Rhinoplasty is major surgery that will require significant downtime. Although the majority of the healing process will take place within the first few days and weeks, small amounts of swelling may continue to persist for up to one year. Every nose job is different, and every patient will heal at their own pace. 

The best way you can ensure a good recovery after a nose job with Dr. Miller is to carefully follow all of his pre- and post-op instructions. As a double-board certified facial plastic surgeon and expert in rhinoplasty, Dr. Miller has performed thousands of rhinoplasty procedures. He has developed a surgical plan to keep swelling to a minimum and produce the best possible results for his patients. 

Rhinoplasty recovery will depend on several factors, including the patient’s skin texture and the surgical technique used. Revision procedures tend to have a longer recovery than the initial surgery. No matter what your surgery looks like, swelling is to be expected, and the recovery process will typically follow the same basic structure.

What to Expect 1 Week Post-Rhinoplasty

You will want to give yourself plenty of time for rest and recovery during the first week after your surgery. Expect significant swelling for the first few days. Your nose will also be tender and you may have difficulty breathing through the nose during this time. You will likely be wearing a splint and nasal dressings for about a week. You may notice bruising around the eyes, cheeks, and lips, and puffiness at the nasal tip. It is also common to notice uneven swelling and asymmetry during this early part of your recovery.

Rhinoplasty recovery week by week

Week 2: At this point, there will be a significant reduction in post-op swelling. Any remaining bruising can be easily concealed with makeup. You will notice as more of the swelling recedes, the new shape of your nose becomes more distinguishable. By the end of the second week, you may return to work if your job is not too strenuous. Intense and demanding activities should be avoided for up to 6 weeks.

Week 3-4: By this time, there should be a dramatic reduction in swelling, and almost all visible signs of surgery should be gone. Your new nose will be more defined and you will start to appreciate your rhinoplasty results. You may also be cleared for moderate exercise. If you had revision rhinoplasty or if you have unusually thick skin, you may still have quite a bit of swelling at this stage of recovery.

Months 2-3: As your nose continues to heal and swelling subsides even more, you will begin to see your full results and feel ready to show off your new nose. Keep in mind that it can take a year for all of the swelling to go down, however. During this time, your bone structure is more stable, enabling you to wear glasses and resume weight-bearing exercises.

Months 3-6: Any numbness or prickling sensations on the skin or inside your nose should begin to resolve at this point of the recovery process.

Months 6-12: Within a year, you will see the final results of your rhinoplasty procedure. With only minimal to no swelling, changes in the nose during this time will be subtle. The repositioned cartilage will have fully conformed to its new shape and the nasal tip should appear more refined. 

There are factors that may impact your recovery timeline. These include skin texture and thickness, revision surgery, or extensive nasal reconstruction. During your consultation with Dr. Miller, he’ll be able to clearly discuss what recovery process to expect for your particular rhinoplasty procedure. He’ll also provide you with a set of post-operative care instructions, as well as recommendations for reducing swelling. Dr. Miller and his team will follow you through this entire process, but please be patient to see the final results.

Tips to Reduce Rhinoplasty Swelling

The best thing you can do as a patient is to follow all the after-care instructions provided by your surgeon. This ensures a smooth recovery free of any complications. Here are some recommendations to help reduce post-operative swelling and speed up your healing process, enabling you to see your full results sooner.

• Avoid sleeping on your side or belly. Sleeping on your back in an elevated position (propped on several pillows) is the best sleeping position. This will minimize fluid buildup, congestion, and discomfort. 
• Stay hydrated by drinking lots of fluids. This will help reduce swelling by preventing fluid retention.
• Avoid salty foods which will increase the amount of fluid in your body and in turn result in more swelling due to water retention.
• Eat healthy foods like fruits, vegetables, and proteins that will promote wound healing (e.g., berries, leafy greens, beans, nuts and seeds, and poultry).
• Help the swelling subside by using cool compresses and ice packs around your nose. Do not apply ice directly on the skin. Prevent ice burns by wrapping an ice bag with a towel before application. 
• Avoid hot baths and showers while you are still wearing a cast. Steam can worsen swelling and may even cause your cast to fall off.
• Avoid strenuous activities for at least 3-6 weeks, as these can increase blood flow and swelling.
• Avoid smoking which slows down the healing process and increases the risk of post-surgery complications.
• Avoid taking blood-thinning medications that can affect bleeding and impair healing. 

