I Hate My Nose After Rhinoplasty: What to Do?
If you’re having some regrets after your rhinoplasty, keep in mind final results won’t present themselves right away. You’re not going to be able to see the true aesthetic results of your rhinoplasty until it’s fully healed, which will take up to a year or longer.
But what about when you’ve healed from your original procedure, and you still regret your rhinoplasty? Let’s dive into some of the reasons why this might happen, and what you can do about it – especially if you can get to Manhattan, New York or New Orleans, Louisiana for revision rhinoplasty.
Is it normal to not like your nose after rhinoplasty?
If you’ve been watching your rhinoplasty heal over time and you’re still thinking “I don’t like my nose”, it’s not unheard of. As many as 10-15% of cosmetic nose surgeries result in unhappy clients who will choose to undergo a second procedure to fix it. This commonly occurs for a few reasons:
- You may have trusted an inexperienced surgeon with inferior talent, resulting in lackluster nose surgery results. Rhinoplasty is one of the most complex of all facial plastic surgeries, requiring a great deal of precision, skill, and artistry to perform correctly. This is one reason why so many rhinoplasty procedures result in revisions.
- A lack of communication between you and your doctor may have led to bad rhinoplasty results. Many failed nose jobs stem from the doctor thinking that their patient was looking for something that they didn’t express.
- Complications can present themselves during the procedure or healing process that can lead to a bad rhinoplasty result overall.
- Even in the best of hands and the most simple of procedures, rhinoplasty is not an entirely predictable operation as there are many factors after the surgery that play a role in forming the final result that you and your surgeon have no control over.
When does your nose stop changing after a nose job?
There are a variety of rhinoplasty changes that occur over time during your healing process. That’s part of why it’s strongly encouraged to hold off on a revision rhinoplasty until you can see the full results after 12-18 months of healing. Until that time, the final form or function of the nose won’t be apparent.
Swelling and unactualized results may make your nose seem too big, too short, look the same as it did before, look fat, or feel weird after rhinoplasty. This can lead to post-rhinoplasty depression – but if you let yourself heal, you will find you have options to improve your results.
What Do I Do If I’m Unhappy with My Rhinoplasty?
After you’ve given your nose adequate time to heal, what happens if you’re still unhappy with the results? First, let’s go through the types of issues that commonly manifest as undesirable results, or a nose job fail.
Pinched Tip
This happens when too much cartilage is removed from the tip of the nose, leading to less than ideal aesthetic results. This can also reduce functionality, leading to breathing troubles. Over time, a lack of support to the tip will result in a collapse of the shape of the nostrils.
Here’s a correction of a nasal tip through a revision rhinoplasty performed by Dr. Miller:
Short Nose
If too much cartilage is removed during the initial rhinoplasty, the appearance of a “short nose” may result. Through the use of specialized grafts and reinstating cartilage, a more natural-looking shape can be returned to the nose with a revision rhinoplasty.
Here’s an example of some of Dr. Miller’s work in this area:
Crooked/Twisted Bridge
A “crooked” or “twisted” appearance can occur as a result of nasal trauma. This can be corrected by making the nose symmetrical again by rearranging the cartilage and the bone.
Here are some examples of Dr. Miller’s work that focus on symmetry:
How to tell your plastic surgeon you are unhappy?
After going through the emotionally and physically exhaustive process of planning and completing your initial rhinoplasty, it can seem daunting to consider going through those steps again. After experiencing a bad nose surgery, you wouldn’t want to spend that time and money again for another rhinoplasty fail. However, the first logical step is to address your concerns with the surgeon who performed your initial surgery.
If your original surgeon cannot provide you with a satisfactory response to your issues, you may need to look for another surgeon to perform revision rhinoplasty for you. The most important factor here is the plastic surgeon you choose.
A board-certified facial plastic surgeon is often the best choice for a revision rhinoplasty procedure. These specialists have intimate knowledge of the nose, studying first as an ear, nose, and throat specialist. The addition of plastic surgery training ensures these surgeons have both the expertise and the artistry to enhance the appearance of the nose while preserving function.
How Can I Fix My Rhinoplasty?
Philip J. Miller, MD, FACS, is a board-certified facial plastic surgeon who specializes in procedures for the nose and face. He offers his proprietary NatraLook® Process, which is a patient-centric approach to understanding your needs, listening to your expectations, and going through every step with communication and trust. With a technique that combines artistry and science, Dr. Miller has performed over 5,000 successful surgeries.
You need a surgeon with proven abilities, who has achieved a high success rate in producing the most natural-looking and aesthetically-pleasing rhinoplasty results in Manhattan, New York, and New Orleans, Louisiana. Schedule your consultation with Dr. Miller today by calling 646-791-3025, or booking online.
Learn how rhinoplasty can make a nose appear smaller here.
Surgical or Liquid (Non-Surgical) Rhinoplasty: Which one is right for me?
When it comes to getting a nose job, there are two basic options: surgical or non-surgical. Surgical rhinoplasty requires anesthesia, incisions, and downtime, but produces permanent improvement. A non-surgical rhinoplasty, commonly known as a liquid rhinoplasty, is a less invasive option that utilizes injectable fillers to temporarily change the appearance of the nose.
