You’re ready to reshape your nose and light up your face with an expertly performed rhinoplasty. You want to make sure you get a result that is both natural and beautiful. But you’re also concerned about the cost. Is it time to search through Groupon deals, or book a trip to another country for bargain-basement surgery?
Calculating the cost for nose reshaping gets even more complicated when you consider the numerous options that fall under the rhinoplasty category:
What procedure is right for you and what will you need to pay to get the right treatment for your needs and goals? Will insurance cover any of the costs? Is there a way to get the results you want and save money at the same time?
When a Bargain isn’t a Bargain
If you’re savvy about your finances, you already know that so-called “bargains” can ultimately cost more than quality goods. That’s especially true when it comes to rhinoplasty, which is one of the most complex cosmetic facial plastic surgeries performed today.
Because your nose is the central feature of your face, you can’t hide surgical mistakes or hope that no one notices them. You need to get it right the first time, to save yourself money and emotional distress. Keep in mind that the nose is also a vital organ and an essential part of your respiratory system. It is imperative that it still functions well after surgery. Only an expert can ensure the best result.
Choosing Your Rhinoplasty Surgeon
Philip J. Miller, MD, FACS is a double board-certified facial plastic surgeon in New York City who specializes in rhinoplasty. He has lectured on innovative rhinoplasty techniques at the International Symposium of Facial Plastic Surgery, written chapters on rhinoplasty for medical textbooks, and specializes in his patented NatraNose® approach to rhinoplasty procedures.
Cost of Rhinoplasty by Type
When estimating the cost of rhinoplasty, begin by determining which type of rhinoplasty procedure will meet your needs best. To help patients interested in rhinoplasty, Dr. Miller offers the following information:
Primary Rhinoplasty
Your first nose job is considered a primary rhinoplasty. The average price can range from $6,000 to $25,000, depending on your location and the expertise of your surgeon. You might also opt for tip plasty, which is less expensive, but only improves the look, angle or shape of the nasal tip.
The nose is a highly complex, finely sculpted structure that consists of a variety of tissue types, including skin, cartilage and bone. Lack of expertise working with any of these mediums can result in a nose that heals incorrectly and calls unwanted attention to itself. However, a beautifully executed rhinoplasty corrects defects in the size, shape and angle of your nose.
With an expert facial plastic surgeon such as Dr. Miller, you can expect aesthetic improvements such as:
Shorter nose
Straighter nose
Removal of bumps
More symmetrical nostrils
Thinner or wider nostrils
Thinner nose
Larger nose
More defined tip
Nose proportionate to other facial features
Ideally, your primary rhinoplasty is so successful that after your one-year healing period, your new nose is everything you dreamed it would be. Your choice of surgeon is imperative to ensuring a positive result the first time around:
A surgeon who is not board-certified as a facial plastic surgeon, or even a plastic surgeon who doesn’t specialize in rhinoplasty, can leave you with a nose that looks worse than your original nose. Revision surgery may cost between $7,500 to $30,000 to improve your initial results.
Keep in mind that it can take up to a full year to heal after rhinoplasty and determine whether a revision is necessary. Common reasons for needing a revision rhinoplasty include:
Too much cartilage removed (collapsed nose)
Over-rotated tip (pig-like nose)
Difficulty breathing
Drooping tip
Crooked nose
Asymmetric nostrils
Nose doesn’t harmonize with facial features
Nose is inappropriate for ethnicity or gender
If your surgeon botched your primary rhinoplasty, you could require multiple revision rhinoplasties to achieve the result you want. When the mistake is minor and you are comfortable returning to your original surgeon for revision, you may not be charged, or you could pay a reduced price. If you changed your mind about what you wanted, or if the mistake is so grave that you no longer trust your surgeon, you may have to pay substantially more for a new surgeon. That’s why seeking out a bargain for your first rhinoplasty isn’t a wise choice.
Revision rhinoplasty is even more challenging than the original procedure. Even a well-executed primary rhinoplasty creates scar tissue in your nose. A nose job that is poorly done could leave a significant amount of scar tissue, while creating structural problems that may be difficult to rectify.
