Introduction
New York City is a bustling hub of advanced medical procedures, especially when it comes to nasal bridge improvement. A well - defined nasal bridge can significantly enhance facial harmony and boost self - confidence. Whether it's correcting a dorsal bump, a flat or depressed bridge, or improving breathing function, there are several top - notch institutions in the city. In this article, we'll explore the top 5 institutions for nasal bridge improvement in New York City.
1. Cangello Plastic Surgery
Surgeon and Expertise
Dr. David Cangello, a board - certified plastic surgeon in New York City, is a recognized leader in rhinoplasty and a pioneer of preservation rhinoplasty. Nasal bridge surgery is a fundamental part of his practice, and he has extensive experience in a variety of techniques to address different nasal bridge issues.
Preservation Rhinoplasty
One of Dr. Cangello's key offerings is preservation rhinoplasty. This modern approach to nose reshaping preserves as much of the original nasal structure as possible. By retaining the existing tissue, cartilage, and bone, it allows for a natural - looking result, improved nasal function, and a lower risk of complications. Some of the nasal bridge concerns this technique can address include:
- Removal of Humps: Instead of the traditional method of shaving down the dorsum, any bone and cartilage removal occurs underneath the nose bridge. Subsequently, the intact dorsum can be easily repositioned to lower the height of the nasal bridge, eliminating the possibility of dorsum irregularities and reducing the need for revision rhinoplasty procedures.
- General Bridge Reshaping: The technique lends itself well to reshaping the nasal bridge to create a more balanced and aesthetically pleasing appearance.
- Correction of Minor Asymmetries: Preservation rhinoplasty can also correct minor asymmetries in the nasal bridge, resulting in a more symmetrical and harmonious facial appearance.
Benefits over Traditional Surgery
Preservation rhinoplasty offers several key benefits over traditional nasal bridge surgical techniques. Up to 80% of patients seeking nasal bridge surgery with Dr. Cangello can undergo this approach. The main differences are:
| Aspect | Preservation Rhinoplasty | Traditional Nasal Bridge Surgery |
|---|---|---|
| Dorsum Treatment | The dorsum is completely preserved, and no reconstruction or cartilage grafts are needed. Bone and cartilage removal occurs beneath the nose bridge, and the dorsum is repositioned. | Often involves shaving down the dorsum and may require reconstruction and cartilage grafts. |
| Dissection Plane | The perichondrium and the periosteum are left intact. Dissection takes place below these layers, preserving veins, arteries, and lymphatics, almost eliminating bruising and swelling and minimizing social downtime. | Dissection is usually in a different plane that may damage blood vessels and lymphatics, leading to more bruising and swelling. |
| Tip Plasty Approach | Emphasizes a more natural look, avoiding problems with nose tip proportion that can be tell - tale signs of rhinoplasty. | May not focus as much on a natural - looking tip and may result in proportion issues. |
Other Nasal Bridge Surgeries
Dr. Cangello also performs other types of nasal bridge surgeries, such as:
- Narrowing the Nose Appearance: When planning to narrow the nasal bridge, several factors need to be considered, including the width of the nasal base, the natural shape and desired aesthetic of the nasal tip, the proportions of the nose in relation to ethnicity and facial features, and the thickness and elasticity of the skin.
- Correcting a Dorsal Bump: Removing a hump on the bridge of the nose is a common motivation for rhinoplasty. However, it requires a comprehensive plan to ensure a proportionate, natural - looking, and functional result. This may involve osteotomies, considering the integrity of the middle vault, and revising the position and shape of the nose tip.
- Correcting a Saddle Nose Deformity: A saddle nose deformity is characterized by a concave nasal bridge, often caused by a traumatic injury, failed rhinoplasty, cocaine abuse, or certain medical conditions. Surgical correction may involve restoration or augmentation of the nasal bridge using grafts such as septal cartilage, costal cartilage, or synthetic biocompatible materials.
