Whenever a new and more effective technique is developed to aid plastic surgeons in providing better care while maintaining attractive results, it is an exciting thing. Once such advanced technique is MicroRhinoplasty™. The former method of reducing a hump or bump on the nose with osteotomy is becoming a thing of the past with MicroRhinoplasty™ moving in. Dr. Miller in NYC has adopted this technique in appropriate candidates to replace the need to fracture the bones of the nose and reposition them.

MicroRhinoplasty™ is a much less invasive procedure performed with the use of an air-powered microsaw to remove the bony hump layer by layer. Surgeons are able to have an added degree of precision that was not available before and are able to correct the flaw until the exact level of reduction needed is reached.

Rhinoplasty is one of the most popular plastic surgery procedures performed, with hump reduction being at the top of the list of most requested nose corrections. Hump or bump reduction requires that the bone or cartilage creating the formation be removed. Many patients can benefit from the MicroRhinoplasty™ technique and will enjoy the several advantages it offers. Who wouldn’t prefer to be able to spend as little as 5 minutes in the surgeon’s chair with just local anesthesia? Osteotomy, on the other hand, requires general anesthesia and a good deal longer spent in surgery. Since the nasal bones do not need to be fractured MicroRhinoplasty™, there are fewer risks of complications associated with osteotomy, such as inverted V deformity or “rocker” deformity.  Patients also experience little, if any, pain and significantly less swelling and bruising. Additionally, recovery time is shortened.

The greatest benefit of all is, of course, the newly heighted confidence the patient will feel after his or her surgery. Facial harmony will result in a more eye-catching appearance, and in a good way.

Individuals who are looking to reduce a nasal hump and are interested in exploring their options should contact Dr. Philip Miller for a personal consultation at (646) 791-3025. Dr. Miller is one of the best facial plastic surgeons with offices located at 60 East 56^th, Third Floor, New York, NY.

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

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

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

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

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

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

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.

Rhinoplasty for Men

A nose by any other name would smell as sweet. It makes no difference, then, whether you are a man or a woman or what kind of nose you have. Everyone’s nose has the same olfactory function, but not all noses are blessed with the same appealing shape or appearance.

In increasing numbers, men are turning to rhinoplasty to change the look of their nose but without fundamentally altering its masculine structure. This is where the cosmetic goals of men and women tend to diverge. When considering nose surgery, women are often looking for significant or dramatic results to achieve a more attractive and feminine appearance. The “male nose job,” by contrast, often has more specific goals in mind. A male patient may opt for nose surgery to remove a dorsal hump or to soften the appearance of a hooked or drooping nasal tip.

Change your Nose

Other male patients are looking to narrow the width of a “dominant” nose or reduce the overall size of the nose to balance out the face. Or they simply want to improve the overall shape of the nose but without dramatically changing its basic structure. Men, in sum, want a better looking nose that unmistakably says “me, mine, and man.” They don’t want results that appear feminine. In cases related less to aesthetics and more to function, men may undergo rhinoplasty to open blocked airways or repair a deviated septum. Regardless of a patient’s gender, the techniques used in nasal surgery in New York are the same and the risks and benefits are also the same. There is a slight risk of infection or nosebleeds following nose surgery, or a temporary loss of smell. To learn more about rhinoplasty, visit medlineplus.gov

Many Men are Choosing Rhinoplasty

That many men are choosing rhinoplasty for a more satisfying appearance is reflected in the more than 240,000 individuals who underwent rhinoplasty in 2012, 25% of whom were male according to the American Society of Plastic Surgeons (ASPS). No longer is there a stigma attached to male rhinoplasty. A good example is Iran, rated the “nose job capital of the world,” where some 200,000 people are having nasal corrective surgery each year. Many of these patients are men. In today’s unisex world there are no gender barriers in nasal surgery, just different cosmetic goals and objectives.

Schedule a Male Rhinoplasty in New York

Dr. Philip Miller is a board certified plastic surgeon and an expert in the field of facial plastic surgery with offices located at 60 East 56th, Third Floor, New York, N.Y. Call (646) 791-3025 for a personal consultation.

