Skip To Content

What’s The Difference Between A General Plastic Surgeon And Facial Plastic Surgeon?

You’re ready for facial cosmetic surgery, and now you need to find the most expert and skilled surgeon in New York City to make the aesthetic improvements you want. How do you choose the most qualified expert from among all the many expert surgeons who come up on your Google search? 

If you’re considering facial plastic surgery — facelift, brow lift, nose job, blepharoplasty, neck lift, or any other surgery on your face or neck — your first goal is to identify the plastic surgeons who specialize in facial plastic surgery. Ideally, they should be trained both in cosmetic facial plastic surgery and also otolaryngology, which focuses on the function of facial structures, including the jaw and nose. 

What is a general plastic surgeon?

rhinoplasty surgery procedure

A general plastic surgeon is trained to repair physical defects and to restore function and a normal appearance to any body part that has been injured, abnormal at birth, or which could be improved aesthetically. Plastic surgeons receive their training during their residency, after completing medical school. 

To be board-certified in plastic surgery by the American Board of Plastic Surgery, you must be trained in six areas, one of which is devoted to cosmetic surgery. This training includes all cosmetic plastic surgery procedures, not just those devoted to the face.  So a general plastic surgeon can reshape your entire body — performing procedures such as breast lifts and augmentations, tummy tucks, and liposuction — whereas a facial plastic surgeon is trained only in facial procedures.

What is a facial plastic surgeon?

A facial plastic surgeon’s training is solely focused on reconstructing and making aesthetic improvements to a patient’s face, head, and neck. We develop a deep knowledge of the anatomy of the face, including bones, muscles, tendons, cartilage, and skin.

What’s the process for becoming a facial plastic surgeon?

A doctor begins studying facial plastic surgery after they’ve earned their MD.  I received my MD from Wesleyan University and then went on to complete an internship and residency in General Surgery at New York University (NYU) School of Medicine. I also completed a second residency in Otolaryngology/ Head & Neck Surgery at NYU. I then went on to a fellowship in Facial Plastic & Reconstructive Surgery at Oregon Health Science University.

Procedures that facial plastic surgeons are trained for include:

After completing hundreds of facial surgical procedures, we take our board-certification exams. 

What does it mean to be board certified?

Even though both general plastic surgeons and facial plastic surgeons must undergo hundreds of hours of specialized training and we’ve already earned our MDs, we must complete another series of exams in the categories in which we wish to specialize. If we pass these exams, the medical board that prepared and administered them then certifies us as qualified to perform those highly specialized procedures. I’m double-board certified, which means I passed the exams and am board-certified in both Facial Plastic & Reconstructive Surgery and Otolaryngology/Head & Neck Surgery.

You should be sure that your facial plastic surgeon clearly states that they’ve been board certified and, ideally, double-board certified. A board-certified plastic surgeon should have the abbreviation “FACS” (for Fellow of the American College of Surgeons) after their “MD.” 

What other qualifications do facial plastic surgeons need?

facial plastic surgery consultation in manhattan new york

Facial plastic surgery is a skill, but it’s also an art. When it comes to making aesthetic improvements to the face — which is, after all, a primary component of your identity — you should look for a board-certified facial plastic surgeon who has a demonstrated ability to create harmony and balance in all of their improvements. 

Some facial plastic surgeons may have studied art or may paint or sculpt in their spare time. My mother was a painter. I grew up surrounded by beauty and art. From a young age, I learned the importance of harmony, subtlety, and symmetry when making any kind of aesthetic choice. 

My mission when performing facial plastic surgery is to create what I call Aesthetic Confidence® for my patients. They know that their new nose is now in perfect balance with the rest of their features; their eyelids are tightened and rejuvenated to the exact degree that’s compatible with their gender identity; their chin or cheek implants create such flattering lines and planes that they look like they’d been born with them.

Even a dramatic rejuvenation, such as a facelift, should look completely natural, rather than overly tightened or lifted. With my patented NatraFace™ techniques, my patients look like a younger, more energized version of themselves.

How to Contact A Qualified New York Facial Plastic Surgeon

To learn more about how specialized training in facial plastic surgery can make you look like your ideal self, contact my knowledgeable and helpful team to set up a consultation. You can phone the office directly, or fill out the online message form.

What is the Cost of a Rhinoplasty?

You’re ready to reshape your nose and light up your face with an expertly performed rhinoplasty. You want to make sure you get a result that is both natural and beautiful. But you’re also concerned about the cost. Is it time to search through Groupon deals, or book a trip to another country for bargain-basement surgery?

Calculating the cost for nose reshaping gets even more complicated when you consider the numerous options that fall under the rhinoplasty category:

The True Cost of Rhinoplasty

What procedure is right for you and what will you need to pay to get the right treatment for your needs and goals? Will insurance cover any of the costs? Is there a way to get the results you want and save money at the same time?

When a Bargain isn’t a Bargain

If you’re savvy about your finances, you already know that so-called “bargains” can ultimately cost more than quality goods. That’s especially true when it comes to rhinoplasty, which is one of the most complex cosmetic facial plastic surgeries performed today.

Because your nose is the central feature of your face, you can’t hide surgical mistakes or hope that no one notices them. You need to get it right the first time, to save yourself money and emotional distress. Keep in mind that the nose is also a vital organ and an essential part of your respiratory system. It is imperative that it still functions well after surgery. Only an expert can ensure the best result.

Choosing Your Rhinoplasty Surgeon

Philip J. Miller, MD, FACS is a double board-certified facial plastic surgeon in New York City who specializes in rhinoplasty. He has lectured on innovative rhinoplasty techniques at the International Symposium of Facial Plastic Surgery, written chapters on rhinoplasty for medical textbooks, and specializes in his patented NatraNose® approach to rhinoplasty procedures.