When considering a rhinoplasty, it is essential to realize that different types of rhinoplasty procedures are used, depending on the severity of alterations. Individualizing a rhinoplasty procedure ensures that results are natural and balanced to your unique facial features.
What is liquid rhinoplasty?
Liquid rhinoplasty is a non-surgical alternative to a surgical rhinoplasty procedure that uses injectable dermal fillers to make the nose more appealing. This less invasive option may produce pleasing results with a quicker approach and less recovery time.
Juvederm® and Restylane® are two common dermal fillers used for liquid rhinoplasty. Juvederm is an FDA-approved volume enhancer containing hyaluronic acid, a naturally occurring substance in the body. Restylane is another hyaluronic acid injectable that restores and rejuvenates the skin. These fillers can add hydration and volume to the nose and alter the shape for a more appealing appearance.
Even though liquid rhinoplasty is not a surgical procedure, it still requires skill and experience to inject the filler into the correct area for intended results. The process is quick and patients can return to normal daily activities after the injection. It is an effective alternative with many benefits, including:
- Non-invasive
- Minimal downtime
- Safe and effective
- Instant results
- Smoother nose shape
- More balanced appearance
What’s the difference between liquid and regular rhinoplasty?
Surgical and liquid rhinoplasty are two very different procedures with different processes, results, recovery, costs, and expectations. Take a look at the breakdown:
Surgical Rhinoplasty:
- Requires anesthesia
- Manipulates the skin, bone, and cartilage to reshape and resize the nose
- Repairs medical conditions like a deviated septum or other functional issues
- Requires downtime of at least one week before returning to work and daily activities
- Is associated with side effects like swelling, bruising, and tenderness
- Provides a permanent solution
- Offers the option to combine procedures for complete facial balance
Liquid Rhinoplasty:
- Is minimally invasive
- Requires minimal downtime and discomfort
- Can improve the shape of the nose
- Camouflages bumps and adds volume
- Takes little time to perform
- Provides instant results
- Is associated with minimal swelling, bruising, and tenderness
- Requires regular appointments to maintain results
How much does liquid rhinoplasty cost in NYC?
The cost of rhinoplasty procedures varies by patient and depends on the treatment plan. Non-surgical rhinoplasty costs typically range from $300-$1300 per treatment. Some of the factors that impact price include:
- Type of dermal fillers used
- Number and amount of filler injected
- Experience and expertise of injector
It is also important to understand that liquid rhinoplasty is not a permanent solution and requires regular appointments to maintain the desired shape. Patients can learn more about the specific costs of liquid rhinoplasty during a consultation with Dr. Miller.
@drphilipjmiller #liquidrhinoplasty ! In 10 minutes, no down time, you will have a new nose that last about 2 years. Call today and book a session with me! #nonsurgicalrhinoplasty ♬ original sound – Sam Smith
How much does surgical rhinoplasty cost in NYC?
Surgical rhinoplasty encompasses a wide range of possible alterations and additional steps, such as a graft or implant. Due to the variance in procedure possibilities, there is also a wide range of costs. An average surgical rhinoplasty procedure in New York City ranges from $3,500-$25,000. During a consultation, Dr. Miller will explain the treatment plan and expected costs.
How long does liquid rhinoplasty last?
Unlike a surgical rhinoplasty, liquid rhinoplasty is not a permanent solution. This treatment requires regular appointments to maintain your pleasing results. Results vary by patient depending on how many dermal fillers were used, where they were injected, and the level of correction required. Many patients see results for around 18 months before needing a touch-up session. Dr. Miller and his expert team will evaluate your nose and treatment plan for a suggested maintenance schedule to keep a natural and well-balanced nose shape.
How long does surgical rhinoplasty last?
Surgical rhinoplasty is a permanent procedure that has lifelong results. Once the nose is reshaped and altered, it will remain in its new state with proper care.
Which one is better: surgical or non-surgical rhinoplasty?
Both procedures are practical and effective solutions, depending on the patient’s specific needs and desires. Philip Miller, MD, FACS, strives to help patients achieve aesthetic confidence and natural results using the NatraLook® process. During your consultation, Dr. Miller discusses your concerns and expectations to identify which procedure is right for you and create a unified treatment plan.
Dr. Miller is a double board-certified surgeon in facial plastic and reconstructive surgery and head and neck surgery. He is a world-class surgeon and leading expert in rhinoplasty and facial rejuvenation. With more than 20 years of expertise, Dr. Miller works closely with patients to identify their needs and desires to create unmatched results.
Contact us to schedule a consultation and learn more about which rhinoplasty procedure is right for you.
What Age is Normal to Get Wrinkles?
There really is no “normal” age when we start to notice wrinkles. Their formation depends on a variety of factors – some of which we can control and others we can’t. While your friend might start to notice fine lines around the eyes in her 20s, you might not see lines develop until almost a decade later.
Wrinkles are a normal part of aging. Some wrinkles are the result of repeated facial expressions like squinting or smiling. Others occur because of collagen depletion in the dermal structure, which leads to skin laxity and facial creasing. Factors that might accelerate this process include genetics, sun damage, poor diet, and lifestyle choices like smoking and drinking alcohol.
