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5 Clues You Might Need Revision Rhinoplasty

Problems with your rhinoplasty procedure? Not happy with the results? Don’t lose hope—you can still achieve the look and functionality you want with revision rhinoplasty. Revision rhinoplasty is a surgical procedure to correct undesirable outcomes or treat persistent issues the original surgery did not address.

Philip Miller MD, FACS, a double board-certified facial plastic and reconstructive surgeon, can perform successful rhinoplasty and revision rhinoplasty procedures in Manhattan, New York. Dr. Miller has more than two decades of experience performing surgical and non-surgical procedures and can help you reach aesthetic confidence with revision rhinoplasty.  

Why is revision rhinoplasty so common?

Revision procedures are common because the initial rhinoplasty is one of the most complex of all plastic surgery procedures. Some plastic surgeons do not have the skills, experience, and training to perform this procedure well, leading to botched surgeries and undesirable results.

The nose contains thin cartilage that requires expert handling to achieve successful cosmetic or functional outcomes. A study from the Aesthetic Surgery Journal found the average rate for revision rhinoplasty to be nearly 10%. Other factors that include increased revision rhinoplasty rates include:

  • Outdated techniques or equipment
  • Lack of doctor-patient communication
  • Complications that impact the healing process and results

There are several common indicators that revision rhinoplasty may work for you. Take a look:

Clue #1: Your Nose is Not Symmetrical

Many patients feel their nose looks asymmetrical after rhinoplasty and that it was not adequately shaped. A poorly performed rhinoplasty procedure can result in a nose that appears uneven, disproportionate, or even off-center. Revision rhinoplasty can create a more natural, even look to compliment your entire facial structure.

After completely healing from rhinoplasty, you can assess the symmetry of your nose, and if you are unsatisfied, revision rhinoplasty may be right for you.

Revision rhinoplasty to correct nasal bridge on a male patient by Dr. Miller. Surgery creates a narrower, straighter nasal bridge.

Clue #2: Your Results don’t Look Natural

Revision rhinoplasty to correct nasal bridge and tip on a female patient by Dr. Miller. Surgery straightens nasal bridge and refines tip to produce a more attractive facial profile.

An initial rhinoplasty procedure may have removed too much or too little tissue and can lead to an unnatural nose shape. It can also cause a build-up of scar tissue that needs to be surgically removed. Unnatural-looking noses can be resolved with revision surgery. Potential unnatural-looking results include:

  • Pinched Tip: A frequent complaint where the end of the nose appears compressed and leads to unwanted aesthetics and impaired breathing. This occurs when too much cartilage is removed from the tip of the nose, diminishing support over time.
  • Short Nose: Just as it sounds, a nose can appear short and stubby due to the removal of too much cartilage. Specialized grafts act as support and restore a longer, more natural-looking shape.
  • Crooked Nose: Typically derived from nasal trauma or a result of an initial rhinoplasty, a crooked or twisted nose is uneven and unnatural. Revision can rearrange the cartilage and bone to create a symmetrical, pleasing look.

Dr. Miller utilizes the NatraLook® Process to ensure the most natural and pleasing results. The NatraLook Process is critical to achieving a unified vision and executing intended results. Evaluating the entire face and how features relate to each other, as well as skin quality and thickness, all play a part in creating a beautiful, natural look.

While an unsatisfactory rhinoplasty can be very upsetting to a patient who has invested time and money into the process, many issues can be resolved with revision rhinoplasty. Dr. Miller performs revision procedures in his Manhattan, New York office to restore your confidence and achieve a natural look.

Clue #3: You are Disappointed in Your Results

If doctor-patient communication was lacking, or the procedure did not go as planned, many patients can feel disappointed in the results. Skill and experience are not the same. Surgeons may know how to do some nose shapes and resizing but may not have as much experience with a broader range of requests and or techniques. Your nose should be proportional and harmonious with other facial features, which means rhinoplasty is not a one-size-fits-all endeavor.

Even if the shape is ideal, patients may find other imperfections that cause dissatisfaction. Revision rhinoplasty can refine subtle areas such as:

Revision rhinoplasty to correct nasal bridge and tip on a female patient by Dr. Miller. After surgery, nasal bridge is straighter and tip is slightly rotated and narrower for a more pleasing aesthetic profile.
  • Narrowing the nostrils
  • Lifting the nasal tip
  • Thinning or lifting the tissue that separates the nostrils
  • Smoothing bumps on the surface of the nose

Revision rhinoplasty is a solution for major or minor alterations so that you feel good about your look. Dr. Miller uses his years of expertise to create patient-centric plans that result in stunning aesthetics to satisfy individual beauty goals.  

Clue #4: Your Nose isn’t Working Properly

revision rhinoplasty before and after

Not only should your nose look amazing, but it should also function properly. Improper nose function can be due to rhinoplasty surgery that does not heal properly or a functional issue that was not resolved or was created from a rhinoplasty procedure. The nose is a significant structure that impacts breathing and sinus issues. Revision rhinoplasty can help you get your dream nose and optimize function to reduce or eliminate problems that can interfere with breathing and sleep.

Clue #5: An Injury Occurred Since Your First Surgery

Rhinoplasty is a superior choice for nose shaping and sizing, but it does not make your nose invincible. The nose is still susceptible to injury and trauma, especially within a year or two after surgery. Due to the restructuring of cartilage and tissue, the nose can often be more fragile. If you endure an injury or trauma to the nose, it can be repaired through revision rhinoplasty. Dr. Miller works closely with Manhattan patients to ensure cosmetic and functional concerns are addressed when trauma or injury has occurred.

How Long Should You Wait for Revision Rhinoplasty?

Healing varies by individual, but most surgeons request patients wait 12-18 months before undergoing secondary rhinoplasty surgery. The healing process is long and crucial for the nose to take its final form or function. The duration of swelling varies by patient and can cause the nose to look different than it will when completely healed. Rushing into a revision surgery is dangerous and can cause unnatural and unsatisfactory results.

Choosing Your Revision Rhinoplasty Surgeon

Plastic surgery is not a guaranteed process, but choosing an expert surgeon with years of experience and developed skills can positively impact results. Do not assume all plastic surgeons are the same—research a surgeon and their practice before committing, and do not be afraid to ask hard questions. A consultation is a time to learn more about the procedure, a surgeon’s credentials, and experience.

Dr. Miller is a highly reputable, double board-certified plastic surgeon with more than two decades of experience in cosmetic medicine. With his expert team, Dr. Miller has a high success rate of facial surgery procedures and has been voted among the Best Doctors in America for the past 10 years and Top Doctor of New York City. He uses innovative techniques for rhinoplasty and revision rhinoplasty that helps patients achieve their desired look and function.  

Contact us today online or by calling 646-791-3025 to see if revision rhinoplasty is right for you.

5 Rhinoplasty Trends in 2022

Rhinoplasty surgery was the most frequently requested cosmetic surgery in 2020, with over 352,000 procedures performed. 

Facial plastic surgeon, Dr. Philip Miller in New York City—one of the country’s leading experts in rhinoplasty and facial rejuvenation—can help you achieve a nose you’ll love. You may choose traditional rhinoplasty to reduce or reshape the nose. For other patients, non-surgical rhinoplasty is the right choice to achieve their aesthetic goals. 

rhinoplasty before and after results in NYC Let’s look ahead at five rhinoplasty trends we expect to see in 2022. 