If you need a revision rhinoplasty, it is imperative that you find a surgeon who specializes in this procedure. The quality of your cartilage, bone, and skin have already been compromised by your first surgeon. You now require expertise to compensate for that structural damage. Dr. Miller is an expert at correcting mistakes made by other surgeons to create the best outcome for you.
Nonsurgical rhinoplasty
Nonsurgical rhinoplasty costs about 10 times less than a surgical nose job. Charges range from $400 to about $1,800, depending on your location, the expertise of your surgeon, and the amount of filler that’s required to improve your nose. The best candidate for nonsurgical rhinoplasty is a man or woman who is happy with the length and shape of the nose but would like to address bumps or asymmetries. This procedure is accomplished with the aid of hyaluronic acid- based dermal fillers.
Dr. Miller also uses liquid rhinoplasty to reshape and reposition your nasal tip. Other than some soreness and swelling directly after the injections, you won’t have any recovery time or side effects from liquid rhinoplasty. You will also see immediate results and if you don’t like them, the filler can be dissolved.
Even though nonsurgical rhinoplasty is much less complex than rhinoplasty surgery, it still requires knowledge about facial anatomy, aesthetics, and harmony. Don’t trust your liquid rhinoplasty to an inexperienced provider. Select a board-certified doctor who is qualified the produce the best possible result for you.
If you’re nervous about rhinoplasty or you want to make some improvements to your nose while saving up for primary rhinoplasty surgery, nonsurgical rhinoplasty with dermal fillers is a great place to start. Many women and men opt for a nonsurgical nose job first, as a way of “auditioning” a potential new nose shape. Others are so happy with their results that they continue touching-up their nose with fillers, without ever moving to surgery. You will need to schedule touch-up procedures periodically to maintain the results of your liquid rhinoplasty. Surgery provides permanent results.
Septoplasty (functional nose job)
If you have a deviated septum, it means the nasal bone and cartilage that divide your nose in half is not straight. The septum can take up extra space in one of your nostrils, making it hard to breathe. Many women and men require a septoplasty to correct this problem. Since a deviated septum is a medical condition that impairs your ability to breathe easily through your nose, your septoplasty may be covered by your medical insurance:
When you combine rhinoplasty with septoplasty, only the portion of the operation that’s medically necessary is eligible for insurance coverage. Aesthetic improvements are not eligible for coverage or reimbursement. Never trust an unethical surgeon who tells you they are covered or try to manipulate the system to pay for your cosmetic surgery.
What you’re paying for
In addition to paying for the expertise and skill of your surgeon, rhinoplasty has several other expenses to consider when making a final decision based on price:
Your procedure may vary depending on how complex and difficult it is. Dr. Miller’s quotes are always all-inclusive, and include the following:
Surgeon’s fee
Anesthesiologist’s fee
Anesthesia
Surgical center
Postsurgical care (follow up visits and tests)
Medication-related to surgery
Bandages and wraps
Dr. Miller has the advantage of his own surgical suite, which helps you avoid an expensive hospital stay. When consulting with other facial plastic surgeons who specialize in rhinoplasty, always ask for a complete breakdown of their price, so you won’t be surprised by add-ons in the end.
To set up a consultation with an expert in rhinoplasty that can give you the aesthetically pleasing, well-formed nose and the Aesthetic Confidence® it inspires, contact Dr. Miller in NYC today.
The revolutionary use of stem cells in medicine is now being hailed as the latest breakthrough in the ongoing battle against the natural aging process. Stem cells are unique in that they are literally the tabular rasa, or blank slate, in cellular biology. They are known as “undifferentiated” cells, meaning they have the potential to be transformed into other types of cells – a liver or heart cell, or a skin cell – or regenerate old or damaged tissue.
This is why stem cells are frequently viewed as the body’s natural fountain of youth.
The Stem Cell Facelift is a new facial cosmetic procedure utilizing adult stem cells harvested through liposuction from a patient’s own fat tissue. The fat stem cells are then separated out and comingled with stem cell growth factors, which activate and energize the stem cells. The mixture is then injected by a qualified physician into specific areas of the patient’s face to restore lost facial volume and a youthful appearance.
The technique promises a complete facial rejuvenation, and a growing number of patients are looking into this less invasive procedure with much hope and anticipation.
