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Cosmetic Rhinoplasty in Syracuse, Rochester, and Ithaca, NY

Double board-certified Facial Plastic Surgeon Dr. Sang W. Kim of the Natural Face™ Clinics, provide cosmetic rhinoplasty, or nose surgery, for patients residing in the Syracuse metropolitan area and Central New York area including Ithaca and Rochester.

What Is Cosmetic Rhinoplasty?

Rhinoplasty, also called “nose surgery”, is one of the most challenging facial surgeries to do well.  Cosmetic rhinoplasty refers to nose surgery where the goal is to enhance the appearance of the nose.  The aesthetic goal of rhinoplasty should be to achieve refined features of the nose that will harmonize the rest of your face.

Cosmetic Rhinoplasty in Syracuse and Ithaca, NY

There are three key elements that the surgeon evaluates during the initial consultation for cosmetic rhinoplasty.

First, the nose is more than just an external structure – it has a function to move the air through the nose.  And unfortunately, often times making the nose appear “prettier” and “more refined” can mean a weaker and collapsible nose that may cause nasal airway obstruction.  Comprehensive evaluation of the aesthetic and the function of the nose should be an essential step for every rhinoplasty case.

Second, the nose must withstand the test of time.  Like the rest of the face, the nose undergoes change with aging.  A nose with perfect proportion a year after rhinoplasty may undergo ongoing change over the years and become the unnatural and operated-looking nose.  The key is to preserve adequate structural integrity to withstand the test of time.

Third, the goal of cosmetic rhinoplasty should be tailored individually based on the wishes of the patient as well as the other facial features of the patient.  This includes the shape of the patient’s face, eyes, chin projection as well as the texture of the patient’s skin.

Cosmetic Rhinoplasty in Syracuse and Ithaca, NY

Tip of the Nose

Refining the nasal tip requires intricate balance of shaving or adding support to the underlying cartilaginous framework that shapes the tip of the nose.

Each individual patient brings their own set of variables ranging from the thickness of skin and soft tissue enveloping the nasal tip, to the integrity and shape of the cartilage underneath the nasal tip.

Modern perspective in cosmetic rhinoplasty- restoring the tip support

Traditionally, cosmetic rhinoplasty focused on reductive technique – shaving or cutting the tip cartilage to refine or reshape the tip of the nose. Through the experience of past plastic surgeons we now know that the traditional reductive rhinoplasty can sometimes result in unpredictable and undesirable long term outcome.

Modern principles in cosmetic rhinoplasty consist of reinforcing the supportive structure of the nasal tip. Every changes made to the nasal tip will destabilize the tip support mechanism to some degree, and therefore must be countered with a reinforcing supportive maneuver.

Planning and execution of numerous techniques to refine the nasal tip depend on the individual patient. As aforementioned, shape and strength of the nasal cartilage, thickness of the skin and soft tissue will dictate which techniques – suture technique, reshaping of the cartilage, or addition of cartilage grafts – are necessary to achieve the desired outcome which will stand the test of time. This approach will also help prevent unforeseen complication of rhinoplasty – functional problem of the nose.

What to expect on your consultation day

We will ask you to specify what features of the nose you would like to improve. Dr. Kim will carefully examine both the inside and outside of the nose. He will then explain the underlying structural causes for the appearance of your nose, and how he will correct those problems from the surgeon’s perspective. We will also review the post operative recovery course and instruction. After the consultation, a set of photos will be taken, and we will create a set of digitally morphed photos simulating the surgical changes for you to ensure we understand your goal.

CASE STUDIES – COSMETIC RHINOPLASTY

Surgeon: Sang W Kim, MD
Equipment: Canon EOS T3i 1/160 F10 ISO Auto / 1600-3200 on EFS 18-55 lens

Case 1

Rhinoplasty Before and After Pictures Syracuse and Ithaca, NY Rhinoplasty Before and After Pictures Syracuse and Ithaca, NY
Problems:
 1. Large nose
 2. Hump
 3. Drooping nasal tip
 4. Bulbous nasal tip
Technique: Open approach rhinoplasty exposure with small inverted-V incision under the nose. Careful reduction of the hump involving excision and shaving of the bone and cartilage. Refinement of the nasal tip cartilage through shaving and suturing techniques. Shield graft and columellar graft from septal cartilage to re-establish ideal tip projection and rotation. This also enhances the tip support for long-term stability.