The Philip Miller, MD Difference. Why Philip Miller is the top rhinoplasty surgeon in New York

Cost of Rhinoplasty by Type

When estimating the cost of rhinoplasty, begin by determining which type of rhinoplasty procedure will meet your needs best. To help patients interested in rhinoplasty, Dr. Miller offers the following information:

National Average cost of rhinoplasty infographic

Primary Rhinoplasty

Your first nose job is considered a primary rhinoplasty. The average price can range from $6,000 to $25,000, depending on your location and the expertise of your surgeon. You might also opt for tip plasty, which is less expensive, but only improves the look, angle or shape of the nasal tip.

Before After Rhinoplasty Results in New York

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

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

  • Shorter nose
  • Straighter nose
  • Removal of bumps
  • More symmetrical nostrils
  • Thinner or wider nostrils
  • Thinner nose
  • Larger nose
  • More defined tip
  • Nose proportionate to other facial features

Ideally, your primary rhinoplasty is so successful that after your one-year healing period, your new nose is everything you dreamed it would be. Your choice of surgeon is imperative to ensuring a positive result the first time around:

What type of doctor to choose for rhinoplasty: facial plastic surgeon, generla plastic surgeon, or other surgeon

Unfortunately, if you choose the wrong surgeon for your primary rhinoplasty, you could need at least one revision and potentially more. In fact, up to 10% of patients who undergo rhinoplasty will seek out a revision.

Revision Rhinoplasty


Before after results of rhinoplasty in new york

A surgeon who is not board-certified as a facial plastic surgeon, or even a plastic surgeon who doesn’t specialize in rhinoplasty, can leave you with a nose that looks worse than your original nose. Revision surgery may cost between $7,500 to $30,000 to improve your initial results.

Keep in mind that it can take up to a full year to heal after rhinoplasty and determine whether a revision is necessary. Common reasons for needing a revision rhinoplasty include:

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

If your surgeon botched your primary rhinoplasty, you could require multiple revision rhinoplasties to achieve the result you want. When the mistake is minor and you are comfortable returning to your original surgeon for revision, you may not be charged, or you could pay a reduced price. If you changed your mind about what you wanted, or if the mistake is so grave that you no longer trust your surgeon, you may have to pay substantially more for a new surgeon. That’s why seeking out a bargain for your first rhinoplasty isn’t a wise choice.

Revision rhinoplasty is even more challenging than the original procedure. Even a well-executed primary rhinoplasty creates scar tissue in your nose. A nose job that is poorly done could leave a significant amount of scar tissue, while creating structural problems that may be difficult to rectify.

If you need a revision rhinoplasty, it is imperative that you find a surgeon who specializes in this procedure. The quality of your cartilage, bone, and skin have already been compromised by your first surgeon. You now require expertise to compensate for that structural damage. Dr. Miller is an expert at correcting mistakes made by other surgeons to create the best outcome for you.

Nonsurgical rhinoplasty

Nonsurgical rhinoplasty costs about 10 times less than a surgical nose job. Charges range from $600 to about $1,800, depending on your location, the expertise of your surgeon, and the amount of filler that’s required to improve your nose. The best candidate for nonsurgical rhinoplasty is a man or woman who is happy with the length and shape of the nose but would like to address bumps or asymmetries. This procedure is accomplished with the aid of hyaluronic acid- based dermal fillers.

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

Even though nonsurgical rhinoplasty is much less complex than rhinoplasty surgery, it still requires knowledge about facial anatomy, aesthetics, and harmony. Don’t trust your liquid rhinoplasty to an inexperienced provider. Select a board-certified doctor who is qualified the produce the best possible result for you.

If you’re nervous about rhinoplasty or you want to make some improvements to your nose while saving up for primary rhinoplasty surgery, nonsurgical rhinoplasty with dermal fillers is a great place to start. Many women and men opt for a nonsurgical nose job first, as a way of “auditioning” a potential new nose shape. Others are so happy with their results that they continue touching-up their nose with fillers, without ever moving to surgery. You will need to schedule touch-up procedures periodically to maintain the results of your liquid rhinoplasty. Surgery provides permanent results.

Septoplasty (functional nose job)

If you have a deviated septum, it means the nasal bone and cartilage that divide your nose in half is not straight. The septum can take up extra space in one of your nostrils, making it hard to breathe. Many women and men require a septoplasty to correct this problem. Since a deviated septum is a medical condition that impairs your ability to breathe easily through your nose, your septoplasty may be covered by your medical insurance:


New York Rhinoplasty Insurance Explanation for cosmetic, functional, and combination rhinoplasty

When you combine rhinoplasty with septoplasty, only the portion of the operation that’s medically necessary is eligible for insurance coverage. Aesthetic improvements are not eligible for coverage or reimbursement. Never trust an unethical surgeon who tells you they are covered or try to manipulate the system to pay for your cosmetic surgery.

What you’re paying for

In addition to paying for the expertise and skill of your surgeon, rhinoplasty has several other expenses to consider when making a final decision based on price:


Pricing Structure of Rhinoplasty Infographic

Your procedure may vary depending on how complex and difficult it is. Dr. Miller’s quotes are always all-inclusive, and include the following:

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

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

When considering the total cost of your rhinoplasty, remember to factor in the cost of recovery.  You’ll need to take time off from work, and arrange for help with your house and kids. For additional information, please visit our rhinoplasty and nose job guide.

Contact Us for a Rhinoplasty Consultation

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

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

Proper Post-Op Nutrition

post surgery nutrition tipsPlastic surgeries may vary in complexity and anticipated recovery times, but everyone is ultimately looking to heal faster and minimize downtime after a procedure. While you should never actively rush your body’s healing process, it’s important to reflect on simple steps you can take to optimize your chances of fast recovery, and plan ahead while you are fully functional. In conjunction with proper sleeping habits, the food you eat can heavily influence expected downtime after surgery; correct nutritional choices can promote faster wound healing while mitigating the chance of complications.

Be Sure To Eat!

