Introduction
Open rhinoplasty is a well - known plastic surgery procedure that aims to reshape the nose, enhance its appearance, and sometimes improve its functionality. New York City, being a global hub for medical excellence, has numerous hospitals and clinics offering this procedure. In this article, we will explore the top 10 preferred hospitals for open rhinoplasty in New York City, considering factors such as the experience of surgeons, patient reviews, available technologies, and overall quality of care.
Understanding Open Rhinoplasty
What is Open Rhinoplasty?
Open rhinoplasty is a surgical technique where an incision is made across the columella, the strip of tissue that connects the nasal tip to the bottom of the nose. This allows the surgeon better access to the underlying bone and cartilage structures of the nose. Once the incision is made, the skin of the nose is lifted off the framework, and the bone and cartilage can be rearranged, removed, or added as needed. After the necessary changes are made, the skin is re - draped over the new framework, and the incisions are closed with sutures.
When is Open Rhinoplasty Recommended?
- Cartilage Grafting: When a nose requires cartilage grafting to build up the structure, open rhinoplasty provides better visualization for the surgeon to place the grafts accurately. For example, if a patient has a severely collapsed nasal tip and needs cartilage from the septum or ear to rebuild it, open rhinoplasty is often the preferred approach.
- Complex Nasal Anatomy: Patients with larger, more projected noses or those with severely asymmetrical or crooked bridges can benefit from open rhinoplasty. The additional visibility allows the surgeon to make more precise and significant changes to the nasal structure.
Benefits and Drawbacks of Open Rhinoplasty
| Benefits | Drawbacks |
|---|---|
| Easier access to the nose’s internal structures, enabling more complex alterations | Causes more swelling after surgery compared to closed rhinoplasty |
| Can alter the nose’s appearance more significantly | Longer recovery time |
| Results are often more precise | The surgery takes more time to perform, sometimes requiring an extra hour |
| Cartilage grafting is easier to perform | Chance of additional scarring resulting from surgical dissection and separation of nasal tissue |
Top 10 Preferred Hospitals for Open Rhinoplasty in New York City
1. Mount Sinai Hospital
Mount Sinai’s division of facial plastic and reconstructive surgery is highly regarded for open rhinoplasty. The facial plastic surgeons here are double - board - certified in facial plastic and reconstructive surgery and otolaryngology. Their vast expertise in nasal function, as well as nasal and facial aesthetics, means they can create natural, long - lasting results. The hospital uses a multidisciplinary approach, providing access to experts in rhinology and sinus surgery. They offer both closed and open rhinoplasty techniques, and will determine the best approach based on the patient's unique anatomy and goals. Insurance may cover surgery performed to improve breathing at Mount Sinai, which is an added benefit for some patients.
2. A. Joshua Zimm MD. Facial Plastic & Reconstructive Surgery
Dr. A. Joshua Zimm has a reputation as “the doctor’s doctor.” He has been highly recommended by a physician colleague after performing a successful rhinoplasty on her. Dr. Zimm takes the time to explain various procedures and why they are well - suited to a patient's goals. His kind and patient demeanor, along with the excellent results he delivers, make his practice a top choice. The pricing for rhinoplasty here is available on request, as it is tailored to each individual's case.
3. Forest Hills Plastic Surgery
At Forest Hills Plastic Surgery, patients have reported excellent experiences. The doctor at this facility did an amazing job explaining the surgical process in detail. The surgery was quick, and patients reported little to no pain during the procedure. A week after an earlobe repair (which indicates the high - quality surgical skills), no one could notice the patient had undergone a procedure. For open rhinoplasty, the personalized care and skill of the medical team are likely to ensure a positive outcome. Pricing information for rhinoplasty is available on request.
4. Aristocrat Plastic Surgery & Medaesthetics
Dr. Kevin and his team at Aristocrat Plastic Surgery & Medaesthetics have been praised for making the open rhinoplasty journey very smooth for patients. Patients love their results and the fast - healing process. The facility offers virtual appointments, which is convenient for patients who may have difficulty traveling. With 30 before - and - after images available, patients can get a better idea of the kind of results they can expect. The location at 33 West 56th Street, New York, NY 10019 is easily accessible.
