Serving New York City and beyond, Dr. Miller provides a wide range of cosmetic and facial plastic surgery services designed to help patients achieve their aesthetic goals. From surgical procedures that alter the contours of the face to non-surgical ones that smooth facial wrinkles and restore volume, we can customize a treatment plan tailored to your individual needs and yield the best and most natural-looking results.

Our comprehensive practice offers the following surgical and non-surgical cosmetic, reconstructive, and facial plastic surgery procedures

Surgical Face Procedures

Facelift

Before and After of a Facelift to tighten the skin and create a more refreshed facial appearance

Designed to counteract the signs of aging in the mid to lower face and neck, a facelift involves the removal of excess skin and fat as well as tightening of the muscles to reduce the appearance of deep facial creases, improve sagging in the midface, and eliminate loose skin and fat beneath the chin and jaw to restore a more youthful and refreshed facial appearance.

Learn more about Facelifts. 

Face-Tite

Face-Tite uses patented radiofrequency assisted liposuction (RFAL) technology to lift and tighten facial areas such as the brow, lower eyes, cheeks, jowls, and neck while also reducing unwanted fat. This revolutionary skin tightening procedure is completely non-surgical and effectively contours the face and neck. It is an excellent alternative to the more invasive facelift.  

Learn more about Face-Tite.

G.I. Jaw

Before and After of the G.I. Jaw treatment to accentuate the jawline

Designed to outline the jawline, enhance existing facial structures, and to supplement areas men are dissatisfied with, the G.I. Jaw procedure effectively reshapes the face with prominent, well-defined features to create a classic look that’s considered to be the hallmark of masculinity.

Learn more about G.I. Jaw.

Chin & Cheek Facial Implants

Implants placed just beneath the chin or over the cheekbones are used to improve the harmony of the face, as well as to counter the effects of aging and to rejuvenate your overall appearance.

Learn more about Chin & Cheek Facial Implants.

Otoplasty

Also known as ear surgery or ear pinning, otoplasty corrects protruding or prominent ears by using special suture techniques to reshape the ear cartilage and achieve a more natural appearance.

Learn more about Otoplasty.

Facial Shaping

Before and After of Botox injections to treat forehead wrinkles

Surgical and non-surgical facial shaping procedures alter the definition, proportions, and contours of the face to create better symmetry of the forehead, eyes, nose, cheeks, mouth, and chin. Our facial shaping procedures include:

• Lip Augmentation – uses injectable fillers to add fullness to thinning lips.
• Botox, Dysport, Jeuveau, and Xeomin injections – these safe and effective neuromodulators correct dynamic wrinkles such as frown lines or crows feet giving you a more youthful-looking appearance.
• Buccal fat excision –  removes the fat pads located in the lower part of the cheeks to achieve a more slender or chiseled appearance. It offers an effective solution to the appearance of round or full cheeks. 
• Fat injections – also referred to as fat grafting or a fat transplant, fat injections provide an alternative to temporary dermal fillers. The fat that is harvested from an area of excess on the body, like the abdomen, which is used to reduce wrinkles and creases by filling in areas of lost volume resulting from age, injury, or surgery. 
• Voluma – Juvéderm Voluma contours the face by restoring volume, targeting hollow cheeks and sagging skin in the areas of the mid-face and cheeks that are making you look tired.
• Kybella – an injectable that destroys fat cells under the chin, eliminating the troublesome double chin and yielding a more sculpted jawline and neck.
• Liposuction for face – an effective facial sculpting procedure that targets the fatty areas in the chin and neck that do not respond to diet and exercise.

Eye Procedures

Blepharoplasty

Before and After of a Blepharoplasty to lift the upper eyelid

Also referred to as eyelid surgery or an eyelid lift, blepharoplasty removes excess fat and skin from the upper and lower eyelids and alters the underlying muscles to improve a puffy, sagging, or tired-looking appearance. It can address cosmetic issues by improving aging symptoms as well as functional purposes by correcting droopy eyelids that can interfere with your vision.

Learn more about Blepharoplasty.

Non-Surgical Eye Rejuvenation 

A personalized treatment plan will consist of facial fillers and/or neuromodulators to address your aesthetic aspirations. A simple series of injections will help reduce wrinkles, minimize dark areas, and restore facial volume.

