When you go to a plastic surgeon for a nosejob, breast implants, or liposuction, you never assume that things are going to go wrong. Though it’s true that botched plastic surgery is relatively rare for NYC patients, the sad fact is that it still happens.
While it’s known that botched surgeries can happen, no one really discusses the options for people who have suffered from bad surgery choices. The good news is that there are a number of different options that you can choose, and some of them might be surprising.
Wait it out. It takes 1.5 years for a typical rhinoplasty procedure to heal, and some facial plastic surgeries can require even more time. More often than not, people will balk at the initial results because they haven’t really gotten used to how they were going to look post-surgery, or because of the swelling and scarring. After a while, the surgery usually will end up looking more in line with what the patient wants. When that happens, you may have just saved thousands of dollars by just not jumping the gun for corrective surgery.
Call your surgeon and ask about what’s going on. If you feel like your surgery seems to have gone wrong, if the outcome really doesn’t look right, or if you feel like you may be experiencing a complication, you should not waste a second in calling a medical professional. It is generally for the best to go straight to your facial plastic surgeon. They will be able to tell you what’s going on, and also fix the issue in most cases.
You can go to another doctor to seek guidance and a secondary evaluation, and perhaps entrust them to do corrective surgery. It’s understandable if your trust in your plastic surgeon has diminished. If you really can’t entertain the idea of going back to your first plastic surgeon, then it’s best to go to a licensed plastic surgeon with a great track record for fixing botched surgeries. If you are wise and do your homework about the surgeon you choose, you will end up with a great outcome.
If you’re the only one who sees a problem, you may want to check to see if you have BDD. Believe it or not, the imperfection that you’re seeing in your plastic surgery may be all in your head. People who have Body Dysmorphic Disorder may wrongly believe that their nose, cheekbones, or eyes are flawed when no one else can see what the issue may be. They often resort to plastic surgery to fix the perceived problem over and over again, not realizing that there might not have even been a real aesthetic issue to begin with. If everyone else is insisting that your surgery is perfectly fine, you might have Body Dysmorphic Disorder. With therapy, this disorder can be treated. And, if you have Body Dysmorphic Disorder, chances are high that your problems about how you perceive your body will not go away with another nip and tuck.
If it’s scarring that bothers you, get some scar fading cream, avoid additional surgeries, and stay out of the sun. Scars lighten up after a while, so there’s really no need to panic or try to get more surgery. In fact, if it’s a concern about the scarring, getting more surgery will likely mean that it will take longer to heal and that the scarring will become even more noticeable. If you want to make sure that your scarring is minimal, stay out of the sun and slather on some sunscreen.
Consider getting “quick fix” treatments. For many women and men, it takes a long time to make the swelling go down after plastic surgery, and it’s also common enough for swelling to cause apparent dips and dents in your skin. Needless to say, this can be an embarrassing nuisance. In some cases, temporary dips and dents could be remedied by filler injections. This may be an option that you want to look into with certain kinds of surgery, but not all. If you want a quick, temporary fix, it’s best to ask your plastic surgeon about your options.
Of course, the best way to deal with a botched surgery is to avoid hiring a NYC facial plastic surgeon who isn’t qualified to do it. Sadly, many unqualified, non-certified doctors have performed surgery that resulted in permanent damage to the patient. This is why any plastic surgeon worth their price will tell you to do your homework, get a referral from a reliable source, and also make sure that your surgeon is certified and licensed to practice plastic surgery in the US.
Dr. Philip Miller specializes in facial corrective and revision surgery. He is available to assist in answering any questions or concerns at this time. Please feel free to contact Dr. Miller for more information on which treatments and procedures may be right for you.
About Dr. Philip Miller:
Dr. Philip Miller is widely acclaimed as one of New York City’s premier cosmetic and facial plastic surgeons. With more than 20 years of experience, he enjoys a well-deserved reputation as a leading expert in rhinoplasty and revision rhinoplasty. Dr. Miller is double board certified in Facial Plastic & Reconstructive Surgery and Otolaryngology/Head & Neck Surgery. He is consistently voted one of the Best Doctors in America, as well as a Top Doctor of New York.
