Plastic surgery helps individuals achieve the aesthetic beauty and confidence they desire. Bravo’s Real Housewives are open about and supportive of plastic surgery to enhance or change facial and body features. The women had a wide range of treatments in 2021 and spoke candidly on their shows and social media platforms.
Philip J. Miller, MD, FACS, a distinguished double board-certified facial plastic surgeon with more than 20 years of experience, offers these procedures in Manhattan, New York. He is recognized as an expert in rhinoplasty and facial rejuvenation procedures and is known for his innovative techniques and focus on natural-looking results. Dr. Miller and his team of experts can perform the procedures the Real Housewives had done this year; take a look at some highlights:
The Nose Craze
Rhinoplasty was a big hit among the Real Housewives in 2021. Teresa Giudice and Raquel Leviss—to name two—both had rhinoplasty procedures. Many patients feel their nose detracts from other facial features and choose rhinoplasty to adjust the shape or size to fit harmoniously with the rest of their facial features.
Rhinoplasty is a complex procedure that requires a skilled and experienced surgeon, as well as extensive preoperative discussions and planning. Dr. Miller considers facial structure, the prominence of features, and skin quality and thickness when advising patients on how to achieve their cosmetic goals and overall facial balance.
In the case of Real Housewife Raquel Leviss, she felt disappointed with her results and thought her fiancé bumping into her nose may have contributed to unwanted results. While finding an expert surgeon is important, sometimes results can be different from what a patient envisioned. Dr. Miller offers revision rhinoplasty for patients disappointed in results, or that suffered a nose injury or trauma after the initial procedure.
Rhinoplasty can tackle a small problem area or completely reshape or resize your nose. Teresa Giudice felt her nose was too round on the top and turned to rhinoplasty to feel more confident. Whatever the reason, whatever the concern, Dr. Miller can work with you to find a solution and create natural, beautiful results for you.
Combining Procedures
Many plastic surgery combinations are safe and provide maximum results. By combining procedures, patients can reduce recovery time, limit the use of anesthetics, and eliminate multiple surgeries. Some procedures make sense to perform together, such as a facelift and fillers, or chin augmentation and rhinoplasty.
Combination procedures have been popular with many of the Real Housewives, as the convenience of scheduling multiple treatments at one time can save both time and money.
Dr. Miller works closely with patients to identify their cosmetic goals and create a custom plan with combination treatments to meet those goals quickly and efficiently. Like Jennifer’s case, sometimes balance can only be achieved when multiple areas are addressed with different procedures. Seeing satisfying results from combination procedures can boost your confidence and comfort.
Getting a Lift
Facelifts—and other major plastic surgeries—are most common in the fall and winter to avoid heat and sun exposure and see results before summer months or holiday events. A facelift is a popular procedure that tightens sagging skin from aging and weak muscles. Loose skin can be moved or removed to create a natural look and a more youthful appearance.
Dolores Catania and Emily Simpson are two Real Housewives that have undergone a facelift. There are different types of facelifts that produce various levels of results. Emily had a mini lower facelift which is less invasive and targets more minor areas of wrinkles or loose skin. Dr. Miller offers different types of facelifts in his Manhattan office, including:
Traditional Facelift: Incisions are made at the hairline, continue in front and behind the ears, and extend to the lower scalp. Muscles and skin are lifted and tightened, and closed with sutures.
Mini Facelift: This procedure uses shorter incisions and targets areas that are just beginning to wrinkle or sag. This minor outpatient treatment can be accomplished in less than 90 minutes.
Thread Lift: A unique thread with tiny barbs is used to pull the skin up and back. This thread latches onto the skin and remains in place to keep the skin smooth.
Micro Lift: This minimally invasive procedure creates the look one achieves with pulled-back hair. It is a quick and safe procedure with little downtime.
Fast and Fabulous
Dermal fillers and Botox ® Cosmetic are popular, especially among Real Housewives. Botox treats frown lines and other dynamic wrinkles by blocking nerve impulses to facial muscles, while dermal fillers target static wrinkles and restore youthful volume. Knowing the right product, treatment area, and limit is key to achieving your best possible results.
Real Housewife Shannon Storms Beador admitted to overdoing it on fillers. When too many facial fillers are used, it can dramatically alter an appearance and create disproportionate features and an unnatural look. Dr. Miller uses the unique NatraLook® approach to aesthetic beauty. The NatraLook process empowers individuals to explore aesthetic confidence safely and naturally. Dr. Miller and his team strive for natural-looking results to provide patients with an extraordinary experience.
Dr. Miller can suggest which Botox and filler treatments are right for you to create the customized approach that produces the most natural improvement.
Your Best Choice for Facial Plastic Surgery in New York City
Many plastic surgery procedures help you look and feel your best. Whether you want a single treatment, combination procedure, or a total makeover, Dr. Miller can help you achieve your aesthetic goals. NYC #1 facial plastic surgeon, Dr. Miller, uses minimally-invasive techniques, innovative technology, and advanced surgical methods to help patients boost their confidence and achieve their aesthetic goals.