- Improving Breathing Function: For Dr. Cangello, form and function are synchronous. Nasal bridge surgery may improve breathing function, especially if there is an underlying nasal obstruction, such as a deviated septum. In such cases, septoplasty may be incorporated into the initial surgical plan.
2. New York Center for Facial Plastic and Laser Surgery
Surgeon and Reputation
Dr. Andrew Jacono is the surgical director of the New York Center for Facial Plastic and Laser Surgery. He is considered one of the top rhinoplasty surgeons in the United States and the world. His extraordinarily unique and innovative surgical approach has earned him numerous accolades.
Techniques and Specialties
Dr. Jacono has extensive training in surgical rhinoplasty and prides himself on offering the most comprehensive, natural results possible. He has pioneered less - invasive techniques that avoid breaking the nose and removing excessive cartilage, which helps prevent a nose from looking overdone. Some of his specialties include:
- Ethnic Rhinoplasty: Dr. Jacono has developed a customized approach to preserving ethnic identity during rhinoplasty. He understands the unique nasal characteristics of different ethnic groups, such as African - American, Persian, Middle Eastern, Asian, and others, and can achieve a natural, beautiful nasal definition that exceeds patients’ expectations.
- Thick - Skin Rhinoplasty: Patients with thicker nasal skin, often of Hispanic or African - American heritage, require special consideration. Dr. Jacono has perfected techniques to address the challenges associated with thick skin and achieve excellent results.
- Refining Nasal Tips: He is renowned for his ability to refine droopy, more bulbous nasal tips, creating a more aesthetically pleasing and harmonious nose.
Awards and Recognition
Dr. Jacono has been elected as one of the top facial plastic surgeons in America by Harper’s Bazaar, which specifically notes his expertise in minimally invasive rhinoplasty, eyelid lifts, and mini facelifts. He has also been chosen as one of the top rhinoplasty surgeons in the world by the prestigious Castle Connolly independent organization for rating doctors. This organization evaluates physicians based on peer - reviewed survey recommendations, and only the top 10% of doctors in each region of the country make the list.
Patient Experience
Patients travel from all over the world to visit Dr. Jacono’s New York City surgery center. He is especially committed to making international patients feel calm, comfortable, and welcome after long - distance travel. His office has been featured on the cover of Plastic Surgery Practice Journal, and many celebrities, socialites, and royalty have sought his services for rhinoplasty and other surgical procedures.
3. Pearlman Aesthetic Surgery
Septoplasty Expertise
Pearlman Aesthetic Surgery, led by Dr. Steven Pearlman, offers renowned septoplasty services in Manhattan. Septoplasty is the procedure of correcting a deviated septum, which is the most common cause of continual nasal obstruction. Dr. Pearlman performs this surgery from inside the nose by a closed, scarless, or endonasal approach, moving, scoring, reshaping, or removing crooked cartilage and bone to correct the septum and improve functionality.
Diagnosis and Treatment Process
The process at Pearlman Aesthetic Surgery involves:
- Diagnosis: To diagnose a deviated septum, a careful examination of the inside of the nose is conducted. This may include using a headlight, a nasal speculum, a flexible or rigid nasal endoscope, and in some cases, a CT scan. Recently, intra - nasal photographs taken with a nasal endoscopic camera have been used to circumvent the need for a CT scan.
- Treatment: Fixing a deviated septum does not alter the appearance of the nose like cosmetic rhinoplasty because Dr. Pearlman leaves a strong support along the bridge and bottom of the nose. There is also no need for an external cast. Septoplasty can achieve functional nasal restoration, and in many cases, it is covered by insurance, either fully or partially, depending on the insurance plan.
Combining Septoplasty with Rhinoplasty
If a patient has a deviated septum and would like to improve the appearance of their nose, septoplasty and rhinoplasty can be performed together as one operation known as septorhinoplasty. However, patients should be aware that most insurance companies do not cover fees for rhinoplasty, even when it is performed with a septoplasty.
