Watch Dr. Miller Highlight His Patients Excess Cartilage
What is cartilage?
Cartilage is the firm, whitish, flexible connective tissue found in various forms in the larynx and respiratory tract, in structures such as the external ear, and in the articulating surfaces of joints. It is more widespread in the infant skeleton, being replaced by bone during growth.
Structural Components of Cartilage
Cartilage is an important structural component of the body. The 3 main structural components of our bodies are bone, muscle, and cartilage. Bones are rigid, while muscles bend, stretch, and are flexible. Cartilage connective tissue is the perfect halfway point between these other tissues. It is a dense tissue, but it is softer and much more flexible than bone. Cartilage is a resilient and smooth elastic tissue, covering and protecting the areas which require conservation- for example the cartilage in one’s nose.
Cartilage is made up of specialized cells called chondrocytes. These chondrocytes produce large amounts of extracellular matrix composed of collagen fibres, proteoglycan, and elastin fibers. There are no blood vessels in cartilage to supply the chondrocytes with nutrients. Due to the lack of blood vessels, cartilage grows and repairs more slowly than other tissues.
Breaking Down Nasal Cartilage
The septal nasal cartilage, (cartilage of the septum or quadrangular cartilage) is composed of hyaline cartilage. It is somewhat quadrilateral in form, thicker at its margins than at its center, and completes the separation between the nasal cavities in front.
The nasal cartilages are the framework around in the inner/outer layers of the nose that provide form and support.
Including:
- Accessory nasal cartilages
- Accessory nasal cartilages are small nasal cartilages that link the greater alar (nostril) and lateral nasal cartilages.
- Cartilage of the septum
- Cartilage of the septum — also known as the quadrangular cartilage because it is roughly quadrilateral in shape — separates the nostrils. It also connects the nasal bones and the lateral cartilages.
- Greater alar cartilage
- Greater alar cartilage is a flexible cartilage that forms part of the structure of the nostrils.
- Lateral nasal cartilage
- Lateral nasal cartilage is a triangular structure, located below the nasal bone.
- Lesser alar cartilages
- Lesser alar cartilages are three or four small nasal cartilages connected to the upper jawbone.
- Vomeronasal cartilage
- Vomeronasal cartilage, also known as Jacobson’s cartilage, connects the nasal septum (the wall of cartilage that separates the two airways of the nose) and the vomer bone (a thin, flat bone that separates the nostrils). It was named in 1809 by Dutch anatomist, Ludwig Levin Jacobson. It is close to, but not actually connected with, the vomeronasal organ of Jacobson, which is the body’s scent organ that detects pheromones, chemicals that may affect the behaviors of others who smell them.
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Facing the Facts When It Comes to Rhinoplasty Options: How to Choose the Right Surgeon in NYC for Your Nose Job
Do Your Due Diligence
The surgeon should also be able to communicate well, be a patient listener and a compassionate medical professional. Although many surgeons meet the aforementioned criteria, there are also a number who fall short. Therefore, doing your due diligence is necessary.
Because rhinoplasty is an elective surgery, you do not have any excuse for not investigating the credentials and qualifications of the provider you choose. Finding a skilled doctor who specializes in cosmetic nasal surgery can be difficult. Some of the informational sources, too, may be contradictory or inaccurate. Therefore, any information you gather should be assessed and cross-referenced. While the process may consume a good deal of your time, it will be well worth your effort when you finally make a selection.
Some Prerequisites
In order to perform a rhinoplasty, a surgeon needs to hold a valid medical in all of the 50 states. The license shows that the doctor has received minimum educational training from a medical school and, at the minimum, post-graduate training or has served as an intern. You can also contact your state board of medicine to discover if any disciplinary action has ever been filed against the doctor for medical malpractice or non-compliance. The surgeon should have a license that is free of these kinds of infractions.
The rhinoplasty surgeon you choose should also be certified by an American Board of Medical Specialties (ABMS) board or a noted equivalent. This designation shows that the doctor completed a broad written and oral competency exam in his specialty and completed an ACGME-accredited residency program.
However, that being said, a board certification does not necessarily guarantee proficiency in rhinoplasty. On the contrary, it may only ensure a minimum level of knowledge and competency clinically. Moreover, a certification of this type does not reveal the artistic skill, dexterity, or integrity of the doctor. While certification is important, you should not stop there when choosing a doctor.
Therefore, when screening a doctor, you also have to look for any history of malpractice. You certainly don’t want to entrust a cosmetic procedure to a doctor guilty of willful negligence. While some claims do not have merit, any number of settlements or judgments can be a cause for concern.
Typically, surgeons who specialize in a surgical niche will have a keen interest in that subspecialty. In turn, surgical outcomes are more consistent and successful when doctors are devoted, say, to rhinoplasty procedures.