Contact us today to learn more about our procedures and schedule a consultation.
Dorsal reduction rhinoplasty surgery is a procedure that removes excess cartilage and bone from the nose, refining its appearance and improving its proportion to the rest of the face.
Philip J. Miller, MD, FACS, a double board-certified facial plastic surgeon in Manhattan, New York, and one of the country’s foremost experts in rhinoplasty, can assist female and male patients alike in achieving a nose they’ll love. You may elect traditional dorsal reduction rhinoplasty to reshape or reduce the nose. Other patients may benefit from non-surgical rhinoplasty for subtle corrections that achieve their desired aesthetic goals.
What is dorsal reduction?
Dorsal reduction rhinoplasty is a surgery that removes excess cartilage, bone, and skin from the nose, giving it a straighter, more streamlined look. This can help enhance the appearance, create facial symmetry, and improve breathing through the nose by reducing nasal obstruction or deviation.
The procedure can make the bridge of the nose narrower and straighter, and is often performed on patients whose noses are too large for their facial features or who have noses with an unusual shape. Dorsal reduction is often performed on people with prominent noses, such as those of Italian or Greek heritage.
What causes a dorsal hump?
A dorsal hump appears on the slope of the nose from the bridge to the tip and can affect your facial profile. A dorsal hump is most noticeable when viewed from the side of the face.
The majority of dorsal humps are inherited genetically. As a result, if your parents or siblings have a prominent dorsal hump, you may as well. Dorsal humps may occur due to a traumatic physical injury—such as a sports injury or car accident—if the bone or cartilage heals unevenly. Whatever the cause of a dorsal hump, Philip Miller, MD, FACS in Manhattan can correct it and give you an aesthetically pleasing, balanced profile.
Benefits of Dorsal Reduction
The benefits of dorsal reduction rhinoplasty include improved self-confidence and a positive self-image. However, since dorsal humps are often the result of genetic heritage, the procedure may cause identity issues for some ethnic patients. This is why it is so important to rely on an expert surgeon’s skills to achieve the goals of an ethnic nose job without affecting other ethnicity-related facial features.
How is dorsal reduction performed?
Open Rhinoplasty. During an open rhinoplasty, the surgeon makes a small Z-shaped incision between the nostrils on the underside of the nose. The open approach enables the surgeon to make more precise and accurate adjustments to your nose’s shape. Although open rhinoplasty leaves a small scar, it fades quickly with proper care.
Closed Rhinoplasty. Closed rhinoplasty is a procedure in which the surgeon makes incisions inside the nose without affecting the skin. The primary disadvantage of this approach is that the bone, cartilage, and tissue are not visible to the surgeon. However, this procedure results in less swelling than open rhinoplasty and can correct minor flaws.
MicroRhinoplasty. During a MicroRhinoplasty procedure, Dr.Miller accesses the treatment area via a small incision in the nostril. Then, using a specialized microrasp, he meticulously removes the protruding bony layers until the desired contour is achieved. Patients experience minimal discomfort, swelling, and bruising and typically resume normal activities within a few days.
Liquid Rhinoplasty. A liquid—or nonsurgical—rhinoplasty uses dermal fillers to reshape the nose without stitches or incisions. While liquid filler can’t make a nose appear smaller, it can correct minor indentations or asymmetries without requiring surgical intervention.
Recovery After Dorsal Reduction
Most patients are pleasantly surprised by how little pain they experience following dorsal reduction rhinoplasty surgery. The most unpleasant aspect of postoperative recovery is difficulty breathing through the nose for several days because of swelling. This difficulty usually resolves within a week or two. Expect some swelling around your eyes for several weeks. Once the swelling diminishes, you’ll start to see improvement.
You’ll need to follow certain precautions during your recovery period. Because bending or lifting can exacerbate swelling, it’s not recommended for the first three weeks following surgery. No strenuous activity such as running, weight lifting, cycling, or cardio training should be resumed for three weeks. Contact sports should be avoided for six weeks to allow the bones to heal completely. You may drive once the swelling has subsided sufficiently to allow for clear vision. Air travel is permitted 2-3 weeks after your surgery.
Scarring After Dorsal Reduction
The size and location of scars will depend on how extensive your treatment is because dorsal reduction involves removing sections of bone, cartilage, and skin tissue.
Scars from this procedure are typically hidden within the nasal skin creases and won’t be visible when you look straight ahead. Many patients choose topical treatments to minimize scarring.
Is Dorsal Reduction Right for You? Ask the Expert
Why should you consult with Dr. Miller about your dorsal reduction procedure?
Dr. Miller has over two decades of experience in facial plastic surgery.
He has performed over 5,000 successful procedures.
He is a facial plastic surgeon of international renown.
He blends art and science to provide his patients with beautiful, natural-looking results.