1. Zoom Boom Brings Rhinoplasty Boom 

Because of the COVID-19 pandemic, 2020 was a challenging year for many businesses. But for Zoom, the video-conferencing giant, lockdown and working from home brought unprecedented growth. 

Zoom usage jumped 67% between January 2020 and mid-March, when non-essential businesses and schools closed. The Zoom Boom also resulted in significant growth to an entirely different industry—cosmetic surgery. 

The built-in cameras on our computers are clearly not designed to flatter the human face, and many people weren’t pleased with the reflection they saw on their computer screens. 

The unflattering camera angle highlights facial flaws, such as wrinkling and sagging. People noticed unfamiliar lines, creases, and asymmetries as they saw themselves speaking on camera. 

It’s not surprising that the Zoom phenomenon caused a booming demand for cosmetic procedures such as dermal injectables, laser treatments, and eye lifts. 

On a Zoom conference call, the position of the computer’s camera relative to the user puts the focus on the center of the face, making the nose appear larger. As a result, demand for rhinoplasty significantly increased as well, and will likely continue into the New Year. 

2. The Need for Natural 

male rhinoplasty before and after results in New York City

In Manhattan, Dr. Miller is renowned for the natural results he achieves for his patients, both with traditional rhinoplasty—for patients desiring more significant changes and permanent results—as well as non-surgical rhinoplasty, for patients seeking relatively minor corrections. As demands for natural results will continue to be a factor in 2022, Dr. Miller is prepared to deliver satisfying results to his New York patients.

Rhinoplasty, also known as a nose job, is a surgical procedure that can improve the appearance of the nose by reshaping, reducing, augmenting the tissue, removing a bump, or adjusting the angle between the nose and the mouth.

A major benefit of rhinoplasty is that it’s typically a “one-and-done” procedure. Once the surgery is complete and the nose has fully healed, patients can enjoy the improvements over their lifetime.

If you’re dissatisfied with your nose because of minor depressions or hollows that affect its overall appearance, non-surgical rhinoplasty may be the right solution for you. Non-surgical nose jobs are safe and effective, providing immediate results with exceptionally short recovery time. With this non-invasive procedure, injectable fillers are used to make small yet dramatic modifications to the nose. 

Non-surgical rhinoplasty has its limitations, however. Since corrections are made with dermal fillers that ultimately dissolve, results aren’t permanent. Non-surgical nose jobs aren’t appropriate for every nose and can’t reduce the size of the nose. 

Results will vary by patient, but the longevity of a non-surgical nose job is typically between 8-24 months. During your consultation, Dr. Miller will determine which fillers might help you achieve the best results and how long the improvement might last. 

3. Faster Recovery Times 

Plastic surgeons today are starting to use techniques to minimize post-procedure discomfort and healing time. Rhinoplasty is typically performed as an outpatient procedure under general anesthesia, and patients return home on the same day. While you may be up and moving within 24 hours, expect to take up to a week off from work or school as you heal. 

For the first several days, you’ll need to keep your head elevated and apply ice packs to reduce swelling. Most swelling and bruising subsides within a week following rhinoplasty. Nasal dressings, splints, and sutures are removed at about seven days after surgery. At this point, any residual bruising can be effectively camouflaged with makeup. Most patients feel comfortable appearing in public at about 7-10 days post-surgery.

Swelling will continue to subside and the nose may continue to improve in definition for up to a year after surgery. However, beyond the first week, these changes are subtle and typically not noticed by others. Many patients are pleasantly surprised at how quickly they recover from rhinoplasty. 

4. The Combination Approach

Achieving facial balance sometimes means making adjustments to the chin at the same time as the nose. Dr. Miller’s expertise with both procedures produces superior results. 

nose job before and after results in NYCWhen rhinoplasty surgery is performed to improve the overall shape and appearance of a nose, a receding chin could diminish the aesthetic effect of the face, making it look unbalanced. 

To achieve the best possible results with rhinoplasty, the proportions of the entire face must be considered. If your chin is well defined and proportionate to your new nose, your overall appearance will be aesthetically enhanced by rhinoplasty alone.

If you have a receding chin, however, chin augmentation surgery performed along with rhinoplasty surgery can give your face balance that rhinoplasty alone could not have achieved. Therefore, many board-certified plastic surgeons are beginning to suggest chin augmentation with rhinoplasty for certain patients.

Recovery after a chin implant takes around two weeks. You may experience swelling, tenderness, and bruising in the chin area immediately after the procedure, but most of these symptoms will diminish within about a week. Eating soft foods during the first week after surgery will help to make your recovery period more comfortable.

5. Image Morphing 

The ability to “see” your results before surgery is a benefit that more patients are wanting from their rhinoplasty surgeon. At his Manhattan office, Dr. Miller uses computer imaging to help patients visualize their new nose before undergoing surgery. Besides helping communicate the goals of the patient to the surgeon before the procedure, image morphing also helps ensure patient expectations are in line with results.

If you have difficulty visualizing what your ‘after’ may look like, image morphing can help. While the final result may not be absolutely identical to the morphed picture, it provides a good idea of what you can expect.

The NatraLook Process

Aesthetic Confidence is the sense of empowerment we feel about the way we look, dress, design, and decorate. It dovetails with confidence in our abilities, intellect, and emotions. The NatraLook Process focuses exclusively on the look component of Aesthetic Confidence. The NatraLook Process is an enriching experience through which you explore and ultimately boost your aesthetic confidence by enhancing your appearance.

The NatraLook process evaluates and expands the typical plastic surgery experience into a safe, non-intimidating opportunity to explore your aesthetic confidence. It creates a unified vision of your desired result so that you and New York surgeon Dr. Philip Miller know what to expect. 

Contact an Expert Plastic Surgeon to Learn More About Rhinoplasty in New York City

Whichever procedure you ultimately choose, Dr. Miller can help you achieve your goals. His approach combines art and science with skill and innovation, providing patients in Manhattan, New York, aesthetically pleasing, natural results that are always in style.

To learn more about rhinoplasty surgery and non-surgical nose jobs, contact us online or call our practice in New York. One of our patient advisers will be happy to help you.

Fresh Face for Fall

Have you been considering cosmetic work, but aren’t sure when the best time may be to have your procedure? Fall is the perfect time for several reasons, so schedule your consultation now. 

4 Reasons Fall is the Perfect Time for Cosmetic Surgery

1. Avoid the sun and heat.

With the cool autumn weather, you won’t have to worry about inflammation or skin damage from sun exposure or hot temperatures. 

2. Recover before the holidays.

If you have your surgery done in the fall, you can recover before the festivities begin. You’ll feel refreshed and ready to enjoy time with your loved ones during the holiday season.

3. Greater Scheduling Flexibility.

Many patients schedule cosmetic procedures in late winter or early spring. By scheduling your cosmetic procedure during the fall, you’re more likely to get the best appointment date for your schedule. 

4. Treat yourself before the holidays.

Before the frenzy of  the holiday season begins, why not treat yourself to some much-deserved self care and a new look to greet the New Year? 

Turn Back the Clock with a Facelift

Manhattan’s world-renowned facial plastic surgeon, Dr. Philip Miller, specializes in facelifts and rhinoplasty. He offers several facelift options: a traditional facelift, a mini facelift, a Micro Lift, or the proprietary Miller lift. One of these is sure to be the right one for you. 

Facelift Options

A facelift, or rhytidectomy, may be the perfect procedure for you if you’re looking for results that significantly turn back the clock. This procedure removes excess or sagging facial skin for a renewed, youthful look. 