The Stem Cell Facelift does indeed hold promise because of its efficient use of the body’s own rejuvenation potential to regrow or replace tissue that is lost as a result of normal aging. The use of stem cells has had remarkable results in the treatment of spinal cord injuries, for example.
The advantages associated with the use of stem cells in facial cosmetic procedures, however, should be weighed against any potential risks as the technology is still in its infancy. In one extreme case, a patient who had the procedure went back to her plastic surgeon with bone shards growing inside her eyelids.
Stem cell technology in cosmetic surgery is an exciting development that still has a long way to grow. One, therefore, should not overlook other non-invasive procedures with proven track records of success, such as Botox and injectable fillers used to remove facial lines and wrinkles, as well as time-tested surgical procedures like the traditional facelift.
Dr. Philip Miller is a board certified facial plastic surgeon with offices located at 60 East 56th, Third Floor, New York, N.Y. Call (646) 791-3025for a personal consultation.
You thought you knew everything about facial plastic surgery and cutting-edge aesthetic procedures. And maybe you do! But if you don’t, the following are a few of the lesser-known surgical aesthetic enhancements that I perform for women and men who want to boost their physical appearance as well as their self-confidence. As a double-board certified facial plastic surgeon in New York City who also trained as an artist, my goal is to make you look like the very best version of yourself and increase your Aesthetic Confidence®:
The entire outpatient buccal fat removal surgery only takes about an hour and can be done under general or local anesthesia. During this procedure, I make a small incision inside both cheeks, so you won’t have a visible scar. With care and precision, I sculpt away excess fat to create cheeks that are lean and beautifully contoured.
The incisions are then closed with dissolvable sutures. You can return to work or regular activities as soon as the next day. To learn more about buccal fat removal, visit ncbi.nlm.nih.gov
Looking to achieve a strong jawline through a cosmetic procedure has become so popular that according to the American Academy of Facial Plastic and Reconstructive Surgery, general plastic surgeries are on the rise. But my patented G.I. Jaw procedure is more than simply inserting a medical-grade jaw implant or building the jaw non-surgically with long-lasting dermal fillers. I may also recommend other changes to create a more masculine appearance, which keeps your new jawline in harmony with your other features. Recommendations may include:
Dermal fillers to build volume in cheekbones and mid-face
My aim is to create improvements that convey more strength and masculinity, while still looking natural and like yourself.
Inserting medical-grade implants is a minimally invasive procedure that can be done in the office under local anesthesia. You may experience some swelling or discomfort afterward. Generally, most men don’t have discomfort following a nonsurgical G.I. Jaw procedure performed with dermal fillers.
Using specialized tools, I insert a high-tech, air-powered micro-rasp into the incision and gently reshape your nasal bone and cartilage, sculpting away humps and bumps. The end result is a nose that’s straighter, more aesthetically pleasing, and in better harmony with the rest of your facial features.
Unlike traditional rhinoplasty, which is performed under general anesthesia and may take several hours, micro-rhinoplasty is done in my Manhattan office under local anesthesia. The entire procedure only takes about 5-15 minutes.
Your recovery time is also cut down. You’re swollen for a few days after your procedure but can return to most of your normal (non-strenuous) activities within 1-2 days.
Book a Facial Plastic Surgery Consultation in New York Today
When it comes to cosmetic surgery, your satisfaction with your results can have emotional and psychological benefits. It makes sense. When you look good, you feel good. If you’re ready to get your Aesthetic Confidence® back, contact Dr. Miller and his staff at his New York office today to schedule a plastic surgery consultation.
In addition to adorable puppy ears, floral headpieces, and new pairs of sunglasses to try on, Snapchat also offers face-perfecting filters that instantly smooth out your skin and give you bigger eyes, a smaller nose, and a thinner face. While it may seem all fun and games at first, teenagers can become obsessed with their filtered selfies and may go to great, social media-approved lengths to be able to “Facetune” their faces in real life, with the help of a cosmetic surgeon. Those who choose to undergo plastic surgery in New York City to look like their pixel-perfect selfies may be suffering from an underlying mental health condition called Snapchat Dysmorphia.
What Is Snapchat Dysmorphia?
Social media platforms like Snapchat and Instagram and photo-editing apps like Facetune are contributing to a dangerous trend where people are feeling insecure about not looking as beautiful and flawless as their own filtered selves that have garnered ego-boosting hearts and “likes” from their followers.
