Vertical Facelift in New York
If you’d like to achieve a natural-looking, youthful appearance while improving your complexion, a vertical facelift may be the right choice for you. This procedure diminishes common side effects of the aging process such as creases, wrinkles, and jowls while addressing skin laxity in the mid and lower face to turn back the clock on your appearance.
A vertical facelift is just one option for patients looking for full facial rejuvenation. This procedure is often recommended for patients who are noticing signs of aging in the mid and lower face and may be combined with other procedures like a neck lift or eyelid lift to produce comprehensive results.
What can a vertical facelift do for me?
A vertical facelift targets signs of aging in the mid and lower face to achieve a naturally youthful appearance. This procedure addresses the same concerns targeted in a traditional facelift but uses a revolutionary technique to pull the skin in a vertical, rather than lateral direction for a more natural-looking result. People who undergo a vertical facelift enjoy numerous aesthetic benefits, such as:
- Fewer signs of aging in the middle of the face
- Reduced excess skin and improved skin elasticity
- Less pronounced fine lines, wrinkles, and jowls
- Defined cheekbone and jawline contours
What areas can be treated by a vertical facelift?
A vertical facelift is ideal for targeting the middle and lower portions of the face. This procedure may improve the definition of your jawline, minimize loose skin, diminish wrinkles and jowls, and elevate drooping cheeks. The vertical technique ensures a more natural result, preventing the windswept facelift outcome patients used to get. This procedure repositions fat and tissue to restore definition to the midface and along the jawline.
Vertical facelift before and after
Viewing vertical facelift before and after photos is a great way to determine how this procedure may address your own cosmetic concerns. Take a look at some of these examples to determine whether a vertical facelift might be the right choice for you.
Why choose Dr. Miller for my vertical facelift procedure?
- Double board-certified
- More than 2 decades of experience
- Focus on cosmetic facial procedures
- Customized treatment plans
- Natural results
- Multiple facelift options
When you schedule a consultation for a vertical facelift, Philip J. Miller, MD, FACS will take you through his NatraLook process to gain a better understanding of your desires and concerns and to come up with the best option for your specific needs. He offers compassionate and meticulous care to his patients at his Manhattan, New York, and New Orleans, Louisiana, cosmetic surgery clinics.
Vertical facelift FAQ
1. What is a vertical facelift?
Similar to a traditional facelift, vertical facelifts address undesired signs of aging such as sagging skin, wrinkles, and jowl formation. The main difference is that this revolutionary procedure utilizes a vertical skin pull, rather than the traditional horizontal pull, to provide a more natural-looking result. A vertical facelift focuses mainly on the middle and lower portions of the face.
2. How much does vertical facelift cost in NYC?
When giving an estimate of a vertical facelift price, it’s important to remember that several factors can affect your overall costs, such as receiving additional services, fillers, or surgeries. Generally, a vertical facelift surgery cost in New York can range anywhere from $5,700 to $40,000. It is best to schedule a consultation with Dr. Miller to determine what your specific needs will be and what the total price will amount to.
3. How will the procedure go?
Before your vertical facelift procedure begins, Dr. Miller will ensure that you feel relaxed, comfortable, and informed. After applying the necessary anesthesia, incisions are made along the hairline in order to improve cheek contour and malar fat pad positioning with absorbable sutures. Small incisions are also made near the ears to remove excess skin in the mid and lower half of the face and to redefine the jawline.
Deeper skin tissues are lifted vertically and repositioned in an upward direction to achieve tighter, more youthful-looking skin. Surgical drains may be inserted to prevent fluid accumulation, but are removed within 48 hours following your procedure. Depending on other surgeries or fillers being combined with your vertical facelift, surgery timeframes can range from approximately two to six hours.
4. What does recovery from a vertical facelift look like?
Following your vertical facelift, you will need someone to drive you home and assist you for the first 24 hours. Patients may experience temporary bruising or swelling which can be alleviated by applying ice to these areas and keeping the head elevated. Most bruising and swelling will subside after about a week, at which point patients can return to regular activities.
5. Does it hurt?
Anesthesia is administered prior to your surgery so you will not feel any pain during your procedure. Many people experience bruising and swelling following their vertical facelift but find that keeping their heads elevated and applying an ice pack alleviates these side effects. Any other pain symptoms experienced can be alleviated with a mild prescription or over-the-counter pain medication.
6. Will insurance cover my vertical facelift?
Since facelifts are considered elective cosmetic surgery and not deemed medically necessary, your vertical facelift cost will not be covered by most insurance.
7. How long does a vertical facelift last?
The longevity of your vertical facelift results can be extended by maintaining a healthy weight, lifestyle, and skincare routine. While the benefits of a facelift are generally long-lasting, routine touch-ups are recommended every few years to reverse further signs of aging that will inevitably take place.
8. When will I start seeing results?
Once any swelling and bruising have subsided, you will begin to notice the results of your vertical facelift. Those improvements will continue to improve over the course of several weeks.
