Lines around the neck are one of the most telling signs of aging and over time, wrinkles and bands become more prominent and can make you look older than you are. 

Whether your concern is horizontal neck bands, vertical neck cords, loose skin, or pockets of fat, double board-certified facial plastic surgeon, Dr. Philip J. Miller, MD, FACS, can address these issues with the latest advancements in surgical and non-surgical procedures.

Neck lines removal options in New York

Depending on the severity of neck lines, there are both surgical and non-surgical treatments to improve the quality of the skin around your neck and create a smoother and more slender neck contour.

At his Manhattan, New York, and New Orleans, Louisiana clinics, Philip J. Miller, MD, FACS, offers customized solutions that produce the beautiful and natural-looking results you desire. His proprietary NatraLook process is a positive collaborative process that allows patients and Dr. Miller to create a unified vision for achieving their desired results.

How does Dr. Miller help you to get rid of neck lines?

Non-surgical procedures are great options for patients seeking quick neck line removal treatments that deliver excellent results with minimal downtime.

• Botox® – Dr. Miller injects Botox® Cosmetic into the platysma muscle, the main muscle in the neck that causes wrinkles and cords. As the muscle relaxes,the neck achieves a smoother appearance. 
• Dermal fillers – Wrinkles in the neck can also be filled with dermal fillers. Made from hyaluronic acid, a substance naturally found in the body, gel-like fillers like Juvéderm® soften wrinkles and horizontal neck bands by restoring volume and plumping up the skin. Dermal fillers for neck lines work best when combined with Botox injections.
• Laser Resurfacing – This procedure uses concentrated beams of light to remove the outer layer of damaged skin and stimulate the production of new collagen fibers, resulting in skin that is smoother and firmer. 

To treat more severe neck lines and produce more dramatic results, Dr. Miller can perform the following:

• Neck-Tite™ – This device uses radiofrequency-assisted lipolysis (RFAL) technology to address signs of aging in the neck and jowls. It combines radiofrequency energy with aspiration to eliminate excess fat and tighten and contour the neck area. The result is a slimmer, tighter, and more youthful-looking neck.
• Neck lift – Also referred to as cervicoplasty (removes excess skin) or platysmaplasty (tightens loose neck muscles), this surgery addresses more severe aging symptoms. Dr. Miller performs one or both procedures to remove excess skin and fat and reposition remaining tissue to produce a natural, beautiful result.

Neck bands removal Before & After Photos

Neck bands FAQ

What causes bands on the neck?

In addition to the natural aging process that leads to loss of collagen and elastin in the skin, other causes of bands on the neck include:

• Genetics 
• Weight loss
• Sun damage
• Teeth clenching and grinding

What causes neck cording?

The most common causes of neck cording include:

• Aging (the skin’s loss of collagen and elastin causes the skin to weaken and sag)
• Genetics
• Weight loss
• Clenching teeth
• Improper skincare routine

What are the neck bands called?

Neck bands are also called platysma bands or neck wrinkles.

Does Botox work on neck bands?

When injected into the vertical neck bands, Botox relaxes the platysma muscle, resulting in a smoother and younger-looking neck.

How much does neck cords and bands removal cost in New York?

The cost will depend on the type of procedure performed. Non-surgical procedures like injectables and lasers cost significantly less than surgical procedures like a neck lift. Prices will depend on how many units of an injectable are used, the type of laser used, or the severity of platysmal bands to be treated.

Factors that affect the cost of a neck lift are anesthesia fees, surgeon’s fees, hospital costs, etc. You can determine the total cost of your procedure or the combination of procedures during your consultation with Dr. Miller.

Is there a way to prevent neck bands?

