What is External Rhinoplasty?
One of the most important steps during your rhinoplasty consultation is determining whether you are a better candidate for external (open) or endonasal (closed) rhinoplasty. While both procedures can achieve exceptional results, the exact technique that your facial plastic surgeon uses will be determined by your unique concerns and nasal structure. This blog puts the spotlight on what external rhinoplasty is and its advantages.
Whether you are a better candidate for external rhinoplasty or a different technique, double board-certified facial plastic surgeon, Philip J. Miller, MD, FACS, has the artistic skill and experience to reshape or reconstruct your nose for enhanced facial symmetry. He is your Manhattan, New York, and New Orleans, Louisiana, expert on all types of rhinoplasty techniques, and it is his goal to bring balance to your features and achieve beautiful, natural-looking results.
What is External Rhinoplasty?
External rhinoplasty is a rhinoplasty technique in which Dr. Miller makes a small incision in the columella (the piece of tissue that separates the nostrils) in a Z-shaped pattern. This common technique opens the tip of the nose to reveal its internal structures, improving surgical access and allowing Dr. Miller to fold the nasal skin upwards.
Because of enhanced visibility while maneuvering through the bone, cartilage, and tissue that make up the nose, Dr. Miller can reshape the nose and repair damage without jeopardizing its structural support.
External vs. Endonasal Rhinoplasty
An endonasal rhinoplasty is a procedure in which all incisions are confined to the inside of the nostrils. During the procedure, Dr. Miller carefully lifts the underlying bone, cartilage, and tissue through the nostrils, and while visible scarring is prevented, considerable challenges and technical limitations are associated with the lack of surgical access.
A closed rhinoplasty is especially appealing for those who want to make minor modifications to their nose. It’s also ideal if you have breathing problems, such as chronic sinusitis. And with no external incisions, the skin between the tip and nasal bridge remains intact. This means a shorter recovery time for patients. But this more conservative rhinoplasty isn’t right for everyone.
Dr. Miller typically recommends external rhinoplasties for patients with more complex structural concerns, such as:
- A severely crooked nose
- Nasal trauma or deformities
- An asymmetrical tip
- A large nasal tip
- A large dorsal hump (bump on the nasal bridge)
External rhinoplasty is also best for revision rhinoplasty in most cases. If you’ve had rhinoplasty in the past and are unhappy with the results, Dr. Miller will typically recommend external rhinoplasty to address your concerns.
Benefits of External Rhinoplasty
There are two main advantages to an external rhinoplasty procedure:
Improved precision: The greatest benefit of performing external rhinoplasty is better access. Opening the columella allows Dr. Miller to see the internal structures of your nose. As a result, he can correct complex nasal deformities with precision and accuracy. Clear visibility also allows him to preserve as much of your tissue, cartilage, and bone as possible because he can reshape rather than simply remove them. Many patients may have underlying asymmetry issues with their cartilages, and these can only be visualized and treated through an open approach.
Preservation of structural support: Because of better visualization of almost the entire nasal framework, individual components can be accessed in their natural, undisturbed alignment. And by expanding his entry to the nasal components, Dr. Miller can maintain the nose’s structural stability. He’s able to create dramatic results without disrupting much of the surrounding bone, cartilage, and tissue.
How is External Rhinoplasty Performed?
Dr. Miller begins an external rhinoplasty by making a small incision in the columella. He will lift away nasal skin, pulling it up so he can work on bone and cartilage in their natural alignment. After he makes the necessary alterations to reshape the nose or repair any damage, he will re-drape the skin and suture it in place. A small splint is typically taped over the nasal bridge and will be removed one week after surgery.
Recovery After External Rhinoplasty
You will experience nasal stuffiness after your procedure which will subside after the first several weeks. The splint, which helps protect and support your nose, will be removed about one week after your surgery. When the splint comes off, you may see some bruising and swelling under the eyes which are temporary and can easily be covered by make-up. Most patients are usually back to performing most activities after 2-4 weeks.
Dr. Miller will provide you with an extensive list of rhinoplasty post-op instructions. This is by far the most effective way to help ensure a smooth post-op recovery process and reduce the chance for risks and complications.
Scarring After External Rhinoplasty
Since an open rhinoplasty requires an external incision, you may have minor scarring after the procedure. Fortunately, the Z-shaped incision is very small, so the scarring should fade with time.
Dr. Miller also takes your skin and facial structure into consideration before making the incision. This step ensures that the scar is barely visible as it is between the nostrils at the base of the nose. In most cases, you will be the only one that knows it’s there.
