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Cost of Rhinoplasty

On the right, a woman is shown in profile with a bump on her nose. On the left, the same woman is shown after rhinoplasty with the bump removed.You’re ready to reshape your nose and light up your entire face with an expertly performed rhinoplasty. You want to make sure you get the most flattering, natural-looking results possible. But you’re also concerned about the cost. Is it time to search through Groupon deals, or book a trip to another country for bargain-basement surgery? While we understand wanting to save money, there is a time and a place for choosing a service based on the lowest price and surgery for your face isn’t one of them.

If you’re truly savvy about your finances, you already know that so-called “bargains” can ultimately cost more than quality goods. And that’s especially true when it comes to rhinoplasty, which is one of the most complex cosmetic facial plastic surgeries of all. Because your nose is so central to your face, you can’t hide the mistakes or hope that no one notices them. You need to get it right the first time, to save yourself both money and emotional distress. Not only that, but the nose is a functioning organ and it’s imperative that it still functions well after surgery.

Philip J. Miller, MD, FACS is a double-board certified facial plastic surgeon in New York City who specializes in rhinoplasty. He’s lectured on innovative rhinoplasty techniques at the International Symposium of Facial Plastic Surgery, written chapters on rhinoplasty for medical textbooks, and specializes in his patented NatraNose® approach to rhinoplasty procedures. Here he outlines the true costs of rhinoplasty to help you make a decision about how and where to get the most flattering nose improvements possible:

Primary Rhinoplasty

A man on the left is shown with a larger nose. On the right the same man is shown after rhinoplasty with a smaller nose.Your first nose job is considered a primary rhinoplasty, which can run anywhere from $3,500 to $25,000, depending on your location and the expertise of your surgeon. You might also opt for “tip plasty” which is less expensive but only improves the look, angle, or shape of the tip of your nose.

The nose is a highly complex, finely sculpted structure that consists of a variety of tissue types, including skin, cartilage, and bone. Lack of expertise in working with any of these mediums can result in a nose that heals incorrectly and calls unwanted attention to itself. However, a beautifully executed rhinoplasty corrects defects in the size, shape, and angle of your nose.

With an expert facial plastic surgeon such as Dr. Miller, you can expect aesthetic improvements such as:

  • Shorter nose
  • Straighter nose
  • No bumps
  • More symmetrical nostrils
  • Thinner or wider nostrils
  • Thinner nose
  • Larger nose
  • More beautifully defined tip
  • Nose that harmonizes with the rest of your face

Ideally, your primary rhinoplasty is so successful that you never need revision rhinoplasties, and, after your healing period of up to one year, your new nose is everything you ever dreamed it would be. In reality, if you choose the wrong surgeon, you could need at least one revision and potentially more. In fact, up to 10% of patients who undergo rhinoplasty will seek out a revision.

Revision Rhinoplasty

On the left, a woman is shown with an asymmetrical nose and nostrils. On the right, the same woman is shown after NatraNose with a more symmetrical noseA surgeon who is not board-certified as a facial plastic surgeon, or even a plastic surgeon who doesn’t specialize in rhinoplasty, can “botch” your nose job, leaving you with a nose that looks worse than your original nose and may cost between $3,000 to $30,000 to improve.

Keep in mind, it can take up to a full year to heal after rhinoplasty and to assess whether you need additional surgery, but common reasons for needing a revision rhinoplasty include:

  • Too much cartilage removed (collapsed nose)
  • Over-rotated tip (pig-like nose)
  • Difficulty breathing
  • Drooping tip
  • Crooked nose
  • Asymmetric nostrils
  • Nose doesn’t harmonize with facial features
  • Nose inappropriate for ethnicity or gender

If your surgeon botched your primary rhinoplasty, you could require one or even several revision rhinoplasties. When the mistake is minor and you otherwise trust your facial plastic surgeon’s expertise, you may not be charged labor for the revision or may pay a reduced price (another reason to stay close to home for surgical procedures). However, if you changed your mind about what you wanted your nose to look like, or if the mistake is so grave that you no longer trust your surgeon, you can pay anywhere from $3,000 to $30,000 or more for each revision procedure. That’s why seeking out a bargain when it comes to rhinoplasty isn’t the best choice.

As complex as a primary rhinoplasty is, revision rhinoplasty is even more challenging. Even a well-executed primary rhinoplasty creates scar tissue in your nose. A poorly done nose job could leave a lot of scar tissue, plus create structural problems that may be difficult to rectify.

If you need a revision rhinoplasty, it is imperative to find the most qualified surgeon possible — one who specializes in revision rhinoplasty. The quality of your cartilage, bone, and skin have already been compromised enough by an inexpert surgeon. You’ll now require someone who has experience working with and compensating for that structural damage. Dr. Miller is an expert at correcting mistakes made by other surgeons and giving you the nose you want and deserve.

Nonsurgical rhinoplasty

Nonsurgical rhinoplasty costs about 10 times less than a surgical nose job, with charges ranging from just $300 to about $1,800, depending on your location, the expertise of your surgeon, and the amount of filler that’s required to improve your nose. If your nose is bumpy or asymmetrical, but you’re otherwise happy with its length and shape, the most cost-effective solution could be a nonsurgical rhinoplasty accomplished with the aid of hyaluronic-acid based dermal fillers.

Dr. Miller also uses liquid rhinoplasty to reshape and reposition your nasal tip and recontour your nose. Other than some soreness and swelling directly after the injections, you won’t have any recovery time or side effects from liquid rhinoplasty. You will also see immediate results.  

Even though nonsurgical rhinoplasty is much less complex than rhinoplasty surgery, it still requires knowledge about the nose’s anatomy, aesthetics, and facial harmony. The good news is, if you don’t like your nonsurgical rhinoplasty, the filler can be dissolved.

