Introduction
New York City is a hub of medical excellence, offering a wide range of highly skilled doctors for nasal ala base resection. This procedure, also known as nasal base reduction or alarplasty, is a specialized rhinoplasty technique used to narrow the alar base of the nose, enhancing facial symmetry and improving the overall appearance of the nose. In this article, we will explore the top doctors in New York City who are known for their expertise in nasal ala base resection, along with important aspects related to the procedure such as candidates, risks, and recovery.
Importance of Choosing the Right Doctor for Nasal Ala Base Resection
Selecting the right doctor for nasal ala base resection is crucial for achieving optimal results and ensuring patient safety. A skilled and experienced surgeon will not only have the technical expertise to perform the procedure effectively but also understand the patient's aesthetic goals and anatomical considerations. They will be able to customize the treatment plan to meet the individual needs of each patient, taking into account factors such as the patient's ethnicity, facial structure, and desired outcome. Additionally, a reputable doctor will provide comprehensive pre - and post - operative care, guiding the patient through every step of the process.
Criteria for Ranking Doctors
When ranking doctors for nasal ala base resection in New York City, several important criteria are considered:
- Experience: The number of years a doctor has been performing nasal ala base resection and related procedures. More experience often means greater proficiency and the ability to handle complex cases.
- Patient Satisfaction: Reviews and ratings from previous patients. High patient satisfaction indicates that the doctor provides quality care, good communication, and satisfactory results.
- Board Certification: Certification from recognized medical boards, such as the American Board of Plastic Surgery or the American Board of Facial Plastic and Reconstructive Surgery, which demonstrates that the doctor has met specific educational and professional standards.
- Training and Education: The doctor's educational background, including where they received their medical degree, completed their residency, and any specialized fellowships in facial plastic surgery or rhinoplasty.
- Hospital Affiliation: Affiliation with well - respected hospitals and medical centers in New York City. This can be an indication of the doctor's reputation and the quality of resources available to them.
Top Doctors for Nasal Ala Base Resection in New York City
New York City Area Doctors
- Dr. Steven J. Pearlman, M.D.
Dr. Pearlman is a distinguished facial plastic and reconstructive surgeon, educator, and humanitarian. He is uniquely dual - board certified in both facial plastic and reconstructive surgery and in head and neck surgery. With extensive clinical and academic backgrounds in both fields, he provides his patients with unique expertise in the cosmetic and reconstructive surgery of the nose, face, and eyes. He has authored over 30 medical journal articles and book chapters and serves on the editorial board of prestigious medical periodicals. Dr. Pearlman served as president of the American Academy of Facial Plastic and Reconstructive Surgery from 2004 - 2005. His patients can expect compassionate care and access to the most sophisticated and advanced medical procedures.
- Dr. Sam Rizk, M.D.
Dr. Rizk merges his artistic background as a sculptor with his technical skill as a facial plastic and reconstructive surgeon. He is known for his honesty with patients and will only recommend surgery when the benefit far outweighs the risk. He is an expert in the most advanced techniques in facelift, neck lift, eyelid surgery, and rhinoplasty in NYC. As a recognized expert, he has written and lectured extensively on current concepts related to facial plastic procedures. He is a double - board certified New York facial plastic surgeon and director of Manhattan Facial Plastic Surgery, PLLC.
- Dr. Sherrell J. Aston, M.D.
Dr. Aston is a world - renowned double - board certified plastic surgeon and one of the world's foremost experts in aesthetic plastic surgery. He is a professor of plastic surgery at New York University, past president of the American Society for Aesthetic Plastic Surgery, and a fellow of the American College of Surgeons. He has served as the chairman of the plastic surgery department at Manhattan Eye Ear & Throat Hospital for twenty - three years. Dr. Aston is an expert in the closed rhinoplasty technique, which avoids incisions and scars on the outside of the nose. He has lectured globally and written textbook chapters on closed rhinoplasty.
- Dr. Yael Halaas, M.D.
Dr. Halaas is recognized as one of the best facial plastic surgeons in New York City. She is fully bilingual in English and Spanish and has a special interest in the treatment of the aging face, primary and reparative rhinoplasty, and the medical and surgical treatment of hair loss. She is board - certified by the American Board of Otolaryngology and the American Board of Facial Plastic and Reconstructive Surgery and is a fellow of the American College of Surgeons. Her multi - cultural background and liberal arts education enable her to welcome an international clientele.
- Dr. Andrew Jacono, M.D.
