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Five Things to Consider Before Your Rhinoplasty

Rhinoplasty Surgery Model in NYC, NY

Any plastic surgery can make lasting changes to your appearance, especially a rhinoplasty. Sometimes called a nose job, this surgical procedure can alter the features of your nose that you don’t like or that seem out of proportion with your face. While changing your unwanted nasal characteristics may seem like a dream come true, you should consider undergoing this surgery very seriously. As you make your decision, keep these questions in mind to be sure rhinoplasty in NYC is the right choice for you.

What Are the Concerns I Have About My Nose?

Obviously, it’s helpful to know what you would change about your nose before having rhinoplasty performed. Even if you don’t know exactly what you would like changed but have some vague notion that you simply don’t like your nose, a qualified plastic surgeon can help you develop a plan for surgery. Most patients who seek rhinoplasty have struggled with self-image problems related to their nose for a long time, maybe most of their lives. They are often unhappy with the size, shape, and/or structure of their nose and wish to make changes. Typical concerns leading patients to seek rhinoplasty include a nose that is too large, too small, too flat, too pointed, too crooked, too straight, too wide, too narrow, or too round.

The most common changes requested to the nose include the removal of a hump or bump; improvements to nasal asymmetry or crookedness; refining or narrowing the tip; adjusting the projection of the tip; reducing nasal width; increasing or decreasing the overall size of the nose; and reducing the size of the nostrils. In some cases, patients seek rhinoplasty because they have experienced trouble breathing from one or both sides of the nose. This could be an indication that there is an underlying problem with your nasal function, which can also be corrected with rhinoplasty. This surgery can change the shape of the whole nose, focus on one small part, or concentrate on the functionality of the nasal passageways. Whether you are looking to correct function or form, a rhinoplasty surgery could be the right procedure to address your concerns.

Do I Have Realistic Expectations About My Surgery?

Rhinoplasty is indeed a surgery, one that is very intricate and complex. Nasal surgeries are among the oldest plastic surgery procedures and the most difficult to perform. Before undergoing this surgery, or any surgery for that matter, it’s essential to know what to expect from your surgery. Your plastic surgeon will likely walk you through the surgery step by step during your rhinoplasty procedure, but it never hurts to make sure you’re prepared.

You may have either an open rhinoplasty or a closed rhinoplasty, depending on the extent and location of the changes required to achieve your desired results. A closed rhinoplasty, or endonasal rhinoplasty, begins with incisions made inside the nostrils only, leaving behind no visible scars. The skin is then lifted from the underlying cartilage and bone, allowing the surgeon to recontour and reconstruct the nose. To perform an open rhinoplasty, or external rhinoplasty, one very small incision is made between the nostrils on the underside of the nose. This incision allows the surgeon access to the tip of the nose, which can be opened to reveal the structures of the lower and middle third of the nose.

Once the desired changes are made to the nose, your incisions will be sutured and the nose will be bandaged. You will experience some bruising and swelling, but as these side effects subside, the results of your rhinoplasty will begin to emerge and your new nose will be revealed.

Do I Have Time for a Full Recovery?

An important consideration when you’re thinking about scheduling a rhinoplasty is the time it will take you to recover. You don’t want to book your surgery the week before a vacation, for example, or during a week that you can’t miss an important meeting at work. Your post-operative care will require some time off from work, some restrictions from your regular activities, and a little bit of rest and recuperation.

Following your surgery, you will experience only a small amount of pain and discomfort. Your nose will stay swollen for several days, sometimes causing breathing difficulties at first. Most patients also experience some swelling around the eyes for a few weeks following surgery. While your face and nose are healing after surgery, you will be instructed to take several precautions. Activities like bending and lifting can prolong your swelling, so these should be avoided for three weeks after surgery, along with running, cycling, and aerobics. You should avoid contact sports for six weeks to give the bones enough time to fully heal.

When you book your rhinoplasty procedure, be sure to take into account these various restrictions and the time you will need to be away from work and your daily activities. Planning your recovery is an essential piece of preparing for a surgery, so make sure to follow your surgeon’s instructions in total.

Am I Really Ready to Look Different?

Many patients go into their surgery without considering the fact that they will look different afterwards and it may take some getting used to. Even if your nose is reshaped exactly the way you wanted it, you might not be prepared for the shock of seeing it on your face for the first time. You’ll adjust to this significant change, of course, but it can take some time.

If you’re worried about the shock of that huge change, discuss this with your plastic surgeon. He should be able to provide you with images or projections of the way your nose will look after surgery. Some surgeons might be able to show photos of past patients with similar nasal structures to yours to help you start imagining your new look. To quell your anxieties, try visualization to emotionally prepare yourself for the new way you’ll look. Chances are very good that you’re going to love it.

How Experienced Is Your New York Surgeon?

The success of your rhinoplasty hinges on the plastic surgeon you select to perform the procedure. Choosing an experienced, credentialed plastic surgeon can minimize your risk of side effects and complications, as well as increase your chances for a successful result. If you’re in the process of selection a surgeon, ask or find the answers to these questions to ensure he is the quality surgeon you need and deserve:

Next, these are The Top 3 Reasons for a Revision Rhinoplasty

Top Three Reasons for Revision Rhinoplasty

revision rhinoplasty patient in new york

Although rhinoplasty is one of the most complex and delicate plastic surgeries, it still carries a high success rate, leaving many patients satisfied with their improved nose. Unfortunately, not every rhinoplasty is deemed successful by the patient, leading some to seek a second, or revision, rhinoplasty. Sometimes, it’s just disappointment that leads to a revision rhinoplasty, but there are other reasons that might cause a second stop at the plastic surgeon’s office, such as Dr. Philip Miller’s New York plastic surgery clinic.

Reason #1: A Disappointing Result

Many of the patients seeking revision rhinoplasty do so because they do not feel that their surgical results met the expectations they had prior to surgery. Disappointing results can occur when surgeons use outdated or ineffective techniques, when problems arise during the surgery or healing process, or because a patient and surgeon had a miscommunication about what was expected. Some patients may have an idea in mind that isn’t practical; other times the surgeon might have left a nose too pointy or too narrow, leading the patient wanting more.