While you can’t stop the aging process, there are steps you can take to prevent collagen loss and preserve the skin’s elasticity. Ways to take care of the skin on the neck include:

• Be wise about sun exposure – Wear sunscreen daily, including on the neck and chest, and never use tanning beds. 
• Avoid neck strain – The forward bend of the neck when you look at your device creates folds in the skin. As you age, loss of skin elasticity may prevent neck skin from bouncing back. 
• Extend skin care to your neck – The same skincare routine you use on your face should extend to the neck too. Moisturize the neck daily as wrinkles are less visible on hydrated skin

Neck Band Removal in New York City

Neck bands may develop, but the good news is there are treatment options to reduce them and maintain a more youthful look. To discover the best neck band treatment for you, contact our office today to schedule your consultation.

Neck liposuction is a surgical procedure that removes excess fat from underneath the chin and around the neck. This procedure offers satisfying results as it effectively eliminates stubborn fat pockets resistant to diet and exercise.

Dr. Philip J. Miller, MD, FACS, is a double board-certified facial plastic surgeon that offers neck liposuction to help his Manhattan, New York, and New Orleans, Louisiana patients achieve a more contoured and youthful-looking jawline.

What can neck liposuction do for me?

Neck lipo improves the shape of the chin and neck. The procedure removes excess fat to contour the chin and jawline, giving you a more defined facial profile and a younger-looking appearance.

Neck liposuction eliminates the appearance of a “double chin” by effectively removing excess chin fat that is typically resistant to a healthy diet and consistent exercise. When it is combined with skin tightening, it can also minimize the appearance of a “turkey neck” that adds to an aged look.

What areas can be treated by a neck liposuction?

In addition to treating fat below the chin and along the front of the neck, liposuction on the neck can also refine the jowl area. Dr. Miller might recommend adding chin augmentation to your liposuction procedure to further define the lower face and enhance your results overall.

Neck liposuction before and after

Why choose Dr. Miller for my neck liposuction procedure?

Dr. Miller is a double board-certified facial plastic surgeon with expertise in facial rejuvenation procedures including neck liposuction. He is a genuine and compassionate surgeon with over 20 years of experience within the industry and has performed more than 5,000 successful procedures.

He takes pride in helping his patients achieve their Aesthetic Confidence through his NatraLook™ process, which transforms the typical plastic surgery experience into a collaborative opportunity that allows Dr. Miller and his patients to achieve a unified vision of their desired results.

Neck liposuction FAQ

What is neck liposuction?

Neck liposuction is a treatment option for neck contouring. It is a minimally-invasive procedure that removes excess fat from the chin, neck, and jowls to create a tighter, smoother, and more youthful jawline and neck contour.

How much does neck liposuction cost in NYC? 

The average cost of neck liposuction in NYC ranges from around $4,000 to $9,000. The cost varies from patient to patient and largely depends on factors such as anesthesia, facility, amount of fat removed, length of procedure, medications, etc. The total cost of your procedure will be discussed during your consultation with Dr. Miller. 

How will the procedure go? 

Neck liposuction is typically performed using local anesthetic. Dr. Miller creates tiny incisions to insert a narrow cannula to suction out fat around the neck. The incisions are too small to require suturing and rarely leave visible scarring behind. Lipo on the neck takes about 30 minutes to one hour and patients can return home shortly after their procedure. 

What does recovery from neck liposuction look like?

Patients are required to wear a chin strap or compression garment for at least a week after neck liposuction to minimize bruising and swelling and help the neck and jawline achieve their new shape. Bruising and swelling generally resolve within three to six weeks.

Most patients resume their normal activities within one week. Rest is encouraged but doing light exercises one week after surgery and keeping the head elevated helps promote blood circulation and minimize swelling. 

Does it hurt?

Neck liposuction is performed under local anesthesia and is very well tolerated. Any discomfort after surgery is temporary and can be controlled with pain medication.

Will insurance cover my neck liposuction?

Because neck liposuction is considered cosmetic surgery, insurance will not cover the cost.

How long does neck liposuction last?

The results of neck liposuction are intended to be permanent because the procedure removes fat cells from the neck area for good. If you gain weight after the procedure, the remaining fat cells may expand and affect your results. Maintaining a healthy body weight and other good lifestyle choices will help optimize and extend your outcome.