In addition to these qualifications, Dr. Miller offers his patients the exclusive NatraLook process, which combines minimally invasive techniques and advanced procedures to help each patient achieve the Aesthetic Confidence® they desire.
Schedule a Dorsal Reduction Consultation in New York
To learn more about dorsal reduction rhinoplasty in Manhattan, contact our office to set up a consultation with Dr. Miller, #1 NYC facial plastic surgeon. You can fill out our convenient contact form or call us. One of our patient advisers will be happy to help you start the journey to a new, improved you.
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.
Clue #2: Your Results don’t Look Natural
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:
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
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.
Winter is the perfect time for a facelift. It’s easier to avoid the sun, which aids the healing process. Bandages can be more easily hidden under layered winter clothing. When warm weather arrives, and social activities pick up, you’ll face the world fully healed and looking and feeling your best.
You can maintain a youthful appearance as you age. A facelift procedure performed by double board-certified New York facial plastic surgeon Philip J. Miller, MD, FACS, can reverse the appearance of wrinkles, sagging skin, and other undesirable effects of time and gravity. Check out these five reasons why now might be the best time to start the facelift process with Dr. Miller.
Less Sun and More Time Indoors for Safer, More Comfortable Healing
With the sun safely hidden behind clouds and cooler temperatures preventing you from spending much time outdoors, avoiding the sun is easier this time of year. Warmer temperatures can exacerbate tissue inflammation, which means that winter’s cold weather may actually be beneficial for healing following a facelift. Sun exposure can affect incisions, creating more visible scarring. Take advantage of the cloudy winter weather to heal from your procedure.
Cold Weather Makes it Easier to Stay Home
After a surgical facelift, your surgeon is likely to recommend minimal physical activity for a period of time. If you’re like many people, you tend to stay home more often when winter hits anyway, so the downtime needed for recovery will be more manageable.
Give in to the urge to “hibernate” after your facelift surgery. You’ll get the most out of the active warm weather months if you carve out the time to take care of yourself and fully recover from your procedure now while the weather is cold.
Fewer Special Events and Socializing Makes Downtime More Convenient
You may want to avoid your social circle while you heal from facelift surgery. Winter is generally a less active time socially, and unless you’re a winter sports enthusiast, your vacation plans probably don’t involve cold temperatures or snow.
Most people schedule their big events for the summer. June through September is typically peak wedding season, and you’ll probably be invited to summer gatherings and parties around Memorial Day, July 4th, and Labor Day. You’ll want to be fully recovered and looking your best by the time these special events arrive.
You’ll be Ready for Socializing When the Temperatures Warm Up
The summer season is often a time for vacations, weddings, and reunions. Be sure you’re ready to face all of life’s upcoming events by addressing any cosmetic concerns you may have now.
While the majority of patients return to work and other activities within 2-3 weeks of plastic surgery, the results of your procedure may take much longer to become fully apparent. Scheduling your procedure as soon as possible will allow your body adequate time to recover from swelling, bruising, and any other surgery-related side effects before you hit the summer social scene. You will be ready to face the upcoming warm weather looking and feeling your absolute best.
Why Dr. Miller is the Top Choice for Facelifts in NYC
Dr. Miller is an expert plastic surgeon specializing in cosmetic facial surgeries, including the classic facelift. Together, you’ll create a custom treatment plan to address your concerns and achieve your goals.
Dr. Miller offers several different options for facelifts in his Manhattan practice: a traditional facelift, a micro lift, and his exclusive, non-surgical Miller Lift. During your consultation, Dr. Miller will discuss the differences between the procedures and the benefits of each, so you’ll be able to make an informed decision about which option is best for you.
Procedures such as eyelid surgery or rhinoplasty (a nose job) can further enhance your appearance. Laser skin resurfacing, a minimally invasive procedure, can be an excellent complement to a facelift, adding to your rejuvenated, youthful look.
To ensure every patient achieves their desired results, Dr. Miller offers the proprietary NatraLook® Experience. This collaborative process allows you to create a unified vision of your expected results with Dr. Miller before your procedure, enhancing your Aesthetic Confidence™.
Dr. Miller’s exclusive NatraFace™ approach addresses both restorative and transformative changes by treating sagging skin, replacing lost volume, and revitalizing the skin, as well as modifying and improving the size or shape of any unfavorable facial features.
Plan Your Winter Facelift Procedure Today
If you’ve been considering a facelift to rejuvenate your appearance, don’t put it off any longer. Schedule your consultation now, and use this winter season to relax and recover from your procedure.
You can schedule a consultation with Dr. Miller by contacting his Manhattan, NY plastic surgery clinic today.
Feeling down about your appearance after 2021? Dr. Philip Miller can help you achieve all your cosmetic and plastic surgery goals to make 2022 your most beautiful year yet. From plastic surgery to minimally-invasive procedures, our expert team at our Manhattan, New York location can discuss treatment options in our state-of-the-art facility.