If you’re nervous about rhinoplasty or you want to make some improvements to your nose while saving up for primary rhinoplasty surgery, nonsurgical rhinoplasty with dermal fillers is a great way to ease into a nose job. Many women and men opt for a nonsurgical nose job first, as a way of “auditioning” a potential new nose shape. Others are so happy with their results that they continue touching-up their nose with fillers, without ever having to undergo surgery. However, you’ll need to have re-treatments in order to maintain your results versus a surgical procedure which provides permanent results.

Septoplasty (functional nose job)

If you have a deviated septum, your septum (the nasal bone and cartilage that divide your nose in half) veers into and takes up extra space in one of your nostrils, making it hard to breathe. Many women and men require a septoplasty in addition to their desire for cosmetic rhinoplasty. A septoplasty alone will not improve the aesthetics of the nose at all.  But, since a deviated septum is a medical condition that impairs your ability to take in full breaths through your nose, your septoplasty may be covered by your medical insurance.

When you combine rhinoplasty with septoplasty, however, only the portion of the operation that’s medically necessary is eligible for insurance coverage. Aesthetic improvements are not eligible for coverage or reimbursement; don’t trust and don’t work with the unethical surgeons who say they are or who try to manipulate the system to pay for your cosmetic surgery.

What you’re paying for?

In addition to paying for the expertise, aesthetic sense, and skill of your surgeon, rhinoplasty has a number of other expenses that must be considered when making a final decision based on price. Your procedure may vary depending on how complex and difficult it is. Dr. Miller’s quotes are always all-inclusive, and include the following:

  • Surgeon’s fee
  • Anesthesiologist’s fee
  • Anesthesia
  • Surgical center
  • Postsurgical care (follow up visits and tests)
  • Medication-related to surgery
  • Bandages and wraps

Dr. Miller has the advantage of his own surgical suite, which helps you avoid a potentially expensive hospital stay. When consulting with other facial plastic surgeons who specialize in rhinoplasty, always ask for a complete breakdown of their price, so you won’t be surprised by add-ons in the end.

When considering the total cost of your rhinoplasty, remember to factor in the cost of recovery.  You’ll need to take time off from work, and arrange for household help.

Contact Us For a Rhinoplasty Consultation

To set up a consultation with an expert in rhinoplasty so you can have an aesthetically pleasing, well-formed nose and the Aesthetic Confidence® it inspires, contact Dr. Miller in NYC today.

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A woman on the left is shown with a larger nose. On the right the same woman is shown after rhinoplasty with a smaller nose.

Will Scar Tissue Be an Issue After Rhinoplasty?

 

 

 

 

 

 

 

 

The Rise of Medical Aesthetics for Men

Medical Aesthetics for Men for New York City Rhinoplasty Expert BlogHistorically, men’s concerns about their appearance have been focused on building up muscles to create a more masculine and powerful physique. Remember those comic-book and wrestling-magazine ads that made you feel insecure about being a “98-lb. weakling,” even though you were only 12?

But these days, the ubiquity of social media demands that men of all ages look selfie-ready at a moment’s notice. And the “gig” economy, which puts you in the financial ring with ever-younger competitors of both sexes — has made looking energetic, strong, and youthful more important than ever.

Most plastic surgeons see only a small fraction of male patients so have very little experience with men and their unique needs. Luckily, Dr. Miller and Gotham Plastic Surgery are unique because almost half of their patients are male.

Dr. Philip Miller, a groundbreaking, double-board certified facial plastic surgeon in New York City, knows what kinds of aesthetic improvements look natural and empowering to the male face. As the developer of unique, trademarked procedures such as NatraLook™ facelifts and G.I. Jaw™ chin and jaw enhancement for men, Dr. Miller is committed to making you feel like the absolute best version of yourself so you can achieve Aesthetic Confidence™.

Male Facial Aesthetics

No matter how successful and healthy you are, you can’t stop the inevitable march of time. A whole-foods diet, sun avoidance, and plenty of cell-enriching and muscle-building exercise can do wonders to keep you in optimal shape. Nevertheless, the passing years take their toll on your face, with signs of aging such as:

  • Jowling
  • Sagging skin
  • Hooded eyelids
  • Under-eye bags
  • Double chin
  • Soft neckline
  • Sunspots
  • Uneven skin tone

Before and After image of a man undergoing facial wrinkle removal procedures in New York City. When you’re bothered by facial aging, Dr. Miller spends time listening to your concerns, evaluating your particular facial structure, and designing a customized aesthetic improvement plan. Depending on how early you are in the aging cycle, he may be able to create all the improvements you need without a single incision or stitch.

What’s more, Dr. Miller understands the unique concerns men have about altering their appearance. Dr. Miller is an expert in men’s facial anatomy and can enhance their appearance while maintaining their masculinity.

Nonsurgical revitalization procedures include:

  • Botox® to smooth out dynamic wrinkles
  • Laser resurfacing to even out skin tone
  • Laser treatments to increase skin health
  • Dermal fillers (Juvèderm®, Restylane®) to fill in creases, under-eye trough, and non-surgical rhinoplasty
  • Fat grafting and fillers (Voluma®) to restore lost facial volume

Dr. Miller is also an expert at creating natural-looking rejuvenations via facial surgery or minimally invasive procedures, including:

  • Brow lift — surgically smoothing and lifting the forehead for a more youthful look
  • Upper blepharoplasty — eyelid surgery to resolve upper-eyelid hooding
  • Lower blepharoplasty — lower-lid surgery to remove fat pockets and resolve under-eye tear troughs
  • Chin liposuction — removes a double chin
  • Mini lift — resolves jowling and sagging of lower face
  • Facelift — resolves jowling and sagging of both midface and lower face
  • Fat grafting — your own excess fat is used to restore lost facial volume in midface, tear troughs, or temples
  • Neck lift — underlying plastysmal muscles (also known as neck bands, these are the vertical muscles that are evident when you make a grimace, clench your teeth, or carry stress in your neck region) tightened, double chin removed via liposuction, skin lifted, tightened, and trimmed
  • FaceTite™ — radiofrequency assisted liposuction (RFAL) to tighten loose skin and contour the lower face and neck
  • excel V+ — laser treatment to improve fine lines and wrinkles as well as hyperpigmentation

You don’t have to decide ahead of time which procedure is best for you. During your consultation, Dr. Miller makes his recommendations based on your anatomy, skin quality, and signs of aging. Together, you will create a Unified Vision decide which procedures best meet your goals.