Forehead And Brow Lift

Before and After of a brow lift to rejuvenate the brow and forehead region

Forehead or brow lift is a cosmetic surgery procedure that rejuvenates a drooping brow, restores the eyes’ appearance, and elevates the brows to produce a smoother, more youthful look. If you have a drooping brow that’s interfering with your peripheral vision or a lined forehead that makes you look tired, sad, or angry, this procedure can help remove or alter the muscles above the eyes to not only smooth lines and elevate the brows, but to also restore its proper, functional position.

Learn more about Forehead and Brow Lifts.

Nose

Rhinoplasty

Before and After of a Rhinoplasty to reduce a nasal bump

More commonly known as a nose job, a rhinoplasty improves the appearance of the nose by reshaping, reducing, or augmenting the nose. It can also remove a hump, narrow the nostril width, change the angle between the nose and mouth, as well as correct injuries, birth defects, and certain breathing problems. A micro rhinoplasty may also be performed to correct minor asymmetries, humps, or other cosmetic issues.

Learn more about Rhinoplasty.

Revision Rhinoplasty

Before and After of a Revision Rhinoplasty to straighten the nose

Because of the intricacies of the nasal structure and the sometimes unexpected course of tissue recovery, rhinoplasty may produce unexpected or undesirable results. If you’re unhappy with your rhinoplasty results from another surgeon, Dr. Miller offers revision rhinoplasty to correct and fix the appearance and function of your nose.

Learn more about Revision Rhinoplasty

Ethnic Rhinoplasty

Before and After of a Rhinoplasty to reduce the nasal bump and sharpen the tip

Although each patient is unique, there are basic similarities within each ethnicity that must be taken into account in order to ensure the patient’s desired results are achieved safely and effectively. Each ethnicity will have distinct nasal characteristics and it is the goal of an ethnic rhinoplasty procedure to preserve each patient’s unique identity and features. 

Learn more about Ethnic Rhinoplasty.

Septoplasty 

A septoplasty is performed to straighten a twisted or deviated septum (the partition between the left and right nasal cavities).

Learn more about Septoplasty.

Non-Surgical Rhinoplasty

Using a series of injectable fillers, a non-surgical rhinoplasty safely and effectively alters the shape of the nose to enhance your overall facial features without changing the cartilage or underlying bone of the nose. 

Learn more about Non-Surgical Rhinoplasty.

Book a Facial Plastic Surgery Consultation in New York Today

When it comes to cosmetic surgery, trust your face to an expert.  If you’re ready to improve Aesthetic Confidence® back, contact Dr. Miller and his staff at his New York office today. 

Dr. Philip Miller is a double board-certified facial plastic surgeon specializing exclusively in the face and neck, with over 20 years of experience delivering natural, refined results. A comprehensive range of facial plastic surgery procedures is available, from brow lift, eyelid surgery, and rhinoplasty, to buccal fat removal, chin and cheek augmentation, ear surgery, and wrinkle reduction treatments.

Patients travel from across the United States and internationally to access this level of specialist facial expertise. Reconstructive surgery is also offered for patients seeking to correct complications or unsatisfactory results from a previous procedure.

Facial Plastic Surgery Procedures

Rhinoplasty

Also known as nasal surgery or a nose job, rhinoplasty is a plastic surgery procedure which can improve the appearance and/or function of the nose. Common cosmetic changes requested include a reduction in size, removal of a hump, fixing a bulbous tip and narrowing wide nostrils.

Learn more about rhinoplasty.

Facelift

The facelift, or rhytidectomy as it is technically known, can restore a more youthful appearance to the lower face and neck by tightening the underlying tissues and removing excess fat and skin.

Learn more about a facelift.

Necklift

The necklift addresses loose sagging skin in the neck and jawline. It can improve jowls and the appearance of a “turkey neck”. Excess skin and fat are removed and the underlying muscles are tightened.

Learn more about a necklift.

Forehead Lift

The forehead lift, also known as a brow lift, is a great alternative to Botox injections for people seeking more improvement. The browlift improves a drooping or heavy brow which may cause hooding of the eyelids, as well as deep forehead wrinkles and grooves.

Learn more about a forehead lift.

Eyelid Surgery

Also known as blepharoplasty, eyelid surgery can be performed on the upper eyelids, lower eyelids or both to restore a more youthful and rested appearance. Eyelid surgery specifically treats sagging upper eyelids and under-eye bags.

