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Saddle Nose Surgery in New York

Saddle nose rhinoplasty refers to procedures performed on patients with a saddle nose deformity caused by loss of nasal cartilage in the nasal bridge. Many rhinoplasty patients desire an upturned appearance, but in cases of saddle nose, this is more pronounced, giving the nose a concave shape like a saddle. 

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Saddle nose rhinoplasty in NYC

Patients with the saddle nose condition can become self-conscious about the appearance of their nose and often suffer breathing issues. As a result, many patients opt for a surgical approach to correct the concave shape and create a straighter nasal bridge. Saddle bone deformity can range from minimal to severe, each requiring a different approach. In minimal cases, non-surgical rhinoplasty using injectable fillers may be able to correct the saddle-shaped nose. In severe cases that impact breathing, reconstructive surgery of the nose may be necessary to achieve optimal results.

saddle nose rhinoplasty 3d imaging before the procedure

How does Dr. Miller correct a Saddle nose?

Saddle nose surgery can present challenges with the lack of cartilage in the nose for reconstruction. When considering rhinoplasty, patients should choose a reputable surgeon specializing in facial plastic surgery. Phillip J Miller, MD, FACS, is a double-board certified facial plastic surgeon recognized as an expert in rhinoplasty. With all procedures, Dr. Miller creates a unique approach to each patient’s situation and desired results. 

During the initial consultation at our surgery center in Manhattan, New York, Dr. Miller will carefully examine the severity of the saddle deformity and create a unique surgical approach to correct the collapsed nasal septum. He uses 3D Vectra virtual imaging at this appointment to help you visualize the results you might expect from your surgery. 

Dr. Miller performs all his work within the NatraLook® Process, which aims to create the results patients desire and boost confidence by enhancing their natural beauty.

Dr. Miller will rebuild the collapsed nose during surgery using cartilage from other parts of the nose or in more severe cases, cartilage from a different part of the body. This restores structure to the nasal bridge for correction of the saddle nose deformity after rhinoplasty.

Saddle nose surgery Before & After Photos

saddle nose surgery in new york
saddle nose deformity correction in new york
saddle nose deformity before and after

Saddle nose FAQ

What is saddle nose?

A saddle nose is a condition in which the nose appears to be concave or collapsed due to minimal cartilage in the nose. The loss of cartilage support in the nasal bridge can also lead to an overly upturned nasal tip. This creates a dip—hence the term saddle—that makes patients feel insecure about their appearance, especially from a profile view. 

Learn more about saddle nose here

What causes saddle nose?

The saddle shape occurs when there’s a loss of cartilage in the nose. The most common causes of saddle nose deformity are:

  • Trauma. If a patient experiences nasal trauma, such as an injury that cuts off blood supply to the nose, the cartilage can actually disintegrate. 
  • Prior Surgery. A poorly performed rhinoplasty that involved removing too much cartilage from the nose to make it appear smaller can also create a saddle deformity nose and require revision rhinoplasty
  • Medical Conditions. Various autoimmune and vascular conditions such as Leprosy, Wegener Granulomatosis, and Relapsing Polychondritis can also decrease blood flow to the septum and result in cartilage loss.
saddle nose surgery after rhinoplasty in nyc

What is the cost of a saddle nose rhinoplasty in New York?

The cost of a saddle nose surgery in New York can vary depending on the unique procedure. To note, insurance companies do not typically cover rhinoplasty. However, if the procedure aims to correct breathing or functional issues, insurance companies may cover a portion of the saddle nose repair. Before surgery, you should speak with your insurance provider to determine if you’re eligible for coverage. 

Dr. Miller’s rhinoplasty cost-analysis guide provides an overview of pricing for rhinoplasty at our Manhattan, New York surgery center. 

What is the recovery time after saddle nose surgery?

Recovery looks different for every patient depending on the unique procedure and their body’s healing process. For example, patients who require cartilage drafts for a major restructuring of their nose may need longer recovery time. However, patients can typically return to work within two weeks after surgery. 

The majority of swelling and bruising typically subsides within a few weeks, with the rest gradually decreasing over the year following the procedure. After surgery, patients are encouraged to sleep upright and elevated to avoid pressure on the nose and minimize swelling.

Rest assured that our experienced, compassionate team in New York will create a surgical approach for your nose that achieves beautiful results. Our goal is to make you feel confident in your skin. 

Contact us to schedule a consultation for rhinoplasty. Dr. Miller and his team of experts will perform an assessment and help you determine if saddle nose surgery is right for you.

Preservation Rhinoplasty in New York: A New Solution To an Old Problem

Preservation rhinoplasty is one of the latest trends in the world of cosmetic nose surgery. The surgical procedure offers a different approach to reduce a dorsal hump while preserving the original components. This technique produces a natural result and provides an alternative to the traditional structural rhinoplasty technique for the right patient.   

Preservation rhinoplasty utilizes a different technique for enhancing the aesthetic appearance of the nose. The main goal of this nose reshaping procedure is to retain as much of the patient’s original dorsum, tissue, and cartilage as possible while improving the nasal appearance and facial harmony. Changes are made deeper within the nasal structure, and the upper portion of the nose is eased downward to smooth out the dorsal hump.

Philip J. Miller, MD, FACS, has experience and expertise in performing all types of rhinoplasty procedures. He will help you determine the best procedure to meet your goals.

