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What’s Behind the Sudden Rise in Rhinoplasty Popularity?

Social media is a very visual medium –it’s a virtual place to see and be seen. Therefore, it’s no surprise how daily postings can somehow fuel our vanity or our quest for having the perfect selfie. Did you know that selfies can make your nose look about 30% larger? It’s because of how the camera on the phone distorts objects up close. Due to this, some people are convinced that no photo-editing app is good enough to make themselves and their noses look flawless and that undergoing plastic surgery is the only key to achieving social media-approved beauty. This has led to a meteoric rise in the popularity of rhinoplasty, also known as a “nose job.” 

Despite the apparent popularity of rhinoplasties, you should have a keen awareness that not just any surgeon is right for the job. One of the most crucial steps in guaranteeing a satisfactory nose procedure outcome is choosing the right surgeon. Rhinoplasty is one of the most challenging cosmetic procedures to perform, so you should only trust a surgeon with rhinoplasty expertise, experience, and skill. A great surgeon is also a good listener, a compassionate and patient caregiver, and an effective communicator.

For patients in New York City who seek a nose job with reasonable expectations and their desire comes from a “healthy place”—perhaps, to improve self-esteem or to correct a functional issue – facial plastic surgeon Dr. Philip Miller will combine his expertise and skill with his artistic eye to produce impeccable results that are life-changing.

Surgical And Non-Surgical Rhinoplasty Options

before and after of a rhinoplasty in new york

Your nose is one of the most prominent features of the face as it brings balance to your facial profile.  That’s why it’s often the first thing people notice on your face. If you feel that your nose detracts from your whole face, diminishing the beauty of your eyes or other facial features, and more importantly, if you have trouble breathing, you may be a candidate for a rhinoplasty.

Voted among the Best Doctors in America and Top Doctor of New York since 2007, Dr. Miller has lectured on cutting edge rhinoplasty techniques, including his innovative NatraNose procedure,  and even written chapters for rhinoplasty and neck rejuvenation textbooks. He can provide custom cosmetic treatment plans that include a combination of advanced procedures and minimally-invasive techniques to help you achieve your desired results.

Which Nasal Procedure Is Right For You?

Nose shaping was the third most popular cosmetic surgical procedure performed in 2018 according to the American Society of Plastic Surgeons report, so it is important to know the facts of what rhinoplasty means and the process behind the types of procedures. Each procedure will have its own set of advantages. While a non-surgical nose job will involve no pain, no recovery time, no scarring, and will cost less than a traditional rhinoplasty, it cannot address all nasal issues. A non-surgical rhinoplasty utilizes injectables, and injectables can only be used for augmentation and not a reduction. For larger cosmetic nose concerns, surgical rhinoplasty is still the best long-term solution. 

As a leading rhinoplasty surgeon who has devoted most of his career to the human nose, Dr. Miller can help recommend the best approach to achieve your aesthetic goals. He can even use virtual rhinoplasty to help you visualize nose job results from the comfort of his office. Virtual Rhinoplasty uses the latest in technology and computer imaging to provide patients with the ability to see what the results will look like even before undergoing any procedure. This gives you the opportunity to explore how different changes to your nose will impact the final results.

One major benefit of this technology is that it provides a visual tool for communication between surgeon and patient. This will help Dr. Miller understand your nose job goals as well as make the necessary recommendations that will ensure that both of you are on the same page before any procedure begins.

Rhinoplastybefore and after of a female rhinoplasty in new york

A rhinoplasty can change the shape of your entire nose or just a small portion of it with the goal of making it fit more harmoniously with the rest of the face. These are the specific changes often requested during a nose job:

The 1 ½ – 2 ½ hour procedure may be done either under general anesthesia or under sedation. Most incisions are made inside the nostrils, or a small one made along the natural creases found on the sides or near the base of the nose.