During a traditional facelift, incisions are made at the hairline and continue in front of and behind the ears, extending to the lower scalp. Fat can be redistributed from your face and neck through these incisions, or liposuction may be used for the removal of excess fat. Muscles and skin are lifted and tightened. 

Facelift, neck lift, dermabrasion and earlobe repair to enhance the appearance of a female patient by Dr. Miller. Surgery and treatment reduces jowl formation and wrinkles while firming and smoothing skin.

Incisions made during facelift surgery are hidden in the natural creases of your face and hairline, and meticulously closed with sutures to minimize visibility after your procedure. Drainage tubes may be inserted but can be removed in 1-2 days. Sutures are removed between 5-10 days.

A mini facelift targets those areas of the face that are just beginning to wrinkle and sag. The incisions are shorter than a traditional facelift, and often confined to the front of the ear only. The mini facelift requires local anesthesia and can be performed in 90 minutes or less. 

The innovative, minimally invasive Micro Lift mimics the improved appearance that comes with pulled-back hair. It can be a perfect option for patients in their 20s-40s who want to erase early signs of aging. Comfortable, safe, quick, and performed under local anesthesia, the Micro Lift takes less than an hour in the office and requires little post-procedure downtime. 

mini facelift before and after results in NY, NY

The Miller Lift is a proprietary, custom-designed liquid facelift technique that uses a combination of fillers, such as Juvéderm® and Restylane®, to soften and fill out lines and wrinkles. Besides smoothing wrinkles, facial fillers can address volume loss in the cheeks, chin, lips, and other contours of the face. 

Along with facial fillers, Dr. Miller performs injections of Botox Cosmetic® to address the dynamic wrinkles associated with facial expressions, such as forehead wrinkles, frown lines, and crow’s feet. Collagen stimulators, such as Sculptra, and fat eliminators, such as Kybella, round out the Miller Lift. Results can last for up to two years. 

Achieve Balance with a Rhinoplasty

Surgical vs. Non-Surgical Rhinoplasty

Surgical rhinoplasty, also known as a nose job, adjusts, corrects, or reduces the look of the nose. Dr. Miller will consider the prominence of your cheeks, your jawline, your skin thickness and quality, and the overall dimensions of your nose before advising you how to achieve the changes you want while maintaining overall facial balance. 

A major benefit of rhinoplasty is that it’s typically a “one-and-done” procedure. Once the procedure is complete and the nose has fully healed, patients can enjoy the results for a lifetime. 

Rhinoplasty to remove nasal hump and refine tip by Dr. Miller. After surgery, dorsal hump is gone and nasal tip is slightly rotated for a more attractive profile.

Non-surgical rhinoplasty, also known as liquid rhinoplasty, uses injectable fillers to make subtle, yet dramatic changes to your appearance.

Non-surgical nose jobs are safe and effective, providing immediate results with exceptionally short recovery time. With this non-invasive procedure, injectable fillers are used to make small yet dramatic modifications to the nose. 

Non-surgical rhinoplasty has its limitations, however. Since corrections are made with dermal fillers that ultimately dissolve, results aren’t permanent. Non-surgical nose jobs aren’t appropriate for every nose and can’t reduce the size of the nose. 

Results will vary by patient, but the longevity of a non-surgical nose job is typically between 8-24 months. During your consultation, Dr. Miller will give you an idea about what you might expect from your results as well as how long they might last.

Quick Pick-Me-Ups: Botox and Dermal Fillers

Surgery isn’t your only option for rejuvenating your appearance. Injectables minimize wrinkles and add volume in areas that lack fullness. With little-to-no downtime, injectables deliver results in a matter of days so that you can enjoy your fresh, youthful appearance right away.

Botox relaxes the muscles that pull on the skin to form wrinkles. Botox Cosmetic is superior to dermal fillers for minimizing frown lines, horizontal furrows on the forehead, and crow’s feet around the eyes. It can also be used around the lips, around the nose, or on the bands of the neck. Results last up to four months.

Dermal fillers, including Restylane® and Juvéderm®, are gel-like substances that restore volume. They fill in creases and static wrinkles, which form from gradual volume loss. Hollow cheeks, saggy jowls, and under-eye bags are common treatment areas for dermal fillers, which can last up to 12 months or more.

restylane filler for non-surgical facelift in new york

Dr. Miller and his team of skin specialists in New York provide the latest and most effective wrinkle treatments. Using various injectables, Dr. Miller can restore facial volume, reduce deep wrinkles, and help rejuvenate and lift the face.

Natural Results for a Beautiful 2022

Aesthetic Confidence® is the sense of empowerment we feel about the way we look, dress, design, and decorate. It dovetails with confidence in our abilities, intellect, and emotions. The NatraLook Process focuses exclusively on the look component of Aesthetic Confidence. The NatraLook Process is an enriching experience through which you can explore and ultimately boost your aesthetic confidence by enhancing your appearance.

The NatraLook process evaluates and expands the typical plastic surgery experience into a safe, non-intimidating opportunity to explore your aesthetic confidence. It provides a reassuring, supportive, and positive environment. It creates a unified vision of your desired result so that you and New York surgeon Dr. Philip Miller know what to expect.

The Next Step: Consulting with a Plastic Surgeon

Renowned for producing natural-looking results that exceed expectations, Dr. Philip Miller and his team of New York City’s top-rated facial plastic surgery experts provide custom cosmetic treatment plans. These include a combination of minimally invasive techniques and advanced procedures to help each patient achieve the Aesthetic Confidence® they desire.

After a comprehensive facial evaluation, Dr. Miller can recommend the best treatments to meet your goals. To discuss your full range of treatment options, contact his plastic surgery office today.

 

Functional or Cosmetic Rhinoplasty – Which One is Right for You?

The decision to schedule an elective or medically necessary surgery is not an easy one, and should be done with the goal of correcting a physical feature or medical condition to gain self-confidence or improve quality of life. Rhinoplasty is a surgical procedure that may provide multiple benefits for a patient, from cosmetic enhancements to improve appearance, to reconstruction of a nose or associated anatomy, such as the septum, to improve function. 

Dr. Philip Miller is a double board-certified facial plastic surgeon and recognized expert in rhinoplasty. He will guide you in making the right decision on which procedure is best – functional, or cosmetic rhinoplasty. Your self-confidence and your health deserve the very best, and Dr. Miller can give you exactly what you need. Whether you are a patient in Manhattan, New York, or New Orleans, Louisiana, you will find the best with Dr. Miller. 

What is Functional Rhinoplasty?

rhinoplasty surgeon, Dr. Philip Miller consulting with a patient in NYC

The meaning of functional rhinoplasty is in the title – the surgery provides improved functionality to the respiratory system by altering the nose, septum, or other parts of the nose to improve breathing. Functional rhinoplasty, such as septoplasty, turbinate reduction, or surgery to mend a broken nose, can correct internal nasal anatomy that is otherwise impeding the normal process of breathing.

Reasons for a Functional Rhinoplasty

Patients who seek Dr. Miller’s expertise with functional rhinoplasty procedures may have one of a number of reasons to schedule a surgical procedure, which may include:

  • Nose injury due to trauma
  • Birth defect
  • Deviated septum 
  • Other conditions, such as severe allergies that alter the internal anatomy of the nose

Any of the above conditions have the potential for causing problems with breathing or other respiratory functions, so it is very important to choose a facial plastic surgeon for your procedure. Their training is extensive as they are also board-certified ENT physicians and have a thorough understanding of the anatomy and functionality of the nose. A comprehensive consultation with Dr. Miller and the NatraLook process guides you in making your decision to schedule your procedure. Let the results of your surgery, not the condition of your nose, take your breath away.

cosmetic rhinoplasty results in New York City, NY

What is Cosmetic Rhinoplasty?