With his NatraLook process, you participate in a collaborative partnership with Dr. Miller to ensure your rhinoplasty delivers all the benefits the surgery offers and the results you desire. 

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How is preservation rhinoplasty different from traditional rhinoplasty?

Traditional rhinoplasty directly removes the cartilage and bone components of the bump. The procedure reduces nose size by shaving down the bump, but it can also leave an “open roof deformity,” much like taking the roof off of a house. When this occurs, the surgeon must address the issue using techniques like cartilage grafting.

With preservation rhinoplasty, the surgeon alters the height of the nasal bridge beneath the overlying bone and cartilage, using tissue resections underneath the bump and letting the bump stretch out and fall backward to create a straight line. Though changing the shape of the bridge, preservation rhinoplasty maintains the natural components of the nasal dorsum so it does not need to be rebuilt. 

Preservation rhinoplasty offers an optional rhinoplasty technique to preserve the existing bone-cartilage junction along the dorsum that is sacrificed when doing a hump resection. This approach remodels the existing nasal anatomy, targeting precise, small sections of the underlying bone and cartilage and rearranging them like a jigsaw puzzle. By remodeling the base of the nose, we can let the bump fall back without significantly altering the appearance of the nasal bridge.  

In the hands of an experienced, board-certified facial plastic surgeon, both preservation and structural rhinoplasty techniques can produce excellent results. However, not every surgeon offers the preservation option at this time, which could limit a patient’s options depending on the surgeon they choose.

What can preservation rhinoplasty fix?

In the right hands, preservation rhinoplasty can help:

  • Straighten a crooked nose
  • Correct breathing issues
  • Deproject a disproportionately large nose
  • Smooth bumps on the nasal bridge
  • Reshape the nasal bridge

Benefits of Preservation Rhinoplasty

Preservation rhinoplasty provides the following advantages:

  • Improves facial harmony and balance while maintaining your unique look
  • Ensures a long-term positive outcome
  • Maintains or improves breathing function
  • Provides another technique for patients interested in addressing a dorsal hump
  • Creates a very natural result without the need for reconstructing the bridge of the nose

While the techniques for preservation rhinoplasty are still improving, its philosophy remains –to reshape and preserve existing structures of the nose –making preservation rhinoplasty a viable option for patients wishing to reduce a dorsal hump without the need for a graft or reshaping of the nasal tip. 

Is preservation rhinoplasty the right choice for me?

The type of rhinoplasty you choose depends on your individual goals and expectations, including your reasons for pursuing the surgery. The best way to determine if preservation rhinoplasty is right for you is to consult with a qualified surgeon.

Dr. Miller is a double board-certified facial plastic surgeon who specializes exclusively in facial plastic surgery. With more than 20 years of experience performing rhinoplasty and other facial rejuvenation procedures, he is an expert in the field, offering in-depth knowledge and the most advanced techniques to his patients.

To learn more, contact Dr. Miller to schedule a consultation. 

7 types of facelifts: which one is right for you?

Not all facelift procedures are created equal. While each technique is designed to rejuvenate the face and reverse the signs of aging, each facelift type targets a different portion of the face and accomplishes different aesthetic goals. It helps to be familiar with all types of facelifts to better determine the right procedure to suit your specific needs.

What types of facelifts are there? 

Dr. Miller offers the following facelift procedures:

Facelift procedures: a comparison 

Traditional Facelift

  • General anesthesia
  • Takes 2-4 hours to perform
  • The incisions are made at the hairline, continue in front of and behind the ears, and extend to the lower scalp
  • 2-4 weeks of recovery time
  • Noticeable results once swelling and bruising have subsided
  • Results can last 10-15 years

Deep Plane facelift

  • General anesthesia
  • Takes around 3 hours to perform
  • The incision lines begin at the temple, continue in front and behind the ears, and extend into the hairline 
  • 2-4 weeks of recovery time
  • Noticeable results once swelling and bruising have subsided
  • Results can last 10-15 years

MicroLift

  • Local anesthesia
  • Takes approximately one hour to perform
  • The incision is hidden within the hairline, in front of the ear
  • About one week of downtime 
  • Noticeable results once swelling and bruising have subsided
  • Long-lasting results, particularly when patients follow a proper skincare routine and stick to a healthy weight 

Mini Facelift

  • Local anesthesia
  • Takes less than 90 minutes to perform
  • A small incision is made near the ear to directly target areas of the face that are showing early signs of aging
  • About one week of downtime
  • Noticeable results once swelling and bruising have subsided
  • Results last 8-10 years

Non-Surgical Facelift

  • No anesthesia required (topical numbing optional)
  • Takes about 30 minutes to perform
  • No incisions
  • Little to no downtime
  • Results from dermal fillers are immediate
  • Results may last anywhere from 6 to 24 months but a regular treatment schedule can extend improvement indefinitely 

Midface Lift

  • General anesthesia
  • Takes around 2-3 hours to perform
  • Incisions are made around the hairline and ear
  • 2 weeks of recovery time
  • Noticeable results once swelling and bruising have subsided
  • Results can last 10 or more years

Vertical Facelift

  • Local or general anesthesia
  • Takes between 2-3 hours to perform (longer if combined with other procedures)
  • Incisions are made along the hairline and near the ears 
  • 10 days to 2 weeks of recovery time
  • Noticeable results once swelling and bruising have subsided
  • Results can last 10 or more years

Which facelift procedure is right for me?