Skin is then lifted from the underlying cartilage and bone, and the nose is recontoured and reconstructed. The incisions heal quickly and leave scars that are nearly invisible. Dr. Miller also offers variations of his nose surgery procedures depending on your age, gender, ethnicity, and desired goals. Examples are Teen Rhinoplasty, Male Rhinoplasty, MicroRhinoplasty, Ethnic Rhinoplasty, and Revision Rhinoplasty.

Non-Surgical Rhinoplasty

Not everyone will need surgical rhinoplasty. As one of New York City’s top rhinoplasty surgeons, Dr. Miller understands that not every patient who desires to alter their nose will need invasive surgery to achieve dramatic results. For patients like these, or for those not ready for surgery and would like something temporary, Dr. Miller has developed a specialized area of practice that will give you the transformation you want using non-surgical methods.

Also referred to as a liquid rhinoplasty, a non-surgical nose job allows surgeons to alter the nose’s shape, size, the position of the nasal tip, or to hide bumps. It is a quick, pain-free alternative to invasive surgeries for correcting undesirable noise characteristics.

Hyaluronic acid fillers such as Restylane, Perlane, and Juvéderm are the preferred injectables for a liquid rhinoplasty. They are the easiest to mold and shape, and can be removed within 24 hours should you wish to have the results reversed. Radiesse may also be used under certain circumstances. When injected, these fillers will smooth and contour the existing nasal structure, helping you achieve a nose that creates facial balance and harmony. Results can last up to a year before the procedure needs to be repeated to maintain optimal results.

Consult With A Rhinoplasty Expert In New York

Double board-certified in Facial Plastic and Reconstructive Surgery as well as Otolaryngology/Head & Neck Surgery, Dr. Philip Miller is one of the country’s leading experts in rhinoplasty and facial rejuvenation. As a renowned facial plastic surgeon who trained as an ear, nose, and throat specialist, Dr. Miller has extensive experience dealing with the nose. For more than two decades in Manhattan, he has dedicated his career to providing patients with customized surgical and non-surgical facial procedures. To learn more, contact Dr. Miller today.

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. 

Why Requesting A Celebrity’s Nose Isn’t Always Best for Rhinoplasty Goals

Rhinoplasty before and after new yorkA rhinoplasty, more commonly known as a nose job in New York, is treated by most people as a simple act of shopping –that is, purchasing a new nose. I know it sounds easy and straightforward.  It begins by you wanting to correct an issue with your nose. So, you browse through social media and “shop” for the celebrity nose you like, then set an appointment with your surgeon. 

Simple, right? Not really. Whenever you plan on undergoing invasive cosmetic changes, there is one crucial factor that must be addressed: your EXPECTATIONS for your surgery. In this blog, I share some of my tips for managing your expectations about getting a nose job and one crucial element for getting the nose you will love.

Only Use Celebrity Noses As Inspiration 

During a rhinoplasty consultation, I ask my patients to thoroughly discuss their desired results. This way, we can share a Unified Vision. A Unified Vision incorporates the patient’s aesthetic goals along with what I deem is surgically feasible with their given anatomy. Often times when we find certain individuals attractive, we naturally go about wanting to emulate their facial features. Celebrities under the spotlight often have variants of a slim, dainty nose that is turned-up, a.k.a. the celestial or “button nose.” My patients often bring in photos of celebrities; Jennifer Lopez, Kim Kardashian-West, Scarlett Johansson, Angelina Jolie, and Meghan Markle are amongst the most popular. Patients like to come prepared and bring in these photos as a point of reference for how they’d like their noses to turn out. I prefer my patients to bring in these photos because I use them as an effective communication tool to determine what the patient desires, as well as to see how realistic their expectations are.

The Goal of Rhinoplasty

I explain to my patients that the goal of a rhinoplasty procedure is to reshape the nose to create an overall improvement to the facial structure and aesthetic. In other words, a nose job can help you improve the balance of your facial features which ultimately will increase your self-confidence. But don’t expect that someone else’s nose will look right for your face. It should not be your goal to match somebody else’s appearance, but only take them as a source of inspiration. Everybody is unique in their facial features and therefore, should also be treated as such. I help my patients create a natural-looking nose that will complement their features and honor their ethnicity, rather than give them a “cookie-cutter nose” from a celebrity.