Many people in New York City choose to get a nose job for a variety of reasons, including due to medical reasons, deformities, accidents and the desire for a new look. Plastic surgeons carefully help and guide each patient to the procedure that best suits them. Doctors have a goal to improve the harmony of the face and nose. But did you know that a nose job can make you look younger?
The two most common rhinoplasty requests from patients is the desire to have a dorsal hump on the bridge of their nose changed or changes to the nasal tip rotation. These two rhinoplasty procedures are known to provide older patients with a more youthful look. Other rhinoplasty procedures can also give a patient a more youthful look, but these two changes are more evident than the others. The American Academy of Facial and Plastic Reconstructive Surgery has stated that patients who receive a dorsal hump reduction or a 10 degree rotation of the nose tip tend to look two years younger.
Plastic surgeons also have found that when a patient successfully experiences a nose job it can positively affect their self perception. Commonly causing their self esteem to rise and their self confidence boost as well. The new found, improved self perception allows the patient to radiate happiness and feel pride in their looks, also presenting a more youthful look.
Patients who embrace their newly structured nose and enjoy the way it makes them look tend to feel encouraged to make the rest of their appearance reflect their inner happiness regarding their looks. Frequent changes patients make are updates to their hair style and color, clothing style, makeup and much more. At times patients will improve the appearance of their body by starting a new exercise routine. All of these changes will also contribute to a more youthful looking appearance.
As people age their entire bodies change, including their nose. An aging nose may experience weakening of the nasal tip which can result in the dorsal pseudohump. The nose can also lengthen and the tip can rotate. Many patients who experience these natural changes can look in the mirror and not feel positive about their reflection. By seeking a rhinoplasty procedure in NYC to improve the nose structure and possibly even restore it to its original look, is the first step towards a younger looking appearance.
If you are uncomfortable with the size or shape of your nose, you’re in good company. Rhinoplasty is the most popular procedure performed each year. With the right doctor, rhinoplasty can yield great results for patients in NYC. We recommend these 7 rhinoplasty preparation tips to achieve the best possible results. (more…)
Steady, confident eye contact is essential to conveying both your strength and your openness to friendship, trust, and intimacy. But what if you’re not confident about your eyes themselves — because you think your eyes make you look old and tired?
Phillip J. Miller, MD, FACS, is an artist-trained, double-board certified facial plastic surgeon who knows that the benefits of looking your best go far beyond the superficial. If you feel that your eyes are showing more age than you feel, he has a number of effective surgical and nonsurgical therapies to bring the twinkle back to your confident gaze, at his convenient New York City medical center.
Reduce Squinting
There’s a reason why Botox® has been part of expert facial plastic surgeons’ toolboxes for more than 30 years. With just a few pricks of a needle, Dr. Miller delivers the neuromodulator to your forehead or around your eyes to stop your muscles from making expressions that wrinkle your skin. Within days to two weeks after receiving Botox, you’ll have a smoother, more youthful brow, and your crow’s feet will disappear. Botox allows you to make natural expressions, but you won’t be able to squint hard or frown enough to cause wrinkles again. Botox lasts from 3-4 months.
Address Eye Hollows
Even if you’re young, you may have deep, dark hollows under your eyes that make you look years to decades older. Sometimes hollows are just a sign that you need more sleep. Sometimes they’re due to your genetics. Most often, they’re caused by loss of youthful collagen and fat in your skin.
When you come for a consultation, Dr. Miller and his team analyze your tear troughs to determine the best way to remove your under-eye circles. If you’ve lost fat and collagen in your tear-trough area, Dr. Miller quickly remedies your problem with a soft, thin, hyaluronic-acid (HA) based, injectable dermal filler, such as Juvéderm Volbella or Restylane Silk. These fillers plump up your tear troughs so that your skin is smooth, silky, and even with your cheekbones again. He injects the HA filler deeply into your skin, avoiding the bluish “Tyndall effect” that inexperienced injectors sometimes cause. Well-performed HA rejuvenations under your eyes can last from 6 months to a year.
If your skin is naturally darkened under your eyes due to genetics, filling in your tear troughs may not be sufficient to make your eyes look clear, smooth and youthful. He may recommend laser therapy or other treatments to improve the quality of and lighten the skin underneath your eyes.
