Introduction
Nasal alar elevation, also known as alarplasty or alar base reduction, is a specialized cosmetic procedure designed to refine the size and shape of the nostrils. This procedure can enhance facial harmony, balance, and a patient's self - confidence. In a bustling city like New York, choosing the right hospital for this procedure is crucial. In this article, we will present the top 10 selected hospitals for nasal alar elevation in New York City, providing detailed information about each, including their specialties, the surgeons, and patient reviews when available.
1. SamanMD
Overview
Dr. Saman's clinic is dedicated to providing the highest standard of care in alar base reduction surgery. They focus on delivering a subtle yet impactful change in the nose shape, perfectly harmonizing with the patient's unique facial features. The approach is centered around minimal invasiveness for maximum aesthetic enhancement.
What is Alarplasty?
Alarplasty, commonly referred to as alar base reduction surgery, is a specialized cosmetic procedure. Surgeons perform this operation to either reduce wide nasal bases or adjust the overall size of nostrils. During the procedure, an incision is made in the natural crease of the nostril to remove excess tissue and reshape the nasal structure. Precise surgical techniques like the wedge excision technique are often employed, and the incision is secured with sutures.
Benefits
- Wide nostrils reduction: Highly effective in reducing the width of wide nostrils, addressing both cosmetic and functional issues.
- Improved nose shape and facial features: Leads to significant improvement in the nose shape, enhancing the harmony of facial features.
- Reduction of nasal blockage: Can aid in improving breathing function by addressing the issues related to nasal blockage.
- Compatible with other rhinoplasty procedures: Can be seamlessly integrated with other types of nose surgery, like rhinoplasty surgery, for a comprehensive facial transformation.
Candidates
Ideal candidates are those who have realistic expectations about the outcome of the surgery, understand the goals of the procedure, have specific desires regarding the reduction of nostril size or nose width, and are in good health. During a detailed consultation, the cosmetic surgeon will evaluate the patient's health conditions and discuss realistic expectations.
Recovery
The recovery period following nostril reduction surgery typically spans 1 - 2 weeks for the initial healing. Patients can usually resume normal activities a week after surgery, although they should avoid strenuous activities and exercise for a few weeks. The full recovery process, seeing the long - lasting results, may take up to 1 - 3 months.
2. Cangello Plastic Surgery
Overview
Dr. Cangello is NYC’s preeminent rhinoplasty surgeon, offering patients customized treatment plans and transformative results. He has spent decades honing his expansive skill in the nuanced medical field of rhinoplasty, with a renowned ability to create noses that are both functionally superior and cosmetically beautiful.
Nasal Base Reduction
Nasal base reduction, or alarplasty, is a rhinoplasty technique intended to narrow the alar base of the nose when it is excessively wide for the face. The alar base plays a central role in the overall proportion and appearance of the nose and its harmony with the rest of the face.
Benefits
- Refines and improves the overall appearance of the nose.
- Improves facial symmetry and balance.
- Improves self - confidence.
- Decreases the size of the nostrils.
- Reduces nostril flare and provides long - lasting results.
Surgical Techniques
- Alar wedge excision: The preferred technique for minimizing excessively flared ala to reduce wide nasal base from the frontal appearance. It removes wedge - shaped pieces of tissue from the nasal flare and spares an incision in the nostrils, ideal for avoiding an over - straightening of the ala and preserving the natural curvature.
- Nasal sill excision: Typically used in the correction of enlarged nasal sill width along with excessive flare in the ala. Sill reduction is indicated when the nasal base has a horizontal axis and the nostrils are enlarged.
- V - Y advancement: Used to reposition the alar insertion if the lateral insertion of the ala is responsible for excessive nasal base width. However, it is rarely performed as it will leave a scar on the face.
Candidates and Recovery
Candidates are individuals who have concerns with the excessive width of the base of their nose. Nasal base reduction is a fairly common procedure with minimal risks when working with an experienced surgeon. If performed alone (without concomitant rhinoplasty), it can be performed under local anesthesia only. Recovery time is roughly one to two weeks, with full recovery taking approximately one month.
