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.
Rhinoplasty is an intricate surgical procedure that involves both functional and aesthetic aspects that take an artistic eye and many years of surgical experience to master – it is considered both an art and science, after all. It is because of this complexity that many patients become unsatisfied with their outcome and, in turn, seek a revision procedure. Whether it’s to correct the appearance or functionality of the nose after an initial rhinoplasty procedure, it is important to choose the right facial plastic surgeon to perform the revision rhinoplasty.
Double board-certified facial plastic surgeon, Philip J. Miller, MD, FACS, offers world-class rejuvenation in Manhattan, New York. He has over 20 years of experience specializing in facial plastic surgery and other cosmetic surgery procedures. Recognized as an expert in rhinoplasty and facial rejuvenation procedures, Dr. Miller is frequently invited to share his specific techniques with his peers at national facial plastic surgery meetings. Most recently, Dr. Miller spoke at the 10th International Symposium of Facial Plastic Surgery and lectured on innovative rhinoplasty techniques. He has been consistently voted among the Best Doctors in America since 2007 and Top Doctor of New York. With his skill, innovation, and artistic vision, he is able to provide thousands of patients with impeccable results.
Why Is Revision Rhinoplasty A Common Procedure?
It is a reality of facial plastic surgery that women, men, or teenagers who undergo a nose surgery procedure will not always be happy with the final outcome of their surgery. It is estimated that approximately 10-15% of patients who undergo cosmetic nose surgery will request a secondary procedure at some point.
Some patients feel that their results look too unnatural and their new nose is not in harmony with the rest of their facial features. They may even have wanted more done and feel underwhelmed with the outcome. Some may encounter worsened asymmetry, while others may have developed new bumps and deviations during the healing process. They are seeking revision rhinoplasty to achieve better cosmetic results.
On the other hand, there are patients who desire revision surgery for functional reasons. After their primary rhinoplasty, they may find themselves suffering from a nasal obstruction, a collapse of cartilage, or excessive scarring.
Another factor affecting the result of a rhinoplasty procedure is miscommunication or a disconnect between the patient’s expectations and that of the surgeon’s. Unlike routine surgeries with concrete objectives (e.g., removing the tonsils or the appendix), rhinoplasty involves a complex combination of the patient’s desires, expectations, and the surgeon’s technique and skill. This simply sets up a situation wherein the patient’s outcome does not always match their aesthetic goals.
These factors, along with the possibility of an outdated technique, an inexperienced surgeon, and complications that arise during the procedure, can impact the results of a rhinoplasty and become reasons for wanting a revision procedure.
Dr. Miller is able to avoid these problems with his NatraLook technique. The NatraLook Process is an enriching experience through which you explore and boost your aesthetic confidence by enhancing your appearance. The NatraLook process helps create a unified vision of your desired result so that you and Dr. Philip Miller know what to expect.
What Can a Revision Rhinoplasty Do For You?
Simply put, revision rhinoplasty is the correction of a previous nose surgery. In some cases, revision rhinoplasty will involve minor corrections that will fine-tune the results of the primary procedure. A revision rhinoplasty can alter the shape, size, and function of your nose. For example, a patient’s first plastic surgeon may not have removed enough tissue and the nose may still appear over-projected or too wide, and the patient still wants a smaller nose. A secondary surgery may address this and achieve the right nose shape. Or, the first surgery may have produced a build-up of scar tissue and the follow-up surgery can resolve that concern.
Any changes in the form of the nose can cause a related change in function. In patients who suffer from nasal breathing issues, the surgeon can perform a septoplasty or a deviated septum repair.
Choosing a Revision Rhinoplasty Surgeon
Rhinoplasty is widely known as one of the most difficult plastic surgery procedures, and a revision rhinoplasty will be even more challenging. The surgery, therefore, should only be performed by a specially-trained and highly-experienced facial plastic surgeon. Base your decision on the surgeon’s experience and credentials, not on the price tag. Usually, the “bargain price” you find may only lead to another “botched” procedure.
Dr. Miller is a world-renowned rhinoplasty surgeon who performs the procedures himself in his Manhattan office. He is double board-certified in both Facial Plastic & Reconstructive Surgery and Otolaryngology/Head & Neck Surgery, giving him more experience and skill when it comes to improving the aesthetics of the nose while maintaining good function. And to better help you manage your expectations and create a more precise surgical plan, Dr. Miller can conduct a virtual rhinoplasty in his office. Using a special software, this cutting-edge tool will allow you to visualize your plastic surgery results, all from the comfort of your consultation chair. To learn more about revision rhinoplasty, visit ncbi.nlm.nih.gov
Schedule A Consultation With New York’s Premier Board-Certified Facial Plastic Surgeon
Revision rhinoplasty may be one of the most difficult plastic surgery procedures to perform, but when done by a skilled and highly trained surgeon who specializes in facial plastic surgery, achieving your dream nose can still become a reality. To learn more about our nose procedures including a non-surgical rhinoplasty and broken nose surgery, or to schedule a consultation, contact Dr. Miller’s Manhattan office today.