Lift Your Brow
Sagging brows and eyelids are almost always due to aging, and that’s how people read them when they look at you. Even if you’re full of energy and raring to go, droopy eyelids make you appear like you need a nap. Depending on how severe your sagging lids and brow are, Dr. Miller may recommend nonsurgical or surgical remedies.
If you’re in the early stages of sagging, Dr. Miller can build up your brow bone with Juvéderm, smoothing out wrinkles and pulling your eyebrows and upper lids subtly but effectively higher.He might also enhance the effect by using Botox to relax the muscles that pull your brows downward. You’ll look naturally more alert and rested with nothing more than a few injections. Dermal fillers last up to a year. Botox should be repeated every 3-4 months.
If these remedies — either singly or in combination — aren’t enough in your case, Dr. Miller may recommend a surgical brow lift. He removes and tightens weak eyelid and forehead muscles, repositions and tightens skin, and trims away the excess. He hides the incisions in your hairline so that they can’t be seen when they heal.
Dr. Miller is an expert in the anatomical differences between male and female hairlines and brows. He ensures that your hairline isn’t too high and that your brows look youthful but completely natural, too.
Open The Eyelids
When dermal fillers aren’t enough to smooth your under-eye bags, or if you also have drooping upper eyelids, Dr. Miller may recommend a surgical eyelift. With upper blepharoplasty, Dr. Miller tightens the muscle on your upper lid, then repositions and tightens the skin, trimming away the excess. He hides the incision in the crease of your eye so that the scar becomes nearly invisible.
If you need lower blepharoplasty, Dr. Miller removes just enough excess fat from your eye bags to make your tear troughs look more youthful, then tightens the underlying muscle, tightens the skin, and trims away the excess. Most of the time, he can hide the incision on the inside of your lower lid, so the scar can’t be seen. To learn more about surgical eyelifts, visit ncbi.nlm.nih.gov
Remodel your temples
The facial volume you lose in your temple area can make your eyes look older. If you’ve noticed that the side of your face has indents between your forehead and the top of your cheekbones, you’ve lost youth-giving fat and collagen in your temples. Dr. Miller restores the youthful contours of your face with Juvéderm.
Refresh Your Eyes At Our New York Surgical Center Today
To restore youth and confidence to your eyes and convey the vitality you feel, contact Dr. Miller today for an eyelid anti aging consultation. Book your consultation online.
Social media is a very visual medium –it’s a virtual place to see and be seen. Therefore, it’s no surprise how daily postings can somehow fuel our vanity or our quest for having the perfect selfie. Did you know that selfies can make your nose look about 30% larger? It’s because of how the camera on the phone distorts objects up close. Due to this, some people are convinced that no photo-editing app is good enough to make themselves and their noses look flawless and that undergoing plastic surgery is the only key to achieving social media-approved beauty. This has led to a meteoric rise in the popularity of rhinoplasty, also known as a “nose job.”
Despite the apparent popularity of rhinoplasties, you should have a keen awareness that not just any surgeon is right for the job. One of the most crucial steps in guaranteeing a satisfactory nose procedure outcome is choosing the right surgeon. Rhinoplasty is one of the most challenging cosmetic procedures to perform, so you should only trust a surgeon with rhinoplasty expertise, experience, and skill. A great surgeon is also a good listener, a compassionate and patient caregiver, and an effective communicator.
For patients in New York City who seek a nose job with reasonable expectations and their desire comes from a “healthy place”—perhaps, to improve self-esteem or to correct a functional issue – facial plastic surgeon Dr. Philip Miller will combine his expertise and skill with his artistic eye to produce impeccable results that are life-changing.
Surgical And Non-Surgical Rhinoplasty Options
Your nose is one of the most prominent features of the face as it brings balance to your facial profile. That’s why it’s often the first thing people notice on your face. If you feel that your nose detracts from your whole face, diminishing the beauty of your eyes or other facial features, and more importantly, if you have trouble breathing, you may be a candidate for a rhinoplasty.
Voted among the Best Doctors in America and Top Doctor of New York since 2007, Dr. Miller has lectured on cutting edge rhinoplasty techniques, including his innovative NatraNose procedure, and even written chapters for rhinoplasty and neck rejuvenation textbooks. He can provide custom cosmetic treatment plans that include a combination of advanced procedures and minimally-invasive techniques to help you achieve your desired results.
