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.

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?

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

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.

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

There are so many different cosmetic surgical techniques available in cosmetic surgery and in facelift surgery in particular that it may be a challenge for the patient to decide which one is best and will give the best cosmetic result. One determining factor is the longevity of the facelift procedure. The Deep Plane Facelift, offered at Dr. Philip Miller’s New York plastic surgery clinic, is but a single variant of the standard facelift, one that cuts deeper into the issue of facial rejuvenation.

Some doctors shy away from the Deep Plane Facelift because of the more invasive nature of the procedure and the increased risk of nerve damage and other complications which might occur. Still, this technique has produced many satisfied patients because of the natural and long-lasting effects of deep mid-face plane lifting.

Deep Plane Facelift vs. Traditional Facelift

Unlike the traditional facelift, the deep plane facelift (Deep Plane Rhytidectomy) involves a deeper plane of dissection, allowing the surgeon access to the underlying muscle and soft tissue layer just below the skin. This includes the malar fat pads which begin to droop and flatten with age.

During the procedure the surgeon is constantly focused on the mid-face area including, the nose and upper lip to correct any issues caused by aging. With this technique the surgeon is also able to correct the deep nasolabial folds that form as the face loses volume due to the decreased production of collagen and elastin. These are the body’s foundational chemicals which give the facial skin its natural volume and elasticity.

Because the Deep Plane Facelift involves a deeper angle of “attack” there is an increased risk of facial nerve and tissue damage. It is an advanced and complicated surgical procedure that is best handled by an experienced and highly skilled surgeon. Even so, many surgeons view the procedure as a longer lasting alternative to the standard facelift because it targets age-related flaws centered in the mid-face area, an area often overlooked with other facelift techniques, while at the same time lifting the neck and jowls for a more youthful appearance. The Deep Plane Facelift tightens and rejuvenates the muscle-fascia layer and repositions fat tissue to achieve a true 3-dimensional result.

While the mechanics of the Deep Plane Facelift are more intricate by design, the results of the procedure are said to be superior than those of a standard facelift. If you have been considering facial rejuvenation surgery, the Deep Plane Facelift is just one of many options for you to discuss in consultation with a qualified plastic surgeon well-versed in the technique. To learn more about facelifts, visit medlineplus.gov.

Contact a Facial Plastic Surgeon for a Deep Plane Facelift Consultation

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) 791-3025 for a personal consultation or fill out our contact form.

Am I too old for a nose job?

There is no age limit for having cosmetic nose surgery. The general rule is, if you’re in good health, you are likely a good candidate for surgery.

However, as patients get older, surgeons may be faced with increasing challenges that can affect the long-term cosmetic results for the patient.

Many patients from NYC choose to have cosmetic surgery done in their 40s and 50s, before the aging process produces significant changes in the appearance and basic structure of the nose. These patients are generally satisfied with the rejuvenating effect of rhinoplasty and in many cases, it is the fulfillment of a life-long dream to enhance their appearance.

Is 40 too old for rhinoplasty?

78,054 total rhinoplasty procedures were performed on people aged 40-54 in 2021, according to the American Society of Plastic Surgeons (ASPS). As long as you are in good physical and mental health, you may benefit from the procedure. The best time to have a rhinoplasty is when you feel most confident in your decision and informed about the procedure. You must also be comfortable with your surgeon, who should guide you through the journey.

Nose Job at 50

As long as you are in good health and you have enough time on your schedule for a proper recovery, 50 is not “too old” for rhinoplasty. As a cosmetic procedure, rhinoplasty is intended to make the patient look and feel better about their nose, and a nose job can be tailored to a patient of any age. Just like any other patient, you will need a physical exam and be cleared by your doctor prior to surgery. Don’t let your age hold you back from consulting with a facial plastic surgeon in New York. 

Rhinoplasty Over 50

The technical steps of performing a rhinoplasty in patients over 50 are similar to those for younger patients. Rhinoplasty at this age can even make you look more youthful, as changes may occur to the nose over time that contribute to an aged appearance. However, patients in this age group are more likely to have underlying conditions like hypertension and diabetes that could increase the risks associated with surgery.

When a patient has reached the age of 60 and beyond, physiological changes in the nose demand a thorough evaluation by the performing surgeon to determine whether a favorable cosmetic result is possible. Any underlying health concerns must also be considered as well. Dr. Miller will discuss your medical history at length before surgery to ensure the procedure will be both safe and effective for you.

There may be a variety of pre-operative issues as well. For example, is the patient able to tolerate the anesthesia? What is the quality of the facial skin, nasal cartilage, and bone structure? Is there a severe nasal droop or significant changes in the nasal dorsum and nasal airways?