9. What are the associated risks and complications from this procedure?
Since a vertical facelift is somewhat less invasive than a traditional facelift, the associated risks are also reduced. Though Dr. Miller makes the safety of his patients one of his primary goals, rare side effects may include swelling, bleeding, scarring, nerve damage, allergic reaction, infection, or hair loss near the incision site.
10. Vertical facelift vs traditional facelift:
If you are primarily concerned with aging symptoms in the lower face and along the jawline, a vertical facelift might be right for you. This procedure uses smaller incisions and pulls the skin vertically to target this area. A traditional facelift is a better fit if you have sagging and loss of volume around the cheek area.
Mini Facelift in New York City
Nose Surgery for Breathing
If you’re having trouble breathing due to a deviated septum or experiencing chronic sinus infections that don’t respond to over-the-counter medication, it’s time to schedule a consultation with a board-certified facial plastic surgeon. Nose surgery for breathing can improve your airway and help you live a healthier life.
Types of Nose Surgery to Breathe Better
Different types of nose surgery help patients breathe better, including rhinoplasty and septoplasty.
Rhinoplasty
If your nose is too small, it can cause airflow to become restricted, which can cause you to feel like you’re suffocating. If your nose is too large, it can cause your air passages to become narrowed, which can cause breathing to feel like you’re breathing through a straw. Both of these issues can be corrected with nose surgery (rhinoplasty).
Septoplasty
Septoplasty is another type of nose surgery that is used to correct a deviated septum. While a deviated septum is the most common structural irregularity, other obstructions can impede airflow and make breathing challenging. Septoplasty surgery realigns the walls between the two nostrils for balance and symmetry in the nasal cavities. In some cases, it might be necessary to combine septoplasty with turbinate reduction, which removes or reduces the bony, mucosa-lined outgrowths on the sides of each nostril for easier air passage.
Rhinoplasty vs. Septoplasty
Rhinoplasty and septoplasty are both nose surgeries for breathing but are not the same procedures. A septoplasty can be performed independently from a rhinoplasty procedure to realign the septum into the midline using an incision by the nostrils. The septum is separated from the mucosa and repositioned for improved breathing. A crooked nasal septum is known as a deviated septum, which blocks the nasal passage and obstructs breathing.
A deviated septum is an internal obstruction that many patients do not know they have but can cause symptoms such as:
- Snoring
- Sinusitis
- Breathing difficulties
- Sleep apnea
- Respiratory complaints
A septoplasty surgery has many benefits, including:
- Better breathing: It clears the nasal passage for uninterrupted breathing patterns.
- Improved sleep: Clear airways and consistent airflow allows for a quality night’s sleep without snoring or sleep apnea.
- Fewer sinus infections: Drainage improves when the airway is clear and reduces reoccurring sinus infections.
- Improved smell and taste: When the nose works properly and has aligned passageways, it makes smell and taste more powerful.
Rhinoplasty for breathing problems is a more comprehensive solution that can correct a variety of issues involving both function and appearance. A septoplasty is specifically used to treat a deviated septum, while rhinoplasty for breathing can correct other nasal obstructions, and address issues that impact the appearance of the nose.
Rhinoplasty for breathing can correct nasal support if one or both nostrils have a structural collapse that impedes breathing patterns. Before nose surgery for breathing, a detailed examination will determine the cause of impaired breathing and evaluate different nasal structures to identify the most effective course of action.
A rhinoplasty procedure can treat cosmetic or reconstructive needs that improve the appearance by reshaping, reducing, and adjusting the angle. Rhinoplasty is ideal for patients looking to correct the nose’s appearance and breathing complications. The shape and size of nostrils and a hooked or crooked nose can make breathing more complex and can be fixed with a rhinoplasty. With an expert plastic surgeon, rhinoplasty is a diversified surgery that can improve various symptoms that impact form and function.
Considering nose surgery for breathing problems? Contact our office today
Rhinoplasty and septoplasty procedures are common plastic surgery procedures but are extremely complex and require an experienced, board-certified surgeon. Phillip J. Miller, MD, FACS, is a world-renowned double board-certified facial plastic surgeon with more than two decades of experience. He specializes in rhinoplasty procedures and has executed thousands of successful cosmetic and reconstructive nasal surgeries.
Dr. Miller uses the Natralook® process to evaluate and design a treatment plan to give patients more aesthetic confidence. It is an empowering process that creates a safe and supportive space for patients to discuss concerns and desires and prepare a unified vision between Dr. Miller and patients.
If you are interested in nose surgery for cosmetic or functional reasons, we can help. Contact us to schedule a consultation at our New York City or New Orleans office and learn more about nose surgeries for breathing.
Tip Drop After Rhinoplasty
Tip drop is a potential consequence after rhinoplasty. While the nose changes over the first year after this surgery, some patients may find that they require revision procedures to address tip drop that does not resolve during the healing process.