What age do wrinkles start appearing?
The aging process is different for each patient. Many people show the first signs of aging in their mid-20s as our bodies begin to produce less collagen and sun damage can take an early toll. Prominent signs of aging like wrinkles often appear on the face, neck, hands, and forearms, with the most noticeable areas on the neck and face. While aging cannot be stopped, there are many ways to promote healthy skin and reduce wrinkles, sun damage, sagging skin, and other signs of aging.
Are wrinkles normal at 20?
As individuals move out of their teens and into their 20s, signs of aging can begin to appear. The first signs of wrinkles in your 20s are movement lines around the brow, mouth, and eyes, due to repetitive movements like smiling, laughing, and frowning. Significant wrinkles and lines on the forehead and other areas are not typical. If they do occur this early, they can likely be attributed to factors like excessive sun damage or lifestyle choices like smoking.
Are wrinkles normal at 30?
Most people still have a youthful appearance in their 30s without significant wrinkles. Wrinkles and fine lines may become more apparent in the mid-to-late 30s, or even sooner depending on sun exposure and other variables. The most common spots for lines at this age are between the eyebrows (frown lines) and the triangle areas between the nose and corners of the mouth (nasolabial folds).
What causes wrinkles?
Wrinkles are just one of the many changes to our skin as we age. As we grow older, our skin loses elasticity and becomes thinner and more translucent. Aging skin is more fragile and retains less moisture, making it easier for wrinkles to form. While age is a major contributing factor to wrinkles, there are many causes, including:
- Repetitive facial movements
- Sun damage
- Smoking and alcohol consumption
- Lack of proper skin care
- Dehydration
Wrinkle Prevention
Aging is an inevitable process, but there are many preventative measures that can keep skin looking young, healthy, and wrinkle-free, including:
- Sun Protection: Sun exposure is the leading cause of premature aging and can be prevented with proper protection like hats, sunglasses, and sunscreen. Sun protection should be worn every day to avoid damaging ultraviolet rays from penetrating your skin, even if it is overcast.
- Moisture: A quality moisturizer helps nourish and hydrate the skin, especially ones containing hyaluronic acid. Dry skin is more prone to wrinkles, and daily moisturizers can prevent wrinkles.
- Water: Drinking enough water each day is essential for overall health and skin health. Water can help flush toxins, regulate digestion, and keep your skin hydrated from the inside out to promote a youthful appearance.
- Diet and Exercise: Eating vitamin-rich foods like salmon, avocados, vegetables, and leafy greens are key to absorbing nutrients and antioxidants that promote healthy skin cells. Exercise increases blood flow to the dermal tissue, helping you maintain a rosy glow and keeping skin in top condition.
Wrinkle Treatment
Wrinkles are inevitable at some point, despite our best efforts. There are treatments to help reduce those lines and promote a youthful appearance, from minimally-invasive dermal fillers to facelift surgery. Gotham Plastic Surgery in New York offers:
- Dermabrasion: A skin resurfacing procedure that removes the top layer of skin for rejuvenation and reduction in wrinkles and other signs of aging.
- Botox®: This injectable treatment effectively reduces facial lines like crow’s feet, frown lines, worry lines, forehead lines, and neck wrinkles.
- Liquid facelift: A non-surgical treatment that combines facial fillers like Restylane and Juvederm to reduce wrinkles and add volume.
- FaceTite: This non-surgical treatment delivers radiofrequency energy into the dermal tissue to tighten skin and boost collagen levels for a reduction in visible wrinkles.
- MicroLift: This less invasive surgical facelift technique resembles the result you get when you pull up your hair in a tight ponytail. With smaller incisions and a shorter recovery time, it can be a good option for younger patients before they opt for a deep plane facelift.
- Deep plane facelift and neck lift: These surgical procedures remove and tighten skin, while repositioning fat and tissue to reduce sagging and wrinkles.
Schedule Your Wrinkle Treatment at our Manhattan Office
Gotham Plastic Surgery is an innovative practice that serves patients in a discreet, confidential, and accredited facility. Led by Dr. Philip Miller, a double board-certified facial plastic surgeon, our team works closely with patients to identify the best wrinkle treatment plans to help patients look younger, healthier, and more natural.
Dr. Miller uses the NatraLook® process to empower patients to explore their aesthetic confidence and naturally enhance their appearance. Gotham Plastic Surgery in New York is a safe and positive environment to discuss personal desires and achieve beauty goals through a unified vision.
Contact us to schedule a consultation and learn more about our wrinkle treatments.
Next, read about your options with Three Types of Facelifts.
Spreader Grafts Rhinoplasty in New York
The placement of spreader grafts is a surgical maneuver commonly used for functional and aesthetic enhancement in rhinoplasty and revision rhinoplasty procedures. A spreader graft is harvested from the patient’s own cartilage and is strategically positioned to either prevent nasal valve collapse, improve airflow, or help restore a more aesthetically pleasing nasal shape.
