Update of the Top Ten Ranking for Nasal Base Reconstruction and Nasal Columella Extension Surgery in New York City! 2025

New York City is a hub for top - notch plastic surgery, especially when it comes to nasal base reconstruction and nasal columella extension surgery. These procedures can significantly enhance both the appearance and function of the nose. In this article, we'll explore the leading surgeons and facilities in NYC that are excelling in these specific nasal surgeries in 2025.

Understanding Nasal Base Reconstruction and Nasal Columella Extension

Nasal base reconstruction involves techniques to refine the base of the nose, addressing issues such as excessive width or flaring of the nostrils. This can greatly improve the overall proportion and harmony of the face. Nasal columella extension, on the other hand, focuses on elongating or correcting the columella, the structure that separates the nostrils. A well - adjusted columella can enhance the shape of the nose and its balance with other facial features.

There are various reasons why patients opt for these surgeries. Some may have experienced nasal trauma, which has led to deformities in the nasal base or columella. Others may be looking to enhance their facial aesthetics by achieving a more refined and balanced nose. For ethnic patients, these procedures can be tailored to preserve and enhance their unique ethnic features.

Top Surgeons in New York City for Nasal Base Reconstruction and Nasal Columella Extension

Dr. Andrew Jacono

Dr. Jacono is a well - known figure in the field of rhinoplasty and facial plastic surgery. He is the surgical director of the New York Center for Facial Plastic and Laser Surgery. Many outlets consider him one of the top rhinoplasty surgeons in the United States and the world. His extraordinarily unique and innovative surgical approach is a key factor in his high ranking.

Dr. Jacono has extensive training in surgical rhinoplasty. He prides himself on offering the most comprehensive and natural results possible. His approach to nasal base reconstruction and nasal columella extension includes pioneering less - invasive techniques. For example, he avoids breaking the nose and removing excessive cartilage, which often risks making the nose look overdone. In addition, he has developed a customized approach to preserving ethnic identity during rhinoplasty. For patients from different ethnic backgrounds who require nasal base reconstruction or columella extension, he can achieve a natural, beautiful nasal definition that exceeds expectations.

Dr. Jacono has also perfected techniques that refine droopy, more bulbous nasal tips. His attention to detail and artist’s sensibility, developed through his long - standing interest in drawing, painting, and sculpting, contribute to his ability to create aesthetically pleasing results in nasal surgeries.

Dr. Yoel Shahar

Dr. Yoel Shahar, also known as “Doctor Nose,” is another top choice in New York City. He has performed thousands of rhinoplasty and nose - reshaping procedures at his private practices in both New York City and Israel for nearly 25 years. The Natural Look Institute, founded by him, is well - known for providing high - quality facial rejuvenation, body contouring, and other related services.

As a board - certified cosmetic surgeon, a board - certified general surgeon, and an associate fellow of the American Medical Association, among other credentials, Dr. Shahar has the expertise and experience necessary for successful nasal base reconstruction and nasal columella extension. He understands the importance of maintaining unique characteristics in patients from diverse ethnic backgrounds. During the consultation process, he offers personalized, caring attention. He conducts a careful evaluation of the patient's face and nose to achieve perfect facial harmony, a crucial aspect when performing nasal surgeries.

Dr. Shahar is highly realistic about the expected cosmetic surgery results of each patient. He never over - corrects and always recommends minimal procedures to achieve natural - looking results. His approach to post - operative care is also exemplary, with a focus on patient safety and comfort.

Dr. Lesley Rabach

Dr. Lesley Rabach is a double - board certified facial plastic surgeon at LM Medical NYC. She offers nasal reconstruction surgery at the clinics in Manhattan. Her experience and expertise in both facial reconstruction for function and plastic surgery for aesthetics are essential for nose trauma repair, which often involves nasal base reconstruction and columella extension.

When a patient has suffered a nose injury or disfigurement, it can impact both breathing function and appearance. Dr. Lesley first focuses on restoring the function of the nose by repairing the bone and cartilage structure. Once the functional aspect is corrected, she then reshapes the exterior of the nose for a balanced, beautiful nose that matches the facial features. Her patient testimonials speak volumes about her skills and the quality of her care. Patients praise her for her accurate, professional, and caring approach.