Other Nasal Procedures
In addition to septoplasty, Pearlman Aesthetic Surgery also offers treatments for other nasal blockages, such as turbinate surgery and functional endoscopic sinus surgery. Dr. Pearlman is a double - board - certified otolaryngologist and facial and reconstructive plastic surgeon, with decades of experience in nose procedures. He is committed to sharing his knowledge through lectures and publications and is renowned for his patient - centered care.
4. Office of Dr. Casian Monaco
Specialization in Flat or Depressed Bridge Correction
Dr. Casian Monaco's office in New York City specializes in flat or depressed bridge correction surgery. A flat or depressed nasal bridge can disrupt facial harmony and is common in many ethnicities or may be a result of injury or congenital conditions.
Approach to Rhinoplasty
Dr. Monaco's approach involves sculpting the nasal structure to enhance the bridge while ensuring that the changes harmoniously blend with the individual’s facial anatomy. He employs a variety of tailored techniques:
- Grafting: Using the patient’s own tissue or synthetic materials to build up the nasal bridge.
- Osteotomy: Carefully adjusting the nasal bones to create a more defined bridge.
- Cartilage Sculpting: Reshaping and repositioning the cartilage for a more pronounced and natural - looking bridge.
Impact of the Surgery
Correcting a flat or depressed nasal bridge with Dr. Monaco not only improves physical appearance but also often enhances breathing functionality, boosts self - confidence, and aligns a person’s external appearance with self - identity. His patients, from diverse backgrounds across New York City and beyond, frequently express how this surgery has positively impacted their lives.
Patient - Centered Care
Dr. Monaco's clinic in the upper east side of New York City is a hub of advanced plastic surgery techniques and patient - centered care. He offers a personalized consultation to understand each patient’s aesthetic goals and medical history, uses advanced surgical techniques for optimal results, and provides comprehensive aftercare to ensure smooth recovery and satisfaction with the outcomes.
5. Practice of Dr. Maurice Khosh
Pioneer in Saddle Nose Deformity Correction
Dr. Maurice Khosh is a pioneer in saddle nose deformity correction and repair. A saddle nose deformity occurs when the bridge of the nose collapses, creating a concave shape and potentially causing functional breathing problems and detracting from facial attractiveness.
Expertise and Experience
Dr. Khosh is a double - board certified facial plastic surgeon with a successful practice in Manhattan. He has extensive experience in performing cartilage grafting repair for saddle nose deformities. His work involves not only restoring the support and shape of the nose but also ensuring that the nose is aesthetically balanced with the facial features.
Treatment Options
For major saddle nose deformities or to permanently repair the nose, surgical cartilage grafting is required. Dr. Khosh has the necessary skill and experience to complete the needed cartilage harvesting and grafting. He also offers non - surgical options in some cases. His patients have consistently praised his exceptional surgical skills, patient - centered focus, and elegant artistry.
Awards and Accomplishments
Dr. Khosh has received many awards and accolades for his achievements in the field of facial plastic surgery. He is a perineal recipient of the Castle Connolly Best Doctors list and the Best Doctors in America list. He has held various leadership positions, such as the past presidency of the New York Facial Plastic Surgery Society and the past directorship of facial plastic surgery at Columbia University Medical Center and St. Luke’s - Roosevelt Medical Center.
Conclusion
New York City offers a wealth of options for those seeking nasal bridge improvement. The top 5 institutions mentioned - Cangello Plastic Surgery, New York Center for Facial Plastic and Laser Surgery, Pearlman Aesthetic Surgery, the Office of Dr. Casian Monaco, and the Practice of Dr. Maurice Khosh - each have their own unique areas of expertise and approaches to nasal bridge surgery. Whether you're looking to correct a functional issue, enhance your appearance, or both, these institutions provide high - quality care and the potential for excellent results.
If you're considering nasal bridge improvement, we encourage you to do further research, schedule consultations with these experts, and make an informed decision that aligns with your goals and expectations. Share this article with others who may be interested in nasal bridge improvement in New York City!