Choosing to undergo plastic surgery is not a choice that you should make lightly. Rhinoplasty is no exception. Every invasive procedure has risks, but choosing an experienced facial plastic surgeon can help lessen the complications.
What is Tip Drop?
Tip drop is one complication that may occur after rhinoplasty. You may notice that the tip of your nose starts to look round. In other cases, you may see your nose has developed a new bump due to your nose tip being disproportionately lower than your bridge.
While your tip will drop slightly as your nose heals, a round nasal tip may indicate that a “dropped tip” has occurred.
Is it Common for a Tip to Drop After Rhinoplasty?
Will the tip of your nose drop after rhinoplasty? It might appear that way. This illusion is expected as the swelling goes down and your nose begins to heal. As the incision starts to contract, the tissue above your nose tip will rise, which causes your tip to look like it dropped.
Another reason your tip will drop after your nose job is due to gravity. Gravity naturally pulls your nose tip downward. If your remaining cartilage is too weak to hold your tip in position and overcome gravity’s tug, your tip may drop.
These are both predictable and preventable. Your plastic surgeon should consider gravity’s pull, the strength of your cartilage, and how much your incisions will contract before performing your rhinoplasty.
A significant tip drop is a common complication of rhinoplasty, especially if your surgeon is inexperienced. Therefore, finding an experienced surgeon is essential to diminish the chance of tip drop.
How Much Will My Tip Drop After Rhinoplasty?
Your tip should drop between five and ten degrees after rhinoplasty. This drop is due to gravitational pull and your incisions tightening. Any drop that is greater than that means there may have been a surgical complication.
When Will My Tip Drop After Rhinoplasty?
After rhinoplasty, your tip should drop over the next six weeks as swelling reduces and your incisions contract. However, it can sometimes take up to a year to see the full effect of your nose surgery. You likely won’t know if there were complications during your rhinoplasty until a year has passed.
What if My Tip Drops Too Much?
If your tip drops too much after your nose surgery, you may need a revision rhinoplasty. Surgical errors, outdated techniques, or recovery complications could be reasons your nose tip dropped too much. These revision nose jobs occur about one year after the initial surgery to ensure all post-surgical swelling is gone.
During revision rhinoplasty, your surgeon may need to place a graft to achieve your desired result. The amount of tip drop will affect the type of graft your surgeon will need to place. It is critical to choose a board-certified facial plastic surgeon with extensive experience and expertise in revision techniques, as revision rhinoplasty is typically even more complex than the initial procedure.
Reduce Rhinoplasty Complications by Choosing a Leading Expert in Rhinoplasty
Whether you are undergoing a rhinoplasty because you’re unhappy with the size or shape of your nose or due to trauma, finding the right surgeon is essential. The right surgeon can ensure the procedure is done the first time correctly and that you’ll be pleased with your results.
Regardless of your reason for rhinoplasty, Dr. Philip Miller, MD, FACS, should be your number one choice. Dr. Miller is a double-board certified plastic surgeon serving Manhattan, New York, and New Orleans, Louisiana.
He has honed his unique approach to facial surgery over decades. He works with you in a caring, patient-focused environment. Dr. Miller utilizes the NatraLook process, creating a collaborative treatment where your concerns are valued, your confidence is enriched, and your natural aesthetic beauty is enhanced.
Schedule your consultation with Dr. Miller and his highly-trained team by contacting our Manhattan office. Our acclaimed team is proud to offer customized procedures to make your dream nose a reality.
What Is the Best Age for a Nose Job?
The best age for a nose job will depend on a variety of factors, including the patient’s reason for seeking the procedure. Although there are no concrete age guidelines, this overview can help you determine whether now is the right time to pursue nose surgery.
Rhinoplasty is the surgical reconstruction of the nose. In nose surgery, doctors reshape the nose by removing excess tissue, correcting crooked cartilage, and augmenting the nose to improve its appearance. The type of rhinoplasty procedure performed depends on the results you hope to achieve and the unique characteristics of your nose.
There are also medical reasons an individual may choose to have a nose job. The nose is a complex structure that plays an important role in the health and well-being of the body. The nose is responsible for airflow into and out of the mouth, which is essential for breathing, eating, and talking. The nose also plays a critical role in the sense of smell.
The nose has both cosmetic and medical functions that require surgical corrections. Many young patients feel insecure about their noses and seek rhinoplasty for cosmetic reasons. But how young is too young for a rhinoplasty procedure?
At what age can you get a nose job?
There are no concrete age requirements for a rhinoplasty procedure, but many surgeons suggest waiting until around 18 years old for a nose job to ensure facial features are fully developed.
Facial features mature at different rates and patients have different reasons for a rhinoplasty procedure. This is why speaking with a board-certified expert rhinoplasty surgeon who can evaluate your nose and give you a personal recommendation is so important.
Can I get a nose job at 14, 15, 16, or 17?