Dr. Cangello

Dr. Cangello is NYC’s preeminent rhinoplasty surgeon. He offers patients customized treatment plans and transformative results in nasal base reduction and related surgeries. His in - depth knowledge of nasal base anatomy is crucial in determining the optimal surgical technique for each patient.

There are three main surgical techniques typically used for nasal base reduction: alar wedge excision, nasal sill excision, and V - Y advancement. Dr. Cangello evaluates each patient's unique nasal anatomy to decide which technique or combination of techniques will best achieve an improvement in the appearance of the nose and enhance functionality while still retaining the individual, racial, and ethnic characteristics unique to that patient. His ability to create noses that are both functionally superior and cosmetically beautiful has earned him a high reputation in the field.

Dr. Joseph Rousso

Dr. Rousso is one of the top facial plastic and reconstructive surgeons in New York City, with world - wide experience in reconstructive facial surgery. Two of his primary specialties are rhinoplasty and facial reconstruction, which are essential for nasal base reconstruction and nasal columella extension.

Reconstructive rhinoplasty often involves more biological and medical issues compared to cosmetic rhinoplasty. Dr. Rousso understands the importance of achieving both biological function and aesthetic form. He can perform skin, bone, and cartilage grafts depending on the extent of the injury. His goal is to create a beautiful, balanced, and functional nose for patients who have suffered severe nasal trauma or other structural issues.

Dr. Adam Kolker

Dr. Adam Kolker, a board - certified NYC plastic surgeon, has extensive expertise in the art and science of nose surgery. When it comes to nasal base reconstruction and nasal columella extension, he emphasizes the importance of facial harmony. His approach is customized to each patient's unique anatomical features and desires.

During the consultation process, Dr. Kolker conducts a comprehensive nasal and facial examination. He uses digital photography and imaging software to help patients precisely articulate and define the appearance they are seeking. He can address various structural issues such as dorsal hump, nasal width, asymmetry, prominent or drooping nasal tip, and post - traumatic deformities. His goal is to create a nose that is both intrinsically balanced and in beautiful proportion with other facial features.

Dr. Kolker also provides detailed pre - operative and post - operative instructions. He offers support throughout the entire process, from the initial consultation to the follow - up appointments, ensuring a smooth recovery and optimal results for his patients.

Dr. Stephen Warren

Dr. Stephen Warren is a board - certified plastic surgeon specializing in aesthetic and reconstructive facial surgery. He trained in plastic surgery at Harvard and completed his specialty training in craniofacial surgery at NYU Langone Medical Center.

His experience in rhinoplasty, which includes nasal base reconstruction and nasal columella extension, is based on years of mentorship from expert teachers and his own studies of the face. He understands the three - dimensional interplay between the nose and other facial features. His approach to rhinoplasty often includes additional procedures such as septoplasty, turbinate reduction, and removal of deviated bone from inside of the nose, which can be combined with nasal base reconstruction and columella extension for more comprehensive results.

Dr. Warren also offers solutions for revision rhinoplasty, which can be complex, especially when addressing issues related to the nasal base and columella that may have occurred after a previous surgery.

Dr. Jordan Jacobs

Dr. Jordan Jacobs of the New York Group for Plastic Surgery has undergone extensive training under the mentorship of globally acclaimed medical leaders and experts. He received his medical education at Jefferson Medical College in Philadelphia, completed his residency in reconstruction at NYU, and pursued fellowship training in craniofacial surgery at NYU as well.

He is known for producing beautiful and natural - looking results in rhinoplasty, including nasal base reconstruction and nasal columella extension. The New York Group for Plastic Surgery has been satisfying patients in the Tarrytown and tri - state areas for over 27 years. Dr. Jacobs offers personalized medical programs tailored to each patient's specific needs based on their facial structure and the overall goals for the procedure. He is committed to achieving the best possible aesthetic results while ensuring patient safety and comfort during the recovery process.

Considerations When Choosing a Surgeon

Selecting the right surgeon for nasal base reconstruction and nasal columella extension is a crucial decision. Here are some important factors to consider:

Qualifications and Experience

Ensure that the surgeon is board - certified in plastic surgery or a related specialty. Look for surgeons who have extensive experience in performing nasal base reconstruction and nasal columella extension surgeries. Surgeons with a long track record are more likely to have encountered a wide range of cases and can handle any potential complications that may arise.

