Platelet-rich plasma (PRP) is a natural way to help the body heal itself. This form of regenerative medicine has been extensively used in orthopedics for the treatment of soft tissue injuries. More recently, the benefits of the restorative properties of PRP have been discovered for cosmetic treatments. Dr. Philip Miller, with his nurse injector Jen Kim, offers PRP treatments for both skin rejuvenation and hair restoration in New York City.
This minimally-invasive treatment is performed using the patient’s own blood to stimulate the treatment process. Platelet-rich plasma found in the blood is rich in growth factors that accelerate the healing process. The plasma can be administered via injections or microneedling, where it can promote new hair growth or generate collagen and elastin for skin rejuvenation.
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Why Choose Platelet-Rich Plasma (PRP) for Hair and Face?
PRP offers some distinct advantages, whether it is used as a hair loss or a skin renewal treatment:
Low Risk – Because the treatment uses the patient’s own blood to trigger the process, there is minimal risk for side effects or an allergic reaction.
Versatile – Since the growth factors can work in nearly any area of the body, this treatment can be used for a variety of treatment areas and concerns.
Fast Treatment – A PRP treatment for the scalp or face is completed in a single session that takes one hour or less.
Comfortable Treatment – Patients typically find PRP treatments to be very comfortable, thanks to topical or local anesthetic when necessary.
Progressive, Long-Term Results – PRP works at a cellular level to produce gradual improvement, but once results are apparent, they can last up to one year or even longer.
What Is Involved With A PRP Treatment?
There are three basic steps to a PRP treatment, and they are all completed during the single session in our Manhattan office. The first step is to draw blood from the patient, usually from the arm. Once the blood is taken, it is placed into a centrifuge for separation of the platelets from the other blood cells.
The prepared PRP is then applied to the treatment area. In the case of a hair restoration treatment, it is injected into the scalp. With a skin rejuvenation treatment, it is typically delivered into the deeper dermal layers via a microneedling treatment. However, injections can also be used as part of this procedure.
Platelet-Rich Plasma Hair Restoration Treatment
Dr. Miller often recommends this procedure to his male and female patients in the earliest stages of hair loss. Patients who have lost most of their hair are unlikely to see a satisfactory result from this treatment. Dr. Miller will examine you in his office and guide you through the NatraLook Process to help you decide whether a PRP hair restoration treatment will work best for you.
How Do PRP Treatments Stimulate Hair Growth?
PRP is an effective, nonsurgical method of hair restoration. When the platelets are injected into the scalp, they “wake up” dormant hair follicles so the follicles can grow hair once again. Patients often find that both current and new hair becomes thicker with this procedure. One study found that this process can increase hair density by up to 15%.
What Happens During A Treatment?
If you undergo this treatment, you will receive injections of the platelets directly into the scalp where the growth hormones can affect the follicles. Dr. Miller typically performs three treatment sessions approximately four weeks apart. Patients should see new hair growth in 3-6 months after the last session. To get more information about PRP for hair restoration, visit ncbi.nlm.nih.gov.
Platelet-Rich Plasma Facial Treatments
PRP treatments for skin rejuvenation are known as a PRP facial or, more commonly, a Vampire Facial. By combining PRP with microneedling, the Vampire Facial increases collagen and elastin in the underlying dermal layers to refresh skin from the inside out. Collagen and elastin are plentiful during the early adult years, producing a smooth, supple appearance to the skin. Both of these essential substances deplete over time, which results in skin laxity and wrinkle formation. As this treatment restores collagen and elastin, the skin regains its smooth, youthful appearance.
What Are the Benefits of PRP?
A PRP facial can improve many skin issues, including:
Fine lines and wrinkles
Mild skin laxity
Enlarged pores
Uneven texture
Dull skin tone
What to Expect During a PRP Treatment
When a facial is performed, the PRP is applied topically to the skin. Microneedling delivers the growth factors deeper into the dermal layers where they can provide the greatest benefit. Microneedling also creates micro-channels in the skin that stimulate collagen and elastin production, for more dramatic results than either treatment can produce alone.
Dr. Miller will likely recommend 2-6 treatment sessions in his New York City office, depending on the condition of the patient’s skin and the results they hope to achieve. Each treatment is scheduled around four weeks apart. While you may see some improvement after each session, your full improvement will be apparent about 12 weeks after your last appointment. Those results can last up to one year or longer, but you can schedule a session annually to maintain your results over the longer term.
FAQs
Q: Will I feel pain during a PRP treatment?
A: Most patients find this procedure to be very tolerable. The needle prick at the beginning of the treatment to draw blood is the most uncomfortable part. Topical numbing cream is applied before the PRP treatment itself to ensure comfort.
Q: Will I need multiple treatments?
A: PRP works best after several treatment sessions. When used to stimulate hair restoration, we recommend three treatments that are spaced about four weeks apart. For skin rejuvenation, two to six sessions are advised, depending on the skin condition you are seeking to address and the severity of it. These should also be spaced about four weeks apart.
Q: Who is a good candidate for PRP?
A: Everyone’s skin and aesthetic goals are a little different, so the best way to determine whether PRP is right for you is to schedule a consultation with Dr. Miller. He can examine your skin and talk through your questions and goals in detail during your consultation, then he’ll create a customized treatment plan to best meet your needs.
Q: Should I be concerned about any side effects or risks?
A: Side effects of a PRP treatment are mostly due to the use of needles, so redness, tenderness, and slight swelling at the injection sites may occur. This is temporary.
Q: How long will my results last?
A: When PRP is used for hair restoration, results may last between 6 months and 1 year. This varies from patient to patient. Once you see how long your desired results last, you may schedule regular treatments to maintain those results.
Schedule Your Appointment In New York City Today
Whether you are looking to turn back the clock on your skin or restore a fuller head of hair, PRP treatments might be the right choice for you. Contact Dr. Miller’s office today to schedule your consultation.