This may sound obvious, but don’t forget to eat. Depending on the location of your surgery, eating may become painful or inconvenient— while an impromptu diet may sound appealing, now is not the time to swear off food. Your body vitally requires nourishment when it is in a state of self-repair, and denying your system important nutrients could carry harmful consequences. If suffering from nausea, stick to simpler meals that are easier to keep down. If eating proves painful or uncomfortable but otherwise digestible, opt for calorically denser foods. If you can only handle ten bites per meal, make sure that your body is getting the most out of each bite.


High-fiber foods help stabilize your digestive processes, and reduce the risk of constipation, a relatively common side effect of surgery. Popular foods include whole grain breads, fruit, vegetables, beans, and certain fiber-rich cereals. If concerned about constipation, avoid dehydrated or processed foods, dairy products, red meats, and sweets.


After surgery, muscle tissue is damaged and in need of repair. Adequate protein intake helps your system rebuild these body tissues. Vegetarians and vegans should seek protein through almonds, tofu, tempeh, and seitan. Those with carnivorous inclinations should avoid red meats due to saturated fat levels, instead opting for lean meats such as chicken, pork, and seafood.

Vitamin A

Adequate Vitamin A intake promotes epithelial and bone formation, as well as boosts general immune function. For high vitamin concentrations, try leafy greens such as kale and spinach. Other viable sources include yams, carrots, squash, and bell peppers. Vitamin A is fat soluble, meaning that it must be consumed with fat for optimal absorption, so considering preparing your cooked kale with a serving of extra virgin olive oil.

Vitamin C

Collagen regeneration is required to restore structural proteins in the skin, a vital element of recovery after facial surgery. In addition to boosting collagen formation, Vitamin C promotes immune function, and acts as a tissue antioxidant, blocking the harmful effects of free radicals in your system. The vitamin is water soluble and requires a continuous supply, as residual amounts of Vitamin C are expelled from the body in our urine. Vitamin C rich foods include citrus fruits, kiwi, mango, broccoli, and potatoes.

Drink Plenty of Water

Proper hydration is vitally important to daily nutrition, infinitely more so when recovering from surgery. Adequate water consumption flushes impurities (including surgery drugs) out of your system, stabilizes your metabolism, reduces joint pain, and helps combat fatigue. Leading up to your surgery date, increase your water consumption to 8-10 glasses of water per day, and gradually work your way back up to that intake rate after the procedure.

Consider Vitamin Supplements

For those concerned about adequate post-op nutrition, vitamin supplements are available and worth considering. Speak to a specialist to determine which, if any, supplements are right for you and your recovery plan. If you are taking any special medications, be sure to ask your doctor if any foods are off-limits while you recover.

For comprehensive post-surgery advice, including a nutritional consultation, book an appointment with Dr. Philip Miller. A recognized facial plastic surgery specialist, Dr. Miller has been voted among the Best Doctors in America each year since 2007. His office, located at 60 East 56th Street in New York City, can be reached by phone at (646) 791-3025.


Next, find out Which Laser Treatment is Right for You

Leaving the House After a Facelift

leaving the house after a faceliftA facelift surgery can do much to improve your facial contour and youthful appearance, sometimes taking up to 10 years off of your appearance. Still, having a major cosmetic surgery that will be obvious to friends, family, and coworkers can be more nerve wracking than you might’ve expected. After surgery, you’ll be fairly reclusive during your recovery period, perhaps getting a little too comfortable for your own good. When the time finally comes to emerge from your home and rejoin the real world, how will you handle it? If you’re facing some anxieties about leaving the house after your own facelift, read on for some helpful tips for a smoother transition.

Recognize the Types of Recovery

As many plastic surgeons will explain to their patients, the recovery process after a facelift involves many different types of recovery. There’s the obvious physical recovery, where the swelling goes down and the incisions heal. Then there’s the recovery of your sensation, which may occur along with your other physical healing but may take longer to go from tingling feelings to real nervous sensations. Finally, you’ll be faced with your social and emotional recovery, where you’ll address your new look and how it may (or may not) impact your social life. This recovery is often the hardest to manage. By giving a name to these separate kinds of recovery, you can prepare yourself for that adjustment from resting to reentering the world.

Give Yourself Time

Many patients get bored in the house and want to rush back out to complete some errands, meet up with friends, and the like. Some patients might get a little cabin fever, suddenly itching for a hiking trip or a visit to the beach. It’s tough to force yourself to stay inside and rest when it’s beautiful outside, but it’s definitely worthwhile to give yourself the time you need to heal.

To avoid temptation, clear your schedule for at least two to three weeks so you have enough time to completely recover. Talk to your surgeon during your consultation about how much time he expects you to need for proper healing, Then tell your friends and family in advance that you’ll have to bow out of any ski trips or summer barbecues during that timeframe so they aren’t expecting you. In fact, they might send you home if you do show up! It’s always nice to have a backup plan if you do give into temptation.

If you have any high-profile events coming up, such as a wedding or class reunion, you’ll want to add extra cushion time to allow for your swelling to subside and your incisions to fully heal. Schedule your facelift accordingly to give yourself at least six weeks for a complete recovery. By then, you’ll also have the time to adjust to your new appearance so it’s not as nerve-wracking to attend this special event.

Use Makeup Wisely to Transition

When it is time to finally come out and rejoin the world, you might be worried about any swelling, redness, or bruising that’s still hanging around. Sometimes these symptoms will hang on after you have healed, making you self-conscious about your appearance. For women, and maybe even some men, strategic makeup can do much to ease your nerves and hide some of your after-effects. Talk to your doctor about when it is safe to apply makeup to the area and don’t break the rules; you may risk infection or other complications if you do. He may even suggest certain brands that work better than others for the task.

When you’re ready to start using makeup again, use a concealer to camouflage bruises and redness. Concealer and foundation, either liquid or powder, can be combined to achieve the layered coverage you may need. To hide swelling, makeup contouring techniques can be especially useful. By using bronzers, blushes and darker powders, you can create an optical illusion that will hide the effects of any residual swelling you may be experiencing.

