Introduction
Saddle nose deformity, characterized by a visible depression or collapse of the nasal bridge, is a concern that goes beyond mere aesthetics. It can lead to functional issues such as breathing difficulties and impact a person's self - confidence. In New York City, where there is a high demand for plastic surgery, several hospitals and surgeons are renowned for their expertise in saddle nose plastic surgery. This article aims to provide an in - depth look at the best hospitals and surgeons for saddle nose plastic surgery in New York City, along with information about the condition itself and the available treatment options.
Understanding Saddle Nose Deformity
Causes of Saddle Nose Deformity
There are numerous factors that can lead to saddle nose deformity. According to research, common causes include:
- Trauma: Sports injuries, vehicle accidents, violence, and falls that cause impact to the nose can damage the nasal bridge cartilage. For example, a boxer who frequently gets hit in the face is at a higher risk of developing a saddle nose deformity, which is sometimes referred to as a “boxer’s nose.”
- Infection: Diseases such as syphilis or leprosy can affect the nose cartilage. Although these diseases are less common today, in areas where they are prevalent, they can be a cause of saddle nose deformity.
- Autoimmune diseases: Conditions like Wegener’s disease, granulomatosis polyangiitis, and relapsing polychondritis can weaken the cartilage in the nose, leading to a collapse of the nasal bridge.
- Intranasal drug use: The habitual use of drugs like cocaine or excessive use of nasal decongestant sprays can damage the nasal tissues and cartilage, resulting in a saddle nose appearance.
- Surgical complications: Rhinoplasty or septoplasty procedures that are not performed correctly, such as the removal of too much cartilage, can cause the nasal bridge to collapse.
Symptoms of Saddle Nose Deformity
The primary symptom of saddle nose deformity is a depression or collapse of the nose bridge. In mild cases, this may be the only noticeable symptom. However, in more severe cases, the following can also occur:
- A deep concave shape in the nasal bridge, which shortens the bridge of the nose.
- Loss of support for the nasal tip, causing it to rotate upward and create a “pug nose” appearance.
- Formation of a crease across the lower part of the nose.
- Breathing obstruction due to the collapse of the nasal valve.
Treatment Options for Saddle Nose Deformity
Surgical Cartilage Grafting Repair
For major saddle nose deformities or to achieve a permanent repair, surgical cartilage grafting is often required. This involves harvesting cartilage from other parts of the body, such as the ear or rib, and grafting it onto the nose to restore its support and shape. According to a leading facial plastic surgeon, this procedure is more complicated than a typical nose - shaping rhinoplasty as it requires creating a new structure rather than just reshaping the existing one. It is crucial to have a surgeon with extensive skill and experience in this area.
Non - surgical Options
Although surgical cartilage grafting is the main treatment for severe cases, in some milder cases or for patients who do not wish to undergo surgery, non - surgical options may be considered. These can include the use of injectable fillers to temporarily improve the appearance of the nose. However, this is a short - term solution and does not address the underlying structural issues.
Top Surgeons for Saddle Nose Plastic Surgery in New York City
Dr. Maurice M. Khosh
Dr. Maurice M. Khosh is a double - board certified facial plastic surgeon with a successful practice in Manhattan, NY. He is a pioneer in saddle nose deformity correction and repair. Dr. Khosh has received many awards and accolades for his achievements in the field of facial plastic surgery. He has a special passion for completing challenging procedures like saddle nose repair. His patients have consistently praised his bedside manner, surgical skills, and the natural - looking results he achieves. With extensive experience in cartilage harvesting and grafting, he can restore the structure and aesthetics of the nose while also improving breathing function.
Dr. Joshua D. Rosenberg
Dr. Joshua D. Rosenberg is a fellowship - trained, dual board certified facial plastic surgeon. His background makes him a perfect fit for the complex procedure of saddle nose repair. He uses the most advanced techniques available to create a well - supported nasal bridge and reshape the tip for the desired appearance. His expertise in nose shaping and reconstruction is highly regarded in the field.
Dr. Rousso
Dr. Rousso is one of the leading rhinoplasty surgeons in NYC, as well as a respected facial reconstructive surgeon. He has in - depth knowledge and skill in the most advanced techniques for reforming and reconstructing the nasal bridge. When paired with his eye for facial aesthetics and artistry, he can create a new nose that is beautiful and balanced within the facial features while correcting any functional issues related to saddle nose deformity.
Dr. Lesley Rabach
Dr. Lesley Rabach at lm medical nyc is a double board certified facial plastic and reconstructive surgeon. She has the experience and skill to complete the complex procedure of saddle nose rhinoplasty. Not only can she restore the shape of the nose, but she can also improve its function by using nose reconstruction with cartilage grafts and stents to add support to the nasal structure and open the collapsed nasal valves.
Top Hospitals for Saddle Nose Plastic Surgery in New York City
New York - Presbyterian Hospital - Columbia and Cornell
This hospital is nationally ranked in 14 adult specialties and 10 pediatric specialties. The plastic surgery department at Columbia University, affiliated with this hospital, has highly experienced plastic surgeons. These surgeons are proficient in multiple areas of specialization, from routine non - surgical cosmetic procedures to complex reconstructive operations. Their research in plastic surgery is also at the forefront, which means patients can benefit from the latest advancements in the field. For saddle nose plastic surgery, patients can expect a comprehensive approach that combines both surgical expertise and research - based treatment options.