Rhinoplasty spreader grafts allow double board-certified facial plastic surgeon, Philip J. Miller, MD, FACS, to restructure and recontour the nose, strengthening its foundation to retain proper nasal function, as well as an ideal cosmetic outcome.
What Are Spreader Grafts in Rhinoplasty?
The nose is made up of a top third, a middle third, and a bottom third (the tip). The middle third is composed of cartilage, which bends like your ear. If bent too far, it can break. Both horizontal and vertical cartilage make up this area of the nose.
The cartilage plays a crucial role in enabling the nose to breathe properly and comfortably, while preventing nasal obstruction. If the horizontal cartilage is too narrow, you may have problems breathing. A surgeon can use bilateral spreader grafts to make the nose wider during a septoplasty. This procedure involves placing the graft between the septum and the side or lateral walls of the nose to open that area. Septoplasty spreader grafts also support the side walls of the nose to prevent them from collapsing over time.
Grafts may also be used to widen the nose for a better aesthetic result, creating a more refined contour line from the forehead to the frontal tip (dorsal line). They are typically created using the patient’s own cartilage to enable more seamless incorporation into their nasal anatomy without the risk of rejection. Common donor sites are the nasal septum, ears, and sometimes, the ribs.
What Do Spreader Grafts Treat?
Spreader grafts are often used for:
- Correcting asymmetry issues in the middle third of the nose
- Refining the nasal tip
- Performing alar base reduction
- Strengthening the middle third of the nose after hump removal or revision rhinoplasty
- Improving the airway at the nasal valve
- Reconstructing a broken nose
- Rebuilding a collapsed middle third
How Spreader Graft Nose Surgery is Performed
After obtaining the cartilage that will be used for the procedure, Dr. Miller will create a customized spreader graft based on the specific needs of the patient. Placement of the spreader graft can be performed using either a closed or open rhinoplasty approach.
The open approach is more common because it allows for better access to the middle vault of the nose. This procedure requires a small incision across the columella (the tissue between the nostrils) to lift the skin and expose the nasal structure. The open technique allows for more accurate placement of the spreader graft. After placement, the graft is sutured into its new location.
Recovery After Spreader Graft Surgery
After placement of rhinoplasty spreader grafts, patients usually return to work and normal activities within three weeks. However, Dr. Miller recommends no strenuous physical activity for 3-6 weeks. You will begin to see the swelling and bruising disappear within 2-3 weeks, at which time you will start to appreciate the results.
Full results usually take 6-12 weeks to be seen while your healing will continue for the entire first year. Dr. Miller and his team will follow you through this entire process, but please be patient to see the final results.
Spreader Grafts in Manhattan, NYC
Dr. Miller is an expert double board-certified facial plastic surgeon in Manhattan, New York, and New Orleans, Louisiana. He has an artist’s eye and touch and is one of the most skilled practitioners of facial rejuvenation procedures, including rhinoplasty and the specialized technique of spreader grafts placement.
Dr. Miller has performed thousands of nose job procedures and has decades of experience with rhinoplasty patients. He will create custom treatment plans utilizing minimally-invasive techniques and advanced technology to help patients achieve the best version of themselves.
Dr. Miller offers a proprietary consultation process called NatraLook, which expands the typical plastic surgery experience into 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 safest, most natural outcome possible. To schedule a consultation with Dr. Miller, contact our New York City plastic surgery clinic today.
Nose Taping After Rhinoplasty
Nose taping is a common practice among rhinoplasty patients. It is a bandage or tape used during rhinoplasty recovery to support the nose, decrease swelling, and improve the nose’s appearance. Philip Miller, MD, FACS, often recommends nose taping to enhance a patient’s healing process after nose surgery, provided it’s done correctly.
What are the benefits of nose taping after rhinoplasty?
Nose taping after rhinoplasty is beneficial for many reasons. The primary benefit is that it helps to decrease swelling fluctuations after the procedure. It also helps improve:
- Bruising
- Bleeding
- Breathing
- Healing process
- Final appearance
Some patients choose to tape their noses daily or multiple times per day to help them feel better. However, it is most commonly recommended at night when swelling is most likely to occur. It is not necessary to tape during the day unless specified by Dr. Miller.
What if I don’t tape my nose after rhinoplasty?
Not all patients have to tape their nose after rhinoplasty surgery; it should only be done following instructions from a skilled board-certified facial plastic surgeon. Dr. Miller works closely with each patient to determine the benefit and necessity of nose taping. There are cosmetic and health benefits associated with taping. If the nose taping process is not followed as directed, it could lead to:
- Nose deformity
- Extended healing time
- Additional complications
- Increased swelling
How to Tape Your Nose after Rhinoplasty
There are multiple kinds of tape to use after rhinoplasty. Common choices are adhesives, like medical tape and bandages, and those that use pressure, like dental bandages. Speak to your surgeon about taping instructions best suited for your situation and healing expectations. Generally, patients should:
1. Tape the nasal bridge: Use 3-5 strips of tape about two inches long. Start at the tip of your nose and overlap upward to cover the entire bridge.
2. Wrap the tip: Use a longer piece of tape to wrap the end of the nose, creating a “U” shape while avoiding the nostrils.