Get “chiseled” via Jawline Augmentation

Before and after image of a man who has undergone jawline enhancement surgery in New York CityOne of the most-desired masculine facial features is a strongly chiseled jaw and neckline. Dr. Miller invented the G.I. Jaw™ procedure to give you a more powerful lower face, complete with square chin, a sharp jawbone, and well-defined neck. A strong jawline in men is so strongly associated with attractiveness and success that men account for more than half (54%)of the surgical jaw augmentations performed in the U.S., according to the American Society of Plastic Surgeons.

Dr. Miller custom designs the G.I. Jaw™ procedure based on the proportions of your upper face, lower face, nose, chin, neck, and jawline, as well as your degree of facial sagging and fat distribution. Depending on your needs, he may recommend:

  • Rhinoplasty to better balance your chin and jaw
  • Medical-grade chin implant to create a more projected, stronger chin
  • Medical-grade jaw implant to strengthen and sharpen jawline
  • Medical-grade cheek implants for lift and contouring
  • Liposuction to remove double chin and strengthen jawline
  • Nonsurgical augmentations with dermal fillers
  • Nonsurgical Kybella® to permanently melt away double chin

If you choose to go the nonsurgical route, Dr. Miller lets you know how frequently you’ll need touch-ups, based on the type of dermal filler used. If you’re considering jaw or chin implants, but aren’t yet sure, a nonsurgical augmentation with dermal fillers is a great way to “audition” a new look.

Schedule Your Consultation Today

Wanting to look our absolute best is a common goal. Dr. Miller is your partner in achieving your aesthetic goals using a customized approach with the right treatments to suit your needs and lifestyle. To set up an appointment and find out how Dr. Miller can enhance your appearance, call (646) 791-3025 or use the online form to book your consultation.

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Man with asymmetrical nose is seen in left picture, and has a straight nose after rhinoplasty in the second picture.

What You Need to Know About Male Rhinoplasty

If You’re a Millennial, Here’s Why You Should Start Anti-Aging Treatments Now

remove forehead wrinklesYou’ve always prided yourself on being informed and getting the most value for your hard-earned dollars. So, when you notice a few wrinkles on your forehead, at the corners of your eyes, or realize your skin doesn’t look quite as brilliant and glowing as it used to, you’re not going to head to the store and pick up the latest “wrinkle cream.” You know that lotions and potions can only go so far. You want cosmetic options that produce real results.

Dr. Philip J. Miller, an expert facial plastic surgeon in New York City believes that any cosmetic product or procedure — whether surgical or non-surgical — should result in what he coins, “Aesthetic Confidence®”. Aesthetic Confidence comes from knowing that everything you do for yourself enhances your own unique natural beauty, making you look like the absolute best and healthiest version of yourself.

Prejuvenation is Prevention

“Prejuvenation” is one of the hottest trends in aesthetics, and continues to grow. “Prejuvenation” means keeping your skin young and lustrous looking by enacting effective, science-based prevention strategies to stop wrinkles from forming in the first place. It erases signs of sun damage and improves the overall quality of your skin. According to an article in New Beauty, millennials are starting on prejuvenation by age 26, compared to women aged 55 and older, who didn’t start addressing signs of aging until they were about 47.

Treating the First Signs of Aging

anti aging cheek implantsYou know that glowing skin starts with strong, healthy skin cells. That’s why you eat plenty of vegetables, fruits, proteins, and healthy fats. And why you exercise regularly and keep well hydrated. It’s also why you don’t leave the house without liberally applying a high-quality sunscreen with an SPF 30 or more.

Despite these healthy steps, the first wrinkles to appear tend to be the ones that are caused by the dynamic muscles that let you raise your brows, squint your eyes, and make other extreme expressions. The best way to stop those wrinkles from forming in the first place, or to prevent them from worsening, is with regular treatments with Botox® Cosmetic or another effective neuromodulator, such as Dysport® or Xeomin®.

According to the American Society of Plastic Surgeons, use of Botox and other neuromodulators has surged by 819% since the year 2000, with more than 7,000,000 treatments in the U.S. in 2017 alone. Botox stops the signals that trigger your muscles to move and press your skin into creases and wrinkles. Within a few days to two weeks after treatment, your muscles relax and your skin smooths out so that it’s wrinkle-free again. Not only that, but by treating them early, you help prevent them from worsening and new wrinkles from forming.

Treating the Secondary Signs of Aging

By the time you get into your thirties, you may notice that your skin isn’t as plump and luscious as it used to be, and neither are your lips. Every year, your body produces less of your skin’s building blocks, the proteins collagen and elastin. After age 40, too, you begin to lose about a teaspoon of fat per year in your face. Your skin also has less hyaluronic acid (HA), the lubricating agent that helps retain moisture, keeping your skin supple.

Prejuvenation isn’t just about knocking out wrinkles. It’s about restoring volume loss quickly and effectively using state-of-the-art dermal fillers made with HA, such as Juvèderm® and Restylane® and collagen stimulators such as Radiesse®. Dermal fillers come in a variety of thicknesses and consistencies to restore volume to your midface, smooth out creases around your mouth and nose, fill in tear troughs, restore your hands, and create nonsurgical lip augmentations.

Get a Jumpstart on Aging Gracefully

Prejuvenation also restores your skin’s strength, elasticity, and plumpness with fresh new collagen, elastin, and HA. Dr. Miller offers a variety of therapies, such as acne scar treatment, to stimulate your skin to turn over skin cells faster and build up new stores of collagen and elastin. Depending on your needs, he may recommend:

  • CO2 laser resurfacing
  • MicroPen microneedling
  • Monthly chemical peels

Aging gracefully needs a pro-active beauty regimen. Dr. Miller can help create a comprehensive routine that helps you maintain your health and radiance. To schedule an aesthetics appointment with Dr. Miller, call (646) 791-3025 or use the online form.