Managing Realistic Expectations

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.There is no such thing as a perfect nose because “perfect” has a fluid and subjective definition. It will depend on the patient’s facial structure, size, and balance. Facial plastic surgeons can produce amazing results through modern rhinoplasty techniques, but there are always limitations. Going back to having a celebrity nose –if you specifically want to have a Meghan Markle nose, you’d probably end up having to alter your entire facial structure instead of just your nose. It is very important to have an open mind during your consultation so you can listen to your surgeon’s recommendations on what the “perfect” nose is for YOU. By understanding the procedure and having a more thoughtful and practical approach to your results, you will be giving yourself a better chance of having complete satisfaction with your rhinoplasty outcome. 

Consult With A Recognized Expert In Facial Plastic Surgery

Your realistic expectations for your nose job will serve as the foundation for your cosmetic surgery. And as the surgeon, I will become the foundation of its success. Rhinoplasty is a complex surgical procedure that requires experience, expert knowledge, and top-notch skills. To set yourself up for a successful journey, begin by choosing the best facial plastic surgeon. You can review the criteria here.  

I am double board-certified in Facial Plastic and Reconstructive Surgery, as well as Otolaryngology/Head and Neck Surgery, and am considered one of the country’s leading experts in facial rejuvenation and rhinoplasty. I have lectured on innovative rhinoplasty techniques at the 10th International Symposium of Facial Plastic Surgery, and consistently since 2007, have been voted among the “Best Doctors in America” and “Top Doctor of New York.” It is my goal to help my patients find a look that makes them feel beautiful and confident. I combine my expertise, experience, skill, and artistic eye to deliver those life-changing results.

Are You Considering Rhinoplasty?

If you are interested in undergoing rhinoplasty, always remember to only trust your face to a world-class board-certified facial plastic surgeon, and be sure to communicate your expectations to achieve the most realistic outcome. To schedule a consultation with Dr. Miller, contact his office located at 60 East 56th Street, Third Floor in New York City, by calling (646) 791-3025

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. For additional information, please visit our rhinoplasty and nose job guide. 

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.

Next, here are 5 Tips for Rhinoplasty Recovery after an Operation









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

Will Scar Tissue Be an Issue After Rhinoplasty?

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.

Rhinoplasty surgery can change the shape, size, and structure of the nose, delivering incredible results for the right patient. But just like any other surgery, there is one major drawback if not handled well: the potential for developing noticeable scar tissue after your healing is complete. Even rhinoplasty surgery with its well-hidden incisions can create visible scar tissue. To keep your results looking more natural without such scarring, you’ll need to take some necessary precautions.

Why Does Scar Tissue Form?

There is no such thing as a surgery without some scar tissue.  When an incision is made in the skin, the body naturally creates scar tissue to heal the wounds. Scars are formed by dense, fibrous connective tissue that can seal the wound closed. Think of it as your body naturally forming a band-aid to heal a wound. It is nothing to be alarmed about, really. Once it is formed, scar tissue can sometimes be remodeled or reshaped with the help of a facial plastic surgeon or another highly trained specialist. For a rare few, the body may also produce too much scar tissue and cause problems with healing.

Where Will Scar Tissue Form After Rhinoplasty?

Rhinoplasty surgery can be performed in two different ways:

  • Open Approach – It involves one small, well-concealed incision between the nostrils on the underside of the nose. This technique allows the greatest access to the nasal tip as well as the lower and middle third of the nose.
  • Closed Approach – Also called endonasal rhinoplasty, this technique uses incisions that are exclusively made within the inside of your nostrils. This method will not leave behind any visible skin incisions

When scar tissue forms, it will start at the location of these incisions but can become noticeable if care isn’t taken to prevent it. Patients who do experience the formation of excess scar tissue after rhinoplasty will likely develop it around the nasal tip region. Because this area may appear swollen for a time after surgery, you should raise any concerns you have about potential scarring with your facial plastic surgeon.