Yes, teenage patients can get a nose job between the ages of 14-17 in some circumstances. However, a cosmetic rhinoplasty procedure for 14-17 year-olds is less common because their facial features may still be changing. In the younger age group, a medical rhinoplasty is more common to fix issues like a cleft palate or breathing problems.
A rhinoplasty procedure for young patients should be an open discussion between the patient, parents, and the plastic surgeon. Outside of facial maturity for the process, it is essential to consider emotional maturity to understand the life-changing effects of a nose job. Rhinoplasty surgeries are complex procedures that require significant recovery. Final results can take up to one year and requires patients to follow careful post-operative instructions to ensure an optimal outcome.
Boys and girls reach facial maturity at different ages. Girls typically have full development around 14-15, while boys don’t tend to fully mature until around 16-18. It is a very individualized decision that is less about age and more about developmental and emotional maturity.
Philip J. Miller, MD, FACS, is double board-certified facial plastic surgeon specializing in rhinoplasty procedures and facial rejuvenation. With more than two decades of experience, Dr. Miller provides customized and innovative care to all patients. When it comes to teenage rhinoplasty patients, he is very conservative in his approach to evaluating candidates. Expectations are critical when determining if a young patient is ready for the procedure.
Dr. Miller assumes professional responsibility for involving parents in a thorough assessment of psychological and developmental maturity. In some cases, Dr. Miller asks trusted psychologists to help during the process to ensure a comprehensive evaluation of each patient. Teens that move forward with surgery can expect many benefits from working with an expert, including:
- Improved self-confidence
- Better health and structural harmony
- Comfortable breathing
- Natural results
Dr. Miller uses the Natralook® procedure to help patients explore their aesthetic confidence. It is an enriching process that provides a safe and supportive space to discuss personal challenges and desires. For any patient, regardless of age, it is essential to work with a surgeon that has a unified vision and experience creating natural results.
Are you thinking about rhinoplasty? Contact us to schedule a consultation and learn more about teenage rhinoplasty procedures.
Should You Get A Facelift After Massive Weight Loss?
Losing weight is often a long and frustrating journey that requires hard work and dedication. The result of your efforts can include loose or sagging skin, which may require surgery to put the finishing touch on your weight loss efforts. A facelift helps patients achieve the contour for a seamless face and neck.
How does weight loss change your face?
Weight loss can change the contour and appearance of your face. Whether through strict diet and exercise or intervention like bariatric surgery, weight loss can impact the skin and face in a multi-dimensional manner leaving the face looking hollow in some areas when fat is lost.
Another facial change that can happen after significant weight loss is sagging skin. Skin does not always shrink to match your frame, and when patients experience significant weight loss, it can remove fat but leave skin laxity that doesn’t bounce back if the change occurred too quickly.
After massive weight loss, you may want to make an appointment with an experienced facial plastic surgeon who can assess your skin changes and determine the best treatment plan for your specific needs. Plastic surgeons sometimes recommend facelifts to patients that are healthy and have achieved their target goal on the scale.
Each person experiences the impact of weight loss differently. Some see facial changes within a matter of weeks while don’t see the effects of weight loss for many months. Your plastic surgeon may suggest different injectables during your weight loss journey to help your face appear symmetrical and reduce sunken areas. A complete facelift is most successful after weight loss is complete to ensure there are no further changes to the face after surgery.
Does losing weight make your face look younger?
While weight loss can drastically change your appearance, weight loss alone does not always make you look younger. Many individuals define an attractive face as contoured and full. Unfortunately, weight loss can have the opposite effect on the face, leaving behind hollow areas, sagging skin, and an overall deflated look. Sagging skin can also lead to deep folds and wrinkles for a more aged appearance.
Fortunately, these skin concerns can be addressed with a facelift. A facelift lifts and tightens skin, removes excess skin and fat, and reshape portions of the face like the jawline and jowls. There are several types of facelift procedures that can help patients look younger after massive weight loss:
- Traditional facelift: This is a complete facelift with incisions made around the hairline, ears, and lower scalp so that fat can be redistributed or removed and underlying layers can be lifted and tightened.
- Mini facelift: The mini lift is less extensive and has a shorter incision length that targets more focused areas. This outpatient procedure requires local anesthesia in most cases and recovery tends to be shorter than with a traditional facelift.
- Thread lift: A temporary, dissolvable barbed suture is threaded into the skin along the temple or jawline that lifts the skin and stimulates collagen production.
- Deep plane facelift: This type of facelift involves access to the underlying SMAS tissue and actually releases ligaments that tend to keep the SMAS in a specific position. This technique allows for lift in the lower and midface for natural and dramatic improvement.
- Micro lift: This innovative procedure mimics the results of pulled-back hair in a ponytail. It is minimally invasive and subtly lifts the eyes and tightens the skin for sharper cheekbones.
Do jowls and sagging face go away after losing weight?