Ideal candidates for a traditional facelift are those who have:

  • Sagging or loose skin
  • Moderate to severe wrinkles
  • Sagging jowls
  • Sunken cheeks
  • Double chin
  • Poor jawline definition

Ideal candidates for a deep plane facelift are those who have:

  • Fine lines and wrinkles
  • Marionette lines
  • Deep nasolabial folds
  • Facial volume loss (flat or hollow cheek/midface)
  • Excessive skin laxity
  • Sagging jowls
  • Double chin
  • Neck wrinkles and crepey skin

Ideal candidates for MicroLift are:

  • Younger patients (30-40 years) 
  • Concerned about early signs of aging
  • Looking for improvement primarily in the midface 
  • Looking for a result similar to when hair is pulled back
  • Preferring permanent results but are not ready for a full facelift
  • Unable to schedule an extended recovery time

Ideal candidates for a mini facelift are those who have:

  • Minimal sagging in the lower face
  • Early jowl formation
  • Excess skin in the neck
  • A desire to stop early aging symptoms in their tracks

Ideal candidates for a non-surgical facelift are those who have early signs of aging and want:

  • A rested, rejuvenated appearance without surgery
  • Reduced lines, wrinkles, folds, and creases
  • A gentle lift to the facial features
  • More volume and definition to the cheeks and jawline
  • A stronger chin 
  • Elimination of dark under-eye circles
  • Restored fullness and enhanced facial contours
  • To avoid surgical procedures for as long as possible 

Ideal candidates for a midface facelift are those who have prominent signs of aging around the eye orbits and cheeks.

Ideal candidates for a vertical facelift are those who have:

  • Signs of aging in the middle of the face
  • Fine lines, wrinkles, and jowls
  • Excess skin 
  • Cheekbone and jawline contours that lack definition
  • A desire for natural results 

Learn more about facelift procedures here

Schedule Your Facelift Consultation in Manhattan Today

Philip J. Miller, MD, FACS, is a double board-certified facial plastic surgeon with an excellent reputation in all types of facial enhancement. He brings over 20 years of experience performing cosmetic facial procedures. He customizes treatment plans to help patients achieve beautiful and natural-looking results.

Dr. Miller takes you through his NatraLook process to gain a better understanding of your concerns and goals and to determine the best procedure option for your specific needs. He provides meticulous care to his patients at his Manhattan, New York, and New Orleans, Louisiana surgical centers. 

Contact Dr. Miller’s office today to learn more about the various facelift procedure options available and determine the best option for you.

Facelift Recovery 101

Are you preparing for a facelift procedure? Here is a guide on what to expect during the facelift recovery process.

What to expect after facelift?

After your facelift, you are likely to experience some bruising and swelling for up to two weeks. During this stage of the healing process, pain medication prescribed by your surgeon should keep you comfortable.

Do not expect to immediately see positive results in the initial phase of your recovery. Remember that your skin and muscles have been repositioned and tightened, and your face needs time to heal.

Your follow-up appointments are essential for optimal recovery. Expect some follow-up visits to your surgeon during the first two to three weeks after your facelift. During this time, your surgeon will remove your bandages and stitches and monitor your progress.

You should be ready to get back to most of your regular activities within two weeks.

How long does it take to recover from a facelift? 

Each patient recovers at their own pace, but the type of facelift performed can determine the length of recovery time. Some facelift techniques are more extensive and require more downtime. Here is a brief overview of the different facelift recovery times:

How long does swelling last after facelift?

The majority of the swelling should resolve within two weeks although some residual swelling can linger up to one month or longer.

How long does tightness last after a facelift?

You should feel the tightness subside within two to three months after surgery.

When can I drink alcohol after facelift?

You can drink alcohol two weeks after your facelift – and only when you are no longer taking pain medications.

When can I sleep on my side after facelift?

You can resume side-sleeping 2-4 weeks after your facelift.

How long after facelift can I workout?

You can resume cardio exercises like walking after two weeks and progress to more strenuous workouts 3-4 weeks after surgery. Your doctor can advise you on your specific timeframe based on your recovery process.

When can I wear makeup after facelift?

Most patients start wearing makeup one week after a facelift.

How long do facelift scars take to heal?  

It takes approximately one year for the scars to heal and fade completely. Over time, the raised appearance flattens out, and the pink color fades to a whiter shade until it becomes less noticeable. Many patients find their scars are nearly invisible once healing is complete.

Get Superior Facelift Results in Manhattan

The timeframes mentioned above are general timelines, and each patient has a unique recovery experience. 

Your facelift recovery will go much smoother if you work with an expert facial plastic surgeon with extensive experience in facelift techniques. Begin your facelift journey by choosing the right surgeon. Dr. Philip Miller is a double board-certified facial plastic surgeon with over 20 years of experience. Renowned for his facial rejuvenation procedures, Dr. Miller customizes each facelift procedure using the Natralook process, which creates a unified vision of your aesthetic goals and enables you to better understand what to expect from your facelift.

To learn more about how long recovery is from a facelift and how you can ensure optimal healing, contact Dr. Miller in his Manhattan, New York, or New Orleans, Louisiana office to schedule a consultation.