Dr. Philip Miller is a double board-certified facial plastic surgeon that uses minimally-invasive techniques, innovative technology, and advanced surgical procedures to help each patient become the very best version of themselves.
Dr. Miller and his team of top-rated experts use the unique NatraLook approach to aesthetic beauty. The NatraLook process transforms the typical plastic surgery experience into a safe and empowering opportunity to explore your aesthetic confidence. Dr. Miller and his team utilize this unique approach, combined with years of practice, to provide an extraordinary patient experience and superior cosmetic results.
Take advantage of Dr. Miller’s expertise and innovative treatments in 2022. We can help you address nagging concerns that are getting in the way of your self-confidence to make this year your best yet.
Turn Back Time with a Facelift
Facelifts are a popular plastic surgery procedure in New York to tighten skin that has naturally started sagging due to weakened tissue and muscle. A traditional facelift focuses on the lower portion of the face, jawline, and jowls. Tissue known as a superficial musculoaponeurotic system (SMAS) can be lifted and tightened, and loose skin can be removed or redistributed to create a more youthful facial contour.
Don’t let sagging skin bring you down; you can alter your skin with a facelift to feel more comfortable and confident in your look. A facelift provides long-lasting and natural-looking results for a more youthful look. It can:
Define the jawline
Improve facial contour
Diminish the appearance of lines and wrinkles around the nose and mouth
Dr. Miller offers different types of facelifts at his Manhattan office, including:
Traditional Facelift: Incisions are made at the hairline, continue in front and behind the ears, and extend to the lower scalp. Muscles and skin are lifted and tightened, and closed with sutures.This is the most extensive facelift procedure, which also produces the most dramatic results – often shaving as many as 10 years off the appearance.
Mini Facelift: This procedure uses shorter incisions and targets areas that are just beginning to wrinkle or sag. This minor outpatient treatment can be accomplished in less than 90 minutes. Results are not as dramatic and usually last 5-7 years.
Thread Lift: A unique thread with tiny barbs is used to pull the skin up and back. This thread latches onto the skin and remains in place to keep the skin smooth. The result is a firmer, lifted look that can last up to one year or longer.
Micro Lift: This minimally invasive procedure creates the look of tightened hair one achieves with pulled-back hair. It is a quick and safe procedure that provides facial refreshment with little downtime.
Dr. Miller will discuss your facelift options in-depth and walk you through the process to achieve a customized, refreshed look for 2022.
Achieve Facial Harmony with Rhinoplasty
Changing the shape of your entire nose, or even just a part of it to make it more harmonious with your face, requires an expert surgeon. Rhinoplasty, more commonly referred to as a “nose job,” can change the shape of your nose to create a balanced look or improve breathing issues from a deviated septum. It is a common procedure but one of the most complex operations to perform.
Dr. Miller can address cosmetic concerns you have about your nose to feel more confident in your appearance. He will spend ample time discussing your issues and goals so he can create a customized procedure plan for you. Considerations to achieve facial balance include:
While plastic surgery and cosmetic procedures are mainly thought to benefit women, men can also enjoy aesthetic improvements with procedures designed just for them. The proprietary G.I. Jaw procedure—jawline contouring—was invented by Dr. Philip Miller to enhance the jawline and chin to create a chiseled appearance, particularly for his male patients.
The procedure creates the classic look men desire—a sharp, square chin and strong jawline. According to the American Society of Plastic Surgeons, 54% of all chin and jaw contouring procedures are performed on men. Under the care of Dr. Miller in NYC, you can achieve an ideal jawline and facial shape without surgery. The G.I. procedure improves:
Facial symmetry
A recessed chin
A weak jawline
Cheekbones that lack definition
Women and men can make 2022 their most beautiful and confident year yet.
Combine Treatments for Dramatic Improvement
Many plastic surgery combinations are safe and provide additional benefits by completing multiple surgeries at one time. By combining procedures, patients can reduce recovery time, achieve maximum results, and limit their use of anesthetics.
Some safe combinations include:
Facelift and eyelid surgery
Facelift and brow or neck lift
Eyelid surgery and dermal fillers
Chin or jaw augmentation and rhinoplasty
Dr. Miller can advise you on which procedures to combine to meet your goals quickly and efficiently. Feeling beautiful and confident doesn’t have to take a lot of time; it just takes some help from Dr. Miller and his team to create the customized plan that meets your needs and goals best.
Enjoy a Quick Fix with Our Injectable Treatments
Dermal fillers are a popular minimally-invasive treatment to reduce visible facial lines and restore volume. They can also:
Plump lips
Enhance face shape and eliminate shallow contours
Fill and smooth lines, wrinkles, and deep folds on the face
Improve the appearance of scars
Dermal fillers help reduce signs of aging and give you a fresh look. They are a simple treatment that makes an impact as a stand-alone procedure or as part of a full facial rejuvenation plan.