Dermal fillers are known for restoring volume and diminishing lines and wrinkles in the face and neck, but the new RHA line of dermal fillers is the first and only to be FDA-approved for treating dynamic wrinkles. Previously, neuromodulators were the only injectable treatment designed for addressing dynamic wrinkles, and dermal fillers couldn’t keep up with the constant movement of the face. RHA—or Resilient Hyaluronic Acid—dermal fillers (RHA® 2, RHA® 3, and RHA® 4) are the exception.
As a double board-certified facial plastic surgeon, Dr. Philip Miller remains at the forefront of cosmetic treatments for the face and neck, both surgical and non-invasive. Dr. Miller is recognized as an expert in facial rejuvenation, and he often combines treatments to help each patient reach their individual goals. His proprietary Miller Lift accomplishes non-surgical facelifts using the combination of neuromodulator and dermal filler injections in his New York City office.
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What is RHA?
RHA is made up of resilient hyaluronic acid, a natural substance found in the skin. Due to the gentle manufacturing of these fillers, they are able to retain the natural structure of the HA, providing the skin moisture, volume, and structure. The dynamic nature of the fillers allows them to adapt to your facial movements and expressions so you won’t have to worry about injections leaving you with a stiff, unnatural appearance. RHA is designed to appear beautiful when your face is at rest and flawless when in motion.
Everyone moves their faces to talk, smile, and chew, and these repetitive movements create wrinkles. As you age, these wrinkles remain even when your face is at rest. These wrinkles are called dynamic wrinkles. Dr. Miller injects the RHA filler into the mid-to-deep dermis or deep dermis to superficial subcutaneous tissue, targeting the dynamic wrinkles you’re seeking to address. The filler closely mimics the HA found in the skin, allowing them to easily move with your face, without restricting it.
RHA 2: For Dynamic Moderate Wrinkles
If your dynamic wrinkles are just beginning to appear, RHA 2 might be the filler you need. This dermal filler is injected into the mid-to-deep dermis to treat dynamic wrinkles of the upper face, such as forehead lines, crow’s feet, and glabella lines. It can also be used as a lip filler as well as a treatment for wrinkles and lines around the mouth.
RHA 3: For Severe Dynamic Wrinkles
More severe dynamic wrinkles like nasolabial folds (vertical lines extending from the nose to the mouth) and perioral lines (vertical lines about the upper lip) can be treated with RHA 3. It can also work well for lip and cheek augmentation, as it’s injected into the mid-to-deep dermis.
RHA 4: For Dynamic Extended Areas
RHA 4 is the most robust of this line of dermal fillers. It can be injected deeper than the others, into the deep dermis to superficial subcutaneous tissue of the face, enabling it to correct deep skin depressions where wrinkles have formed or volume has been lost in the cheeks and midface.
What to Expect During Your RHA Filler Procedure
An RHA treatment session is similar to other dermal filler injection appointments. Dr. Miller will examine your face and discuss your goals in detail during your consultation and let you know at that time how much filler he will use and in what areas. Dr. Miller uses the smallest possible needles in his Manhattan office, ensuring the most comfort possible for patients. RHA fillers themselves contain a small amount of local anesthetic (lidocaine) to minimize discomfort. We also offer topical numbing cream and ProNox if you would like it. You will most likely see results immediately.
What is the Recovery Like?
Most patients return to regular activities immediately following their treatment. Because no anesthesia is used, you will be allowed to drive yourself home. You may experience some redness, swelling, or bruising at the injection sites, but this is temporary.
What to Expect During Your RHA Consultation
Dr. Miller guides all patients through the unique Natralook Process. This enriching experience helps patients see all the possibilities available to them for boosting their confidence through appearance-enhancing procedures. You will be able to talk through what you’d like to alter, and Dr. Miller will be able to share whether RHA dermal fillers are right for you or if another treatment or combination of treatments will better help you reach your goals and achieve the highest level of confidence in yourself.
The Ideal RHA Candidate
The best candidates for RHA dermal filler injections are those 22 years or older who wish to see aging symptoms disappear with a quick, relatively comfortable treatment. Those with moderate to severe wrinkles and volume loss can benefit from RHA fillers.
Schedule A Consultation with Philip Miller, MD, FACS Today
If you are ready to treat your fine lines and wrinkles, schedule a consultation in our New York City office today.
FAQs
Q: Do RHA Dermal Filler treatments hurt?
A: Most patients say dermal filler injections are very tolerable, and many say they don’t feel anything during a treatment session. This is due to the tiny needles Dr. Miller uses, the lidocaine that is incorporated into the filler, and Dr. Miller’s experience and skill in injecting fillers. You may request topical numbing cream, ice, or ProNox before your treatment.
Q: When can I return to work?
A: You may return to work immediately after your treatment session. Because mild redness, swelling, or bruising at the injection sites may occur, you should plan your treatments to be at least two weeks prior to any special events.
Q: Could another treatment be better suited for me?
A: Dr. Miller offers several wrinkle reduction treatments in his New York City office, and he will recommend the option best-suited for your goals and budget.
Dr. Philip Miller offers the full range of Restylane dermal fillers, including the exciting new lip plumper Kysse and the proprietary Refyne and Defyne formulations. All the Restylane products are FDA-approved for smoothing away wrinkles and restoring volume to create a more youthful appearance. Each filler is designed for a specific area of the face to ensure customized treatments and the most natural results.
Phillip Miller, MD, FACS, performs nonsurgical treatments and facial plastic surgery exclusively in his New York office. With over 20 years of experience, he is recognized as an expert in facial rejuvenation, including injectable treatments using Restylane fillers. Dr. Miller has been featured on TODAY, ABC, CNN, Discovery Health, Elle, BAZAAR, and Forbes. He is also frequently invited to share his techniques and expertise with other members of the medical community at national facial plastic surgery conferences.
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What is Restylane?