Restore Lost Facial Volume with Fillers or Implants

You look at your face in the mirror and you notice that something is lacking. Whether you’ve lost volume New York Wrinkle Treatment Fillersto aging, or just never had it due to your bone structure, you don’t have to be content with flat, hollow, or receding contours anymore. Whether you want to permanently alter the planes and curves of your face with implants, or “audition” a new look with temporary dermal fillers, Dr. Philip Miller, expert New York City facial plastic surgeon, can help you re-shape your jawline, cheekbones, and chin to get the beautiful, harmonious look and Aesthetic Confidence™ you’ve always dreamed of having.

Restore Lost Facial Volume

Aging and sun damage deplete key elements in your face that may result in a look that’s drawn and gaunt. Collagen and elastin — building blocks of skin that keep it plump, pliable, and elastic — diminish with age. The fat that once made your cheeks lovely and pinchable dissipates, too. Even your underlying bone structure atrophies over the years, so that your face no longer has the support it enjoyed in your youth.

In the early stages of aging, this process of volume loss can be reversed with treatments that stimulate your skin to produce more collagen and elastin, such as laser therapy and microneedling. However, if you’ve already lost volume, Dr. Miller can plump up your midface and build up sagging cheekbones with a lush filler such as Voluma®, which is made of hyaluronic acid (HA) — a substance that your body produces naturally. Dermal fillers are so effective for improving facial volume, they are the second most popular non-invasive cosmetic procedure performed each year.

But if you’re looking for a permanent option to restore lost facial volume, Dr. Miller can use fat from other areas of your body where you don’t need it (such as lower abdomen), and transfer it to your cheeks, where it helps restore the volume of the mid-face.

Create Model Cheekbones

You may have noticed that most celebrities and models have well-defined cheekbones. Cheekbones not only create an elegant, sophisticated look, but they also provide a natural lift to your lower face. Whether your cheekbones have receded over the years due to bone loss, or you’ve always been frustrated with flat cheekbones, Dr. Miller can reshape and contour your cheekbones with either high-quality implants or dermal fillers such as Voluma or Sculptra­®.

Building up your cheekbones with Sculptra, Voluma, or layering both is a great way to try out a new look. Sculptra adds volume by stimulating the production of new collagen and elastin over time. Voluma does the same by instantly plumping up and re-contouring your skin. Layering both dermal fillers gives you volume that’s both instant and long-lasting — up to a year or more.

Of course, the most dramatic way to re-sculpt your cheekbones is with permanent silicone implants. Dr. Miller chooses the size, shape, and angle that perfectly matches your unique beauty and facial structure. If you’d also like to compensate for lost skin volume, Dr. Miller can infuse your skin with Voluma at the same time you receive your cheek implants for complete facial rejuvenation.

Transform with a G.I. Jaw®

Both men and women often long for the straight, clean jawline of a G.I. Joe or supermodel. Now you don’t have to be born with great bones to benefit from their effects. If your chin is receded or your jawline weak, Dr. Miller can resculpt your jaw and create a stronger chin with Sculptra and Voluma, or with permanent silicone implants. He may also suggest liposuction or Kybella® to remove excess fat and tighten the jawline skin.

 

Revive Your Facial Volume Today

Replenishing your skin and creating stronger, more lifted contours with either dermal fillers or facial implants is a great way to start the new year with a new you. Dr. Miller can even give you a preview of your new look via digital morphing. To set up an appointment and find out how fillers and implants can create the look of your dreams, call (646) 791-3025 or use the online form to book your consultation.

Read next, The Life-Changing Benefits of a Facelift

The Life-Changing Benefits of a Facelift

You’re considering a facelift but you’re wondering if it’s really worth the expense and downtime. If you’re listing the pros and cons while trying to come to a decision, a study from the Journal of the American Medicine Association (JAMA) Facial Plastic Surgery, supplies a number of new entries for your “pro” column. As it turns out, women who’ve had facelifts and other upper-face rejuvenation procedures aren’t just perceived as looking younger, but also as being more attractive, healthier, and more successful.

Dr. Phillip J. Miller, an expert facial plastic surgeon in New York City, has long promoted facelifts as one way to attain what he calls “Aesthetic Confidence®.” Dr. Miller’s patients relay that his surgeries do not just improve their appearance, but they have other life-changing benefits.

Some of these benefits include feeling happier and more confident after their surgery, and also that people react more positively to them than they did before. The following study, “Association Between Facial Rejuvenation and Observer Ratings of Youth, Attractiveness, Success, and Health” confirms his patients’ perceptions. Let’s explore each benefit so you can fully understand how, in the right hands,  life-changing a facelift can be.

Before and After 

The study included before-and-after photographs of twelve older women who’d either had eyelid surgery and a facelift, or eyelid surgery, a facelift, and a brow lift. Each of the 504 participants who looked at these photos in an online survey either saw the “before” or the “after” photograph from each of the twelve patients, but never saw both views.  

When the researchers looked at how the observers rated all of the photos, they found that…

The “Afters” Looked Younger

On average, women were estimated  4 to 5 years younger in their “after” shots than they were in their “before” shots.

Technique plays an important role in creating this youthful result. When performing a facelift, Dr. Miller always lifts the underlying SMAS (submucosal aponeurotic system) layer, along with the skin. Lifting the SMAS both vertically and horizontally creates a more youthful, uplifted face that appears much more natural than when lifting skin alone. The re-positioned SMAS also provides better support for your skin, allowing your facelift to last longer.

The “Afters” Were More Attractive

On a scale of 1 to 100, the “before” photos were rated “50” on attractiveness. The “after” photos jumped up to 68.