Check Out Testimonials and the Surgeon’s Portfolio
You also want to look at word-of-mouth endorsements on the Internet. However, be careful. Just because a surgeon has gotten endorsements for breast augmentation or face lifts does not mean the endorsements extend to nose surgery. Therefore, make sure the testimonials or positive comments include the surgeon’s skill as a rhinoplasty surgeon and doctor.
The best way to look at a doctor’s past nose job procedures is by reviewing their surgical portfolio or NYC patient before and after photos. If a number of patients have successfully recovered from rhinoplasty and are well-pleased with the results, then you can feel better about the surgeon yourself.
A Breakdown of the Most Popular Rhinoplasty Treatments: How to Choose a Trusted Surgeon in NYC
A lot of people do not like the look of their nose. However, when they to go choose a “new nose,” they can also become quite bewildered, if not confused. Treatments abound for improving the looks of your nose so it pays to be informed when it comes to a treatment or surgery. Plus, you need to feel confident that the NYC doctor you are choosing is well-versed in the field of rhinoplasty.
In the past, when people referred to a nose job, they just thought of one procedure that changed the looks of their nose so it was more attractive. However, rhinoplasty today involves both surgical and non-surgical methods and therefore these options must be fully reviewed before choosing a procedure.
Kinds of Rhinoplasty Treatments
For example, revision rhinoplasty is done when someone does not like the outcome of a prior nose surgery. Procedures and treatments also cover such classifications as ethnic rhinoplasty, male rhinoplasty, teen rhinoplasty and micro-rhinoplasty. Liquid-rhinoplasty is also offered as is nose reduction surgery, septoplasty, broken nose surgery and virtual rhinoplasty. Therefore, given the offerings, it is important to choose a surgeon whose practice is devoted to this kind of surgery.
The Basic Definition of Rhinoplasty
Rhinoplasty itself, involves a procedure where the cartilage and nasal bones are removed or modified and tissue, in some cases, is added to reshape the nose’s structure. The skin on the nose is not altered. Once the underlying bone has been revised, the skin conforms to the new shape, thereby resulting in a better-looking nose.
In order to meet this goal, the surgeon incorporates various techniques in order to make sure the new nose balances out with the patient’s other facial features. These methods may include modifying the width of the nostrils, altering the angle between the mouth and nose or reducing, enlarging or reshaping the nose, including the tip.
Nose Reshaping is a Popular Choice
According to a report issued by the American Society of Plastic Surgeons, nose reshaping is one of the most popular plastic surgery procedures. It is only second to breast augmentation in elective choices for surgery. Around 220,000 people annually have their nose reshaped. Following are the most popular procedures currently using rhinoplasty techniques.
MicroRhinoplasty™
One of the most popular new and innovative surgeries for the nose is MicroRhinoplasty™ – a surgical procedure that takes no longer than five minutes. This advancement in nose surgery allows the surgeon to remove a bump or lump on the bridge of the nose without needing to resort to the more invasive traditional techniques, such as fracture. Usually, removing a bump or lump is the most frequent request made by rhinoplasty patients. As a result, this form of rhinoplasty is welcome by a great many people.
Liquid Rhinoplasty
For any patient who wants to improve his looks without the need for surgery, liquid rhinoplasty may be the answer. The non-surgical treatment uses injectable fillers to modify the nose’s shape. The doctor is able to alter the size, position and shape of the nasal tip, straighten the nose or hide a bump. This procedure, for the right candidate, makes it possible to alter the looks of the nose without surgery.
Nose Reduction Surgery
Nose reduction surgery is another popular option for anyone who wants to revise the looks of their nose. Many people want a smaller nose and this surgical option is designed to help them achieve this goal.
Also known as reduction rhinoplasty, a nose reduction is a process where the bone and nasal cartilage are removed in order to obtain a smaller shaped nose. Small incisions are made inside the nostrils which allow the surgeon access to the underlying cartilage and bone. While the underlying structure is reduced, the skin on the outside is left intact. During healing, the skin will shrink to conform to the nose’s new and smaller shape.
The above-described procedures or treatments describe only a small sampling of the rhinoplasty options that are available to patients today. In order to find out more, schedule a consultation to discover what particular treatment option best meets with your own criteria for improving the looks of your nose.
Schedule your no-onbligation rhinoplasty consultaion in NYC.
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Examiner Features: NYC facial surgeon allowing you to test-drive a nose job
Recently, the public was introduced to the idea of “Vacation Boobs” as leading the forefront of cosmetic requests. Women essentially “test-driving” what it may be like to undergo an augmentation peaked my curiosity to uncover other types of temporary progressive, non-invasive treatments and techniques available.
