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The Truth About Snapchat Dysmorphia

In addition to adorable puppy ears, floral headpieces, and new pairs of sunglasses to try on, Snapchat also offers face-perfecting filters that instantly smooth out your skin and give you bigger eyes, a smaller nose, and a thinner face. While it may seem all fun and games at first, teenagers can become obsessed with their filtered selfies and may go to great, social media-approved lengths to be able to “Facetune” their faces in real life, with the help of a cosmetic surgeon. Those who choose to undergo plastic surgery in New York City to look like their pixel-perfect selfies may be suffering from an underlying mental health condition called Snapchat Dysmorphia.

What Is Snapchat Dysmorphia?

Social media platforms like Snapchat and Instagram and photo-editing apps like Facetune are contributing to a dangerous trend where people are feeling insecure about not looking as beautiful and flawless as their own filtered selves that have garnered ego-boosting hearts and “likes” from their followers.  

Dubbed as “Snapchat Dysmorphia” by a group of dermatologists at Boston University, this new phenomenon has patients seeking out cosmetic surgeries in an attempt to look identical with the filtered versions of themselves –with a thinner nose, bigger eyes, and fuller lips. The paper which was published in the JAMA Facial Plastic Surgery Viewpoint also mentions how Snapchat Dysmorphia is a new twist on the condition known as Body Dysmorphic Disorder in which people have an excessive preoccupation with their perceived flaws. What is happening right now is a significant rise in “selfie” surgery requests and instead of patients bringing in photos of celebrities who possess their ideal nose or face shape, they are now presenting highly-edited selfies fit for an airbrushed cover of a glossy magazine. “This is an alarming trend because those filtered selfies often present an unattainable look and are blurring the line of reality and fantasy for these patients,” the paper read. 

Social media, it seems, is shaping our concept of beauty and is putting the spotlight on our flaws as we attempt to achieve physical perfection offline. No matter how advanced and innovative the techniques in plastic surgery are today, attempting to measure up to your altered images can be unrealistic, unattainable, and unhealthy. This is why it is important that you consult with a double-board certified facial plastic surgeon like Dr. Philip Miller. Dr. Miller and his team can help you achieve healthy aesthetic changes that can highlight your natural, unfiltered beauty. 

No Filter Needed

Dr. Miller and his New York team can help you healthily achieve your aesthetic goals. His expertise ensures you will have a natural and refreshed look, not just what you see in altered and heavily filter pictures. 

 Dr. Miller has a variety of options, from surgical procedures such as rhinoplasty, neck lift, chin implant, jawline augmentation, and otoplasty, to non-surgical options that can be done over a lunch break.

Non-Surgical Treatment Options

Some of the best available treatments today don’t even need a scalpel and can be done in a lunch hour with minimal downtime. And what is brilliant about these non-surgical procedures is that you will still look like yourself –just fresher, younger, and more radiant with glowing skin, a sharper nose, and a taut jawline. These are the non-surgical face and skin-transforming treatments that can be performed by Dr. Miller:

Non-Surgical Rhinoplasty 

Also referred to as a liquid rhinoplasty, a non-surgical nose job allows the surgeon to subtly alter the nose’s size, shape, position of the nasal tip, as well as straighten the nose and hide bumps through the use of injectable fillers. 

A non-surgical nose job is a pain-free alternative to surgical procedures for correcting undesirable nasal characteristics. And since injectable fillers are used, the results are immediate. In addition, if you are unsatisfied with the results, the fillers can be dissolved within 24 hours. Non-surgical rhinoplasty has no long-term effects, making you a potential candidate for a traditional rhinoplasty in the future should you still desire to undergo the procedure.

Dr. Miller is considered one of the country’s leading experts in rhinoplasty and facial rejuvenation and has even lectured on innovative rhinoplasty techniques as well as written chapters for rhinoplasty textbooks. 


Those who want to look more youthful by smoothing their fine lines and wrinkles are good candidates for Botox injections. FDA-approved to treat crow’s feet and frown lines, Botox works by blocking nerve impulses to the facial muscles, causing dynamic wrinkles to soften and relax. Skin will appear smoother and less wrinkled, giving you a refreshed and rejuvenated appearance.