Restylane is a line of hyaluronic acid (HA) dermal fillers manufactured by Galderma. HA is a natural substance found in the skin, which delivers essential nutrients and hydration to help skin maintain its smooth, soft texture. Over time, our bodies lose HA, which results in drier skin and the formation of fine lines. HA dermal fillers replace volume in the dermal structure, smoothing away wrinkles and adding youthful shape and definition to the face. Each of the Restylane fillers is designed with a modified form of HA. Dr. Miller uses Restylane, Kysse, Refyne and Defyne, Lyft, and Silk, so he can provide the best possible results for all his patients.
As our skin ages, it loses both elastin and collagen. As these essential proteins are depleted, skin laxity develops, and facial lines start to form. Common concerns include nasolabial folds and smile lines around the nose and mouth. Other issues might be thinning lips, hollowing in the mid-face, and discoloration and fine lines under the eyes. Topicals might offer some improvement, but they don’t work deeper than the skin’s surface.
The Miller Lift
Patients who want to reverse these aging symptoms but aren’t ready to explore surgical options may find injectable fillers to be the perfect solution. These treatments are quick, relatively comfortable, and offer results that can last up to two years. Dr. Miller uses some Restylane products for his signature Miller Lifts, in which he combines several dermal fillers and Botox to give you a complete transformation.
This liquid facelift technique considers each patient’s facial structure and the areas you want to address. Dr. Miller will use a combination of Restylane and Juvéderm to fill out wrinkles and fine lines, Botox to lift and form your face, and finally collagen stimulators like Sculptra and fat eliminators like Kybella to complete your transformation.
Each Restylane filler has unique benefits that treat specific issues. Which Restylane treatment is right for you? Find out more below about all of the Restylane products offered by Dr. Philip Miller.
Restylane
The original Restylane filler is designed to restore volume and smooth away lines and folds in the lower portions of the face, including nasolabial folds and marionette lines. The filler can also be used to enhance the lips.
Restylane Kysse
Kysse is the first lip plumper created with XpresHAn technology for the most natural, long-lasting results. The filler preserves the natural movement of the lips with improvements that can last up to one year. Kysse may also be used in other areas of the face to restore volume.
Restylane Refyne/Defyne
Also designed with XpresHAn technology, this filler pair offers natural results on even the deepest nasolabial folds. The formulations preserve your natural look as you make various facial expressions for greater confidence and enhanced results. Defyne works a bit deeper than Refyne, and Dr. Miller will select the best option for you based on your unique needs.
Restylane Lyft
In addition to adding youthful volume to the midface, Restylane Lyft is often the filler of choice to turn back the clock on the hands. This filler can also smooth away nasolabial folds with improvements that typically last up to 12 months in the face and six months in the hands.
Restylane Silk
This filler was originally created to augment thinning lips, but it is also effective in smoothing away vertical lines that appear above the upper lip over time. Known as lipstick or smoker’s lines, these wrinkles have been traditionally difficult to treat. Silk has the perfect consistency to reduce the appearance of the lines while maintaining a natural result.
Who is a Good Candidate for Restylane
The ideal candidate is over the age of 21, in good mental and physical health, and has realistic expectations for what the procedure can accomplish. Fillers address both early and more advanced signs of aging. Patients with more severe aging symptoms may see the best results with a combination approach that uses other procedures with the fillers to achieve a more dramatic improvement.
What to Expect During Your Consultation
During your Restylane consultation, Dr. Philip Miller will review your medical history and complete a full examination. After examining your facial anatomy, as well as the quality of your skin, he will create a customized treatment plan that meets your needs and goals. He will explain the products chosen for you and describe the procedure so you know exactly what to expect.
Dr. Miller’s NatraLook Process helps ensure you will receive the right treatment for your unique aesthetic and goals. Dr. Miller will help you understand your options and how he can help you achieve the look you desire. This open and honest process helps ensure patients feel as comfortable as possible at every stage of their aesthetic journey.
Since we are a surgical practice, we can often combine fillers like Restylane with surgical treatments for the best possible results. Dr. Miller can provide you with additional options during your consultation.
What to Expect During the Dermal Filler Procedure
Dr. Miller will perform a series of injections, strategically placed, to add lift and definition to the cheeks, smooth away lines and wrinkles, or plump up the lips. Dr. Miller exercises great precision in both placement and dosing amount to ensure patients get just the amount of correction needed. He may gently massage the area once the injections are administered to ensure the filler is evenly distributed and you achieve smooth and natural results. He may also apply ice to reduce swelling and redness.
You will see your Restylane results develop as soon as your procedure is completed. Treatments are relatively comfortable with minimal downtime afterward. Improvements can last between six and 12 months, depending on the filler, where it is used, and how fast your body metabolizes the HA. Dr. Miller will provide you a treatment schedule to help you maintain the results you are sure to love.
Restylane Cost
The cost of Restylane, Kysse, Lyft, Refyne and Defyne, and Silk treatments vary, depending on the areas being treated and the number of syringes that are needed. We work with each patient’s budget to help them achieve their desired results whenever possible.
A: The best candidates for this treatment are 21 or older and have realistic expectations about the results they can achieve. Dr. Miller may recommend fillers if you want to add fullness to your cheeks or lips or conceal lines and wrinkles around the nose and mouth.
Q: What should I expect at my consultation?
A: During your consultation, you will meet privately with Dr. Philip Miller. He will listen to your concerns and goals and provide you with an individualized treatment plan, using the NatraLook Process.
Q: Are dermal filler treatments painful?
A: The needle or cannula used to administer dermal fillers is very small, so discomfort is usually minimal. Patients may request topical numbing before injecting sensitive areas if they prefer. We also offer ProNox (or laughing gas) to help make the procedure more comfortable.
Q: When can I return to work?
A: Most patients return to work immediately after the treatment. Mild bruising or swelling might occur.
Q: Are there alternative treatments to Restylane?
A: While the Restylane line offers numerous options for anti-aging and facial enhancement, these treatments are not your only option. Juvéderm is another line of dermal fillers we offer, which provide similar benefits with slightly different formulations. Neuromodulators like Botox treat lines in the upper face that fillers are not typically designed to treat. For more dramatic, longer-lasting results, surgical procedures like a facelift or blepharoplasty are also available.
