Introduction
Maxillary protrusion, often resulting in an overbite, can have significant aesthetic and functional impacts on individuals. In New York City, a hub of medical excellence, there are several top - notch plastic surgery hospitals that specialize in the correction of maxillary protrusion. This article will introduce the top 5 plastic surgery hospitals in New York City for this specific procedure, discussing their facilities, expertise, and the services they offer.
1. Mount Sinai - New York
Expertise in Jaw Surgery
Mount Sinai's plastic and reconstructive surgeons are well - known for treating all forms of jaw deformities. Their team of specialists works in harmony, coordinating with dentists, orthodontists, and other plastic surgeons as needed. This collaborative approach ensures that patients receive comprehensive care and the best possible outcome.
The conditions they treat related to the jaw are diverse. They can handle mandibular hyperplasia (prognathism), where there is an excess of the lower third of the face, often accompanied by an underdeveloped upper jaw. Mandibular hypoplasia, characterized by a small lower jaw and an overbite, and maxillary hypoplasia, which appears as a small upper jaw with a shallow, concave mid - face and an underbite, are also within their area of expertise. Additionally, they deal with vertical maxillary deficiency (short face syndrome) and vertical maxillary excess (long face syndrome).
Orthognathic (Jaw) Surgery Process
Orthognathic surgery, a common procedure at Mount Sinai for overbites, underbites, and cross - bites, involves moving the upper and lower jaws to an anatomically correct position. This allows for a good occlusion (bite), opening of the airway, and facial symmetry.
The treatment sequence starts with an evaluation by an orthodontist and an oral and maxillofacial surgeon. The evaluation includes x - rays, models of the dentition, photographs, facial measurements, and a complete analysis of the data. Mount Sinai uses the most advanced 3D x - rays and computer - assisted technology for treatment planning. Once the diagnosis and surgical plan are determined, the information is used to communicate with the orthodontist, explain the plan to the patient, and obtain insurance approval.
The virtual surgical planning (VSP) process begins with pre - operative orthodontic therapy, which can take 12 to 18 months to level and align the teeth. When the patient is ready for surgery, a cone beam 3D CT scan and 3D photo morphometry are used for VSP. This technology allows the surgeon to "rehearse" the surgery in a virtual environment before performing it in the operating room and helps in predicting the outcome. Surgical guides are fabricated using 3D printers to ensure accurate transfer of the VSP to the operating room.
The orthognathic procedure is performed under general anesthesia with braces in place. Internal fixation devices like small titanium screws and plates are used to connect the repositioned segments to the jaws. Patients typically stay in the hospital for about 1 to 2 days. After the procedure, training elastics are used to help the patient adapt to the new bite, and the diet is limited to liquid or non - chew food for four weeks for undisturbed healing. Post - operative orthodontic treatment starts 6 to 8 weeks after surgery and can last from 3 to 6 months to perfect the final occlusion.
2. Columbia University
Overall Plastic Surgery Program
Columbia University is one of New York's best hospitals and a world - renowned medical center. Their plastic surgery program has a long - standing reputation for delivering high - quality care for both cosmetic and reconstructive procedures. Each plastic surgeon on their clinical staff is proficient in multiple areas of specialization, ranging from routine non - surgical cosmetic procedures to complex reconstructive operations and body contouring surgery after significant weight loss.
Orthognathic and Related Services
For patients with maxillary protrusion, Columbia's orthoplastic surgery program brings together leading experts in orthopedic and reconstructive plastic surgery. This cutting - edge approach to complex surgeries offers lower wound complication rates and higher patient satisfaction in recovery.
Thomas A. Imahiyerobo, MD, who is the section chief of pediatric plastic and reconstructive surgery and director of cleft and craniofacial surgery at Columbia, is a national leader in the treatment of cleft lip, cleft palate, craniosynostosis, frontal facial advancement, and orthognathic (jaw) surgery. He also specializes in the care of adult cosmetic and reconstructive surgery of the head and neck. His expertise in orthognathic surgery can be a great asset for patients with maxillary protrusion, as he is well - versed in correcting skeletal malocclusions and improving facial aesthetics.