3. Monaco MD
Overview
Located in New York City’s upper east side, Dr. Casian Monaco performs nostril reduction surgery with precision and an artistic eye. The clinic is renowned for delivering results that harmonize with each patient’s unique facial features.
Alar Base Reduction
Alar base reduction, a key component of nostril reduction surgery, involves carefully resizing the nostrils’ base. This technique is particularly effective for patients who feel their nostrils are too wide or large in proportion to their nose and face.
Significance in Facial Aesthetics
The nose plays a pivotal role in the overall balance and harmony of the face. Nostril reduction surgery with Dr. Monaco addresses:
- Asymmetrical nostrils: Achieving symmetry for a more balanced look.
- Nostril size reduction: Resizing for better proportionality with the face.
- Refined nasal tip: Enhancing the overall shape and contour of the nose.
- Improved facial harmony: Creating a more aesthetically pleasing facial profile.
Tailored Approach
Dr. Casian Monaco believes in a personalized approach to nostril reduction surgery. Understanding that each face is unique, he plans each procedure to align with the individual’s aesthetic goals.
4. Dr. Jeffrey Lisiecki
Overview
Dr. Jeffrey Lisiecki, a surgeon specially trained in facial aesthetic and rhinoplasty, offers alar base reduction in NYC. The procedure, also called alarplasty or nostril reduction surgery, aims to adjust the width of the nose’s bottom part, reduce nostril size, and create facial harmony.
Alarplasty Surgery Overview
Patients with a large alar base can undergo this procedure to reduce their nostrils’ flaring and size. During alarplasty, the surgeon numbs the area using an anesthetic, makes an incision to remove tissue where the nostril and the cheek meet, removes a wedge of the nostril, and brings the nostrils inwards to create improved balance with the face. The incision is then sewn up, and the procedure is repeated on the other side of the nose. Specialists may combine several techniques if they feel it yields more satisfying results.
Candidates
Ideal candidates are uncomfortable or unhappy with their nostril shape and size, in perfect health, non - smokers, have fully recovered from previous surgeries near and around the nose area, and have realistic expectations of the outcome. Consultation with a professional and experienced plastic surgeon is the best way to judge suitability.
Benefits
- Minimal scarring as the surgeon can hide the scars under the nose creases.
- Natural results.
- The nose will appear smaller and at balance with the face.
- Less invasive compared to rhinoplasty.
- Minimizes nostril flare.
- Boosts confidence.
Preparation and Recovery
Patients should stop taking alcohol, smoking vapes or cigarettes, and taking blood - thinning medication such as aspirin and Advil two weeks before the operation. After the surgery, stitches are removed in 7 - 10 days. Swelling may last up to a few weeks, and patients can resume their daily routine and fitness after three weeks. Keeping the area clean, following the doctor’s post - surgery instructions, elevating the head, avoiding alcohol for at least two weeks, and avoiding sleeping on the face can quicken the recovery process.
5. LM Medical NYC
Overview
LM Medical NYC, with locations in Greenwich Village and the upper east side, offers nostril reduction surgery and alar base reduction. Wide or flared nostrils are a common complaint among patients seeking rhinoplasty, and these procedures can be performed without a complete nose job.
Procedures
Small, discreet incisions can be made at the base of the nose to adjust the size and shape of the nostrils. The alar base reduction surgery adjusts the width of the bottom portion of the nose by placing small incisions at the crease alongside the nose at the cheek and in the nostril. The result can improve nasal symmetry, reduce nostril size, and achieve better facial harmony.
Surgeon
Dr. Lesley Rabach is a top double - board certified facial plastic surgeon who specializes in rhinoplasty and cosmetic nose surgery.
6. Memorial Sloan Kettering Cancer Center
Overview
Memorial Sloan Kettering Cancer Center in New York is nationally ranked in 7 adult specialties and 1 pediatric specialty. It is also ranked #8 in ear, nose & throat hospitals with a score of 89.7/100 according to U.S. News. Although it is well - known for cancer treatment, it likely has a high - quality medical team that can handle nasal alar elevation procedures.
