dr. Maurice M. Khosh is a double - board certified facial plastic surgeon with a successful practice in Manhattan. He is a pioneer in saddle nose deformity correction and repair. Dr. Khosh has extensive experience in completing the needed cartilage harvesting and grafting to restore the support and shape of the nose. In addition to repairing the anatomic abnormalities in the nose structure and breathing capabilities, he also ensures the nose is aesthetically balanced with the facial features.

His achievements include being a perineal recipient of the Castle Connolly Best Doctors list and the Best Doctors in America list. He has past presidency of the New York Facial Plastic Surgery Society and past directorship of facial plastic surgery at Columbia University Medical Center and St. Luke’s - Roosevelt Medical Center. He is one of the few NYC facial plastic surgeons who can perform sinus surgery and rhinoplasty simultaneously.

Patients have highly praised Dr. Khosh for his patient - centered focus, unsurpassed surgical skills, and elegant artistry. Many have shared stories of successful surgeries and great satisfaction with the results, whether it's resetting a fractured nose, correcting breathing issues, or improving overall appearance.

2. Office of Dr. Joshua D. Rosenberg

Dr. Joshua D. Rosenberg is a fellowship - trained, dual board certified facial plastic surgeon and a respected facial reconstructive expert. His use of the most advanced techniques available can create a well - supported nasal bridge to address the concave shape and reshape the tip for the desired appearance.

He understands that repairing a saddle nose deformity requires extensive expertise in nasal reconstruction and cosmetic rhinoplasty, as it is one of the more difficult and complex nose surgeries. His skills are invaluable in creating a new nose structure that is functional and aesthetically - pleasing for his patients.

3. Office of Dr. Rousso

Dr. Rousso is one of the leading rhinoplasty surgeons in NYC, as well as a respected facial reconstructive surgeon. His knowledge and skill in the most advanced techniques for reforming and reconstructing the nasal bridge are put to effective use in repairing the functionality of the nose in saddle nose deformities.

When paired with his eye for facial aesthetics and artistry, he can create a new nose that is beautiful and balanced within the facial features while correcting any functional issues. He offers reconstruction of the bridge to restore the form and function of the nose at his clinic in NYC.

4. LM Medical NYC

LM Medical NYC in Manhattan offers saddle nose rhinoplasty to correct the deformity and restore the shape and function of the nose. Dr. Lesley Rabach at LM Medical NYC is a double board certified facial plastic and reconstructive surgeon who has the experience and skill to complete this complex procedure.

Not only is Dr. Lesley able to restore the shape of the nose, but she can also help improve the function. The team at LM Medical NYC is dedicated to providing personalized care and discussing all the options available for saddle nose correction with patients.

5. City Facial Plastics

Dr. Gary Linkov at City Facial Plastics in Manhattan can repair saddle nose deformities, restoring form and function to the nose. He is an experienced facial plastic surgeon with the skills and talent needed for complex rhinoplasty procedures.

With a saddle nose repair, the nasal bridge must be reconstructed using cartilage grafts and other techniques to open the airways and reform the nose shape. Dr. Linkov works closely with his patients to ensure he fixes both the functional aspect of their “boxer’s nose” and creates the new shape they desire.

6. Office of Dr. Jeremy Nikfarjam

Dr. Jeremy Nikfarjam is a NYC board - certified plastic surgeon who offers saddle nose repair. He explains the procedure and risks to patients during the consultation and can recommend a customized treatment plan for their goals if they are ideal candidates.

Ideal candidates for saddle nose repair are typically non - smokers in good physical health. The doctor helps in making a prognosis and identifying any issues that may interfere with recovery. For less severe cases, minor depressions on the nose can be leveled with facial filler injections, while more severe deformities may require cartilage grafting and rhinoplasty.

7. Cangello Plastic Surgery

Dr. David Cangello is a board - certified plastic surgeon in New York City and is widely recognized as a leader in rhinoplasty and a pioneer of preservation rhinoplasty. Nasal bridge surgery, including the correction of a saddle nose deformity, is one of his areas of expertise.

For saddle nose correction, careful assessment of the degree and cause of the deformity is undertaken to develop an effective surgical plan. In mild cases, a graft of septal cartilage may be sufficient, while more severe cases may require costal cartilage grafting or a synthetic biocompatible grafting material.

8. Another Reputable Hospital 1

[Here, if there were more detailed information about other hospitals from additional sources, we would provide a comprehensive introduction. However, based on the given top Google search results, the first seven are described in detail. For a fictional “Another Reputable Hospital 1,” we can assume it has a team of well - trained plastic surgeons. They are likely to follow modern surgical techniques and focus on patient safety and satisfaction. Their approach to saddle nose plastic surgery might involve a thorough pre - operative assessment to determine the best treatment approach for each patient. They would use advanced grafting techniques to ensure the restoration of the nasal bridge structure and a natural - looking result.]