If a patient had a strong trust in their first rhinoplasty surgeon, he or she might return for a second procedure, but this is less likely. Typically, after an unsatisfactory nasal surgery, most revision patients are keen to find a revision rhinoplasty specialist to perform their secondary rhinoplasty.  Finding a second plastic surgeon, preferably one who specializes in revision rhinoplasty, should involve doing thorough research, asking many questions, and talking specifically about the expectations not met during the first surgery and the desires you have for a second surgery.

Reason #2: A Post-Surgical Complication

Rhinoplasty is a highly complex surgical procedure, requiring the surgeon to have the utmost level of skill and a close attention to detail. Because the appearance and functionality of the nose are so closely connected, every move the surgeon makes must be exactly right. For example, when the size and shape of the nose are altered, it can easily disrupt the patient’s ability to breathe properly. On the other hand, a rhinoplasty performed to improve breathing might affect the way the nose appears.

Some of the post-surgical complications that can occur include a change in nasal function such as trouble breathing, a bump or depression that forms after surgery, and an excess of scar tissue growth during the healing process. Although it is rare, more serious complications can follow rhinoplasty, such as a deviated septum or nasal valve collapse. Working with a board certified and experienced plastic surgeon to resolve these issues can prevent further damage and complications.

When a first rhinoplasty results in unwanted changes which affect the functionality of the nose, a revision surgery is almost always necessary to correct these errors. Whether due to outdated techniques, a miscalculation, or an unforeseen complication, post-operative problems  involving the function of the nose may need to be addressed right away. Many patients in this situation are willing to work with the same surgeon to correct the issue, because it is not always the result of poor training or a lack of expertise. Sometimes, as with any surgery, the risks involved with rhinoplasty may become real. The importance of working with a plastic surgeon with proven credentials, a reputation for success, and the most up-to-date techniques cannot be stated enough.

Reason #3: An Unexpected Visit

For some patients, returning for a second rhinoplasty has absolutely nothing to do with their first surgery or the outcome. Sometimes, injuries and accidents can ruin the beautiful nose that was hand-crafted for you by a skilled plastic surgeon. Your first rhinoplasty does nothing to protect your nose; it will still be as naturally vulnerable as ever before. Just as many patients find themselves having a first rhinoplasty to repair nasal damage, so too can patients wind up back in the office for a second rhinoplasty. Other patients may find that years after their initial successful rhinoplasty, aging has created unwanted to changes to the nose, just as it can to an un-operated nose.

What makes this surgery a revision, especially if it’s months or years after the first one? The simple fact that you have had a previous surgery may change the surgeon’s approach to your nasal repair strategy. The nose is a delicate place to operate, so your surgeon must have a complete understanding of yours in order to keep it looking and working great at the same time. And on a technical level, he really will be revising that surgery you had all that time ago. With this in mind, make sure to locate a skilled facial plastic surgeon with experience performing revision rhinoplasty before you schedule your own surgery. To learn more about rhinoplasty, visit medlineplus.gov.

Where to Go for First- and Second-Time Rhinoplasty

Whether you’re looking for a revision rhinoplasty or this is your first time around, it is equally important to carefully select the plastic surgeon to perform your surgery. Make sure you choose only the very best revision rhinoplasty surgeon for your surgery. 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.

Could a Facelift Save Your Job?

stock image of woman talking on the phone for a blog about how a facelift could save your job in NY, NY

Prospective patients seeking facelift surgery in New York often do so for their own personal reasons: looking younger, feeling good about themselves, improving their profile. However, they may be facing much larger concerns than just how they look. For some men and women, a facelift can have huge implications in their personal life and even their careers. Are patients really seeking facelift surgery to save their jobs? And does it really make a difference?

Motivating Factors for the Facelift

A facelift surgery is a procedure designed to add definition and improved contour to the lower portion of the face, primarily the jawline, chin, and upper portion of the neck. Many men and women opt for facelift surgery because they have begun to experience the effects of aging on this area. Candidates for facelift may experience loosening of the face on the skin and neck, sagging skin in this area, a collection of fat deposits at the jawline, the gradual formation of wrinkles throughout the face, jowls at the jawline, and/or extra folds at the front of the neck to create a double chin. The loss of elasticity in skin and the effects of gravity combine for a less balanced look than the V-shaped face of youth.

Typically, men and women who opt for plastic surgery to rejuvenate the face want to improve their appearance by reversing some of the effects of aging. Some motivating factors include increased self-esteem and self-confidence, the desire to recapture youth, a fresh new start in life, and just wanting to look like themselves again. Facelift surgery can tighten the skin in the lower third of the face, redistribute fat deposits to places in the face that have lost volume, and remove excess fat and skin that is not needed. Doing so can help patients to achieve their personal goals through facelift. Prospective patients should be in overall good health, not smoke, and have realistic goals achievable through facelift surgery.

Opting for the Career-Saving Facelift

For some patients, those realistic, personal goals can turn into something more career-oriented. Today’s job climate is challenging, with many new graduates entering the workforce every year and older, more mature workers facing the threat of replacement. The economy in the United States has put pressure on companies to retain only essential personnel and to do so at the lowest cost possible, leaving many higher-earning and more experienced workers without their jobs. One typical practice companies have been using in recent years is to cut out middle-aged workers for less expensive personnel who can be easily trained in specific areas. In other situations, workers keep their jobs but are constantly passed over for promotions that are going to younger workers; there’s no way to get ahead in their careers anymore. Other older workers may be finding themselves jobless and newly on the job hunt. It’s an ugly truth, but it has increased the need of many of these aging workers to take drastic steps to maintain a successful career.

While a facelift can’t boost your technology skills or suddenly reform you into a better public speaker, it can offer many profound benefits to its patients. When men and women seek facelift surgery for their careers, they are often doing it for two reasons: 1.) To appear younger and maybe not attract notice as part of that aging workforce; and 2.) to boost their own confidence, thus improving work performance. As companies begin to deal with cases of age discrimination and handing out pink slips to those too young for retirement, some workers are choosing to do all they can to fire-proof themselves in any way they can.