A defined jawline can be an attractive indication of youth, beauty, fitness, and vitality, and this is what facial slimming procedures are all about. Dr. Philip Miller is a highly regarded double-board certified facial plastic surgeon and artist who offers world-class rejuvenation in New York City.
How To Get A Skinnier Face?
These are the face slimming procedures that Dr. Miller can combine for optimal facial slimming:
Botox for jaw reduction
Buccal fat removal
G.I. Jaw
Fillers
Chin implants.
Botox For Jaw Reduction
That same injectable known worldwide for effectively diminishing lines and wrinkles around the face and neck can help you get a sharper jawline without surgery. Botox works by temporarily relaxing overactive facial muscles and for a slimming effect, can be injected into the masseter muscle.
The masseter muscle is a powerful muscle that’s wrapped around the jaw bone and whose primary function is to open and close the jaw while you speak or eat. When this muscle enlarges (usually caused by unconscious clenching or grinding of the jaw), the shape of the face changes as well. For women, an enlarged masseter presents the issue of looking more masculine (because of a squared jaw), instead of a feminine (oval) appearance.
When injected into the masseter muscle, Botox relaxes it, causing the muscle to return to a normal shape and size over time. Facial width is reduced and thereby softening and enhancing the appearance of the lower face, and slimming your overall facial structure into a more attractive heart shape.
Whether it’s because of genetics or weight gain, round, chubby cheeks may take away from the beauty of a well-balanced facial silhouette. If you’re looking to get a slimmer face, buccal fat removal surgery is your choice. Buccal fat pads lie within your cheeks and with increasing age, you will tend to lose the fat underneath the skin of your face. However, buccal fat pads remain the same size and do not respond to diet and exercise, resulting in a bottom-heavy or square-shaped face.
Dr. Miller can perform a surgical procedure designed to reduce fullness in the lower cheek by removing the fat pads themselves. In a buccal fat removal procedure, fat pads are removed through small incisions (2-4 cm) inside the mouth, between the cheek and gums. Once removed, the incision is closed with dissolvable sutures. This face reduction surgery can provide slimmer, smoother cheeks, resulting in a more sculpted, symmetrical, and youthful-looking appearance. To learn more about buccal fat removal, visit ncbi.nlm.nih.gov.
A sharp jawline and a square chin are common indicators of masculinity, often signaling strength, vitality, and attractiveness. Diet and exercise, however, rarely help sculpt the face shape you want.
Dr. Miller invented the G.I. Jaw procedure as a non-surgical approach to enhancing your features by outlining your jawline, augmenting your existing facial structures, and supplementing areas of the face, helping you achieve a more chiseled appearance. By using facial injectables, Kybella, liposuction, Neck-Tite, or implants (or a combination of these treatments), Dr. Miller can help you achieve facial symmetry, a strong, muscular jaw, a square chin, and sharp, well-defined cheekbones.
Have you noticed that your once well-defined jawline is slowly changing? That’s because we all lose volume in our faces as we age. And as we lose fat, folds and creases become more pronounced. To fix these issues, we need to restore that volume. Using fillers to achieve a slimmer face does sound contradictory, but in order to look younger and rejuvenated, adding volume to your jawline could be your best anti-aging and slimming solution. By injecting fillers such as Juvederm directly into the jawline, your mandible and the edge of your bony angle are instantly enhanced, giving you a healthier, firmer, and younger-looking appearance.
By correcting a small or weak chin, facial features such as the nose and cheeks are enhanced, giving your face more aesthetic balance. Typically, surgery will involve making a small incision along the crease below the chin, followed by the placement of an implant around your existing chin bone. This procedure will augment the size and shape of your chin, resulting in a more attractive balance between your facial features.
Consult With An Expert Facial Plastic Surgeon In New York
Dr. Philip Miller is a top-rated facial plastic surgery expert in New York who can help you achieve beautiful, natural-looking results for that Aesthetic Confidence® you deserve. To learn more, contact Dr. Miller’s office today to schedule a consultation.
One of the questions that Dr. Philip Miller, a board certified plastic surgeon from NYC, hears quite often from his Rhinoplasty candidates is how long the procedure takes.
Well, like all other invasive surgical procedures, questions and answers of this nature depends on multiple factors.
First, you must realize that all surgical procedures differ in multiple ways. There are a large variety of Rhinoplasty procedures that require different tools, techniques, etc. Along with this, the severity of each case varies from person to person.
You must take into consideration what the patient wants to have done. Is this a procedure for a more attractive nose or is this a more serious case where breathing is impaired or there are other health risks involved? This can change the type of procedure the doctor will perform and the severity of the techniques.