What are the associated risks and complications of this procedure?

Although rare, complications may arise from any type of cosmetic surgery. Examples of possible risks of neck liposuction are:

• Infection
• Numbness
• Fluid accumulation 
• Scarring 

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

Neck Fat Removal Photos Before and After

Recontour your profile for a slimmer and more youthful appearance with our neck fat removal techniques. See before and after photos of real neck fat removal patients and get results like these.

Our Neck Fat Removal Treatments

Why Choose Dr. Miller?

Dr. Miller is renowned for his expertise in neck contouring procedures, offering multiple innovative solutions for neck fat removal. Choosing Dr. Miller as your surgeon ensures you receive the following:

• Expert care from a leading surgeon, double board-certified in facial plastic and reconstructive surgery and otolaryngology/head and neck surgery
• Access to multiple treatment options, from non-invasive to surgical solutions, customized to your needs
• Personalized consultations through the innovative NatraLook® process ensure your goals align with the best treatment approach
• Treatment by a surgeon consistently recognized as a Castle Connolly Top Doctor for over ten years
• Care in a state-of-the-art surgical facility fully accredited by The Joint Commission

Transform Your Profile

1. Request a consultation with Dr. Miller, and our team will respond within 24 hours
2. We will work with you to set a date and time for your 60-minute consultation with a $400 consult fee that applies to your procedure
3. During your consultation, Dr. Miller uses his NatraLook process to understand your aesthetic goals
4. Using advanced imaging technology, Dr. Miller provides a preview of your expected results
5. Once you and Dr. Miller align on the treatment plan, our team will schedule your procedure
6. Depending on your chosen treatment, procedures can take 30 minutes to 2 hours
7. After completion, our team monitors you before you return home, with transportation assistance if needed

Frequently Asked Questions

What causes neck fat?

The accumulation of neck fat can result from various factors, both genetic and lifestyle-related. Aging naturally leads to changes in fat distribution and skin elasticity, while genetic predisposition can make some individuals more prone to storing fat in the neck area. Hormonal changes and weight fluctuations also play significant roles. Additionally, weakened platysma muscles and poor posture can contribute to the appearance of excess neck fat, as can water retention due to dietary factors or medical conditions.

Who is a candidate for neck fat removal?

Ideal candidates for neck fat removal procedures are individuals in good overall health who maintain a stable weight. They should have realistic expectations about the procedure’s outcomes and be committed to keeping results through a healthy lifestyle. Candidates should be non-smokers or willing to quit before the procedure, as smoking can significantly impact healing and results. The best procedure choice depends on factors like skin elasticity, amount of excess fat, and desired recovery time.

What is recovery like after neck fat removal?

Recovery experiences vary significantly depending on the chosen procedure. For non-surgical options like Kybella®, patients typically experience 3-5 days of swelling but can return to normal activities quickly. Facial liposuction and NeckTite™ patients usually require 5-7 days of downtime, while MyEllevate® recipients may need a week before returning to work. Neck lift surgery has the longest recovery period, typically 10-14 days before resuming normal activities, with full results visible after several months.

How long do results last?

The longevity of results varies by procedure. Fat removal through Kybella® or liposuction provides permanent fat reduction, provided patients maintain a stable weight. Skin tightening procedures like NeckTite™ and MyEllevate® typically last 3-5 years, while a neck lift can provide improvements lasting 10 years or more with proper skin care and sun protection.

What are the risks of neck fat removal?

While complications are rare under Dr. Miller’s expert care, all procedures carry some risks. Common temporary effects include swelling, bruising, and numbness in the treated area. More significant risks can include asymmetry, infection, or contour irregularities, though these are uncommon with proper surgical technique and aftercare. Dr. Miller takes extensive precautions to minimize risks and ensures patients are fully informed about potential complications during consultation.

Can neck fat removal be combined with other procedures?