Schedule Your Restylane Appointment in Our New York Office Today
Philip Miller, MD, FACS specializes exclusively in facial plastic surgery and nonsurgical treatments, such as Restylane, Kysse, Lyft, Refyne and Defyne, and Silk treatments in New York, New York. Call us at (646) 791-3066 to request a consultation with Dr. Miller or schedule an appointment online. We look forward to meeting you!
Alternatives to traditional surgical facelifts continue improving and growing in popularity. One of the best non-surgical options for lifting the face and neck is PDO thread lifting. Dr. Miller has been watching new developments in threading, and with the latest threading technology advancements, he is now proud to offer this procedure in his New York office for patients looking for a non-surgical lifting option.
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What is a PDO Thread Lift?
A PDO thread lift uses absorbable stitches, strategically placed under the skin to lift and enhance the balance and proportions of the face. Dr. Miller uses the MINT PDO threads, which offer a superior result to other types of sutures. MINT threads have small barbs along them that anchor the sutures in place and actually draw up the tissue to produce a more youthful appearance.
A thread lift can provide similar results to a Miller Lift, but without the use of fillers. PDO stands for polydiaxone, which is the name of the stitch material used to lift the tissue. Local anesthesia is used, so patients remain awake during the procedure. You will see your results immediately. The procedure is short, usually lasting under a half hour. There is no recovery downtime.
What areas can be lifted with a PDO Thread Lift?
Mid-face and cheeks
Lower-face and jowls
Eyebrows
Neck
A thread lift may also contour the jawline and smooth smile lines. Other looks that can be achieved with thread lifting techniques include the “cat eye,” a brow lift, neck lift, and lower facelift procedures. Dr. Miller can use this technique for any of these outcomes.
How do I know which type of lift is right for me?
PDO thread lifts and surgical lifts can help patients achieve a lifted, youthful appearance, but their differences in longevity, results, downtime, and cost can help you decide which is best for you. Surgical lifting typically lasts 5 to 15 times longer than a thread lift. Thread lifts are quicker, do not require downtime, and are more affordable.
Thread lifts may be a better option for young patients just looking to tweak their facial proportions, not dramatically change their face. Patients who are not good candidates for surgery based on their health or those who cannot take the time to recover from surgery can turn to a thread lift instead.
What is recovery like after a PDO Thread Lift?
You could experience soreness for up to two weeks after the procedure, but to help with this, you can take over the counter medication. You may need this medication for a few days. Swelling and bruising are possible, but they will likely be unnoticeable to a stranger.
Patients who received a thread lift on the lower region of their face have described feeling tightness when opening their mouths. In most cases, swelling peaks at 48 hours post-procedure, and it diminishes within a week. Patients should avoid strenuous activity and facial movements for two to three weeks. If you have a special occasion coming up, consider getting this procedure at least three weeks before your event to ensure adequate time for healing.
Recovery after a PDO thread lift is dependent on the extent of the treatment and the steps you take before and after the procedure to ensure a quick recovery. To learn more about PDO threadlift, visit the ncbi.nlm.nih.gov.
Why choose Dr. Miller for your PDO Thread Lift?
Dr. Miller is considered a leading expert and innovator in facial rejuvenation in the U.S.
He has over 20 years of experience within the facial plastic surgery industry
He focuses exclusively on treatments for the face and neck.
He is double-board certified and usesMint threads for all thread lifts, which have the best lifting capabilities and are the best quality of threads available.
A: The threads Dr. Miller uses are absorbable, so the results do not last forever. Your lift will likely last between 6 to 12 months, depending on your age and the area of your face or neck that was lifted. Typically, the lift will begin to lessen around the 6 month mark.
Q: Will I feel pain from my PDO Thread Lift?
A: We want to minimize your pain and keep you comfortable at our New York offices. We offer local anesthesia and Pro Nox (laughing gas) to minimize your discomfort.
Q: Can I speed up my Thread Lift recovery?
A: We recommend several tactics for minimizing bruising after your procedure. A few of these tactics are avoiding aspirin, ibuprofen, fish oil, alcohol, and multivitamins before your procedure. After your thread lift, you should sleep with your head elevated, apply a cold compress to the region, and avoid strenuous activity for 1-2 weeks.
Schedule Your Thread Lift Consultation At Our New York Office
If you would like to learn more about how a PDO thread lift can help you achieve your goals, please call our office at (646) 791-3025 or book online.
Your nose: is it too large, too small, too flat, and too pointed? Is it crooked? Do you have trouble breathing from one or both nostrils from a deviated septum? If so, you are in good company. Many people feel their nose detracts from their whole face, taking away from the natural beauty of their eyes, hair, or other facial features. These cosmetic concerns with their appearance are why they choose to get a rhinoplasty.
Rhinoplasty surgery, also known as a “nose job,” can change the shape of the whole nose or of just a small part, making it fit more harmoniously with the rest of the face. Board-certified facial plastic surgeon, Dr. Miller in New York City, is skilled in making these changes during nose surgery while preserving, or if need be enhancing, the function of the nose so that breathing is free and comfortable.
Careful and extensive preoperative discussions and planning will take place before your nose surgery. We will consider the prominence of your cheeks, your jawline, your skin thickness and quality, and the overall dimensions of your nose before advising you of how not only to achieve the changes you want but also to achieve overall facial balance. NY’s top facial plastic surgeon, Dr. Miller, can perform rhinoplasty on your current nose that detracts from your overall facial aesthetics.
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If breathing through your nose is a problem, Dr. Miller will conduct a detailed examination and advise you as to how this can be greatly improved with rhinoplasty. Sometimes, special tests to measure your degree of obstruction or to evaluate your sinuses may be required. If you suffer from sinus problems, these can be improved at the same time as nasal surgery during your nose job.
Rhinoplasty Patient Before and After Results
*Patient results may vary
*3 months post rhinoplasty performed to improve nasal bridge and tip
Female Rhinoplasty Patient 1: This patient wanted to diminish the hump on her nasal bridge and lift the droopy tip of her nose. Dr. Miller was able to provide the patient’s ideal nose job results with no scarring and little to no swelling.