Case 2

Rhinoplasty Before and After Pictures Syracuse and Ithaca, NY Rhinoplasty Before and After Pictures Syracuse and Ithaca, NY
Problem:
  1. Hump on the nose

Technique:
Endonasal approach requires a small incisions placed inside the nose only. As requested by the patient, conservative removal of bony hump was performed to soften the profile view without creating the over-done, downward sloped nose.

Case 3

Rhinoplasty Before and After Pictures Syracuse and Ithaca, NY Rhinoplasty Before and After Pictures Syracuse and Ithaca, NY
Problem:
  1. Bulbous tip on Asian nose

Technique:
Endonasal approach requires small incisions placed inside the nose only. The patient has tendency to form scars, and wished to not have any external incision. Conservative narrowing of the nasal wall through precision cut of the nasal bone. Refinement of the nasal tip cartilage through shaving and suturing techniques. Placement of columellar graft from septal cartilage to establish the tip projection

Case 4

Rhinoplasty Before and After Pictures Syracuse and Ithaca, NY Rhinoplasty Before and After Pictures Syracuse and Ithaca, NY
Problems:

  1. Large nose, “tension nose”
  2. Drooping nasal tip
  3. Hanging columella
  4. Hump, which looks more prominent due to droopy nose
  5. Strong convex nasal tip

Technique:
Open approach rhinoplasty exposure with small inverted-V incision under the nose.
Shield graft from septal cartilage to refine the nasal tip
Further refinement of the nasal tip cartilage through shaving and suturing techniques.
Reshaping of the caudal septum to correct the hanging columella
Tongue-in-groove technique to re-establish ideal tip projection and rotation.
Once rotation has been corrected, actual hump was minimal. Conservative reduction of the hump refinement.

Case 5

Rhinoplasty Before and After Pictures Syracuse and Ithaca, NY Rhinoplasty Before and After Pictures Syracuse and Ithaca, NY
Problem:
  1. Broad nasal bones
  2. Asymmetric nasal tip

Technique:
Open approach rhinoplasty exposure with small inverted-V incision under the nose.
Shaving of the bony hump
Careful cut along the nasal bone to narrow the middle segment of the nose.
Refinement of the nasal tip cartilage through shaving and suturing techniques.

Case 6

Rhinoplasty Before and After Pictures Syracuse and Ithaca, NY Rhinoplasty Before and After Pictures Syracuse and Ithaca, NY
Case 6 Problems:
  1. Over projected nose
  2. Strong convex nasal tip

Technique:
Open approach rhinoplasty exposure with small inverted-V incision under the nose.
Correction of the anterior septum
Shaving of small bony hump
Vertical dome division to correct strong convex nasal tip, reduce the projection of the nasal tip.
Further refinement of the nasal tip cartilage through shaving and suturing techniques.
Tongue-in-groove technique to re-establish ideal tip projection and rotation and stabilize. This also enhances the tip support for long-term stability.

Case 7

Rhinoplasty Before and After Pictures Syracuse and Ithaca, NY Rhinoplasty Before and After Pictures Syracuse and Ithaca, NY
Problems:
  1. Boxy and bulbous nasal tip
  2. Nasal tip tilting toward left
  3. Hump

Technique:
Open approach rhinoplasty exposure with small inverted-V incision under the nose.
Shaving of the bony hump
Careful cut along the nasal bone to narrow the middle segment of the nose.
Refinement of the nasal tip with shaving of the tip cartilage, onlay tip graft and suturing technique

Case 8

Rhinoplasty Before and After Pictures Syracuse and Ithaca, NY Rhinoplasty Before and After Pictures Syracuse and Ithaca, NY
Problems:
  1. Crooked nose with hump
  2. Strong boxy nasal tip

Technique:
Open approach rhinoplasty exposure with small inverted-V incision under the nose.
Correction of crooked nose was performed with combination of moving the nasal bone after careful cut through the bone, releasing the cartilage and resetting at midline with clocking suture, and stabilizing through spreader graft.
Further refinement of the nasal tip cartilage through shaving and suturing techniques.
Placement of columellar graft from septal cartilage to ensure long term stability of the nose.