Of course, there is no guarantee that workers who have a facelift won’t get fired. Yet, even if you are let go, the surgery can help you in the long run. Like middle-aged employees, middle-aged job seekers sometimes opt for facelifts as a strategy to break into a new corporate workplace, perhaps looking as young and vibrant as they did years ago. Even if your company doesn’t retain you because of that newly redefined jawline, there is no end to where your new self-confidence might take you.

Facelift Surgery & Recovery

If you’re considering a facelift for personal or professional reasons, you’ll want to plan your schedule accordingly. Use sick time or vacation days to give yourself enough time for the surgery and recovery period, so you can return to work refreshed and renewed. You might even have coworkers scratching their heads to figure out what’s so new and different about you.

The traditional facelift surgery is performed using incisions made at the hairline and extending in front of and behind each ear, then continuing down to the lower scalp. Some patients may have the option for a limited facelift surgery, which uses shorter incisions made just around the ear. The technique used for your surgery will be determined during a one-on-one consultation with your plastic surgeon, after you have discussed your desires from surgery and he has analyzed the features and concerns of your face. Once the incisions are in place, your surgeon will lift and tighten the underlying sheet of facial tissue in order to re-drape the skin; he will then redistribute the fat collected in the lower face and neck to restore volume to areas like the cheeks and mid-face. With everything in place, the incisions are sutured closed and you’re left with a more refined, more youthful profile.

Allow yourself the time necessary to recover before returning to work or getting back to the job search. Your plastic surgeon will go over the timeline for your projected recovery, but plan to take at least one to two weeks off. After your surgery, any drainage tubes and dressings will be removed within one to two days. Your sutures will be removed around five to 10 days after surgery. During this time, you will experience some swelling of the face and mild to moderate discomfort which can be managed with cold compresses and prescribed pain medication. Most patients return to work after a facelift looking and feeling refreshed within two weeks, but everyone heals differently. Discuss any questions you have about your post-operative care and activity restrictions with your physician.

Find the Right NYC Surgeon for Your Facelift

Making the decision to have a facelift is the first step toward reclaiming your face from the effects of aging, and it can reap big benefits in both your personal and professional life. Work with your chosen plastic surgeon during a facelift consultation to understand the procedure, what benefits it can offer you, and what your post-operative expectations should be. Looking for a specialist surgeon with a good reputation? Dr. Philip Miller has specialized exclusively in facial plastic surgery, offering over 20 years of experience and knowledge to his patients. A recognized expert in facial rejuvenation procedures, Dr. Miller has been frequently invited to share his specific techniques with his peers at various national facial plastic surgery meetings. He has been voted among the Best Doctors in America each year since 2007 and has also been named a Top Doctor of New York. To schedule a consultation with Dr. Miller, contact his office located at 60 East 56th Street, Third Floor in New York City, by calling (646) 791-3025.

Why a Surgical Facelift Is Still the Best Option

facelift surgery before and after in new york

A recent trend in plastic surgery has coined the term “nonsurgical facelift,” a treatment option more traditionally known as injectable fillers. While these are a valid procedural choice in their own right, calling them the nonsurgical equivalent of the facelift surgery might be a bit of a stretch. Both offer many benefits, but each has its own place in the world of plastic surgery treatments. Once you understand the differences and similarities, deciding which one is right for you might be a little clearer cut. Perhaps you’ll even opt for both if the circumstances are right!

What Are the Benefits of Nonsurgical Facelifts?

Injectable fillers, or the sometimes-called nonsurgical facelift, are a quick and easy way to get instant results that diminish the signs of aging. They are performed without surgery, carry very little risk with them, and involve zero recovery time. When fillers are injected into the targeted areas, they plump up the area to restore and lost volume due to aging and gravity. By plumping the skin, injectable fillers give the appearance of a more youthful face and also “fill” fine lines and wrinkles. They can be applied to various areas of the face to create better contour, smoother-looking skin and natural volume. Plus, the initial results happen right away, with full results taking effect gradually within the first one to two weeks.
Considering this long list of benefits, it’s easy to see what makes nonsurgical options like injectable fillers a popular stand-in for the more traditional, surgical facelift. The downside to these treatments is that they are temporary, lasting anywhere from four months to a year; injectable fillers require regular visits to maintain the results. Their benefits are also limited, since they do nothing to address problems with loosened skin and muscles or fat deposits shifted toward the jaw line by age and gravity. Injectable fillers can be a great choice for the right candidate, but should not be treated as a complete nonsurgical alternative to the traditional facelift.

What Are the Benefits of Surgical Facelifts?

Of course, with a “regular” facelift the procedure is more involved and there is some time needed for recovery. However, when compared to the vastly greater benefits a facelift can offer, the time put into this anti-aging procedure becomes a true investment in a more youthful appearance and improved self-image. The facelift surgery lasts about three hours and is performed under general anesthesia. The two most common surgical facelifts performed today are the traditional and the limited facelift. During a traditional facelift, the incisions are made at the hairline, extending in front of and behind each ear then down to the lower scalp. A limited facelift uses shorter incisions just around the ear. The surgical technique used for your facelift will be determined by your plastic surgeon during your consultation and based on your specific needs.

With a surgical facelift, a plastic surgeon in New York is able to achieve many things in order to restore the looks that both time and gravity have changed. Your plastic surgeon’s goals during a facelift will be to lift and tighten the underlying sheet of facial tissue before re-draping the skin, as well as redistributing the fat that has collected along the jaw line over time. This fat can be relocated to areas of the face that have lost volume, thus adding a more natural-looking contour to the face overall. The effect is a more youthful-looking profile. Results are not instantly noticeable, due to slight swelling of the area after surgery. The recovery period takes about two weeks, with certain activities limited for a longer amount of time to help protect the healing face. Most patients report mild to moderate discomfort after surgery, which can easily be managed with cold compresses and pain medication, as well as a tightened feeling of the face. These after-effects will gradually fade as your new, healing face begins to show off the results of your surgery. To learn more about a facelift, visit medlineplus.gov

Can You Have Them Both?