*Before and after of rhinoplasty to reduce nose bump
Female Rhinoplasty Patient 2: This young patient wanted to reduce the nasal hump to create a smoother shape of the nose. Dr. Philip Miller performed a rhinoplasty and left no scarring with little to no swelling.
*Before and after of rhinoplasty to reduce nose bump and straighten the tip.
Female Rhinoplasty Patient 3: This patient wanted to remove the hump on her nose and improve her tip definition. Dr. Philip Miller was able to achieve this through a rhinoplasty with no scarring and minimal swelling.
*Before and after of a rhinoplasty to reduce the nasal bump and straighten the tip
Male Rhinoplasty Patient 1: This patient wanted to fix his bulbous, long nose and straighten the tip. Dr. Philip Miller performed a rhinoplasty with an inconspicuous incision line, resulting in no scarring and minimal swelling shortly after taking off the cast.
“I had a rhinoplasty and septoplasty performed by Dr. Miller and his team just 4 weeks ago and I am feeling great! The entire process went so well, and I always felt comfortable and informed. His team provides top-level care to their patients and are always willing to answer any questions you may have.”
– Adam – Google Review (September 2020) *
“The outcome of the surgery is exactly what I wanted. My nose is more dainty and looks natural. No one has suspected I had a rhinoplasty but I have received several compliments that I look great from people that knew me beforehand but they couldn’t quite pin their finger on what I had had done. I would highly recommend Dr. Miller.”
– Emily – Google Review (October 2020) *
“I have been a patient with Gotham for 2 years and this was my first rhinoplasty work with Dr. Miller. I can’t express how happy I am not only with the end result of his work, but also his professionalism along the way. An attentive and caring man, Dr. Miller truly listened to me and was with me every step of the way. As I told him after the post-op visit, I placed 100% trust and faith in his work and he delivered top-notch results. I am a lifelong patient of Gotham and cannot recommend him enough.”
Although nose surgery is one of the most common surgical procedures performed by facial plastic surgeons, it is considered one of the most complex operations. The complexity of nose reshaping means selecting an experienced, board certified plastic surgeon is essential.
Ideally, you will want to partner with a physician who has a deep understanding of rhinoplasty and has executed thousands of cosmetic and reconstructive nasal surgeries across a wide variety of patients from different backgrounds.
Why Choose Dr. Miller For Your Nose Surgery?
Dr. Miller is a world-renowned facial plastic surgeon
He has over 20 years of experience within the facial plastic surgery industry
He has completed over 5,000 successful surgeries
He takes pride in blending art and science together to create beautiful, natural looking results for his patients
Dr. Miller’s Nasal Surgery Research and Scientific Papers
Structural Approach to Endonasal Rhinoplasty (view here) Anil R. Shah, MD and Philip J. Miller, MD, FACS
New Developments in Nasal Valve Analysis and Functional Nasal Surgery (view here) Philip J. Miller, MD, FACS and Dr. Minas Constantinides, MD, FACS
A Simple and Reliable Method of Patient Evaluation in the Surgical Treatment of Nasal Obstruction (view here) Philip J. Miller, MD, FACS, Dr. Minas Constantinides, MD, and Dr. Susanne K. Doud Galli, MD, PhD
What is Rhinoplasty?
Rhinoplasty, also known as a nose job, is a surgical procedure on the nose for either cosmetic or reconstructive purposes. Aesthetic rhinoplasty can greatly improve the cosmetic appearance of the nose by reshaping, reducing, augmenting the tissue, removing a hump, or by adjusting the angle between the nose and the mouth.
On the other hand, functional rhinoplasty can also improve the functionality of the nose by correcting any injuries such as a deviated septum, or birth defects that might make it difficult for the patient to breath.Learn more about rhinoplasty by reading Dr. Miller’s rhinoplasty booklet.
Benefits of Rhinoplasty
There are many different reasons for men and women to seek rhinoplasty to correct the form of their nose. Benefits of nose surgery may include:
Reduce / increase the size of the nose
Changing the shape of the nasal tip (i.e. too round or too pointy)
Reduce wide nostrils or widen the nostrils
Change the angle of the tip of the nose
Create a larger or smaller gap between the nose and upper lip
Improve the proportion of the nose to the other facial features
One of the greatest benefits of rhinoplasty is that it is typically a one-and-done procedure. Once the nose job surgery is completed and the nose has fully healed (which can take up to one full year), patients can enjoy the improvements to their nose over a lifetime.
Even a slight alteration to the nose with a nose job can have a profound impact on the balance and harmony of the entire face. Through this single surgical procedure, Dr. Miller can improve the facial profile, create proportion with all the facial features, and produce a central feature that blends in with the rest of the face rather than standing out. Patients typically experience a substantial boost to their self-confidence and their self image with a well-executed rhinoplasty.
Who is a Good Candidate for Rhinoplasty Surgery in NYC?
Rhinoplasty is one of the most popular and best facial plastic surgery procedures as indicated in this study by the University of California Irvine, but not everyone is an appropriate candidate for nose job surgery in NYC. As with all elective surgeries, good candidates should be in good health and have realistic expectations for improvement.
If you are in good health and are are interested in changing the appearance of your nose with nose reshaping, you may very well be a good candidate for a rhinoplasty procedure or a nose job.
Some patients seek a rhinoplasty to improve an inherited characteristic such as a bump on the nose or to address deformities or breathing complications related to a nasal fracture. If you are looking to improve a particular area of your nose and your overall facial balance, you can consider rhinoplasty in New York City.
When you decide to undergo nose surgery, this can also the time to highlight any breathing problems that bother you. Weeks prior he may perform your nose surgery, Dr. Miller will comprehensively examine the nose during his initial consultation to identify functional issues and, if necessary, order additional tests to better understand the degree of obstruction. From a thorough examination, he will create a surgical plan that addresses both the form and function of the nose.