Years of exposure to the sun may have caused dramatic skin changes as well, affecting skin quality. The skin also grows thinner with age as there is less collagen and elastin produced by the body to give the facial skin its natural fullness and volume. As a result, older patients bruise more easily and healing takes longer to complete. There may be an increased risk of bleeding and scarring as well.

Dr. Miller will weigh your goals and expectations against the physical reality of surgery. Only then can he determine whether rhinoplasty is right for you. When you both have confidence in the safety and outcome of the procedure, everyone can be happy in the end.

Dr. Philip Miller is a board-certified facial plastic surgeon with offices located in Manhattan, New York, and New Orleans, Louisiana. Contact us online or call (646) 791-3025for a personal consultation.

Next, learn How we Can Fix a Twisted Nose

The Mini Facelift is a very popular procedure these days. Why? Well, the long and the short of it is the type of incision used. Whether you refer to it as an S Lift, Weekend Facelift, Quick Lift, Lifestyle Lift or some other name, what distinguishes the Mini Facelift from its full-fledged relative, the traditional Facelift, is the shorter length of the incision. Since the procedure targets only those areas of the face that are just beginning to wrinkle and sag, the incision is often confined to the front of the ear rather than running around and behind it. Offered by expert New York plastic surgeon Dr. Philip Miller, it’s a minor outpatient procedure requiring only local anesthesia and it can be done in 90 minutes or less with the patient wide awake.

In a traditional facelift, the incision typically runs from about the temples, in front of and around the ear, to behind the ear and ending in the lower scalp. Working through the incisions, the skin is separated from the deeper tissues. The skin is then re-draped and any excess skin is removed. It’s a more complicated procedure designed to reduce the appearance of extensive sagging and wrinkles of the lower face and neck.

Patients who opt for the Mini Lift are often in their 40s or 50 and don’t exhibit major signs of aging. The jawline may only show moderate drooping. There may only be a few shallow wrinkles and facial lines. The facial plastic surgeon’s views for the Mini Lift as a more localized approach to improve one’s facial appearance. It require much smaller incisions through which surgical tools are used to extract excess fat and reshape muscles so that a softening of facial lines and wrinkles is achieved quickly and with much less downtime required during the recovery process. The Mini Lift is also a less costly way for men and women to reduce minor sagging around the cheeks, neck, and jawline with minimal risk of complications during and after surgery.

Many patients prefer the Mini Lift because of its targeted approach, its cost effectiveness – roughly half that of a traditional facelift – its nearly immediate results, and its fast recovery period. Though your results will depend on a variety of factors, the Mini Lift is an excellent way to tackle the flaws and blemishes of early aging head on. A qualified facial plastic surgeon can help you decide which procedure is right for you and help you achieve the best facelift results. To learn more about the mini facelift, visit healthcare.utah.edu

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 about The Impact of Weight Loss after a Facelift.

From the moment you wake up from the general anesthesia and open your eyes after your facelift surgery, you may not know quite what to expect. Expect to still be the same “you,” but the way you used to look, years ago, before the onset of facial lines and wrinkles and maybe that sagging neckline.

From that very moment until the facial plastic surgeon in New York removes your bandages for the last time, anticipation over what to expect and how you will appear may get the better of you at times. However, patience not only is a virtue; it’s the one virtue that will get you through the first few hours, days, and weeks after surgery.

Waking Up From the Anesthesia

If you had a traditional facelift procedure done, odds are the doctor recommended general anesthesia to ensure the best outcome. It’s normal to experience chills and nausea immediately after waking up. The discomfort may persist for an hour or so. Be prepared to feel groggy and out of sorts until the anesthesia wears off. If you had outpatient surgery, be sure to have a safe ride home.

Heading Home

A measure of pain and/or discomfort is to be expected after any surgery, including facelift surgery. You may have been prescribed pain killers. Many patients, however, say their recovery was so problem-free that they didn’t need pain medication.

Taking Care

Avoid medicines or food that may cause blood thinning as this will increase your risk of post-surgery bleeding. These include aspirin and garlic. Most importantly, try to stay active during your in-home recovery to keep the blood circulating. This will help to minimize the risk of developing blood clots in the legs and it will make sure that your incision areas are receiving fresh, well-oxygenated blood to promote the healing process. Of course, you will still need to rest and avoid overdoing.

Now for the good part: at the end of your recovery period expect to be pleasantly amazed at how well your incisions have healed and how much younger you look – not to mention the positive comments and compliments you’re likely to receive from your family, friends and co-workers. Expectation is the mother of all questions about facelift surgery. Your plastic surgeon of choice is best qualified to answer them.

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 read more about facelift surgery.