Dr. Jacono is a global authority in the field of facial plastic and reconstructive surgery. He is known for his original, advanced approach to non - surgical and minimally invasive facial rejuvenation with flawless, yet natural results. His patient base includes prominent socialites, media personalities, and everyday people. He has achieved dual board certification in facial plastic and reconstructive surgery as well as head and neck surgery and holds several academic positions. He is also one of only 70 U.S. surgeons who are advanced facial plastic surgery fellowship directors for the American Academy of Facial Plastic and Reconstructive Surgery.
- Dr. Maurice M. Khosh, M.D.
Dr. Khosh is a well - known and dual - board certified facial plastic surgeon practicing in Manhattan. He is the past president of the New York Facial Plastic Surgery Society and a founding member of the New York Head and Neck Institute. He has received multiple awards, including the Castle Connolly Top Doctor Award, the Patients' Choice Award, and the Best Doctors in America Award. His aim in cosmetic surgery is to create a natural and "non - operated" look that is harmonious with the overall appearance of each patient.
- Dr. Jennifer Levine, M.D.
Dr. Levine is one of only a few surgeons who are double - board certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology – Head and Neck Surgery. Her philosophy is to provide every individual with natural, believable results that enhance their appearance. She works closely with each patient to develop an individualized treatment plan. She graduated with honors from Columbia University and Cornell University Medical College and has received extensive post - doctoral training at top institutions.
- Dr. Benjamin Paul, M.D.
Dr. Paul is a facial plastic and reconstructive surgeon who practices in Manhattan. He is known for his exceptional talent in rhinoplasty, facelift, eyelid surgery, and hair restoration. He prides himself on delivering natural, long - lasting results with no evidence of surgery and minimal downtime. He has made great strides in facial plastic surgery techniques and has lectured at over 30 conferences in the past decade. He completed his education and training at prestigious institutions such as Northwestern University and New York University.
Surrounding Areas' Relevant Doctors
Although the focus is on New York City, doctors from nearby areas can also be considered due to their expertise and proximity. Some of these doctors include those who perform related nasal surgeries:
- Albany Area:
- Dr. Steven Yarinsky, M.D. He has over 25 years of practical experience in plastic surgery. He completed extensive training and continues his medical education. He was named a “regional top doctor” by Castle Connolly and is the only plastic surgeon between Albany and Montreal to be elected to the American Society for Aesthetic Plastic Surgery (ASAPS).
- Dr. William F. Deluca Jr., M.D. He began his career as a certified plastic surgeon in Albany over 28 years ago. He trained at prestigious institutions and is certified by both the American Board of Surgery and the American Board of Plastic Surgery.
- Dr. Edwin F. Williams III, M.D. He is double - board certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology. He has a strong interest in plastic surgery of the face, head, and neck and has completed fellowship training in this area.
- Dr. Jeffrey Rockmore, M.D. A board - certified plastic surgeon, he has a patient - centered approach. He completed his medical education at respected New York institutions and holds membership in multiple professional organizations.
- Buffalo Area:
- Dr. Todd B. Koch, M.D. A board - certified plastic surgeon, he has undergone rigorous training in various surgical fields before specializing in plastic surgery. He offers plastic and reconstructive surgery services.
- Dr. David A. Sherris, M.D. A double - board certified facial plastic surgeon, he is an internationally recognized leader in facial plastic and reconstructive surgery. He has been voted annually to "Best Doctors in America" by his peers since 2005.
- Rochester Area:
- Dr. Stephen M. Evangelisti, M.D. His experience in the military has influenced his approach to plastic surgery. He focuses on breast cancer and skin cancer reconstruction, as well as hand and aesthetic surgery.
- Dr. Vito C. Quatela, M.D. Known as one of the top facial plastic surgeons in the region, his reputation extends nationally and internationally. He has served as the president of the American Academy of Facial Plastic and Reconstructive Surgery and established the HUGS foundation.
- Syracuse Area:
- Dr. Sang W. Kim, M.D. He pursued a path in facial plastic surgery after graduating from Harvard Medical School. He completed a top - tier residency program and a fellowship under a world - renowned facial plastic and hair transplant surgeon.
- Dr. Dean De Roberts, M.D. A board - certified plastic surgeon in Syracuse, he has received several awards in plastic surgery and has extensive surgical experience.