Diversity in Rhinoplasty
Rhinoplasty can be for patients of all ages and ethnicities. As one of Manhattan’s best rhinoplasty surgeons, Dr. Miller brings both expertise and experience to the operating table for all of his patients:
What to Expect During Your NYC Rhinoplasty Consultation
Dr. Miller’s approach to rhinoplasty encompasses the NatraLook® Experience, which empathizes the patient experience and strives to ensure the most rewarding and natural results. The goal of this process is for patients to find a new confidence, or empowerment, after their procedure. It all starts at the initial consultation when Dr. Miller will reassure and support your opinions in a positive way, creating a collaborative environment that keeps you involved in your procedure.
Meeting Dr. Miller
Dr. Miller believes that the initial consultation at his NYC plastic surgery clinic is the most important step in your rhinoplasty journey. It is an excellent time to discuss your procedure expectations and concerns, address any questions, discuss your aesthetic goals and exactly what you want to take away from your nose surgery.
During your consultation with Dr. Miller, he will examine and assess your nose and how it relates to your other facial features, as well as the thickness and quality of your skin. Computer imaging may also be used to help give you an idea of the changes that can be made to your nose and what you can expect from surgery.
By viewing a digital reconstruction of your face from the front and profile, you can see how certain alterations to your nose change your appearance—this is the easiest and safest way to ensure your nose after rhinoplasty will be in harmony with the rest of your face. Much like you would try on a new dress before buying it, computer imagining allows you to “try on” a new face without making any commitments.
At your consultation with Dr. Miller, he will also review your overall health and medical history such as any prior surgery that may affect your rhinoplasty. All details of the surgical plan will be reviewed, including the available options and advanced surgical techniques for the procedure, the facility, the local or general anesthesia, post-op recovery, the risks and benefits, and the costs.
Together, you and Dr. Miller can come up with realistic expectations for your rhinoplasty surgery. As indicated by this study, the outcome of your procedure can heavily impact your body image and quality of life.
How to Schedule a Rhinoplasty Consultation in New York City
If you are interested in making any cosmetic or functional adjustments to your nose through a surgical or non-surgical nose job, it is important that you find one of the best rhinoplasty surgeons available. Dr. Philip Miller has over two decades in the facial plastic surgeon industry, and rhinoplasties are his specialty. Dr. Philip Miller’s plastic surgery clinic in NY, NY is a top destination for both locals and foreigners looking to get a rhinoplasty surgery. To schedule a consultation for rhinoplasty, feel free to call us at (646) 791-3025, or fill out our online contact form.
Rhinoplasty recovery is an extended process that requires some patience before the final result becomes evident. Here is a timeline of what you can expect after your rhinoplasty procedure:
The Day of your Nose Surgery
Cosmetic or functional rhinoplasty surgery of the nose usually takes 1½ hours to 2½ hours to perform and may be done either with you asleep under general anesthesia or awake under local anesthesia. Most incisions are placed inside the nostrils, but in some cases, a small incision may be made in the natural creases along the sides or near the base of the nose. These heal quickly and leave scars that are nearly invisible.
At the end of the nose surgery, a cast will be placed on your nose to help you heal during the post-op recovery process. If there is any bleeding, a light dressing may be placed inside the nostrils and removed the same day or the next day.
Since rhinoplasty is completed under general anesthesia, you will need someone to drive you home and remain with you for the first 24 hours. Rest is essential immediately post-op, but keep your head elevated to reduce swelling.
One Week After Surgery
At the end of your first week post-op, Dr. Miller will likely remove the cast and any sutures that were placed. You will likely be experiencing significant bruising and swelling at this point with mild discomfort, and your nose may feel extremely congested. These side effects will subside soon.
Two Weeks
At the end of the second week, you should begin to notice improvement in how you feel and how you look. Much of the bruising should be gone at this point, and inflammation will subside. However, you will continue to see some residual swelling up to one year after your procedure. At this point, you may start to feel confident enough to venture out with your new and improved nose.
One Month
By the end of the first month, the improvements should be sufficient to allow you to socialize with confidence. Residual swelling is likely to remain, but the nose will look much better and the inflammation may not be easily noticeable to anyone but you. Keep in mind it will still be some time before the complete effects of your rhinoplasty become evident.
Three Months
At this point, you should be able to resume all of your activities, including strenuous exercise. It is still a good idea to protect your nose from any type of impact, however. You will likely see more evidence of what the final improvement will look like.
One Year
By now, swelling should be completely gone and your actual results are fully evident. If you have any following concerns about your nose job, now is the time to address them with Dr. Miller. Rest assured you will be able to enjoy the improvements for a lifetime!
The Classic Nose Job Post-Op Recovery Process
Most people are amazed by how little pain there is after rhinoplasty surgery. The most uncomfortable part of the post-op recovery is experiencing difficulty with nasal breathing for several days due to swelling. This usually improves within one or two weeks. Expect some swelling around your eyes for several weeks, and as it subsides, you will start to see the improvements from your surgery.
A few special precautions are required during your post-op recovery period. Bending or lifting can prolong swelling, so this is not recommended for three weeks after surgery. Strenuous activity such as running, cycling or aerobics should not resume for three weeks. Contact sports should be avoided for six weeks, as it takes that long for the bones to fully heal. You may drive when the swelling subsides enough not to interfere with vision, and you may fly two to three weeks after surgery.
Minimizing Surgery Risk
While every risk cannot be eliminated, there are some things you can do to minimize certain risks. For helpful tips and best practices for your rhinoplasty post-op recovery, please read our blog here.
Post-Operative Nose Job Instructions
This is by far the most effective way to help ensure a smooth post-op recovery process and reduce the chance for certain risks. Dr. Miller will provide you with an extensive list of rhinoplasty post-op instructions. He is giving you these for a reason. Please carefully follow them after your rhinoplasty to ensure a great outcome.
Common Nose Job Terms Explained by a NYC Plastic Surgeon
What Can be Achieved Through a Rhinoplasty?