Unfortunately, jowls and sagging faces do not always resolve after weight loss. In some cases, they may even become more defined. While weight loss can slenderize the face, this improvement is often hidden by sagging skin and lack of contour. Facelifts have many benefits in reducing jowls and improving facial balance and beauty, including:
- Create a well-defined jawline
- Lift and tighten sagging skin
- Eliminate loose jowls
- Reduce deep fold, fine lines, and wrinkles
- Rejuvenate skin
- Produce a younger and healthier appearance
Double-board certified facial plastic surgeon, Philip J. Miller, MD, FACS, provides innovation and expertise to patients looking for seamless and natural results at his New York City, NY, and New Orleans, LA, offices. Contact us to schedule a consultation and learn more about facelift procedures after weight loss.
I Hate My Nose After Rhinoplasty: What to Do?
If you’re having some regrets after your rhinoplasty, keep in mind final results won’t present themselves right away. You’re not going to be able to see the true aesthetic results of your rhinoplasty until it’s fully healed, which will take up to a year or longer.
But what about when you’ve healed from your original procedure, and you still regret your rhinoplasty? Let’s dive into some of the reasons why this might happen, and what you can do about it – especially if you can get to Manhattan, New York or New Orleans, Louisiana for revision rhinoplasty.
Is it normal to not like your nose after rhinoplasty?
If you’ve been watching your rhinoplasty heal over time and you’re still thinking “I don’t like my nose”, it’s not unheard of. As many as 10-15% of cosmetic nose surgeries result in unhappy clients who will choose to undergo a second procedure to fix it. This commonly occurs for a few reasons:
- You may have trusted an inexperienced surgeon with inferior talent, resulting in lackluster nose surgery results. Rhinoplasty is one of the most complex of all facial plastic surgeries, requiring a great deal of precision, skill, and artistry to perform correctly. This is one reason why so many rhinoplasty procedures result in revisions.
- A lack of communication between you and your doctor may have led to bad rhinoplasty results. Many failed nose jobs stem from the doctor thinking that their patient was looking for something that they didn’t express.
- Complications can present themselves during the procedure or healing process that can lead to a bad rhinoplasty result overall.
- Even in the best of hands and the most simple of procedures, rhinoplasty is not an entirely predictable operation as there are many factors after the surgery that play a role in forming the final result that you and your surgeon have no control over.
When does your nose stop changing after a nose job?
There are a variety of rhinoplasty changes that occur over time during your healing process. That’s part of why it’s strongly encouraged to hold off on a revision rhinoplasty until you can see the full results after 12-18 months of healing. Until that time, the final form or function of the nose won’t be apparent.
Swelling and unactualized results may make your nose seem too big, too short, look the same as it did before, look fat, or feel weird after rhinoplasty. This can lead to post-rhinoplasty depression – but if you let yourself heal, you will find you have options to improve your results.
What Do I Do If I’m Unhappy with My Rhinoplasty?
After you’ve given your nose adequate time to heal, what happens if you’re still unhappy with the results? First, let’s go through the types of issues that commonly manifest as undesirable results, or a nose job fail.
Pinched Tip
This happens when too much cartilage is removed from the tip of the nose, leading to less than ideal aesthetic results. This can also reduce functionality, leading to breathing troubles. Over time, a lack of support to the tip will result in a collapse of the shape of the nostrils.
Here’s a correction of a nasal tip through a revision rhinoplasty performed by Dr. Miller:
Short Nose
If too much cartilage is removed during the initial rhinoplasty, the appearance of a “short nose” may result. Through the use of specialized grafts and reinstating cartilage, a more natural-looking shape can be returned to the nose with a revision rhinoplasty.
Here’s an example of some of Dr. Miller’s work in this area:
Crooked/Twisted Bridge
A “crooked” or “twisted” appearance can occur as a result of nasal trauma. This can be corrected by making the nose symmetrical again by rearranging the cartilage and the bone.
Here are some examples of Dr. Miller’s work that focus on symmetry:
How to tell your plastic surgeon you are unhappy?
After going through the emotionally and physically exhaustive process of planning and completing your initial rhinoplasty, it can seem daunting to consider going through those steps again. After experiencing a bad nose surgery, you wouldn’t want to spend that time and money again for another rhinoplasty fail. However, the first logical step is to address your concerns with the surgeon who performed your initial surgery.
If your original surgeon cannot provide you with a satisfactory response to your issues, you may need to look for another surgeon to perform revision rhinoplasty for you. The most important factor here is the plastic surgeon you choose.
A board-certified facial plastic surgeon is often the best choice for a revision rhinoplasty procedure. These specialists have intimate knowledge of the nose, studying first as an ear, nose, and throat specialist. The addition of plastic surgery training ensures these surgeons have both the expertise and the artistry to enhance the appearance of the nose while preserving function.
How Can I Fix My Rhinoplasty?