Understanding Nasal Ala Base Resection
Anatomy Involved
The nasal base area is complex, and knowledge of its anatomy is essential for nasal ala base resection. The nostrils are separated by the columella, a vertical “column - like” structure in the center of the nose. The nasal sill extends from either side of the bottom of the columella to the alar base insertion, where the nostril side wall meets the cheek - upper lip junction. The anterior nasal spine, lower lateral cartilages, caudal septum, maxilla, upper lip, and the soft tissue and skin that envelope the nose all contribute to the overall appearance and width of the nasal base. Altering any of these structural elements can change the appearance and function of the nose.
Benefits of Nasal Ala Base Resection
Nasal ala base resection offers several benefits:
- Refined Appearance: It narrows the alar base, making the nose look more proportionate to the face and refining its overall appearance.
- Improved Facial Symmetry: By adjusting the width of the nasal base, it can enhance facial symmetry and balance.
- Increased Self - Confidence: A more aesthetically pleasing nose can lead to increased self - confidence and self - esteem in patients.
- Reduced Nostril Size and Flare: The procedure can decrease the size of the nostrils and reduce nostril flare, creating a more desirable nasal shape.
- Long - Lasting Results: Once the surgery is successful, the results are generally long - lasting.
Surgical Techniques
There are three main surgical techniques used in nasal ala base resection, either alone or in combination:
- Alar Wedge Excision: Also known as the weir incision, this technique is preferred for minimizing excessively flared ala to reduce a wide nasal base from the frontal appearance. It involves removing wedge - shaped pieces of tissue from the nasal flare while sparing an incision in the nostrils. This method helps preserve the natural curvature of the ala and avoids telltale incisions in the nostril openings.
- Nasal Sill Excision: Typically used to correct 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. In rare cases, when the alar base is wide due to a large nasal sill without flaring, only the sill is directly narrowed.
- V - Y Advancement: This technique is 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 because it will leave a scar on the face.
Candidates for Nasal Ala Base Resection
Candidates for nasal ala base resection are individuals who are concerned about the excessive width of the base of their nose. This may include patients with a nose that appears bottom - heavy or those who desire a more refined and proportionate nasal appearance. It is also a common procedure in ethnic rhinoplasty, as patients of African American, Middle Eastern, and Asian descent may have a slightly wider alar base. However, it is important to note that the “ideal” nasal proportions may vary depending on ethnicity, and the surgeon will work with the patient to achieve a natural - looking result that takes into account their individual features and aesthetic goals.
Nasal Ala Base Resection Risks and Recovery
Risks
Although nasal ala base resection is a fairly common procedure, it does carry some risks. When performed by an experienced surgeon, these risks are minimized. However, potential risks include:
- Infection: There is a small risk of infection at the surgical site, which can usually be treated with antibiotics.
- Bleeding: Some bleeding may occur during or after the surgery, but this is typically minor and can be controlled. In rare cases, more significant bleeding may require additional treatment.
- Scarring: Depending on the surgical technique used, there may be some scarring. However, an experienced surgeon will make incisions in discreet locations to minimize the visibility of scars.
- Unsatisfactory Results: There is a possibility that the patient may not be completely satisfied with the final result. This can be due to factors such as unexpected tissue healing or a difference in the patient's and surgeon's aesthetic expectations.
Recovery
The recovery process for nasal ala base resection typically takes about one to two weeks. Immediately after surgery, the base of the nose will be slightly swollen and red. This swelling will gradually subside over the recovery period. Stitches are usually removed about one week after surgery. Full recovery, including the resolution of all swelling and the final result of the surgery, takes approximately one month. Patients are advised to avoid rubbing or bumping the nose for one month following surgery. They can return to work immediately if they wish, but may want to take some time off to allow for initial healing and to avoid showing sutures in public.
Conclusion
In New York City, patients have access to a diverse group of highly skilled doctors for nasal ala base resection. When considering this procedure, it is essential to do thorough research and choose a doctor who meets the criteria of experience, patient satisfaction, board certification, and proper training. Understanding the procedure, its benefits, risks, and recovery process is also crucial for making an informed decision. By selecting the right doctor and having realistic expectations, patients can achieve a more aesthetically pleasing and proportionate nose, leading to improved self - confidence and overall well - being.
If you are considering nasal ala base resection, we encourage you to schedule consultations with some of the top doctors mentioned in this article. During these consultations, you can discuss your goals, ask questions, and get a better understanding of what to expect from the procedure. Share this article with others who may be interested in learning more about nasal ala base resection in New York City.