Ultherapy™ is a cosmetic procedure for lifting loose skin on the face and neck without the need for surgery. Ultherapy™ uses ultrasound energy, a technology that has been trusted by expectant mothers for decades, and it is the only energy-based aesthetic procedure that has been FDA-cleared for non-invasive lifting. This simple, non-invasive procedure strengthens the skin from the inside out with no downtime. After just one or two treatments the skin will gradually reflect a more lifted and refreshed appearance. Take a look at this Ulthera result one month after treatment. Call our office today to set up a consultation.

Next, Read about the Role of Volume Enhancements in Anti-Aging.

Botox is one of the most popular non-surgical procedures with its ability to take years off of a person’s perceived age. But there is now evidence that beauty and youth can also correlate to the salary that you earn. A study at the University of Texas was even able to place a percentage on it, “plain people earn 5 – 10 percent less than average people, researches concluded, while the ‘better than average’ jump their earnings another 5 – 8 percent”, says Forbes magazine.

Next, read about the Benefits of a Facelift and Why This Procedure is Right For You

When you begin your cosmetic surgery journey it’s important to do all of your research. Half of the time and energy is spent traveling to different offices and watching time pass in the waiting room. But now you can begin your search by having your consultation directly from your living room, kitchen, or any room for that matter; all from the palm of your hand! Our Dr. Philip Miller app has been released for a while now and is still growing in popularity and saving patients time and energy. Patients have been raving about the most comprehensive, pocket size, plastic surgery encyclopedia and the instant access to dozens of before & after photos. The virtual surgery tool has also become very popular with those considering cosmetic surgery or even those who just want to play around with their friends and family’s photos. Best of all, it’s free! To learn more about plastic surgery, visit medlineplus.gov

To schedule a cosmetic surgery consultation at our New York office, fill out our online consultation form.

Next, read about the Growing Trend of Cosmetic Surgery in the UK.

15-minute Rhinoplasty, and then back to the office for your afternoon meeting? It sounds like a story from the guy trying to sell you the Brooklyn Bridge, but it’s not. Recently we’ve spoken about a variety of non-invasive procedures such as Radiesse, Sculptra, and Restylane, which can help a variety of cosmetic problems. This video illustrates how certain cosmetic problems with the nose can be corrected non-invasive. Although the results are not permanent and do not replace the traditional Rhinoplasty, they can be a great alternative with zero downtime. You literally could come in for your injection and go back to the office with no pain or discomfort.

Pros and Cons of the Non-Surgical Rhinoplasty

Pros:

• It is a quick procedure. 15 minutes is a lot quicker than the typical 1-4 hours it takes to perform a surgical rhinoplasty.
• It is a safe and effective procedure. Fillers have an excellent track record for safety and efficacy in correcting minor depressions around the nose. Despite its non-surgical approach, fillers can still make a dramatic difference in nose shape and overall facial appearance.
• It produces instant results. No incisions are required during a non-surgical rhinoplasty. It only involves the strategic injection of fillers into the nose to quickly reshape and enhance its contours. Results are also easily tailored to meet the patient’s goals. Examples of instant results that can be achieved are: Smoothed out bump/s, contoured nose profile, added volume, and a more accentuated nasal tip.
• It is a reversible procedure. Patients don’t have to wait for months for filler results to fade. An enzyme called hyaluronidase can be injected to dissolve the fillers within 24 hours. Traditional rhinoplasty will need revision procedures to correct any complications or unsatisfactory results.
• It has a short recovery time. Because injectable treatments are minimally invasive procedures, no downtime is required. You may return to your normal activities immediately after your procedure. You may experience mild swelling or bruising at the treatment site, but it should not be enough to require time away from your daily schedule.
• It is nearly painless. Topical anesthetic is applied before treatment, and either ultra-fine needles or blunt-tip cannulas are used to minimize potential discomfort.
• It is a fraction of the cost of surgery. Surgery involves facility fees, anesthesia, and the cost of taking time off from work to recover. An in-office procedure that requires no anesthesia or downtime, a non-surgical rhinoplasty is considerably more cost-effective.
• It is a great procedure for those who aren’t ready to commit to surgery. A non-surgical rhinoplasty offers patients the opportunity to “test out” nose-shaping results and decide whether they want to pursue traditional rhinoplasty in the future.