Reputation

Check online reviews and patient testimonials. A surgeon with a positive reputation is more likely to provide high - quality care and achieve satisfactory results. You can also ask for referrals from friends, family, or other medical professionals.

Portfolio of Before - and - After Photos

Most reputable surgeons will have a portfolio of before - and - after photos of their patients. This can give you an idea of their surgical skills and the type of results they can achieve. Pay attention to how well the surgeons have achieved facial harmony and natural - looking results in the nasal base and columella areas.

Communication and Rapport

During the consultation, assess how well the surgeon communicates with you. A good surgeon will listen to your concerns, answer your questions clearly, and provide realistic expectations about the surgery and the results. You should feel comfortable and confident in the surgeon's abilities.

Cost and Insurance

The cost of nasal base reconstruction and nasal columella extension can vary depending on the complexity of the procedure, the surgeon's experience, and the location of the practice. Some reconstructive surgeries may be partially covered by insurance, while cosmetic procedures are usually not. It's important to have a clear understanding of the cost breakdown and discuss payment options with the surgeon's office.

Preparation for Nasal Base Reconstruction and Nasal Columella Extension Surgery

Preparing for these surgeries is an important step to ensure a successful outcome and a smooth recovery. Here are some general steps:

Medical Evaluation

Your surgeon will conduct a thorough medical evaluation, including a physical exam and blood tests. This is to assess your overall health and identify any potential risks or pre - conditions that may affect the surgery. You will need to provide a detailed medical history, including any past nose surgeries, nasal issues, and medications you are taking.

Discussing Goals and Expectations

Have an open and honest discussion with your surgeon about your goals and expectations for the surgery. The surgeon will explain what can and cannot be achieved and help you set realistic goals. This is also an opportunity to ask any questions you may have about the procedure, recovery, and potential risks.

Pre - operative Instructions

Your surgeon will provide you with pre - operative instructions. These may include avoiding certain medications, such as aspirin and blood thinners, which can increase the risk of bleeding. You may also be advised to stop smoking, as smoking can interfere with the healing process. Additionally, you may need to arrange for someone to drive you home after the surgery and stay with you for the first 24 to 48 hours.

Recovery and Aftercare

The recovery period after nasal base reconstruction and nasal columella extension surgery is crucial for achieving the best results. Here's what to expect:

Immediate Post - operative Period

After the surgery, you will be taken to a recovery room where you will be monitored until you wake up from anesthesia. You may experience some swelling, bruising, and discomfort, which is normal. Your surgeon will prescribe pain medication to manage the pain. You will need to keep your head elevated to reduce swelling.

First Week

Most of the initial swelling and bruising will subside within the first week. You will need to follow your surgeon's instructions regarding wound care, such as keeping the surgical area clean and dry. You may also have a nasal splint or packing, which will be removed by your surgeon during a follow - up appointment. It's important to rest and avoid strenuous activities during this time.

Weeks 2 - 4

By the second to fourth week, you may start to see the initial results of the surgery. However, some swelling may still persist. You can gradually resume light activities, but you should still avoid activities that may put pressure on your nose. Your surgeon will continue to monitor your progress during follow - up appointments.

Months 1 - 6

Over the next few months, the swelling will continue to go down, and the final results of the surgery will become more apparent. You may notice an improvement in the appearance and function of your nose. It's important to continue following your surgeon's aftercare instructions, which may include using nasal sprays or creams to aid in the healing process.

Conclusion

In New York City, there are numerous highly skilled surgeons and top - notch facilities for nasal base reconstruction and nasal columella extension surgery. Surgeons like Dr. Andrew Jacono, Dr. Yoel Shahar, Dr. Lesley Rabach, and others offer unique expertise, innovative techniques, and a commitment to achieving the best possible results for their patients. When considering these surgeries, it's essential to carefully evaluate your options, choose a qualified surgeon, and follow the pre - operative and post - operative instructions for a successful outcome.

If you're interested in nasal base reconstruction or nasal columella extension surgery, we encourage you to schedule a consultation with one of the top surgeons in New York City. Take the time to research and ask questions to make an informed decision. Don't let concerns about your nose hold you back from achieving the confidence and improved quality of life that these surgeries can offer. Start your journey towards a more refined and balanced nose today!