Dubbed as “Snapchat Dysmorphia” by a group of dermatologists at Boston University, this new phenomenon has patients seeking out cosmetic surgeries in an attempt to look identical with the filtered versions of themselves –with a thinner nose, bigger eyes, and fuller lips. The paper which was published in the JAMA Facial Plastic Surgery Viewpoint also mentions how Snapchat Dysmorphia is a new twist on the condition known as Body Dysmorphic Disorder in which people have an excessive preoccupation with their perceived flaws. What is happening right now is a significant rise in “selfie” surgery requests and instead of patients bringing in photos of celebrities who possess their ideal nose or face shape, they are now presenting highly-edited selfies fit for an airbrushed cover of a glossy magazine. “This is an alarming trend because those filtered selfies often present an unattainable look and are blurring the line of reality and fantasy for these patients,” the paper read.
Social media, it seems, is shaping our concept of beauty and is putting the spotlight on our flaws as we attempt to achieve physical perfection offline. No matter how advanced and innovative the techniques in plastic surgery are today, attempting to measure up to your altered images can be unrealistic, unattainable, and unhealthy. This is why it is important that you consult with a double-board certified facial plastic surgeon like Dr. Philip Miller. Dr. Miller and his team can help you achieve healthy aesthetic changes that can highlight your natural, unfiltered beauty.
No Filter Needed
Dr. Miller and his New York team can help you healthily achieve your aesthetic goals. His expertise ensures you will have a natural and refreshed look, not just what you see in altered and heavily filter pictures.
Some of the best available treatments today don’t even need a scalpel and can be done in a lunch hour with minimal downtime. And what is brilliant about these non-surgical procedures is that you will still look like yourself –just fresher, younger, and more radiant with glowing skin, a sharper nose, and a taut jawline. These are the non-surgical face and skin-transforming treatments that can be performed by Dr. Miller:
Non-Surgical Rhinoplasty
Also referred to as a liquid rhinoplasty, a non-surgical nose job allows the surgeon to subtly alter the nose’s size, shape, position of the nasal tip, as well as straighten the nose and hide bumps through the use of injectable fillers.
A non-surgical nose job is a pain-free alternative to surgical procedures for correcting undesirable nasal characteristics. And since injectable fillers are used, the results are immediate. In addition, if you are unsatisfied with the results, the fillers can be dissolved within 24 hours. Non-surgical rhinoplasty has no long-term effects, making you a potential candidate for a traditional rhinoplasty in the future should you still desire to undergo the procedure. A MicroRhinoplasty™ is a less invasive alternative to a traditional rhinoplasty as well.
Dr. Miller is considered one of the country’s leading experts in rhinoplasty and facial rejuvenation and has even lectured on innovative rhinoplasty techniques as well as written chapters for rhinoplasty textbooks.
Botox
Those who want to look more youthful by smoothing their fine lines and wrinkles are good candidates for Botox injections. FDA-approved to treat crow’s feet and frown lines, Botox works by blocking nerve impulses to the facial muscles, causing dynamic wrinkles to soften and relax. Skin will appear smoother and less wrinkled, giving you a refreshed and rejuvenated appearance.
Dermal Fillers
With over 20 years of experience, Dr. Miller is recognized as an expert in facial rejuvenation procedures, including filler injections. Dermal fillers are made from hyaluronic acid (HA) which is a natural substance within the skin that’s responsible for keeping the skin supple and hydrated while adding volume. We lose HA as we age, resulting in skin’s lack of moisture, strength, and volume. When injected into the skin (cheeks, around the eyes and mouth area, chin, or lips), fillers will replace lost volume to plump and contour the face. Examples of dermal fillers include Juvéderm and its products (Voluma, Ultra, Ultra Plus, and Volbella), Restylane, and Radiesse (calcium hydroxylapatite).
Dermal fillers combined with Botox can work wonders in rejuvenating the face. They create a powerful anti-aging treatment that gives the face a natural lift as they relax and fill in those lines, wrinkles, and hollow areas while redefining the contours of the face.