5. Rr Plastix NY Plastic Surgery Center
Located in Brooklyn, Rr Plastix NY Plastic Surgery Center offers rhinoplasty procedures among its 32 available procedures across 2 different specialties. The lead specialist at the clinic undertakes all procedures and treatments, and the facility is accredited by the American Society for Aesthetic Plastic Surgery. Although pricing information for rhinoplasty is available on request, the national average price for such procedures in the US is approximately $2,650. The accreditation gives patients confidence in the quality of care at this center.
6. Leonard Grossman, M.D.
Dr. Leonard Grossman, located in Brooklyn, offers rhinoplasty procedures as part of his 36 available procedures across 3 different specialties. While the clinic is not accredited by any recognized accreditation institutes, Dr. Grossman's experience in the field and the range of services offered make it a viable option for open rhinoplasty. Pricing for rhinoplasty is available on request, taking into account each individual's case.
7. New York Center for Facial Plastic & Laser Surgery
With a location in Manhattan, the New York Center for Facial Plastic & Laser Surgery offers rhinoplasty as one of its 39 available procedures across 4 different specialties. The lead specialist is in charge of all treatments. Although there is no pricing information for rhinoplasty readily available (it is available on request), patients can benefit from the wide range of facial plastic surgery options available at this center. The team can use the latest techniques to perform open rhinoplasty, creating customized results for patients.
8. Plastic Surgery Institute of New York
At the Plastic Surgery Institute of New York, Dr. Adam Schaffner, MD, FACS, provides facial plastic and reconstructive surgery services. He offers virtual appointments, which is a great convenience for patients. With 26 before - and - after images available, patients can see the kind of work that is done at the institute. The location at 590 5th Avenue, New York, NY 10036 is in a prime area, and the experience of Dr. Schaffner in facial plastic surgery makes it a good choice for open rhinoplasty.
9. Harmony Plastic Surgery
Harmony Plastic Surgery, under the care of Dr. Lauren Chmielewski, MD, offers plastic and reconstructive surgery services, including open rhinoplasty. Although there is only 1 before - and - after image available, the availability of virtual appointments shows the clinic's commitment to providing convenient care. Located at 30 Central Park South, New York, NY 10019, the clinic is in a popular area and likely to provide high - quality care for rhinoplasty patients.
10. David L. Abramson, MD
Dr. David Abramson, MD, FACS, at David L. Abramson, MD, offers plastic and reconstructive surgery, including open rhinoplasty. With 46 before - and - after images available, patients can have a comprehensive view of the results achieved. Virtual appointments are available, which allows patients to consult with the doctor without having to visit the clinic in person initially. The location at 42 East 74th Street, New York, NY 10021 is easily accessible, and Dr. Abramson's experience makes this a preferred choice for many patients.
Factors to Consider When Choosing a Hospital for Open Rhinoplasty
Surgeon's Experience and Reputation
The experience of the surgeon performing the open rhinoplasty is crucial. Surgeons with many years of experience and a proven track record of successful procedures are more likely to deliver the desired results. You can look at patient reviews, before - and - after photos, and the surgeon's professional achievements. For example, double - board - certified surgeons, like those at Mount Sinai, have undergone extensive training in both facial plastic surgery and otolaryngology, which gives them a more comprehensive understanding of nasal anatomy and function.
Hospital's Facilities and Technology
Advanced facilities and the latest surgical technologies can improve the accuracy and safety of open rhinoplasty. Hospitals that invest in modern equipment, such as 3D imaging technology for preoperative planning, can create more customized surgical plans. Additionally, a well - equipped recovery area can contribute to a more comfortable and faster recovery for patients.
Patient Reviews and Testimonials
Reading patient reviews and testimonials can give you an insight into the real - life experiences of others who have undergone open rhinoplasty at a particular hospital. Look for reviews that mention factors such as the quality of care, the communication with the medical team, and the final results. Positive reviews about pain management, follow - up care, and the overall patient experience are good indicators of a reliable hospital.
