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Why are Revision Rhinoplasties So Common?

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.

before and after of a revision rhinoplasty in new york 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. rhinoplasty natralook diagram explaining how Dr. Philip Miller performs a rhinoplasty in new york

revision rhinoplasty before and after in new york

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 A before and after of a male revision rhinoplasty surgery in new york

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.

New York’s Top Facial Plastic Surgeon Reveals The Most Popular Face Slimming Procedures

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 jaw reduction and facial contouring before after in new york

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. 

Slim Your Jawline With Botox 

Buccal Fat Removal To Eliminate Chubby Cheeks

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.

Get Rid of Chubby Cheeks With Buccal Fat Removal 

G.I. Jaw To Sharpen The Jawline jaw contouring surgery new york

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.

Sharpen Your Jawline With G.I. Jaw 

Fillers To Define The Jawline

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.

Restore Lost Volume With Fillers 

Chin Implants To Achieve The Best Facial Balance

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.

Augment Your Chin With Implants  

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. 

Dr. Miller Explains How Long Does A Rhinoplasty Take To Complete?

How Long Does A Rhinoplasty Take To Complete?

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.

 

Selfie Infulencing Plastic SurgeryRhinoplasty ResultsBenefits Of A Nose JobTemporary Nose FillerHow To Reduce Swelling After Nose Surgery

Blepharoplasty: Brighten Your Eyes for a Youthful Look 

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.

Our Blepharoplasty Treatments

Upper Blepharoplasty

Eliminate sagging or hooded upper eyelids with a precise surgical technique that restores youthful definition to the eyes.

Lower Blepharoplasty

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

  1. Request a consultation with Dr. Miller, and our team will respond within 24 hours
  2. We’ll work with you to schedule a 60-minute consultation with a $600 consult fee that applies to your procedure
  3. Dr. Miller will use his NatraLook® process to assess your eyelids and listen to your goals
  4. You’ll receive a customized blepharoplasty plan
  5. Once aligned on a treatment approach, we’ll schedule your eyelid surgery at your convenience
  6. Procedures typically take 1–2 hours, depending on complexity
  7. 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.

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

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

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

What is a general plastic surgeon?

rhinoplasty surgery procedure

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

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

What is a facial plastic surgeon?

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

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

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

Procedures that facial plastic surgeons are trained for include:

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

What does it mean to be board certified?

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

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

What other qualifications do facial plastic surgeons need?

facial plastic surgery consultation in manhattan new york

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

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

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

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

How to Contact A Qualified New York Facial Plastic Surgeon

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

What is the Cost of a Rhinoplasty?

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

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

The True Cost of Rhinoplasty

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

When a Bargain isn’t a Bargain

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

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

Choosing Your Rhinoplasty Surgeon

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

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

Cost of Rhinoplasty by Type

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

National Average cost of rhinoplasty infographic

Primary Rhinoplasty

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

Before After Rhinoplasty Results in New York

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

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

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

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

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

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

Revision Rhinoplasty

 

Before after results of rhinoplasty in new york

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

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

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

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

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

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

Nonsurgical rhinoplasty

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

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

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

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

Septoplasty (functional nose job)

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

 

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

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

What you’re paying for

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

 

Pricing Structure of Rhinoplasty Infographic

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

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

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

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

Contact Us for a Rhinoplasty Consultation

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

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

Stem Cell Facelift

The revolutionary use of stem cells in medicine is now being hailed as the latest breakthrough in the ongoing battle against the natural aging process. Stem cells are unique in that they are literally the tabular rasa, or blank slate, in cellular biology. They are known as “undifferentiated” cells, meaning they have the potential to be transformed into other types of cells – a liver or heart cell, or a skin cell – or regenerate old or damaged tissue.

This is why stem cells are frequently viewed as the body’s natural fountain of youth.

The Stem Cell Facelift is a new facial cosmetic procedure utilizing adult stem cells harvested through liposuction from a patient’s own fat tissue. The fat stem cells are then separated out and comingled with stem cell growth factors, which activate and energize the stem cells. The mixture is then injected by a qualified physician into specific areas of the patient’s face to restore lost facial volume and a youthful appearance.

The technique promises a complete facial rejuvenation, and a growing number of patients are looking into this less invasive procedure with much hope and anticipation.
The Stem Cell Facelift does indeed hold promise because of its efficient use of the body’s own rejuvenation potential to regrow or replace tissue that is lost as a result of normal aging. The use of stem cells has had remarkable results in the treatment of spinal cord injuries, for example.

The advantages associated with the use of stem cells in facial cosmetic procedures, however, should be weighed against any potential risks as the technology is still in its infancy. In one extreme case, a patient who had the procedure went back to her plastic surgeon with bone shards growing inside her eyelids.

Stem cell technology in cosmetic surgery is an exciting development that still has a long way to grow. One, therefore, should not overlook other non-invasive procedures with proven track records of success, such as Botox and injectable fillers used to remove facial lines and wrinkles, as well as time-tested surgical procedures like the traditional facelift.

is a board certified facial plastic surgeon with offices located at 60 East 56th, Third Floor, New York, N.Y. Call (646) 791-3025for a personal consultation.

Learn more about the different facelift alternatives.

Proper Post-Op Nutrition

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

Be Sure To Eat!