Is External Rhinoplasty Right For You? Ask the Expert
Determining the best type of rhinoplasty for you depends entirely on the concerns you want to address. Neither technique is necessarily better than the other.
To ensure you achieve the best results possible, Dr. Miller offers a proprietary consultation process called NatraLook. During your NatraLook consultation, he evaluates your nose and facial features while listening to your concerns and goals. This process expands the typical plastic surgery experience into a safe, collaborative environment where you can explore your aesthetic confidence and create a unified vision for your outcome.
Contact an Expert Facial Plastic Surgeon to Learn More About Rhinoplasty in New York City
To learn more about the different types of rhinoplasty procedures Dr. Miller performs and to find out which technique is best for you, contact our New York City plastic surgery clinic today.
Rhinoplasty to straighten nasal bridge and rotate tip, one week post-op by Dr. Miller
5 Clues You Might Need Revision Rhinoplasty
Problems with your rhinoplasty procedure? Not happy with the results? Don’t lose hope—you can still achieve the look and functionality you want with revision rhinoplasty. Revision rhinoplasty is a surgical procedure to correct undesirable outcomes or treat persistent issues the original surgery did not address.
Philip Miller MD, FACS, a double board-certified facial plastic and reconstructive surgeon, can perform successful rhinoplasty and revision rhinoplasty procedures in Manhattan, New York. Dr. Miller has more than two decades of experience performing surgical and non-surgical procedures and can help you reach aesthetic confidence with revision rhinoplasty.
Why is revision rhinoplasty so common?
Revision procedures are common because the initial rhinoplasty is one of the most complex of all plastic surgery procedures. Some plastic surgeons do not have the skills, experience, and training to perform this procedure well, leading to botched surgeries and undesirable results.
The nose contains thin cartilage that requires expert handling to achieve successful cosmetic or functional outcomes. A study from the Aesthetic Surgery Journal found the average rate for revision rhinoplasty to be nearly 10%. Other factors that include increased revision rhinoplasty rates include:
- Outdated techniques or equipment
- Lack of doctor-patient communication
- Complications that impact the healing process and results
There are several common indicators that revision rhinoplasty may work for you. Take a look:
Clue #1: Your Nose is Not Symmetrical
Many patients feel their nose looks asymmetrical after rhinoplasty and that it was not adequately shaped. A poorly performed rhinoplasty procedure can result in a nose that appears uneven, disproportionate, or even off-center. Revision rhinoplasty can create a more natural, even look to compliment your entire facial structure.
After completely healing from rhinoplasty, you can assess the symmetry of your nose, and if you are unsatisfied, revision rhinoplasty may be right for you.
Clue #2: Your Results don’t Look Natural
An initial rhinoplasty procedure may have removed too much or too little tissue and can lead to an unnatural nose shape. It can also cause a build-up of scar tissue that needs to be surgically removed. Unnatural-looking noses can be resolved with revision surgery. Potential unnatural-looking results include:
- Pinched Tip: A frequent complaint where the end of the nose appears compressed and leads to unwanted aesthetics and impaired breathing. This occurs when too much cartilage is removed from the tip of the nose, diminishing support over time.
- Short Nose: Just as it sounds, a nose can appear short and stubby due to the removal of too much cartilage. Specialized grafts act as support and restore a longer, more natural-looking shape.
- Crooked Nose: Typically derived from nasal trauma or a result of an initial rhinoplasty, a crooked or twisted nose is uneven and unnatural. Revision can rearrange the cartilage and bone to create a symmetrical, pleasing look.
Dr. Miller utilizes the NatraLook® Process to ensure the most natural and pleasing results. The NatraLook Process is critical to achieving a unified vision and executing intended results. Evaluating the entire face and how features relate to each other, as well as skin quality and thickness, all play a part in creating a beautiful, natural look.
While an unsatisfactory rhinoplasty can be very upsetting to a patient who has invested time and money into the process, many issues can be resolved with revision rhinoplasty. Dr. Miller performs revision procedures in his Manhattan, New York office to restore your confidence and achieve a natural look.
Clue #3: You are Disappointed in Your Results
If doctor-patient communication was lacking, or the procedure did not go as planned, many patients can feel disappointed in the results. Skill and experience are not the same. Surgeons may know how to do some nose shapes and resizing but may not have as much experience with a broader range of requests and or techniques. Your nose should be proportional and harmonious with other facial features, which means rhinoplasty is not a one-size-fits-all endeavor.