Philip J. Miller, MD, FACS, is a board-certified facial plastic surgeon who specializes in procedures for the nose and face. He offers his proprietary NatraLook® Process, which is a patient-centric approach to understanding your needs, listening to your expectations, and going through every step with communication and trust. With a technique that combines artistry and science, Dr. Miller has performed over 5,000 successful surgeries.
You need a surgeon with proven abilities, who has achieved a high success rate in producing the most natural-looking and aesthetically-pleasing rhinoplasty results in Manhattan, New York, and New Orleans, Louisiana. Schedule your consultation with Dr. Miller today by calling 646-791-3025, or booking online.
Learn how rhinoplasty can make a nose appear smaller here.
Surgical or Liquid (Non-Surgical) Rhinoplasty: Which one is right for me?
When it comes to getting a nose job, there are two basic options: surgical or non-surgical. Surgical rhinoplasty requires anesthesia, incisions, and downtime, but produces permanent improvement. A non-surgical rhinoplasty, commonly known as a liquid rhinoplasty, is a less invasive option that utilizes injectable fillers to temporarily change the appearance of the nose.
When considering a rhinoplasty, it is essential to realize that different types of rhinoplasty procedures are used, depending on the severity of alterations. Individualizing a rhinoplasty procedure ensures that results are natural and balanced to your unique facial features.
What is liquid rhinoplasty?
Liquid rhinoplasty is a non-surgical alternative to a surgical rhinoplasty procedure that uses injectable dermal fillers to make the nose more appealing. This less invasive option may produce pleasing results with a quicker approach and less recovery time.
Juvederm® and Restylane® are two common dermal fillers used for liquid rhinoplasty. Juvederm is an FDA-approved volume enhancer containing hyaluronic acid, a naturally occurring substance in the body. Restylane is another hyaluronic acid injectable that restores and rejuvenates the skin. These fillers can add hydration and volume to the nose and alter the shape for a more appealing appearance.
Even though liquid rhinoplasty is not a surgical procedure, it still requires skill and experience to inject the filler into the correct area for intended results. The process is quick and patients can return to normal daily activities after the injection. It is an effective alternative with many benefits, including:
- Non-invasive
- Minimal downtime
- Safe and effective
- Instant results
- Smoother nose shape
- More balanced appearance
What’s the difference between liquid and regular rhinoplasty?
Surgical and liquid rhinoplasty are two very different procedures with different processes, results, recovery, costs, and expectations. Take a look at the breakdown:
Surgical Rhinoplasty:
- Requires anesthesia
- Manipulates the skin, bone, and cartilage to reshape and resize the nose
- Repairs medical conditions like a deviated septum or other functional issues
- Requires downtime of at least one week before returning to work and daily activities
- Is associated with side effects like swelling, bruising, and tenderness
- Provides a permanent solution
- Offers the option to combine procedures for complete facial balance
Liquid Rhinoplasty:
- Is minimally invasive
- Requires minimal downtime and discomfort
- Can improve the shape of the nose
- Camouflages bumps and adds volume
- Takes little time to perform
- Provides instant results
- Is associated with minimal swelling, bruising, and tenderness
- Requires regular appointments to maintain results
How much does liquid rhinoplasty cost in NYC?
The cost of rhinoplasty procedures varies by patient and depends on the treatment plan. Non-surgical rhinoplasty costs typically range from $300-$1300 per treatment. Some of the factors that impact price include:
- Type of dermal fillers used
- Number and amount of filler injected
- Experience and expertise of injector
It is also important to understand that liquid rhinoplasty is not a permanent solution and requires regular appointments to maintain the desired shape. Patients can learn more about the specific costs of liquid rhinoplasty during a consultation with Dr. Miller.
@drphilipjmiller #liquidrhinoplasty ! In 10 minutes, no down time, you will have a new nose that last about 2 years. Call today and book a session with me! #nonsurgicalrhinoplasty ♬ original sound – Sam Smith
How much does surgical rhinoplasty cost in NYC?
Surgical rhinoplasty encompasses a wide range of possible alterations and additional steps, such as a graft or implant. Due to the variance in procedure possibilities, there is also a wide range of costs. An average surgical rhinoplasty procedure in New York City ranges from $3,500-$25,000. During a consultation, Dr. Miller will explain the treatment plan and expected costs.
How long does liquid rhinoplasty last?
Unlike a surgical rhinoplasty, liquid rhinoplasty is not a permanent solution. This treatment requires regular appointments to maintain your pleasing results. Results vary by patient depending on how many dermal fillers were used, where they were injected, and the level of correction required. Many patients see results for around 18 months before needing a touch-up session. Dr. Miller and his expert team will evaluate your nose and treatment plan for a suggested maintenance schedule to keep a natural and well-balanced nose shape.
How long does surgical rhinoplasty last?
Surgical rhinoplasty is a permanent procedure that has lifelong results. Once the nose is reshaped and altered, it will remain in its new state with proper care.