Cosmetics improve the appearance of the face; foundation, eyeshadow, liner, blush, powder, mascara, and lipstick are the basic tools in anyone’s makeup kit, but what if one feature of your face is not to your liking? Simple cosmetics may enhance the eyes, cheeks and lips, but the nose cannot change its size or shape with shading or color. A cosmetic procedure, however, can reshape or resize your nose in a number of ways to streamline and give your nose a better, symmetrical appearance.

Dr. Miller can give you a new reason to smell the roses with cosmetic rhinoplasty that can do some of the following:

  • Straighten a crooked nose
  • Create better proportion between the nose and the face
  • Reduce or widen nostrils
  • Alter the tip or angle of the nose to improve appearance
  • Remove a bridge bump

These are just a few benefits of a cosmetic rhinoplasty procedure a patient may see after surgery with Dr. Miller, whose expertise will provide amazing results. Reading about cosmetic rhinoplasty is the beginning; take the next step by browsing the before and after gallery of patients who scheduled an appointment with Dr. Miller. You may find your way to the contact page sooner than you think to schedule your own consultation! 

graphic illustrating the benefits of a cosmetic rhinoplasty in New York City

What About Septoplasty?

Septoplasty is one of several types of rhinoplasty that is performed to correct a deviated, or crooked septum. The septum is a strip of cartilage in the center of the nose that creates an even divide between the nasal passages, but some people have a septum that is deviated enough to cause severe breathing or sinus problems. Septoplasty is a functional rhinoplasty surgery that can improve the quality of life by straightening the cartilage in the septum, which allows air to pass normally through each nasal passage. Dr. Miller explains how rhinoplasty, and in this case, fixing a deviated septum, can give you a breath of fresh air again. 

Because a true septoplasty or functional rhinoplasty may be considered medically necessary, the surgery may be covered by your insurance plan. A combination rhinoplasty (functional and cosmetic) may be partially covered by your insurance plan. 

The Combination Approach

functional rhinoplasty before and after results in Manhattan, NYC

Functional and cosmetic rhinoplasty both provide a patient with a positive outlook and more self-confidence with improved appearance and breathing. But can one procedure provide the same results as the other?

Functional rhinoplasty, such as septoplasty, may improve the appearance of a patient’s nose; since part of the cartilage may be removed to straighten the septum, this may act as an added benefit for the patient as it provides a cosmetic effect. Conversely, a patient undergoing cosmetic rhinoplasty to remove a dorsal hump (on the bridge of the nose) may experience improved breathing, as the cartilage in the nose is reduced and altered to change the overall appearance of the nose. 

Whether you are changing the appearance of your nose, or improving your ability to breathe, you may experience a combined benefit with long-lasting effects.  To learn more about both functional and cosmetic rhinoplasty, please read this blog from American Society of Plastic Surgeons.

A Complex Procedure

The nose is an intricate and unique part of the face that provides your sense of smell and allows you to breathe. On the surface, you want your nose to look pretty and proportional, and ideally, all of the internal facets of your nose should work together to act as an intake for oxygen. Rhinoplasty is a common, yet delicate procedure that requires the expertise of a double board-certified facial plastic surgeon to ensure that your surgery, whether functional or cosmetic, is successful, and meets your expectations. 

One of the added benefits of choosing Dr. Miller as your surgeon is the inclusion of the NatraLook process that goes beyond the run-of-the-mill surgery, providing you the opportunity to discuss your needs with Dr. Miller, and creating the best experience that aims to give you confidence and build trust with your surgeon. 

Schedule a Consultation With a Plastic Surgeon Today

Rhinoplasty is a path to the new look or breath of fresh air that you have been waiting for! Dr. Miller serves his patients in Manhattan or New Orleans, so make the call or schedule your appointment online now!

Health Benefits of Rhinoplasty

Undergoing rhinoplasty or a “nose job” is not always about vanity. There can be essential cosmetic and functional concerns when considering this procedure. While electing to have rhinoplasty to enhance your appearance is a valid reason to undergo surgery, there are several other medical and psychological reasons for someone to have a nose job. Rhinoplasty can also provide life-changing outcomes for someone with breathing difficulties or those encountering bullying due to their appearance.

Considered one of the country’s leading experts in rhinoplasty and facial rejuvenation, plastic surgeon Dr. Philip Miller can help you achieve a nose you will love. Whether by reshaping the nose to complement and enhance your natural beauty and facial symmetry or restoring its functionality by correcting any structural abnormalities that are obstructing your nasal passages, Dr. Miller can help you meet your goals. His approach combines art and science with skill and innovation to provide patients in Manhattan, New York, superior results that exceed expectations.

What are the Health Benefits of Rhinoplasty Surgery?

While rhinoplasty is an effective procedure for nose reshaping in men and women, it also provides several health benefits that may surprise you. Without a doubt, a nose job can enhance your unique attractiveness, but rhinoplasty can impact your physical and emotional health too. Here’s a look at some of the benefits a rhinoplasty procedure provides:

Physical Health Benefits of Rhinoplasty

rhinoplasty before and after results in NYC The nose is a complex structure that serves as a critical component of the respiratory system and primary passageway for air. Numerous bones and delicate cartilage make up the nose, and any mechanical issue may prevent adequate airflow, affecting your breathing and health. Genetics, accidents, and injuries can cause many nasal problems, which rhinoplasty can successfully resolve.

Improve Sleep

If you’ve been suffering from restricted airflow, you know how this issue can affect your sleep. When some form of nasal issue is causing your breathing problems, rhinoplasty can improve your breathing and sleeping patterns by surgically solving the problem.

Fix a Broken Nose

A broken nose may not only alter your nose’s appearance but create breathing problems as well. In Manhattan, New York, Dr. Miller can help those who have suffered a broken nose by repairing the fracture. He will reset the nose, correct any fractures with spreader grafts, and restore the septum (the structure that separates the left and right nasal passages) if needed with a septoplasty. Repairing the nose can improve both appearance and function.

Reduce Sinus Issues

Deformities in the nasal passages can also lead to sinus problems. Rhinoplasty will not only help drain mucus buildup but also straighten a twisted or deviated septum, providing more comfort while breathing.

Prevent Symptoms of Sleep Apnea

Snoring is often caused by blocked nasal airways. It is also a symptom of sleep apnea – a sleeping disorder that can lead to serious health problems, including high blood pressure and heart problems if left untreated. While sleep apnea is more common in overweight people, restricted airflow is a known contributing factor too. Functional rhinoplasty allows Dr. Miller to clear the nasal passage to relieve congestion and reduce the effects of sleep apnea. To learn more, please visit pubmed.gov.

Emotional Health Benefits of Rhinoplasty

before and after rhinoplasty results in NY, NY Emotional health plays a crucial role in living a happy and fulfilling life. However, for those who consistently feel self-conscious about how they look, or worse, are bullied for failing to pass society’s beauty standards, the pressure can negatively affect how they see themselves. A rhinoplasty can improve the look of the nose, along with the stigma associated with having an unattractive appearance.

Greater Success in Professional and Personal Relationships

Because a successful rhinoplasty boosts your self-esteem, it can also open up a world of new opportunities, both professionally and personally. With your newfound confidence, you can navigate daily challenges to make the most of every opportunity. You may even gain the courage to go after a promotion or pursue a new career path.