Dr. Philip Miller is a highly-accredited rhinoplasty surgeon, specializing on the latest innovations and procedures among the mass population and revolutionizing the industry. When it comes to plastic surgery, the greatest cause of apprehension is considerably an obvious one: unrealistic expectations and permanent results. Rhinoplasty is one of the top-requested surgical procedures, yet not every inquiry is carried out due to the fear of the forever unknown.
What if I told you there was a cutting-edge treatment that uses injectable fillers to correct, change the shape, size and position of the nasal tip, straighten out the nose, and even hide bumps, all without going under the knife and being forever unrecognizable?
Liquid Rhinoplasty is a non-surgical solution used to temporarily modify the the shape of the nose, enhance your overall aesthetic appearance and boost your confidence. For the right patient, liquid rhinoplasty is a convenient and pain-free alternative to a traditionally invasive method. This strategy allows individual’s to test out surgery with no real, life-changing commitment. It is kind of like the “living together before marriage” ordeal for cosmetic plastic surgery. After all, the nose is the focal point to the face. This will become a standard benefit, or added step in the process, rather than jumping right into things.
The advantages of liquid rhinoplasty seem endless, there is no recovery time required, results are immediate, safe, effective, just not permanent. Liquid rhinoplasty procedures in NYC utilize hyaluronic acid fillers. These fillers, including Restylane and Juvederm are preferred, as they are the easiest to mold and shape. They also may be removed within 24 hours if necessary. Sounds to me like typical cosmetic maintenance for the future. The longevity of the outcome can range based on the specifics of the customized treatment plan. Everything from the brand of fillers to the target area being treated may affect how long the results will last.
Dr. Philip Miller is widely acclaimed as one of New York city’s premier cosmetic and facial plastic surgeons. His 20 years experience and well-deserved reputation as a leading expert in various rhinoplasty revision and treatment give him instant authority to break down why this is the perfect resolve for those who are seeking to improve, but are hesitant for some reason or another.
“Rhinoplasty treatments should be a completely personalized experience. As a top surgeon in NYC, it is my responsibility to provide you with all of the facts and treatment options accessible to you. There are so many different techniques out there, but this advancement that we have perfected has the ability to change the dynamic in cosmetic rhinoplasty, which has seemingly been the same for years. It is very important to educating a person on the different types of services that will meet their needs since their are so many customized factors that can contribute to selecting the proper treatment. Liquid rhinoplasty however, can ease your stress about invasive operations, financial burdens, and any disappointment due to the permanent change you are considering that will ultimately affect your entire life.
I found it so interesting that the industry is moving in this direction. Although I have to admit, I could not help myself as I researched more about liquid rhinoplasty, to reflect back on a scene from “Addam’s Family Values.”
Wednesday Addams told a horrifing camp story to a group of snobby, bubbly tweens, “And the next morning, when the campers woke up, all of their old noses had grown back!” Through liquid rhinoplasty, this has become reality.
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Five Top Common Nose Shapes with Photos
If you are not happy with your nose, then rhinoplasty is always available to enhance and improve you appearance. While this type of procedure does not promise to change you life, it will give you a new lease on how you feel about yourself. Before you consider any invasive procedure however, you need to understand everything there is to know about what to expect during the procedure and afterwards.
To help you decide on your new nose, the following noses are the most common shapes that rhinoplasty patients choose. Your own selection will depend on the shape of your nose now and the symmetry of your face. After all, you want your new nose to enhance—not detract—from your features and appearance.
The Most Attractive Nose Shapes
The Snub Nose Shape
The Snub Nose Shape is a popular choice. An attractive nose, the snub nose is found in approximately 4.7% of the surveyed population. The nose is small and slopes upward at the tip, causing the nostrils to be visible. Noses of this shape are usually smaller and tend to turn up. The tip of the nose is neither round nor flat. With its slightly upturned tip, it gives the impression of a snobbish person. An example of a celebrity who exhibits this type of nose is Carrie Mulligan (see associated picture). Elizabeth Taylor also exhibited a snub nose.
The Roman Shaped Nose
The Roman nose is an over-projected nose shape, which is characterized by an outward curvature in the center protruding from the face. The bridge is pronounced and bent or curved. The nose can appear to be hooked because of its prominent bridge. This nose is often associated with great leaders and signals a person who possesses a strong personality. An example of a celebrity with a Roman shaped nose is actor Ryan Gosling.
The Turned-up Nose
The turned-up nose, also referred to as the celestial nose was found in approximately 13% of the people surveyed in the general population. Research has deemed this nose shape to be one of the most attractive. The concave features of the noses displays a depression in the mid-part and a tip that protrudes. The inward arch is due to a bulky and bulbous tip, which is commonly featured among Caucasians. If the curving of the nose is gentle, then most people find the nose to be quite attractive. For anyone whose curve is more pronounced, then surgery is often an option to improve the appearance. An example of a celebrity with a turned-up nose is Zac Efron.