Which one is better: surgical or non-surgical rhinoplasty?
Both procedures are practical and effective solutions, depending on the patient’s specific needs and desires. Philip Miller, MD, FACS, strives to help patients achieve aesthetic confidence and natural results using the NatraLook® process. During your consultation, Dr. Miller discusses your concerns and expectations to identify which procedure is right for you and create a unified treatment plan.
Dr. Miller is a double board-certified surgeon in facial plastic and reconstructive surgery and head and neck surgery. He is a world-class surgeon and leading expert in rhinoplasty and facial rejuvenation. With more than 20 years of expertise, Dr. Miller works closely with patients to identify their needs and desires to create unmatched results.
Contact us to schedule a consultation and learn more about which rhinoplasty procedure is right for you.
What Age is Normal to Get Wrinkles?
There really is no “normal” age when we start to notice wrinkles. Their formation depends on a variety of factors – some of which we can control and others we can’t. While your friend might start to notice fine lines around the eyes in her 20s, you might not see lines develop until almost a decade later.
Wrinkles are a normal part of aging. Some wrinkles are the result of repeated facial expressions like squinting or smiling. Others occur because of collagen depletion in the dermal structure, which leads to skin laxity and facial creasing. Factors that might accelerate this process include genetics, sun damage, poor diet, and lifestyle choices like smoking and drinking alcohol.
What age do wrinkles start appearing?
The aging process is different for each patient. Many people show the first signs of aging in their mid-20s as our bodies begin to produce less collagen and sun damage can take an early toll. Prominent signs of aging like wrinkles often appear on the face, neck, hands, and forearms, with the most noticeable areas on the neck and face. While aging cannot be stopped, there are many ways to promote healthy skin and reduce wrinkles, sun damage, sagging skin, and other signs of aging.
Are wrinkles normal at 20?
As individuals move out of their teens and into their 20s, signs of aging can begin to appear. The first signs of wrinkles in your 20s are movement lines around the brow, mouth, and eyes, due to repetitive movements like smiling, laughing, and frowning. Significant wrinkles and lines on the forehead and other areas are not typical. If they do occur this early, they can likely be attributed to factors like excessive sun damage or lifestyle choices like smoking.
Are wrinkles normal at 30?
Most people still have a youthful appearance in their 30s without significant wrinkles. Wrinkles and fine lines may become more apparent in the mid-to-late 30s, or even sooner depending on sun exposure and other variables. The most common spots for lines at this age are between the eyebrows (frown lines) and the triangle areas between the nose and corners of the mouth (nasolabial folds).
What causes wrinkles?
Wrinkles are just one of the many changes to our skin as we age. As we grow older, our skin loses elasticity and becomes thinner and more translucent. Aging skin is more fragile and retains less moisture, making it easier for wrinkles to form. While age is a major contributing factor to wrinkles, there are many causes, including:
- Repetitive facial movements
- Sun damage
- Smoking and alcohol consumption
- Lack of proper skin care
- Dehydration
Wrinkle Prevention
Aging is an inevitable process, but there are many preventative measures that can keep skin looking young, healthy, and wrinkle-free, including:
- Sun Protection: Sun exposure is the leading cause of premature aging and can be prevented with proper protection like hats, sunglasses, and sunscreen. Sun protection should be worn every day to avoid damaging ultraviolet rays from penetrating your skin, even if it is overcast.
- Moisture: A quality moisturizer helps nourish and hydrate the skin, especially ones containing hyaluronic acid. Dry skin is more prone to wrinkles, and daily moisturizers can prevent wrinkles.
- Water: Drinking enough water each day is essential for overall health and skin health. Water can help flush toxins, regulate digestion, and keep your skin hydrated from the inside out to promote a youthful appearance.
- Diet and Exercise: Eating vitamin-rich foods like salmon, avocados, vegetables, and leafy greens are key to absorbing nutrients and antioxidants that promote healthy skin cells. Exercise increases blood flow to the dermal tissue, helping you maintain a rosy glow and keeping skin in top condition.
Wrinkle Treatment
Wrinkles are inevitable at some point, despite our best efforts. There are treatments to help reduce those lines and promote a youthful appearance, from minimally-invasive dermal fillers to facelift surgery. Gotham Plastic Surgery in New York offers:
- Dermabrasion: A skin resurfacing procedure that removes the top layer of skin for rejuvenation and reduction in wrinkles and other signs of aging.
- Botox®: This injectable treatment effectively reduces facial lines like crow’s feet, frown lines, worry lines, forehead lines, and neck wrinkles.
- Liquid facelift: A non-surgical treatment that combines facial fillers like Restylane and Juvederm to reduce wrinkles and add volume.
- FaceTite: This non-surgical treatment delivers radiofrequency energy into the dermal tissue to tighten skin and boost collagen levels for a reduction in visible wrinkles.