Don’t know how to do either of these things? Make it a part of your pre-op planning to visit a makeup counter where a skilled aesthetician can walk you through the steps to creating camouflage and contour. Ask your plastic surgeon if any of the skincare clinicians or spa staff at his practice are able to help you. After surgery, you’ll be fully prepared to unveil your facelift results.

Choose the Right Facial Plastic Surgeon

The speed of your recovery can cut down on your anxiety to reenter the world after a facelift. A speedy recovery comes from a successful surgery performed by an expert in the field. Plan two steps ahead by choosing the right surgeon to perform your facelift. Dr. Philip Miller has specialized exclusively in facial plastic surgery and offers over 20 years of experience to his patients. A recognized expert in facial rejuvenation procedures, Dr. Miller has been frequently invited to share his specific techniques with peers at various national facial plastic surgery conferences. He has been voted among the Best Doctors in America each year since 2007 and has also been named a Top Doctor of New York. To schedule a consultation with Dr. Miller, contact his office located at 60 East 56th Street, Third Floor in New York City, by calling (646) 791-3025.

Next, learn about Selfie Addiction being the Reason for a Rhinoplasty

Weight Loss and Facelifts

When you’re considering a facelift procedure, the last thing you might be thinking about is your weight. After all, your need to lose 10 or 20 pounds seems to have very little to do with your face, right? How can training for a half-marathon affect the way your face looks? The truth is that your overall health is closely related to any surgery you may have, even those surgeries performed on your face. The results of your facelift procedure, a surgery where fat plays an integral role, can easily be affected by weight loss before and afterward.

The Facelift and the Ideal Candidate

A facelift surgery is performed to improve the overall appearance of the face by tightening the facial muscles and supporting tissues, removing or redistributing excess fat from the lower third of the face, and relaying the skin to appear firmer and more youthful. It can have a profound impact on a patient’s appearance, sometimes wiping away a decade or so from their looks. Planning ahead for such an important procedure is key to your success and to your eligibility for surgery.

The ideal facelift candidate is an adult man or woman in good overall physical health,who does not smoke or abuse alcohol or drugs. For best results, they should be as close to their ideal weight as possible and have the healthy habits to maintain their current weight, such as proper diet and regular exercise. If you are not at your ideal weight, losing the pounds can greatly affect your overall health as well as your final surgical results.

Losing Weight Before a Facelift

When you talk about losing weight with nearly any plastic surgeon, he will almost always suggest that you do so before your procedure. Many plastic surgeries, including the facelift, deal with the redistribution and removal of fat cells. Losing weight before your procedure, and subsequently keeping it off afterwards, is the best way to ensure that all of your physical goals for your body and face are reached in tandem.

If you are going to lose weight before a facelift, it’s important to get the timing right. You should never make dramatic changes like this between your consultation and surgery date, since it will change the surgical plan created for you by your plastic surgeon. Surprises like that, however healthy they may ostensibly be, can greatly affect how your surgery is performed. If you do attend a consultation but have plans for weight loss, disclose these intentions to your plastic surgeon, who may plan ahead to meet with you a second time and draw up your surgical plan once you have achieved your weight loss target. Ideally, however, the best time to lose the weight is before you step foot into the surgeon’s office. The trick, of course, is to maintain your new weight loss through the date of your surgery and then for years after.

For healthy weight loss at any time, be sure to eat a balanced diet and adopt a regular exercise routine. Avoid crash or fad diets, as these can achieve great initial results before ending in disastrous weight fluctuations after the fact. Such diets can also affect your overall health, perhaps making you a poor candidate for a facelift. Remember that losing weight at a good, steady pace is the best way to achieve lasting results, and that’s really the true goal of any initiative to get healthy.

Losing Weight After a Facelift

Chances are good that you’re going to do a lot of living and enjoying your new look after you have your facelift surgery. In the long run, especially the first few years after your facelift, do you have any plans to lose weight? If you’re not at your ideal weight or within about five to 10 pounds, the choice to lose a large amount of weight could be tempting. After all, it’s only natural to want your whole body to look as thin, trim, and fit as your new facial profile. Who can blame you?

The truth is that significant weight loss following your facelift may not be the wisest decision, especially if you lose that weight at a fast pace. Most people will experience some loss of fat from their faces during weight loss, not an ideal side effect when you’ve just had a procedure to adjust the distribution of fat to create the right look. Sagging and laxity of the skin may also result from fast, dramatic weight loss after a facelift, resulting in the need for a secondary facelift procedure.

While you can and should always lose weight in order to be a healthier person, most patients are not willing to jeopardize their surgical results so quickly. It doesn’t have to be complicated, however, if you plan your weight loss goals carefully. To preserve your facelift results and still achieve your ideal weight, follow these tips:

  • Lose weight slowly and at a healthy pace. Most doctors recommend 1-2 pounds of weight loss per week for safe and lasting results.
  • Check in at 5-pound milestones to see how you look. Some people lose weight from their face first and others can drop several pounds before they see results in their face. Monitor your own progress as you go.
  • Keep your options open. You should never sacrifice your health to preserve your facial appearance, especially when you have the ability to add volume and contour in other ways. Talk to your plastic surgeon about fat transfer or injectable fillers to replace any lost volume from your weight loss.

It is possible to manage weight loss following a facelift procedure, especially with the help of your plastic surgeon. During your consultation, be open and honest about your weight loss goals to find out what his recommendations for your specific case may be. This is the best way to ensure that your surgical and healthful goals are all met in due time.

Plan Your Weight Loss and Surgical Goals Together for Success

For guidance on your own weight loss and surgical needs, consult with a reputable, credentialed facial plastic surgeon. Dr. Philip Miller specializes exclusively in facial plastic surgery and offers over 20 years of experience. A recognized expert in facial rejuvenation procedures, Dr. Miller has been frequently invited to share his techniques with his peers at various national facial plastic surgery meetings. He has been voted among the Best Doctors in America each year since 2007 and has also been named a Top Doctor of New York. To schedule a consultation with Dr. Miller, contact his office located at 60 East 56th Street, Third Floor in New York City, by calling (646) 791-3025.