Treatments For Skin Resurfacing and Tightening
Laser, light, and energy devices can help address signs of aging such as fine lines and wrinkles, blemishes, and pigmentation through short and direct pulsating beams of light that create heat points or micro-injuries in various depths of the skin, triggering the skin’s natural healing process. Skin becomes smoother, tighter, and clearer, with improved tone and texture. Examples of treatments include:
CO2 Resurfacing Laser Treatment – creates microscopic treatment areas where shafts of intense light penetrate into the deeper layers of the skin. During the healing process, old, damaged skin is replaced with new skin that is smoother, tighter, and more radiant. The laser effectively treats acne scars, blotchy skin, deeper wrinkles, and scars from surgery or trauma.
Ultherapy – Dr. Miller is among the first in New York City to offer the Ultherapy treatment for toning and lifting loose, lax skin without any downtime. It uses safe ultrasound energy to trigger collagen production, resulting in tighter skin and a more youthful, contoured appearance on the brow, chin, and neck.
Fractora & Fractora Firm – Fractora utilizes fractional radiofrequency technology to resurface the skin, effectively correcting common skin concerns such as fine lines and deep wrinkles, redness, brown spots, visible blood vessels, and poor skin texture. On the other hand, Fractora Firm is an advanced skin rejuvenation treatment that uses thermal energy to deeply heat beneath the skin, stimulating collagen formation which results in tighter, more youthful, and glowing skin.
Choosing the Right Surgeon
Focusing exclusively on the face for more than two decades in New York City, double board-certified facial plastic surgeon Dr. Philip Miller seamlessly blends art and science with skill and innovation to provide his thousands of patients with impeccable results. With his compassionate and empathetic approach to treating patients, he will work with you to highlight your best attributes instead of focusing on your flaws. And with the many non-surgical procedures he can perform, transformation need not be drastic. Enhancing your features could mean subtle yet beautiful, natural-looking results that will help you achieve the best version of yourself.
Consult With New York’s Facial Plastic Surgery Specialist
Dr. Philip Miller and his team of top-rated facial plastic surgery experts can provide you with a custom cosmetic treatment plan consisting of a combination of advanced, non-surgical procedures that will help you achieve the Aesthetic Confidence you desire. To learn more, contact Dr. Miller today.
A rhinoplasty, more commonly known as a nose job in New York, is treated by most people as a simple act of shopping –that is, purchasing a new nose. I know it sounds easy and straightforward. It begins by you wanting to correct an issue with your nose. So, you browse through social media and “shop” for the celebrity nose you like, then set an appointment with your surgeon.
Simple, right? Not really. Whenever you plan on undergoing invasive cosmetic changes, there is one crucial factor that must be addressed: your EXPECTATIONS for your surgery. In this blog, I share some of my tips for managing your expectations about getting a nose job and one crucial element for getting the nose you will love.
Only Use Celebrity Noses As Inspiration
During a rhinoplasty consultation, I ask my patients to thoroughly discuss their desired results. This way, we can share a Unified Vision. A Unified Vision incorporates the patient’s aesthetic goals along with what I deem is surgically feasible with their given anatomy. Often times when we find certain individuals attractive, we naturally go about wanting to emulate their facial features. Celebrities under the spotlight often have variants of a slim, dainty nose that is turned-up, a.k.a. the celestial or “button nose.” My patients often bring in photos of celebrities; Jennifer Lopez, Kim Kardashian-West, Scarlett Johansson, Angelina Jolie, and Meghan Markle are amongst the most popular rhinoplasty examples.. Patients like to come prepared and bring in these photos as a point of reference for how they’d like their noses to turn out. I prefer my patients to bring in these photos because I use them as an effective communication tool to determine what the patient desires, as well as to see how realistic their expectations are.
The Goal of Rhinoplasty
I explain to my patients that the goal of a rhinoplasty procedure is to reshape the nose to create an overall improvement to the facial structure and aesthetic. In other words, a nose job can help you improve the balance of your facial features which ultimately will increase your self-confidence. But don’t expect that someone else’s nose will look right for your face. It should not be your goal to match somebody else’s appearance, but only take them as a source of inspiration. Everybody is unique in their facial features and therefore, should also be treated as such. I help my patients create a natural-looking nose that will complement their features and honor their ethnicity, rather than give them a “cookie-cutter nose” from a celebrity. To learn more about rhinoplasty, visit medlineplus.gov
Managing Realistic Expectations
There is no such thing as a perfect nose because “perfect” has a fluid and subjective definition. It will depend on the patient’s facial structure, size, and balance. Facial plastic surgeons can produce amazing results through modern rhinoplasty techniques, but there are always limitations. Going back to having a celebrity nose –if you specifically want to have a Meghan Markle nose, you’d probably end up having to alter your entire facial structure instead of just your nose. It is very important to have an open mind during your consultation so you can listen to your surgeon’s recommendations on what the “perfect” nose is for YOU. By understanding the procedure and having a more thoughtful and practical approach to your results, you will be giving yourself a better chance of having complete satisfaction with your rhinoplasty outcome.