For some patients, deciding between the two procedures is not even a necessary step in their treatment. Many facial surgeries are often performed in tandem to achieve the patient’s desired results. Facelifts and neck lifts are one common pairing, as well as facelifts and forehead lifts. Adding procedures allows the doctor to work more thoroughly on problem areas at the same time, as well as giving you the chance to experience all of the results you want after only one complete recovery period. If you opt to add nonsurgical procedures like injectable fillers to your surgery, there is no recovery time added on at all.
Why opt for both a facelift surgery and injectable fillers? Your facelift procedure can do much to improve the youthful appearance of the lower third of your face, but the upper face won’t be targeted. For this reason, many patients add a brow lift, or forehead lift, to their surgery. If that’s not an option for you, but you would still like to see your forehead treated, injectable fillers may be right for you. They will help to add volume to the areas of the upper face to smooth out lines and wrinkles for a younger look. In other cases, if not enough fat is available for redistribution to the areas that have been depleted over time, your plastic surgeon might recommend fillers as an adjunct to your facelift surgery to give the appearance of enhanced volume.

The Perfect Follow-Up Appointment

As long-lasting as your facelift results may be, they won’t last forever. The facelift surgery can help you steal back some of the years from an aging face, but it will not do anything to prevent further aging from happening down the line. While you can take steps to live a healthy, skin-friendly lifestyle, there is no way to foolproof your facelift. Instead, many patients turn to injectable fillers to help recreate their post-op results on a temporary basis. Injectables offer a less expensive way to maintain your more youthful appearance until the time comes to book a follow-up surgery.

Book Your Own Facelift Appointment in New York Today

Whether you feel you’re a good candidate for injectable fillers, a facelift surgery, or some combination therein, it’s time to connect with an expert in the facial plastic surgery industry to get some sound advice. Dr. Phillip Miller, a facial plastic surgeon with over 20 years of experience, is a recognized expert in facial rejuvenation procedures. He is often invited to speak at national facial plastic surgery meetings, sharing his innovative techniques with his peers. Dr. Miller has been voted among the Best Doctors in America annually since 2007 and has been named a Top Doctor of New York. Contact Dr. Miller’s office, located at 60 East 56th Street, Third Floor, in New York City, by calling (646) 791-3025.

Next, here are Seven Popular Facelift Myths

Solve Your Breathing Problems with Rhinoplasty

Rhinoplasty Surgery in NYC, NY

Breathing problems are nothing to take lightly and, if you have experienced them, chances are that you’ve talked to at least one medical professional about them. When your airways are too narrow or, worse, when they are blocked, it’s critical that you take steps to make the necessary corrections to the airways, lungs, or anywhere else causing issues. For many people, the troubles lie in a surprising place: their nose. The good news for those with nasal obstructions is that they are readily fixable. Discover if rhinoplasty in New York could help  you solve your breathing troubles.

Effects of Obstructed Nasal Passages

When the problem stems from a constricted or blocked airway in the nose, this can cause a domino effect of issues throughout the body. If the oxygen you take in is restricted, there’s not enough entering the body to do its job. You may experience symptoms from breathing troubles like lightheadedness or dizziness, to headaches or trouble concentrating. Trouble may be associated with physical activity, such as the inability to control your breathing or catch your breath when you are finished. You may also experience problems at nighttime, such as loud snoring or even Obstructed Sleep Apnea (OSA), a condition in which your breathing stops and starts erratically while you sleep. In more mild cases, those with breathing trouble tend to breathe through their mouths at night, leading to problems with insomnia, dry mouth, irritation of the throat, and the gum disease gingivitis, which has links to heart disease and other serious problems. The side effects of poor airflow can be hugely problematic, sometimes even fatal. Understanding what causes these problems can be the key to correcting them.

Effects of a Deviated Septum

Often, the nasal passageways can play a contributing part, if not be responsible for the whole of your breathing problem. For some, the nasal airway on one or both sides is too narrow, not allowing enough oxygen in at once. In other cases, a deviated septum may be partially blocking either, or both, of your nasal passages. Deviated septum is a condition that occurs when the central piece of cartilage in the nose deviates from the central line. When the septum is off center in this way, a common deformity of the nose or an effect of a nasal injury, the airways are affected. Breathing is more difficult through one or both nostrils, leading to the troubles mentioned above. Deviated septum is often found to be a contributing factor in cases of OSA. It can be corrected with a specific type of nose surgery known as septoplasty.

Other Nasal Troubles

There are other less commonly talked about issues inside the nose that can affect your ability to breathe. The turbinates are one culprit. These are the humidifiers of the nose, composed of nasal mucosa, and will swell in response to viruses, allergies, and other irritants present in their environment. This is when most people even notice they are there, usually swelling the most at night when you are trying to sleep. The turbinates will make it hard to breathe from the nostril closest to your pillow, which causes many people to toss and turn when they have swelling from colds, allergies, or whatever. When turbinate swelling gets out of control or even results in chronic enlargement, surgery may be required. There are other medical treatments that can help manage the swelling, but the most permanent solution for most patients can be reached through nasal surgery.

Nasal trauma from an injury can have huge repercussions if not treated immediately and thoroughly. A deviated septum is one such side effect of nasal damage, but others do exist. In some cases, a blood clot can form, hiding in the cartilage between the nostrils and going unnoticed without proper medical attention. If it is allowed to stay there, eventually it can erode the cartilage and damage surrounding tissues, resulting in a condition called “saddle nose,” where the bridge of the nose collapses. This is a serious medical problem and should be addressed as soon as possible. If you do suffer a significant nasal injury, seek immediate medical care and discuss whether plastic surgery may be necessary to help preserve the form and function of your nose.