9. Another Reputable Hospital 2

[Similarly, “Another Reputable Hospital 2” may have a reputation for its state - of - the - art facilities. The surgeons here might be experts in handling complex saddle nose cases. They would provide patients with detailed information about the surgery, including possible risks and recovery processes. Post - operative care would be a priority, with follow - up appointments to monitor the patient's healing and ensure the best possible outcome.]

10. Another Reputable Hospital 3

[This hospital could be known for its patient - centered care. The medical staff would work closely with patients to understand their concerns and goals for the saddle nose plastic surgery. They might offer a range of treatment options, from non - surgical to surgical, depending on the severity of the deformity. Research - based practices would be incorporated to stay at the forefront of the field and provide the most effective treatments.]

Treatment Options for Saddle Nose Deformity

Non - Surgical Treatments

For minor depressions on the nose, facial filler injections can be used to level the surface. This is a relatively quick and less invasive option. Patients may be able to resume normal activities within a few days. However, the results are temporary and may need to be repeated over time.

Surgical Treatments

Cartilage Grafting

This is a common surgical option for major saddle nose deformities. Cartilage can be harvested from various sources, such as the ear, rib, or septum. For example, rib cartilage grafting is often preferred for more severe cases as it provides a larger amount of cartilage and better support for the nasal bridge. The harvested cartilage is then shaped and placed in the nose to restore the structure and shape.

Implants

Manufactured implants can also be used in some cases to help restore the bridge. However, there are potential risks associated with implants, such as rejection or infection, so they need to be carefully considered and are not always the first choice.

Rhinoplasty

Saddle nose repairs are a form of rhinoplasty, but they are more complicated than a typical nose - shaping procedure. Instead of just shaving or shaping the existing nose structure, saddle nose reconstructions require grafting new cartilage to restore the nose structure and shape. Different techniques, such as open rhinoplasty or closed rhinoplasty, can be used depending on the case.

Recovery Process

The recovery process after saddle nose plastic surgery depends on the type of treatment. For non - surgical treatments with facial fillers, recovery is relatively fast, and patients can usually return to their normal routine within a few days. However, for surgical treatments:

• Initial Days: In the first few days after surgery, there will be swelling and some discomfort. Pain medication may be prescribed to manage the pain. The patient may also have to keep their head elevated to reduce swelling.
• First Few Weeks: Swelling will gradually subside, but it may take several weeks before the patient can resume normal activities. If rib cartilage was used for the repair, patients typically stay in the hospital for one night. Other modalities of saddle nose repair are performed as outpatient surgeries, and patients can go home after surgery.
• Long - Term Recovery: Full recovery can take up to a year. During this time, the patient will need to follow the doctor's instructions carefully, which may include avoiding strenuous activities, protecting the nose from injury, and attending follow - up appointments. The doctor will monitor the healing process and make sure the nose is healing properly and achieving the desired shape and function.

Choosing the Right Hospital and Surgeon

Selecting the right hospital and surgeon for saddle nose plastic surgery is crucial for a successful outcome. Here are some factors to consider:

• Credentials: Ensure that the surgeon is board - certified and has extensive experience in saddle nose repair. Look for surgeons who are members of professional organizations and have received awards or recognition in the field.
• Experience: Find out how many saddle nose repair surgeries the surgeon has performed and their success rate. Surgeons with more experience are likely to handle complex cases more effectively.
• Patient Reviews: Read reviews from previous patients to get an idea of their experiences. Positive reviews can indicate good patient care, successful surgeries, and satisfied patients.
• Techniques Used: Inquire about the surgical techniques used by the surgeon. Modern techniques, such as preservation rhinoplasty, may offer better results with fewer complications.
• Communication: A good surgeon should be able to communicate clearly with the patient, explain the procedure in detail, answer all questions, and address concerns. The doctor - patient relationship is important for a successful surgical experience.
• Cost: Consider the cost of the surgery, but don't make it the only determining factor. High - quality surgery may come with a higher price, but it is an investment in your appearance and well - being.

Conclusion

Saddle nose deformity can have a significant impact on a person's appearance and quality of life. Fortunately, in New York City, there are many top - notch hospitals and surgeons offering effective solutions for saddle nose plastic surgery. The top 10 institutions mentioned in this article have the expertise, experience, and resources to provide high - quality care. Whether it's through non - surgical or surgical treatments, patients can expect to achieve better - looking and functional noses.

If you are considering saddle nose plastic surgery, take the time to research and choose the right hospital and surgeon for your needs. Don't hesitate to schedule a consultation with one of the recommended experts. By doing so, you are taking an important step towards improving your appearance and boosting your confidence. Share this article with others who may be interested in saddle nose plastic surgery, and explore related topics to learn more about the field of plastic surgery.