Crooked Nose

A crooked nose can affect the function of the nose as well as its appearance. Rhinoplasty, or nose surgery, is the only permanent solution to fixing a crooked nose, creating visual and functional results that patients can enjoy for a lifetime.

Crooked Nose Treatment Options in New York

If you’re looking for how to fix a crooked nose, the most effective and longest-lasting option is surgical rhinoplasty. In Manhattan, New York, and New Orleans, Louisiana, Dr. Miller offers options in rhinoplasty for crooked nose patients to give them aesthetically and functionally pleasing results.

Crooked nose surgery is one of the most complex of all plastic surgery procedures. Dr. Miller is a double board-certified facial plastic surgeon with the experience and expertise to successfully perform all types of rhinoplasty techniques. He will customize your surgery to your precise needs and goals to ensure your results are natural and beautiful, while optimizing function. 

When a crooked nose is due to an improperly performed surgery, revision rhinoplasty may be necessary to realign the nose. Dr. Miller is well-versed in revision surgery to repair issues left behind by previous surgeries as well.

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Crooked Nose Rhinoplasty in NYC

There are two types of crooked nose rhinoplasty; cosmetic and functional. While cosmetic procedures only alter the appearance, functional rhinoplasty also corrects any breathing problems associated with the condition. 

Surgery for a crooked nose alters the position or shape of bone, cartilage, and skin to realign the nasal bridge and improve functionality when relevant. In addition to fixing a crooked nose, rhinoplasty can reduce nose size or length, remove bumps or humps, or reshape the tip or nostrils.

Like any surgery, you may experience some side effects after having your crooked nose fixed through surgery, such as bleeding, infection, reactions to anesthesia, and scarring.  When you work with a double board-certified, experienced facial plastic surgeon like Dr. Miller, you are likely to enjoy a smoother recovery process and fewer risks associated with your procedure. 

Learn more about a crooked nose here.

How Does Dr. Miller Correct a Crooked Nose?

Dr. Miller uses a variety of techniques during crooked nose surgery to ensure the most natural results for his patients. His thorough understanding of facial anatomy provides a superior aesthetic outcome while preserving or improving functionality for each patient. 

Dr. Miller incorporates his proprietary NatraLook process during all of his consultations. NatraLook creates a comfortable environment where you can freely discuss your concerns and goals. It is a process that fosters a supportive experience where patients can gain aesthetic confidence through a collaborative effort with Dr. Miller. 

Book your appointment online to start your journey to aesthetic confidence today!

Crooked Nose Before & After Photos

Rhinoplasty to straighten bridge and refine the nasal tip of a female patient by Dr. Miller. Surgery removes dorsal hump from bridge and refines the nasal tip to improve the patient's facial profile.
Rhinoplasty to straighten nasal bridge and improve nose shape of a male patient. After surgery, nose is straighter to balance other facial features.
crooked nose correction in new york

Crooked Nose FAQ

What is the cost for a crooked nose rhinoplasty in New York?

Depending on the complexity of the procedure, fixing a crooked nose through rhinoplasty costs patients somewhere between $10,000 and $20,000. Relying on a double-board certified facial plastic surgeon like Dr. Miller can make this a one-time investment with no revision surgeries necessary due to excellent aesthetic and functional results.

What causes a crooked nose?

A crooked nose can be caused by birth defects, a broken nose, or a deviated septum. Less common causes include severe infections, tumors, or nose surgeries.

Can I get a revision rhinoplasty to address a crooked nose?

Yes, you can get revision rhinoplasty for a crooked nose fix. Always work with a double board-certified facial plastic surgeon to ensure the highest level of care and the best possible results.

What is the recovery time after surgery?

Swelling typically lasts for about a year, with full aesthetic results revealing themselves after that time. Recovery time varies from patient to patient.

Dorsal (Nose) Hump

A dorsal hump is a projected bump on the nose caused by cartilage and bone irregularities. It appears on the slope of the nose from the bridge to the tip and is most noticeable when viewed from the side of the face.

A dorsal hump reduction rhinoplasty can correct a dorsal hump and give you an aesthetically pleasing and balanced profile.

Dorsal hump treatment options in New York

One non-surgical solution for dorsal hump removal is dermal fillers. When injected above and below the nasal hump, fillers can fill in gaps and round certain areas, reducing the hump’s pronounced appearance. This technique is also known as non-surgical or liquid rhinoplasty. 

Those with small dorsal humps may begin with a non-surgical rhinoplasty to see how nose-reshaping procedures can change their appearance. Dermal filler results are reversible and temporary.

Removing a bump on the nose through surgery produces permanent results. Since it involves the removal and manipulation of cartilage, bone, and skin, rhinoplasty is the most effective way to remove a hump on the bridge of the nose.

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Dorsal hump rhinoplasty in NYC

Dorsal hump rhinoplasty is a surgery that removes excess cartilage, bone, and skin from the nose, giving it a straighter, more streamlined look. The procedure can help enhance the appearance, create facial symmetry, and improve breathing through the nose by reducing nasal obstruction or deviation.

Rhinoplasty for dorsal humps can make the bridge of the nose narrower and straighter and is often performed on patients whose noses are too large for their facial features or who have noses with unusual shapes. Dorsal hump rhinoplasty is often performed on people with prominent noses, such as those of Italian or Greek heritage.