Choosing Your Rhinoplasty Surgeon in New York City

For something as invasive as plastic surgery, choose a surgeon who will not only achieve your desired results based on your unique needs and goals, but someone who can provide the support and care you need before, during, and after your procedure.

As a board-certified facial plastic surgeon, Dr. Miller specializes in cosmetic facial procedures that are designed to help patients achieve their aesthetic goals. Dr. Miller creates innovative and comprehensive procedure plans in order to provide natural-looking results and outcomes that are life-changing. Considered one of the country’s leading experts in rhinoplasty and facial rejuvenation, Dr. Miller and his highly acclaimed team are proud to offer patients the highest level of care and customized treatments in Manhattan, New York, and New Orleans, Louisiana.

Dr. Miller’s approach to rhinoplasty encompasses the NatraLook® process that optimizes the patient’s overall experience by ensuring their journey yields the most rewarding results. It is NatraLook’s goal to help patients feel empowered before and after their surgery. During your NatraLook consultation, Dr. Miller evaluates your nose and facial features while listening to your concerns and goals. This process expands the typical plastic surgery experience into a safe, collaborative environment where you can explore your Aesthetic Confidence®.  

Contact Dr. Miller to schedule a consultation and learn how his artistic skill and experience can bring balance to your features and help you achieve the best version of yourself. 

Gone are the days when you would undergo surgery in hopes of restoring your youth, only to find your face looking like “done” after your procedure. Thanks to advanced, state-of-the-art technology and techniques, today’s plastic surgery combines science and art to create a natural, youthful appearance in both men and women.

Philip J. Miller, MD, FACS, is a double board-certified facial plastic surgeon who is known for creating natural results through customized treatment plans. He performs facelifts for patients with all degrees of aging, from the earliest fine lines and wrinkles to significant sagging and volume loss. With three basic types of facelifts, Dr. Miller will utilize his proprietary NatraLook® process to ensure you achieve the Aesthetic Confidence® you deserve when you look your very best. 

3 Types of Facelifts 

As the name suggests, a facelift is a procedure designed to lift and smooth the face to create a more youthful appearance. Also known as a rhytidectomy, they are appropriate for men and women of all ages, since Dr. Miller will tailor your treatment to your precise concerns and goals. There are three basic types of facelifts Dr. Miller offers in his New York and New Orleans offices. 

Deep Plane Facelift

A deep plane facelift is the top choice for patients with significant aging symptoms. Deep plane facelifts reposition the muscle and soft tissue layer, or SMAS, before tightening the skin. This technique provides a more natural result than facelifts past that focused solely on skin tightening. 

Deep plane facelifts enhance both the jowls and neck areas, but also let go of the cheek ligaments and raise the cheek fat pads and muscles. During a deep plane facelift, the skin and the SMAS are lifted together, rather than separately, which also creates more natural-looking results. 

A deep plane facelift involves incisions behind and around the ears and along the hairline at the temples. Through these incisions, Dr. Miller can access the areas necessary to produce the most dramatic improvement. Surgery is performed using general anesthesia and takes about four hours to complete. Recovery from a deep plane facelift is typically 10-14 days.

Mini Facelift

Known as the “S-lift”, “weekend facelift”, and the “lunchtime facelift,” mini facelifts are quickly becoming a popular option in surgical facelifts. Less dramatic than a deep plane facelift, a mini facelift offers you a refreshed look by suspending the SMAS facial muscle. 