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

Fiber

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

Protein

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

Vitamin A

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

Vitamin C

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

Drink Plenty of Water

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

Consider Vitamin Supplements

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

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

 

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Is Your Selfie Addiction a Reason for Rhinoplasty?

Rhinoplasty selfie in NYC, NY

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

What Makes Selfies So Different?

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

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

Who Can Have Rhinoplasty Performed?

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

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

Are Self-Image Problems a Good Reason for Rhinoplasty?

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

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

Can Rhinoplasty Solve Self-Image Problems?

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

Where Can I Consult for a Rhinoplasty in New York?

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

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Pick the Perfect Time for Your Facelift

plastic surgeon, Dr. Philip Miller with a patient explaining when the perfect time is to get a facelift in NYC, NY

There’s a lot more that goes into planning a facelift surgery in New York than just picking a date for your procedure. In fact, as your plastic surgeon will discuss with you in detail, a key component to the process of having a facelift is your recovery period. While the surgery may only last a few hours, your recovery can take days and weeks. To benefit from the results you truly want from your facelift, you must plan ahead to book your procedure at the perfect time, a time when you have plenty of time to recover.

What Brings You In for a Facelift?

If you’re frustrated by the idea of missing work or being restricted from certain activities, it may be helpful to keep in mind the life-changing benefits this surgery will provide you. Facelifts are designed to help men and women of nearly any age achieve a more youthful look. This surgery can address drooping, sagging skin and other problems with the lower portion of the face.  When the aging process and the effects of gravity form jowls at your jawline, a double chin, or deep folds you despise, a facelift surgery could help you to recover the contour of a more youthful jaw and chin. For many patients, a facelift can take years off their look.

Before booking your facelift consultation, you should be in good physical health without any illness that could impair your ability to heal. You should have an overall healthy lifestyle, eating a proper diet and getting regular exercise. There’s no correct age to receive a facelift procedure. Start planning your facelift if you believe you’re a good candidate for the procedure.

What Should You Expect from Surgery?

If it seems like the recovery period is excessive, it might benefit you to understand the facelift procedure itself. It may seem straightforward to you, but a facelift involves manipulating many delicate features of the face and jaw. Your surgeon will work on fine-tuning this area gently and effectively, leaving the skin, muscles, and tissue to heal themselves in their new formations. Rushing through the recovery process can only hurt your results or over-tax your body.

The facelift surgery can be performed as a traditional procedure or a limited procedure. With a traditional facelift, the incisions are made along the hairline and extending in front of and behind the ear, then continuing to the lower scalp. If your surgeon suggests a limited facelift, your incisions will be shorter in length and restricted to the area around the ear. The technique chosen for your procedure will depend on the extent of work that is required to achieve your desired results and the location of your main concerns.

With the incisions in place, your plastic surgeon will now work to lift and tighten the underlying sheet of facial tissues. Secondly, your surgeon will also redistribute the fat deposits that often accumulate throughout the lower face and neck before re-draping the skin to create a more taut but natural-looking appearance. The result of your successful facelift surgery is a refined, youthful profile that still appears natural, as if you have magically melted away the years overnight. Of course, it’s key to make it through your recovery period to reach these final results.

How Much Time Should I Plan for a Facelift Recovery?

We’re not talking about a year for recovery, or even six months. In fact, most patients recover from their facelifts enough to return to work within two weeks, can resume most activities within four weeks, and no longer have swelling after a few months. Your facelift recovery begins with bandages and dressings, as well as drainage tubes to remove excess fluids during the first day or two. The first 48 hours of your recovery will be dedicated to rest and recuperation, while keeping your head elevated to reduce swelling and changing the bandages to keep the incisions clean. Your plastic surgeon will prescribe pain medication to help with any discomfort and most likely will recommend using cold compresses to soothe the swelling and inflammation.

After five to 10 days, your surgeon will remove your sutures at a follow-up appointment and examine your incisions and surgery area to determine how well they are healing. At this stage, he may be able to give you a more definite time frame for returning to work and resuming activities like exercise. After continuing to care for themselves and their face for a few more days, most patients are cleared to return to work at two weeks after surgery. At this point, bruising and redness should be gone and only minimal swelling will remain. On your first day back on the job, you’ll look refreshed and youthful, but it won’t be obvious that you’ve had a facelift unless you spread the word yourself.

If you’re planning your facelift for a specific event, such as a wedding or class reunion, give yourself enough time in advance to come through the entire recovery process. Don’t schedule your facelift two weeks out; instead, give yourself two or three months if you can to fully heal and let all of the swelling subside. Picking the perfect time in advance can make your facelift experience seem much smoother and much less stressful.

Where Can I Get Help to Plan My Facelift?

There’s certainly no perfect time to have a facelift, but there will be a good time for you to undergo this life-changing procedure. If you’re unsure when the right time is for you, the plastic surgeon you choose should be able to walk you through all the details to pick your perfect time. One such plastic surgeon, Dr. Philip Miller, has specialized exclusively in facial plastic surgery in NYC, offering over 20 years of experience and knowledge to his patients. A recognized expert in facial rejuvenation procedures, Dr. Miller has been frequently invited to share his specific techniques with his peers at various national facial plastic surgery meetings. He has been voted among the Best Doctors in America each year since 2007 and has also been named a Top Doctor of New York. To schedule a consultation with Dr. Miller, contact his office located at 60 East 56th Street, Third Floor in New York City, by calling (646) 791-3025.