Skip To Content

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

Challenges of the Male Facelift

Male Facelift Model in New York Facelift surgery is often thought of as being no different between a man and a woman. In reality, the differences couldn’t be greater in terms of basic skin structure, tone, thickness, and texture, which make it more of a challenge for any experienced NYC surgeon performing a facelift procedure on a man.

Viva La Difference?

Why is it more challenging? The reasons are several. Men in general have thicker skin compared to women. And having thicker skin is necessary to support the growth of facial hair, which makes it even more necessary for there to be a richer, more nourishing blood supply to the face.

Other key differences between the sexes that exist can have a direct impact on the choice of surgical methods and incisional and suturing techniques used. For example, men have stronger ligamental supports, larger faces, heavier necks, and more vascular skin. The latter reason is why men generally bleed more profusely during cosmetic facelift surgery. As a result, there is an increased risk of post-operative hematoma. Conversely, the facial skin of a man is less prone to bruising and heals faster because it is thicker.

For men, the presence of facial hair requires that different surgical anchoring techniques be used to make sure that the sideburns and beard don’t shift from their normal position. Even more important, the surgeon must take special care not to leave the male patient with a feminizing result. The surgeon also must be careful when suturing the male patient to prevent noticeable scarring.

Because of their heavier neck and facial features men aren’t usually considered to be the best candidates for mini-lift procedures in which the best results tend to be found on female patients.

Real Men Do Have Facelifts

Physical differences aside, an estimated 20 percent of facelift patients are men and that trend is expected to continue well into the next decade. No longer is there a stigma associated with men having facelift or necklift surgery to improve personal appearance. But since there are important physical differences between the sexes, physicians are ever mindful of the “masculine side” to cosmetic facelift surgery.

Talk with a board certified facial plastic surgeon in New York to see if you might be a good candidate for a cosmetic facelift or other facial procedure.

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.

Necklift vs. Facelift: Which is Right for You?

necklift plastic surgery in new york
Traditional Neck Lift and Face Lift surgery can be performed as stand-alone procedures or together at our New York facial plastic surgery office. In fact, surgeons look at them as sister procedures, as they both address the lower half of the face, the chin, neck, and jowls. But which is right for you?

A Tale of Two Chins

It depends on the patient’s unique cosmetic issues and desired results whether he or she decides to get a neck lift, face lift, or combination procedure.

The traditional neck lift resolves the related problems of a “double chin” and “turkey neck” by surgically removing the excess loose fat and skin on the neck. The neck muscles are then tightened and lifted to reduce sagging and “banding.” Excess fat is removed using liposuction as an adjunct procedure. To learn more about neck lift, visit clinicaltrials.gov

Two Procedures: Same Difference

Lower face lift surgery, like the popular neck lift, addresses more pronounced cosmetic issues with the chin and jowls as well as the lower cheek area. Its focus is on the middle and lower face to eliminate excess fat and skin on the cheeks, jaw line, and nasolabial folds. These are age-related deep lines which form on either side of the nose when the skin has lost a sufficient supply of collagen to keep the facial skin moist and supple. The deeper the nasolabial folds, the older one’s facial appearance.

Neck Lift vs Face Lift: Which One to Choose?

facelift vs necklift what to choose

Challenges of a Dual Facial Plastic Surgery Procedure

The basic distinction between the two procedures is that the neck lift improves the appearance of the lower jaw line and neck, while the lower face lift focuses on the lower third of the face and neck. Though both procedures can be performed in isolation, there is a large degree of overlap which makes them an excellent dual procedure.

In fact, some plastic surgeons see no difference in either procedure and consider them to be one and the same in terms of results. Both correct the problem of excess fat in the neck and jaw line leading to the appearance of vertical lines – Granny Lines – from the chin to the chest. They also remove droopy jowls as well as tighten and smooth the jaw line for a rejuvenated look.

Whichever procedure you choose to have done, be sure to talk with a board certified facial plastic surgeon in personal consultation. This will help you better define – and refine – your cosmetic goals and anticipated results.

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.