How Can Scar Tissue Be Prevented?

While scar tissue may be common after any surgery, there are things patients can do to reduce its occurrence:

  • Avoid smoking and drinking – Nicotine constricts the blood vessels and contributes to poor healing and scarring. Alcohol, on the other hand, not only causes skin dehydration but can also promote swelling and bleeding.
  • Don’t strain yourself – Any activity that causes your blood pressure to rise may increase your risk of scar tissue formation.
  • Follow all recovery instructions – Guidelines are provided to help you heal faster. By taking these instructions seriously, you get to avoid complications and quickly achieve your desired results.
  • Choose the right plastic surgeon – One of the best ways to prevent complications like scarring is choosing a surgeon who is board-certified, highly qualified, and experienced in the rhinoplasty procedure.

How Can Scar Tissue Be Treated?

If you experience problems with the formation of excess scar tissue following your rhinoplasty surgery, there are things you can do to reduce it, as well as medical procedures that will help you achieve more natural-looking results. Options include:

  • Steroids – A series of carefully targeted cortisone steroid injections can help minimize the appearance and extensiveness of the scar tissue.
  • Revision rhinoplasty – Corrective surgery can be performed to remove the scar tissue without impacting any other structures of the nose.

Adjustments can be made in both surgical and nonsurgical techniques, so start the conversation with your facial plastic surgeon today and take it from there.

Choose An Expert Facial Plastic Surgeon For Your Rhinoplasty

To learn more about rhinoplasty surgery and what you can do to minimize your scar tissue, book a consultation with a facial plastic surgeon who has years of experience in predicting procedure outcomes and giving patients the results they seek. Philip J. Miller, MD, FACS who is double-certified in facial plastic and reconstructive surgery, offers over 20 years of experience and knowledge to his patients. A recognized expert in rhinoplasty, Dr. Miller has been frequently invited to share his specific techniques with his peers at various national facial plastic surgery meetings. He has been voted among the Best Doctors in America each year since 2007, and has also been named a Top Doctor of New York. Contact Dr. Miller’s office located at 60 East 56th Street, Third Floor in New York City, by calling (646) 791-3025.

Next, learn how Rhinoplasty can Affect your Facial Features.

How Does Rhinoplasty Affect My Facial Features?

Hating your nose is one thing, but changing your nose might seem a little too risky for some. Often times, hesitation over rhinoplasty procedures can be caused by a fear that patients won’t “look like themselves” afterwards. It does seem almost too good to be true that you can fall asleep with one nose and wake up with another!  What will people think about your new nose? While that’s not exactly true, especially considering your recovery time, the idea of changing the face can be nerve-racking. If you’ve considered rhinoplasty for yourself, you might have wondered how the surgery can change your overall look. Learn more about how rhinoplasty will (and won’t) change your appearance and other facial features.

What Rhinoplasty Will Change

Rhinoplasty surgery focuses on the cosmetic and functional aspects of the nose, though the vast majority of patients seek the procedure for purely aesthetic reasons.  Even so, being dissatisfied with your nose does not always mean you’re also dissatisfied with your other features, such as your eyes, cheeks, and lips. Yet, many rhinoplasty patients appear to have a completely different look after surgery, so it’s easy to make the assumption that it’s not just the nose that is affected surgically.

In reality, rhinoplasty surgery is exclusively performed on the nasal structure, internal and/or external, unless the patient and facial plastic surgeon have agreed to include additional facial surgeries such as a chin augmentation or facelift. The surgery will chance the shape, projection, appearance, size, or some combination of these elements to achieve the desired result. Your eyes, lips, cheeks, and chin will all remain structurally the same.