There are many treatment options to help you feel your best in 2022. Whether you’re looking for a complete cosmetic makeover, or a little pick-me-up, Dr. Miller and his team of expert plastic surgeons in Manhattan, New York, can help you choose the right treatments to feel beautiful in the new year.
Contact us today to schedule your consultation and learn more about our advanced treatment options for younger, healthier-looking skin.
Most cosmetic surgical procedures vary in the techniques the surgeon uses. A nose job is no exception to this rule. There are six different types of rhinoplasty:
Open rhinoplasty
Closed rhinoplasty
Tip plasty (nose tip rhinoplasty)
Septorhinoplasty
Revision rhinoplasty
Liquid rhinoplasty
More specialized types of nose surgeries are female and male rhinoplasty, ethnic rhinoplasty, teen rhinoplasty, and micro-rhinoplasty.
What Are The Different Types of Nose Jobs?
Open Rhinoplasty
During an open rhinoplasty, the surgeon creates a small Z-shaped incision on the underside of your nose between the nostrils. The open approach allows the doctor to make more accurate and precise changes to the shape of your nose. Open rhinoplasty leaves a tiny incision, but with proper care, the scar fades quickly.
Closed Rhinoplasty
With closed rhinoplasty, the surgeon creates incisions inside of your nose without affecting the skin. The main disadvantage of this approach is the limited visibility of the bone, cartilage, and tissue. However, this type of nose job causes less swelling than open rhinoplasty and can provide correction for minor imperfections.
Tip Plasty
During tip plasty surgery, the surgeon focuses on reshaping the tip of your nose. The procedure is less invasive and doesn’t involve intervention to the nasal bone. The recovery from this type of rhinoplasty is typically shorter than from the traditional nose job.
Septorhinoplasty
During septoplasty, the surgeon repositions your nasal septum to the middle of your nose. This procedure is also known as deviated septum rhinoplasty. After it’s healed, you will find it easier to breathe. Septoplasty alone rarely makes a difference in the external appearance of the nose.
Include rhinoplasty as a combination treatment to improve both form and function of the nose.
Revision Rhinoplasty
If you have already had a primary rhinoplasty and are unhappy with the results, you may undergo revision rhinoplasty. This procedure focuses on correcting cosmetic problems that were not corrected by the previous surgery or addressing functional issues that might have arisen after the first procedure.
Liquid Rhinoplasty
For a liquid rhinoplasty, the surgeon utilizes dermal fillers to create a new nose shape, avoiding any stitches or incisions. Liquid filler cannot make a nose look smaller but can address minor indentations or asymmetries without the need for surgical intervention.
Rhinoplasty Appointment in New York City
Learn what type of rhinoplasty works for you. Schedule an appointment with Dr. Miller in his Manhattan, New York office.
Maybe it’s the competitive, youth-centric society we live in, or perhaps the number of celebrities we see who never seem to age makes us more critical of our own appearance. Whatever the reason, men want to look younger and more attractive and are increasingly turning to facelift surgery to achieve these goals.
Philip Miller, MD, FACS, in Manhattan, New York, is a double board-certified facial plastic surgeon that specializes in male-specific cosmetic procedures, with a significant percentage of male patients in his practice. He is well-versed in the evolution of aesthetic standards and how men can boost their confidence as they age by improving and maintaining their appearance.
The Popularity of the Male Facelift
Men turn to facelifts because they want to look and feel better. Some men want to turn back the clock because they feel self-conscious about their appearance as they age, while others want to look younger to compete in the job market. An attractive, youthful appearance is an undeniable asset. A man who has confidence in his appearance will tend to be confident in other areas of his life as well.
4. They no longer like what they see in the mirror.
5. They want to stay relevant among their younger peers at work.
While women get facelifts for a delicate, softer appearance, the opposite is true for men. A man typically receives a facelift to appear more rugged or masculine. An important objective of a male facelift is to create a defined, chiseled jawline and to remove loose skin folds from the neck—a frequent aesthetic concern among men.
Facelift Options
Dr. Miller offers a variety of options for his male patients. By using different approaches and techniques, he can customize each treatment to the precise needs of his patient, ensuring a natural, durable improvement. Some of those options include:
Miller Lift. The “Miller Lift” is a non-surgical facelift technique using a combination of fillers to fill out lines and wrinkles, along with Botox® for a firmer, lifted appearance. Additionally, dermal fillers can address volume loss in the contours of the face. Collagen stimulators and fat eliminators complete the Miller Lift.
Micro Lift. Men who want to reverse the early signs of aging but are not ready for an invasive full-facelift may achieve their goals with a Micro Lift. A Micro Lift improves the appearance of displaced fat and sagging skin on the lower face, as well as jowls.
Facelift (rhytidectomy). The traditional facelift is a comprehensive anti-aging procedure that produces the most dramatic results—improving sagging skin in the mid and lower face. It smooths wrinkles and reduces skin laxity for long-lasting results.
