Introduction
Nose bridge improvement is a highly sought - after cosmetic and functional procedure in New York City. A well - defined nasal bridge can significantly enhance facial aesthetics and even improve breathing. With numerous hospitals and clinics offering these services, it can be challenging for individuals to choose the right one. This article will introduce the top 3 selected hospitals for nose bridge improvement in New York City, providing detailed information about their services, expertise, and unique features.
1. Cangello Plastic Surgery
Surgeon Expertise
Dr. David Cangello is a board - certified plastic surgeon in New York City, widely recognized as a leader in rhinoplasty and a pioneer of preservation rhinoplasty. His vast experience and in - depth knowledge of nasal bridge surgery make him a top choice for patients seeking nose bridge improvement. Over the years, he has successfully treated a variety of nasal bridge issues, from simple hump removal to complex saddle nose deformity corrections.
Preservation Rhinoplasty
One of the unique features of Cangello Plastic Surgery is its emphasis on preservation rhinoplasty. This modern approach to nose reshaping aims to preserve 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. Dr. Cangello is among an elite few surgeons to offer this technique in the U.S., and he uses it for up to 80% of patients seeking nasal bridge surgery.
Compared to traditional nasal bridge surgical techniques, preservation rhinoplasty has several key advantages:
- Dorsum Preservation: In traditional surgeries, the dorsum often needs to be reconstructed, and cartilage grafts are frequently required. In preservation rhinoplasty, the dorsum is completely preserved. Any bone and cartilage removal occurs underneath the nose bridge, and the intact dorsum can be easily repositioned to lower the height of the nasal bridge. This eliminates the possibility of dorsum irregularities and reduces the need for revision rhinoplasty procedures.
- Reduced Bruising and Swelling: The dissection in a preservation procedure takes place in a different plane than most traditional nasal bridge surgeries. The perichondrium and the periosteum are left intact, which helps preserve the veins, arteries, and lymphatics that supply the soft tissues of the nose. As a result, bruising and swelling are almost eliminated, and the duration of swelling is minimized, reducing the patient's social downtime.
- Natural - looking Tip Plasty: The tip plasty approach in a preservation procedure emphasizes a more natural look, avoiding some of the problems with nose tip proportion that can be tell - tale signs of rhinoplasty.
Range of Procedures
Cangello Plastic Surgery offers a comprehensive range of nasal bridge surgeries:
Narrowing the Nasal Bridge
When planning to narrow the nasal bridge, Dr. Cangello takes several factors into account, such as 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. For example, if the width of the nasal base extends beyond the inner canthus of each eye, a nasal base reduction will be incorporated into the surgical plan.
Correcting a Dorsal Bump
Removing a hump or bump on the bridge of the nose requires a comprehensive rhinoplasty plan. In addition to hump removal, Dr. Cangello may perform osteotomies to bring the width of the nose in proportion to the new bridge height, consider the integrity of the middle vault of the nose to determine if spreader grafts are necessary, and revise the position and shape of the nose tip to harmonize with the slope of the nose.
Correcting a Saddle Nose Deformity
A saddle nose deformity, characterized by a concave nasal bridge, can be caused by various factors, such as a traumatic injury, a failed rhinoplasty, cocaine abuse, or certain medical conditions. Dr. Cangello carefully assesses the degree and cause of the deformity and develops an effective surgical plan. In mild cases, a graft of septal cartilage may be sufficient, while more severe cases may require more extensive grafting, such as costal cartilage grafting or the use of a synthetic biocompatible grafting material.
Improving Breathing Function
For Dr. Cangello, form and function are synchronous in nasal bridge surgery. Many patients who undergo nasal bridge surgery experience a passive improvement in nasal function due to the correction of underlying nasal obstruction. If a nasal bridge is deviated due to septal deviation, septoplasty, which can improve nasal airflow, will be incorporated into the initial surgical plan.
2. Mount Sinai - New York
Surgeon Qualifications
The facial plastic surgeons at Mount Sinai are double - board - certified in facial plastic and reconstructive surgery and otolaryngology (ear, nose, and throat). Their dual expertise in nasal function and nasal and facial aesthetics ensures that patients not only achieve an improved appearance but also enjoy better breathing after the surgery.
Surgical Techniques
Mount Sinai offers both closed/endonasal (without an external incision) and open/external rhinoplasty. The choice of approach depends on the patient's unique anatomy and functional and aesthetic goals.
Closed (Endonasal) Rhinoplasty
During this closed surgical approach, all of the incisions are made inside the nose. The advantage of this approach is the lack of an external scar and the relatively shorter duration of the operation. It is suitable for patients who require less complex nasal bridge adjustments.
Open (External) Rhinoplasty
In this open approach, a small incision is added at the base of the nose to increase the surgical field of vision. This allows for better visualization of the nasal anatomy and enables more complex alterations and grafting to be performed. It is often chosen for patients with more significant nasal bridge issues, such as severe dorsal humps or complex anatomical deformities.
Multidisciplinary Approach
One of the strengths of Mount Sinai is its multidisciplinary approach. Patients have access to a wide range of specialists and subspecialists within the hospital system. For patients with specific concerns related to their nasal breathing, nasal allergies, sinus disease, or deformity after cancer treatments, the hospital works closely with its widely recognized experts in the division of rhinology and sinus surgery and the head and neck institute. Combined surgeries can be performed when appropriate, providing comprehensive care for patients.