Rhinoplasty can also improve your social life. When you let your personality shine through instead of feeling anxious about your physical traits, you will have an easier time establishing relationships with others. Improved interactive skills can lead to a livelier social life and deeper personal relationships overall.

No More Bullying

nose job before and after results in New York City

Many children and teens become victims of bullying due to physical imperfections, such as a large or prominent-looking nose. While surgeons typically don’t recommend rhinoplasty for minors, they can perform the procedureon teenagers once their noses have fully developed. For teens battling insecurities and anxiety, rhinoplasty may be a solution. Correcting a crooked or oversized nose can stop bullying and teasing, significantly improving a teen’s confidence. 

It is important to note that people should never change their appearance based on how others perceive them. Succumbing to society’s pressure to look a certain way may lead others to get plastic surgery for the wrong reasons. While rhinoplasty provides many benefits, it is not a miracle cure for all of life’s problems. Those who go into surgery with healthy perspectives and realistic expectations are happiest with their results.

Achieve Better Health and Restore Your Self-Confidence By Scheduling a Rhinoplasty Consultation With a Plastic Surgeon Today

Being confident is the key to success in every aspect of life, and board-certified facial plastic surgeon Dr. Miller can help lead the way. His approach to rhinoplasty encompasses the NatraLook Process, which optimizes the patient experience and strives to ensure the most rewarding results. To learn more about rhinoplasty or if you’d like to consider a non-surgical approach, contact us at Manhattan, New York, to schedule an appointment with Dr. Miller.

Planning for Your Rhinoplasty: Open vs. Closed Technique

If you’re unhappy with the appearance of your nose, you’re not alone. According to the American Society of Plastic Surgeons, rhinoplasties, or nose jobs, are the most common facial plastic surgery procedures in the U.S. Many people feel that their nose is too prominent and detracts from other facial features, while others long for more definition of their nasal tip. 

No matter your concern, double board-certified facial plastic surgeon, Philip J. Miller, MD, FACS, in New York City has the artistic skill and experience to reshape or reconstruct your nose for enhanced facial symmetry. His goal is to bring balance to your features by evaluating the prominence of your cheekbones and jawline, the width of your eyes, and even the texture of your skin before making recommendations regarding your nose.

The next step is determining whether you’re a better candidate for open or closed rhinoplasty. While both procedures can achieve exceptional results, each has its own advantages and drawbacks to consider during your consultation.

Open Rhinoplasty

open rhinoplasty before and after results in NYC, NY During an open rhinoplasty at his plastic surgery clinic, Dr. Miller makes a small incision in the columella — the piece of tissue that separates the nostrils. Also called an external rhinoplasty, this technique opens the tip of the nose to reveal its internal structures. 

An open rhinoplasty provides enhanced visibility when maneuvering through the bone, cartilage, and tissue that make up the nose. When performing this highly common type of rhinoplasty, Dr. Miller can reshape the nose and repair damage without jeopardizing its structural support. 

Dr. Miller typically recommends open rhinoplasties for patients with complex structural concerns, such as:

  • A severely crooked nose
  • Nasal trauma or deformities
  • An asymmetrical tip
  • A large nasal tip
  • A large dorsal hump (bump on the nasal bridge)

An open technique is also best for revision rhinoplasty. If you’ve had rhinoplasty in the past and are unhappy with the results, Dr. Miller can perform open rhinoplasty to address your concerns.

Open Rhinoplasty Pros / Cons

Choosing an open rhinoplasty offers many advantages if you want to reshape your nasal structure, particularly if your case is complex. However, there are certain considerations to take into account before making your choice.

patient before and after results from an open rhinoplasty surgery in New York City Pros: Improved Precision

Opening the columella allows Dr. Miller to see the internal structures of your nose. As a result, he can correct complex nasal deformities with precision and accuracy. Clear visibility also allows him to preserve as much of your tissue, cartilage, and bone as possible because he can reshape rather than remove it.

Pros: Enhanced Structural Support

By confining all incisions to the outside of the nose, Dr. Miller can maintain its structural stability. He’s able to create dramatic results without disrupting much of the surrounding bone, cartilage, and tissue.

Cons: Scarring

Since an open rhinoplasty requires an external incision, you may have minor scarring after the procedure. Fortunately, the Z-shaped incision is very small, so the scarring should fade with time. Furthermore, Dr. Miller carefully takes your skin and facial structure into consideration before making the incision. This step ensures that the scar is barely visible as it is between the nostrils at the base of the nose.

Cons: Longer Recovery

An open rhinoplasty is inherently more invasive than a closed rhinoplasty, so it’s no surprise that the recovery process is slightly longer. Many patients find that rhinoplasty is less painful than expected, but swelling and discomfort are common side effects of the procedure. You may also experience congestion for the first few days. Most patients can resume their normal activities within 7-14 days. To accelerate your recovery, keep the incision site clean, avoid strenuous exercise, and refrain from tobacco use.

Closed Rhinoplasty

Also called an endonasal rhinoplasty, a closed rhinoplasty is an internal procedure in which all incisions are confined to the inside of the nostrils. Patients concerned about visible scarring need not worry with a closed rhinoplasty. During the procedure, Dr. Miller carefully lifts the underlying bone, cartilage, and tissue through the nostrils, so you won’t be able to see any scarring.

Closed Rhinoplasty Pros / Cons

A closed rhinoplasty is especially appealing for those who want to make minor modifications to their nose. It’s also ideal if you have breathing problems, such as chronic sinusitis. As a more conservative type of rhinoplasty, however, this technique isn’t right for everyone.

before and after results from a closed rhinoplasty in NY, NY Pros: No Visible Scarring

The primary benefit of a closed rhinoplasty is that there’s no external evidence of the procedure. All stitches are located inside the nose, so you may feel more comfortable resuming your normal activities sooner than you might after an open rhinoplasty.

Pros: Shorter Recovery Time

With no external incisions, the skin between the tip and bridge of the nose remains intact. This means blood circulation functions normally and fluid can drain rather than accumulate. As a result, most patients start to recover within one week. However, rigorous exercise, smoking, and blowing your nose can hinder your recovery.

Pros: Subtle Results

Closed rhinoplasties typically address less complex nasal concerns than open procedures. If you have a dorsal hump, wide nasal bridge, or enlarged nasal tip, a closed rhinoplasty can deliver subtle results with little impact to the surrounding tissue.

Cons: Low Visibility

Since a closed rhinoplasty is performed through the nostrils, visibility is limited during the procedure. An endoscope can provide a clearer view of the internal structures, but an open rhinoplasty will always have fewer obstructions. 

Cons: Limited Modifications

With low visibility and limited access, a closed rhinoplasty is not the best choice for complex nasal modifications that require extreme precision. Instead, the closed technique is ideal for minor adjustments to the nasal tip and bridge. 

Which one Should You Choose?

The best type of rhinoplasty for you depends entirely on the concerns you want to address. Neither technique is necessarily better than the other. To ensure you achieve the best results possible, Dr. Miller offers a proprietary consultation process called NatraLook. During your NatraLook consultation, he evaluates your nose and facial features while listening to your concerns and goals. This process establishes a collaborative environment in which you and Dr. Miller can create a unified vision for your results and the most natural outcome possible. 

Contact Our Plastic Surgery Clinic Today

To learn more about the different types of rhinoplasty procedures Dr. Miller performs and find out which technique is best for you, contact our New York City plastic surgery clinic today.