Facelift incisions are placed differently in males due to beard growth patterns and vascularity. Surgical goals include tightening loose skin, removing fat deposits, and smoothing out lines and wrinkles.
Attention is generally given to the lower half of the face, including the jowl area. Men who undergo a facelift often see dramatically improved definition in the chin and jawline.
About the Procedure
Miller Lift. After the skin is cleaned and prepared, a tiny needle will administer the injectable treatments. The procedure takes about 30 minutes and is performed in-office. You may experience some mild swelling, bruising, itching, and redness around the injection sites, although no downtime is required after the procedure.
Micro Lift. Performed in Dr. Miller’s office-surgical suite, the Micro Lift procedure takes less than an hour with a local anesthetic. Carefully placed incisions are made—smaller than those necessary in a traditional facelift. Excess skin and tissue are carefully trimmed, and the incisions are then closed.
Patients can go home to rest and heal the same afternoon as their Micro Lift procedure, returning to the office a few days later for follow-up and suture removal with Dr. Miller.
Facelift (rhytidectomy). When waking up from anesthesia, you may feel groggy until the effects wear off. Varying degrees of swelling and bruising is normal for 1-3 days after surgery, but you should call your surgeon’s office immediately if these symptoms significantly worsen. Post-surgery, you’ll have regularly scheduled follow-up visits as Dr. Miller closely monitors your recovery.
Many men are pleasantly surprised at how little discomfort they experience after facelift surgery. Dr. Miller may prescribe painkillers, although many patients experience problem-free recoveries and don’t feel the need to take prescription pain medication. Most men are back to regular activities within a week or two.
Recovery and Results
The recovery process and results will vary depending on whether a Miller Lift, Micro Lift, or full-facelift was performed, as detailed above.
When performed well, a patient can look up to ten years younger after a full facelift.
A male facelift can do the following:
Reduce fine lines and wrinkles
Correct facial volume loss
Correct or minimize facial scarring
Tighten loose skin
Provide a youthful look
Preserve masculine facial features
You can help extend the results of your procedure with consistent use of sun protection and by maintaining a healthy diet and exercise regimen.
Why Dr. Miller is the Best Choice for Male Facelift Surgery
Dr. Miller is a double-board certified facial plastic surgeon in Manhattan. Over half of his patients are men. His extensive experience has provided him unique insight into men’s goals for facelift surgery and knowledge of which aesthetic improvements look natural and enhance the male face.
Schedule Your Consultation Today
Contact us to learn more about men’s surgical procedures or to schedule a consultation with leading New York City facial plastic surgeon, Dr. Philip Miller.
One of the most difficult aspects of the aging process is reconciling with significant changes to the tone and texture of your once-youthful skin. While a high-quality moisturizer, retinol serums, and sunscreen can help ward off wrinkles and skin laxity, there comes a time when preventive measures simply aren’t enough to turn back the clock.
If fine lines, wrinkles, and saggy skin are diminishing your self-esteem and making you look older than you feel, you’re in good company. Many men and women start noticing the early signs of aging in their 30s and 40s, when skin naturally starts losing essential collagen and elastin.
Fortunately, double board-certified facial plastic surgeon Dr. Philip J. Miller has the right procedure for you at his state-of-the-art plastic surgery clinic in Manhattan, New York. As a renowned plastic surgeon who has regularly graced the Best Doctors in America list since 2007, Dr. Miller understands the complexities of rejuvenating aging skin.
That’s why he developed the Miller Lift®, a proprietary liquid facelift that utilizes a combination of injectables and minimally invasive treatments to rival the results of a surgical facelift with minimal downtime.
Ready for Rejuvenation?
Young adults enjoy firm, supple skin thanks to their abundance of collagen and elastin. These essential proteins help build the body’s connective tissues, which keeps the skin firm and elastic. Around age 30, your collagen and elastin production start to slow. This, on its own, creates significant changes in the elasticity of your skin — but it isn’t the only factor.
Along with collagen and elastin loss, your 30s are typically when you start to notice the effects of sun damage, poor sleep quality, smoking, and other lifestyle and environmental factors that can accelerate aging skin.
Early signs of aging skin include:
Fine lines
Wrinkles
Mild facial creases
Skin laxity around the jowls
Hyperpigmentation
Brown spots
Dull skin
Flat cheeks
When you start to age, the fat tissue that once sat firmly in your midface begins to sag. At this point, your jawline and cheekbones may look less sculpted and defined.
Injectables Offer Fast Relief
Surgery isn’t your only option for rejuvenating aging skin. Injectables are a quick, safe, and effective solution to minimize wrinkles and add volume in areas lacking fullness. With little-to-no downtime, injectables deliver results in a matter of days, rather than months, so you can enjoy your fresh, youthful appearance right away.
As a double board-certified facial plastic surgeon with more than 20 years of experience, Dr. Miller knows how to sculpt and contour the face using injectables, such as neuromodulators and dermal fillers. That’s why the Miller Lift can produce superior anti-aging results without anesthesia, incisions or downtime.