Next, learn How to Leave the House After a Facelift.

How to Be a Great Candidate for Facelift Surgery

facelift surgery candidateIf you’ve been considering a facelift surgery, you might be wondering whether the time is right or whether you’re even a candidate. It’s important to think about, since your plastic surgeon will be evaluating the factors that would make you a good facelift patient and those that would make a facelift the right procedure for you.

Learn more about what it means to be a good candidate for facelift surgery before you walk into your first consultation.

The Facelift and Signs of Aging

First and foremost, any candidate for facelift surgery should be experiencing noticeable signs of aging. Facelifts can help correct symptoms like loose, sagging skin on the face, fatty deposits gathered around the chin and jaw, the formation of jowls in that area, and lines and wrinkles in the lower third of the face. These factors are all caused by aging and the effects of gravity, which team up to break down the elastin in skin and drag it downward. Fat is also susceptible to gravity, shifting downward throughout the years, leaving the upper portion of the face with less volume and accumulating where it’s not wanted.

Still not sure a facelift can help you? Some surgeons recommend you stand in front of a mirror and, with two fingers, gently lift and pull back the skin around the bottom jaw. If this makes you look instantly younger, imagine what could happen if the effect was created surgically. Check one off the list; you may be a candidate for a facelift if these symptoms sound familiar.

The Patient’s Health and Habits

Another large factor in determining your eligibility for surgery involves your own personal health and well-being as well as your lifestyle and habits. As your surgeon might tell you, a facelift surgery is meant for men and women who are in overall good health and do not smoke. Good health means that your recent medical history does not include any serious illness that might hinder your ability to heal. Checking to be sure that you are in good health is the surgeon’s best way to minimize your risks of complications following surgery, so be open and honest about your medical status.

The very best candidates for facelift surgery are also committed to caring for their skin, even before walking in for their surgery. These people understand that caring for their skin can help it to look younger and fresher over time, and they will continue to care once the surgery is over and they are focused on preserving their results. Skin that is well cared for responds well to these surgeries and helps the results last much longer than they might otherwise.

Your Weight: A Surprising Factor

There’s no magical number on the scale or BMI calculation to determine whether you are a good facelift candidate, but there are some interesting points to consider about being overweight and seeking this procedure. For starters, if you are overweight, but at a stable weight, many doctors may consider performing the surgery for you. If you are overweight but planning to lose more than 20 pounds, it’s better to wait until you have stabilized at your target weight.

Why all the fuss about weight? Your surgeon won’t deem your surgery successful unless your results look natural. For overweight patients, it can be more difficult to gauge how much fat and skin to remove. Your face may be left looking unnaturally puffy or too thin, directly disproportionate to the rest of your body. Depending on how overweight a patient is, facelift surgery may also be an unsafe option. If weight is a concern you have, talk to your doctor. Every surgeon has his own level of comfort (and experience) when dealing with overweight patients, so you’ll never know if and how much weight you need to lose unless you ask.

Facelift Results and Satisfaction

Finally, the last important factor in determining your eligibility for a facelift is whether or not you have realistic goals for your surgery. On average, a facelift can deliver results that make patients look about 10 years younger. If you’re expectations are too far off that mark, you’re going to be unpleasantly surprised. An experienced, credentialed plastic surgeon doesn’t want to promise you just anything to make you get the surgery; in actuality, he is much more concerned with making sure you understand the capabilities and limitations of the surgery. Discuss your expected facelift results at length with your plastic surgeon to be sure you are both in agreement on the changes and finished look. You should have a good understanding of what is possible with this procedure before walking into your consultation, but definitely a better one as you walk out of it. If you’ve given your results a thought and you feel you’re a good candidate for facelift surgery, then it’s time to make your move and book an appointment.

Get Started With a Consultation

Determining if you and a facelift are the right match for each other can be hard without the right plastic surgeon to guide you. To make sure your results are the best they can be, be sure to schedule your facelift surgery with a reputable, specialist facial plastic surgeon. Dr. Philip Miller has specialized exclusively in facial plastic surgery, offering over 20 years of experience. A recognized expert in facial rejuvenation procedures, Dr. Miller has been invited frequently to share his specific techniques with peers at various national facial plastic surgery conventions. He has been voted among the Best Doctors in America each year since 2007 and has also been named a Top Doctor of New York. To schedule a consultation with Dr. Miller, contact his office located at 60 East 56th Street, Third Floor in New York City, by calling (646) 791-3025.

Next, learn about the effects of weight loss and facelifts

Ways to Speed Up Your Rhinoplasty Recovery

at home post surgery recovery in new york

When you’ve waited so long to have changes made to your nose and the day of your surgery finally arrives, it might be frustrating to then wait days or weeks to see your final results and show them off to friends and family. Granted, all good things do take time, including the recovery process following a rhinoplasty. If you’re hoping to speed it up a little bit, follow these tips to have a smoother, faster road to your rhinoplasty recovery.

Healthy Patients Recover the Fastest

If you want to set yourself up for the easiest, fastest recovery possible, you’ll need to start before your surgery date even arrives. Patients who live a healthy lifestyle and take care of themselves see the best recoveries following any surgery, including rhinoplasty. To have your smoothest recovery, you should be a non-smoker, have a healthy BMI, and have blood work and other tests performed to determine your complete health. It also helps to eat a balanced, healthy diet and get regular exercise to keep your body in good health.

Be Totally Ready for Surgery

A smooth, quick recovery happens when you are able to dedicate yourself to the required amount of rest and relaxation. Get all of your bills paid, your errands run, your housework finished, and your plans for child or pet care arranged. By relieving the stressful aspects of your life ahead of time, you’ll free yourself up for total relaxation. You must spend the recommended amount of time in a comfortable spot, dedicated to your personal recovery. Investing time at the beginning of your recovery can help to keep you on track or even speed up your timeline.