Reasons for a Nose Job: Celebrities Spill

Rhinoplasty is arguably one of the most requested cosmetic surgeries in the U.S. (more than 350,000 surgeries were performed in 2020). But it’s not just us, non-famous people going under the knife. Even celebrities are no strangers to getting a little work done here and there, and some of them are not only admitting to getting a nose job but are also candidly standing by their decision to tweak their looks.

Double-board certified in facial plastic and reconstructive surgery, Dr. Philip Miller, is considered one of the country’s foremost experts in rhinoplasty and facial rejuvenation. His approach that combines art and science with skill and innovation provides thousands of patients in Manhattan, New York, natural-looking results that exceed their goals.

Who is Getting Nose Surgery? 

Friends co-stars Jennifer Anniston and Lisa Kudrow admitted undergoing nose procedures and spilled some of the details in their interviews. Jennifer tells People magazine in 2007 that she got a nose job for medical reasons, specifically, to fix her deviated septum. Lisa, on the other hand, reveals how her nose job was a life-altering experience. In her interview with The Saturday Evening Post in 2013, the comedian, writer, and producer said she went from looking “hideous to not hideous” after her surgery.

Big Bang Theory’s, Kaley Cuoco has no regrets about her nose job too. She spoke to Women’s Health in 2016 and openly shares about the necessity of looking good in addition to loving one’s inner self. She also says that you shouldn’t go through the transformation for a man or anyone else, but make yourself feel more confident.

People, therefore, (celebrity or not) decide to go through nose procedures for cosmetic and medical purposes. Specifically, the following are the common reasons why people choose to undergo rhinoplasty:

nose job patient before and after results in NYC, NY Reduce an Oversized Nose

Whether they are unhappy with the width, profile, or nostril size, many people struggle with a disproportionately large nose for their face. A reduction rhinoplasty or nose reduction addresses this common issue by removing, trimming, or rearranging bone and cartilage to achieve a smaller nose shape.

Refine the Nasal Bridge and Tip 

A nose that has a more prominent bridge can typically appear slimmer and more attractive. A nose reshaping procedure can heighten the nose bridge, giving the impression of a longer and more refined nasal tip. As a result, the nose will look sharper and more sophisticated while seamlessly blending with the rest of your facial features.

Boost Your Confidence 

Your nose is the first thing people see when they meet you. If you feel that your nose’s flaws dominate your face, it can be a source of insecurity and make you feel apprehensive about being seen. A nose job can correct the shape, size, and proportion of your nose to the rest of your face, enhancing balance and symmetry and ultimately making your entire face look more attractive. With renewed self-confidence, you can face the world with a new go-getter attitude to match. You will be motivated to seek new opportunities, achieve significant accomplishments, and pursue more personal relationships. 

Correct a Broken Nose

Accidents or injuries from contact sports can result in nasal fractures and broken noses. While some broken noses can be resolved with a basic alignment, some patients may also experience difficulty breathing. Dr. Miller specializes in the cosmetic and structural repair of broken noses damaged through accident or trauma.

Improve Breathing 

Jennifer Anniston says she slept like a baby for the first time in years after she had her deviated septum fixed. The septum is the wall of bone and cartilage that divides the nose into two separate nostrils. This can be crooked in some people, resulting in a deviated septum which can make breathing difficult. Dr. Miller can perform a septoplasty to treat nasal blockages. Septoplasty will straighten the septum, allowing for improved airflow through the nose.

Why Experience Counts 

Rhinoplasty is a very challenging procedure and one of the most difficult surgeries to master. It is crucial only to trust your face to an experienced plastic surgeon who specializes in rhinoplasty. The best rhinoplasty surgeons know how to customize a nose surgery to the precise needs of each patient to achieve balance and natural beauty while considering both the form and function of the nose.

The Complexity of Rhinoplasty

The nose is a complex and delicate structure to begin with since it’s more than just a passageway for air. It consists of an intricate mix of fragile bone and cartilage. A blend of a surgeon’s training, skill, experience, and refined sense of aesthetics all come into play to achieve optimal results and avoid complications –because it’s not like molding a piece of clay into the desired shape. Rhinoplasty involves disassembling, augmenting, trimming, and repositioning the nose’s components where each millimeter counts. 


revision rhinoplasty before and after results in New York City The Prevalence of Revision Procedures 

Revision rhinoplasty is an all too common procedure. Approximately 5-15% of patients who undergo nose jobs will request a secondary procedure at some point. Cutting costs and settling for an inexperienced surgeon using outdated techniques, having unrealistic expectations, lack of communication between doctor and patient, and complications from the procedure and subsequent healing process can all impact the surgery’s results and become reasons for needing a revision rhinoplasty.


What is the Goal of Rhinoplasty? 

There is no one-size-fits-all approach to rhinoplasty. Dr. Miller always tells his patients that the goal of a rhinoplasty is to reshape the nose to create an overall improvement to the facial structure and aesthetic or improve its nasal functions. But don’t expect that a celebrity 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. Dr. Miller will help his Manhattan and New Orleans patients achieve a natural-looking nose that will complement their features rather than give them a celebrity “cookie-cutter nose.” 

Dr. Miller’s approach to rhinoplasty encompasses the NatraLook® process, which optimizes the patient experience by creating a collaborative environment that keeps you an active participant in your transformation journey. This ensures the most rewarding results because it is the process’s goal to empower you and help you achieve Aesthetic Confidence®.

Rhinoplasty Done Right the First Time

Correcting a botched rhinoplasty procedure is not a decision that should be taken lightly. The procedure can be much more intricate than the primary rhinoplasty and will require a surgeon with a broad understanding of the nasal structure and the best surgical techniques. The procedure, therefore, can take longer to perform and may cost significantly more than the initial surgery. This is why getting rhinoplasty right the first time by choosing the best plastic surgeon is crucial. 

Dr. Philip Miller has specialized exclusively in facial plastic surgery, offering his patients over 20 years of experience and knowledge. 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.  In 2019, Dr. Philip Miller won the Castle Connolly Top Doctors award

Schedule A Rhinoplasty Consultation With A Plastic Surgeon Today

Settle for nothing but the best in facial plastic surgery. By choosing a world-class surgeon with the right combination of experience, skill, expertise, and aesthetic eye, you can achieve beautiful, natural-looking, and life-changing results. Contact Dr. Miller’s Manhattan, New York, or New Orleans clinics to learn more about rhinoplasty and other facial plastic surgery procedures that can enhance your appearance.

Men and Plastic Surgery: A Post-Pandemic Trend

The cosmetic industry boom isn’t showing any signs of slowing down. As pandemic restrictions have eased across the U.S., surgeons and dermatologists are noticing an increased demand from their male patients for both non-surgical and surgical treatments. Whether it’s the Zoom Boom or the lockdown-induced sedentary lifestyle, the pandemic has accelerated male desire for aesthetic enhancements. And now that the world is re-opening, their aim is to reveal better versions of themselves. 

The Top Choice for Male Patients 

Double-board certified facial plastic surgeon Dr. Philip Miller specializes in cosmetic facial procedures that help both women and men achieve their aesthetic goals. Considered one of the country’s leading experts in rhinoplasty and facial rejuvenation, Dr. Miller can create innovative and comprehensive procedure plans to provide natural-looking results. And with his Natralook® approach that empowers his patients to achieve Aesthetic Confidence®, he can produce life-changing outcomes.