Dermal Fillers 

With over 20 years of experience, Dr. Miller is recognized as an expert in facial rejuvenation procedures, including filler injections. Dermal fillers are made from hyaluronic acid (HA) which is a natural substance within the skin that’s responsible for keeping the skin supple and hydrated while adding volume. We lose HA as we age, resulting in skin’s lack of moisture, strength, and volume. When injected into the skin (cheeks, around the eyes and mouth area, chin, or lips), fillers will replace lost volume to plump and contour the face. Examples of dermal fillers include Juvéderm and its products (Voluma, Ultra, Ultra Plus, and Volbella), Restylane, and Radiesse (calcium hydroxylapatite).

Dermal fillers combined with Botox can work wonders in rejuvenating the face. They create a powerful anti-aging treatment that gives the face a natural lift as they relax and fill in those lines, wrinkles, and hollow areas while redefining the contours of the face. 

Treatments For Skin Resurfacing and Tightening

Laser, light, and energy devices can help address signs of aging such as fine lines and wrinkles, blemishes, and pigmentation through short and direct pulsating beams of light that create heat points or micro-injuries in various depths of the skin, triggering the skin’s natural healing process. Skin becomes smoother, tighter, and clearer, with improved tone and texture. Examples of treatments include:

  • CO2 Resurfacing Laser Treatment – creates microscopic treatment areas where shafts of intense light penetrate into the deeper layers of the skin. During the healing process, old, damaged skin is replaced with new skin that is smoother, tighter, and more radiant. The laser effectively treats acne scars, blotchy skin, deeper wrinkles, and scars from surgery or trauma. 
  • Ultherapy – Dr. Miller is among the first in New York City to offer the Ultherapy treatment for toning and lifting loose, lax skin without any downtime. It uses safe ultrasound energy to trigger collagen production, resulting in tighter skin and a more youthful, contoured appearance on the brow, chin, and neck. 
  • Fractora & Fractora Firm – Fractora utilizes fractional radiofrequency technology to resurface the skin, effectively correcting common skin concerns such as fine lines and deep wrinkles, redness, brown spots, visible blood vessels, and poor skin texture. On the other hand, Fractora Firm is an advanced skin rejuvenation treatment that uses thermal energy to deeply heat beneath the skin, stimulating collagen formation which results in tighter, more youthful, and glowing skin.

Choosing the Right Surgeon

Focusing exclusively on the face for more than two decades in New York City, double board-certified facial plastic surgeon Dr. Philip Miller seamlessly blends art and science with skill and innovation to provide his thousands of patients with impeccable results. With his compassionate and empathetic approach to treating patients, he will work with you to highlight your best attributes instead of focusing on your flaws. And with the many non-surgical procedures he can perform, transformation need not be drastic. Enhancing your features could mean subtle yet beautiful, natural-looking results that will help you achieve the best version of yourself.

Consult With New York’s Facial Plastic Surgery Specialist

Dr. Philip Miller and his team of top-rated facial plastic surgery experts can provide you with a custom cosmetic treatment plan consisting of a combination of advanced, non-surgical procedures that will help you achieve the Aesthetic Confidence you desire. To learn more, contact Dr. Miller today. 

Three Facial Plastic Surgery Procedures You’ve Never Heard Of

You thought you knew everything about facial plastic surgery and cutting-edge aesthetic procedures. And maybe you do! But if you don’t, the following are a few of the lesser-known surgical aesthetic enhancements that I perform for women and men who want to boost their physical appearance as well as their self-confidence. As a double-board certified facial plastic surgeon in New York City who also trained as an artist, my goal is to make you look like the very best version of yourself and increase your Aesthetic Confidence®:

Buccal fat removal

before and after of buccal fat removalYour “chipmunk cheeks” were adorable when you were five, but now you want a sophisticated, sleek look that matches your personality and your level of achievement. By removing excess buccal (i.e. cheek) fat and tissue, I create a slender lower face that emphasizes and dramatizes your cheekbones. 

The entire outpatient buccal fat removal surgery only takes about an hour and can be done under general or local anesthesia. During this procedure, I make a small incision inside both cheeks, so you won’t have a visible scar. With care and precision, I sculpt away excess fat to create cheeks that are lean and beautifully contoured.

The incisions are then closed with dissolvable sutures. You can return to work or regular activities as soon as the next day.

Learn more about getting the sculpted cheekbones you desire with our buccal fat guide.