How does Dr. Miller correct a Dorsal hump?

Dr. Miller uses surgical and non-surgical techniques to correct dorsal humps in New York. These include:

Open Rhinoplasty – During an open rhinoplasty, Dr. Miller makes a small Z-shaped incision between the nostrils on the underside of the nose. The open approach enables him to make more precise and accurate adjustments to the nose’s shape. Although open rhinoplasty leaves a small scar, it fades quickly with proper care.

Closed Rhinoplasty – Closed rhinoplasty is a procedure in which Dr. Miller makes all incisions inside the nose. The primary disadvantage of this approach is that the bone, cartilage, and tissue are not visible, but this procedure results in less swelling than open rhinoplasty and can correct minor flaws.

MicroRhinoplasty – During a MicroRhinoplasty procedure, Dr. Miller accesses the treatment area via a small incision in the nostril. Using a specialized microrasp, he meticulously removes the protruding bony layers until the desired contour is achieved. Patients experience minimal discomfort, swelling, and bruising and typically resume normal activities within a few days.

Liquid Rhinoplasty – A liquid or non-surgical rhinoplasty uses dermal fillers to reshape the nose without stitches or incisions. While liquid filler can’t make a nose appear smaller, it can correct minor indentations or asymmetries without requiring surgical intervention.

Dorsal Hump Removal Before & After Photos

dorsal hump removal results
dorsal hump removal in new york
male plastic surgery results in New York City

To see more rhinoplasty before and after photos, visit our gallery.

Dorsal hump FAQ

What is the cost for a dorsal hump rhinoplasty in New York?

Many factors contribute to dorsal hump rhinoplasty, including surgeon’s fees and experience, anesthesia, and your location.

Dr. Miller has a rhinoplasty cost-analysis guide for a complete overview of pricing in his Manhattan office.

What causes a dorsal hump?

The majority of nose humps are genetic. That means that if one of your parents or siblings have a prominent dorsal hump, you may have one as well. Dorsal humps may also occur due to a traumatic physical injury—such as a sports injury or car accident—if the bone or cartilage heals unevenly.

Medical conditions like bad allergies, polyps (painful growths), boils, and infections caused by bacteria and fungi in the hair follicles may also lead to humps on the nose or exacerbate a bump that is already present.

Can I get a revision rhinoplasty to address a dorsal hump?

Yes. Dorsal humps can be addressed after a prior rhinoplasty. Revision or secondary rhinoplasty is more complex than primary rhinoplasty and requires a skilled and experienced facial plastic surgeon for natural and desirable outcomes.

What is the recovery time after surgery?

Most patients are pleasantly surprised by how little pain they experience following nose bump removal. The most unpleasant aspect of postoperative recovery is difficulty breathing through the nose for several days because of swelling. This difficulty usually resolves within a week or two. Expect some swelling around your eyes as well. Once the swelling diminishes, you’ll start to see improvement. 

You’ll need to follow certain precautions during your recovery period. Because bending or lifting can exacerbate swelling, resting for the first three weeks is recommended following surgery. Strenuous activities such as running, weightlifting, cycling, or cardio training can be resumed after three weeks in most cases. Contact sports should be avoided for at least six weeks to allow the bones to heal completely. 

Schedule a Dorsal Hump Rhinoplasty Consultation in New York

Dr. Miller has over two decades of experience in facial plastic surgery and has performed over 5,000 successful procedures. With his skills and aesthetic eye, he can blend art and science to provide his patients with beautiful, natural-looking results.

Dr. Miller offers his patients the exclusive NatraLook process, which provides a safe, collaborative environment to help each patient achieve the Aesthetic Confidence® that they desire.

To learn more about dorsal hump rhinoplasty and other treatment options, contact our office to set up a consultation with Dr. Miller. You can fill out our convenient contact form or call us at our New York or New Orleans office. 

Bulbous Nose Tip

Bulbous nose tips look rounded, wide, and bigger than the average nose. Rhinoplasty is a popular and permanent solution to reshape the nose, changing the appearance of this type of tip. 

Bulbous nose tips are the result of lower lateral cartilages that lack definition. Convex nasal cartilage, cartilage position, or an excessive amount of soft tissue can also contribute to this appearance.  Bulbous tip rhinoplasty reshapes this structure to form a more pointed tip. If you have a bulbous tip that’s oversized, rounded, or bulging, bulbous nose tip surgery may be right for you. 

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Bulbous Nose Treatment Options in New York

If you’re in New York, Dr. Miller can help you redefine the shape of your nose with a nose tip rhinoplasty. By reconfiguring cartilage, nose surgery for a bulbous tip can elevate your overall aesthetic appearance. 

Dr. Miller utilizes a variety of methods in order to reshape a bulbous tip nose. Sutures can be used to narrow the structure by bringing lower lateral cartilages together. Cephalic trimming can be used to remove part of the lower alar cartilage for a narrower look. Cartilage grafting can be used to add shape and volume during bulbous nose surgery. 