Learn more about eyelid surgery.

Chin Augmentation

Chin augmentation involves the use of a synthetic implant which is inserted over the jawbone. Chin augmentation can add more prominence to a weak chin and help to balance out the other facial features for a more harmonious overall facial appearance.

Learn more about chin augmentation.

Cheek Augmentation

With cheek augmentation, implants are inserted in the cheek area to add prominence or restore more fullness. This is a great procedure for those seeking the appearance of high cheekbones or whose cheeks have lost fullness with age.
Learn more about cheek augmentation.

Ethnic Rhinoplasty

Ethnic rhinoplasty refers to rhinoplasty performed on patients of ethnicity, including those of African American, Asian, Hispanic, and Middle Eastern descent. The goal of ethnic rhinoplasty is generally to improve the appearance of the nose but still preserve the sense of ethnic identity.

Learn more about ethnic rhinoplasty.

MicroRhinoplasty™

MicroRhinoplasty™ is a new technique in rhinoplasty which allows the nasal hump to be reduced without needing to break the nose. This simple, quick procedure can be performed in the office setting with just local anesthesia using a specialized air-powered micro-saw.

Learn more abut MicroRhinoplasty.

Buccal Fat Excision

Buccal fat excision is a procedure in which the fat pads in the cheeks can be removed to create a slimmer, more refined appearance in those with extra fullness in the cheeks. Patients who seek this procedure often complain of having “chipmunk cheeks.”

Learn more about buccal fat excision.

Otoplasty

Otoplasty, or ear surgery, improves the appearance of large or protruding ears. This procedure is commonly performed on children as it can greatly benefit their self-esteem.

Learn more about otoplasty.

Reconstructive Surgery

Reconstructive surgery refers to plastic surgery procedures which improve function and sometimes approximate a normal appearance. Therefore, reconstructive techniques include such techniques as the repair of facial fractures, improving scars or blemishes, and closing defects caused by tumor surgery.

Scar Reduction

Scar reduction improves the appearance of unsightly scars. While scars can never be completely removed, they can be greatly improved upon. A variety of procedures may be used including needling, dermabrasion, and laser resurfacing.

Learn more about scar reduction.

Lip Reduction Surgery

Lip reduction surgery reduces the appearance of extremely large lips. Very large lips can be uncomfortable and even interfere with speaking.

Learn more about lip reduction surgery.

Schedule Your Facial Plastic Surgery Consultation in NYC

Choosing facial plastic surgery begins with a thoughtful conversation about your goals, concerns, and the results you want to achieve. Dr. Philip Miller offers consultations in Midtown Manhattan and virtually for patients who are exploring facial rejuvenation, rhinoplasty, neck surgery, or other procedures focused exclusively on the face and neck.

With more than 20 years of experience in facial plastic surgery, Dr. Miller helps patients understand their options with clarity and confidence.

Schedule your consultation.

Performed by New York City’s #1 double board-certified facial plastic surgeon with 20+ years of experience in rhinoplasty and facial contouring.

What is an Upturned Nose and Can It be Corrected?

An upturned nose, also called a piggy nose, is a nasal tip that rotates upward, causing excessive nostril show when viewed from the front. It can be a natural facial feature or the result of over-correction during a previous rhinoplasty. Surgical correction through rhinoplasty or nose tip surgery repositions and lengthens the nasal tip using cartilage grafts, reducing nostril show and restoring natural facial proportion.

Upturned Nose Correction Photos Before and After

Transform your appearance and achieve a more balanced profile with expertly performed upturned nose correction. See before and after photos of real patients and envision your own transformation.

How Can an Upturned Nose be Corrected?

Surgical Rhinoplasty

Achieve comprehensive nasal refinement through precise surgical techniques that reshape cartilage and bone structure, creating a more balanced nasal tip angle and improved facial harmony. This procedure addresses the underlying structural causes of an upturned nose by lengthening the nasal tip and reducing nostril show for natural-looking results.

Revision Rhinoplasty

Correct complications from previous nasal surgery that may have resulted in an overly upturned appearance, restoring natural nasal positioning and improving both function and aesthetics. Dr. Miller specializes in complex revision cases, using advanced techniques to address scar tissue and structural challenges from prior procedures.