Another technique that Dr. Miller utilizes to restore a youthful visage is fat grafting. Dr. Miller often recommends fat grafting in combination with a facelift to get the best outcome for facial rejuvenation. The fat grafts fill in areas of lost volume on your face by using fat you’ve donated from a place where you have excess fat, such as your abdomen. Using an artist’s eye, Dr. Miller uses fat grafts to give your face more youthful and balanced contours. Another added benefit is the fat grafts also help your facelift heal.

The “Afters” Looked Much Healthier 

Using the same scale, the average of the “before” photos was just “50” on how healthy they looked. But the “after” shots gained 20 points.

Youthful vitality and health go hand in hand. To accelerate your healing and improve the quality of your skin overall, Dr. Miller recommends a skin rejuvenation procedure such as Fractora(TM) laser or microneedling in tandem with your facelift. Lasers and microneedling devices stimulate your skin to produce rejuvenating collagen. Your skin becomes thicker, stronger, smoother, and glows with health.

The “Afters” Looked More Successful

The study participants also rated that the women in the “after” pictures appeared more successful. The average “before” rating was only 50 but jumped to 61 for the “after” photos.

And, as Dr. Miller’s patients report, getting positive feedback on their appearance after a facelift or other cosmetic surgery really does give them a confidence boost. That confidence translates into more willingness to take risks in romance and on the job, leading to more success … and more confidence.

 

Rate Your Own “After” Photo

Not sure about getting a facelift, but still considering? As part of your facelift consultation, Dr. Miller can create a computer image that shows you what your life-changing results will be. Call Dr. Miller and his facial rejuvenation team to book your facelift consultation today. You deserve to live your after.

Read next, Are You an Ideal Candidate for Eyelid Surgery?

Are You an Ideal Candidate for Eyelid Surgery?

Are You an Ideal Candidate for Eyelid Surgery Blog If you have sagging upper eyelids or dark, hollow or baggy areas under your eyes, you may have tried — and discarded — a number of ineffective creams, lotions, and devices. Unfortunately, the skin around your eyes is thin and delicate, which is why it’s one of the first areas to show your age. And although medical-grade skin care with retinoids or other rejuvenating agents can hold back the earliest signs of aging, once your eye skin starts to bag or sag, surgery may be your best option.

Dr. Phillip Miller knows that deciding to undergo cosmetic eyelid surgery is a major step that takes careful consideration and research. As the inventor of  The Natralook Process™, Dr. Miller is committed to procedures that rejuvenate you while still maintaining your unique beauty and a natural, healthy appearance.

The Ideal Eyelid Surgery Candidate

Following are some tips that can help you determine the best procedure to get the results you want:

Are your upper lids sagging?

When your upper eyelids lose fat, collagen, and elastin, they start to droop and make you look tired or older than you feel. If the sagging is extreme, the excess skin can even hood your eyes, obscuring your vision.

Fat deposits in the upper lids also collect and droop with age, making your eyelids look thicker, too. Heavy, drooping lids are best remedied with a surgical procedure called upper blepharoplasty, otherwise known as an eyelift.

Dr. Miller hides eyelift incisions in the creases of your eyelids, then tightens the underlying lid muscle, which is one of the causes of your drooping lids. He removes excessive fat but leaves enough to make your eye look natural and youthful. He then tightens the eyelid skin and trims away any extra skin.

After you’ve healed from your surgery, your eyes look naturally more alert and youthful. Your incisions are so tiny that the hidden scar is barely visible.

Does your forehead look heavy or wrinkled?

Another sign of aging is a sagging brow that lowers the position of your eyebrows. If your eyelid skin also sags, you may benefit from both upper blepharoplasty and a brow lift.

During the procedure, Dr. Miller conceals the brow lift incisions in your forehead. He tightens the muscles in your forehead and eyelids. He lifts your brow skin — thereby smoothing out wrinkles — and trims away the extraneous skin. His skilled, artistic eye ensures that your eyebrows maintain a natural and youthful position.

If your eyelid skin hasn’t yet started to droop excessively, but you still notice that you don’t look as energized as you feel, Dr. Miller may suggest a forehead lift alone without or instead of upper blepharoplasty. This minimal surgery gives you the vibrant and energized look you deserve.

Do you have bags, wrinkles, or deep hollows under your eyes?

The first signs of aging under your eyes may be fine wrinkles, or just a darkening of your skin as it thins out due to aging or sun damage. Over time, your lower lids can sag so much that they reveal the white of your eye under your iris, a look that’s unflattering and aging. Fat also collects in the delicate under-eye area, creating puffy looking bags that make you seem perpetually tired, no matter how much sleep you’ve gotten.

Dr. Miller reverses age-related changes in the lower lid with a lower blepharoplasty. These incisions can be camouflaged under your lower lashes or inside your lid, then Dr. Miller tightens the underlying muscles, removes excess fat, tightens your skin, and trims away redundant skin.

Free from bags, sags, and dark circles you look youthful and rested. Many women and men elect to have both upper and lower blepharoplasty at the same time, with or without a brow lift.

Do you want to change your look?

If you have a monolid and desire a double eyelid, talk to Dr. Miller. He’s an expert at natural-looking facial plastic surgeries — including eyelid surgeries — that respect your ethnicity while giving you the improvement you want.

Are you still not sure about surgery?

If you’re still not sure you’re ready for surgery and your eye droop or bagging is minimal, there are a few options. Fillers used in combination with Botox are an alternative that may give temporary improvement to the under eye area. This is a great choice for patients looking for a non-surgical option or can be used in conjunction with surgery to meet your aesthetic goals.

Another non-surgical option Dr. Miller may recommend to revive your eyes is laser therapy. He employs groundbreaking Face-Tite™ radiofrequency(RF)-assisted liposuction technology by InMode to remove excess fat and tighten skin in the facial area.