Yes, neck fat removal procedures can often be combined with other facial rejuvenation treatments for more comprehensive results. Common combinations include pairing neck procedures with facelifts, chin augmentation, or other non-surgical treatments. Dr. Miller can create a customized treatment plan that addresses multiple concerns while ensuring safe and natural-looking results.

What should I expect during my consultation?

During your consultation, Dr. Miller will conduct a thorough evaluation of your neck anatomy and skin quality. Through his proprietary NatraLook® process, he’ll discuss your aesthetic goals and concerns while explaining various treatment options. You’ll have the opportunity to view before and after photos of similar cases and receive a personalized treatment recommendation based on your specific needs and desired outcome.

People with a weak or receding jawline often seek correction to create balance in the lower face. Effective treatments take a weak chin and use various jaw shaping techniques to make a jawline sharper and more proportionate.

The best treatment option for you will depend on your specific needs and goals. Philip J. Miller, MD, FACS, is a double board-certified facial plastic surgeon who can help you create a customized treatment plan that produces natural, beautiful results.

Weak Chin Correction Options in New York

These treatment options can help patients get a better and sharper jawline through chin augmentation:

Dermal Fillers

Injectable dermal fillers provide additional volume and projection to a weak chin. This procedure is quick and does not require any downtime afterward. Results are immediate and temporary, typically lasting 6-12 months. Patients typically need to repeat the procedure once or twice a year to maintain improvement.

Chin Implants

Chin implants improve facial harmony for patients that have a weak chin or no chin. Biocompatible silicone implants come in various shapes and sizes to ensure the implant used for your procedure produces the most natural, proportionate result. The procedure takes about 30 minutes using local anesthetic. Incisions are located under the chin or inside the mouth to minimize visible scarring afterward. Recovery from this surgery is usually 1-2 weeks and results are permanent unless the implant is removed.

GI Jaw

GI Jaw is Dr. Miller’s proprietary procedure for men seeking a stronger and improved jawline. A combination of procedures addresses multiple concerns at one time, including a weak chin, double chin, jowl formation, and sagging skin. Using dermal fillers, NeckTite™ for sagging skin, a surgical neck lift, and/or neck liposuction, Dr. Miller creates a new profile that increases the masculinity of a patient’s appearance.

Learn more about chin implants here.

How Does Dr. Miller Get You a Sharper Jawline?

Dr. Miller starts with a personal consultation. He assesses your specific needs and offers options that can effectively address those issues to improve your profile. As a double-board-certified and world-renowned facial plastic surgeon, Dr. Miller is exceptionally qualified to help you decide what’s the best treatment plan to get you the results you’re looking for.

Dr. Miller uses the Natralook process to create a safe and supportive environment for patients and take them through the journey of achieving aesthetic confidence. He uses this enriching and reassuring process to make him and his patients move toward their shared vision together.

Receding Chin Before & After Photos

Weak Jawline FAQ

What causes a weak jawline?

A weak jawline can be caused by a variety of factors. Excessive fat in the area and/or sagging skin can create this appearance. Genetics often play a role in determining profile proportions and can be the culprit when it comes to having a weak chin. 

Can you change a weak jaw with exercise?

A weak jawline is a stubborn issue that does not typically respond to exercise alone. Even if you can reduce fat with exercise, sagging skin may be left behind. The most effective way to address the issue is to seek treatment from an experienced facial plastic surgeon like Dr. Miller.

How to improve your weak chin and receding jawline without surgery?

There are a few ways to alter your appearance without resorting to surgery. Injectable dermal fillers are the most common option. These products add volume to targeted areas like the chin, with immediate results that can last up to one year or even longer in some cases. The drawback is that the treatment must be repeated once or twice a year to maintain positive results.

What is the cost of a weak jawline correction in New York?

The price of treatment is directly related to the procedures used to address the issue. A patient may spend anywhere from $300 to $10,000 depending on what methods are used to improve their appearance. Surgical procedures are more costly than non-surgical methods like dermal fillers, but they also offer permanent results with a one-time investment. Procedures can be combined to get patient-enhanced aesthetic results, and that may factor into the price. After your personal consultation with Dr. Miller, he can give you a more accurate estimation of what the overall treatment will cost.