Adolescent Rhinoplasty
Mount Sinai also provides guidance on adolescent rhinoplasty. If a nose job is being elected for cosmetic reasons, younger patients should wait until they stop growing and their nasal bone has reached its adult size. Typically, for girls this occurs after puberty around age 15, while boys may need to wait longer until they are 17 or 18 years or older. However, if the surgical procedure is being performed to correct a breathing problem or repair the bone after an injury, it can be performed before the patient is fully grown.
Pre - and Post - surgery Care
Patients interested in rhinoplasty at Mount Sinai start with an extensive consultation to identify areas of concern and review their goals. Surgeons then develop an individualized treatment plan. Rhinoplasty surgery is usually performed in an outpatient setting under general anesthesia or with a combination of local anesthesia and sedation. Before surgery, patients are given instructions regarding medications and how to prepare for their recovery. After surgery, patients are usually given a short course of antibiotics and mild pain medication, and the majority of swelling subsides within the first two weeks, although it may take up to a year for all the swelling to fully fade.
3. Dr. John E. Sherman's Plastic Surgery and Cosmetic Surgery Center
Surgeon Experience
Board - certified plastic surgeon Dr. John Sherman has performed numerous rhinoplasty procedures on both men and women over the past 30 years. He is dedicated to providing natural - looking results and spends considerable time with each patient to help define the aesthetic goals of their rhinoplasty.
Rhinoplasty Approaches
Closed Rhinoplasty
This approach is used in approximately 50% of Dr. Sherman's patients. Due to his 30 + years of extensive closed - rhinoplasty experience, he is able to visualize all the structures and predict the outcome of the procedure. The advantage of the endonasal approach is less swelling and the lack of an external scar.
External Rhinoplasty
Dr. Sherman prefers an open approach (external rhinoplasty) if there is an indication for cartilage grafting, if the nose needs straightening, or if there is a significant airway problem. A small incision is made across the columella, exposing the anatomy below. This approach allows for precise placement of cartilage grafts, if necessary, and better visualization of the underlying anatomy.
Septoplasty
Septoplasty may be performed at the same time as a cosmetic rhinoplasty. The septum is the wall between the two nostrils, and it is often injured in accidents, causing obstruction of the nasal passageway. Dr. Sherman has been performing functional airway correction throughout his career, emphasizing both function and aesthetics. By correcting the septum during rhinoplasty, he can improve the patient's breathing.
Anesthesia and Recovery
Rhinoplasty at Dr. Sherman's center is usually performed under deep intravenous sedation anesthesia or general anesthesia. The anesthesiologist is a board - certified, fully accredited, experienced physician. During the recovery process, patients are advised to apply ice compresses to their eyes to minimize bruising. The downtime may vary according to the complexity of the operation and the patient's goals, but bruising is almost totally gone by 10 - 12 days after rhinoplasty. A splint is placed over the nose, which is removed at roughly 6 or 7 days after surgery, and patients are asked to refrain from exercise for 3 - 4 weeks after rhinoplasty.
Insurance Coverage
Dr. Sherman's team will work with patients' insurance carriers to determine the pre - certification that may be necessary. Insurance may cover surgery performed to improve breathing, such as septoplasty, but it does not cover surgery that is done for cosmetic reasons. The team helps patients predetermine their benefits and pre - certify their surgery if it is non - cosmetic.
Comparative Analysis of the Three Hospitals
| Hospital | Surgeon Expertise | Unique Techniques | Range of Services | Pre - and Post - surgery Care | Insurance Consideration |
|---|---|---|---|---|---|
| Cangello Plastic Surgery | Dr. David Cangello, pioneer of preservation rhinoplasty | Preservation rhinoplasty with benefits like dorsum preservation and reduced bruising | Narrowing nasal bridge, correcting dorsal bump, saddle nose deformity, and improving breathing | Personalized care based on preservation technique's advantages | Not mentioned in - depth; likely follows standard practices |
| Mount Sinai - New York | Double - board - certified surgeons in facial plastic and otolaryngology | Closed and open rhinoplasty; multidisciplinary approach | Rhinoplasty for cosmetic and functional purposes; adolescent rhinoplasty guidance | Extensive consultation, outpatient surgery, detailed pre - and post - care instructions | Covers surgery for breathing improvement |
| Dr. John E. Sherman's Center | Dr. John Sherman with 30+ years of rhinoplasty experience | Skilled in closed and external rhinoplasty, septoplasty for airway correction | Cosmetic and functional rhinoplasty with septoplasty option | Anesthesia and recovery guidance specific to different approaches | Helps patients determine insurance pre - certification |
Conclusion
When it comes to nose bridge improvement in New York City, Cangello Plastic Surgery, Mount Sinai - New York, and Dr. John E. Sherman's Plastic Surgery and Cosmetic Surgery Center stand out as top choices. Each hospital has its own unique strengths, whether it's the innovative preservation rhinoplasty technique at Cangello Plastic Surgery, the multidisciplinary approach and comprehensive care at Mount Sinai, or the long - standing experience and variety of rhinoplasty approaches at Dr. John E. Sherman's center.
If you're considering nose bridge improvement, we encourage you to explore these hospitals further. Schedule consultations with their surgeons to discuss your specific goals, concerns, and expectations. By making an informed decision, you can achieve the desired results and enhance your facial aesthetics and nasal function. Share this article with others who may be interested in nose bridge improvement in New York City and continue your journey of research by looking into patient testimonials and success stories.