G.I Jaw®  

before and after photo of a man who underwent the gi jaw procedure in new yorkIf you’re a man, you may envy men like Brad Pitt or even action figures — like G.I. Joe who I named this procedure after — who have that classically sculpted strong jawline. A square, chiseled, defined jaw conveys strength, dominance, and success. While you may not have been born with the bone structure that exudes the kind of confidence you want to present to the world, a G.I. Jaw procedure helps you look as masculine and attractive as you want to be. 

Looking to achieve a strong jawline through a cosmetic procedure has become so popular that according to the American Academy of Facial Plastic and Reconstructive Surgery, general plastic surgeries are on the rise. But my patented G.I. Jaw procedure is more than simply inserting a medical-grade jaw implant or building the jaw non-surgically with long-lasting dermal fillers. I may also recommend other changes to create a more masculine appearance, which keeps your new jawline in harmony with your other features. Recommendations may include:

My aim is to create improvements that convey more strength and masculinity, while still looking natural and like yourself.

Inserting medical-grade implants is a minimally invasive procedure that can be done in the office under local anesthesia. You may experience some swelling or discomfort afterward. Generally, most men don’t have discomfort following a nonsurgical G.I. Jaw procedure performed with dermal fillers.

Learn more on how to transform and strengthen your face with our G.I. Jaw guide.


before and after of a owmna who received a mirco rhinoplasty in new york

Do you want to improve the shape of your nose, but the idea of undergoing a full rhinoplasty — which requires breaking the nasal bone and cartilage and a healing period of up to one year — just doesn’t appeal to you? If you only want to remove bumps and lumps on your nose, I can perform a micro-rhinoplasty that requires just one tiny incision in your nostril, no bone breakage, and no significant downtime.

Using specialized tools, I insert a high-tech, air-powered micro-rasp into the incision and gently reshape your nasal bone and cartilage, sculpting away humps and bumps. The end result is a nose that’s straighter, more aesthetically pleasing, and in better harmony with the rest of your facial features.

Unlike traditional rhinoplasty, which is performed under general anesthesia and may take several hours, micro-rhinoplasty is done in my Manhattan office under local anesthesia. The entire procedure only takes about  5-15 minutes. 

Your recovery time is also cut down. You’re swollen for a few days after your procedure but can return to most of your normal (non-strenuous) activities within 1-2 days.

Learn more about micro-rhinoplasty with our procedure guide.

Book a Facial Plastic Surgery Consultation in New York Today

When it comes to cosmetic surgery, your satisfaction with your results can have emotional and psychological benefits. It makes sense. When you look good, you feel good.  If you’re ready to get your Aesthetic Confidence® back, contact Dr. Miller and his staff at his New York office today. 

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before and after of a woman after a rhinoplasty procedure in new yorkIs Micro-Rhinoplasty Right for You?







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:

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.

Next, learn all about The Cost of 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.

Next, find out if You are an Ideal Candidate for Eyelid Surgery

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.

Next, read Why Millennials Should Start Anti-Aging Treatments.

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.

Next, read about The Rise of Medical Aesthetics for Men.

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, find out if Buccal Fat Removal can Enhance your Facelift Results


Get “Tite” with These Great Treatments

Skin Tightening Treatment in New YorkWrinkles 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!


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!


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.


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 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 about the Benefits of a Facelift and Why it Could be Right for You

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, learn if Scar Tissue will be an issue after Rhinoplasty

Submental Liposuction Versus Neck Lift Surgery

Neck and Chin liposuction before and after photo of New York patient. You’re ready to do it: Build your Aesthetic Confidence® by contouring your neck and jawline to look more defined and attractive. But as you look into the procedures that could give you the strong, new profile you desire, you wonder whether submental liposuction is the way to go, or if you’d do better with a neck lift.

Dr. Philip Miller in New York City is a double-board certified facial plastic surgeon who was raised by an artist, so he not only has expert surgical skills but also a highly developed sense of aesthetics, proportions, and balance. He’s an expert in using the Golden Ratio, which refers to the ideal proportion of the nose and mouth along with the distance between the eyes and chin. Dr. Miller uses this guide to create symmetry and beauty in your facial features, while also harmonizing with your ethnicity and gender. 