Multiple Options Available at Our Plastic Surgery Clinic
To understand how the Miller Lift works, it’s important to know the difference between neuromodulators, dermal fillers, and collagen stimulators.
Neuromodulators
like Botox® Cosmetic, Dysport®, and Xeomin® prevent and reduce the appearance of wrinkles by temporarily paralyzing the muscles that control them. Facial lines caused by expression, like crow’s feet and forehead lines, respond well to neuromodulators. In most cases, results last for at least 3-6 months.
Dermal Fillers
Dermal fillers, including Restylane® and Juvéderm®, are formulated as gel-like substances that restore lost volume. They fill in deep creases and static wrinkles, which form from gradual volume loss. Hollow cheeks, saggy jowls, and undereye bags are common treatment areas for dermal fillers, which can last up to 12 months or more.
Collagen Stimulators
Collagen stimulators like Sculptra® are dermal fillers that contain synthetic substances designed to trigger the body to produce more collagen. As the filler gradually fades, it’s replaced by newly made collagen to extend your anti-aging results.
With the Miller Lift, Dr. Miller can also combine your injectables with fat reduction treatments, like Kybella®, an injectable medication that can eliminate submental fat beneath the chin without surgery or liposuction.
The Perfect Combination
non-surgical facelift alternatives in new york
What makes the Miller Lift unique is its customizability. Dr. Miller can address your exact concerns with an individualized combination of injectables. With a fully personalized treatment plan, your results will look as beautiful and natural as possible.
To better address your unique needs, Dr. Miller has developed his proprietary NatraLook® process. He takes your facial structure, features, and treatment goals into consideration before designing your personalized plan.
NatraLook offers a collaborative approach to care that allows you to work with Dr. Miller to develop your custom treatment plan. This way, your results will meet or exceed your expectations.
Maintaining Your Results
Since the Miller Lift combines a variety of injectables to combat the signs of aging, results are temporary. Depending on your unique treatment plan, you can expect injectables to gradually lose their efficacy within 12 months. However, collagen stimulators will continue to generate new collagen and strengthen existing fibers for years to come, particularly with touch-up treatments.
Maintenance is key with injectables. Visiting Dr. Miller for regular touch-up appointments can help maintain your results and prevent new wrinkles from forming. The Miller Lift is entirely nonsurgical and minimally invasive, so you can also combine your treatment with other skin tightening procedures, like laser resurfacing and microneedling.
The Next Step
Eventually, you may want a more substantial, long-term anti-aging solution, like facial plastic surgery. After a comprehensive facial evaluation, Dr. Miller can recommend the best surgical treatment to lift and tighten your skin.
A mini facelift is an effective treatment to combat skin laxity and facial sagging for five years or more, while a traditional full facelift can transform your appearance for up to 10 years. Combining these treatments with a neck lift will no doubt emphasize your results.
To discuss your full range of treatment options with Dr. Miller, contact his plastic surgery clinic today.
While facial plastic surgery has evolved significantly in the last decade alone, facelifts continue to dominate the industry. A high-quality facelift is the gold standard of anti-aging treatments. When performed by a skilled surgeon, a facelift can transform your appearance by minimizing unwanted wrinkles and lifting saggy skin around the midface and jawline.
Philip J. Miller, MD, FACS, is a double board-certified facial plastic surgeon with more than 20 years of experience. He understands the importance of precision when performing facelifts and other facial plastic surgery procedures. With extensive training and an artistic eye, Dr. Miller delivers subtle, natural-looking results that can rejuvenate your face.
The question is: Which type of facelift is right for you? Dr. Miller performs several different types of facelifts at his plastic surgery clinic in New York City. From traditional facelifts to his proprietary Miller Lift, Dr. Miller utilizes the latest techniques and advanced technology to determine the right type of facelift for you.
To ensure your facelift delivers as promised, Dr. Miller offers a unique service called the NatraLook® process. This collaborative approach allows you to design your tailored treatment plan with Dr. Miller for the most natural, satisfying results possible.
Is a Facelift the Right Choice for You?
A facelift is a popular procedure that lifts and tightens aging skin. Facelifts address several different aging skin concerns in one treatment, from deep facial creases and wrinkles to droopy jowls and skin laxity. The results of a facelift are significant and often last for 10 years or more.
With the NatraLook® process, Dr. Miller can tailor a facelift for the precise needs and goals of each patient. This personalized consultation ensures that your results complement your natural facial anatomy and fulfill your expectations.
The type of facelift that addresses your unique needs and goals depends on several different factors. Patients whose signs of aging are exclusive to the jowls and neck may benefit best from a traditional facelift, while those with heavy cheeks and midface sagging may respond better to a different type.