Why Your Nose Can Change Everything

As mentioned, many patients wonder why changing the nose can have such a dramatic impact on the surrounding nasal features and even the overall aesthetic of the face. Consider that the nose is the central feature of the human face, a sole structure that extends forward from the cheeks, forehead, and jaw to add dimension and definition. From the side, a nose can give the profile its shape and structure, setting the tone for how the rest of the facial features will fit together.

Given this important positioning, the nose can make or break the facial harmony of any man or woman. With a nose too big or small, too crooked or straight, too hooked or flat, the entire perception of the face will change. Altering the nose through rhinoplasty will typically help the other facial features to get noticed, now that facial balance and harmony have been restored. By working with facial plastic surgeon Dr. Miller in New York City, achieving the overall look you want could be as simple as one surgery.

How Rhinoplasty Surgery is Performed

The rhinoplasty procedure can be performed using two different types of incision patterns: open or closed. In a closed rhinoplasty, the incisions are located inside the nostrils and leave behind no visible scarring externally. The range of access is a bit limited with this approach, so it is less often performed. In an open rhinoplasty, on the other hand, an additional incision is placed between the nostrils on the underside of the nose, allowing better access to the nasal tip, lower and middle third areas of the nose. The approach your facial plastic surgeon will use varies greatly on what changes you are looking to achieve through your surgery. Discuss your concerns and personal desires for surgery with your surgeon during a one on one rhinoplasty consultation to get started with the planning of your procedure.

Plan Your Own Rhinoplasty Surgery

To learn more about rhinoplasty surgery and what it could achieve for you, book a consultation with the right facial plastic surgeon today. He can provide more in-depth knowledge about the nasal surgery process. Dr. Philip Miller has specialized exclusively in facial plastic surgery, offering over 20 years of experience and knowledge to his patients.

A recognized expert in rhinoplasty, Dr. Miller has been frequently invited to share his specific techniques with his peers at various national facial plastic surgery meetings. He has been voted among the Best Doctors in America each year since 2007 and has also been named a Top Doctor of New York. To schedule a consultation with Dr. Miller, contact his office located at 60 East 56th Street, Third Floor in New York City, by calling (646) 791-3025.

Next, learn how to Protect your Nose after Rhinoplasty

Protecting Your Nose After Rhinoplasty

rhinoplasty procedureRhinoplasty surgery is designed to change a patient’s nasal structure, performed to achieve a specific cosmetic or functional result. The reasons for seeking rhinoplasty surgery are as varied as the noses these patients want changed. Rhinoplasty is an investment of your time, money, and energy into your appearance, self-confidence, and satisfaction. The last thing you want is to ruin your results after surgery. Follow these guidelines to preserve the results of your own rhinoplasty procedure once your recovery period has ended. For additional information on this you an review our rhinoplasty and nose job guide. 

Why the Nose Is So Vulnerable

The nose sticks out from your face all on its own without any other features to protect it. Your nose is often the first place you will sustain any facial injury. Athletes are particularly prone to nasal trauma because of contact with other players, accidents with equipment, and falls. Anyone, not just athletes, can sustain damage to the nose. It is a very sensitive and delicate part of the body comprised of fine bones, cartilage, and tissue.

After rhinoplasty surgery, your nose will be extra vulnerable as a result of the changes made to this structure. Your bones, cartilage, and surrounding tissues will be more fragile as they heal, sometimes for up to a year after surgery. Before the nose has fully set, small incidents can result in more dramatic injuries. Even after your nose has set, protecting it from the inside out can make the difference between preserved rhinoplasty results and a revisit to your facial plastic surgeon.

Think About a Protective Mask

If you are active in activities like soccer, basketball, running, hiking, or anything where you might injure your nose, it might be a good idea to find a way to keep it protected. An accident or injury can happen at any time, but you’ll be especially prone to damage if you’re very active. Wearing a protective mask during the times when you are most at risk for an injury can keep your rhinoplasty results intact.

Wear a helmet when you’re skiing, playing hockey, riding a motorcycle, or participating in other activities where a face mask and helmet are recommended. For other activities like tennis or baseball, a custom-made protective mask can be designed to cover your nose and midface area. Talk to your facial plastic surgeon about where to find custom-made acrylic masks or splints made from other, less expensive materials. Specialized nose guards can also be obtained from many sporting goods stores at a reasonable cost.