Stay Away from Certain Medications

In order to heal quickly, your blood needs to be able to clot where needed. This means that blood-thinning agents that enhance your bleeding can actually delay your healing. Before and directly after your rhinoplasty, follow the list your plastic surgeon gives you and avoid everything on it. These will most likely include aspirin, vitamin E, herbal treatments, and Motrin, among many others. To ensure your blood platelets are functioning normally at the time of your surgery, avoid these products for two weeks or more prior to your rhinoplasty.

Keep a Calm and Positive Attitude

You might not realize it, but staying calm and thinking positively can greatly enhance your healing experience. Stress and negativity in your life can trigger an excess production of cortisol, a natural hormone in the body. Studies have shown that too much cortisol in the body can have many negative consequences, including delays to the healing process and an increase in the amount of scar tissue that is created. Both of these factors can add up for a terrible recovery from your rhinoplasty procedure, even one that is drawn out for longer than your original timeframe.

Build a Support Network to Help You

By relying on the supportive relationships in your life, you’ll reduce stress, increase positivity, and heal more quickly. Your friends and family can help you to manage the tasks that you aren’t able to do while you heal. They may pick up your groceries, take the kids for a weekend, or even come over to keep you company while you marathon-watch a TV series. Surrounding yourself with people who support and encourage you and your efforts is one of the best ways to let your body properly heal. While you don’t want to overdo it with social time, it might even help you to have a good laugh or too. As they say, it is the best medicine.

Skip Out on Exercise…For a Little While

Yes, exercise is great for your body and can encourage the skin to heal. However, vigorous or strenuous activity during your recovery time after a rhinoplasty is strictly prohibited. The strain that gravity will put on your nose as you do your jumping jacks or run a few miles is too great. You may increase your risk of complications, delay your healing process, or cause nasal damage to your newly renovated nose. Always follow your doctor’s instructions for when and how to reincorporate exercise into your routine once again. The time will come soon enough, so try to get your fill with long walks and other low-impact exercise until you can resume your intense workouts.

Keep Your Head Up

Literally, keeping your head elevated can boost your healing process. Use two or three pillows beneath the head to maintain this position, which will prevent excessive blood flow to the head. Lying down flat will delay healing as the increased blood flow will cause the tender tissues around your nose to swell even more. As you heal, you will gradually become more comfortable lying down flat. Follow your plastic surgeon’s advice to get the timing right and avoid delaying your post-rhinoplasty healing.

Choose the Right Plastic Surgeon

If you want to get the bets rhinoplasty results and the fastest recovery, it’s important to choose the best surgeon possible. Dr. Philip Miller has specialized exclusively in facial plastic surgery, offering over 20 years of experience and knowledge to his patients. A recognized expert in rhinoplasty, Dr. Miller has been frequently invited to share his specific techniques with his peers at various national facial plastic surgery meetings. He has been voted among the Best Doctors in America each year since 2007 and has also been named a Top Doctor of New York. To schedule a consultation with Dr. Miller, contact his office located at 60 East 56th Street, Third Floor in New York City, by calling (646) 791-3025.

Next, here’s how to Solve Your Breathing Problems with Rhinoplasty

Fast Facts About Ethnic Rhinoplasty

While most patients assume that all nasal surgeries can be performed identically to one another, this is simply not true. Each rhinoplasty is uniquely designed to meet the needs of a particular patient. In many cases a person’s ethnic background plays a role. If you’ve been considering an ethnic rhinoplasty to correct problems you see with your own nose, read up on these quick facts so you know what to expect from your procedure.

No. 1 – Ethnic Rhinoplasty Is Narrowly Defined Into Four Main Backgrounds

Technically, each one of us is a person with an ethnic background. But for the purposes of rhinoplasty, ethnicities are very specifically defined. Given the population breakdown of the country in which we live, the most common rhinoplasty performed is on those of Caucasian descent. Because Caucasians make up the majority of those seeking the procedure, it is considered the standard approach to rhinoplasty, leaving the distinction of “ethnic rhinoplasty” to those of other cultures.

Patients who are Asian, African American, Hispanic, and Middle Eastern may find that the characteristics inherent to noses of these ethnicities may require a slightly different approach. They may also be limited in terms of how much can be changed, but more on that later.

No. 2 – The US Population’s Shift Makes Ethnic Rhinoplasty More Important

Rhinoplasty has been around for decades, but the term ethnic rhinoplasty has only become popular in recent years. Why? As the population of the United States has shifted to include more of the ethnicities mentioned above, the needs of the patients seeking rhinoplasty have also changed. Couple this change in demographics with the higher standards of today’s leading plastic surgeons, and it’s easy to see why the cookie cutter approach to this facial procedure just won’t work anymore. Now, surgeons will take the time to study the intricacies and key features of any nose, in order to determine what changes would be most helpful.

No. 3 – Matching the Nose to the Face Is Key

Most patients and surgeons accept that the features of the rest of the face help to determine what changes should be made to the nose to keep it looking natural. For example, you can’t select a nose off of a celebrity, have it copied onto your face, and look as natural as possible. You certainly can do that, but the results might not be what you expected.

The same is true for men and women of all ethnicities, even in spite of the current fashion trends. While the current standard of beauty is typically a nose with European features, that’s not going to work for everyone who gets a rhinoplasty. Patients who are Asian, African American, Middle Eastern, and Hispanic just won’t look right with a German nose because there will be too much deviation in the feature and overall look. If the reverse were attempted, such as a Scandinavian opting for an Asian type of nose, the results would end just as badly. Many changes can be made to the nose, but it is important that any of those changes remain a good fit for the background, i.e. the face.

No. 4 – Ethnic Rhinoplasty Consultations Are Essential

Given the restrictive nature of rhinoplasty, it is essential to begin your journey toward nasal surgery with a one-on-one consultation. During this meeting, you and your plastic surgeon can discuss your specific nose, any challenges your surgery may include, and what options are available to you. It’s necessary to keep an open mind about your rhinoplasty, so leave the fashion magazine photos at home and really focus on how you want your specific nose to be improved. If you’re having any difficulty planning the changes you want or visualizing the final result, this is where your consultation can come in handy.