Next, learn How to be a Great Candidate for a Facelift

Rhinoplasty & Common Cold

stock image of a woman for a blog about rhinoplasty and the common cold in NYC, NY Cold and flu season is probably not the ideal time to undergo cosmetic rhinoplasty surgery. The patient may only feel worse as the incisions heal and the nose structures recover from the trauma of surgery. A feeling of congestion and stuffiness is common after rhinoplasty, and this may be intensified with a cold.

While most surgeons agree that developing a cold or the flu won’t impact the results of surgery, patients who have contracted an upper respiratory infection should probably postpone surgery until they’ve fully recovered.

Any plastic surgeon in NYC experienced in nasal surgery will more than likely not perform the procedure while the patient is sick with an upper respiratory infection. It’s good common practice that will reduce the risk of complications.

Not a Pleasant Experience

Still, coming down with the cold or the flu, bronchitis, or viral pneumonia isn’t pleasant. The coughing, sneezing, fever and body aches associated with these head and lung illnesses are uncomfortable at best. The sinuses will be congested and the nose will be swollen and red from the constant wiping away of post-nasal drip.

Imagine how much more unpleasant the experience will be if you’re sick AND recovering from rhinoplasty surgery.

The doctor may prescribe an antibiotic or recommend a cold or flu medicine to ease the symptoms.

Some Common Sense Practices

If you’re sick with the common cold or flu, your nose will be draining mucus almost nonstop. If you’re recovering from rhinoplasty, never rub or wipe your nose hard with a tissue or handkerchief as this may irritate and inflame the suture lines and wound areas. Instead, gently dab away the nasal drip until the nose is completely dry. Also, gently irrigate the nose with a warm saline solution to reduce the viral load, which will help your symptoms clear up faster.

Doctor Knows Best

Patients waiting in line for cosmetic nose surgery are generally an antsy bunch. The thought of having to put off surgery for a week or longer because of some pesky cold or flu virus can be upsetting to them. Even so, never minimize the severity of your condition with your rhinoplasty surgeon. Let your physician decide whether it is safe to proceed.  Your doctor most likely will give the green light if all you have is a simple head cold. But if you’ve developed a more serious upper respiratory infection, don’t blow it and be sure to tell your surgeon right away.

Dr. Philip Miller is a board certified facial plastic surgeon in New York City with offices located at 60 East 56th, Third Floor, New York, N.Y. Contact our office at (646) 791-3025 for a personal consultation.

Fixing a Twisted Nose

Rhinoplasty Surgery in NYC, NY The amazing thing about rhinoplasty surgery is that it is capable of fixing even some of the most difficult nasal deformities. This includes a twisted or crooked nose.

Having a nose that appears bent may be the result of an injury or surgical error. However, some people are born with an overly angular nose. No matter what the cause of the problem, whether congenital or acquired, cosmetic nose surgery in the hands of an experienced facial plastic surgeon in NYC can correct the problem.

Anatomy of a Twisted Nose

When the nose appears twisted it’s likely because the nasal bones or cartilage inside the nose are also twisted. The interior tension caused by the deformity may push the tip of the nose toward the face at a downward angle, or it may cause an over-projection of the nose from the face. The nasal bridge may also bend to the left or to the right.

The type of rhinoplasty procedure used depends on how much surgical correction is needed. There are many techniques, including cartilage grafting and osteotomy, to correct the basic symmetry and nose angulation. Refinements to the bridge or tip of the nose can be made using one or more techniques. The delicate nasal bones may be cut and reset in order to correct and improve the nasal profile.

The surgeon may recommend less invasive suturing or camouflaging techniques to lessen the appearance of nasal deviation.

Your New York Nose Surgeon Knows Best

While there is no such thing as a perfectly straight nose, the surgeon will make every effort to achieve a perfect result. It will require a thorough evaluation of the basic symmetry of the patient’s face prior to surgery and determining the full extent of nasal or septal deviation. The choice of procedure depends on which part of the nose is twisted.

It’s generally easier to correct a crooked nose caused by trauma than it is to fix a congenitally twisted nose where certain internal tissues or structures may be undersized or absent.

In sum, rhinoplasty is one of the most difficult corrective surgeries to perform and fixing a twisted nose is one of the most difficult sub-categories of procedures. Talk with a board certified facial plastic surgeon experienced in rhinoplasty to find out if you are a candidate for nose 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.

Next, read about The Effects of a Rhinoplasty with the Common Cold