Even if the shape is ideal, patients may find other imperfections that cause dissatisfaction. Revision rhinoplasty can refine subtle areas such as:
- Narrowing the nostrils
- Lifting the nasal tip
- Thinning or lifting the tissue that separates the nostrils
- Smoothing bumps on the surface of the nose
Revision rhinoplasty is a solution for major or minor alterations so that you feel good about your look. Dr. Miller uses his years of expertise to create patient-centric plans that result in stunning aesthetics to satisfy individual beauty goals.
Clue #4: Your Nose isn’t Working Properly
Not only should your nose look amazing, but it should also function properly. Improper nose function can be due to rhinoplasty surgery that does not heal properly or a functional issue that was not resolved or was created from a rhinoplasty procedure. The nose is a significant structure that impacts breathing and sinus issues. Revision rhinoplasty can help you get your dream nose and optimize function to reduce or eliminate problems that can interfere with breathing and sleep.
Clue #5: An Injury Occurred Since Your First Surgery
Rhinoplasty is a superior choice for nose shaping and sizing, but it does not make your nose invincible. The nose is still susceptible to injury and trauma, especially within a year or two after surgery. Due to the restructuring of cartilage and tissue, the nose can often be more fragile. If you endure an injury or trauma to the nose, it can be repaired through revision rhinoplasty. Dr. Miller works closely with Manhattan patients to ensure cosmetic and functional concerns are addressed when trauma or injury has occurred.
How Long Should You Wait for Revision Rhinoplasty?
Healing varies by individual, but most surgeons request patients wait 12-18 months before undergoing secondary rhinoplasty surgery. The healing process is long and crucial for the nose to take its final form or function. The duration of swelling varies by patient and can cause the nose to look different than it will when completely healed. Rushing into a revision surgery is dangerous and can cause unnatural and unsatisfactory results.
Choosing Your Revision Rhinoplasty Surgeon
Plastic surgery is not a guaranteed process, but choosing an expert surgeon with years of experience and developed skills can positively impact results. Do not assume all plastic surgeons are the same—research a surgeon and their practice before committing, and do not be afraid to ask hard questions. A consultation is a time to learn more about the procedure, a surgeon’s credentials, and experience.
Dr. Miller is a highly reputable, double board-certified plastic surgeon with more than two decades of experience in cosmetic medicine. With his expert team, Dr. Miller has a high success rate of facial surgery procedures and has been voted among the Best Doctors in America for the past 10 years and Top Doctor of New York City. He uses innovative techniques for rhinoplasty and revision rhinoplasty that helps patients achieve their desired look and function.
Contact us today online or by calling 646-791-3025 to see if revision rhinoplasty is right for you.
5 Reasons Winter is the Perfect Time for a Facelift in NYC
Winter is the perfect time for a facelift. It’s easier to avoid the sun, which aids the healing process. Bandages can be more easily hidden under layered winter clothing. When warm weather arrives, and social activities pick up, you’ll face the world fully healed and looking and feeling your best.
You can maintain a youthful appearance as you age. A facelift procedure performed by double board-certified New York facial plastic surgeon Philip J. Miller, MD, FACS, can reverse the appearance of wrinkles, sagging skin, and other undesirable effects of time and gravity. Check out these five reasons why now might be the best time to start the facelift process with Dr. Miller.
Less Sun and More Time Indoors for Safer, More Comfortable Healing
With the sun safely hidden behind clouds and cooler temperatures preventing you from spending much time outdoors, avoiding the sun is easier this time of year. Warmer temperatures can exacerbate tissue inflammation, which means that winter’s cold weather may actually be beneficial for healing following a facelift. Sun exposure can affect incisions, creating more visible scarring. Take advantage of the cloudy winter weather to heal from your procedure.
Cold Weather Makes it Easier to Stay Home
After a surgical facelift, your surgeon is likely to recommend minimal physical activity for a period of time. If you’re like many people, you tend to stay home more often when winter hits anyway, so the downtime needed for recovery will be more manageable.
Give in to the urge to “hibernate” after your facelift surgery. You’ll get the most out of the active warm weather months if you carve out the time to take care of yourself and fully recover from your procedure now while the weather is cold.
Fewer Special Events and Socializing Makes Downtime More Convenient
You may want to avoid your social circle while you heal from facelift surgery. Winter is generally a less active time socially, and unless you’re a winter sports enthusiast, your vacation plans probably don’t involve cold temperatures or snow.