Open or closed rhinoplasty can be used to improve your bulbous nose tip. Open rhinoplasty involves an external incision for more access so extensive work can be done. The small incision is placed at the base of the nose between the nostrils and post-surgical scarring is nearly invisible in most cases. Closed rhinoplasty for a bulbous tip uses an internal incision that leaves no residual scarring and may result in less swelling after surgery.

bulbous nose surgery consultation in nyc

Bulbous Tip Rhinoplasty in NYC

At his office in Manhattan, New York, Dr. Miller conducts bulbous nose rhinoplasty procedures for patients looking for improved nasal definition. Round or wide tips are reshaped through surgical procedures that are limited to the tip or can be done along with other corrections of the nasal bridge or alar base. 

Upturned or droopy tips can also be altered during a nose job for a bulbous tip. Other nasal structural issues involving the bridge can be operated on during the same surgery for a full rhinoplasty.

How does Dr. Miller Correct a Bulbous Nasal Tip?

Dr. Miller is a board-certified facial plastic surgeon with over 20 years of experience. He uses a combination of science and art to create natural-looking results with elevated aesthetic value. He develops patient-centric treatment plans during consultations in order to tailor his work to the unique desires of every patient. 

Dr. Miller corrects this type of nasal tip with surgery for the bulbous nose. This results in better facial symmetry and balance, improving the look and self-esteem of his patients. With his NatraLook® process, Dr. Miller helps patients explore their options in a safe environment to get them the aesthetic confidence they seek. To learn more about your rhinoplasty options, contact our New York office today

Bulbous Tip Before & After Photos

Rhinoplasty, chin implant, and fat grafting for facial enhancement by Dr. Miller. After surgery, facial contour is more proportionate and youthful.
Rhinoplasty to refine the nasal bridge, 3 months post-op, by Dr. Miller. After surgery, bridge is straighter and tip is refined to improve the facial profile.
Ethnic rhinoplasty to improve the size and shape of the nose of a male patient by Dr. Miller. Surgery creates straighter nasal bridge with a proportionate alar base.

Bulbous Tip FAQ

Can a bulbous tip be corrected with thick skin?

A nose job for a bulbous nose can be conducted for patients with thick nasal tip skin. Cartilage sharping and sutures can be used for this type of bulbous nose job after the skin is thinned. Thinning thick skin helps create the functional and aesthetic results patients are looking for.

What is the cost for a bulbous tip rhinoplasty in New York?

The cost of a nose tip rhinoplasty will vary from patient to patient. It depends on the work that needs to be done to achieve a patient’s specified results. A full rhinoplasty will cost more than one focused fully on the tip. An estimate may be given during a patient’s consultation. Typical pricing ranges anywhere from 3-30 thousand dollars. For more information, please contact Dr. Miller at his office in Manhattan, New York.

What causes a bulbous tip?

Bulbous nose tips are typically caused by the structure and amount of cartilage in the lower part of the nose. Excessive thick skin can also lead to the appearance of a bulbous nose. Wide nostrils can create the look of a rounded tip as well.

Can I get rhinoplasty for just the bulbous nasal tip?

Nose tip surgery can be conducted rather than a full rhinoplasty. This procedure is less invasive than a complete rhinoplasty. Meeting with Dr. Miller to speak about your aesthetic goals can help you decide whether you’d like work done on the tip or if you’d like a more intricate operation. Once he understands your goals, he can make recommendations to suit your unique needs.

Can I get a revision rhinoplasty to address a bulbous tip?

Dr. Miller can perform a revision rhinoplasty to address a bulbous tip that resulted from a previous rhinoplasty. Patients with thick nasal tip skin may have more scarring from a prior operation, and this should be discussed during your consultation. It’s important to note that patients should wait at least one year after their original rhinoplasty to have additional procedures provided for them.

What is the recovery time after surgery?

Full recovery typically takes up to one year. One week after surgery, Dr. Miller will typically remove the cast and any sutures from the area. Patients will experience bruising and swelling during this time. After two weeks, patients will see improvement in bruising and inflammation. After one month, patients can usually be proud to show off the revealed results. Within three months patients are typically able to resume all of their normal activities. By one year after the procedure, any residual swelling and inflammation have usually subsided completely. 

Boxy Nose Tip

When viewed from the base, the ideal nasal tip forms an equilateral triangle, but for those with a boxy nose tip, the nasal cartilage has a broad, squared-off shape. A boxy nasal tip gives the nose a wide and thick appearance that makes the lower third of the nose look very large compared to its upper portion.

Correction of a boxy nose in New York is similar to that of the bulbous tip, which involves trimming and reducing nasal cartilage during rhinoplasty.

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Boxy Nose Treatment Options in New York

One non-surgical option for treating a boxy nose tip is a dermal filler procedure. Through strategically placed injections, fillers can deemphasize a boxy tip by enhancing the tip’s projection, creating better overall nose symmetry, and making the nose more proportionate with the rest of the face.

Permanently treating a boxy nose tip requires surgery. Rhinoplasty for a boxy nose tip involves reshaping the nasal tip to create a better balance with the rest of the nose and other facial features. It is tip rhinoplasty’s goal to improve the appearance of the nose by changing the size or projection of the tip.

Typically, after surgically correcting a boxy nasal tip, results can be dramatic and can improve both appearance and breathing function.

Boxy Nose Tip Rhinoplasty in NYC

Boxy nasal tip rhinoplasty involves tip narrowing techniques to refine the nasal tip and includes trimming of the lower lateral cartilages, removal of tissue between the tip cartilages, and placement of sutures within the nasal domes and between the domes to create a narrower nasal tip.