A rhinoplasty in Manhattan can treat a variety of concerns involving the nose, such as the size, shape, and functionality. Below are the most popular conditions that can be treated with a rhinoplasty.
Deprojection: An over-projected tip is corrected by deprojection.
Projection: An under-projected tip is corrected by projection.
Counter-Rotation: An overly rotated tip is corrected by counter-rotation (rotated down).
Upward Rotation: A droopy tip is corrected by upward rotation.
Reduction of taking down the bump:A dorsal hump/bump is corrected by reduction or taking down the bump.
Filling or augmentation: A scoop is corrected by filling or augmentation.
Raising the columella: Columella show is corrected by raising the columella.
Lowering the columella: Columella retraction is corrected by lowering the columella.
Widening at the Dorsum (Bridge): A narrow dorsal (bridge) width is corrected by widening at the dorsum (bridge).
Narrowing at the dorsal plan: A wide dorsal width is corrected by narrowing at the dorsal plan.
Widening at the facial plane: A narrow facial width is corrected by widening at the facial plane.
Narrowing at the dorsal plan: A wide facial width is corrected by narrowing at the facial plane.
Shortening: A long nose is corrected by shortening its length.
Lengthening: A short nose is corrected by lengthening its length.
Filling: A collapse or depression is corrected with filling.
Straightening: A twisted nose is corrected by straightening.
Learning more about your rhinoplasty with Dr.Philip Miller
What is the Cost of Rhinoplasty?
Thecost of rhinoplasty varies from patient to patient, but based on what you are trying to achieve, an estimate may be given upon your consultation. Below are some guidelines that potential patients can refer to when trying to determine how much a rhinoplasty or a nose job might cost based on what type of rhinoplasty they will be choosing. For more information on the cost of rhinoplasty, please contact Dr. Miller at his Manhattan, New York plastic surgery office.
Q: What are some of the risks associated with a Nose Job?
A: Bleeding, Infection, nasal obstruction, undesired result. Speak to a rhinoplasty surgeon specifically about these surgical complications and how they can occur. For patients interested in making subtle changes to the shape of the nose without surgery, Dr. Miller offers a non-surgical nose job option.
Q: What should I ask my surgeon before my rhinoplasty procedure? And how can I best prepare myself prior to the nose job surgery?
A: During your rhinoplasty consultation, it is best to ask your plastic surgeon the following questions:
Are you Board Certified?
How many rhinoplasties do you do a year?
Will you make any incisions on the outside of my nose?
Do you pack my nose and for how long?
When is the cast removed?
On the day of your rhinoplasty you’ll want consider the following:
Wear clothing that fastens in the front or back.
Avoid slipover sweaters, T-shirts, and turtlenecks.
Do not eat or drink anything, including water, the morning of your nose surgery.
Leave your valuables at home; do not wear jewelry. Do not wear any facial or eye make-up, or nail polish.
You may wear your glasses; do not wear contact lenses. If you wear dentures, keep them in.
Q: How much does the best rhinoplasty procedure cost? Is it different at a clinic vs. a hospital?
A: Depending on the reasons for having rhinoplasty, it can be covered by insurance. If the reason is purely cosmetic, it is not covered, but if is it provided to correct breathing issues, then it may be partially covered by your insurance policy. The exact cost you rhinoplasty will be based on what you are trying to achieve and an estimate may be given upon your consultation.
Q: What is the difference between male rhinoplasty vs. female rhinoplasty?
A: Rhinoplasty is one of the most common cosmetic procedures requested by men. While women typically want a reduction rhinoplasty for a more narrow and feminine nose, men usually want to erase unappealing features but maintain a strong and structured nose. Therefore, for a male rhinoplasty, Dr. Miller can use a variety of rhinoplasty techniques, including strengthening the dorsum and increasing the projection of the nasal tip. In the end, the main goal of both a male and female rhinoplasty is for the nose to work in harmony with other facial features and enhance confidence.
Q: Could weight loss affect my rhinoplasty results?
A: The nose is made of bone, cartilage, and skin, so fat cells aren’t present in its makeup. Because there are no fat cells, gaining or losing weight does not have a direct impact on the shape of your nose and the results of your rhinoplasty surgery. While many patients worry that they can gain weight in their noses, this just isn’t possible.
More Rhinoplasty Before and After Results & Video Testimonials
*Patient results may vary
*Before and after of a ethnic rhinoplasty to reduce the nose bump
Female Rhinoplasty: This female patient wanted to reduce the dorsal hump on her nose and reduce the overall size. Dr. Philip Miller performed a rhinoplasty to smoothen the shape of her nose and reduce the size of her nose. This procedure resulted in no scarring and minimal swelling.
*Before and after of a rhinoplasty to reduce the nose bump and straighten the tip
Male Rhinoplasty: This patient wanted to fix the wide shape of his nose, reduce the dorsal hump, and straighten the tip. Dr. Philip Miller successfully gave him the nose that he wanted through a rhinoplasty, and the procedure resulted in no scarring with little to no swelling.
*Before and after of a rhinoplasty to reduce the nose bump and straighten the tip
Female Rhinoplasty: This patient wanted to reduce a minor dorsal hump on the top of her nose. Dr. Philip Miller successfully managed to do so through a rhinoplasty which resulted in no scarring and little to no swelling.
*Before and after of a rhinoplasty for tip refinement
Female Rhinoplasty: This patient wanted to have the bump on her nose reduced and the tip straightened. Dr. Miller successfully removed the bump through a rhinoplasty, and after the nose fully healed, there was no swelling or scarring.
*Before and after of a rhinoplasty to straighten the tip of the nose and reduce the nasal bump
Female Rhinoplasty: Dr. Philip Miller straightened the tip on this patient’s nose and removed the bump.
You don’t have to go “under the knife” to give your face that lift you’ve been looking for. Thanks to the ever-growing variety of facial fillers that are designed to target specific cosmetic concerns such as wrinkles, sagging skin, hollows, and volume loss, a non-surgical facelift can give you the skin rejuvenating results you desire. Known as the Miller Lift, this liquid facelift procedure can give you instant, natural-looking results without a single incision.