Next, learn about The Mini Facelift

As the old saying goes, the customer is always right. But is the customer always happy with the final purchase? When it comes to cosmetic rhinoplasty, some estimate a general satisfaction rate of around 75 percent, which is pretty high given the complexity and difficulty of nose surgery. Many skilled and experienced facial plastic surgeons in New York will report an even higher satisfaction rate.

A few millimeters off target can significantly alter the intended effect and require revision rhinoplasty. The American Society of Plastic Surgery estimates 5 to 10 percent of all nasal surgeries are redone for various reasons, and that number is often higher for facial plastic surgeons who are less skilled.

Still, facial plastic surgeons report a high satisfaction rate among their patients and it all centers around the first, all-important consultation with the patient. It is far more than a routine “meet-and-greet” rap session. It’s the essential starting point whereby the plastic surgeon is able to determine exactly what the patient wants and the patient can understand what the doctor can deliver. Once a mutual understanding and practical guidelines are set, it makes for a happy and trusting relationship between doctor and patient.

Doctors note that a satisfied patient is one who has a good idea about what he or she is looking for in cosmetic nose surgery and is able to communicate his or her needs and desires in an honest and straightforward manner to the cosmetic plastic surgeon. A satisfied patient is also a stress-free patient. So, it’s up to the facial plastic surgeon to put the mind of the patient at ease with a thorough description of the surgery process from the first incision to the first week of the patient’s recovery period and beyond.

When the surgeon is fully aware of the patient’s reasons for being in the doctor’s office, the surgeon is then able to get a reliable sense of the patient’s short- and long-term goals. That, in and of itself, is essential to patient satisfaction. The patient’s goals, however, must be reasonable and both practical and efficacious – yielding the intended or desired results. Otherwise, the patient becomes a good candidate for a surgical do-over.

Moreover, a satisfied patient is one who is mentally and emotionally balanced as defined by prevailing societal norms. If the patient seems “out there” with his or her expectations or is showing signs of body dysmorphic disorder, that is a red flag for the plastic surgeon. The patients must also understand the potential complications that can occur.

Finally, many patients satisfied after having their first nose job are those who didn’t feel as though they were pressured into having the procedure by the surgeon. No one likes a high-pressure salesman. And it’s no different when it comes to cosmetic rhinoplasty. To learn more about rhinoplasty, visit ncbi.nlm.nih.gov

Your first consultation is the foundation for a successful and positive outcome, which usually translates into one happy customer.

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 read more about rhinoplasty.

Next, read all about Rhinoplasty for Older Patients.

* Each patient is unique and individual results may vary.

What if you could have the nose of your dreams but without the invasive surgery and post-op downtime? It’s possible with a popular in New York procedure known as the Injectable Nose Job, or 15-Minute Nose Job, which uses injectables and dermal fillers to get rid of unsightly nasal humps, bumps, drooping tips, and other minor flaws.

Unlike traditional rhinoplasty, an invasive surgical procedure, the injectable nose job involves the use of filler products like Restylane, Juvederm, and Radiesse. These products are used to change the appearance of the nose without the need for surgery.

The materials are injected into the nose in order to smooth out minor cosmetic flaws while rebuilding the nose and improving the overall appearance of the nose.

Why Choose An Injectable Nose Job

The effects are immediate. Minor cosmetic flaws such as a drooping tip, small depression, nasal hump or bump seem to vanish. The results are said to last for up to a year before they have to be repeated to maintain optimal results. The injectable nose job begins with the application of a topical numbing cream so that the patient experiences no pain during the procedure.

The benefits of the non-surgical nose job are that they involve less pain and there is no lengthy recovery period. The cost is also less compared with traditional Rhinoplasty. Moreover, the non-surgical treatments can be done in combination with nasal surgery so as to augment the results. Other benefits include the overall lack of bruising and swelling around injection sites and decreased risk of scarring associated with nasal surgery.

Thousands of patients each year choose to have an injectable nose job because they are on a limited budget or don’t require the full effect of nasal surgery. Nevertheless, the procedure is not for everyone. For larger cosmetic nose problems, the so-called 15-minute nose job is not a solution; surgical rhinoplasty is your best long-term solution. Furthermore, injectables cannot be used for reduction rhinoplasty but rather for augmentation rhinoplasty only, though nasal humps which may be reduced with nasal surgery can be disguised and made less obvious by filling in surrounding areas with injectables. Injectables can also pose a risk for future nasal surgery.

If a minor nasal hump, indent, or other imperfection has been bothering you, the injectable nose job is but one of many non-invasive options with short-term results. For more dramatic, long-term results, consider nasal surgery with the knowledge, help, and guidance of a qualified plastic surgeon.

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