Especially useful for the cheek and jowl areas, a mini facelift requires smaller incisions and a shorter recovery for most patients. The procedure may be performed using local anesthesia or IV sedation, rather than general anesthesia. 

This type of plastic surgery is good for people who want to correct sagging cheeks, skin laxity in the jawline, midface sagging, marionette lines, jowls, and double chins. The improvements are not as dramatic as a deep plane facelift and typically don’t last as long. However, a mini facelift is an excellent choice for patients with earlier signs of aging that would like to refresh their appearance. 

Liquid (Nonsurgical) Facelift

Nonsurgical, liquid facelifts involve a combination of injectable neuromodulators and dermal fillers to produce comprehensive improvement without anesthesia, incisions, or downtime. Neuromodulators like  Botox® Cosmetic and Dysport® relax facial muscles that cause wrinkles to form in the forehead and around the eyes. Hyaluronic acid dermal fillers like Juvéderm® or Restylane® restore lost volume in the midface and along the jawline, while smoothing away wrinkles around the nose and mouth. 

Results from a liquid facelift can be seen almost immediately, although slight swelling around the injection areas may interfere with your final results for a day or two. A liquid facelift is an excellent option for patients experiencing the earliest signs of aging or those who are not good candidates for surgical procedures.

What is the best type of facelift?

The best facelift for you is the one that meets your specific needs and goals. Dr. Miller will work with you to understand your concerns and create a customized plan to produce an optimal outcome for you. He will also take into account your medical history and current conditions to ensure the procedure you choose will be both safe and effective. 

What is the most natural-looking facelift?

The most natural-looking facelift will be the one that is performed by an experienced facial plastic surgeon. Dr. Miller has the experience and expertise to ensure your results look natural no matter what type of procedure you choose. You can rest assured you won’t come out of your surgery with the typical windblow look of facelifts past. Instead, you will simply look like a better, more youthful version of yourself. 

What is the best facelift without surgery?

Although there are radiofrequency (RF) and ultrasound therapies that effectively tighten and smooth the skin, the liquid facelift offers the ability to restore volume while treating fine lines and wrinkles. With minimal downtime, this procedure offers a quick fix for early signs of aging. Keep in mind that liquid facelifts produce temporary results and procedures will need to be repeated every few months to maintain your refreshed appearance.

Which facelift lasts the longest?

The deep plane facelift lasts up to 10 years, making it the facelift that lasts the longest. A mini facelift usually lasts around 5-8 years, depending on how well you care for your skin. Liquid facelifts must be repeated every year  to maintain the positive results. 

At your initial consultation, Dr. Miller will discuss the different types of facelifts available and help you choose the best option for you based on your specific needs and goals.If you are interested in learning more about facelifts or would like to schedule an appointment, contact our office in Manhattan, New York or New Orleans, Louisiana today.

Looking your best usually starts with your face – It is the first thing people notice. A new aesthetic appearance can open doors for you, making you look and feel your very best. Though you may not have found the Fountain of Youth yet, even with the many moisturizers and creams available today, a facelift, neck lift, or combination of the two may be the solution you are looking for to get your youthful facial appearance back. 

Philip Miller, M.D. is our double board-certified facial plastic surgeon with 20 years of experience delivering safe and effective facelifts and neck lifts. He creates customized treatment plans for each patient he sees. And his caring and supportive medical team are always available to answer questions and help you decide which procedure is the right one. Contact us in New York or New Orleans to learn more.

What is a Facelift?

Popular in New York and across the globe, a facelift is a plastic surgery procedure that repositions fallen tissue and excises loose, excess skin. Explicitly used for saggy skin, facial hollowing, and deep wrinkles, facelifts today are more natural-looking than the windblown results these surgeries used to offer. 

Weakened muscle and tissue, combined with collagen depletion in the dermal structure, can cause the skin to sag over time. The tissue under the muscle, the superficial musculoaponeurotic system (SMAS), can be tightened and lifted. Loose skin can be placed back over the face with the excess skin removed, promoting a more aesthetically-pleasing appearance. 