A ski slope nose is characterized by a curvy nasal bridge that dips before turning upward at the tip, giving the nose a wider shape. A ski slope nose with a severe upturned tip is often referred to as a “Miss Piggy” nose.

While a ski slope nose is typically not a medical concern, those who are unsatisfied with the appearance of their nose have options for correcting it in Manhattan, New York. Rhinoplasty is one effective procedure that produces permanent results.

Ski slope nose treatment options in New York

Philip J. Miller, MD, FACS is a double board-certified facial plastic surgeon renowned for his expertise in rhinoplasty. He offers patients customized surgical plans, including nose tip surgery, to achieve beautiful and natural-looking results consistent with their specific needs and aesthetic goals. You may consult our glossary for a comprehensive breakdown of nose treatment options.

Ski slope nose rhinoplasty in NYC

With offices in Manhattan, New York, and New Orleans, Louisiana, Dr. Miller offers rhinoplasty consultations to determine the best surgical procedure for correcting your sloping nose.

With his proprietary Natralook process, the two of you can arrive at a unified vision for your desired results. His collaborative consultation process provides you with a safe environment where you can explore your aesthetic confidence. He personalizes your treatment plan, helping you achieve the best possible outcome.

How does Dr. Miller correct a Ski slope nose?

A rhinoplasty procedure to correct a ski slope nose takes approximately 2-5 hours for Dr. Miller to perform. Ski slope nose rhinoplasty is done under general anesthesia.

Depending on the severity of your sloped nose, as well as your expectations, Dr. Miller can either use an open or closed rhinoplasty technique.

During an open rhinoplasty, Dr. Miller makes a small incision in the columella, which is the tissue that connects the nasal bridge and base and separates the nostrils. This technique allows Dr. Miller to see the nose’s internal structures, allowing him to easily maneuver through the tissue, bone, or cartilage. Dr. Miller then reshapes the nose or repairs any damage.

When performing a closed rhinoplasty, Dr. Miller makes the incisions inside the nostrils and removes the tip cartilage to lessen the nasal tip’s slope. Since any lifting of bone and cartilage is done through the nostrils, there won’t be any visible scarring.

These techniques create a more natural balance between the nasal bridge, tip, and nostrils to complement the rest of your facial features.

Ski slope Nose Before & After Photos

Ski slope nose FAQ

What is the cost of a Ski slope nose rhinoplasty in New York?

Factors that contribute to the cost of ski slope nose rhinoplasty include location, anesthesia, surgeon’s fee, and pre-and post-surgery care. Since ski slope nose rhinoplasty only involves the tip of the nose, it usually costs less than a full rhinoplasty procedure.

The actual cost of surgery is provided during your consultation. To learn more, schedule an appointment with Dr. Miller in Manhattan, New York, or New Orleans, Louisiana.

What causes a Ski slope nose?

The following are the most common causes of a ski slope nose:

• Genetics
• Birth defects and gene mutations
• Injuries
• Result of a primary rhinoplasty

Can I get a revision rhinoplasty to address a Ski slope nose?

Revision rhinoplasty can fix a nose slope.

A ski slope nose can be a possible result of a poorly executed rhinoplasty. A ski slope nose typically occurs when the surgeon removes too much tissue from the nose’s middle section. Revision rhinoplasty can reshape the nose to achieve a more natural-looking appearance.

What is the recovery time after surgery?

Patients may return to their normal activities within three weeks, but strenuous physical activities should be avoided for 3-6 weeks. Swelling and bruising will subside within 2-3 weeks, and you will begin to see your rhinoplasty results.

It typically takes 6-12 weeks for full results to be visible, but the healing process continues for the entire first year. Dr. Miller and his team will be with you every step of the way.

By blending art and science with the most advanced surgical techniques, Dr. Miller provides thousands of patients with exceptional rhinoplasty results. Considered an expert in rhinoplasty and other facial rejuvenation procedures, he provides the highest level of care with his personalized treatments in NYC and Louisiana.