Stay Out of the Sun

After rhinoplasty surgery, your nose should also be protected from the sun. For a time following your surgery, the changes made to the nasal structure will leave it more susceptible to discoloration and sun damage. Keeping your nose covered and protected from the sun is essential to allowing it to heal naturally. Apply sunblock regularly to the nose and the face alike, remembering to reapply it after you go swimming. Adding a hat or umbrella can increase your protection so plan ahead when you’re heading outside for the day.

Plan a Rhinoplasty Consultation With an Expert

To learn more about rhinoplasty and how you can best preserve your own results, book a consultation with the right facial plastic surgeon today. He can provide more in-depth knowledge about the nasal surgery process. Dr. Philip Miller has specialized exclusively in facial plastic surgery, offering over 20 years of experience and knowledge to his patients.

A recognized expert in rhinoplasty, Dr. Miller has been frequently invited to share his specific techniques with his peers at various national facial plastic surgery meetings. He has been voted among the Best Doctors in America each year since 2007 and has also been named a Top Doctor of New York. To schedule a consultation with Dr. Miller, contact his office located at 60 East 56th Street, Third Floor in New York City, by calling (646) 791-3025.


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Your Deviated Septum: Causes, Effects and Treatments

The term “deviated septum” has become much more commonplace today than ever before. Still, even those who have been diagnosed with a deviated septum don’t fully understand what causes it, what it can do, and how to correct it. Those who have a deviated septum have likely been diagnosed by a primary care physician or ear, nose, and throat specialist, but they may not have discussed the issue with a facial plastic surgeon like Dr. Miller. Learn more about this condition and what can be done to reverse it.

What Is a Deviated Septum?

Inside the nose, the nasal passages are separated by a small, delicate piece of cartilage. When this cartilage is straight, both airways are unobstructed and capable of breathing in equal amounts of air. A deviated septum occurs when this cartilage is misaligned. It can result in imbalanced or difficult breathing, sinus drainage problems, and even trouble sleeping. An estimated 80 percent of people have a deviated septum to some degree, many of whom do not know it.

What Causes a Deviated Septum?

Most of those who have a deviated septum are born with it. In other cases, trauma or injury to the nose can result in a deviated septum. Whatever has caused this condition, the symptoms will be the same. If you have experienced any of the following issues, you may have a deviated septum:

  • Chronic nasal congestion, typically with one size being more congested than the other
  • Difficulty breathing
  • Recurring sinus infections
  • Frequent nosebleeds
  • Facial pain around the nose and sinus cavities
  • Frequent headaches
  • Postnasal drip
  • Loud breathing or snoring when sleeping, sometimes causing sleep apnea

How Is a Deviated Septum Treated?

When a deviated septum is causing moderate or severe symptoms, treatment is necessary to achieve some relief. In some milder cases, medication can provide a temporary solution, but the only real way to address the underlying problem is with a special nasal surgery called septoplasty.

A septoplasty surgery is a type of rhinoplasty that focuses on the internal workings of the nose, specifically the correction of a misaligned septum. During this procedure, your facial plastic surgeon makes a small incision to gain access to the inside of the nose. The specifics of your septoplasty will depend largely on what has caused the imbalance of your nasal passageways. In some cases, the cartilage can be adjusted and in other cases, your septum needs to be reduced in size to alleviate the trouble.

After your surgery, you may be sent home with internal splints or other supports to stabilize the septum as it heals. Very minimal swelling or bruising will result if only your septum has been altered during surgery. Many patients opt to make aesthetic changes to the nose as well, making septoplasty a small part of their full rhinoplasty procedure. You should be at least 16-17 years old to be considered for septoplasty surgery to ensure that your nose is fully mature.