The Miller Lift is a minimally invasive, non-surgical facelift option that uses a combination of dermal fillers to soften and fill out lines and wrinkles. Botox Cosmetic® is also a regularly used liquid facelift injection that provides a lifted, firmer appearance for a more youthful-looking skin complexion.
Read More
What can a non-surgical (liquid) facelift do for me?
Before performing the procedure, Dr. Miller collaborates with each patient through his proprietary NatraLook experience. This process allows you to create a custom treatment plan with Dr. Miller to ensure you work toward achieving your desired results. During your consultation, you can discuss your greatest areas of concern and how a liquid facelift without surgery may benefit you, such as:
Giving you a rested, rejuvenated appearance
Reducing lines, wrinkles, folds, and creases to reveal a youthful complexion
Providing a gentle lift to your facial features for tighter-looking skin
Defining your cheeks and jawline to create a precise outline
Augmenting your chin and improving your side profile
Eliminating dark under-eye circles for a healthy glow
Restoring the fullness of your face and enhancing its contours
What areas can be treated by a non-surgical (liquid) facelift?
Since multiple treatments may be used during a non-surgical facelift, many concerns can be treated in a single session. Common procedures (and their benefits) include:
Dermal fillers are used to reduce the appearance of wrinkles and address cosmetic concerns such as furrows around the mouth, volume loss in the midface, and jowl formation.
Botox injections relax the muscles below the skin that pull on the skin during regular facial expressions to reduce wrinkles around the forehead and eyes.
Sculptra injections can improve collagen depletion that leads to volume loss around the midface and along the jawline. This poly-l-lactic acid formula encourages your body to produce the collagen needed to gradually inflate hollows and smooth wrinkled skin over time.
Fat injections may also be used to transplant cleansed fat from another part of your body to your face to add volume to the areas that need it most.
Liquid (non-surgical) facelift before and after
Reviewing non-surgical facelift before and after photos can be an excellent source of inspiration. Take a look at all of the striking results Dr. Miller has helped so many of his patients achieve with the Miller Lift.
Why choose Dr. Miller for my non-invasive facelift procedure?
Creates individualized treatment plans for every patient
Focuses on producing natural-looking, life-changing benefits.
Provide the highest level of care in his Manhattan, New York, and New Orleans, Louisiana clinics
Developed his NatraLook process to ensure you receive the best treatments for your needs and goals
Listens to your concerns and goals to develop the best treatment plan for you
Whether you’re interested in a non-invasive liquid lift, a minimally invasive MicroLift, or think that another type of facelift would be right for you, you will be in good care thanks to the thorough and compassionate service that Dr. Miller provides.
Liquid facelift FAQ
Q: What injectables are used for a non-surgical (liquid) facelift?
A: The Miller Lift uses one or more liquid lift injections to achieve the desired results after assessing each individual’s unique needs. Dermal fillers, such as Restylane®, Radiesse®, and Juvéderm® are used to reduce fine lines and wrinkles in the face while restoring volume. Botox may also be used to minimize lines and wrinkles by relaxing the muscles under the skin.
Q: How much does liquid facelift cost in NYC?
A: The procedure begins by helping you feel relaxed. While most facial fillers contain lidocaine to help ensure a comfortable treatment, a topical anesthetic may also be used. After the skin is cleaned and prepped, a tiny needle or blunt-tipped microcannula will be used to administer the facial fillers into your skin. The procedure is done in-office over the course of about 30 minutes.
Q: What does recovery from a non-surgical facelift look like?
A: While no downtime is required after the procedure, you may experience some mild swelling, bruising, itching, and redness around the injection sites. These side effects should fade over the course of a few days. You can apply makeup to conceal any discoloration.
For redness or inflammation, you can apply a cool compress for immediate relief and to speed up the healing process. Those who receive liquid lift injections can go about their normal routine after leaving the office.
Q: Does it hurt?
A: Liquid lifts are a non-surgical option that generally results in minimal pain. Many facial fillers contain lidocaine to help alleviate discomfort, though topical anesthetics may also be applied to reduce unwanted pain symptoms.
Q: Will insurance cover my non-surgical facelift?
A: Being that facelifts are considered a cosmetic procedure and not deemed medically necessary, they are not covered by insurance. While liquid facelift costs will have to be paid for out of pocket, this non-surgical option is far more affordable than a traditional facelift.
Q: How long does a liquid facelift last?
A: The overall lifespan of a liquid facelift will depend on the type of fillers used and where they were injected. Results may last anywhere from 6 to 24 months, though collagen stimulators or fat injections can produce longer outcomes. It is recommended to undergo occasional touch-up treatments every 3-6 months to help prolong the results.
Q: When will I start seeing results?
A: For dermal fillers, you will notice results immediately and should see full effects in about 2 weeks. Neuromodulators like Botox can take 1-2 weeks, while Sculptra and Kybella will take a few weeks for the full effects to be noticeable.
Q: What are the associated risks and complications from this procedure?
A: Dr. Miller is extremely experienced and meticulous, making the safety of his patients one of his primary goals. Because liquid lifts are non-surgical, they are associated with fewer side effects and risks compared to a traditional facelift. Some common side effects may include tenderness, swelling, redness, or bruising following your injections. On very rare occasions, more serious side effects could include allergic reactions, bacterial infections, or skin necrosis.
Q: Liquid facelift vs traditional facelift:
A: A non-surgical liquid facelift is a good alternative to a traditional surgical facelift as it provides a minimally invasive approach to achieve a more natural and youthful-looking appearance. While a surgical facelift will require a 1-2 week recovery period, people who undergo a liquid lift are able to get back to their normal activities almost immediately.
A liquid facelift may provide immediate anti-aging results while reducing the costs, downtime, and risk factors associated with a traditional facelift procedure.
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Below is an infographic regarding the true cost of rhinoplasty. We go further into detail to highlight the costs of different types of rhinoplasty along with what goes into the price of a rhinoplasty in New York.
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