Are you considering a ski slope nose job? Schedule a consultation with Dr. Miller today.

Wrinkled or sagging skin on the neck is a common aging symptom that is often referred to as a “turkey neck.” When muscles start to weaken and skin loses its elasticity, turkey neck can be the result. Factors like sun exposure, smoking, and even genetics, can contribute to this development.

As we age, our bodies produce less of the essential proteins elastin and collagen, leading to loose skin and wrinkle formation. Gravity also takes a toll, which leads to excess skin collecting in folds underneath the chin.

Submental fat (fat under the chin) can also appear, creating the appearance of a double chin and making sagging and jowl formation more noticeable. Diet and exercise alone aren’t usually enough to combat this accumulation of fat.

Fortunately, treatments are available to get rid of turkey neck and achieve a more youthful contour.

How to get rid of turkey neck?

Botox® Cosmetic can treat horizontal banding on the neck that often accompanies the turkey neck appearance. Botox targets the large muscle known as the platysma muscle, relaxing its activity to smooth away these lines. Treatment is quick, doesn’t require any recovery time, and results usually last 3-4 months.

Another non-surgical option is NeckTite™. This treatment delivers radiofrequency energy to the treatment area, removing unwanted fat and tightening the skin. A microcannula containing an internal electrode is used to place the RF energy into precise spots where it will have the greatest effect. Fat cells are liquefied and suctioned out of the area, while the gentle heating from the device constricts tissue for a tightening effect. The procedure also triggers the body to produce more collagen for natural, long-lasting improvement.

The best turkey neck treatment for each patient depends on their specific needs and goals. While non-surgical treatments are quicker and require less downtime, surgery provides the most dramatic, long-lasting results.

How does Dr. Miller correct a turkey neck?

Philip J. Miller, MD, FACS, is a double-board certified facial plastic surgeon with more than 20 years of experience performing cosmetic procedures like neck and facelifts. Dr. Miller achieves beautiful aesthetic results that look youthfully natural. He can combine different procedures to get patients the results they want.

The Natralook process is used at Dr. Miller’s office to ensure every patient is treated in an encouraging and understanding environment. Dr. Miller offers exceptional aesthetic results and takes his patients through the process with a caring and artistic hand. Contact our New York City or New Orleans office today to schedule a personal consultation.

Learn more about turkey neck treatments here.

Turkey Neck Before & After Photos

Turkey neck FAQ

What is turkey neck?

Turkey neck is characterized by loose and sagging skin underneath the chin and down the front of the neck. Submental fat under the chin can contribute to the aged look of a turkey neck.

What causes turkey neck?

Turkey neck is typically caused by the natural aging process. As we get older, our bodies produce less collagen and elastin, which leads to skin sagging and wrinkle formation. Sun exposure, smoking, and genetics can also contribute to the appearance of turkey neck.

What is the cost of a turkey neck treatment in New York?

A typical turkey neck surgery can cost anywhere from $5,000 – $10,000 in New York. The cost depends on the specific procedures you choose and the results you want. Dr. Miller will discuss your options with you at your consultation and can give you a more accurate estimate at that time.

What is the recovery time after turkey neck removal?

Most patients can return to their regular activities 10-14 days after the procedure. Strenuous activity should be avoided longer – Dr. Miller will advise you based on your specific situation.

Is exercise effective in getting rid of a turkey neck?

Exercise for turkey neck isn’t sufficient for getting rid of the problem. While exercise can result in minor improvements, this is a notoriously stubborn aesthetic issue that requires professional treatment to achieve a satisfactory result in most cases. Surgical procedures offer the most dramatic and long-lasting improvement.

What age does turkey neck start appearing?

You might start to notice this issue as early as your 30s or 40s. The problem tends to become more noticeable over time if it is not treated.

Can I get rid of a turkey neck without surgery?