Face-Tite works by sending pulses of RF energy through a tiny cannula. The energy heats up the fat, killing excess fat cells, while simultaneously initiating a collagen-remodeling process in your skin. Over the next weeks to months, your face tightens and your skin rebuilds itself with new, strong strands of collagen and elasticizing elastin.

Face-Tite can be used as a standalone therapy or in conjunction with facial plastic surgery. In addition to tightening your skin, Face-Tite makes it stronger and more pliable and also aids in the postsurgical healing process.

Either with Face-Tite or on their own, dermal fillers and fat grafts offer yet another way to rejuvenate your eye area. Dr. Miller performs nonsurgical eyelifts and fills tear troughs using state-of-the-art fillers, such as Restylane and fat grafts.

Restore Your Vitality

Whether you’re ready to rejuvenate your eyes, or still just curious, contact Dr. Miller for a consultation. Dr. Miller is committed to creating a unified vision of your desired results. Call his New York City office or use the online form.

Next, read our blog, Get “Tite” with These Great Treatments

 

Get “Tite” with These Great Treatments

Wrinkles get a lot of press when it comes to aging, but they’re not the only issue that can make you look older than you really are. In fact, sagging skin is one of the most frustrating signs of aging. This is skin that has lost its elasticity and firmness and has begun to droop and hang as a result. So what can you do about sagging skin? First, you need to understand why it happens. Collagen is a structural protein that gives the skin its firmness and youthful elasticity. As we age, collagen begins to break down and new production also slows. This means that the skin no longer has the support it needs to stay youthful and it begins to sag.

The good news? Your skin isn’t doomed once collagen production slows down. You can encourage new collagen to form by choosing to undergo skin treatments with a plastic surgeon. A series of “Tite” treatments is a great choice for sagging skin, whether you need face, body, or neck skin tightening. Let’s take a look at the options!

Face-Tite

For many people, the face is the most pressing area of concern when it comes to aging. It’s easier to hide sagging skin and other issues in other areas of the body with clothing. But our faces are the first impression people get of us. Face-Tite is a great solution for sagging skin that can help contour the face for a more youthful appearance.

Using radiofrequency energy combined with gentle liposuction, the face is contoured by using small cannulas (tubes) to remove unwanted fat through tiny incisions. It’s a minimally invasive procedure that helps stimulate collagen production for tighter skin, while the liposuction removes any unwanted fatty deposits, allowing the skin to contract. The fat removed is minimal, but the overall results can be dramatic. Patients can look more youthful and refreshed, often gaining enhanced confidence following treatment!

Neck-Tite

Just like Face-Tite, Neck-Tite makes use of radiofrequency-assisted liposuction to tighten the neck and jowls. While sagging in the face is common and noticeable, sagging in the neck can be even more troublesome. Many people develop a “turkey wattle” look that can make them look much older than they really are. Neck-Tite contours the neck and jowls and helps the skin to tighten and contract for a fresh new look.

BodyTite

Stubborn fat and cellulite can be some of the most frustrating problems you can face, as no amount of diet and exercise can help resolve certain problem areas. BodyTite is a great solution for people who just want a sleek physique without the little lumps and bumps that persist, despite a healthy lifestyle.

Radiofrequency assisted liposuction is a gentle procedure that can help create a more toned appearance with little downtime. It also assists with tightening the skin, due to increased collagen production. Good results from liposuction require the skin to retract properly, and the subtle but powerful results of BodyTite accomplish just that.

Tite-FX

Tite-FX uses the same radiofrequency technology as the other procedures, but instead of combining the energy with liposuction, it uses vacuum technology to remove excess fat non-invasively. This treatment is fantastic for people with busy lives because it effectively reduces fat and improves the overall body contours with no downtime. Cellulite is a difficult problem to treat. Yet some patients have noticed a reduction in cellulite after undergoing Tite-FX treatment, which can help boost confidence and self-esteem. This procedure can also be combined with liposuction for even better results.

Gradual, Lasting Improvement

The best part about getting “Tite” is that the results are gradual and long-lasting. You’ll notice a difference right away, of course, due to the contouring of the treated area, but the radiofrequency energy will produce other benefits that will become apparent gradually. You should notice your skin tightening over several months following treatment as new collagen is produced to support the skin. While this won’t last forever, the new collagen is long-lasting and should help slow down the effects of aging for a while. Maintaining a healthy weight and lifestyle is a great way to keep the results looking good for a long time to come!

Choosing the Right Doctor

As with any plastic surgery procedure, choosing the right surgeon is absolutely essential to your success. If you’re interested in the power of radiofrequency-assisted liposuction, you will want to make sure you choose an expert to perform your procedure—someone who has the experience and the artistic eye to make your dream a reality.

There are many excellent plastic surgeons in New York, NY, but Dr. Philip Miller is a seasoned provider of all four “Tite” treatments. He knows how powerful the procedure can be, and he helps patients regain their confidence and self-esteem by helping them choose a treatment plan that’s right for their needs. If you’d like to schedule a consultation with Dr. Miller, call (646) 791-3025 today!

Next, read our blog, 5 Myths About Breast Reduction.

5 Myths About Breast Reduction

Do a quick Google search, and you’ll quickly realize there’s an overwhelming amount of information available on the subject of breast reduction surgery. Not all of this information is reliable, however. Some pervasive myths surround the procedure, some of which can actually be harmful to prospective patients. If you believe some of these myths, you might delay a surgery that would improve your quality of life, or worse, rush into a surgery before you’re ready. With that in mind, we wanted to bust some of the common myths about breast reductions to help you make the decision that’s right for you.

1. Women should be happy to have large breasts

Many women, and men, are shocked to hear that some women want smaller breasts. But choosing to undergo breast reduction is a personal decision, and a perfectly legitimate one. Some women experience severe back pain from the weight of heavy breasts. In fact, some insurance companies cover breast reduction for exactly this reason. Others find that their large bust is an impediment to exercise or makes it nearly impossible to find clothing that fits. In most cases, the surgery is not cosmetic at all—it’s medically advisable. There are cosmetic benefits as well. The breasts typically look more youthful, firm, and perky after a breast reduction. The bottom line is that it’s not a bad thing to want a smaller bust, and you shouldn’t feel like you have to justify your desires to others.