Learn More About Septoplasty From a Facial Plastic Surgeon

Septoplasty can greatly improve your breathing and sinus troubles, especially if you are considered a good candidate for the procedure. To get more specific information on how this surgery can help you, book a consultation with the right facial plastic surgeon today. He can provide more in-depth knowledge about the nasal surgery process, from preparation to the rhinoplasty healing process. Dr. Philip Miller has specialized exclusively in facial plastic surgery for over 20 years and has the experience and knowledge to offer the best results to his patients.

A recognized rhinoplasty expert, Dr. Miller has been frequently invited to share his specific techniques with his peers at various national facial plastic surgery conferences. He has been voted among the Best Doctors in America each year since 2007 and has also been named a Top Doctor of New York. To schedule a consultation with Dr. Miller, contact his office located at 60 East 56th Street, Third Floor in New York City, by calling (646) 791-3025.

Next, learn Why Realistic Expectations Matter

What You Need to Know About Male Rhinoplasty

Male Facelift Model in New YorkRhinoplasty surgery is performed on male and female patients alike by facial plastic surgeons across the world. While women still comprise a greater number of rhinoplasty patients, the number of men seeking this surgery is on the rise. If you’re a man considering rhinoplasty, here are some quick facts to know as you plan your consultation and surgery.

How Are Male Patients Assessed as Candidates for Rhinoplasty?

Before you can schedule a rhinoplasty surgery, your nose must be fully mature. If your nose is still growing, you will have problems with your results changing over time. Once your nose is set in its adult shape and size, rhinoplasty can make life-long changes and achieve the results you want to see. Nasal maturity usually occurs in the teen years, typically around 15 to 17 years old for male patients.

Beyond your age and nasal maturity, all patients of rhinoplasty should be in good overall health without any conditions or lifestyle factors that could delay healing. You should also be a nonsmoker to avoid potentially harmful complications during and after surgery. Finally, you should have a reasonable expectation for your own rhinoplasty results to ensure your satisfaction at the end of your recovery period. If you’re not sure if you would make a good candidate for rhinoplasty, meet with an experienced facial plastic surgeon like Dr. Miller to get his or her opinion.

Do Differences Exist Between the Male and Female Nose?

Every nose, every patient, and every rhinoplasty is unique, but there are some characteristics shared among men and others shared among women. Most noses are similar in structure, but preferences in outcomes usually differ.

On average, male patients also tend to have thicker and more vascular skin. As a result, careful measures must be taken to penetrate the skin of the male nose without causing excessive bleeding or fluid retention after surgery.

Finally, many men considering rhinoplasty may have injuries from sports activities, childhood accidents, and other injuries. A higher percentage of male patients have deviated septums, past breakages, and other problems as a result, including breathing issues. For this reason, many male rhinoplasty surgeries will work to alter the appearance of the nose while improving its function at the same time.

How Are Male Patients Psychologically Affected by Rhinoplasty?

Men who are approaching the rhinoplasty process may have different psychological considerations than female patients. It is not as common a procedure among men, especially for cosmetic reasons, and that can lead to doubts, embarrassment, and other negative emotions. As a male rhinoplasty patient, it’s important to focus on the benefits you will receive from your surgery, including an improved appearance and boost of self-confidence because of your new look.

Plan a Rhinoplasty Consultation With an Expert

Both men and women can benefit from the changes possible through rhinoplasty. To get more specific information on how this surgery can help you, book a consultation with the right facial plastic surgeon today. He can provide more in-depth knowledge about the nasal surgery process. Dr. Philip Miller has specialized exclusively in facial plastic surgery for over 20.

A recognized expert in rhinoplasty, Dr. Miller has been frequently invited to share his specific techniques with his peers at various national facial plastic surgery conventions. He has been voted among the Best Doctors in America each year since 2007 and has also been named a Top Doctor of New York. To schedule a consultation with Dr. Miller, contact his office located at 60 East 56th Street, Third Floor in New York City, by calling (646) 791-3025.

Next, here’s what we can learn from celebrity rhinoplasty