Nose Tip Surgery

Focus specifically on tip refinement and projection to address upturned positioning while maintaining nasal harmony and creating natural-looking results with targeted precision. This specialized approach allows for focused correction of tip rotation and projection without affecting other areas of the nose.

Why Choose Dr. Miller?

Dr. Miller is a recognized leader in rhinoplasty and upturned nose correction, offering expert care and innovative techniques for nasal refinement. Choosing Dr. Miller ensures:

Specialized expertise from a double board-certified facial plastic surgeon with a focus on nasal harmony and facial proportion

Customized treatment plans using the NatraLook® process to align your specific anatomy and aesthetic goals with natural results

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

Refine and Balance Your Profile

1. Request a consultation with Dr. Miller, and our team will respond within 24 hours
2. We’ll work with you to schedule a 60-minute consultation with a $400 consult fee that applies to your procedure
3. Dr. Miller will use his NatraLook® process to assess your nasal structure and listen to your goals
4. You’ll receive a customized upturned nose correction plan
5. Once aligned on a treatment approach, we’ll schedule your procedure at your convenience
6. Procedures typically take 1-3 hours, depending on complexity and surgical technique
7. Our team provides attentive post-op care before you return home with transportation assistance if needed

Frequently Asked Questions

What causes an upturned nose?

Upturned noses can result from genetics, birth defects, nasal trauma or injury, or complications from previous rhinoplasty procedures. The nasal tip appears angled upward, making the nose look short and the nostrils more prominent. This creates an imbalanced facial profile that many patients wish to refine.

Who is a good candidate for upturned nose correction?

Ideal candidates are in good health and want to improve their nasal profile by reducing the upturned appearance of their nose tip. Candidates should have realistic expectations about results. A consultation will help determine if surgical rhinoplasty or revision surgery is right for you.

What is recovery like after upturned nose correction?

Recovery varies by procedure. Surgical rhinoplasty typically requires 1-2 weeks before returning to normal activities, with swelling and bruising subsiding within 2-3 weeks. Full results are visible after 6-12 months as healing progresses.

How long do upturned nose correction results last?

Results from surgical rhinoplasty are permanent, though natural aging continues. Maintaining a healthy lifestyle and following post-operative instructions helps preserve your refined nasal profile.

What are the risks of upturned nose correction?

As with any cosmetic procedure, there are potential risks including temporary numbness, bruising, swelling, asymmetry, or scarring. These complications are rare, and Dr. Miller uses meticulous techniques and detailed follow-up care to minimize risks and ensure optimal results.

Can upturned nose correction be combined with other procedures?

Yes. Many patients choose to combine nasal correction with chin augmentation, facelift, or other facial procedures for comprehensive facial harmony. Dr. Miller will create a personalized plan to help you achieve natural-looking, balanced results that enhance your entire facial profile.

What should I expect during my consultation?

During your consultation, Dr. Miller will evaluate your nasal 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 upturned nose correction procedure. The NatraLook process ensures natural-looking results that complement your facial features.

Many people who are dissatisfied with the shape of their nose suffer from “droopy nose,” where the tip of the nose points downwards and creates a drooping appearance. Correcting a nose tip droop is one of the most common procedures in cosmetic rhinoplasty. If a droopy nose is the only thing you notice when looking in the mirror or smiling, rest assured there are many treatment options to achieve a more lifted nose tip and gain confidence in your appearance. 

How to Fix a Droopy Nose

A droopy nose is commonly corrected with rhinoplasty, which can lift and refine the nasal tip for a more balanced profile. During surgery, the nasal structure can be adjusted to improve tip support, enhance the angle between the nose and upper lip, and create a more defined appearance. This approach is often best for patients who notice their nasal tip points downward at rest or become more pronounced when smiling or speaking.

What is Droopy Nose Tip?

Droopy nose tip is when the tip of the nose appears to droop downwards, often referred to as a downturned nose or a ptotic tip. The appearance of this drooping nose tip is often bothersome to patients, leading them to seek cosmetic treatments or surgery. Apart from its bothersome appearance, a down turned nose can also lead to breathing issues if the droopy nasal tip is so severe that it blocks the air passage.

What Causes a Droopy Nose?