Consult With A Recognized Expert In Facial Plastic Surgery
Your realistic expectations for your nose job will serve as the foundation for your cosmetic surgery. And as the surgeon, I will become the foundation of its success. Rhinoplasty is a complex surgical procedure that requires experience, expert knowledge, and top-notch skills. To set yourself up for a successful journey, begin by choosing the best facial plastic surgeon. You can review the criteria here.
I am double board-certified in Facial Plastic and Reconstructive Surgery, as well as Otolaryngology/Head and Neck Surgery, and am considered one of the country’s leading experts in facial rejuvenation and rhinoplasty. I have lectured on innovative rhinoplasty techniques at the 10th International Symposium of Facial Plastic Surgery, and consistently since 2007, have been voted among the “Best Doctors in America” and “Top Doctor of New York.” It is my goal to help my patients find a look that makes them feel beautiful and confident. I combine my expertise, experience, skill, and artistic eye to deliver those life-changing results.
Are You Interested in a Rhinoplasty Consultation?
If you are interested in undergoing rhinoplasty, always remember to only trust your face to a world-class board-certified facial plastic surgeon, and be sure to communicate your expectations to achieve the most realistic outcome. To schedule a consultation with Dr. Miller, contact his office located at 60 East 56th Street, Third Floor in New York City, by calling (646) 791-3025
Rhinoplasty in NYC with Philip J. Miller, MD, typically costs approximately $26,000 to $28,000. The final cost depends on the complexity of the procedure, the changes being made to the nose, anesthesia, surgical facility expenses, and the individual surgical plan. Revision rhinoplasty is generally more complex and may range from approximately $32,000 to $40,000.
Choosing a rhinoplasty surgeon involves more than comparing prices. The nose affects both facial appearance and breathing, making rhinoplasty one of the more technically demanding facial plastic surgery procedures.
Dr. Miller develops each rhinoplasty around the patient’s anatomy, functional needs, and aesthetic goals. A consultation provides the most accurate estimate for an individual procedure.
When estimating the cost of rhinoplasty in New York, begin by determining which type of rhinoplasty procedure will meet your needs best. To help patients interested in rhinoplasty, Dr. Miller offers the following information:
Primary Rhinoplasty
When you have never had a nose job in the past, the procedure is considered primary rhinoplasty.
You might also opt for tip plasty, which is less expensive, but only improves the look, angle or shape of the nasal tip.
The nose is a highly complex, finely sculpted structure that consists of a variety of tissue types, including skin, cartilage, and bone. Lack of expertise working with any of these mediums can result in a nose that heals incorrectly and calls unwanted attention to itself. However, a beautifully executed rhinoplasty corrects defects in the size, shape, and angle of your nose.
With an expert facial plastic surgeon such as Dr. Miller, you can expect aesthetic improvements such as:
Shorter nose
Straighter nose
Removal of bumps
More symmetrical nostrils
Thinner or wider nostrils
Thinner nose
Larger nose
More defined tip
Nose proportionate to other facial features
Ideally, your primary rhinoplasty is so successful that you never need revision rhinoplasties, and, after your healing period of up to two years, your new nose is everything you ever dreamed it would be. In reality, if you choose the wrong surgeon, you could need at least one revision and potentially more. In fact, up to 10% of patients who undergo rhinoplasty will seek out a revision procedure.
Revision Rhinoplasty
Revision rhinoplasty with Dr. Miller generally ranges from approximately $32,000 to $40,000, depending on the complexity of the procedure. Furthermore, revision surgery can require additional structural correction, management of scar tissue, cartilage grafting, or reconstruction of areas altered during previous surgery. The final cost is determined after Dr. Miller evaluates the nose and develops the surgical plan.