Which Nasal Procedure Is Right For You?
Nose shaping was the third most popular cosmetic surgical procedure performed in 2018 according to the American Society of Plastic Surgeons report, so it is important to know the facts of what rhinoplasty means and the process behind the types of procedures. Each procedure will have its own set of advantages. While a non-surgical nose job will involve no pain, no recovery time, no scarring, and will cost less than a traditional rhinoplasty, it cannot address all nasal issues. A non-surgical rhinoplasty utilizes injectables, and injectables can only be used for augmentation and not a reduction. For larger cosmetic nose concerns, surgical rhinoplasty is still the best long-term solution.
As a leading rhinoplasty surgeon who has devoted most of his career to the human nose, Dr. Miller can help recommend the best approach to achieve your aesthetic goals. He can even use virtual rhinoplasty to help you visualize nose job results from the comfort of his office. Virtual Rhinoplasty uses the latest in technology and computer imaging to provide patients with the ability to see what the results will look like even before undergoing any procedure. This gives you the opportunity to explore how different changes to your nose will impact the final results.
One major benefit of this technology is that it provides a visual tool for communication between surgeon and patient. This will help Dr. Miller understand your nose job goals as well as make the necessary recommendations that will ensure that both of you are on the same page before any procedure begins.
Rhinoplasty
A rhinoplasty can change the shape of your entire nose or just a small portion of it with the goal of making it fit more harmoniously with the rest of the face. These are the specific changes often requested during a nose job:
Improve the crooked appearance of the nose to achieve symmetry
Remove a bump or hump in the nose
Reduce the size of the nose
Increase the size of the nose
Reshape the nose
Narrow or refine the nasal tip
Alter the tip projection
Reduce Wide Nostrils
The 1 ½ – 2 ½ hour procedure may be done either under general anesthesia or under sedation. Most incisions are made inside the nostrils, or a small one made along the natural creases found on the sides or near the base of the nose.
Skin is then lifted from the underlying cartilage and bone, and the nose is recontoured and reconstructed. The incisions heal quickly and leave scars that are nearly invisible. Dr. Miller also offers variations of his nose surgery procedures depending on your age, gender, ethnicity, and desired goals. Examples are Teen Rhinoplasty, Male Rhinoplasty, MicroRhinoplasty, Ethnic Rhinoplasty, and Revision Rhinoplasty.
Non-Surgical Rhinoplasty
Not everyone will need surgical rhinoplasty. As one of New York City’s top rhinoplasty surgeons, Dr. Miller understands that not every patient who desires to alter their nose will need invasive surgery to achieve dramatic results. For patients like these, or for those not ready for surgery and would like something temporary, Dr. Miller has developed a specialized area of practice that will give you the transformation you want using non-surgical methods.
Also referred to as a liquid rhinoplasty, a non-surgical nose job allows surgeons to alter the nose’s shape, size, the position of the nasal tip, or to hide bumps. It is a quick, pain-free alternative to invasive surgeries for correcting undesirable noise characteristics.
Hyaluronic acid fillers such as Restylane, Perlane, and Juvéderm are the preferred injectables for a liquid rhinoplasty. They are the easiest to mold and shape, and can be removed within 24 hours should you wish to have the results reversed. Radiesse may also be used under certain circumstances. When injected, these fillers will smooth and contour the existing nasal structure, helping you achieve a nose that creates facial balance and harmony. Results can last up to a year before the procedure needs to be repeated to maintain optimal results.
Consult With A Rhinoplasty Expert In New York
Double board-certified in Facial Plastic and Reconstructive Surgery as well as Otolaryngology/Head & Neck Surgery, Dr. Philip Miller is one of the country’s leading experts in rhinoplasty and facial rejuvenation. As a renowned facial plastic surgeon who trained as an ear, nose, and throat specialist, Dr. Miller has extensive experience dealing with the nose. For more than two decades in Manhattan, he has dedicated his career to providing patients with customized surgical and non-surgical facial procedures. To learn more, contact Dr. Miller today.
Performed by New York City’s #1 double board-certified facial plastic surgeon with 20+ years of experience in eyelid rejuvenation and facial aesthetics.