When you meet with him for a one-on-one consultation, he takes the time to evaluate your skin tone, bone structure, and fat-concentrated areas to determine the right procedure or combination of procedures to make you look like the absolute best and most confident version of yourself.

If you’re wondering whether submental liposuction or a neck lift is the right choice for you, ask yourself the following questions:

Submental Liposuction Candidate

Chin liposuction and neck lift before and after of a patient at our New York office. If you have submental fat (fat underneath your chin, otherwise known as a double chin), but your skin is smooth, resilient, and snaps back into place immediately after you pinch or stretch it, then submental liposuction may be enough to give you a stronger, more attractive jawline and profile.  

Today’s tumescent liposuction procedures are highly refined and can be performed under local anesthesia at the Gotham Plastic Surgery office. Dr. Miller only needs to make two small incisions underneath your chin or behind your ears. 

By first injecting the treatment area with a special solution, Dr. Miller breaks up the fat cells so that they can easily be aspirated with small metal tubes called cannulas. The thinness of the cannulas allows him to sculpt away tiny packets of fat that mar your chin and jawline to create smooth, uniform, and finely-detailed results.

Since liposuction is a surgical procedure, you should arrange to take a week off from work. You also need to wear a chin strap for a few days to control bruising and swelling. You should be able to return to most of your normal activities within two weeks.

Neck Lift Candidate

A neck lift before and after photo of a patient from our Manhattan office. One of the most frustrating signs of aging is a drooping, sagging neck, sometimes called a “turkey neck.” Your neck is often the first place where your age becomes apparent because neck skin is thin and poorly attached to the underlying muscle. If the skin underneath your chin and on your neck is wrinkled, crepey, or saggy, the best procedure for you is a surgical neck lift. Neck lifts are one of the top 5 cosmetic surgery procedures performed in the United States.

When Dr. Miller performs a neck lift, he does more than just tighten the skin underneath your chin and around your neck. He also improves jowling, in order to create a more youthful facial shape. Unlike less skilled surgeons who advertise a “skin-only” lift, Dr. Miller always tightens and lifts the underlying neck muscles to give tighter neck skin extra support. After tightening and lifting your neck skin, he trims away any redundant skin, leaving you with a smooth and youthful-looking neck and jawline.

A neck lift is the most dramatic, satisfying, and long-lasting remedy for loose, wrinkled, or drooping neck skin. Dr. Miller hides the scars from your lift behind your ears. You need to arrange for about a two-week recovery period. You’ll wear bandages to control bruising and swelling, and may need surgical drains as well.

As your neck lift heals over the weeks to months after your surgery, your jawline, chin, and neck area look tighter, fresher, and more youthful. After about six months, you’ll notice that your neck lift took about 10 years off of your appearance, and it should keep you looking young for another 10 years. You can enhance the length of your neck lift with regular procedures that help your skin produce new rejuvenating collagen, such as laser skin revitalization.

When You Need a Neck Lift with Submental Liposuction

If you’re unhappy with your profile and you have already begun to age, chances are you have both excess submental fat and loose inelastic skin. To completely re-contour your chin, jaw, and neck, you’d benefit most from combining submental liposuction with a neck lift. Dr. Miller performs both surgeries during one procedure to minimize your expense and recovery time. 

Treating a Recessed Chin

Even if you sculpt away excess fat and tighten up wrinkled skin, if the point of your chin lies behind the line of your lips, you may benefit from a chin implant. A custom-fitted silicone implant lines your chin up with your lips to impart strength and confidence into your profile. You can have an implant as a stand-alone procedure or as part of submental liposuction with or without a neck lift. Dr. Miller can help you decide if a chin implant is right for you.

Creating a Movie Star Jawline

If you’re a man who’s looking for a jaw and profile that’s as chiseled as an A-list movie star’s, you may be a candidate for Dr. Miller’s G.I. Jaw™ technique. Based on your needs, he selects from a series of procedures, such as chin liposuction, jaw and chin implants, or dermal fillers, to create a strong and masculine look to your lower face and profile.

Schedule a Consultation Today

Before you settle on which procedure you want, you have a more important decision to make: choosing your surgeon. Be sure to interview the most highly skilled surgeons in your area or consider traveling to get the best, longest-lasting, most natural-looking results. To schedule a consultation with Dr. Miller in New York City, call our office today, or use our online contact form.

Next, read about our Recommended Skin Tightening Treatments.