2. Breast reduction causes an inability to breastfeed

If performed correctly, most patients should have no problem breastfeeding once they have healed from breast reduction surgery. Glandular tissue is removed during the surgery, but as long as the connection between the nipple and core breast tissue is not severed, the procedure should not affect milk production. However, in some breast reduction cases, it is advisable to reposition the nipples, which can affect the ability to breastfeed. There is also always a small risk of complications, which could include loss of the ability to breastfeed. However, this is very rare, especially when the procedure is performed by an expert, board certified plastic surgeon.

3. Weight loss can reduce breast size

Breasts are made up of more than just fatty tissue; glandular tissue is also present. Because of this, weight loss will not provide the kind of relief most breast reduction patients seek. While losing weight can reduce the size of the breasts a little, there’s more to a reduction than just liposuction. Both fat and glandular tissue are carefully removed to create an attractive shape and lift, something that requires the skill of an experienced plastic surgeon. Weight loss can be a good first step, but it can’t replace a breast reduction for significant results.

4. Patients can choose their cup size

As with any plastic surgery, it’s very important to have realistic expectations for breast reduction. While it is possible to aim for a general size range, the procedure is complex, and results cannot be fully predicted before the surgery. A computerized preview can help patients visualize the final results, but surgeons cannot reproduce an exact copy of those previews. Patients need to understand that variations in the surgery and healing affect the final size. It’s best to leave shopping for after the procedure! Unlike breast augmentation patients, breast reduction candidates don’t have implants to choose and can have more variation in the final results.

5. The procedure can be done without scars

All surgery produces some scarring. Depending on the amount of breast tissue to be removed, breast reduction can result in some significant scars. Some patients have scarring extending down from the nipple and all the way under the breasts. While these scars will fade somewhat over time and are easily hidden by a bra or swimsuit, scarring is just part of the breast reduction process.

Talk to a Trusted Surgeon

Because there is so much misinformation available online, you’re better off going directly to the source: a trusted, board certified plastic surgeon. Speaking to a trusted plastic surgeon will allow you to determine your candidacy for the procedure, ask specific questions, and get reliable answers. You will need to consult with each surgeon you are considering anyway, and these meetings are a great way to get to know the surgeons and learn more about the procedure. You should consider your decision very carefully, as breast reduction is permanent.

If you’re ready to get more information about breast reduction and start talking about your goals for the procedure, consider heading to New York, NY for a consultation with Dr. Douglas Steinbrech. Dr. Steinbrech is a board certified plastic surgeon offering a range of body contouring procedures, including breast reduction. Dr. Steinbrech is a well-respected surgeon who does not hesitate to share his knowledge and expertise with patients and colleagues alike. For more information and to schedule your consultation, call (646) 791-3025 today!

Next, read our blog, 5 Tips for Your Rhinoplasty Recovery

5 Tips for Your Rhinoplasty Recovery

Planning your rhinoplasty procedure? Starting to feel nervous? Don’t worry! It’s normal to feel a mixture of excitement and anxiety before your procedure, and you’re probably speculating on how you’ll look and feel after your undergo the surgery.

While most people find that the recovery process isn’t as bad as they expected, it still pays to be prepared and set yourself up for a comfortable recovery and a beautiful result. Here are 5 tips for ensuring that your rhinoplasty recovery goes as smoothly as possible.

Tip #1: Give Yourself Enough Recovery Time

When you’re planning your recovery period, you may think that you don’t need the full 1-2 weeks of recovery time recommended by most surgeons. However, even if you feel fairly normal after the first few days, it’s important to give your body the rest it needs to recover and heal. Block off at least 10 days for the process. When you’re ready, start resuming normal activities slowly—it doesn’t pay to overdo things. Additionally, you may have some bruising during the first few weeks, which may not have you feeling very social!

Tip #2: Set up a Dedicated Recovery Area

You won’t be able to go about your normal routines during your recovery, so it’s a good idea to anticipate what you’ll need before you need it. The day before your surgery, set up a dedicated recovery area to maximize your comfort and rest.

You’ll need to sleep with your head elevated above your heart initially (to reduce swelling and to keep the nose from shifting), so it’s best to outfit an easy chair with pillows and blankets. If you don’t have a suitable chair, your bed will work as long as you add extra pillows and something to stabilize you as you sleep (such as pillows on either side of you). Make sure you have ice packs ready, along with books, magazines, or other entertainment close at hand. Finally, make sure you have your painkillers close at hand to help control any discomfort.

Tip #3: Plan Ahead for Meals

It’s easy to default to takeout when you’re not feeling well enough to cook, but salty or sugary junk food and takeout won’t cut it when you’re recovering from surgery. You need nutritious food for cellular renewal, and it’s best to prep your food ahead to make sure you’re fueling your recovery properly.

Try make-ahead recipes that can be frozen or refrigerated. That way, when it’s dinnertime, all you’ll have to do is pop a meal into the microwave with no additional hassle. Frozen meals can also often be heated in a slow cooker all day so dinner is ready by evening.

Tip #4: Take Your Meds

While it may be tempting to skip your meds and just suffer through any discomfort, this approach really doesn’t do you any favors. Take your meds according to your doctor’s guidelines, and just make sure you’re not taking more of them than you’re supposed to.

Tip #5: Treat Your Nose with Respect

Your surgeon and his team will work their magic in the operating room, but they can’t be there every step of your recovery to make sure you’re giving your nose every chance to heal properly. A surgery performed by the best surgeon can still end in a poor outcome if the nose is bumped or jostled too much during surgery, or isn’t given the opportunity to heal.