How Does Dr. Miller Correct a Boxy Nasal Tip?

Dr. Miller typically performs boxy nasal tip surgery using an open rhinoplasty technique. He will conservatively trim the lower lateral cartilages to improve the rotation of the nasal tip, remove soft tissue between cartilages to reduce the boxy shape, and use sutures to bring the tips of the cartilages together to create an enhanced, more defined nasal tip.

A columellar graft can be used to further shape the nasal tip and repair the nasal tip support mechanism. Once the desired nasal tip shape has been achieved, the incisions will be closed.

Dr. Miller can perform surgery for a boxy nasal tip between 20 mins to 1 hour.

Boxy Tip Before & After Photos

Rhinoplasty, chin implant, and fat grafting for facial enhancement by Dr. Miller. After surgery, facial contour is more proportionate and youthful.
Rhinoplasty to enhance appearance of nose, one week post-op, by Dr. Miller. Surgery narrows and straighten bridge for more aesthetically-pleasing facial contour.
Rhinoplasty to straighten nose and refine the nasal tip of a male patient by Dr. Miller. Surgery improves nasal bridge and refines the nasal tip to improve the patient's facial profile.

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Boxy Tip FAQ

Can a boxy tip be corrected with thick skin?

Dr. Miller can refine the shape of a boxy nose tip in NYC despite the thickness of the skin. He achieves this by using meticulous cartilage reshaping, cartilage grafts, and advanced suturing techniques. He customizes each surgical procedure depending on the patient’s unique nasal anatomy and skin type.

What is the cost of a boxy tip rhinoplasty in New York?

Many factors contribute to nose tip refinement cost, including:

  • Surgeon’s Fees: Experience and complexity
  • Anesthesia: Type, length, and who administers
  • Location: Doctor’s own surgical suite vs. hospital
  • Pre and Post Surgery Care: Tests, garments, and medication

Dr. Miller has a rhinoplasty cost-analysis guide that includes nose tip surgery for a complete overview of pricing in his Manhattan office.

What causes a boxy tip?

The excessive separation of the lower lateral cartilages or having naturally wide lower lateral cartilages contributes to a boxy nasal tip. This type of nasal tip is most common in people of Middle Eastern or Hispanic descent.

Can I get rhinoplasty for just the boxy nasal tip?

Yes, but it requires a different surgical approach. One possible procedure that typically requires less extensive surgery is a nasal tip plasty or nose tip surgery.

Tip plasty is a nose job that focuses specifically on the nose tip. The tip plasty procedure may involve tip reduction or adjustments to the tip of the nose to create a better angle and more pleasing look without having to undergo a complete rhinoplasty procedure.

A boxy tip nose job may not be as extensive as a full rhinoplasty, but the procedure is still complex and requires a skilled plastic surgeon for natural and desirable outcomes.

Can I get a revision rhinoplasty to address a boxy tip?

Yes. During revision rhinoplasty, Dr. Miller can refine the shape and appearance of the nasal tip. It is best to consult with a facial plastic surgeon who specializes in revision rhinoplasty.

Dr. Miller creates patient-centric treatment plans in his Manhattan office to ensure each procedure is tailored to the patient’s unique facial structure and desires.

With a focus on natural-looking outcomes, Dr. Miller uses the NatraLook® process to evaluate and expand the typical plastic surgery experience into a safe and collaborative opportunity to explore aesthetic confidence. NatraLook ensures that patients receive natural and pleasing results, whether from a tip rhinoplasty or revision rhinoplasty. Dr. Miller considers your desires, facial structure, and features to create a unique treatment plan that will achieve a balanced and natural-looking nose shape.

What is the recovery time after surgery?

Every patient experiences a different boxy tip rhinoplasty recovery process, but it is generally shorter than recovery after a full rhinoplasty. Patients can expect to remain home resting for 1-2 weeks after a nasal tip surgery.

Patients should avoid strenuous activities, direct sun exposure, and activities where the nose could get bumped or damaged. After a nose tip surgery, patients should sleep facing upright and elevated to avoid pressure on the nose and keep swelling to a minimum.

Schedule Your Boxy Nasal Tip Consultation in NYC Today

Dr. Philip Miller has over two decades of experience in facial plastic surgery and has been voted among the Best Doctors in America for the past 10 years and Top Doctor of New York City. Dr. Miller is sought after for his innovative techniques in both rhinoplasty and revision rhinoplasty, on which he has lectured and written textbook chapters. Contact Dr. Miller’s Manhattan or New Orleans office to learn more about your boxy nose tip treatment options or to schedule a consultation.

Male Plastic Surgery in New York

Whether to achieve a younger-looking appearance, enhance one’s natural features, or increase the competitive edge in the workplace, men benefit from cosmetic enhancements just as women do.

Male plastic surgery procedures will differ, as addressing male concerns will require a different approach. Factors such as skin thickness and facial hair must be considered, and men need to seek treatments from surgeons who have the skill and experience in male plastic surgery to ensure the most natural, masculine results.

Philip J. Miller, MD, FACS, is a double board-certified facial plastic surgeon with over 20 years of experience working with male and female patients. He specializes in facial plastic surgery and is recognized as an expert in facial rejuvenation procedures. Utilizing the most advanced surgical techniques, Dr. Miller can maintain or enhance masculine features while producing the most natural-looking results.