Most people schedule their big events for the summer. June through September is typically peak wedding season, and you’ll probably be invited to summer gatherings and parties around Memorial Day, July 4th, and Labor Day. You’ll want to be fully recovered and looking your best by the time these special events arrive.
You’ll be Ready for Socializing When the Temperatures Warm Up
The summer season is often a time for vacations, weddings, and reunions. Be sure you’re ready to face all of life’s upcoming events by addressing any cosmetic concerns you may have now.
While the majority of patients return to work and other activities within 2-3 weeks of plastic surgery, the results of your procedure may take much longer to become fully apparent. Scheduling your procedure as soon as possible will allow your body adequate time to recover from swelling, bruising, and any other surgery-related side effects before you hit the summer social scene. You will be ready to face the upcoming warm weather looking and feeling your absolute best.
Why Dr. Miller is the Top Choice for Facelifts in NYC
Dr. Miller is an expert plastic surgeon specializing in cosmetic facial surgeries, including the classic facelift. Together, you’ll create a custom treatment plan to address your concerns and achieve your goals.
Dr. Miller offers several different options for facelifts in his Manhattan practice: a traditional facelift, a micro lift, and his exclusive, non-surgical Miller Lift. During your consultation, Dr. Miller will discuss the differences between the procedures and the benefits of each, so you’ll be able to make an informed decision about which option is best for you.
Procedures such as eyelid surgery or rhinoplasty (a nose job) can further enhance your appearance. Laser skin resurfacing, a minimally invasive procedure, can be an excellent complement to a facelift, adding to your rejuvenated, youthful look.
To ensure every patient achieves their desired results, Dr. Miller offers the proprietary NatraLook® Experience. This collaborative process allows you to create a unified vision of your expected results with Dr. Miller before your procedure, enhancing your Aesthetic Confidence™.
Dr. Miller’s exclusive NatraFace™ approach addresses both restorative and transformative changes by treating sagging skin, replacing lost volume, and revitalizing the skin, as well as modifying and improving the size or shape of any unfavorable facial features.
Plan Your Winter Facelift Procedure Today
If you’ve been considering a facelift to rejuvenate your appearance, don’t put it off any longer. Schedule your consultation now, and use this winter season to relax and recover from your procedure.
You can schedule a consultation with Dr. Miller by contacting his Manhattan, NY plastic surgery clinic today.
5 Ways to Make 2022 Your Most Beautiful Year Yet
Feeling down about your appearance after 2021? Dr. Philip Miller can help you achieve all your cosmetic and plastic surgery goals to make 2022 your most beautiful year yet. From plastic surgery to minimally-invasive procedures, our expert team at our Manhattan, New York location can discuss treatment options in our state-of-the-art facility.
Dr. Philip Miller is a double board-certified facial plastic surgeon that uses minimally-invasive techniques, innovative technology, and advanced surgical procedures to help each patient become the very best version of themselves.
Dr. Miller and his team of top-rated experts use the unique NatraLook approach to aesthetic beauty. The NatraLook process transforms the typical plastic surgery experience into a safe and empowering opportunity to explore your aesthetic confidence. Dr. Miller and his team utilize this unique approach, combined with years of practice, to provide an extraordinary patient experience and superior cosmetic results.
Take advantage of Dr. Miller’s expertise and innovative treatments in 2022. We can help you address nagging concerns that are getting in the way of your self-confidence to make this year your best yet.
Turn Back Time with a Facelift
Facelifts are a popular plastic surgery procedure in New York to tighten skin that has naturally started sagging due to weakened tissue and muscle. A traditional facelift focuses on the lower portion of the face, jawline, and jowls. Tissue known as a superficial musculoaponeurotic system (SMAS) can be lifted and tightened, and loose skin can be removed or redistributed to create a more youthful facial contour.
Don’t let sagging skin bring you down; you can alter your skin with a facelift to feel more comfortable and confident in your look. A facelift provides long-lasting and natural-looking results for a more youthful look. It can:
- Define the jawline
- Improve facial contour
- Diminish the appearance of lines and wrinkles around the nose and mouth
Dr. Miller offers different types of facelifts at his Manhattan office, including:
- Traditional Facelift: Incisions are made at the hairline, continue in front and behind the ears, and extend to the lower scalp. Muscles and skin are lifted and tightened, and closed with sutures.This is the most extensive facelift procedure, which also produces the most dramatic results – often shaving as many as 10 years off the appearance.
- Mini Facelift: This procedure uses shorter incisions and targets areas that are just beginning to wrinkle or sag. This minor outpatient treatment can be accomplished in less than 90 minutes. Results are not as dramatic and usually last 5-7 years.