Eyelid Surgery Photos Before and After
Refresh your appearance and look more alert with expertly performed blepharoplasty. See before and after photos of real eyelid surgery patients and envision your own transformation.
Smooth under-eye bags and puffiness with a procedure designed to create a rested, refreshed appearance.
Transconjunctival Blepharoplasty
Address under-eye puffiness without visible scarring by removing fat from inside the lower eyelid.
Laser Blepharoplasty
Enhance results and minimize downtime with laser-assisted techniques for more refined contouring and quicker healing.
Combined Eyelid and Brow Procedures
Create comprehensive rejuvenation by combining eyelid surgery with a brow lift or other facial enhancements.
Why Choose Dr. Miller?
Dr. Miller is a recognized leader in blepharoplasty and facial plastic surgery, offering expert care and innovative techniques for eyelid rejuvenation. Choosing Dr. Miller ensures:
Specialized expertise from a double board-certified facial plastic surgeon with a focus on the eyes and face
Customized eyelid surgery using the NatraLook® process to align your aesthetic goals with natural results
Access to surgical and non-surgical options for upper blepharoplasty and lower eyelid procedures
Treatment in a fully accredited, state-of-the-art surgical facility in New York City
Peace of mind from Dr. Miller’s recognition as a Castle Connolly Top Doctor for over a decade
Refresh and Rejuvenate Your Eyes
Request a consultation with Dr. Miller, and our team will respond within 24 hours
We’ll work with you to schedule a 60-minute consultation with a $400 consult fee that applies to your procedure
Dr. Miller will use his NatraLook® process to assess your eyelids and listen to your goals
You’ll receive a customized blepharoplasty plan
Once aligned on a treatment approach, we’ll schedule your eyelid surgery at your convenience
Procedures typically take 1–2 hours, depending on complexity
Our team provides attentive post-op care before you return home—with transportation assistance if needed
Frequently Asked Questions
What causes sagging or puffy eyelids?
Eyelid sagging and puffiness are often caused by aging, genetics, or the weakening of muscles and connective tissues around the eyes. Fat deposits may shift or protrude, and skin loses elasticity, leading to a tired or aged appearance. Environmental factors like sun exposure and lifestyle habits also play a role.
Who is a good candidate for blepharoplasty?
Ideal candidates are in good health and want to improve the appearance of drooping upper lids, under-eye bags, or impaired vision due to sagging skin. A consultation will help determine if upper blepharoplasty or lower eyelid surgery—or a combination—is right for you.
What is recovery like after eyelid surgery?
Most patients experience mild swelling and bruising for about 7–10 days. Discomfort is minimal and can be managed with over-the-counter medications. Stitches are typically removed within a week, and most patients return to normal routines shortly after.
How long do blepharoplasty results last?
Results from eyelid surgery are long-lasting—often 10 years or more. While no procedure can stop the aging process entirely, eyelid rejuvenation can dramatically turn back the clock and maintain a more rested, youthful look.
What are the risks of eyelid surgery?
As with any surgical procedure, there are potential risks, including temporary blurred vision, dry eyes, scarring, or asymmetry. These complications are rare, and Dr. Miller uses meticulous techniques and detailed follow-up care to minimize risks and ensure optimal results.
Can eyelid surgery be combined with other procedures?
Yes. Many patients choose to combine blepharoplasty with a brow lift, facelift, or non-surgical treatments like Botox for more comprehensive facial rejuvenation. Dr. Miller will create a personalized plan to help you achieve natural-looking, balanced results.
What should I expect during my consultation?
During your consultation in New York City, Dr. Miller will evaluate your facial structure, discuss your goals, and review treatment options. You’ll receive a detailed surgical plan and a clear understanding of what to expect before, during, and after your eyelid surgery.
How to Contact A Qualified New York Facial Plastic Surgeon
To learn more about how specialized training in facial plastic surgery can make you look like your ideal self, contact my knowledgeable and helpful team to set up a consultation. You can phone the office directly, or fill out the online message form.
Cookie Consent
We use cookies to enhance your browsing experience, provide personalized content, and analyze our traffic. By clicking "Accept All Cookies," you consent to our use of cookies. You can manage your cookie preferences or opt-out at any time by clicking "Cookie Settings." For more details, read our Privacy Policy.