Keep in mind that it can take up to a full year to heal after rhinoplasty and determine whether a revision is necessary. Common reasons for needing a revision rhinoplasty include:
Too much cartilage removed (collapsed nose)
Over-rotated tip (pig-like nose)
Difficulty breathing
Drooping tip
Crooked nose
Asymmetric nostrils
Nose doesn’t harmonize with facial features
Nose is inappropriate for ethnicity or gender
If your surgeon botched your primary rhinoplasty, you could require multiple revision rhinoplasties to achieve the result you want. When the mistake is minor and you are comfortable returning to your original surgeon for revision, you may not be charged, or you could pay a reduced price.
If you’ve changed your mind about what you want, or if the mistake is so grave that you no longer trust your surgeon, you may have to pay substantially more for a new surgeon and surgery. That’s why seeking out a bargain for your first rhinoplasty isn’t a cost-effective choice.
As complex as a primary rhinoplasty is, revision rhinoplasty is even more challenging. Even a well-executed primary rhinoplasty creates scar tissue in your nose. A nose job that is poorly done could leave a significant amount of scar tissue, while creating structural problems that may be difficult to rectify.
If you need a revision rhinoplasty, it is imperative that you find a surgeon who specializes in this procedure. The quality of your cartilage, bone, and skin have already been compromised by your first surgeon. You now require expertise to compensate for that structural damage. Dr. Miller is an expert at correcting mistakes made by other surgeons and giving you the nose you want and deserve.
Septoplasty and Functional Nasal Surgery
If you have a deviated septum, your septum (the nasal bone and cartilage that divide your nose in half) takes up extra space in one of your nostrils, making it hard to breathe. Many women and men require a septoplasty in addition to their desire for cosmetic rhinoplasty. A septoplasty alone will not improve the aesthetics of the nose, but since a deviated septum is a medical condition that impairs your ability to take in full breaths through your nose, your septoplasty may be covered by your medical insurance.
When you combine rhinoplasty with septoplasty, only the portion of the operation that’s medically necessary is eligible for insurance coverage. Aesthetic improvements are not eligible for coverage or reimbursement. Never trust an unethical surgeon who tells you your cosmetic procedure will be covered or try to manipulate the system to pay for your cosmetic surgery.
Choosing Your Rhinoplasty Surgeon
Philip J. Miller, MD, FACS is a double board-certified facial plastic surgeon in New York City who specializes in rhinoplasty. He has lectured on innovative rhinoplasty techniques at the International Symposium of Facial Plastic Surgery, written chapters on rhinoplasty for medical textbooks, and specializes in his patented NatraNose® approach to rhinoplasty procedures.
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 Included in the Cost of Rhinoplasty?
A rhinoplasty quote includes more than the surgeon’s fee. Dr. Miller’s quoted surgical costs are all inclusive and account for the major expenses associated with the procedure.
Surgeon’s fee
Anesthesiologist’s fee
Anesthesia
Surgical center
Postsurgical care (follow up visits and tests)
Medication-related to surgery
Bandages and wraps
Dr. Miller has the advantage of his own surgical suite, which helps you avoid an expensive hospital stay. When consulting with other facial plastic surgeons who specialize in rhinoplasty, always ask for a complete breakdown of their price, so you won’t be surprised by add-ons in the end.
When considering the total cost of your rhinoplasty, remember to factor in the cost of recovery. You’ll need to take time off from work, and arrange for help with your house and kids. For additional information, please visit our rhinoplasty and nose job booklet.
Why Rhinoplasty Cost Should Not Be the Only Consideration
Price is an important consideration when planning rhinoplasty, but it should not be the only factor used to select a surgeon. Rhinoplasty requires precise changes to cartilage, bone, soft tissue, and nasal support while preserving or improving breathing function. Choosing an experienced facial plastic surgeon can help reduce the likelihood of avoidable complications or the need for additional corrective surgery.
Schedule a Rhinoplasty Consultation Today
Schedule a consultation with Philip J. Miller, MD, FACS, in New York City to discuss your goals, surgical options, and personalized rhinoplasty pricing.