- Thread Lift: A unique thread with tiny barbs is used to pull the skin up and back. This thread latches onto the skin and remains in place to keep the skin smooth. The result is a firmer, lifted look that can last up to one year or longer.
- Micro Lift: This minimally invasive procedure creates the look of tightened hair one achieves with pulled-back hair. It is a quick and safe procedure that provides facial refreshment with little downtime.
Dr. Miller will discuss your facelift options in-depth and walk you through the process to achieve a customized, refreshed look for 2022.
Achieve Facial Harmony with Rhinoplasty
Changing the shape of your entire nose, or even just a part of it to make it more harmonious with your face, requires an expert surgeon. Rhinoplasty, more commonly referred to as a “nose job,” can change the shape of your nose to create a balanced look or improve breathing issues from a deviated septum. It is a common procedure but one of the most complex operations to perform.
Dr. Miller can address cosmetic concerns you have about your nose to feel more confident in your appearance. He will spend ample time discussing your issues and goals so he can create a customized procedure plan for you. Considerations to achieve facial balance include:
- The prominence of your cheeks and jawline
- Skin thickness and quality
- Overall dimensions of your nose
Take the leap and schedule your rhinoplasty consultation with Dr. Miller today.
Chin Up with Our Proprietary Jawline Contouring
While plastic surgery and cosmetic procedures are mainly thought to benefit women, men can also enjoy aesthetic improvements with procedures designed just for them. The proprietary G.I. Jaw procedure—jawline contouring—was invented by Dr. Philip Miller to enhance the jawline and chin to create a chiseled appearance, particularly for his male patients.
The procedure creates the classic look men desire—a sharp, square chin and strong jawline. According to the American Society of Plastic Surgeons, 54% of all chin and jaw contouring procedures are performed on men. Under the care of Dr. Miller in NYC, you can achieve an ideal jawline and facial shape without surgery. The G.I. procedure improves:
- Facial symmetry
- A recessed chin
- A weak jawline
- Cheekbones that lack definition
Women and men can make 2022 their most beautiful and confident year yet.
Combine Treatments for Dramatic Improvement
Many plastic surgery combinations are safe and provide additional benefits by completing multiple surgeries at one time. By combining procedures, patients can reduce recovery time, achieve maximum results, and limit their use of anesthetics.
Some safe combinations include:
- Facelift and eyelid surgery
- Facelift and brow or neck lift
- Eyelid surgery and dermal fillers
- Chin or jaw augmentation and rhinoplasty
Dr. Miller can advise you on which procedures to combine to meet your goals quickly and efficiently. Feeling beautiful and confident doesn’t have to take a lot of time; it just takes some help from Dr. Miller and his team to create the customized plan that meets your needs and goals best.
Enjoy a Quick Fix with Our Injectable Treatments
Dermal fillers are a popular minimally-invasive treatment to reduce visible facial lines and restore volume. They can also:
- Plump lips
- Enhance face shape and eliminate shallow contours
- Fill and smooth lines, wrinkles, and deep folds on the face
- Improve the appearance of scars
Dermal fillers help reduce signs of aging and give you a fresh look. They are a simple treatment that makes an impact as a stand-alone procedure or as part of a full facial rejuvenation plan.
There are many treatment options to help you feel your best in 2022. Whether you’re looking for a complete cosmetic makeover, or a little pick-me-up, Dr. Miller and his team of expert plastic surgeons in Manhattan, New York, can help you choose the right treatments to feel beautiful in the new year.
Contact us today to schedule your consultation and learn more about our advanced treatment options for younger, healthier-looking skin.
Types of Rhinoplasty
Most cosmetic surgical procedures vary in the techniques the surgeon uses. A nose job is no exception to this rule. There are six different types of rhinoplasty:
- Open rhinoplasty
- Closed rhinoplasty
- Tip plasty (nose tip rhinoplasty)
- Septorhinoplasty
- Revision rhinoplasty
- Liquid rhinoplasty
More specialized types of nose surgeries are female and male rhinoplasty, ethnic rhinoplasty, teen rhinoplasty, and micro-rhinoplasty.
What Are The Different Types of Nose Jobs?
Open Rhinoplasty
During an open rhinoplasty, the surgeon creates a small Z-shaped incision on the underside of your nose between the nostrils. The open approach allows the doctor to make more accurate and precise changes to the shape of your nose. Open rhinoplasty leaves a tiny incision, but with proper care, the scar fades quickly.