3. Repeat the first step: Repeat the first step using strips to cover the bridge and ensure the “U” tape stays in place.
At first, nose taping may be necessary 24/7, depending on your specific circumstances. In this case, the tape should be removed every 2-3 days and new tape applied. After several days or weeks, nose taping may only be done at night to help with swelling and removed each morning.
Removing tape should be done with as much care as applying the tape to prevent any harsh movements or pressure. Tweezers can be used to gently peel the tape or remove it after a shower when it is damp and starting to lose adhesiveness, or apply baby oil on the tape and that will loosen it.
How long should I tape my nose after rhinoplasty?
Nose taping is often recommended for 1-3 months after a rhinoplasty procedure. Dr. Miller provides patients with clear instructions for recovery care and taping. Patients will also visit Dr. Miller for follow-up appointments to ensure proper healing and appearance.
Schedule Your Nose Job in NYC
Dr. Philip Miller, MD, FACS, is a world-class, double board-certified plastic surgeon and a leading expert in rhinoplasty procedures and facial rejuvenation. Dr. Miller has more than 20 years of experience in surgical and non-surgical facial procedures and an artistic eye for helping patients meet their cosmetic goals. After a rhinoplasty or revision rhinoplasty procedure, may instruct patients to tape their nose, but it is not always recommended.
Dr. Miller is an innovative expert that offers personalized care and treatment plans. His goal is to empower patients and support aesthetic confidence. Dr. Miller uses the NatraLook® Process to create a positive environment where patients can discuss obstacles and desires for a unified and natural rhinoplasty result.
Contact us to schedule a consultation and learn more about nose taping after rhinoplasty.
How to Reduce Swelling after Lip Fillers
Swelling after lip fillers is a common concern, but the good news is there are simple ways to reduce swelling, like cool compresses and elevation. When you know how to treat this side effect, you can go into your lip filler treatments with less anxiety and more confidence.
Lip shape and size are important measures of beauty and age. Typically, small, thin lips are not considered beautiful and can appear disproportionate and unbalanced with other facial features. Lip fillers have been around for decades and are popular for several reasons. Lip fillers add a smoother, more natural-looking appearance to the lips and enhance the natural shape for fuller lips.
While lip fillers are a great way to enhance your lips, they can also cause swelling, which may result in a puffy appearance after treatment.
Why does swelling occur with lip fillers?
Fillers are a great way to achieve the shape that you want your lips to have. A lip filler is a gel-like substance placed into the lips with a small needle or tiny tube called a microcannula. These dermal fillers offer immediate changes to the lips, making them a very satisfying treatment option.
If you are worried about swelling and bruising after lip fillers, it is important to know it is temporary. Swelling is caused by the process of placing the filler into the lip area; even a tiny puncture can cause minor swelling. The lips are a sensitive area, and the injection can cause slight trauma to the tissue – swelling above the lip after lip fillers is the natural response to that trauma.
How much swelling is normal after lip fillers?
Swelling varies by patient and can depend on factors like how many injections were used, if it was a combination treatment, and natural bodily responses based on sensitivity. Swelling is typically minimal and may make the lips appear puffy or lumpy. Swelling should begin to subside after 3-4 days although it can last up to two weeks in rare instances.
Some patients consider a fair amount of swelling after injection but notice an improvement by the fourth day. If you are concerned with how much swelling is normal after lip fillers, it is a good idea to contact your injector with your questions.
When does swelling go down after lip fillers?
The amount of filler used during treatment can impact swelling and the expected recovery timeline. By the third day, most of the swelling should be gone, allowing you to really see your treatment results. Any discomfort or tenderness in the injection site should also go away by the fourth day, and the results should be noticeable. A few patients might have minor swelling for up to two weeks and should wait until this point for complete injection results.
How to Decrease Swelling After Lip Fillers
There are simple ways to reduce swelling after your lip filler treatment to relieve discomfort and enjoy the results sooner. Patients can:
- Apply a cold compress around the area, but not directly on the lips
- Relax and avoid repetitive or harsh contact with the mouth and lips
- Drink lots of water to keep the tissue hydrated
- Apply aloe vera or a recommended cream to the lips for hydration and healing
- Sleep with your head elevated
How to Prevent Swelling After Lip Fillers
Different lip fillers can have different results and side effects. It is important to consult with your injector about what to expect before, during, and after your treatment. For many fillers, swelling can be prevented by following aftercare instructions and avoiding certain activities. You can prevent swelling after lip filler by avoiding:
- Kissing or using a straw for drinking for two-three days
- Eating sodium-rich foods
- Using makeup or lipstick for one-two days after treatment
- Engaging in strenuous activity
- Consuming alcohol
- Taking blood thinners like ibuprofen or aspirin
Schedule Your Lip Plumping Treatment at Our Manhattan Office Today
Gotham Plastic Surgery provides comprehensive treatment plans to help patients achieve natural, youthful, and stunning results. The experience and expertise of Dr. Phillip Miller, a double board-certified facial plastic surgeon, allows patients to explore and experience the best version of themselves, including fuller lips.