There are some effective ways to treat a turkey neck without surgery. Dr. Miller offers injectable neuromodulators to reduce horizontal banding, NeckTite to remove submental fat and tighten skin. Surgery addresses multiple concerns in a single procedure with the most dramatic and long-lasting improvement.

Saddle nose rhinoplasty refers to procedures performed on patients with a saddle nose deformity caused by loss of nasal cartilage in the nasal bridge. Many rhinoplasty patients desire an upturned appearance, but in cases of saddle nose, this is more pronounced, giving the nose a concave shape like a saddle. 

Saddle nose rhinoplasty in NYC

Patients with the saddle nose condition can become self-conscious about the appearance of their nose and often suffer breathing issues. As a result, many patients opt for a surgical approach to correct the concave shape and create a straighter nasal bridge. Saddle bone deformity can range from minimal to severe, each requiring a different approach. In minimal cases, non-surgical rhinoplasty using injectable fillers may be able to correct the saddle-shaped nose. In severe cases that impact breathing, reconstructive surgery of the nose may be necessary to achieve optimal results.

How does Dr. Miller correct a Saddle nose?

Saddle nose surgery can present challenges with the lack of cartilage in the nose for reconstruction. When considering rhinoplasty, patients should choose a reputable surgeon specializing in facial plastic surgery. Phillip J Miller, MD, FACS, is a double-board certified facial plastic surgeon recognized as an expert in rhinoplasty. With all procedures, Dr. Miller creates a unique approach to each patient’s situation and desired results. 

During the initial consultation at our surgery center in Manhattan, New York, Dr. Miller will carefully examine the severity of the saddle deformity and create a unique surgical approach to correct the collapsed nasal septum. He uses 3D Vectra virtual imaging at this appointment to help you visualize the results you might expect from your surgery. 

Dr. Miller performs all his work within the NatraLook® Process, which aims to create the results patients desire and boost confidence by enhancing their natural beauty.

Dr. Miller will rebuild the collapsed nose during surgery using cartilage from other parts of the nose or in more severe cases, cartilage from a different part of the body. This restores structure to the nasal bridge for correction of the saddle nose deformity after rhinoplasty.

Saddle nose surgery Before & After Photos

Saddle nose FAQ

What is saddle nose?

A saddle nose is a condition in which the nose appears to be concave or collapsed due to minimal cartilage in the nose. The loss of cartilage support in the nasal bridge can also lead to an overly upturned nasal tip. This creates a dip—hence the term saddle—that makes patients feel insecure about their appearance, especially from a profile view. 

Learn more about saddle nose here. 

What causes saddle nose?

The saddle shape occurs when there’s a loss of cartilage in the nose. The most common causes of saddle nose deformity are:

• Trauma. If a patient experiences nasal trauma, such as an injury that cuts off blood supply to the nose, the cartilage can actually disintegrate. 
• Prior Surgery. A poorly performed rhinoplasty that involved removing too much cartilage from the nose to make it appear smaller can also create a saddle deformity nose and require revision rhinoplasty. 
• Medical Conditions. Various autoimmune and vascular conditions such as Leprosy, Wegener Granulomatosis, and Relapsing Polychondritis can also decrease blood flow to the septum and result in cartilage loss.

What is the cost of a saddle nose rhinoplasty in New York?

The cost of a saddle nose surgery in New York can vary depending on the unique procedure. To note, insurance companies do not typically cover rhinoplasty. However, if the procedure aims to correct breathing or functional issues, insurance companies may cover a portion of the saddle nose repair. Before surgery, you should speak with your insurance provider to determine if you’re eligible for coverage. 

Dr. Miller’s rhinoplasty cost-analysis guide provides an overview of pricing for rhinoplasty at our Manhattan, New York surgery center. 

What is the recovery time after saddle nose surgery?

Recovery looks different for every patient depending on the unique procedure and their body’s healing process. For example, patients who require cartilage drafts for a major restructuring of their nose may need longer recovery time. However, patients can typically return to work within two weeks after surgery. 