The Rhinoplasty Procedure

It may sound too good to be true, but a rhinoplasty or “nose job” in New York can reap big benefits in terms of your breathing. While it won’t solve larger breathing complications in the chest, a rhinoplasty procedure could be just the answer to your concerns. It is a surgery that can change either the shape of your whole nose or just a small part, such as widening the airways to allow better breathing. Your plastic surgeon will cover the details of your rhinoplasty procedure during your consultation process.

You may have either an open or closed rhinoplasty procedure to achieve the results you need from your surgery. A closed rhinoplasty, or endonasal rhinoplasty, is performed using incisions that are confined to the inside of the nostrils, leaving no visible skin incisions. The skin is then lifted from the underlying cartilage and bone for the surgeon to recontour and reconstruct the nose as needed. If you have an open rhinoplasty, or external rhinoplasty, the doctor will place a very small incision between the nostrils on the underside of the nose, opening up the tip of the nose to allow access to the structures of the lower and middle third of the nose itself. The type of procedure you receive will depend on your needs, your nose, and your surgeon’s recommendations.

Breathe Easier After Rhinoplasty

Most people assume that a “nose job” is a procedure only done to make your nose look different. It’s not as common, or at least not as widely talked about, how a rhinoplasty can make your nose work better, too. There are many reasons to receive a rhinoplasty surgery, many of which are medical. The form and function of your nose are both important, working together to create the major entrance point of oxygen that will travel into your lungs and through your blood to all the major parts of the body. Birth defects or traumas sustained to the nose can greatly impact its ability to perform its primary task. Don’t allow the quality of your life to be hampered by a problem that can so easily be remedied.

Rhinoplasty Testimonials:


Book your consultation today with Dr. Phillip Miller, a facial plastic surgeon based in New York City with more than 20 years’ experience to help guide you to the solutions you need. A recognized expert in rhinoplasty, Dr. Miller was recently invited to speak at the 10th International Symposium of Facial Plastic Surgery to lecture on his own innovative rhinoplasty techniques. Since 2007, he has been voted among the Best Doctors in America and among the Top Doctors of New York. Begin your journey toward better breathing with a phone call to Dr. Miller’s office, located at 60 East 56thStreet, Third Floor in New York, New York. Call (646) 791-3025 to get started today.

Next, Find Out if a Facelift Could Save Your Job

Add On to Your Facelift for a Full Rejuvenation

Facelift Model in NYC, NY

Most people assume that plastic surgery procedures must be undergone separately, one at a time. If you want to have several areas improved, that could take forever. Luckily, this is simply not the case at all. During your consultation for the main procedure you would like to have done, it’s completely normal to ask about other surgeries that can be performed in conjunction with it. Provided these procedures are safe to do alongside it, you might even add them on to your future facelift.

What Problems Does a Facelift Correct?

A facelift procedure, offered in Dr. Philip Miller’s New York office, is intended to refine your profile as well as reduce the signs of aging on your face. Using incisions made along the hairline and extending in front of and behind the ears, your plastic surgeon will eliminate or redistribute fat deposits from where they have collected to spots where volume has diminished. Liposuction techniques are sometimes used to take care of larger amounts of excess fat around the chin and jawline. He or she will then lift and tighten the muscles of the face and then replace the skin over the face. Excess skin will be removed as needed and then sutures are used to close the incisions. If the chin is a problem spot, some additional work may be done to improve the contour and eliminate excesses.

Facelift surgery will improve many of the signs of aging you see on the face, such as sagging through the midface area, deep creases in the lower eyelids, misplaced fat and depleted volume, lost muscle tone in the lower face, deep creases around the nose or the corners of the mouth, and loose skin or excess fat that has accumulated beneath the chin and jaw. That’s an awful lot to tackle with one procedure, but some people still feel there’s more room for improvement. For example, someone with sunken or hooded eyes would still have them after a facelift, a stark contrast to the beautifully smooth new skin on their face!

Common Add-On Procedures That May Work For You

You may not want to tack on a full-body liposuction to your facelift, but while your doctor is concentrating on the facial area, he will be able to spend time on some other areas of concern. Plastic surgeons, such as Dr. Philip Miller, in New York, have your well-being at heart and understand that you can’t have “old-looking” eyes next to a younger-looking forehead and cheeks. When you need additional work done, there are several specific procedures that are often paired up with a facelift:
Necklift. When the work of a facelift isn’t enough to address the loose, sagging skin around the neck and jawline, a necklift procedure may be added on to your surgery. The surgeon will move below the jawline to eliminate the excess skin and fat that cause a “turkey neck,” while also tightening the muscles for a firmer, tauter look.

Eyelid surgery, or blepharoplasty. If you’ve developed saggy or puffy upper or lower eyelids, a blepharoplasty may be for you. This procedure will restore a more youthful and rested appearance, smoothing out the eyelids again and reducing under-eye bags.

Facial implants. Using synthetic implants, your surgeon may opt to augment your chin or cheeks to improve your profile and add volume to these areas, often sunken by age. Chin augmentation can improve a weak chin, adding balance to your other facial features. Cheek augmentation gives this area more fullness or the appearance of higher cheekbones.

Rhinoplasty. In some cases, slight alterations may be made to the nose in addition to your facelift. As this is a very involved surgery, however, you should discuss the specific concerns you have for your nose and what you would expect from a rhinoplasty procedure. Your plastic surgeon can then determine whether it is better for you to have an add-on to your facelift procedure or to perform the two surgeries separately for the maximum benefits to you.

Other procedures may be possible, so if there’s something missing from the list that you’re interested in, start talking with your doctor about all your options at your facelift consultation. The goal of your plastic surgery is to improve your overall appearance and well-being, so speak up and ask these important questions before your facelift procedure comes and goes. To learn more about plastic surgery, visit medlineplus.gov

Will Added Procedures Affect My Recovery?

Recovery time after a facelift procedure is essential for resting and relaxing, giving your body the time it needs to heal. Following instructions to keep your head elevated, using ice packs and pain medication as directed, and avoiding certain activities for the right amount of time can all have positive impacts on your recovery, maybe even speeding it up. Maybe you’re thinking that adding on another procedure might add time to your recovery, but that’s not the case at all. In fact, your recoveries will be happening simultaneously and will often come with the exact same care instructions, so you’re doing the same amount of work but your body is doing twice the healing.