Cost and Insurance Coverage
The cost of open rhinoplasty can vary widely depending on the hospital, the complexity of the procedure, and the surgeon's fees. It's important to get a clear understanding of the total cost, including any additional fees for anesthesia, hospital stay, and post - operative care. Insurance may cover part of the cost if the surgery is performed for medical reasons, such as to improve breathing due to a deviated septum. Make sure to check with your insurance provider and the hospital's billing department about the coverage details.
The Open Rhinoplasty Process
Pre - operative Consultation
During the pre - operative consultation, you will meet with the surgeon to discuss your goals and expectations for the open rhinoplasty. The surgeon will review your medical history, including any previous surgeries, medical conditions, and medications you are taking. A physical examination of your nose will be conducted, and the surgeon will also consider your other facial features. Based on this evaluation, the surgeon will develop a customized surgical plan for you. You may also be given instructions on how to prepare for the surgery, such as stopping certain medications and not smoking.
The Surgery
On the day of the surgery, you will be given either local anesthesia or general anesthesia, depending on the complexity of the procedure and the surgeon's preference. The surgeon will make an incision across the columella and lift the skin off the underlying nasal framework. They will then reshape the bone and cartilage as per the surgical plan. After the necessary changes are made, the skin will be re - draped over the new framework, and the incisions will be closed with sutures. The surgery usually takes around 1.5 to 3 hours to complete.
Post - operative Care and Recovery
After the surgery, you may be required to stay in the hospital for a day or two for monitoring. Once you are discharged, you will need to follow the surgeon's post - operative instructions carefully. You will likely need to wear a nasal splint for about a week to support and protect your nose. Swelling and bruising around the eyes are common in the first few days after the surgery, but these will gradually subside. You should avoid strenuous activities for about 3 to 6 weeks and follow a healthy diet to aid in the recovery process. The surgeon will schedule follow - up appointments to monitor your progress and remove the sutures.
Success Rate and Risks of Open Rhinoplasty
Success Rate
Open rhinoplasty is considered to have a relatively high success rate. Thanks to the advances in surgical techniques and the experience of surgeons, the success rate is typically between 85% and 90%. A successful open rhinoplasty results in a nose that looks natural, is in harmony with the rest of the face, and functions well in terms of breathing.
Risks and Complications
Like any surgery, open rhinoplasty carries some risks. These can include bleeding, infection, allergic reaction to the anesthesia, permanent numbness in the nose, difficulty breathing through the nose, an uneven - looking nose, discoloration, persisting pain, scarring, septal perforation, and the need for additional surgery. It's important to discuss these risks with your surgeon before the procedure and to follow all pre - and post - operative instructions to minimize the chances of complications.
Alternatives to Open Rhinoplasty
Filler Injections
Filler injections, such as Botox, Juvaderm, and Restylane, are non - invasive alternatives to open rhinoplasty. They can be used to change the shape of the nose by injecting the filler substance into the nose. This method is not as painful as open rhinoplasty, requires little to no downtime, and no incisions or stitches are involved. However, the results are temporary and may need to be repeated every few months.
Nasal Strips
If your main concern is improving breathing, nasal strips can be an option. Nasal strips are a type of bandage with adhesive and embedded splints or plastic ribs that are applied across the bridge of the nose and the sides of the nostrils. They can keep the airway open, making breathing easier. Nasal strips are a non - surgical and non - invasive option but do not change the appearance of the nose.
Conclusion
Choosing the right hospital for open rhinoplasty in New York City is a crucial decision that can significantly impact the outcome of your surgery. The top 10 hospitals mentioned in this article are well - regarded for their surgical expertise, patient care, and range of services. When making your decision, consider factors such as the surgeon's experience, the hospital's facilities, patient reviews, cost, and insurance coverage. Remember, open rhinoplasty is a personalized procedure, and it's important to have a clear communication with your surgeon about your goals and expectations. If you're considering open rhinoplasty, take the time to research and consult with multiple hospitals and surgeons to find the best fit for you.
If you're interested in learning more about open rhinoplasty or want to schedule a consultation with one of the top hospitals in New York City, reach out today. Share this article with friends and family who might also be interested in this information, and explore our other related content on plastic surgery for more in - depth knowledge.