Research and Education
The plastic surgery research laboratory at Columbia is actively involved in numerous research studies. Their research related to stem cells, tissue engineering, and the study of bone substitutes can potentially contribute to better treatment options for jaw surgeries. The use of gene therapy to wound healing, which is being investigated in the laboratory, may also have implications for improving the recovery process after maxillary protrusion correction surgery. As part of a major academic medical center and an Ivy League university, Columbia also has a responsibility to educate the next generation of plastic surgeons, which ensures that the latest knowledge and techniques are being passed on.
3. NYU Langone Health
Comprehensive Plastic Surgery Services
NYU Langone's board - certified plastic surgeons from the Hansjörg Wyss Department of Plastic Surgery specialize in both cosmetic and reconstructive procedures for adults and children. Their plastic surgery services cover a wide range of areas, including cancer surgery reconstruction, cleft and congenital craniofacial surgery, hand surgery, cosmetic surgery, anti - aging therapies, gender - affirming surgery, and oculoplastic surgery.
Treating Maxillary Protrusion
For maxillary protrusion correction, their expertise in cleft and congenital craniofacial surgery can be highly relevant. The reconstructive procedures offered at NYU Langone may be used to address the skeletal and soft - tissue issues associated with maxillary protrusion. Their surgeons can perform the necessary bone repositioning and soft - tissue adjustment to correct the overbite and improve facial symmetry.
They also offer a plastic surgery resident clinic, where medical doctors pursuing advanced training in plastic surgery provide cosmetic procedures at a reduced cost. While it may not be the primary option for a complex maxillary protrusion correction, it can be a good resource for more minor follow - up procedures or for patients who are on a budget.
State - of - the - Art Facility
Many procedures are performed in their state - of - the - art center at NYU Langone Ambulatory Care Center — East 41st Street. The facility has full - service outpatient operating rooms and exam rooms, as well as a digital x - ray suite. There is also a playroom for children and an orthodontic unit featuring entertainment systems at each dental chair, creating a more comfortable environment for patients. The facility is accredited by the American Association for Accreditation of Ambulatory Surgery Facilities, which is the gold standard for quality surgical care.
4. Cangello Plastic Surgery
Surgeon's Expertise and Philosophy
Dr. David L. Cangello is a leading plastic surgeon in NYC with a reputation for achieving superior, natural - looking results. His personal philosophy that plastic surgery is a science and an art influences his approach to every procedure. He combines artistic insight with surgical precision to produce cosmetic enhancements that perfectly complement the face and body.
Facial Procedures for Aesthetic Improvement
Although not specifically focused on solely maxillary protrusion correction, Dr. Cangello's facial procedures can play a role in improving the overall facial aesthetics for patients with this condition. For example, his rhinoplasty expertise can be used in combination with jaw surgery to create a more harmonious facial profile. Rhinoplasty can smooth the nasal bridge and correct a bulbous tip, which can have a positive impact on the overall appearance when combined with a corrected jaw position.
His facelift surgery can also help in cases where there are associated skin sagging or heaviness around the jaw due to maxillary protrusion. Modern facelift techniques allow him to sculpt features and create naturally beautiful results with minimal visible scarring. Additionally, face fat transfer can be used to add volume to areas of the face that may be affected by the correction of maxillary protrusion, ensuring a more balanced and youthful appearance.
Media Recognition and Patient Testimonials
Dr. Cangello's renowned results have earned the trust of many celebrities and models from top agencies such as Wilhelmina Models, IMG Models, and Next Management. He has also been featured in various media outlets, including CBS News, Inside Edition, and Harper's Bazaar. Patient testimonials speak highly of his artistic skills, attention to detail, and the personalized care he provides throughout the surgical process.