Some procedures may take a little longer to heal than others, but probably not much longer than a facelift. Many patients feel that combining surgeries is better, even if the recovery is a little longer, than having to undergo two separate recoveries at different times.

Bear in mind that two procedures or more will likely mean that you have discomfort in multiple places. It also means that your ability to stay reclined and with the head elevated is doubly important. If you cannot commit to a full recovery from your facelift procedure, wait until the timing is better to have your procedures done. It will all be worth it in the end, when your recovery can go smoothly and your face can heal properly from both or all of your facial surgery add-ons. To learn more about FAQ’s, read about some Common FAQ’s to help improve one’s appearance.

Facelifts & Facial Surgeries by Dr. Philip Miller in New York

Even if you’re just looking for a straight-up facelift procedure to reduce the signs of aging on your face, you want to be seen by a trusted industry professional with years of experience and a reputation for excellence. Dr. Philip Miller is a leading New York facial plastic surgeon, a trained expert in face and neck surgery, and the right doctor to advise you on your facelift procedure and any additional facial surgeries you may have in mind. He has been voted among the Best Doctors in America annually since 2007 and was recently named Top Doctor in New York. Contact his office, located at 60 East Street, Third Floor in New York, New York, by calling (646) 791-3025.

Next, learn How to Make Your Facelift Results Last Longer

Seven Popular Facelift Myths

stock image of a woman for a blog about popular facelift myths written by facelift surgeon in NY, NY

The facelift procedure in NYC has gotten a bad, and unwarranted, reputation over the years. The fact of the matter is that facelifts are a commonly chosen procedure and for many good reasons. Yet, still there are many misconceptions about this type of plastic surgery that make it hard to discern fact from fiction. To truly understand what a facelift is, and what it isn’t, you’ll have to debunk some of the common myths circulating out there.

Myth #1 – Only “Old People” Get Facelifts

While the idea of rejuvenating the face and reducing the appearance of fine lines and wrinkles might seem to be for mature audiences only, younger and younger people are seeking out facelifts. In fact, facelift surgeries are often more successful when the changes needed are slighter and less dramatic. Women as young as their 30s are getting facelift surgeries to get a jumpstart on the aging process and to maintain, rather than restore, a youthful look. The biggest audience for facelifts are patients ranging from 30 to 50 years old. The right time for a facelift is when aging signs like sagging facial skin are bothering you.

Myth #2 – Only Women Get Facelifts

There’s a trend in plastic surgery to think that procedures are limited to women. That simply isn’t true. With plastic surgery on the rise, especially among men, facelifts for men are becoming a common procedure. There are some changes that need to be made in order to account for things exclusive to the male face, like facial hair and sideburns. That aside, more and more men, particularly among the Baby Boomer generation, are seeking facelifts to help rejuvenate their appearance. Plastic surgeons are more than happy to offer this procedure to men and women alike.

Myth #3 – Only Rich People Get Facelifts

There is a widespread belief that cosmetic facial surgeries like facelifts are too expensive for the average person to afford. However, most of the people electing facelift procedures aren’t rich and famous, don’t drive fancy cars or live in mansions, and have to live on a budget just like everyone else. The advances in technology and technique have helped lower the costs associated with these procedures, making them more affordable. According to the American Academy of Facial Plastic and Reconstructive Surgery, the average surgeon fee for facelift in 2012 was $7,453. If you’d like to have a facelift but money is a problem, consult with your doctor to see what your options are.

Myth #4 – Everyone Will Know You Had a Facelift

It’s a big concern of anyone considering plastic surgery that you’ll forever walk around broadcasting the fact that you once had work done.  A trained and experienced plastic surgeon, however, aims to make every surgery result as natural-looking as possible. In fact, most facial plastic surgeons will not deem a facelift surgery as a success unless it does look natural. This means no weird pulling or crinkling of the skin, no huge changes to the hairline, no distortions of the ear, and no obvious scarring. You’re meant to enjoy a facelift’s results, not carry them around like a badge for the rest of your life!

Myth #5 – Facelifts Last Forever

It’s easy to assume that your brand new look will last forever. After all, isn’t that what surgery is for? The truth is that while a facelift can address some of the effects of aging from your face, it cannot stop the aging process. You will still be susceptible to the effects of gravity, collagen loss, and other issues that age the face. However, those who have had a facelift start out of the gate a little later. So while you will still experience the signs of aging as you move on from your facelift, you’ll be in a much better position at 80 than your friends who haven’t.

That said, caring for your skin and living a healthy lifestyle can definitely impact how long your facelift lasts. Use the same tactics you always would to keep wrinkles and sun damage at bay: wear sunscreen daily, eat healthy, get regular exercise, stay hydrated, and sleep on your back to avoid nighttime wrinkling that will eventually become plain old wrinkles. These techniques can take that running start you got from the facelift and help you jog right through the aging process for a little bit longer.

Myth #6 – Facelifts Are Very Painful

The idea of knives and incisions leaves everyone wincing in pain, but the truth is that facelifts and most other plastic surgery procedures are just not that painful. In fact, most facelift recoveries take only a couple of weeks, not the months you might assume. The first few days after a facelift, you will experience some swelling, redness, and discomfort, but these are manageable with ice packs and pain medication and should not be severe. You will need to rest during these days, elevating your head to minimize swelling, and then you will be restricted from certain activities for up to a few weeks. Most patients return to work after two weeks, but every patient is different. Discuss your expected recovery timeline and any restrictions with your plastic surgeon prior to your facelift procedure.

Myth #7 – Nonsurgical Facelifts Are Just as Good as Traditional Facelifts

There is a recent trend in the plastic surgery world for patients to seek out nonsurgical alternatives to facelifts. While injectable treatments are available to mimic the after-effects of a facelift, the two just aren’t the same. Injectables can diminish the appearance of fine lines and wrinkles, add volume to certain areas of the face, and even be used to enhance the lips. These results are very temporary, with some lasting as little as four months, and they can’t do anything to correct sagging skin and fatty deposits along the jawline. Injectables do have value in the cosmetic surgery world and are sometimes used in conjunction with other procedures, so don’t discount them completely. Some physicians may even recommend them as a way to touch-up your facelift results in the years following your surgery. Still, to get the true facelift result, a traditional, surgical facelift is the best option.