No. 5 – An Ethnic Rhinoplasty May Be Performed Differently

There are many reasons men and women of all backgrounds and ethnicities seek rhinoplasty, so your plastic surgeon should be well-versed and experienced in a wide range of techniques and approaches. If you’re seeking an ethnic rhinoplasty, your procedure may include some changes due to slight differences in the nasal structure. The changes that are made to your nose will likely also be a bit different, with narrowing of the nasal passageways and nasal tip extensions among the most common reasons for ethnic rhinoplasty.

Another common reason for ethnic rhinoplasty is to flatten a curved bridge of the nose or remove bumps and humps. During your rhinoplasty, your surgeon may alter the shape of bone and cartilage inside the nose to create the needed external reshaping. Performing this task can add both time and effort to the surgery. Once this is completed, your nostrils may be made narrower and the end of the nose may be extended with cartilage harvested from elsewhere in the body. Sometimes, synthetic implants are used to achieve the desired results.

As these procedures become more popular throughout the US, surgeons are becoming more adept at the various techniques required to perform a successful ethnic rhinoplasty. Discuss your options with an expert rhinoplasty surgeon with a background in a wide range of procedures, including ethnic rhinoplasty.

Choose the Right Surgeon for a Successful Ethnic Rhinoplasty

If you want to get the best rhinoplasty results available for patients of any ethnicity, you must be sure to choose the best surgeon possible. Dr. Philip Miller has specialized exclusively in facial plastic surgery, offering over 20 years of experience and knowledge to his patients. A recognized expert in rhinoplasty, Dr. Miller has been frequently invited to share his specific techniques with his peers at various national facial plastic surgery meetings. He has been voted among the Best Doctors in America each year since 2007 and has also been named a Top Doctor of New York. To schedule a consultation with Dr. Miller, contact his office located at 60 East 56th Street, Third Floor, in New York City, by calling (646) 791-3025.

Next, learn How to Speed up Your Rhinoplasty Recovery

Could a Facelift Be Your New Beginning?

New york facelift model

If you’ve been thinking about having a facelift surgery, you might already know what your motivation is. Even if you haven’t pinpointed your one real reason for having this surgery, it does exist and it drives you to book a consultation, plan ahead for the procedure, and cash in your sick days for a proper recovery. More often than not, the men and women seeking facelift surgery are looking for a new beginning, in one way or another.

What Can a Facelift Do to Help?

A facelift procedure is a surgery performed in order to restore a youthful appearance to the face. It can correct unwanted effects of aging, such as drooping and wrinkled skin, fat deposits around the chin and jaw, and loosened facial muscles. All of these effects can contribute to a tired, older looking face that may make you look worn down to those around you. Facelift surgery can help rejuvenate your appearance by alleviating the saggy, lax look from the lower part of the face.

Facelift surgery, or rhytidectomy, begins with incisions placed around the hairline and ears, as determined by your plastic surgeon. With the incisions in place, your surgeon will redistribute the fat deposits collected around your chin and jaw to other areas of the face that have lost volume; any excess fat will be removed, sometimes using liposuction for best results. The muscles of the face are then lifted and tightened, followed by the skin. With the skin now adjusted to a firmer position, the excess is trimmed away and the incisions are sutured closed. The result is a more well-defined profile and more youthful look.

New Beginning #1 – A New Job or Promotion

Today’s workforce is a competitive place to be, especially with so few jobs available to those with years of experience and qualifications. Pink slips abound as companies cut back on unneeded employees, sometimes bringing in younger workers to fill the empty spots. In other cases, promotions are going to younger employees, whom management perceived to be younger with more energy and a longer career ahead of them. As a middle-aged worker with the right qualifications, getting passed over in favor of someone who looks younger can be quite a blow to your self-esteem and even your commitment to your job.

Facelifts are on the rise in recent years, with male and female patients alike citing their desire to stay competitive at work as a major motivator. By improving the way you look and feel, your self-confidence is naturally bolstered. Upper-level management takes notice of confidence and the qualities that come with it. While a facelift alone can’t get you a new job or help you climb the corporate ladder, it can certainly trigger changes in you that can help. Starting a new beginning in your career could be just the boost you need.

New Beginning #2 – A Special Occasion to Debut the New You

Many patients see an upcoming event or special occasion as the perfect reason to get a facelift. From 20-year high school reunions to awards banquets to a child’s wedding, the special events that qualify as a facelift motivator are diverse in purpose. Still, each of them share three things in common: the event is a life milestone with heavy meaning to the patient, the event will likely involve taking many pictures, and the event will include many other people, some of whom the patient hasn’t seen in a long time. Looking your best at big events like these doesn’t just mean getting a haircut and a new outfit anymore. When you reach the point where your facial features don’t look like you anymore, it’s time to start a new beginning with a facelift.

Bear in mind that planning a surgery in time for a special event can be a delicate business. Do yourself a favor and book your facelift out far enough to allow for a full and proper recovery. With enough time to rest and relax, you’ll certainly look like the youthful you for those friends, family, and photos. Follow your surgeon’s instructions carefully to ensure that the smoothest recovery and best results are achieved with your facelift.

New Beginning #3 – The End of One Era, Start of the Next

Another popular reason that patients seek facelift surgery really is a beginning of a new phase of life: divorce. Men and women often find themselves stuck in a rut after ending a relationship with their partner, even if it was mutual and amicable in nature. Whether you’re planning to reenter the dating scene or just spending more time caring for you, facelift surgery can give your self-confidence and self-image a boost. When you look in the mirror and go out into the world, you will have this confidence with you. Achieving this feeling is a good way to begin any major transition. It may also be a good way to psychologically mark a change in yourself.