Cons:

• It produces temporary results. Unlike a traditional rhinoplasty, results from injectables don’t last forever. Fillers get metabolized by the body over time, and this means you’ll need touch-up treatments to maintain results. If you desire more permanent results, you should consider a traditional rhinoplasty.
• Not everyone is a candidate for non-surgical rhinoplasty. Patients with certain nasal structures or medical histories may prohibit them from using fillers for their nose-shaping procedure. Only a skilled and experienced facial plastic surgeon can determine whether this procedure is right for you.
• It is not ideal for nose reduction. Fillers will smooth, contour, and enhance the existing nasal structure but not reduce the size of the nose. Since additional material is being added to the nose, fillers may actually increase its overall size.
• It is not without risks – unwanted side effects can still occur even though this is a non-surgical procedure. Working with a very experienced, board-certified facial plastic surgeon will go far in mitigating those risks, however.

Which injectables are used for the non-surgical rhinoplasty?

Dr. Miller typically uses hyaluronic acid fillers such as Restylane® and Juvéderm® for the 15-minute rhinoplasty since they are easiest to mold and shape. Patients who are unhappy with their results can also have their HA fillers dissolved within 24 hours. Depending on the patient’s circumstances, Dr. Miller may also use Radiesse® (calcium hydroxyapatite gel), which is a longer-lasting filler that cannot be easily reversed. 

How is the procedure performed?

The procedure for a non-surgical rhinoplasty is a simple one, especially when compared to its surgical counterpart. After your consultation with Dr. Miller, he will have you seated or lie down with your face tilted up. A topical anesthetic may be applied to your nose and the surrounding area to ensure a more comfortable procedure. Once the anesthetic takes effect, Dr. Miller will inject the filler into precise areas around your nose (e.g., the bridge of the nose). You might feel slight pressure or a pinching sensation when the injections are being done. 

When will I see results and how long will they last?

The results of a non-surgical rhinoplasty procedure are immediately visible following a treatment session. There may be some swelling or bruising in the treated area following the procedure, but the final results of the treatment are usually fully apparent within a week.

The typical duration of filler results is between 8 and 24 months. However, as with all injectable fillers, how long the results will last will depend on several factors. Each patient will metabolize the injectable at a different rate, thus affecting the longevity of the results. The area of the nose being treated will also have an impact on the results (fillers tend to last longer in areas with less movement). During your consultation, Dr. Miller will explain the expected longevity of your liquid rhinoplasty according to your unique needs and goals. 

Why should I trust Dr. Miller for my non-surgical rhinoplasty?

As a board-certified facial plastic surgeon, Dr. Miller specializes in cosmetic facial procedures that are designed to help patients achieve their aesthetic goals. Dr. Miller creates innovative and comprehensive procedure plans in order to provide natural-looking results and outcomes that are life-changing. Considered one of the country’s leading experts in rhinoplasty and facial rejuvenation, Dr. Miller and his highly acclaimed team are proud to offer patients the highest level of care and customized treatments in Manhattan, New York, and New Orleans, Louisiana.

Dr. Miller’s approach to rhinoplasty encompasses the NatraLook® process that optimizes the patient’s overall experience by ensuring their journey yields the most rewarding results. During your NatraLook® consultation, Dr. Miller evaluates your nose and facial features while listening to your concerns and goals. This process creates a safe, collaborative environment where you can explore your Aesthetic Confidence®. This opportunity allows you and Dr. Miller to create a unified vision for your results and the most natural outcome possible. 

Contact Dr. Miller to schedule a consultation and learn how his artistic skill and experience can bring balance to your features and help you achieve the best version of yourself.