In addition, Dr. Miller can reposition and remove any displaced fat that migrated downward to create a more youthful facial contour. Finally, the facelift procedure reduces the sagging or skin folds on the cheeks and jawline and other shape changes in the face that happens with age. A classic facelift focuses on the lower portion of the face, from the cheekbones down, as well as the jowls and jawline.

Dr. Miller offers customized treatment plans in his Manhattan, New York, and New Orleans, Louisiana offices  to improve and enhance the appearance of your face. His proprietary NatraLook® process enables you to work through potential obstacles as you explore your Aesthetic Confidence in an unintimidating, supportive environment. 

What is Neck Lift? 

A neck lift is also known as a cervicoplasty, which targets loose, excess skin. It is often combined with a platysmaplasty that tightens the underlying neck muscle. A neck lift is a surgical procedure that removes extra skin and fat from the neck to reduce the visible signs of aging around the neck and jawline to create a smoother contour and more aesthetically pleasing profile. Dr. Miller may use a cervicoplasty, a platysmaplasty, or a combination, to rejuvenate, restore, and create a more refined appearance to the neck. 

A neck lift is perfect for those who see most of their aging concerns settling beneath the jawline, such as horizontal banding, submental fat under the chin, and the dreaded “turkey neck.” Neck lift procedures take about two to three hours and can be done using local anesthesia or IV sedation for some patients. Results of a good neck lift can last many years if you give your skin TLC with daily sun protection and medical-grade skincare products that maintain skin health..

Are a facelift and neck lift the same?

A facelift and neck lift are two different procedures, although it may be necessary to perform a lower facelift to firm up the jawline with a neck lift to tighten the sagging skin under the chin. A facelift primarily focuses on loss of volume in the midface, jowl formation along the jawline, and creases around the nose and mouth. A neck lift targets loose skin below the jawline, submental fat under the chin, the formation of turkey neck, and horizontal banding that often occurs when the platysma muscle becomes overactive.

Dr. Miller will take the time to discover your specific concerns and goals to determine which procedure or combination of treatments might work best for you.

What’s the difference between a neck lift and a lower facelift?

Depending on the type of facelift performed, this procedure can refresh most of the face in a single procedure. A neck lift is focused solely on the neck, from the jawline to the decollete. Incisions for a facelift are usually placed around the ear and inside the hairline toward the temple. Incisions for a neck lift can also be placed around the ear, but extend across the lower scalp. Recovery from these procedures can be similar, taking about 1-2 weeks. 

Can a neck lift be done without a facelift?

Occasionally, a patient can get a nice result from a neck lift alone. However, it is much more common to combine a neck lift with a facelift to ensure comprehensive improvement. A facelift is more likely to produce a satisfactory outcome when performed as a stand-alone treatment. 

Does a facelift tighten the neck?

Although it primarily focuses on improving the cheeks and jawline, a facelift may tighten the neck by reducing skinfolds and sagging skin. However, for the best improvement in both areas, Dr. Miller will likely recommend performing a facelift and neck lift at the same time. 

Skinfolds and sagging skin can make you feel unattractive and old. Getting a facelift, neck lift, or even both may help bring your youthful appearance back, giving you confidence and rejuvenation. Contact our Manhattan, New York, or New Orleans, Louisiana office today to make an appointment or ask questions about getting a facelift, neck lift, or both.

With the abundance of neck tightening procedures available, choosing the most effective option can be a daunting task. From non-invasive techniques to minimally invasive surgeries, these varied procedures offer solutions for different skin types and aging concerns.

In this article, we explore the best neck tightening procedures available in 2024, focusing on their effectiveness, safety, and suitability to help you make a well-informed decision in your pursuit of a youthful and firm neckline.

Best Non-surgical Neck Tightening Procedures to Book in 2024

Non-surgical procedures are great options for patients seeking minimally-invasive treatments with maximum results. A non-surgical neck tightening procedure can be an especially effective option for patients with laxity and crepey skin texture. 