Lips are a delicate and prominent feature that requires skill and experience to develop desirable shape and fullness. Too much injection can cause overly inflated, unnatural-looking lips, and too little can lead to underwhelming results.
Dr. Miller uses the NatraLook® process to help patients achieve exceptional and natural results. This approach to plastic surgery creates a safe and supportive environment for patients to explore their aesthetic confidence and naturally enhance their appearance.
Contact us to schedule a consultation and learn more about our lip augmentation treatments.
Chin Implants and Reduction in New York
Facial harmony translates into a greater level of attractiveness, and the chin is one of the main features that contribute to a well-defined structure of the face. If the chin is weak or disproportionately positioned, it can detract from one’s overall appearance, making your nose or upper lip look bigger than they actually are. Fortunately, these forms of facial asymmetries can be corrected with two basic techniques: chin reduction and chin implant surgery.
Philip J. Miller, MD, FACS, is a board-certified facial plastic surgeon in Manhattan that offers a variety of procedures for the face, including chin implant and reduction procedures. His proprietary NatraLook process evaluates and expands the typical plastic surgery experience into a safe, un-intimidating opportunity to explore your aesthetic confidence.
How Genioplasty Works
Genioplasty is a type of chin augmentation surgery. It involves correcting and enhancing asymmetries in the jawline and chin areas. Genioplasty surgery for reshaping the chin can be performed by either using chin implants to enhance facial contours and correct a weak chin, repositioning the bone that supports the chin, or cutting bone away to reshape the chin and jawline.
Chin genioplasty recovery time is typically about 2-8 weeks, depending on the specific procedure performed and the extent of the correction. Most patients can return to work within 1-2 weeks, while strenuous activity should wait for 6-8 weeks.
Genioplasty vs. Chin Implant
While genioplasty targets the bone to reduce or project the chin and jawline, a chin implant is strictly used to increase the projection and definition of the chin. Dr. Miller will assess your specific situation and discuss your concerns and aesthetic goals in detail to determine which surgery is right for you.
How Much Does Genioplasty Cost in New York?
Genioplasty can cost anywhere from $4,000 to $10,000 in New York City. However, the true cost depends on factors like the patient’s aesthetic goals, the length and involvement of the surgery, how big the implant is, the material of the implant, and the surgeon’s experience. The actual cost will be provided during your consultation. For more information on genioplasty costs, please contact Dr. Miller’s office.
Chin Reduction Surgery in New York
Chin reduction surgery is performed to reduce an overprojected or prominent chin. It is an outpatient procedure and is typically performed under general anesthesia. The surgeon places a small incision either inside the mouth or underneath the skin of the chin. The excess bone is removed or shaved off, and the chin is contoured to the patient’s desired shape. The surgeon will close the incisions with sutures.
Chin Implant Surgery in New York
Chin implant surgery is typically performed to augment a weak or recessed chin. This places an implant directly on the bone to create a new shape and add definition to the jawline. Patients may choose from a silicone chin implant or devices created from substances such as medpor or goretex. All chin implants that are approved to be used in the USA are safe.
Local anesthesia is commonly used for chin implant surgery. A small incision is made between the chin and the neck skin, hidden in a natural crease to minimize any visible scar. The implant is then inserted into a small pocket over the mandible and the incision is closed. Immediate chin implant recovery is typically about 1-2 weeks but the final result is visible after 3 months.
Chin Implants Before and After
Chin Implant Cost in New York
Chin implants can cost anywhere from $3,500 to $7,000 in New York City. True cost varies from patient to patient, depending on factors like the patient’s aesthetic goals, the length and involvement of the surgery, the type of chin implant used, and the surgeon’s experience. The actual cost will be provided during your consultation. For more information on the cost of chin implants, please contact Dr. Miller’s office.
Double Chin Reduction
A double chin is a common concern among New Yorkers and Dr. Miller also offers procedures for this issue. Double chin reduction is often performed using liposuction to eliminate the chin fat, creating a smoother transition from the jawline to the neck. Double chin reduction surgery is minimally invasive and typically only requires a few days of downtime afterward.
Schedule Your Chin Surgery in NYC Today
Dr. Philip Miller provides custom treatment plans that include a combination of minimally-invasive techniques and surgical procedures to help each patient achieve the Aesthetic Confidence® they desire. To learn more about chin implants and reduction, please contact Dr. Miller’s New York or New Orleans office today.
Do I Need a Spreader Graft?
Spreader grafts are a common technique used in rhinoplasty and rhinoplasty revision. They are grafts of cartilage placed between the upper lateral cartilages and the septum to widen the middle third of the nose. These grafts assist with vestibular stenosis and help prevent depressions and concavity in the middle third of the nose.
Dr. Philip Miller is a double board-certified facial plastic surgeon in facial plastic and reconstructive surgery and head and neck surgery located in the heart of Manhattan. Dr. Miller specializes in cosmetic facial procedures and is a leading expert in rhinoplasty and facial rejuvenation. Dr. Miller and his highly acclaimed team offer customized treatments in New York City, NY, and New Orleans, LA.
Do I need a spreader graft?