Closed Rhinoplasty
With closed rhinoplasty, the surgeon creates incisions inside of your nose without affecting the skin. The main disadvantage of this approach is the limited visibility of the bone, cartilage, and tissue. However, this type of nose job causes less swelling than open rhinoplasty and can provide correction for minor imperfections.
Tip Plasty
During tip plasty surgery, the surgeon focuses on reshaping the tip of your nose. The procedure is less invasive and doesn’t involve intervention to the nasal bone. The recovery from this type of rhinoplasty is typically shorter than from the traditional nose job.
Septorhinoplasty
During septoplasty, the surgeon repositions your nasal septum to the middle of your nose. This procedure is also known as deviated septum rhinoplasty. After it’s healed, you will find it easier to breathe. Septoplasty alone rarely makes a difference in the external appearance of the nose.
Include rhinoplasty as a combination treatment to improve both form and function of the nose.
Revision Rhinoplasty
If you have already had a primary rhinoplasty and are unhappy with the results, you may undergo revision rhinoplasty. This procedure focuses on correcting cosmetic problems that were not corrected by the previous surgery or addressing functional issues that might have arisen after the first procedure.
Liquid Rhinoplasty
For a liquid rhinoplasty, the surgeon utilizes dermal fillers to create a new nose shape, avoiding any stitches or incisions. Liquid filler cannot make a nose look smaller but can address minor indentations or asymmetries without the need for surgical intervention.
Rhinoplasty Appointment in New York City
Learn what type of rhinoplasty works for you. Schedule an appointment with Dr. Miller in his Manhattan, New York office.
Rhinoplasty to remove hump from nasal bridge and refine tip by Dr. Miller
Men and Facelifts: What You Need to Know
Maybe it’s the competitive, youth-centric society we live in, or perhaps the number of celebrities we see who never seem to age makes us more critical of our own appearance. Whatever the reason, men want to look younger and more attractive and are increasingly turning to facelift surgery to achieve these goals.
Philip Miller, MD, FACS, in Manhattan, New York, is a double board-certified facial plastic surgeon that specializes in male-specific cosmetic procedures, with a significant percentage of male patients in his practice. He is well-versed in the evolution of aesthetic standards and how men can boost their confidence as they age by improving and maintaining their appearance.
The Popularity of the Male Facelift
Men turn to facelifts because they want to look and feel better. Some men want to turn back the clock because they feel self-conscious about their appearance as they age, while others want to look younger to compete in the job market. An attractive, youthful appearance is an undeniable asset. A man who has confidence in his appearance will tend to be confident in other areas of his life as well.
Top Reasons Why Men Get Facelifts
Why are more men deciding to go under the knife? Below are five reasons men who’ve undergone facial plastic surgery cite as contributing factors in their decision:
1. They want to look more youthful.
2. They want to feel more confident.
3. They want to be more attractive to women.
4. They no longer like what they see in the mirror.
5. They want to stay relevant among their younger peers at work.
While women get facelifts for a delicate, softer appearance, the opposite is true for men. A man typically receives a facelift to appear more rugged or masculine. An important objective of a male facelift is to create a defined, chiseled jawline and to remove loose skin folds from the neck—a frequent aesthetic concern among men.
Facelift Options
Dr. Miller offers a variety of options for his male patients. By using different approaches and techniques, he can customize each treatment to the precise needs of his patient, ensuring a natural, durable improvement. Some of those options include:
Miller Lift. The “Miller Lift” is a non-surgical facelift technique using a combination of fillers to fill out lines and wrinkles, along with Botox® for a firmer, lifted appearance. Additionally, dermal fillers can address volume loss in the contours of the face. Collagen stimulators and fat eliminators complete the Miller Lift.
Micro Lift. Men who want to reverse the early signs of aging but are not ready for an invasive full-facelift may achieve their goals with a Micro Lift. A Micro Lift improves the appearance of displaced fat and sagging skin on the lower face, as well as jowls.
Facelift (rhytidectomy). The traditional facelift is a comprehensive anti-aging procedure that produces the most dramatic results—improving sagging skin in the mid and lower face. It smooths wrinkles and reduces skin laxity for long-lasting results.
For certain patients, rhinoplasty surgery, eyelid surgery, or laser skin resurfacing can further enhance the results of facelift procedures.
Special Consideration
Facelift incisions are placed differently in males due to beard growth patterns and vascularity. Surgical goals include tightening loose skin, removing fat deposits, and smoothing out lines and wrinkles.
