Introduction

Long nose shortening surgery, a form of rhinoplasty, is a highly sought - after cosmetic procedure in New York City. Rhinoplasty, often known as a “nose job,” not only reshapes the nose but can also enhance facial harmony and improve self - confidence. For those considering long nose shortening surgery in New York City, choosing the right hospital and surgeon is crucial. In this article, we will explore some of the top hospitals and surgeons in New York City known for their excellence in rhinoplasty, along with the different types of procedures, their benefits, and what to expect before, during, and after the surgery.

Understanding Long Nose Shortening Surgery (Rhinoplasty)

What is Rhinoplasty?

Rhinoplasty is a surgical procedure that modifies the shape of the nose by altering the bone and cartilage of the nasal framework. It can address various aesthetic concerns, such as changing the size and shape of the nose, modifying the bridge, adjusting the size of the nostril openings, and balancing the facial features. According to the latest statistics from the American Society of Plastic Surgeons, more than 213,000 people receive a nose job each year in the United States. When it comes to long nose shortening, the procedure focuses on reducing the length of the nose to create a more balanced and aesthetically pleasing appearance.

Types of Rhinoplasty Procedures

There are two main types of rhinoplasty procedures: primary rhinoplasty and revision rhinoplasty. Primary rhinoplasty is performed for the first time to address cosmetic concerns and/or nasal breathing. Revision rhinoplasty, on the other hand, is done to correct issues or deformities resulting from prior nose surgeries.

Another important distinction is between open and closed rhinoplasty techniques. In closed (endonasal) rhinoplasty, all incisions are made inside the nose. The advantage of this approach is the lack of an external scar and a relatively shorter operation time. Open (external) rhinoplasty involves making a small incision at the base of the nose, which increases the surgical field of vision, allowing for more complex alterations and grafting.

Top Hospitals and Surgeons in New York City for Long Nose Shortening Surgery

Mount Sinai - New York

At Mount Sinai's division of facial plastic and reconstructive surgery, the goal of rhinoplasty is to create natural, long - lasting results. The facial plastic surgeons at Mount Sinai are double - board certified in facial plastic and reconstructive surgery and otolaryngology (ear, nose, and throat). Their vast expertise in nasal function and aesthetics ensures that the new nose will not only look better but also breathe better.

Surgeons at Mount Sinai perform both closed and open rhinoplasty, and they work closely with patients to determine the most appropriate surgical option based on the patient's unique anatomy, functional, and aesthetic goals. The hospital also offers a multidisciplinary approach, with access to a wide range of specialists, including those in rhinology and sinus surgery and the head and neck institute. For patients with nasal breathing problems, allergies, or sinus disease, combined surgeries can be performed when appropriate.

Expertise of Surgeons at Mount Sinai

The surgeons' double - board certification means they have in - depth knowledge of both the medical and aesthetic aspects of the nose. This allows them to handle complex cases, such as long nose shortening, with precision. They can sculpt the bone and cartilage of the nasal framework to achieve the desired length and shape while maintaining proper nasal function.

Patient Care at Mount Sinai

Patients interested in rhinoplasty at Mount Sinai start with an extensive consultation. The surgeons take the time to understand the patient's concerns and goals and then develop an individualized treatment plan. The surgery is usually performed on an outpatient basis under general anesthesia or a combination of local anesthesia and sedation. After surgery, patients receive a short course of antibiotics and mild pain medication, and the hospital provides detailed instructions for recovery.

Dr. David Cangello at Cangello Plastic Surgery

Dr. David Cangello is a world - renowned expert on scarless rhinoplasty. His expert surgical skill and visionary aesthetic instincts allow him to create beautiful noses through scarless rhinoplasty that blend seamlessly with each patient's existing facial characteristics.

Scarless rhinoplasty, also known as closed rhinoplasty, is an ideal option for patients who want to change the appearance of their nose without external incisions. Dr. Cangello can make various modifications through this approach, such as reducing a dorsal hump, de - projecting an over - projected nose, refining a bulbous nasal tip, narrowing a nose, elevating a droopy nose, and augmenting the bridge of the nose. In some cases, he can even perform revision rhinoplasty using the closed approach.

Advantages of Dr. Cangello's Approach

One of the major advantages of Dr. Cangello's closed rhinoplasty approach is the lack of visible scars. Additionally, because there is less manipulation of nasal tissues, particularly with his approach that often involves minimal or no skin dissection off the bridge of the nose, there is less postoperative pain and swelling and more predictable healing. He has learned from some of the true masters of rhinoplasty in Turkey and Europe, enabling him to achieve ideal tip and lower - third nose aesthetics through a minimally invasive approach.

Patient Expectations with Dr. Cangello

Dr. Cangello believes in setting realistic expectations for patients. He takes the time to analyze the patient's existing nasal and facial features and works within that framework to create a beautiful and natural - looking result. His patients often report short recovery periods, minimal swelling, and no or very minimal bruising.

Dr. Shahar at Natural Look Institute

Dr. Shahar is one of New York City's best nose job surgeons. He offers personalized, caring attention during the initial consultation. His approach is to analyze the patient's face and nose and then advise on what is needed to look their best, while also allowing the patient to decide whether to follow the advice.

Dr. Shahar is highly realistic about the results of each patient and never over - corrects. He always recommends the most minimal procedure to achieve the maximum natural - looking result. He performs both primary and secondary rhinoplasty and has the experience and expertise to handle challenging cases, including long nose shortening.