A Rising Trend 

There has been a significant increase in the number of men seeking cosmetic procedures over the past decade. The American Society of Plastic Surgeons saw a 29% increase in total cosmetic procedures in men from 2000-2018. The Aesthetic Plastic Surgery National Databank Statistics recorded 5,037 nose surgeries in men in 2019 and 7,475 rhinoplasty procedures in 2020.

Whether men want sharper, more defined noses or brighter, younger-looking eyes, they are aware that they can benefit from the same procedures that women have long embraced. Men seeking cosmetic procedures is no longer a secret, and the pandemic has certainly given them the push they needed to finally pursue their aesthetic goals.

What is the Zoom Boom?

With the switch to remote work, online meetings, and virtual gatherings, people went from sparingly looking at their reflections while brushing their teeth to suddenly staring at their image on a screen for hours a day. As a result, there was greater scrutiny of their lines, wrinkles, and other signs of aging. Men are as concerned as women about their appearance and are becoming proactive about keeping aging symptoms at bay with the help of cosmetic procedures.

The COVID 15 

For millions of Americans, one of the unintended consequences of the pandemic has been the “COVID 15,” which refers to the weight gain that people in lockdown may have experienced. With gyms and workout facilities closed, plus easy access to the pantry and fridge, the extra pounds stealthily crept on for many. Now that businesses are beginning to open and cities are now resuming normal activities, men want to improve their neglected body contours by undergoing body-contouring procedures to enhance their physiques.

Recovery: More Time, More Privacy

Men who were considering surgery, but had worries about the downtime, found a golden opportunity while on lockdown. Those working remotely could recover from procedures without taking as much time off or letting others know of their plans. Work-from-home wardrobes consisting of loose tops and sweats also made post-surgery recovery much more comfortable. In essence, quarantine life provides the best setup for privacy and a discreet recovery time.

Popular Procedures for Men 

Even taking the pandemic out of the equation, there is less taboo surrounding cosmetic procedures for men today. Men are taking better care of their skin and bodies, and they want a more youthful appearance to match their energy and vigor with the help of the following procedures:

male blepharoplasty surgery results in NYC, NY Eyelid Surgery

No matter their age, men like to look rested, energetic, and attentive. The eyes are one of the most vulnerable areas when it comes to aging and can make a man look tired and older than he feels. This delicate skin diminishes with age, resulting in droopy eyelids and puffy bags under the eyes. To address these concerns and achieve a younger-looking appearance, more men are now discovering the benefits of blepharoplasty or eyelid surgery in Manhattan, New York.

Neck Lift

Whether they blame it on heredity, gravity, fluctuations in weight, or the natural aging process, men will notice a distinct loss of skin elasticity on their face, neck, and jaw, along with increased fatty deposits. To reverse these signs of aging, men are turning to a neck lift procedure to achieve harmony between their appearance and the way they feel. Dr. Miller can perform a neck lift to remove excess fat and skin from the neck to improve visible signs of aging in the neck and jawline, creating a smoother, slimmer, firmer, and more refined neck appearance.

male rhinoplasty results in Manhattan, NY Rhinoplasty

With Zoom meetings and more time spent on multiple social media platforms, men (like women) have become more focused on their imperfections. Research has found that selfies can also make people’s noses look larger than they actually are. Rhinoplasty is one of the most often requested procedures by male patients in Dr. Miller’s plastic surgery clinic. Since masculine features are the perceived key to male attractiveness, most men choose to have rhinoplasty to eliminate any unsightly features while maintaining a strong-looking nose. 

Bro-Tox 

A testament to the fact that Botox injections aren’t just for women, “Bro-tox” continues to be a popular trend over the last decade. As its man-friendly nickname suggests, Bro-tox refers to Botox procedures for men. In addition to its subtle results and minimally-invasive approach, the appeal of Botox injections also comes from its short treatment sessions and minimal downtime. Dr. Miller strategically injects Botox to specific facial areas to block nerve impulses to the muscles responsible for dynamic wrinkles, creating a smoother, more youthful appearance. 

Why Gotham Plastic Surgery is the Best Plastic Surgery Clinic for Male Patients

Most plastic surgeons only see a small fraction of male patients, and this gives them little experience with the unique needs of men. Dr. Miller understand the unique concerns of his male patients and creates improvements that are both natural and distinctly masculine. 

Settle For Only The Best In Facial Rejuvenation

Can’t decide which procedure is best for you? During your consultation at our plastic surgery clinic, Dr. Miller will make recommendations based on your skin quality, signs of aging, and specific concerns. Together, you can create a Unified Vision® that will best meet your goals. Contact Gotham Plastic Surgery today to schedule an appointment.

What Makes Rhinoplasty So Complex?

The nose is a complex and delicate structure, making rhinoplasty a very challenging procedure and one of the most difficult surgeries to master. A blend of a surgeon’s training, skill, experience, and refined sense of aesthetics all come into play to achieve optimal results and avoid complications. Getting the procedure right the first time by choosing the right plastic surgeon is key to a successful outcome.

Double board-certified in both facial plastic and reconstructive surgery and head and neck surgery, Philip Miller, MD, FACS, is considered one of the country’s foremost experts in rhinoplasty and facial rejuvenation. He has over 20 years of experience within the facial plastic surgery industry and has performed over 5,000 successful surgeries. His approach combines art and science with skill and innovation and provides thousands of patients in Manhattan, New York with natural-looking results that exceed their goals.

revision rhinoplasty results in NYC, NY The Reasons Behind So Many Revision Rhinoplasties 

Approximately 10-15% of patients who undergo nose jobs request a second procedure at some point. Cutting costs by settling for an inexperienced surgeon who uses outdated techniques and lacks clear communication skills could result in complications from the procedure and poor results, creating a need for a revision rhinoplasty. Specifically, functional and aesthetic issues that may warrant revision rhinoplasty may include:

  • Pinched tip (too much cartilage being removed from the tip of the nose results in a “pinched nose” appearance or a short nose)
  • Progressive nasal obstruction
  • Scar tissue formation during the healing process
  • Crooked or twisted nose
  • Deviated septum

Revision rhinoplasty is not a decision that should be taken lightly. The procedure can be much more intricate than the primary rhinoplasty and requires a surgeon with a broad understanding of the nasal structure and the best surgical techniques. In effect, the procedure can take longer to perform and may cost significantly more than the initial surgery. This is why getting rhinoplasty right the first time by choosing the best surgeon is crucial. 

It is important to note that only a facial plastic surgeon should perform revision rhinoplasty. Dr. Philip Miller is known for his ability to produce the most natural and aesthetically appealing rhinoplasty results. With a high success rate, he is an expert at revising original rhinoplasties that did not produce the desired result.

The Complex Nose Structure

Surgeons consider form and function when performing rhinoplasty because, while nose jobs are mostly desired for cosmetic reasons, you must also consider the nose’s proper function. While operating, facial plastic surgeons must make sure the nose’s structure remains intact and the patient can breathe properly once they’ve recovered. More than just a passageway for air, the nose consists of an intricate mix of varying tissues. Fragile bone at the back and bridge and flexible cartilage in the front support the nose. Covering all of that is skin that surgeons must carefully manipulate during surgery so it drapes properly over all of the nose’s components. In some cases, surgeons also correct functional issues while enhancing the nose’s appearance. 

Altering the nose is unlike sculpting a piece of marble that you chisel down to the desired shape and size. Rather, the nose is disassembled, augmented, or trimmed, repositioned, and then rebuilt—all while preserving its important functions such as airflow.

rhinoplasty results on patient with realistic rhinoplasty expectations in NY, NY Are Your Expectations Realistic? 