Patient - Centered Care
The center focuses on providing comprehensive care, which includes preoperative assessment, surgery, and postoperative follow - up. The multi - disciplinary approach ensures that patients receive the best possible treatment and support throughout the process.
7. New York - Presbyterian Hospital - Columbia and Cornell
Overview
This hospital is nationally ranked in 14 adult specialties and 10 pediatric specialties. It is ranked #13 in ear, nose & throat hospitals with a score of 81.0/100. With a large and diverse medical staff, it has the resources and expertise to perform nasal alar elevation surgeries.
Research and Innovation
The hospital is involved in extensive medical research, which may translate into the use of the latest surgical techniques and technologies in nasal alar elevation procedures. This can lead to better outcomes for patients.
8. NYU Langone Hospitals
Overview
NYU Langone Hospitals in New York are nationally ranked in 14 adult specialties and 3 pediatric specialties. It is ranked #26 in ear, nose & throat hospitals with a score of 71.4/100. The hospitals offer a wide range of medical services, including facial plastic surgery.
Educational Component
As an academic medical center, NYU Langone likely has a high - level of training and education for its medical staff. This can result in surgeons who are well - versed in the latest techniques for nasal alar elevation.
9. Mount Sinai Hospital
Overview
Mount Sinai Hospital in New York is nationally ranked in 11 adult specialties and 4 pediatric specialties. It is ranked #35 in ear, nose & throat hospitals with a score of 63.7/100. The hospital has a team of experienced surgeons who can perform nasal alar elevation.
Clinical Experience
With a large patient volume, the surgeons at Mount Sinai have significant clinical experience in performing facial plastic surgeries, including nasal alar elevation.
10. Manhattan Eye, Ear & Throat Hospital
Overview
Manhattan Eye, Ear & Throat Hospital is nationally ranked in 9 adult specialties and is ranked #38 in ear, nose & throat hospitals with a score of 62.3/100. Specializing in ear, nose, and throat conditions, it has in - depth knowledge and expertise in nasal surgeries, including nasal alar elevation.
Specialized Care
The hospital's focus on ear, nose, and throat disorders means that patients can expect highly specialized care during their nasal alar elevation procedure.
Comparison of Hospitals
| Hospital Name | US News Ranking (ENT) | Score | Specialties | Surgeon Notability | Recovery Support |
|---|---|---|---|---|---|
| SamanMD | N/A | N/A | Alarplasty, combination with other rhinoplasty | Dr. Saman - High - quality care, focus on minimal invasiveness | Detailed recovery guidance |
| Cangello Plastic Surgery | N/A | N/A | Nasal base reduction, multiple surgical techniques | Dr. Cangello - Preeminent rhinoplasty surgeon | Standard recovery care |
| Monaco MD | N/A | N/A | Nostril reduction, alar base reduction | Dr. Casian Monaco - Precision and artistic approach | Personalized post - op care |
| Dr. Jeffrey Lisiecki | N/A | N/A | Alarplasty, nostril reduction | Dr. Jeffrey Lisiecki - Facial aesthetic and rhinoplasty expert | Recovery tips and monitoring |
| LM Medical NYC | N/A | N/A | Nostril reduction, alar base reduction | Dr. Lesley Rabach - Double - board certified facial plastic surgeon | Follow - up consultations |
| Memorial Sloan Kettering Cancer Center | #8 | 89.7/100 | Comprehensive ENT care, cancer - related ENT | Multi - disciplinary team | Extensive patient support services |
| New York - Presbyterian Hospital - Columbia and Cornell | #13 | 81.0/100 | Broad - spectrum ENT care, research - based | Large and diverse medical staff | Recovery integrated with research |
| NYU Langone Hospitals | #26 | 71.4/100 | Facial plastic surgery, ENT | Well - trained academic surgeons | Academic - based recovery guidance |
| Mount Sinai Hospital | #35 | 63.7/100 | ENT surgeries, facial plastic | Experienced surgeons | Clinical - experience - based recovery |
| Manhattan Eye, Ear & Throat Hospital | #38
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