Patient Safety and Recovery with Dr. Shahar

Patient care and safety are paramount to Dr. Shahar. He performs most nose jobs in his on - site surgical facility, which is accredited by the AAAHC. He is attended by excellent anesthesiologists and nurses. After the procedure, he personally follows up with patients to ensure their concerns are addressed. The recovery process at the Natural Look Institute includes detailed pre - op and post - op instructions to ensure the best possible results.

Dr. Philip Miller

Dr. Philip Miller is a double - board certified facial plastic surgeon with offices in both New York City and New Orleans. He specializes in nose, nostril, and alar base reduction surgery. His proprietary consultation process, known as Natra Look, includes an evaluation of the patient's nose and other facial features while considering the patient's specific issues and aesthetic goals.

Dr. Miller develops personalized treatment plans that combine desired changes with the preservation of the patient's unique features, including ethnic identity. While his focus includes nostril reduction, he can also perform comprehensive rhinoplasty procedures, including long nose shortening, to achieve facial harmony.

Dr. Miller's Expertise and Patient Benefits

With more than two decades of experience, Dr. Miller is considered an expert in rhinoplasty and facial rejuvenation procedures. His approach allows patients to achieve natural - looking results while maintaining their individuality. Patients considering nose reduction surgery can view his before - and - after photos to get an idea of the results they can expect.

Pre - operative Considerations

Choosing the Right Surgeon

When considering long nose shortening surgery, it is essential to choose a qualified and experienced surgeon. Look for surgeons who are board - certified in facial plastic and reconstructive surgery or otolaryngology. Check their reviews, before - and - after photos, and patient testimonials. It is also a good idea to schedule consultations with multiple surgeons to get a feel for their approach and expertise.

Initial Consultation

The initial consultation is a crucial step. During this meeting, the surgeon will examine your nose, discuss your goals and expectations, and assess your overall health. Be honest about your medical history, including any previous surgeries, allergies, and current medications. The surgeon will then explain the different surgical options available and recommend the most suitable one for you.

Understanding the Risks

Like any surgical procedure, long nose shortening surgery carries some risks. These may include infection, bleeding, scarring, asymmetry, and dissatisfaction with the aesthetic results. It is important to have a thorough discussion with your surgeon about these risks and how they can be minimized.

Cost Considerations

The cost of long nose shortening surgery can vary depending on several factors, such as the complexity of the procedure, the surgeon's experience, and the location of the hospital or surgical facility. Insurance may cover surgery performed to improve breathing (e.g., deviated septum), but it usually does not cover cosmetic procedures. Before making a decision, get a detailed breakdown of the costs from your surgeon.

The Surgical Procedure

Anesthesia

Most long nose shortening surgeries are performed under general anesthesia or a combination of local anesthesia and sedation. The type of anesthesia used will depend on the complexity of the procedure and the patient's preferences. The anesthesiologist will assess your health and determine the most appropriate option for you.

Open vs. Closed Rhinoplasty for Long Nose Shortening

If an open rhinoplasty is chosen for long nose shortening, the surgeon will make a small incision across the columella (the tissue between the nostrils) to gain better access to the nasal framework. This allows for more precise manipulation of the bone and cartilage. In a closed rhinoplasty, all incisions are made inside the nose, which can be a good option for less complex cases or for patients who want to avoid external scars.

Modifying the Nasal Framework

Once the incisions are made, the surgeon will access the nasal framework. For long nose shortening, the surgeon may remove a portion of the bone or cartilage from the appropriate areas of the nose. The nasal septum may also be adjusted to improve breathing and contribute to the overall reshaping of the nose. If necessary, cartilage grafts may be used to support and contour the final result.

Post - operative Recovery

Immediate Aftercare

After the surgery, you will be monitored in a recovery area until the anesthesia wears off. You may experience some swelling, bruising, and discomfort, which is normal. The surgeon will place a splint on your nose to support it and help it heal in the new shape. You will be given instructions on how to care for the splint, take medications, and manage any pain or swelling.

Swelling and Bruising

Swelling and bruising are common after rhinoplasty. 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. The bruising usually fades within a week or so. Cold compresses can be used in the early days to help reduce swelling.

Returning to Normal Activities

Most patients can return to work or school within one to two weeks after surgery. However, strenuous activities should be avoided for at least two weeks to prevent any damage to the healing nose. You may need to avoid wearing glasses on your nose for several weeks to prevent pressure on the surgical site.

Final Results

It may take several months for the final results of the long nose shortening surgery to become apparent. As the swelling subsides, you will be able to see the new shape and length of your nose. It is important to follow up with your surgeon regularly during the recovery period to ensure that the healing process is progressing as expected.

Comparing Different Hospitals and Surgeons

Conclusion

Long nose shortening surgery can be a life - changing procedure for those who are unhappy with the length of their nose. In New York City, there are several top - notch hospitals and surgeons available, each with their own areas of expertise and unique approaches. Whether you choose a large hospital like Mount Sinai or a specialized surgeon like Dr. David Cangello, it is important to do your research, have a detailed consultation, and choose the option that best meets your needs and expectations.

If you are considering long nose shortening surgery, take the next step and schedule a consultation with a qualified surgeon. Discuss your goals, ask questions, and make an informed decision about your journey to a more harmonious and confident appearance. Remember, the right surgeon and hospital can make all the difference in achieving the results you desire.