The majority of swelling and bruising typically subsides within a few weeks, with the rest gradually decreasing over the year following the procedure. After surgery, patients are encouraged to sleep upright and elevated to avoid pressure on the nose and minimize swelling.

Rest assured that our experienced, compassionate team in New York will create a surgical approach for your nose that achieves beautiful results. Our goal is to make you feel confident in your skin. 

Contact us to schedule a consultation for rhinoplasty. Dr. Miller and his team of experts will perform an assessment and help you determine if saddle nose surgery is right for you.

Preservation rhinoplasty is one of the latest trends in the world of cosmetic nose surgery. The surgical procedure offers a different approach to reduce a dorsal hump while preserving the original components. This technique produces a natural result and provides an alternative to the traditional structural rhinoplasty technique for the right patient.   

Preservation rhinoplasty utilizes a different technique for enhancing the aesthetic appearance of the nose. The main goal of this nose reshaping procedure is to retain as much of the patient’s original dorsum, tissue, and cartilage as possible while improving the nasal appearance and facial harmony. Changes are made deeper within the nasal structure, and the upper portion of the nose is eased downward to smooth out the dorsal hump.

Philip J. Miller, MD, FACS, has experience and expertise in performing all types of rhinoplasty procedures. He will help you determine the best procedure to meet your goals.

With his NatraLook process, you participate in a collaborative partnership with Dr. Miller to ensure your rhinoplasty delivers all the benefits the surgery offers and the results you desire. 

How is preservation rhinoplasty different from traditional rhinoplasty?

Traditional rhinoplasty directly removes the cartilage and bone components of the bump. The procedure reduces nose size by shaving down the bump, but it can also leave an “open roof deformity,” much like taking the roof off of a house. When this occurs, the surgeon must address the issue using techniques like cartilage grafting.

With preservation rhinoplasty, the surgeon alters the height of the nasal bridge beneath the overlying bone and cartilage, using tissue resections underneath the bump and letting the bump stretch out and fall backward to create a straight line. Though changing the shape of the bridge, preservation rhinoplasty maintains the natural components of the nasal dorsum so it does not need to be rebuilt. 

Preservation rhinoplasty offers an optional rhinoplasty technique to preserve the existing bone-cartilage junction along the dorsum that is sacrificed when doing a hump resection. This approach remodels the existing nasal anatomy, targeting precise, small sections of the underlying bone and cartilage and rearranging them like a jigsaw puzzle. By remodeling the base of the nose, we can let the bump fall back without significantly altering the appearance of the nasal bridge.  

In the hands of an experienced, board-certified facial plastic surgeon, both preservation and structural rhinoplasty techniques can produce excellent results. However, not every surgeon offers the preservation option at this time, which could limit a patient’s options depending on the surgeon they choose.

What can preservation rhinoplasty fix?

Benefits of Preservation Rhinoplasty

Preservation rhinoplasty provides the following advantages:

• Improves facial harmony and balance while maintaining your unique look
• Ensures a long-term positive outcome
• Maintains or improves breathing function
• Provides another technique for patients interested in addressing a dorsal hump
• Creates a very natural result without the need for reconstructing the bridge of the nose

While the techniques for preservation rhinoplasty are still improving, its philosophy remains –to reshape and preserve existing structures of the nose –making preservation rhinoplasty a viable option for patients wishing to reduce a dorsal hump without the need for a graft or reshaping of the nasal tip. 

Is preservation rhinoplasty the right choice for me?

The type of rhinoplasty you choose depends on your individual goals and expectations, including your reasons for pursuing the surgery. The best way to determine if preservation rhinoplasty is right for you is to consult with a qualified surgeon.

Dr. Miller is a double board-certified facial plastic surgeon who specializes exclusively in facial plastic surgery. With more than 20 years of experience performing rhinoplasty and other facial rejuvenation procedures, he is an expert in the field, offering in-depth knowledge and the most advanced techniques to his patients.

To learn more, contact Dr. Miller to schedule a consultation.