Case 9

Rhinoplasty Before and After Pictures Syracuse and Ithaca, NY Rhinoplasty Before and After Pictures Syracuse and Ithaca, NY
Problems:
  1. Revision rhinoplasty – prior two rhinoplasties by another surgeon 10+ years ago.
  2. Broad nasal vault
  3. Bulbous and ill-defined nasal tip
  4. Hanging columella

Technique:
Open approach rhinoplasty exposure with small inverted-V incision under the nose.
Careful cut along the nasal bone to narrow the middle segment of the nose.
Removal of the layer of Alloderm implant by prior surgeon to camouflage structural irregularity.
Caudal septal reduction
Shaving the scarred nasal cartilage, and correct contour irregularity with minced cartilage wrapped in fascia borrowed from the ear.
Refinement of the nasal tip with onlay tip graft and suturing technique

Case 10

Rhinoplasty Before and After Pictures Syracuse and Ithaca, NY Rhinoplasty Before and After Pictures Syracuse and Ithaca, NY
Problems:
  1. Buckled nasal tip
  2. Revision rhinoplasty - prior rhinoplasty by another surgeon 10+ years ago.

Technique:
Open approach rhinoplasty exposure with small inverted-V incision under the nose.
Straighening of the crooked middle vault using spreader grafts created from ear cartilage
Shaving of the scarred and buckled cartilage from prior rhinoplasty.
Refinement of the nasal tip with onlay tip graft

How Much Does Cosmetic Rhinoplasty Cost?

The costs involved with a Natural Face™ procedure can vary depending on the extent of the treatment necessary to achieve optimum results.  Having our own private on-site surgical facility allows our patients to save money by including all the before and after care, operating room costs and the local anesthetic fees together.  Natural Face™ Clinics accepts all major credit cards.  We can also assist if you need financing through CareCredit®.  Please call and ask for our concierge services for assistance with financing.

 

Additional Procedures Offered

Double board-certified Facial Plastic Surgeon Dr. Sang W. Kim at Natural Face Clinics specialize in aesthetic enhancement of the face, head, and neck, exclusively. Patients come to see us from the Syracuse metropolitan area and Central New York area including Ithaca, and Rochester. At Natural Face Clinics, we specialize in restoring the youthful neck contour, tired appearance of the brows and eyes, and skin laxity. We offer customized treatment, both surgical and non-surgical, including facelift, eyelid surgery (blepharoplasty), nose surgery (rhinoplasty), brow lift, neck lift, and skin resurfacing. Find out more by scheduling your personal consultation today.

 

 

MEET THE DOCTOR

Dr. Sang W. Kim

Harvard Trained, Double Board Certified Facial Plastic Surgeon

Sang W Kim, MD is a double board-certified facial plastic surgeon who specializes in cosmetic and reconstructive facial plastic surgery and hair restoration surgery. He graduated from the University of California – Berkeley with summa cum laude. He received his medical doctorate degree from Harvard Medical School, and completed his residency training through the Harvard Combined Program in Otolaryngology – Head and Neck Surgery. Dr. Kim completed the prestigious dual fellowship accredited by the American Academy of Facial Plastic and Reconstructive Surgery and the International Society of Hair Restoration Surgery.

TESTIMONIALS
We invite you to share your experience online at RealSelf.com. Click on the button below to leave a review!  -

I found everyone at Natural Face Clinics to be very friendly and accommodating. During the procedure I became ill and both Dr. Kim and Susan were very compassionate and I did not feel rushed. As of this date, the results are great and I am happy with the end result. Dr. Kim has been very kind and professional. He is a great doctor. The staff is very kind and caring. They are always friendly and accommodating on the phone and in the office. I would definitely recommend Dr. Kim to my family and friends. Thank you for everything!

- Joanne – East Syracuse, NY

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Everything about the procedure was well explained and it was a breeze! The chin surgery came out well and as expected. The doctor was very professional and put me at ease. He explained everything that he was doing. The staff is top notch and Karen was outstanding.

- Carl – East Syracuse, NY

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The initial visit was informative and reassuring. I was given options and a clear understanding as to what to expect. It was very comforting. I received excellent care and I am thrilled with my results! I’ve already booked my next procedure. I was pleasantly surprised with how little pain there was and how quickly I recovered.
Dr. Halliday is wonderful! He is knowledgeable and professional. I wouldn’t trust my face to just anyone. He is an excellent plastic surgeon. The staff is professional, caring and attentive. Appointment times are honored and the visits are never rushed. I am so grateful for the outstanding care I received.

- Susan – East Syracuse, NY

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My experience was very professional and helpful. My questions were answered that I did not think to ask. They were very friendly and accommodating. The procedure went smoothly. Post-op care was especially spoiling, considering it was during the holidays. Everything was done to ensure I had an optimal outcome.
My results are splendid! I am receiving compliments that I look 15-20 years younger than prior to my procedure. My doctor was outstanding and genuinely concerned. He wanted me to understand what was being done and why. I had clear and concise answers to questions and received excellent bedside manner. The staff is friendly, efficient, on time and on task. They are eager to assist! I would recommend and would use again when needing cosmetic enhancements. I am very, very pleased with my experience and results.