Dr. Miller offers NeckTite™, a minimally-invasive procedure that uses patented radiofrequency assisted lipolysis technology to tighten the neck and jowls. NeckTite™ is completed with small cannulas for minimal scarring and downtime. It creates better results than liposuction and is an effective alternative to a surgical neck lift. The NeckTite™ device can contour the neck area for firmer, younger-looking skin and is ideal for patients with:

• Loose or sagging neck skin
• Jowls
• “Turkey neck”

Schedule Your Non-Surgical Procedure 

Best Surgical Neck Tightening Procedures to Schedule in 2024

The neck is one of the first areas where signs of aging appear, and over time, wrinkles, lines, and skin texture will become more pronounced. It’s important to remember the neck area when you have facial rejuvenation procedures to make your appearance cohesive. A neck lift can remove excess fat and skin from the neck to create a smoother, more contoured look. It is a surgical procedure known as cervicoplasty (removes excess skin) or platysmaplasty (tightens loose neck muscles).

A cervicoplasty is the general name for a neck lift, while a platysmaplasty is part of the cervicoplasty. The cervicoplasty:

• Removes excess skin
• Makes an incision to reduce loose skin and contour the neck

The platysmaplasty:

• Tightens loose neck muscles
• Contours the neck
• Can be performed without a complete cervicoplasty

Dr. Miller performs neck lift surgeries in his Manhattan outpatient office, where he offers anesthesia or IV sedation to ensure a comfortable experience. The procedure takes 2-3 hours, and after surgery, patients see significant results and younger-looking skin. Patients looking for stunning results to turn back time can expect a neck lift to treat:

• Excess fat, jowls, or double chin
• Loose or sagging skin
• Wrinkles, lines, and creases
• Irregular contours

Schedule Your Surgical Procedure 

Adding Jaw Contouring

While healthy lifestyle choices such as diet, exercise, and a skincare regimen can help nurture healthy, toned skin, these habits are not effective in creating a strong facial profile. Dr. Miller’s proprietary procedure,  G.I. Jawline, is a cosmetic procedure for men that creates a chiseled jawline. His proprietary procedure helps men get the classic look they desire with a sharp jawline, square chin, and a strong masculine facial contour. Dr. Miller from NYC focuses on enhancing existing features by outlining and highlighting the jawline structure.

The G.I. Jawline can include any one or combination of these treatments:

• Facial injectables: Injectables can target fine lines, wrinkles, and volume to create smooth skin, improve definition and enhance chin projection.
• Kybella®: This FDA-approved injectable treatment targets submental chin fat.
• Liposuction: This body-shaping procedure dissolves undesirable fat from hard to target areas, including submental fat under the chin.
• Neck-Tite™: This minimally-invasive procedure uses radiofrequency energy to melt fat and rejuvenate the neck and jowls.
• Medical grade implants: Implants are a permanent solution and are used to create facial balance and contour.

And The Best Procedure for Neck Tightening in 2024 Is…

…unique to you! Each patient has a unique look, facial structure, and cosmetic preference. Dr. Miller works closely with patients to identify their needs and the most effective solution to meet those needs. He customizes neck tightening treatments based on your goals to make the results stunning and natural.

Want beautiful, flawless results? The key is a personalized treatment plan with a focus on natural beauty. Dr. Miller wants patients to feel empowered to explore their Aesthetic Confidence® with a supportive experience. He uses the NatraLook® process, which evaluates and expands the plastic surgery experience into a safe opportunity to discuss personal obstacles and improve confidence.

Schedule Your Neck Tightening Procedure 

Schedule Your Neck Tightening Treatment in New York Today

Dr. Miller works closely with patients to create a unified vision and personalized treatment plan. His extensive experience, innovative approaches, and advanced technology allow him to achieve unparalleled, life-changing results.