The Greek-shaped Nose
This nose type is a straight nose type and is often associated with people who are considered to be quite intelligent or in good control of their emotions. Mona Lisa is considered to have had a Greek-shaped nose. An example of a celebrity who exhibits this type of nose is Jennifer Anniston.
The Nubian-shaped Nose
This nose shape is characterized as long with a wide base. This nose is often associated with people who are curious and open-minded. President Barack Obama exhibits this nose type.
Naturally, you don’t have to choose a nose that is exactly like a celebrity. Again, the best nose shape for you must be based on the symmetry and shape of your face and what you hope to achieve aesthetically. If you are realistic about your expectations, you should be well-pleased with the final results.
Schedule a Consultation With NYC’s Top Nose Surgeon
To learn more about nose shapes and rhinoplasty surgery book a consultation with a facial plastic surgeon who has years of experience in predicting procedure outcomes and giving patients the results they seek. Philip J. Miller, MD, FACS who is double-certified in facial plastic and reconstructive surgery, offers over 20 years of experience and knowledge to his patients. A recognized expert in rhinoplasty, Dr. Miller has been frequently invited to share his specific techniques with his peers at various national facial plastic surgery meetings. He has been voted among the Best Doctors in America each year since 2007, and has also been named a Top Doctor of New York. Contact Dr. Miller’s plasic surgery clinic by calling (646) 791-3025.
Septorhinoplasty to improve the nasal bridge of a male patient by Dr. Miller
Nasal exercises after rhinoplasty
Dr. Philip Miller demonstrates how to keep the nasal bones narrowed after rhinoplasty and to facilitiate the reduction of swelling. Watch the video to learn how you can perform these nasal exercises after your nose job surgery.
NYC expert facial surgeon and rhinoplasty specialist, Dr. Philip Miller explains how to alleviate bruising and swelling after a rhinoplasty procedure through nasal exercises. This video shows how to keep the nasal bones narrowed after rhinoplasty and to facilitate the reduction of swelling.
Nasal exercises, which are oftentimes referred to ‘digital’ exercises, are used as part of postoperative instruction towards the recovery process. Nasal exercises typically involve a massaging motion applied to the nasal bones after rhinoplasty or revision rhinoplasty surgery. During the reshaping processes, the coordinate points of the break in the nasal bone benefit best from this technique in order to ensure optimal desired results and satisfied patients after treatment. It is not only a common practice to be performed, but requires the guidance of a top-qualified professional to help guide repositioning and sustain proper care of the nose. Nasal exercises in its simplest term, assist in correcting and/or completing execution to narrow a wide nose during cosmetic rhinoplasty. Nasal exercises are done to help further contour the nose during the rhinoplasty recovery process.
After reconstruction of an individual’s nasal bones, a nasal cast is applied to the area in order to restrict movement and realignment from the new positon. One’s nasal bones have a natural urge to drift back and shift to original placement if not tended to accordingly. Up to 6-8 weeks post-method is a sensitive time for nasal bones to fuse and fully heal from surgery and comfortably adjust to new position.
Nasal Exercise Technique
Nasal exercises, as noted above, imply placement of pressure by pushing on the bone to put it back into the desired position. As instructed by Dr. Miller, it is typically preferred to use the thumb since it provides a larger ‘pad’ to apply pressure directly against the bone. As indicated, only press on the nasal bone inward toward the middle of the nose, which is approximately the upper one-third of the nasal bridge. Avoid pushing on the top section of the bridge. For achieving optimal outcome, maintaining proper position of the thumb print below the plane of the bridge is vital.
It is ideal for patient to push down hard enough to experience a soft degree of pain- like how one pushes through soreness when working out. And just like the “no pain, no gain” mantra, if you not feel that tenderness you are likely not effecting any real change or sustainability. A patient is advised to hold down this position steady somewhere between 10 extended seconds to approximately one minute. This should be executed repeated between 25-40 times throughout the day depending in conjuction with specific recommendations from your rhinoplasty surgeon. A patient’s trained specialist will suggest if there needs to be an equivalent adjacency or if bilateral exercises (push harder on the left versus right or vice versa) are what is necessary. Desired symmetry and stability of the nose is key to the focal point of the face.
Benefits Of Nasal Exercises
The huge benefit of doing nasal exercises following rhinoplasty or revision rhinoplasty is that it can truly optimize the surgical results and achieve the best possible surgical aesthetic.
Nasal reshaping is a collaborative effort between the facial plastic surgeon and patient. There are many variables to be accounted for following any invasive procedure.
Timing and technique will maximize a patient’s overall satisfaction of their surgical experience and their results!
Additional Resources:
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