Historically, men’s concerns about their appearance have been focused on building up muscles to create a more masculine and powerful physique. Remember those comic-book and wrestling-magazine ads that made you feel insecure about being a “98-lb. weakling,” even though you were only 12?
But these days, the ubiquity of social media demands that men of all ages look selfie-ready at a moment’s notice. And the “gig” economy, which puts you in the financial ring with ever-younger competitors of both sexes — has made looking energetic, strong, and youthful more important than ever.
Most plastic surgeons see only a small fraction of male patients so have very little experience with men and their unique needs. Luckily, Dr. Miller and Gotham Plastic Surgery in NYC are unique because almost half of their patients are male.
Dr. Philip Miller, a groundbreaking, double-board certified facial plastic surgeon in New York City, knows what kinds of aesthetic improvements look natural and empowering to the male face. As the developer of unique, trademarked procedures such as NatraLook™ facelifts and G.I. Jaw™ chin and jaw enhancement for men, Dr. Miller is committed to making you feel like the absolute best version of yourself so you can achieve Aesthetic Confidence™.
Male Facial Aesthetics
No matter how successful and healthy you are, you can’t stop the inevitable march of time. A whole-foods diet, sun avoidance, and plenty of cell-enriching and muscle-building exercise can do wonders to keep you in optimal shape. Nevertheless, the passing years take their toll on your face, with signs of aging such as:
Jowling
Sagging skin
Hooded eyelids
Under-eye bags
Double chin
Soft neckline
Sunspots
Uneven skin tone
When you’re bothered by facial aging, Dr. Miller spends time listening to your concerns, evaluating your particular facial structure, and designing a customized aesthetic improvement plan. Depending on how early you are in the aging cycle, he may be able to create all the improvements you need without a single incision or stitch.
What’s more, Dr. Miller understands the unique concerns men have about altering their appearance. Dr. Miller is an expert in men’s facial anatomy and can enhance their appearance while maintaining their masculinity.
Mini lift — resolves jowling and sagging of lower face
Facelift — resolves jowling and sagging of both midface and lower face
Fat grafting — your own excess fat is used to restore lost facial volume in midface, tear troughs, or temples
Neck lift — underlying platysmal muscles (also known as neck bands, these are the vertical muscles that are evident when you make a grimace, clench your teeth, or carry stress in your neck region) tightened, double chin removed via liposuction, skin lifted, tightened, and trimmed
FaceTite™ — radiofrequency assisted liposuction (RFAL) to tighten loose skin and contour the lower face and neck
excel V+ — laser treatment to improve fine lines and wrinkles as well as hyperpigmentation
You don’t have to decide ahead of time which procedure is best for you. During your consultation, Dr. Miller makes his recommendations based on your anatomy, skin quality, and signs of aging. Together, you will create a Unified Vision decide which procedures best meet your goals.
Dr. Miller custom designs the G.I. Jaw™ procedure based on the proportions of your upper face, lower face, nose, chin, neck, and jawline, as well as your degree of facial sagging and fat distribution. Depending on your needs, he may recommend:
Rhinoplasty to better balance your chin and jaw
Medical-grade chin implant to create a more projected, stronger chin
Medical-grade jaw implant to strengthen and sharpen jawline
Medical-grade cheek implants for lift and contouring
Liposuction to remove double chin and strengthen jawline
Nonsurgical augmentations with dermal fillers
Nonsurgical Kybella® to permanently melt away double chin
If you choose to go the nonsurgical route, Dr. Miller lets you know how frequently you’ll need touch-ups, based on the type of dermal filler used. If you’re considering jaw or chin implants, but aren’t yet sure, a nonsurgical augmentation with dermal fillers is a great way to “audition” a new look.
Schedule Your Consultation in New York Today
Wanting to look our absolute best is a common goal. Dr. Miller is your partner in achieving your aesthetic goals using a customized approach with the right treatments to suit your needs and lifestyle. To set up an appointment and find out how Dr. Miller can enhance your appearance, call (646) 791-3025 or use the online form to book your consultation.
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Your “chipmunk cheeks” were adorable when you were five, but now you want a sophisticated, sleek look that matches your personality and your level of achievement. By removing excess buccal (i.e. cheek) fat and tissue, I create a slender lower face that emphasizes and dramatizes your cheekbones. 