Attention is generally given to the lower half of the face, including the jowl area. Men who undergo a facelift often see dramatically improved definition in the chin and jawline.
About the Procedure
Miller Lift. After the skin is cleaned and prepared, a tiny needle will administer the injectable treatments. The procedure takes about 30 minutes and is performed in-office. You may experience some mild swelling, bruising, itching, and redness around the injection sites, although no downtime is required after the procedure.
Micro Lift. Performed in Dr. Miller’s office-surgical suite, the Micro Lift procedure takes less than an hour with a local anesthetic. Carefully placed incisions are made—smaller than those necessary in a traditional facelift. Excess skin and tissue are carefully trimmed, and the incisions are then closed.
Patients can go home to rest and heal the same afternoon as their Micro Lift procedure, returning to the office a few days later for follow-up and suture removal with Dr. Miller.
Facelift (rhytidectomy). When waking up from anesthesia, you may feel groggy until the effects wear off. Varying degrees of swelling and bruising is normal for 1-3 days after surgery, but you should call your surgeon’s office immediately if these symptoms significantly worsen. Post-surgery, you’ll have regularly scheduled follow-up visits as Dr. Miller closely monitors your recovery.
Many men are pleasantly surprised at how little discomfort they experience after facelift surgery. Dr. Miller may prescribe painkillers, although many patients experience problem-free recoveries and don’t feel the need to take prescription pain medication. Most men are back to regular activities within a week or two.
Recovery and Results
The recovery process and results will vary depending on whether a Miller Lift, Micro Lift, or full-facelift was performed, as detailed above.
When performed well, a patient can look up to ten years younger after a full facelift.
A male facelift can do the following:
- Reduce fine lines and wrinkles
- Correct facial volume loss
- Correct or minimize facial scarring
- Tighten loose skin
- Provide a youthful look
- Preserve masculine facial features
You can help extend the results of your procedure with consistent use of sun protection and by maintaining a healthy diet and exercise regimen.
Why Dr. Miller is the Best Choice for Male Facelift Surgery
Dr. Miller is a double-board certified facial plastic surgeon in Manhattan. Over half of his patients are men. His extensive experience has provided him unique insight into men’s goals for facelift surgery and knowledge of which aesthetic improvements look natural and enhance the male face.
Schedule Your Consultation Today
Contact us to learn more about men’s surgical procedures or to schedule a consultation with leading New York City facial plastic surgeon, Dr. Philip Miller.
Rhinoplasty to remove nasal hump and refine tip by Dr. Miller
5 Rhinoplasty Trends in 2022
Rhinoplasty surgery was the most frequently requested cosmetic surgery in 2020, with over 352,000 procedures performed.
Facial plastic surgeon, Dr. Philip Miller in New York City—one of the country’s leading experts in rhinoplasty and facial rejuvenation—can help you achieve a nose you’ll love. You may choose traditional rhinoplasty to reduce or reshape the nose. For other patients, non-surgical rhinoplasty is the right choice to achieve their aesthetic goals.
1. Zoom Boom Brings Rhinoplasty Boom
Because of the COVID-19 pandemic, 2020 was a challenging year for many businesses. But for Zoom, the video-conferencing giant, lockdown and working from home brought unprecedented growth.
Zoom usage jumped 67% between January 2020 and mid-March, when non-essential businesses and schools closed. The Zoom Boom also resulted in significant growth to an entirely different industry—cosmetic surgery.
The built-in cameras on our computers are clearly not designed to flatter the human face, and many people weren’t pleased with the reflection they saw on their computer screens.
The unflattering camera angle highlights facial flaws, such as wrinkling and sagging. People noticed unfamiliar lines, creases, and asymmetries as they saw themselves speaking on camera.
It’s not surprising that the Zoom phenomenon caused a booming demand for cosmetic procedures such as dermal injectables, laser treatments, and eye lifts.
On a Zoom conference call, the position of the computer’s camera relative to the user puts the focus on the center of the face, making the nose appear larger. As a result, demand for rhinoplasty significantly increased as well, and will likely continue into the New Year.
2. The Need for Natural
In Manhattan, Dr. Miller is renowned for the natural results he achieves for his patients, both with traditional rhinoplasty—for patients desiring more significant changes and permanent results—as well as non-surgical rhinoplasty, for patients seeking relatively minor corrections. As demands for natural results will continue to be a factor in 2022, Dr. Miller is prepared to deliver satisfying results to his New York patients.