- MicroLift: This less invasive surgical facelift technique resembles the result you get when you pull up your hair in a tight ponytail. With smaller incisions and a shorter recovery time, it can be a good option for younger patients before they opt for a deep plane facelift.
- Deep plane facelift and neck lift: These surgical procedures remove and tighten skin, while repositioning fat and tissue to reduce sagging and wrinkles.
Schedule Your Wrinkle Treatment at our Manhattan Office
Gotham Plastic Surgery is an innovative practice that serves patients in a discreet, confidential, and accredited facility. Led by Dr. Philip Miller, a double board-certified facial plastic surgeon, our team works closely with patients to identify the best wrinkle treatment plans to help patients look younger, healthier, and more natural.
Dr. Miller uses the NatraLook® process to empower patients to explore their aesthetic confidence and naturally enhance their appearance. Gotham Plastic Surgery in New York is a safe and positive environment to discuss personal desires and achieve beauty goals through a unified vision.
Contact us to schedule a consultation and learn more about our wrinkle treatments.
Next, read about your options with Three Types of Facelifts.
Spreader Grafts Rhinoplasty in New York
The placement of spreader grafts is a surgical maneuver commonly used for functional and aesthetic enhancement in rhinoplasty and revision rhinoplasty procedures. A spreader graft is harvested from the patient’s own cartilage and is strategically positioned to either prevent nasal valve collapse, improve airflow, or help restore a more aesthetically pleasing nasal shape.
Rhinoplasty spreader grafts allow double board-certified facial plastic surgeon, Philip J. Miller, MD, FACS, to restructure and recontour the nose, strengthening its foundation to retain proper nasal function, as well as an ideal cosmetic outcome.
What Are Spreader Grafts in Rhinoplasty?
The nose is made up of a top third, a middle third, and a bottom third (the tip). The middle third is composed of cartilage, which bends like your ear. If bent too far, it can break. Both horizontal and vertical cartilage make up this area of the nose.
The cartilage plays a crucial role in enabling the nose to breathe properly and comfortably, while preventing nasal obstruction. If the horizontal cartilage is too narrow, you may have problems breathing. A surgeon can use bilateral spreader grafts to make the nose wider during a septoplasty. This procedure involves placing the graft between the septum and the side or lateral walls of the nose to open that area. Septoplasty spreader grafts also support the side walls of the nose to prevent them from collapsing over time.
Grafts may also be used to widen the nose for a better aesthetic result, creating a more refined contour line from the forehead to the frontal tip (dorsal line). They are typically created using the patient’s own cartilage to enable more seamless incorporation into their nasal anatomy without the risk of rejection. Common donor sites are the nasal septum, ears, and sometimes, the ribs.
What Do Spreader Grafts Treat?
Spreader grafts are often used for:
- Correcting asymmetry issues in the middle third of the nose
- Refining the nasal tip
- Performing alar base reduction
- Strengthening the middle third of the nose after hump removal or revision rhinoplasty
- Improving the airway at the nasal valve
- Reconstructing a broken nose
- Rebuilding a collapsed middle third
How Spreader Graft Nose Surgery is Performed
After obtaining the cartilage that will be used for the procedure, Dr. Miller will create a customized spreader graft based on the specific needs of the patient. Placement of the spreader graft can be performed using either a closed or open rhinoplasty approach.
The open approach is more common because it allows for better access to the middle vault of the nose. This procedure requires a small incision across the columella (the tissue between the nostrils) to lift the skin and expose the nasal structure. The open technique allows for more accurate placement of the spreader graft. After placement, the graft is sutured into its new location.
Recovery After Spreader Graft Surgery
After placement of rhinoplasty spreader grafts, patients usually return to work and normal activities within three weeks. However, Dr. Miller recommends no strenuous physical activity for 3-6 weeks. You will begin to see the swelling and bruising disappear within 2-3 weeks, at which time you will start to appreciate the results.
Full results usually take 6-12 weeks to be seen while your healing will continue for the entire first year. Dr. Miller and his team will follow you through this entire process, but please be patient to see the final results.
Spreader Grafts in Manhattan, NYC
Dr. Miller is an expert double board-certified facial plastic surgeon in Manhattan, New York, and New Orleans, Louisiana. He has an artist’s eye and touch and is one of the most skilled practitioners of facial rejuvenation procedures, including rhinoplasty and the specialized technique of spreader grafts placement.
Dr. Miller has performed thousands of nose job procedures and has decades of experience with rhinoplasty patients. He will create custom treatment plans utilizing minimally-invasive techniques and advanced technology to help patients achieve the best version of themselves.
Dr. Miller offers a proprietary consultation process called NatraLook, which expands the typical plastic surgery experience into a safe, collaborative environment where you can explore your aesthetic confidence. This opportunity allows you and Dr. Miller to create a unified vision for your results and the safest, most natural outcome possible. To schedule a consultation with Dr. Miller, contact our New York City plastic surgery clinic today.