A spreader graft may be useful during a variety of rhinoplasty procedures, including the following:
When a hump is removed, a spreader graft is used to strengthen and support the middle third of the nose. The hump contains delicate connections of cartilage and bone, so removing it increases the risk of the nose falling inward. Spreader grafts prevent a concave nose by adding structural support.
If there is a bend in the middle of the nose, it can be corrected with a spreader graft. In this case, the graft addresses the asymmetry of the nose and may improve the airway passages for easier breathing.
Nose trauma or a previously failed surgery can lead to depression in the middle third of the nose. A spreader graft can provide adequate support to the nose and rebuild the dorsum.
Patients that have medical issues and require better airflow can use a spreader graft to improve the internal nasal valve, the narrowest part of the nasal airway.
What is spreader graft in rhinoplasty?
During a rhinoplasty or rhinoplasty revision, a spreader graft is used to correct a specific problem. It is typically used to fix functional issues, like breathing, in the middle section of the nose between the nasal tip and below the nasal bone. In rhinoplasty, a spread graft is used to add support to the nose after a hump reduction or open the internal nasal valve for better breathing.
While the practical uses are ideal for breathing improvements, a spreader graft can also help solve cosmetic issues. A spreader graft can correct a twisted nose by only placing the graft on one side of the nose to straighten it. They can also be used in rhinoplasty revision to keep the septum straight. In some cases, they restore support that might have been lost after the initial rhinoplasty procedure.
Benefits of a Spreader Graft
A spreader graft offers many benefits, including:
- Permanent solution for functional and cosmetic problems
- Improves airway passage
- Provides structural support for long-lasting rhinoplasty results
- Balanced nose shape that is harmonious with other facial features
- Prevent future problems and revision surgeries
About the Procedure
A spreader graft can be placed during an open or closed rhinoplasty procedure. The best option is during an open rhinoplasty so that surgeons have a clear view of the treatment area for accurate placement. The actual graft is made from the patient’s cartilage, usually from the septum or ear, if the septum cartilage is minimal.
The spreader graft is usually placed on both sides of the septum to widen the internal nasal valve. The graft is sewn into place with sutures, and then the upper lateral cartilage is put back into place for the middle vault reconstruction. It is an extensive surgical procedure that requires anesthesia and adequate recovery time.
Like any rhinoplasty procedure, performing a spreader graft requires extensive recovery before final results are evident. The graft placement itself is vast and can take up to 3 hours depending on if it is a combination procedure. Any incisions are minor and heal quickly with minimal scarring. Many patients have bruising and swelling for several weeks after the surgery and can expect most of the swelling to subside within a month or two. However, it can take up to a full year before swelling is gone entirely.
Spreader grafts before and after
In some cases, a spreader graft does not add any cosmetic value to the nose and does not produce visible outward changes. When used to improve nose function, the changes are only internal and will be apparent to the patient with better breathing.
When spreader grafts are used to add support and change the shape of a nose, there are noticeable outward changes after surgery. A spreader graft can result in dramatic changes when a nose is collapsed or twisted.
Spreader grafts in Manhattan, NYC
Dr. Miller is a top plastic surgeon in New York City and New Orleans with more than 20 years of experience and thousands of successful surgeries. Dr. Miller and his team strive to create stunning and natural results with NatraLook®. The NatraLook process expands the typical plastic surgery experience into a safe opportunity to explore aesthetic confidence. Patients work closely with Dr. Miller to create a unified vision and work through obstacles to achieve natural results.
Contact us to schedule a consultation and determine if spreader grafts are right for you.
Nose Tip Surgery in New York
When considering a rhinoplasty procedure, it can be helpful to understand all your options. One possible procedure that typically requires less extensive surgery is a nasal tip plasty.
Book Your Nose Tip Surgery Consultation
Philip J. Miller, MD, is a distinguished double board-certified facial plastic surgeon with more than 20 years of expertise and experience. He is recognized as an expert in rhinoplasty and facial rejuvenation procedures in Manhattan, New York. He offers nose tip surgery to patients that are looking for more subtle improvement.
What is tip plasty?
Tip plasty is a nose job that focuses specifically on 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.
Tip Plasty vs Rhinoplasty
A tip plasty can usually be performed with IV sedation (twilight anesthesia) and intubation, allowing our team to keep the airway open. A small incision will be made on the inside or outside of the nose to correct the identified areas. After the incision, the nasal tip can be reshaped, rotated, or reduced to make it more harmonious with your other facial features. A nose tip surgery can form a supportive frame by:
- Partial excision
- Dissection
- Repositioning
- Augmentation
Am I a candidate for nose tip reshaping?
Nose tip reshaping may be right for you if your nasal tip is bulbous, boxy, or drooping. These concerns can impact your self-confidence even if they don’t require substantial changes. A tip plasty can address:
- Disproportionately large nasal tip
- Tip that is too long or too short
- Hooked nose tip
- Nose tip that projects too far
- Nasal tip that is too wide
What are the benefits of a nasal tip reduction by Dr. Miller?
A nasal tip rhinoplasty 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. Dr. Miller is a surgeon known for his expertise and extensive experience creating appealing noses.