- D.L. – East Syracuse, NY

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When I look in the mirror, I know I made a great choice. Dr. Halliday and his exceptional staff were thoughtful, knowledgeable, and caring. My results were very good and not over-done like some actress on TV. I have referred friends and they also had great results.

- Mary - New York Mills, NY

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I cannot begin to tell you how happy I was and continue to be with Dr. Halliday and his staff. I felt very comfortable the first time I met him and talked with his staff. I was treated professionally and with dignity. I originally met Dr. Halliday to discuss fillers. After talking to him and discussing all my options, I decided to have a face lift and surgery on my upper and lower eye lids. He never pushed me into making a decision, in fact, he told me to think about it. I left and headed to work and I called the same day and booked my surgery. He is an artist and a master at what he does. I am extremely happy with my results. I have and will continue to recommend Dr. Halliday and his staff to anyone interested in improving their appearance.

- Debbie - Syracuse, NY

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This whole process has been an amazing experience. The staff and Dr. Halliday treat you with respect and also assure your privacy. The staff is efficient and communicates well; you have complete knowledge of the process and the outcome is absolutely awesome. Thank you!

- Dale - Ilion, NY

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At my initial visit I was met with a short wait time and a friendly staff. Throughout the whole procedure I was comfortable and I healed well and had no problems; I am happy with my results. Dr. Kim is so nice and friendly. He answered all my questions and made me feel safe and comfortable. The office staff has been very friendly and helpful as well. Everyone is so nice here.

- Karen – Syracuse, NY

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When I met Dr. Kim and the staff, everyone was friendly. Dr. Kim did a good job with my procedure and made me feel comfortable. My hair has started to grow and I feel like the procedure has worked. Everyone here is nice and I liked Dr. Kim’s honesty with me. My doctor wanted me to go to a different doctor for my nose but I told him “no I want to go to Dr. Kim”.

- Ljupco – Syracuse, NY

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At my initial visit Dr. Kim and the staff were very informative on what was going to happen with the surgery. He removed Melanoma from the left side of my nose and it very good. All of the Melanoma has been removed and is healing well. Dr. Kim has been very informative on all that has taken place and what is in the future after surgery. The staff has also been very helpful throughout the whole process. I would see Dr. Kim again if I had any more cancer to be removed.

- Eugene – Syracuse, NY

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My initial consultation was very informative. The doctor was honest about the procedure, as well as, the cost and I felt no pressure to make a commitment. The office itself is very comfortable and the staff is friendly and welcoming. My procedure went smooth and the doctor was very cautious to not release me until he was sure I was ready to leave. I am very happy with my results and the healing time was even better than expected. Dr. Kim has an excellent bed side manner and his staff made the whole process enjoyable. He is easy to talk to and very informative about the procedure, as well as, advice on the healing process. I would definitely refer my family and friends to this practice.

- Linda – East Syracuse, NY

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Dr. Kim and the entire staff are nice. Dr. Kim did a good job and everything is 100%.

- Nevzad – East Syracuse, NY

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My husband and I met with Dr. Halliday and Terri. We arrived to a very clean and inviting office and did not have to wait long. Dr. Halliday and Terri did not tell me what should be done but were interested in what my goals were for a cosmetic procedure. They answered all my questions and explained their recommendations clearly. On the day of my procedure everyone went out of their way to make sure I was as comfortable as possible. I liked the “privacy” of the operating and recovery area. I feel like l look years younger while still looking “age appropriate”. Friends and family have commented I look good and the natural lift is exactly that; very natural. The only way people know I had a procedure is because I told them. Dr. Halliday was very professional and friendly the entire time. I completely trusted all the decisions he made during the procedure. He took his time and even took time to put my husband at ease about having the procedure done. Everyone at the office is extremely friendly and I have never had to wait long for my appointment. I feel like I have made an investment in my face and while I am happy to be my age I am even happier to have a face that matches the body I have. I will continue to make enhancements along the way with Dr. Halliday, Terri, and everyone in his office who made me feel and look special.

- Nicki – East Syracuse, NY

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The staff is very pleasant and helpful. I am very pleased with Dr. Hallidays expertise.

- Debra Victor - East Syracuse, NY

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This is a wonderful place to come, everyone is great and happy. I had the best care and will recommend this surgery center to my friends.

- Linda - Syracuse, NY

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I was very worried about my surgery. However, the doctor and staff were wonderful and my surgery and recovery were well worth it.

- Shirley – Syracuse, NY

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