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Male Plastic Surgery Procedures Offered

Dr. Miller helps men achieve their desired goals and gain new self-confidence with the following plastic surgery procedures in New York:

Male Rhinoplasty

Male rhinoplasty involves reshaping or augmenting the nose to create facial symmetry and balance. A nose job also repairs and restructures the nose to improve breathing functions or provide relief from conditions such as sleep apnea.

Surgical techniques for male rhinoplasty are designed to improve nasal proportions without making the nose look feminine. While females desire narrower, more delicate-looking noses, males want strong noses that are proportionate to the rest of their facial features. 

Dr. Miller can augment the nose with a variety of techniques, such as strengthening the nasal bridge, enhancing nasal tip projection, or creating more angular contours. The overall goal of male rhinoplasty is to ensure that the new nose better fits the man’s face.

Male Facelift

Male facelifts create a more masculine appearance while reversing signs of aging. A male facelift’s main objective is to create a chiseled jawline by removing loose skin on the lower face and neck.

Dr. Miller uses a variety of facelift techniques to customize each treatment according to the precise needs and goals of his male patients and ensure the most natural-looking results possible. Examples of Dr. Miller’s facelift procedures are: 

  • Facelift (rhytidectomy) – The traditional facelift is a comprehensive surgical process that produces dramatic and long-lasting results. It effectively smooths wrinkles, improves sagging skin, and defines the mid and lower face. 
  • Deep Plane Facelift – This more extensive surgery enables men to reverse more severe signs of aging. In some cases, Dr. Miller combines this procedure with neck liposuction or a neck lift to further enhance the results.
  • Miller Lift – A non-surgical facelift procedure, also known as a liquid facelift that uses neuromodulators and dermal fillers to smooth out lines and wrinkles, restore lost volume, and enhance facial contours for a more youthful and lifted appearance.
Facelift and neck lift to rejuvenate the appearance of a male patient by Dr. Miller. After surgery, loose neck skin is gone and jaw is more defined.

Male Chin Implants

Chin augmentation through chin implants enhances the appearance by creating a stronger, firmer, and more masculine-looking lower face. Chin implants for males can correct a weak or recessed chin by increasing its projection and definition while enhancing the jawline. The procedure may also restructure the chin after injuries due to accidents or trauma. Silicone male chin implants or devices composed of Medpor or Gore-Tex are typically used for this type of chin augmentation.

Custom 3D Implants

Custom 3D implants are meticulously designed to fit each patient’s unique facial structure, ensuring a seamless integration with their existing features. By leveraging cutting-edge imaging technology like 3D scanning and computer-aided design (CAD), Dr. Miller can address asymmetries, irregularities, or deficiencies with unmatched precision. This tailored approach not only enhances aesthetics but also improves functionality, providing structural support to weakened areas of the face. Patients experiencing breathing difficulties, chewing problems, or speech impediments due to facial structure deficiencies can greatly benefit from customized implants. Moreover, these implants minimize the risk of complications and allow for minimally invasive procedures, resulting in reduced scarring and faster recovery times.

Male Jawline Surgery

A lower face accentuated with a strong, square chin and sharp jawline is the hallmark of a masculine appearance. Jawline surgery can correct weak jawlines in males by adding definition along the jaw and neck. Dr. Miller sharpens the angles of the mandible and the area underneath the jaw to create a more contoured jawline. Facial implants, liposuction, and dermal filler injections may be added to further enhance facial contours.

Through surgery, Dr. Miller can address the following signs of aging:

  • Double chin
  • Jowl formation
  • Crepey neck skin
  • Sagging skin under the chin
  • Sagging skin on the neck
  • Horizontal bands around the neck
  • Soft jawline

Dr. Miller can also inject saline into a patient’s jawline area to simulate the results of implants or fillers during the consultation.

Male Blepharoplasty

Eyelid surgery or blepharoplasty is a popular procedure men choose to reduce signs of aging. In 2021, a total of 18,688 men underwent blepharoplasty, according to The Aesthetic Society.

Blepharoplasty for males involves removing excess skin and fat from the upper and lower eyelids (eyebags) to address puffy, sagging, or tired-looking eyes. For male hooded eyes or eyelids that have begun to droop or sag, an eyelid lift is an excellent procedure that improves vision while rejuvenating one’s appearance. 

Male Neck Lift

The neck is one of the first areas to show signs of aging, such as loose skin, extra fat deposits, and a double chin. A lower rhytidectomy, or a neck lift for males, is a surgical procedure that addresses these common issues in the jawline and neck. 

During a neck lift, Dr. Miller removes excess fat and skin and tightens the underlying muscles to improve the jowls and loose skin and restore a more refreshed and youthful appearance.

Schedule a Male Surgical Procedure Today

Dr. Miller can create custom procedure plans to help his male patients achieve their aesthetic goals. He utilizes the Natralook process to ensure patients can comfortably explore their cosmetic treatment options and achieve a unified vision of their desired outcome.

Are your tired-looking eyes or jowls betraying your age? Do you look older than you feel? Dr. Miller’s surgical procedures can take years off your face and neck and restore your self-confidence. To learn more about our procedures or to schedule a consultation, contact Dr. Miller in his Manhattan, New York, or New Orleans, Louisiana office.