New Beginning #4 – The Recommitment to Caring for Yourself First


Finally, the best reason of all for a facelift surgery is yourself. While a new career, special event, or ended relationship can be significant, the root of each of these motivators is a desire to better yourself. You don’t always need the bigger reasons to spend the time and money investing in how you look and feel. Many patients reach the decision for a facelift just by realizing that they would feel better if they addressed their aging concerns.

If you have noticed sagging skin and muscles around the lower portion of your face, you could be a good candidate for facelift surgery. You should also be in good overall physical health, not smoke, and have realistic expectations about what plastic surgery can do for you. If you’re not sure, consult with a credentialed plastic surgeon experienced in facelift surgeries to be evaluated. This could be the new beginning you’ve been waiting for.

Schedule Your New Beginning with a Facelift Specialist

Any new beginning can’t get very far if your procedure doesn’t go smoothly. Get the best results from a facelift procedure with a low rate of risks when you plan your surgery with a reputable, specialist facial plastic surgeon. Dr. Philip Miller has specialized exclusively in facial plastic surgery, offering over 20 years of experience and knowledge to his patients. A recognized expert in facial rejuvenation procedures, Dr. Miller has been frequently invited to share his specific techniques with his peers at various national facial plastic surgery meetings. He has been voted among the Best Doctors in America each year since 2007 and has also been named a Top Doctor of New York. To schedule a consultation with Dr. Miller, contact his office located at 60 East 56th Street, Third Floor in New York City, by calling (646) 791-3025.

Next, learn How to Pick the Perfect Time for a Facelift

Is Your Selfie Addiction a Reason for Rhinoplasty?

rhinoplasty selfie in new york

Social media has changed so much about the world, and the rise in popularity of “selfie” photos has only added to those changes. A “selfie” is a photograph taken of yourself, by yourself, and usually involves striking a playful pose. Many young men and women are snapping selfies everywhere they go—with friends, in front of their favorite restaurant, and with random strangers if the occasion calls for it. All of these photos, it seems, have started to take a toll on young people’s self-images. In fact, some selfie habits are sending would-be patients straight to the nearest plastic surgery clinic for rhinoplasty surgery.

What Makes Selfies So Different?

Photographs have been around for generations, causing a fair amount of angst for those who don’t like to have their pictures taken. When a person often avoids having pictures taken, this is an indicator of a typical amount of self-image trouble. Eventually, these people will put up with a few snapshots or group photos, even if they aren’t thrilled about the idea.

Social media connects us all in a much more visual way. Profile photos are required for most social networking sites, so there is a tremendous amount of pressure to take a really great picture to post. Then, of course, that picture must be updated again and again and again. Social media and selfie culture have shifted the focus of our interactions to a very visual level. Not only are young men and women aware that everyone is looking at photos of them all the time, but they themselves are taking and studying photos of themselves. Suddenly, those flaws seem magnified and the need for procedures, like nasal surgery, becomes more apparent.

Who Can Have Rhinoplasty Performed?

People seek rhinoplasty surgery to resolve many of their unwanted nasal features. Rhinoplasty is a procedure designed to change the size and shape of the nose in order to improve form without impeding function. Typical concerns that bring patients in for a nasal surgery include a nose that is too large or too small, a nose that is too flat or too pointy, a crooked nose, and nostrils that are too narrow or too wide.

Good candidates for the rhinoplasty procedure are in good physical health with realistic expectations about their potential results. Rhinoplasty can improve inherited characteristics like bumps or humps on the bridge of the nose, nasal deformities, or old injuries from a past nasal fracture. Other patients opt for rhinoplasty to improve asymmetry or a crooked appearance, to refine or narrow the tip, to adjust the projection of the tip, to reduce width of the nasal passages, to increase or decrease the overall size of the nose, or to reduce the size of the nostrils.

Are Self-Image Problems a Good Reason for Rhinoplasty?

Regardless of how you’ve come to think rhinoplasty might improve your self-image, learning more about this procedure can help you make an educated decision that is right for you. If looking at your album full of selfies uncovers a feature you’ve always disliked about yourself, your reason is no less valid than anyone else’s. The intensity of your dislike might be a bit heightened, due to the amount of photos you’re faced with daily, but it doesn’t change the fact that you don’t like your nose. If you think you might be a candidate for rhinoplasty, start with a one-on-one consultationwith a facial plastic surgeon.

During your consultation, the doctor will talk about the features you don’t like about your nose and what lead you to decide that rhinoplasty could be a good option. He will evaluate your physical health, your facial features, and your nasal features. The goal of any cosmetic rhinoplasty surgery is to create an improved nasal shape that is proportionate to the face. Your surgeon will be able to discuss the projected results of a rhinoplasty so you can get a real idea about how this surgery can help you.

Can Rhinoplasty Solve Self-Image Problems?

As mentioned already, good candidates for rhinoplasty have realistic expectations for their surgery. While surgical results can definitely help alleviate some of the strain on your self-image, they cannot provide an instant cure. Following surgery, you will need to give yourself time to adjust to your new nose and accept the way you look with these changes. A good self-image starts within, but sometimes making the right change to undesirable features can be a life-changing experience. If you’re unsure whether plastic surgery is the right answer for you, be sure to discuss these feelings openly with your plastic surgeon. He should be happy to work with you to give you a better understanding of the procedure, how it can change your look and your life, and what you should expect. Getting started with a consultation is the best way to decide if your selfie-inspired rhinoplasty is the right choice for you.

Where Can I Consult for a Rhinoplasty?

If you want to get the bets rhinoplasty results for yourself, it’s important to choose the best surgeon possible. Dr. Philip Miller has specialized exclusively in facial plastic surgery, offering over 20 years of experience and knowledge to his patients. A recognized expert in rhinoplasty, Dr. Miller has been frequently invited to share his specific techniques with his peers at various national facial plastic surgery meetings. He has been voted among the Best Doctors in America each year since 2007 and has also been named a Top Doctor of New York. To schedule a consultation with Dr. Miller, contact his office located at 60 East 56th Street, Third Floor in New York City, by calling (646) 791-3025.

Next, Here are 5 Things to Consider Before a Rhinoplasty