Miller Lift (liquid facelift)
The Miller Lift is a proprietary treatment designed by Dr. Miller. As a liquid facelift, the treatment is nonsurgical. Rather than lifting and tightening the skin through surgery, Dr. Miller uses a combination of facial fillers, like Juvéderm and Restylane, to soften wrinkles and restore lost volume, as well as collagen stimulators, like Sculptra, to tighten collagen fibers in your skin tissue. He also injects fat eliminators, like Kybella, to improve facial definition.
Along with smoothing wrinkles and deep facial creases, the Miller Lift can address volume loss in the cheeks, chin, lips, and other contours of the face.
Benefits of the Miller Lift
Using a combination of injectables allows Dr. Miller to address a variety of aging concerns in one treatment. Common benefits of the Miller Lift include:
Chin augmentation
Elimination of dark under-eye circles
Subtle lift and skin tightening
Restoration of facial volume
Enhanced facial contours
Jawline definition
Reduction of wrinkles, creases, and folds
The Miller Lift is an in-office treatment that takes just 30 minutes to complete. Downtime is minimal and most patients only experience mild side effects, such as minor bruising, swelling, and redness at the injection site.
Micro-Lift (mini facelift)
While a traditional facelift addresses deep facial creases and advanced skin laxity, a micro-lift is a mini facelift that treats moderate signs of aging. A mini facelift is targeted toward individuals in their 40s and 50s who want to freshen up their appearance without undergoing more invasive surgery.
What sets a micro-lift apart from a traditional facelift is the length of the incisions. When performing a traditional facelift, Dr. Miller creates incisions along the temple the front of the ear. A micro-life requires a far more localized approach with much smaller incisions.
Benefits of A Micro-Lift
A mini facelift is the perfect treatment to minimize the signs of aging and improve your facial appearance without extensive downtime or costly surgery. Consider a micro-lift if you have:
Moderate facial wrinkles and creases
Minor sagging around the cheeks, neck, and jawline
Skin that is just beginning to wrinkle and sag
Dr. Miller performs the micro-lift using only local anesthesia. The procedure takes just 90 minutes to complete and has minimal downtime.
Traditional Facelift (SMAS facelift)
A traditional facelift is a comprehensive procedure that lifts and tightens the superficial musculoaponeurotic system (SMAS) that connects the facial muscles to the dermis. During the aging process, the muscles that support your skin weaken while the skin that sits atop them sags. By lifting and tightening the SMAS, and removing any excess skin and fat, Dr. Miller can rejuvenate the tissue around your jawline and jowls. To learn more about a SMAS facelift, please visit ncbi.gov.
Benefits of A SMAS Facelift
While a mini facelift treats minor signs of aging, a traditional facelift addresses more advanced symptoms, such as:
Deep wrinkles and facial folds
Significant facial sagging
Laxity around the jawline and jowls
Excess skin and fat around the face
Dr. Miller performs a traditional facelift through incisions near the temples and the front of the ears, so they’re hidden by your natural facial creases.
Deep Plane Facelift
A deep plane facelift is similar to a traditional facelift, but the dissection is continued further up into the midface to allow a restoration of the sagging midface tissue. The treatment involves releasing the ligaments that tether the skin and fat of the midface. This allows repositioning of the previously immobile soft tissue of the midface. Unlike a traditional facelift, a deep plane facelift places special importance on the midace, which includes the malar fat pads. Dr. Miller lifts and tightens these pads, which naturally sag and flatten with age.
Benefits of A Deep Plane Facelift
Older adults and individuals with advanced signs of aging can reclaim the youthful tone of their skin with a deep plane facelift. The procedure is especially effective at treating:
Sunken or fallen cheeks
Excess fat deposits
Hollow cheeks
Saggy jowls
Deep folds around the mouth
Many facial plastic surgeons shy away from performing deep plane facelifts, due to their invasive nature. It’s critical to choose a surgeon with extensive experience in facial plastic surgery to avoid complications, such as nerve damage. Fortunately, Dr. Miller is a leading facial plastic surgeon in Manhattan, NY with more than 20 years of experience.
Do I Need a Neck Lift Also?
Facelifts and neck lifts often go hand in hand. Individuals with deep creases and saggy skin around the jawline often have skin laxity around the neck. A neck lift is an excellent complement to a facelift, particularly if you have crepey neck skin or horizontal bands. Combining these two treatments delivers a comprehensive rejuvenating effect that can take years off of your appearance.
Our Plastic Surgery Clinic’s Combination Approach for More Dramatic Results
On its own, a facelift can revitalize your appearance. However, for treatment that addresses a full range of aging symptoms, talk to Dr. Miller about combining your procedure with blepharoplasty (eyelid surgery) or a brow lift. These treatments focus on the top half of your face, while a facelift targets the bottom portion.
Nonsurgical treatments, such as laser skin resurfacing, microneedling, and chemical peels can help you maintain your results as you navigate the aging process.
To schedule a consultation with Dr. Miller, contact his Manhattan, NY plastic surgery clinic today.
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
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.
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.
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.