Mount Sinai Hospital
Mount Sinai Hospital is nationally ranked in 12 adult specialties and 4 pediatric specialties. It has a high - performing plastic surgery department. The hospital has a team of well - trained plastic surgeons who have experience in handling various plastic surgery cases, including saddle nose repair. The hospital's advanced facilities and research capabilities ensure that patients receive the best possible care.
NYU Langone Hospitals
NYU Langone Hospitals are nationally ranked in 13 adult specialties and 3 pediatric specialties. The hospital offers a wide range of plastic surgery services. Their plastic surgeons are known for their innovative techniques and patient - centered approach. For saddle nose plastic surgery, they can provide customized treatment plans based on the individual needs of each patient.
Lenox Hill Hospital at Northwell Health
This hospital is nationally ranked in 10 adult specialties. It has a strong plastic surgery division. The hospital's plastic surgeons have experience in both cosmetic and reconstructive plastic surgery. They use the latest technology and techniques to ensure successful outcomes for saddle nose plastic surgery patients.
Hospital Name | National Rank in Adult Specialties | National Rank in Pediatric Specialties | High - Performing Areas |
---|---|---|---|
New York - Presbyterian Hospital - Columbia and Cornell | 14 | 10 | 1 specialty & 20 procedures/conditions |
Mount Sinai Hospital | 12 | 4 | 20 procedures/conditions |
NYU Langone Hospitals | 13 | 3 | 1 specialty & 21 procedures/conditions |
Lenox Hill Hospital at Northwell Health | 10 | - | 1 specialty & 16 procedures/conditions |
Factors to Consider When Choosing a Hospital and Surgeon
Surgeon's Experience and Expertise
The surgeon's experience in performing saddle nose plastic surgery is of utmost importance. Look for a surgeon who has a proven track record in this specific procedure. A surgeon with many years of experience is more likely to handle complex cases and achieve better results. For example, surgeons like Dr. Maurice M. Khosh, who have been in practice for over 20 years and have a specialization in saddle nose repair, are a good choice.
Hospital Reputation
The reputation of the hospital matters significantly. Hospitals that are nationally ranked and have high - performing plastic surgery departments are generally a safer bet. These hospitals often have better facilities, a team of experienced medical staff, and access to the latest research and technology. For instance, hospitals like New York - Presbyterian Hospital - Columbia and Cornell, which are highly ranked in multiple specialties, offer a higher level of care.
Patient Reviews
Reading patient reviews can provide valuable insights into the quality of care provided by a surgeon and a hospital. Positive reviews about a surgeon's skills, bedside manner, and the overall patient experience are a good sign. For example, Dr. Maurice M. Khosh has numerous positive patient reviews highlighting his excellent surgical results and caring attitude.
Cost and Insurance Coverage
The cost of saddle nose plastic surgery can vary depending on the complexity of the procedure and the hospital or surgeon you choose. It is important to understand the cost breakdown and check if your insurance will cover any part of the surgery. Some insurance companies may cover the procedure if it is deemed medically necessary due to breathing difficulties caused by the saddle nose deformity.
Preparing for Saddle Nose Plastic Surgery
Consultation
Before the surgery, schedule a consultation with your chosen surgeon. During this consultation, the surgeon will evaluate your condition, discuss your goals and expectations, and explain the surgical procedure in detail. They will also perform a physical examination of your nose and may take some photographs for documentation purposes.
Medical Evaluation
You will need to undergo a comprehensive medical evaluation to ensure that you are healthy enough for the surgery. This may include blood tests, a chest X - ray, and an electrocardiogram (ECG) depending on your age and medical history.
Lifestyle Changes
Your surgeon may recommend certain lifestyle changes before the surgery. For example, you may be advised to stop smoking as it can affect the healing process. You may also need to avoid taking certain medications, such as aspirin, which can increase the risk of bleeding.
Recovery After Saddle Nose Plastic Surgery
Immediate Post - operative Period
After the surgery, you will be monitored in the hospital for a few hours or overnight depending on the type of anesthesia used and the complexity of the procedure. You may experience some swelling, bruising, and pain, which can be managed with pain medications prescribed by your doctor.
Long - term Recovery
The swelling and bruising will gradually subside over the next few weeks. You will need to follow your surgeon's instructions regarding wound care, nasal packing removal (if applicable), and follow - up appointments. It may take several months for the final results of the surgery to become apparent as the nose continues to heal and settle into its new shape.
Conclusion
In New York City, there are several top - notch hospitals and surgeons available for saddle nose plastic surgery. Understanding the causes and symptoms of saddle nose deformity, the available treatment options, and the factors to consider when choosing a hospital and surgeon is crucial for a successful outcome. Whether you are considering surgery for aesthetic reasons or to improve breathing function, make sure to do your research and choose a qualified professional.
If you or someone you know is suffering from saddle nose deformity, don't hesitate to reach out to one of the recommended hospitals or surgeons mentioned in this article. Schedule a consultation to discuss your options and take the first step towards a better - looking and functional nose. Share this article with others who may benefit from this information and encourage them to explore their options for saddle nose plastic surgery.