Contact us to schedule a consultation and learn more about neck tightening procedures that are right for you. 

As the center point of your face, your nose plays a significant role in creating your facial symmetry. 

If you’re unhappy with your nose’s size, width, profile, or nostril size, nose surgery can help bring it into harmony with your other facial features. Rhinoplasty can change the shape and size of the nose to achieve your aesthetic goals.

For optimal results, it’s essential to consult with a board-certified plastic surgeon who specializes in rhinoplasty procedures. Reduction rhinoplasty, or nose reduction, is one of the most common procedures performed by top New York City facial plastic surgeon, Dr. Philip J. Miller. As a double board-certified facial plastic surgeon, Dr. Miller has the expertise, skill, and technique to create the best possible result for you. 

How to Make Your Nose Smaller with a Surgical Nose Job

Augment the Nasal Tip

Sometimes a nasal tip adjustment is all that is needed to make the nose appear more proportionate. For instance, a large nasal tip can cause your nose to look more prominent. Dr. Miller will use specialized methods to alter the cartilage, improving your nasal tip’s projection, shape, or rotation.

Reduce the Bridge of the Nose

In other cases, the nasal bridge is the cause of a disproportionate appearance. If the bridge of your nose is out of proportion to the rest of your facial features, Dr. Miller can reduce the nasal bridge to bring it into balance.

Adjust the Size of Your Nostrils

The ideal nose is triangular, with proportionately-sized, symmetrical nostrils. When the nostrils are too large or wide, they draw attention away from your other facial features. In these cases, your appearance can be dramatically altered simply by manipulating the appearance and shape of the nostrils.

During a nostril reduction, Dr. Miller excises portions of the surrounding tissue via incisions below or inside the nose to reduce nostril size. As a result, scarring is minimal to non-existent.

A Rhinoplasty Procedure at Our Plastic Surgery Clinic

Older people can benefit from rhinoplasty as well. As we age, our nose may begin to look longer, and the tip of the nose may start to droop. A nose job can correct these age-related changes for a more youthful appearance. In fact, it’s common to combine rhinoplasty with a facelift, eyelid surgery, or other anti-aging procedures.

Additional Benefits of Rhinoplasty

When you decide to have rhinoplasty surgery, this is also the time to address any breathing problems you may have noticed. Before performing your nose surgery, Dr. Miller will examine the nose to identify any functional issues. He will then create a surgical plan that addresses both the appearance and function of the nose.

Non-Surgical Alternatives

DIY Home Remedies

A search of the internet reveals a few methods for “DIY” nose jobs. 

For instance, certain websites proclaim that nose exercises are an easy way to reshape the nose. Other suggested remedies involve applying toothpaste, apple cider vinegar, ginger, or garlic to reduce a large nose. 

The shape of your nose where it attaches to your face is determined mainly by bone shape, and the tip of your nose is shaped primarily by cartilage. There’s no credible evidence to suggest that any DIY home remedy can influence the size or shape of the nose.

Unreliable advice abounds on the internet, and it’s always best to see a board-certified facial plastic surgeon for trustworthy recommendations based on expertise, not internet rumors.

Makeup

Makeup can’t change the size or shape of your nose, but it can help alter its appearance. Contouring is a popular way to create the illusion of a smaller, thinner, or reshaped nose:

• Using a bronzer two shades darker than your skin, outline both sides of your nose.
• Highlight the bridge of your nose with a matte highlighter.
• With a makeup sponge, manipulate the shadows and highlights to achieve the desired effect.

Many online tutorials demonstrate techniques for nose contouring depending on the effect you want to achieve.

Injectable Options

Reduce the Size of Your Nose Permanently with Rhinoplasty in NYC

If you’ve been considering surgery to reduce the size of your nose, we invite you to schedule a consultation with Dr. Miller. He’ll help guide you through each step of your procedure from his state-of-the-art Manhattan plastic surgery clinic and surgical suite—one of the premier centers in New York City.