Rhinoplasty, also known as a nose job, is a surgical procedure that can improve the appearance of the nose by reshaping, reducing, augmenting the tissue, removing a bump, or adjusting the angle between the nose and the mouth.
A major benefit of rhinoplasty is that it’s typically a “one-and-done” procedure. Once the surgery is complete and the nose has fully healed, patients can enjoy the improvements over their lifetime.
If you’re dissatisfied with your nose because of minor depressions or hollows that affect its overall appearance, non-surgical rhinoplasty may be the right solution for you. Non-surgical nose jobs are safe and effective, providing immediate results with exceptionally short recovery time. With this non-invasive procedure, injectable fillers are used to make small yet dramatic modifications to the nose.
Non-surgical rhinoplasty has its limitations, however. Since corrections are made with dermal fillers that ultimately dissolve, results aren’t permanent. Non-surgical nose jobs aren’t appropriate for every nose and can’t reduce the size of the nose.
Results will vary by patient, but the longevity of a non-surgical nose job is typically between 8-24 months. During your consultation, Dr. Miller will determine which fillers might help you achieve the best results and how long the improvement might last.
3. Faster Recovery Times
Plastic surgeons today are starting to use techniques to minimize post-procedure discomfort and healing time. Rhinoplasty is typically performed as an outpatient procedure under general anesthesia, and patients return home on the same day. While you may be up and moving within 24 hours, expect to take up to a week off from work or school as you heal.
For the first several days, you’ll need to keep your head elevated and apply ice packs to reduce swelling. Most swelling and bruising subsides within a week following rhinoplasty. Nasal dressings, splints, and sutures are removed at about seven days after surgery. At this point, any residual bruising can be effectively camouflaged with makeup. Most patients feel comfortable appearing in public at about 7-10 days post-surgery.
Swelling will continue to subside and the nose may continue to improve in definition for up to a year after surgery. However, beyond the first week, these changes are subtle and typically not noticed by others. Many patients are pleasantly surprised at how quickly they recover from rhinoplasty.
4. The Combination Approach
Achieving facial balance sometimes means making adjustments to the chin at the same time as the nose. Dr. Miller’s expertise with both procedures produces superior results.
When rhinoplasty surgery is performed to improve the overall shape and appearance of a nose, a receding chin could diminish the aesthetic effect of the face, making it look unbalanced.
To achieve the best possible results with rhinoplasty, the proportions of the entire face must be considered. If your chin is well defined and proportionate to your new nose, your overall appearance will be aesthetically enhanced by rhinoplasty alone.
If you have a receding chin, however, chin augmentation surgery performed along with rhinoplasty surgery can give your face balance that rhinoplasty alone could not have achieved. Therefore, many board-certified plastic surgeons are beginning to suggest chin augmentation with rhinoplasty for certain patients.
Recovery after a chin implant takes around two weeks. You may experience swelling, tenderness, and bruising in the chin area immediately after the procedure, but most of these symptoms will diminish within about a week. Eating soft foods during the first week after surgery will help to make your recovery period more comfortable.
5. Image Morphing
The ability to “see” your results before surgery is a benefit that more patients are wanting from their rhinoplasty surgeon. At his Manhattan office, Dr. Miller uses computer imaging to help patients visualize their new nose before undergoing surgery. Besides helping communicate the goals of the patient to the surgeon before the procedure, image morphing also helps ensure patient expectations are in line with results.
If you have difficulty visualizing what your ‘after’ may look like, image morphing can help. While the final result may not be absolutely identical to the morphed picture, it provides a good idea of what you can expect.
The NatraLook Process
Aesthetic Confidence is the sense of empowerment we feel about the way we look, dress, design, and decorate. It dovetails with confidence in our abilities, intellect, and emotions. The NatraLook Process focuses exclusively on the look component of Aesthetic Confidence. The NatraLook Process is an enriching experience through which you explore and ultimately boost your aesthetic confidence by enhancing your appearance.
The NatraLook process evaluates and expands the typical plastic surgery experience into a safe, non-intimidating opportunity to explore your aesthetic confidence. It creates a unified vision of your desired result so that you and New York surgeon Dr. Philip Miller know what to expect.
Contact an Expert Plastic Surgeon to Learn More About Rhinoplasty in New York City
Whichever procedure you ultimately choose, Dr. Miller can help you achieve your goals. His approach combines art and science with skill and innovation, providing patients in Manhattan, New York, aesthetically pleasing, natural results that are always in style.
To learn more about rhinoplasty surgery and non-surgical nose jobs, contact us online or call our practice in New York. One of our patient advisers will be happy to help you.