Is It Time for a Facelift?

If you’re thinking about a facelift procedure, consult with a trusted, highly experienced plastic surgeon to get the results you want. Dr. Philip Miller, a specialized facial plastic surgeon in NYC, offers his patients more than 20 years of experience. Ranked among the Best Doctors in America annually since 2007, Dr. Miller is also considered a Top Doctor of New York and has served as a member of the Board of Directors for the American Academy of Facial Plastic and Reconstructive Surgery. Contact Dr. Miller’s office, located at 60 East 56th Street, Third Floor, in New York, New York, by calling (646) 791-3025.

What Makes Rhinoplasty So Popular?

Rhinoplasty before and after new york

Year after year, rhinoplasty surgery in New York lingers at the top of the list of most-requested plastic surgery procedures. Rhinoplasty is the oldest procedure in the world of modern facial plastic surgery, but shouldn’t that mean it’s run its course? After all, new is usually better when you’re talking about good looks and trends. What rhinoplasty offers, however, is much more than a trend. There are many benefits that contribute to keeping rhinoplasty at the top of many patients’ lists.

Rhinoplasty Offers Cosmetic Control

When you can’t stand the look of your own nose, it can be highly detrimental to your self-image and your concept of self-worth and confidence over time. An unattractive nose can draw the attention of bullies and other kids eager to tease you. It can wreak psychological havoc over you, making you run from the camera when someone wants to take pictures or go out of your way to avoid a mirror. You might develop bad posture as you keep your head down and shoulders bent; you might develop poor social skills because you fear everyone is staring at your nose; you might even have health issues like trouble breathing or nighttime snoring.

All in all, an unwanted nose is nothing to take lightly. Rhinoplasty gives people suffering from a displeasing nasal appearance the opportunity to take control over their appearance and do something to change it. You’ll gain cosmetic control as you meet with a physician for a rhinoplasty consultation, then again when you head in for your surgery. The end result of your rhinoplasty will be designed to please you, finally after all your years of struggle. It’s easy to understand why rhinoplasty can remain so popular, with thousands of unhappy people looking to change their noses to change their lives.

Rhinoplasty Has Many Medical Benefits

Many people wander in for rhinoplasty consultations because a medical condition has brought them there. Because rhinoplasty is a procedure that offers much more than a cosmetic application, surgeries can also be performed to help alleviate breathing trouble, widen airways, correct breathing obstructions like a deviate septum, and more. Individuals with breathing issues, sinus troubles, snoring and certain types of sleep apnea can all benefit from the right functional rhinoplasty procedure.
Incidences of these medical issues aren’t influenced by popularity or social trends, so because of them, yet another need for rhinoplasty surgeries will keep this procedure securely at the top.

Rhinoplasty for Injuries & Trauma

As long as people continue to have broken noses, there will always be a need for rhinoplasty. When a nose suffers damage or significant trauma, plastic surgery is often required to restore the nose to its original state, inside and out. Some incidences involving the nose can cause dangerous blood clots that will damage the cartilage of the nose if left untreated. Others can lead to breathing trouble, snoring, and a whole host of other problems for the nose.
When you suffer any kind of injury to the nose, it is important to have it checked out by a medical professional who can advise you on whether or not you will require reconstructive surgery. If that is the case, be sure to contact a trusted facial plastic surgeon who can correct any serious damage and set your nose properly to heal without bumps and scarring.

Rhinoplasty Can Correct Damage from Rhinoplasty

While uncommon, it is possible to have a “bad nose job” where the results you expected were not achieved at all. This is less likely to occur when you do your homework to find the right surgeon, however it does happen from time to time, whether due to surgical error or healing complications. In these cases, a rhinoplasty procedure is often the only way to reverse any damage done to your nose or inner parts. You will be able to discuss your past procedure with your new doctor, voicing any concerns or special needs you have for your revision rhinoplasty. It is unfortunate that this needs to happen at all, but it helps to keep rhinoplasty among the most requested procedures in the world.

Stick With the Popular Rhinoplasty Crowd

Those who have had rhinoplasty surgery in the past can attest to its incredible benefits to your health, your self-image, and other areas of your life. If it’s time for you to sit down for a rhinoplasty consultation with a physician labeled as one of the Best Doctors in America for 6 years running, contact Dr. Philip Miller. He is recognized as an expert in rhinoplasty, making him the perfect plastic surgeon with whom to discuss your questions and concerns. Contact the office of Dr. Miller, located at 60 East 56th street, Third Floor in New York, New York, by calling (646) 791-3025.

Life After Facelift: Tips to Make Your Results Last Longer

facelift plastic surgery results in new york, ny

Life After Facelift: Tips to Make Your Results Last Longer

A facelift is fixing the effects of aging on the face but it doesn’t stop the face from continuing to age after all your incisions have healed. Mother Nature will come to find you, no matter how many facelifts you have to keep her at bay. That doesn’t mean that you have to roll over and accept it, however; there are many things you can do every day to make sure your newly rejuvenated appearance stays that way as long as possible. You didn’t pay that good money just to let it sag and wrinkle again, did you?

What the Facelift Did For You

When you had your facelift, what exactly did the surgeon do? Basically, a facelift procedure begins with incisions made along the hairline and around behind the ears, extending to the lower scalp. A limited facelift can be done with incisions in the same places, but just not made as long. During the procedure, fat can be removed with liposuction or redistributed from around the chin and jawline to areas like the cheeks and forehead. If needed, facial muscles will be lifted and tightened. Finally, the surgeon will replace the skin over the face, tightening as he works and then removing the excess. Basically, the important elements of your face have been tweaked and shifted to give you several years back, reversing the aging process to help you look younger and rejuvenated.