5. Park Avenue Plastic Surgery (Dr. Monasebian)
Surgeon's Qualifications
Dr. Monasebian is a diplomate of both the American Board of Oral and Maxillofacial Surgery and the American Board of Plastic Surgery. This dual - certification equips him with the comprehensive surgical training required to perform plastic, reconstructive, and maxillofacial procedures. He works closely with dental specialists, which is crucial for cases involving maxillary protrusion correction as it often requires coordination between oral and plastic surgery.
Maxillofacial Surgery for Overbite
Maxillofacial surgery covers a wide range of procedures relevant to maxillary protrusion correction. Dr. Monasebian can perform a series of reconstructive and orthognathic surgeries and maxillomandibular advancement to correct malocclusion or incorrect bite. Surgical correction of facial asymmetry may also be used to align the patient's jaw and mouth, which is essential for improving both speech and eating functions, as well as evening out facial aesthetics.
He has successfully evaluated and treated patients with nerve injuries related to the jaws, which can be a concern during or after maxillary protrusion correction surgery. His experience in working with aesthetic dentists also means that he can perform soft - tissue cosmetic surgery on patients who have undergone or are about to undergo procedures related to maxillary correction, ensuring a more comprehensive and aesthetically pleasing outcome.
Factors to Consider When Choosing a Hospital
Surgeon's Experience and Expertise
One of the most important factors is the experience and expertise of the surgeons. Look for surgeons who have a track record of performing successful maxillary protrusion correction surgeries. Check their certifications, training, and the number of similar procedures they have carried out. For example, at Mount Sinai, the team of specialists has extensive experience in treating all kinds of jaw deformities, which is a good indication of their ability to handle complex maxillary protrusion cases.
Hospital Facilities and Technology
The facilities and technology available at the hospital can greatly impact the success of the surgery and the patient's recovery. Hospitals like NYU Langone have state - of - the - art facilities, including full - service outpatient operating rooms, digital x - ray suites, and accredited surgical facilities. Advanced technology such as the 3D x - rays and virtual surgical planning used at Mount Sinai can also lead to more accurate surgical outcomes.
Patient Reviews and Testimonials
Reading patient reviews and testimonials can give you an idea of the quality of care and the patient experience at a particular hospital. For instance, at Cangello Plastic Surgery, patient testimonials praise Dr. Cangello's artistic skills, bedside manner, and the overall satisfaction with the results. This can help you gauge what to expect if you choose that hospital for your maxillary protrusion correction.
Cost and Insurance Coverage
Cost is also an important consideration. Different hospitals may have different pricing structures for maxillary protrusion correction surgery. It's important to understand what is included in the cost, such as the surgeon's fee, hospital fees, and post - operative care. Additionally, check if the hospital accepts your insurance and what percentage of the cost will be covered. At Mount Sinai, they work with patients to obtain insurance approval as part of the treatment process.
Conclusion
In conclusion, New York City offers a plethora of excellent plastic surgery hospitals for maxillary protrusion correction. Mount Sinai stands out for its comprehensive approach to jaw surgeries, with a team of experts and advanced technology for treatment planning. Columbia University combines clinical excellence with research and education, and their orthoplastic surgery program can provide innovative solutions. NYU Langone offers a wide range of plastic surgery services in a state - of - the - art facility. Cangello Plastic Surgery, with Dr. Cangello's artistic touch, can enhance the overall facial aesthetics in conjunction with jaw correction. Park Avenue Plastic Surgery, under the expertise of Dr. Monasebian, is well - equipped to handle maxillofacial surgeries related to maxillary protrusion.
If you or someone you know is considering maxillary protrusion correction, take the time to research these hospitals, meet with the surgeons, and discuss your concerns and expectations. Don't hesitate to ask questions and make an informed decision based on the factors mentioned above. Share this article with others who may benefit from this information and continue to explore more about plastic surgery and jaw correction on our website.