The most common causes of a droopy nose tip are:

• Genetics. An elongated septum and excessive cartilage in the tip of the nose are inherited characteristics that can run in some families.  Or the very opposite, cartilage that supports the tip from the bottom are too short. 
• Age. The cartilage and connective tissues in the nose weaken with age, causing the tip of the nose to droop downwards over time. 
• Accidents or Previous Surgery. Traumatic accidents or poorly performed nasal surgery can leave the nose with insufficient nasal tip support, eventually leading to drooping that may require revision rhinoplasty.

Droopy Nose Tip When Smiling

Patients often experience a more pronounced droopy nose tip when smiling. While it appears the nose points further down during a smile, it’s more likely the result of the surrounding facial muscles contracting and pulling the surrounding tissue upwards during a smile—creating a more prominent droop. Nevertheless, this can make patients feel uncomfortable about their smile and seek corrective procedures. 

What Age Does the Nose Start to Droop?

You can notice a droopy tip as early as your teenage years, but if the problem is due to aging, you’ll notice it around the age of 40.  At that age, we start to notice the effects of the breakdown of collagen and connective tissue associated with aging. We often attribute this to wrinkles, sagging of the skin around the chin and jawline, and baggy eyes.

Another facial feature impacted by aging can be the nose. We might begin to notice the dreaded droopy nose as collagen and elastin is lost in the tip of the nose and surrounding tissue. Although we can’t stop the hands of time, there are many treatment options to correct the tip of nose drooping due to the effects of aging.

Droopy Nose Treatment Options in New York

Wondering how to reshape your sagging nose or ptotic tip in New York? There are fortunately many treatment options to achieve that lifted nose tip you’re looking for. A rhinoplasty or injectable procedures are the most common methods of correcting a droopy nose. The best treatment for you depends on both your comfort level and how severe your case of drooping tip nose is. Regardless of the treatment you choose, you want a surgeon in Manhattan, New York, or New Orleans, Louisiana that is more than qualified to create your ideal nose. 

Droopy Nose Tip Rhinoplasty in NYC

A surgical rhinoplasty certainly creates the most dramatic, long-lasting results to correct the nose slope and lift the tip of the nose. There are many surgeons in Manhattan, New York, and New Orleans, Louisiana that perform these procedures for their patients. However, rhinoplasties aren’t one-size-fits-all. There are many techniques for surgical reconstruction of the tip of the nose and it’s important to find a skilled, experienced surgeon that will perform the best surgical technique for your unique nose. 

Learn more about rhinoplasty here.

How Does Dr. Miller Correct a Droopy Nasal Tip?

If you’re looking for a highly regarded facial plastic surgeon with a track record of amazing nose tip surgery results, meet Philip J. Miller, MD, FACS. Dr. Miller will perform a close examination of your nose to determine the best technique to correct your droopy nasal tip.

In mild cases, or when the patient wants to avoid a surgical procedure, Dr. Miller may recommend a non-surgical rhinoplasty with injectable fillers. Hyaluronic acid fillers such as Restylane®, Perlane®, and Juvéderm® can alter the shape of the nose to create a more upturned appearance. These fillers produce immediate results with exceptionally short recovery time. If your droopy nose is mild or you’re not comfortable with rhinoplasty surgery, a non-surgical nose job with the use of fillers may be your solution.

If the droopiness is only present when you smile, an injectable treatment using a neuromodulator like Botox may be another option. These treatments target the muscles that lead to concerns like a drooping nasal tip. As the muscle relaxes, the nose no longer droops when a smile forms. 

While injectable treatments can provide immediate – albeit temporary – results, surgical rhinoplasty is the best solution for a severe nose droopy tip or for those who desire nasal reduction. Surgical rhinoplasty corrects the droopy nose with upward nasal tip rotation. If you’re considering rhinoplasty surgery in Manhattan, New York, or New Orleans, Louisiana, Dr. Miller can achieve the results you desire within the NatraLook® Experience, which empathizes with the patient experience and strives to achieve the most natural results. 

Droopy Tip Before & After Photos

View our full gallery here.

Let Dr. Miller Help You with Your Droopy Nasal Tip

At his plastic surgery clinic in Manhattan, New York acclaimed double board-certified facial plastic surgeon Dr. Miller performs cosmetic procedures that achieve dramatic and long-lasting results. If you’re looking for how to lift the nose tip or how to get a pointy nose, schedule a consultation for rhinoplasty by calling (646) 791-3025, or filling out our online contact form.