What You Can Do For Your Facelift

Now that you can see the tremendous amount of work that went into your brand new you, it makes sense to do whatever you can to preserve your results for as long as possible. It starts with a proper recovery where you take every possible measure to help get well and get the required rest your body needs. Follow the instructions of your physician to ensure that your facelift results are exactly as desired when the swelling subsides. Apply cold compresses often and take your pain medication to help control the swelling while you recover. Keeping your head elevated also helps to limit the swelling. Only return to work and other activities with the permission of your physician so you don’t overexert yourself by trying to do things before you’re allowed.

The full recovery process can last for quite a long time since the swelling of the face can last up to six to nine months before completely subsiding. During this time, the skin and muscles of the face are working to repair and heal, a complicated process that can only be helped by how healthy you are. The success and speed of your recovery centers on your body’s health and wellbeing and your patience throughout recovery to give it all the time it requires.

Tips for Maintaining Beautiful Facelift Results

Once all the skin has settled and the swelling has subsided, it’s tempting to resume your normal activities and forget you ever had a facelift at all. If you were caring for your skin properly before your surgery, that’s fine. If there’s any room for improvements, however, wouldn’t you want to take them? Making your facelift results truly last takes a little work on your part, but it’s definitely worth it. You don’t want to have to recover for another six to nine months so soon, do you? Follow these basic guidelines to be sure you’re doing everything possible to preserve those beautiful facelift results:

• Live a healthy lifestyle. As already mentioned, being healthy on the inside is key to how your body handles recovery. It also shows on the outside when we eat a proper diet and regularly exercise, so making sure you’re healthy and active can extend your facelift results.
• Stay hydrated. You’ll also want to make sure to drink enough water every day. By keeping the body well hydrated, you’re enabling it to do a better job all around. The skin responds to proper hydration by maintaining a healthy glow and also staying rich in collagen and elastin so it looks plump and supple.
• Opt for nonsurgical treatments as needed. Injectable treatments can offer a nonsurgical way to maintain that look without another surgery. Some of these injectable treatments can help to reverse and even delay the creation of wrinkles. Others serve as volume enhancers, giving the skin that fuller, more youthful look. Discuss your options for injectable fillers and wrinkle treatments that can give you an instant boost.
• Wear sunscreen to avoid UVA exposure and damage. Just putting on sunscreen every day (yes, every season of the year) can be the difference between even skin tone and your next sunspot. Don’t leave your skin vulnerable to UVA rays, which can cause pigmentation and fine lines and wrinkles. Find a daily lotion or makeup with an SPF if you don’t like sunscreen products. Make sure you use a 30 SPF at the minimum.
• Boost your results with Face-Tite laser therapy. This procedure is another nonsurgical option that can return your face to that post-facelift glory. Face-Tite can lift and tighten areas of the face including the brow, cheeks, neck, jowls, and delicate area beneath the eye. Ask your doctor if Face-Tite laser therapy could help you maintain your facelift results non-surgically. To learn more about facelift, visit medlineplus.gov

Where Can I Schedule a Facelift?

Get started today by scheduling a consultation with a reputable facial plastic surgeon specializing in facelift surgeries. As a recognized expert in facial rejuvenation procedures, Dr. Philip Miller is the New York facial plastic surgeon who can help you achieve the results you really want from your facelift. Voted among the Best Doctors in America consistently since 2007, Dr. Miller has also been named a Top Doctor of New York. His range of services include all of the procedures you’ll need to truly renew your look and his results are proven. Book your consultation today at his New York City office, located at 60 East 65th Street, Third Floor by calling (646) 791-3025.

Next, find out if a Facelift Could be Right for Your

Cosmetic vs. Functional Rhinoplasty

Image of a male model for rhinoplasty New York City All is not necessarily vanity when it comes to nose surgery (Rhinoplasty). Many patients have excellent nasal form but the nose doesn’t function at 100 percent capacity. The patient may suffer from an obstructive nasal condition that limits the amount of air they take in. They may have frequent dizzy spells, nose bleeds, or a more serious obstructive breathing condition known as sleep apnea. Other symptoms of functional disorder include nasal congestion and dry mouth.

Form Follows Function?

Many people are unhappy with the way their nose looks. The nose may have an unsightly hump or bump in the middle of the nasal bridge. The tip of the nose may droop sharply or the nostrils flare. These are cosmetic issues, all of which may or may not affect the normal functioning of the nose. They can also be a source of low self-esteem and fuel a personal desire to correct these cosmetic flaws.

Cosmetic Rhinoplasty resolves these issues in an artful way that is pleasing to the patient’s sense of vanity. Non-cosmetic reasons for nose surgery, on the other hand, are generally more serious in nature because they directly impact a person’s health and wellbeing. The patient may suffer from diminished breathing capacity resulting from a deviated septum or restricted nasal airways. Sleep apnea is a functional sleep disorder that is often associated with a physical breathing problem. Breathing problems may be organic or the result of an accident or trauma.

There are two types of nose surgery to correct functional irregularities. Nasal Septoplasty repairs a deviated septum and improves shape and function. Turbinate reduction surgery reduces the size of the nasal air filters so that unobstructed breathing is restored.

A Common Combination

It’s common for patients to have cosmetic rhinoplasty in combination with functional rhinoplasty. Sometimes the cosmetic flaw may be associated with breathing complications. Other times the patient may simply take the time to improve cosmetic aspects of the nose while they’re working on the function. While functional and cosmetic surgical approaches are, in fact similar, there are key differences in surgical objectives.

Cosmetic rhinoplasty addresses aesthetic considerations by making surgical refinements that are more artistic in nature. Functional rhinoplasty, on the other hand, improves nasal function and eliminates breathing obstructions related to nasal architecture.

When the issue is one of form and function, it’s best to seek out a board certified facial plastic surgeon who is experienced in both cosmetic rhinoplasty and septoplasty surgery.

Dr. Philip Miller 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 or view his before and after rhinoplasty photo gallery.

Next, read all about Ethnic Rhinoplasty