Smoking, drinking, the wrong supplements, overdoing it, or jostling the nose can all have a major negative impact on the healing process. Poor healing can lead to scarring, infection, and a poor aesthetic outcome—not something you want from a surgery that is supposed to help you look and feel better about yourself!

Always Follow Your Doctor’s Instructions

The most important tip for any rhinoplasty recovery is to follow your doctor’s pre- and post-operative instructions to the letter. It is up to you to take care of your nose following surgery, but your surgeon will give you everything you need to succeed. Read and understand these instructions thoroughly before the day of the surgery, and make sure you don’t skip any steps for your care. The instructions are given to you for a reason!

Because your surgeon’s skill will be the biggest factor in your rhinoplasty’s success, it’s important to take your time and choose your provider carefully. A skilled and board certified facial plastic surgeon like Dr. Philip Miller is the best choice for your surgery, since becoming board certified in this field is difficult and requires years of study and practice. To learn more about rhinoplasty with Dr. Miller in New York, NY, call (646) 791-3025 today to schedule a consultation.

Next, read our blog, Know the Do’s and Don’ts After Having a Breast Augmentation.

Know the Do’s and Don’ts After Having a Breast Augmentation

Of course you want your breast augmentation to go well. But aside from choosing the best surgeon for the job, how can you make sure you’re setting yourself up for success? One of the best ways to do that is to educate yourself and make sure that you’re prepared for the recovery period after your surgery.

Self-care is one of the most important factors in your breast augmentation recovery. In fact, it will partly determine your final results. Before you head to your doctor’s office, here are some do’s and don’ts of your breast augmentation recovery, so you can ensure you’re caring for yourself properly after surgery.

The Do’s

Do: Wear the Right Bra

Many women wonder if they should wear a bra after surgery, or whether that will cause problems with healing. You should wear a bra—but only the right kind of bra. Your breasts will need support following surgery, but it’s important not to wear a garment that will distort the shape of the breasts. A basic, supportive bra will be the best option, and your surgeon can give you recommendations for what to purchase.

Do: Avoid Heavy Lifting After Surgery

Many people, especially mothers of young children, have trouble avoiding heavy lifting after surgery, but it’s crucial to your recovery. You should not lift your arms above the shoulders for the first two weeks. If possible, it’s best to have someone stay with you immediately after surgery, and to help around the house for the first few days. Stretching, reaching, bending and lifting can all cause complications, compromise your incision, and cause bleeding. Don’t lift anything heavy until your doctor says it’s okay!

Do: Rest and Take it Easy

While light activity after the first day is encouraged, it’s easy to overdo it. Rest and take it easy—your body needs time to heal from the surgery. Furthermore, you risk complications by doing too much too soon. Make sure you prepare your home before surgery so you’ll be able to rest. Prepare a recovery area beforehand, clean the house, and make sure things you’ll need are in easy reach.

Do: Eat Healthfully

You might feel like grabbing any junk food you can find after surgery. For optimal healing, however, it’s best to follow a healthy diet. Prepare for your recovery by stocking your freezer and refrigerator with healthy food you can prepare and eat quickly—think crock pot meals or healthy microwaveable dinners. High sodium and poor nutrition will slow down the healing process, so think ahead!

Do: Be Patient and Follow All Instructions

After your surgery, you may be skeptical that all your surgeon’s instructions are really necessary. Don’t fall into this trap! It’s essential that you follow all your surgeon’s recovery instructions and take pain medication to ensure your comfort. Your surgeon will be specific about any massage or exercises you should perform, and any other important instructions to follow, so don’t discount any directions you are given. Be patient—it takes a while for your body to recover from surgery, and you won’t see the final results right away.

Do: Keep a Positive Outlook

Recovery from surgery can be uncomfortable, and it can be hard to see the light at the end of the tunnel (your great results). Try to keep a positive outlook during your recovery. Staying optimistic will help you keep up with your post-op instructions and heal more quickly.

The Don’ts

Don’t: Sleep on Your Side or Stomach

While you might be most comfortable sleeping on your side or stomach normally, you must sleep on your back during breast implant recovery. This will help prevent strain on the incisions and keep your healing even on both sides.

Don’t: Wear an Underwire or Pushup Bra

Your implants need to settle after surgery, and this process takes several months. It’s important to wear the right support garments after the procedure. Don’t wear an underwire or pushup bra, as these can affect the final shape of your implants or put strain on your incisions. Just stick to the bras your surgeon recommends for at least a month.

Don’t: Take a Bath

After the first few days, you will be allowed to shower, as long as you keep the healing incisions as dry as possible. However, you should not take a bath or get into a hot tub until you’re given the green light by your surgeon. Submerging the incision in hot water can allow bacteria to enter the wound and cause complications.

Don’t: Smoke

Smoking is very dangerous for your health, particularly before and after surgery. Do not smoke during your recovery, since it can slow down and impede healing by reducing oxygen flow in the body. The last thing you want is cigarettes to compromise your results, so make a vow to quit well before your procedure.

Don’t: Poke, Prod, and Worry

Your breasts will feel strange after the procedure, and it will be tempting to poke and prod at them. Don’t! Give your breasts time to heal undisturbed, and only touch them when absolutely necessary. They will feel tender, sensitive, and you may experience tightness in the area as your skin adapts to the size of the implants. Hands off until you’re healed!

Keep in Contact With Your Surgeon

After your procedure, you will need to return to your surgeon for several post-op appointments. Don’t skip these! It’s important to keep in contact with your surgeon and to notify him or her immediately if you think there is a problem. Call your doctor if you notice anything out of the ordinary, and call 911 if necessary. Don’t brush off possible complications—it’s not worth the risk.

If you’re still looking for an experienced plastic surgeon to perform your procedure, consider a consultation with Dr. Douglas Steinbrech in New York, NY. Dr. Steinbrech is a highly respected board certified plastic surgeon and works actively in research and educating the next generation of surgeons. For more information, call (646) 681-7126 to schedule your consultation.

Next, read our blog, Which Laser Treatment is Right for You?