When considering any type of nose surgery, even if it’s a non-surgical rhinoplasty, your prospective surgeon must be more than willing to sit down for a consultation with you. Making sure you and your plastic surgeon are on the same page during the consultation and on the day of your procedure helps ensure a successful result. Your surgeon must have a clear understanding of your aesthetic goals, ask about your medical history, and discuss your available cosmetic options, potential risks, and pre- and post-operative care. Your surgeon should be able to confidently answer all your questions.

Dr. Miller uses before and after photos as well as image morphing to make sure your expectations are realistic and can be met. Particularly, he uses virtual rhinoplasty as a tool to help you visualize your rhinoplasty results, all from the comfort of his Manhattan office. With the latest in computer imaging and 3D technology, you can “try on” a variety of changes to see your potential results, helping you find the best look for you before surgery.

If the Nose Fits

Part of having realistic expectations for rhinoplasty is understanding what rhinoplasty can achieve for your nose. Everyone has unique nasal features and facial structures that determine how much can be changed. Sure, Blake Lively and Jennifer Lopez may appear to have the “perfect” noses, and you are free to show their photos to your plastic surgeon. However, don’t expect that someone else’s nose will look right on your face. It shouldn’t be your goal to match somebody else’s appearance, but only use them as a source of inspiration. Achieving the right nose for you will depend on your facial structure, symmetry, size, and balance. Surgeons should not use a one-size-fits-all approach, and you cannot expect a perfect replica of another person’s nose after surgery.

To set yourself up for success, begin by choosing the best facial plastic surgeon. The best surgeons know how to customize a nose surgery to the precise needs of each patient to achieve balance and natural beauty. Dr. Miller’s approach to rhinoplasty starts with the NatraLook® process, which optimizes the patient experience by creating a collaborative environment that keeps you as an active participant in your transformation journey. This ensures the most rewarding results because it is the process’s goal to empower you and help you achieve Aesthetic Confidence®.

Schedule A Rhinoplasty Consultation With A NYC Plastic Surgeon Today

Settle for nothing but the best in facial plastic surgery. By choosing a world-class plastic surgeon with the right combination of experience, skill, expertise, and aesthetic eye, you can achieve beautiful and natural-looking results that are life-changing. Contact Dr. Miller in New York City to learn more about rhinoplasty and other facial plastic surgery procedures that can enhance your appearance.

One Anti-Aging Procedure You Wouldn’t Expect, Rhinoplasty

When looking younger is the goal, most people think about smoothing out wrinkles, brightening the eyes, and lifting sagging skin. Have you ever thought to add rhinoplasty to that list? When patients come for a nose procedure, they typically want to correct the tip, adjust the nostrils, or remove a hump. Now we know, thanks to a recent UCLA study, that rhinoplasties can also make people look up to three years younger—or more.

As a facial plastic surgeon who focuses exclusively on cosmetic procedures for the face, Philip J. Miller, MD, FACS, offers patients the latest in facial enhancement and anti-aging procedures, including surgical and non-surgical rhinoplasty at his New York City office. Peers recognized Dr. Miller as an expert in facial plastic surgery, and particularly in rhinoplasty. Most recently, Dr. Miller spoke at the 10th International Symposium of Facial Plastic Surgery and lectured on innovative rhinoplasty techniques.

How Can A Nose Show Age?

Image of a female patient showing before and after results for rhinoplasty. Giving more younger appearance. NYC, NY

As you age, internal changes cause external symptoms, and this is true for the nose as well as other areas of the face. The nose consists of bone, cartilage, and soft tissues, all of which can shift over time. Beneath the surface, bone loss can cause the nose to droop. The nasal tip often stretches with age, widening the nose. Paired with irregular skin texture and thinning outer skin, the nose can show a lot of aging symptoms.

Rhinoplasty for Anti-Aging in New York

The nose is a stand-out facial feature, and it’s largely responsible for creating a balanced or unbalanced appearance. As a main focal point, if it looks irregular or aged, the rest of the face will likely look off as well.

Researchers from UCLA studied how much the nose can affect peoples’ perceived ages, and they found that the rejuvenating effects of rhinoplasty can make women look up to three years younger or more, in some cases. The researchers used artificial intelligence to analyze before and after photos of 100 women who had undergone rhinoplasties 12 or more weeks ago. The women in the photographs were aged 16 to 72, and an algorithm guessed their ages based on the photographs.

“This technology allows us to accurately estimate age in an objective way and has proven to recognize patterns and features of aging beyond what the human eye can perceive,” says Dr. Robert Dorfman, lead author of the study and a resident physician in the division of plastic and reconstructive surgery at the David Geffen School of Medicine at UCLA.

The most dramatic results were evident in women 40+ as some looked up to seven years younger, according to the AI algorithm. The sample size of this age group was only 25, so researchers will need to conduct further studies to confirm the results.

Rhinoplasty to straighten the nasal bridge of a male patient by Dr. Miller. Surgery removes dorsal hump from bridge to create a more aesthetically pleasing facial contour. Possible Improvements from a Rhinoplasty

People seeking rhinoplasties sometimes come with specific concerns they want to be corrected, and others might just want an overall facial improvement. With a rhinoplasty procedure, you can achieve:

  • Nasal symmetry
  • Balanced nose and face proportions
  • Slimmed, slightly rotated, and aesthetically pleasing nasal tip
  • Narrower nostrils
  • Smoother nasal bridge (remove humps or depressions)

No matter what your nasal or facial concerns, Dr. Miller will help you understand what improvements are possible with a rhinoplasty at your initial consultation. Revision rhinoplasty may be required in some cases. Using his proprietary NatraLook process, Dr. Miller creates an enriching experience for patients to explore possibilities with cosmetic procedures in a safe, unintimidating environment.

Other Reasons to Consider a Rhinoplasty

Nose surgeries are not just for aesthetic concerns because noses do much more than just look pretty. Procedures can also correct improper nose functions, such as:

  • Blocked airflow
  • Sleep apnea
  • Damage due to an injury

Dr. Miller performs septoplasties in Manhattan to correct deviated septums, a condition where partition between the two nasal cavities does not run straight down the center of the nose. The crooked shape can create a blockage that prevents open airflow and hinders normal breathing.

Image showing a female patient of Dr. Miller before and after the rhinoplasty improving nasal contours and physical appearance Entrust Your Nose Procedure with Dr. Miller

Rhinoplasties are known as one of the most difficult plastic surgery procedures to perform, which is why you should only trust the best to enhance this important feature on your face. As a double-board certified facial plastic surgeon, Dr. Miller is focused solely on treatments for the face, continually innovating and improving upon known rhinoplasty techniques. Dr. Miller has published chapters in rhinoplasty textbooks, served as a guest editor of the monographs Facial Plastic Surgery and Clinics of Facial Plastic Surgery, and regularly lectures at facial plastic surgery events in front of his peers. If you want the best possible rhinoplasty results to restore youthfulness to your appearance in a welcoming atmosphere, entrust your procedure to Dr. Miller.

Dr. Miller also uses advanced technology so he can offer virtual rhinoplasties. A virtual rhinoplasty enables a patient to see an approximation of how their surgical rhinoplasty will look—before undergoing surgery. This 3D imaging will allow you the most complete view of how your nose could look after your procedure, and enables you and Dr. Miller to discuss more concretely your goals for your results.

Schedule Your Rhinoplasty Consultation in NYC Today

If you want to restore youthfulness to your face with a rhinoplasty, contact our Manhattan office today to schedule your consultation, or request a virtual appointment.