Dr. Miller conducts thorough and patient-centric treatment plans in his Manhattan office to ensure each procedure is tailored to the patient’s unique facial structure and desires. Dr. Miller creates:
- Better facial symmetry by examining the entire face and considering how to balance the nose with other features.
- More flattering nose shape by focusing on noticeable characteristics that are displeasing to the eye and streamlining flow with other features.
- Improved quality of life by addressing aesthetic concerns that impact self-confidence and self-esteem
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 opportunity to explore aesthetic confidence. NatraLook ensures that patients receive natural and pleasing results, which is essential, especially for complex procedures such as rhinoplasty and nasal tip surgery. Dr. Miller considers your desires, facial structure, and features to guide patients into a unique treatment plan that will achieve a balanced and natural-looking nose shape.
When can I expect results?
The majority of swelling should subside after two months, but some patients may experience lingering swelling for up to a year. Full results are seen after swelling completely subsides.
Planning for Nose Tip Surgery
Nose tip surgery is a less invasive procedure than rhinoplasty, so it typically requires less recovery time and has fewer risks. The first step is meeting with a board-certified facial plastic surgeon who has the skills and experience to perform this surgery well. The consultation is a time to discuss your concerns as well as your vision for the procedure. Patients have different goals with nasal tip plasty, and Dr. Miller will need to understand your goals completely to ensure your expectations are met.
Nose Tip Surgery Recovery Time
Every patient experiences a different recovery process, but it is generally shorter than recovery after a full rhinoplasty. Patients can expect to remain home resting for one to two 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.
Tip Plasty Cost
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.
Schedule a Nose Tip Surgery in New York
Contact us to schedule a consultation and learn more about nose tip plasty. Dr. Miller and our patient advisors will help you determine if the procedure is right for you and help you begin your journey.
Universities in New York City
A world-renowned city of innovation and home to a globally-recognized financial center, New York City best represents the ethos of the “American dream.” Gleaming skyscrapers and the energy emanating from this bustling metropolis seemingly create a signpost for new opportunities. And with its rich, diverse culture, New York City is one of the most student-preferred cities in the country offering first-class education.
Columbia University
Founded in 1754, Columbia University was known as King’s College and renamed Columbia College when it reopened in 1784 after the American Revolution. In 1912, the private institution became Columbia University. The 36-acre, Ivy League campus, exudes an urban setting and links its education and research to the vast resources of New York City. Its specialties include Climate Science, Engineering, Neuroscience, Arts, Law, Architecture, Business, Journalism, and Medicine.
New York University
New York University was chartered in 1831 by the New York State Legislature. It is one of the world’s foremost research universities and is a member of the selective Association of American Universities. The campus occupies over 171 buildings in the heart of Manhattan. NYU offers intimate undergraduate classes of 20 students or fewer and up to ten schools and prestigious programs, including the nationally-ranked Stern School of Business and the Silver School of Social Work. NYU receives the most applications of any private institution in the country.
Barnard College
Barnard College is a private institution founded in 1889 by Annie Nathan Meyer. It is an all-female college in Manhattan where students have access to two types of education –a small, private liberal arts school and a large, coeducational Ivy League institution, courtesy of a partnership with Columbia University. Barnard students can take classes, play sports, and join organizations at Columbia University, and Columbia students can have access to the same opportunities at Barnard.
Yeshiva University
Founded in 1886, Yeshiva University provides the highest quality Jewish and secular education of any Jewish university in the world. It has 4 New York City campuses: the Wilf Campus, Israel Henry Beren Campus, Brookdale Center, and Jack and Pearl Resnick Campus and is divided into three undergraduate colleges: Yeshiva College, the Stern College for Women, and the Sy Syms School of Business –which offer a dual curriculum comprising Jewish studies and liberal arts and sciences courses. Students also have the option to study in Israel in their first year.
The Juilliard School
Founded in 1905, The Juilliard School, formerly Juilliard School of Music, is a world leader in performing arts education. Located at Lincoln Center, The Julliard School is now the professional educational arm of the Lincoln Center for the Performing Arts. Its curriculum focuses exclusively on artistic education and offers bachelor’s degrees in music, dance, and drama, as well as postgraduate degrees in music.
Plastic Surgery Services Near Universities in New York City
Double-board certified facial plastic surgeon, Dr. Philip Miller, is considered one of the country’s leading experts in rhinoplasty and facial rejuvenation. He has over 20 years of experience within the facial plastic surgery industry and has performed over 5,000 successful surgeries.
To ensure patients achieve the best results possible, Dr. Miller offers a proprietary consultation process called NatraLook. This process ensures that Dr. Miller’s patients undergo an enriching experience in which they achieve results that are rewarding in both physical and emotional ways.
Treatments Offered
Schedule a Consultation with a Plastic Surgeon in New York City
Dr. Miller specializes in cosmetic facial procedures and can create custom treatment plans that combine minimally invasive techniques and advanced technology to help patients achieve the best version of themselves. To learn more about Dr. Miller’s procedures, contact our Manhattan, New York office today.
Learn more about the areas we serve.
Read next: Carnegie Hill