Depending on the individual, the duration of the procedure will have much to do with what the client wants and needs. Rhinoplasty’s can take as little as 10 minutes and can last upwards of several hours.
Also, the surgeon performing the procedure should be taken into consideration along with their experience and expertise. A well-seasoned specialist can do upward of 9 surgeries in any given week. Typically, these procedures may take less time to complete as those whom have been performing these surgeries for quite some time tend to develop a routine way of completing the Rhinoplasty surgery. They have their technique down to an art and their skills are more refined. If the surgeon is younger and newer to the field, their lack of experience and expertise tend to make the surgical process last longer.
For more information on the duration of the Rhinoplasty procedure, watch the video below.
You can learn more about Rhinoplasty by scheduling a consultation with Dr. Miller in NYC. Just fill out our convenient Contact Form or call (646) 791-3112, and one of our helpful Patient Advisers will help you.
Performed by New York City’s #1 double board-certified facial plastic surgeon with 20+ years of experience in eyelid rejuvenation and facial aesthetics.
Eyelid Surgery Photos Before and After
Refresh your appearance and look more alert with expertly performed blepharoplasty. See before and after photos of real eyelid surgery patients and envision your own transformation.
Smooth under-eye bags and puffiness with a procedure designed to create a rested, refreshed appearance.
Transconjunctival Blepharoplasty
Address under-eye puffiness without visible scarring by removing fat from inside the lower eyelid.
Laser Blepharoplasty
Enhance results and minimize downtime with laser-assisted techniques for more refined contouring and quicker healing.
Combined Eyelid and Brow Procedures
Create comprehensive rejuvenation by combining eyelid surgery with a brow lift or other facial enhancements.
Why Choose Dr. Miller?
Dr. Miller is a recognized leader in blepharoplasty and facial plastic surgery, offering expert care and innovative techniques for eyelid rejuvenation. Choosing Dr. Miller ensures:
Specialized expertise from a double board-certified facial plastic surgeon with a focus on the eyes and face
Customized eyelid surgery using the NatraLook® process to align your aesthetic goals with natural results
Access to surgical and non-surgical options for upper blepharoplasty and lower eyelid procedures
Treatment in a fully accredited, state-of-the-art surgical facility in New York City
Peace of mind from Dr. Miller’s recognition as a Castle Connolly Top Doctor for over a decade
Refresh and Rejuvenate Your Eyes
Request a consultation with Dr. Miller, and our team will respond within 24 hours
We’ll work with you to schedule a 60-minute consultation with a $400 consult fee that applies to your procedure
Dr. Miller will use his NatraLook® process to assess your eyelids and listen to your goals
You’ll receive a customized blepharoplasty plan
Once aligned on a treatment approach, we’ll schedule your eyelid surgery at your convenience
Procedures typically take 1–2 hours, depending on complexity
Our team provides attentive post-op care before you return home—with transportation assistance if needed
Frequently Asked Questions
What causes sagging or puffy eyelids?
Eyelid sagging and puffiness are often caused by aging, genetics, or the weakening of muscles and connective tissues around the eyes. Fat deposits may shift or protrude, and skin loses elasticity, leading to a tired or aged appearance. Environmental factors like sun exposure and lifestyle habits also play a role.
Who is a good candidate for blepharoplasty?
Ideal candidates are in good health and want to improve the appearance of drooping upper lids, under-eye bags, or impaired vision due to sagging skin. A consultation will help determine if upper blepharoplasty or lower eyelid surgery—or a combination—is right for you.
What is recovery like after eyelid surgery?
Most patients experience mild swelling and bruising for about 7–10 days. Discomfort is minimal and can be managed with over-the-counter medications. Stitches are typically removed within a week, and most patients return to normal routines shortly after.
How long do blepharoplasty results last?
Results from eyelid surgery are long-lasting—often 10 years or more. While no procedure can stop the aging process entirely, eyelid rejuvenation can dramatically turn back the clock and maintain a more rested, youthful look.
What are the risks of eyelid surgery?
As with any surgical procedure, there are potential risks, including temporary blurred vision, dry eyes, scarring, or asymmetry. These complications are rare, and Dr. Miller uses meticulous techniques and detailed follow-up care to minimize risks and ensure optimal results.
Can eyelid surgery be combined with other procedures?
Yes. Many patients choose to combine blepharoplasty with a brow lift, facelift, or non-surgical treatments like Botox for more comprehensive facial rejuvenation. Dr. Miller will create a personalized plan to help you achieve natural-looking, balanced results.
What should I expect during my consultation?
During your consultation in New York City, Dr. Miller will evaluate your facial structure, discuss your goals, and review treatment options. You’ll receive a detailed surgical plan and a clear understanding of what to expect before, during, and after your eyelid surgery.
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.
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