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Privacy Policy

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

Philip Miller, MD, FACS

60 East 56th at Park Ave
New York, NY 10022

This Notice of Privacy Practices describes how we may use and disclose your protected health information to carry out treatment, payment or health care operations and for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health information. “Protected health information” (PHI) is information about you, including demographic information, that may identify you and that relates to your past, present or future physical or mental health or condition and related health care services.

We are required to abide by the terms of this Notice of Privacy Practices. We may change the terms of our notice, at any time. The new notice will be effective for all protected health information that we maintain at that time. Upon your request, we will provide you with any revised Notice of Privacy Practices. You may request a revised version by accessing our website, or calling the office and requesting that a revised copy be sent to you in the mail or asking for one at the time of your next appointment.

1. Uses and Disclosures of Protected Health Information

Your protected health information may be used and disclosed by your physician, our office staff and others outside of our office who are involved in your care and treatment for the purpose of providing health care services to you. Your protected health information may also be used and disclosed to pay your health care bills and to support the operation of your physician’s practice.

Following are examples of the types of uses and disclosures of your protected health information that your physician’s office is permitted to make. These examples are not meant to be exhaustive, but to describe the types of uses and disclosures that may be made by our office.

Treatment: We will use and disclose your protected health information to provide, coordinate, or manage your health care and any related services. This includes the coordination or management of your health care with another provider. For example, we would disclose your
protected health information, as necessary, to a home health agency that provides care to you.

We will also disclose protected health information to other physicians who may be treating you.
For example, your protected health information may be provided to a physician to whom you have been referred to ensure that the physician has the necessary information to diagnose or treat you. In addition, we may disclose your protected health information from time-to-time to another physician or health care provider (e.g., a specialist or laboratory) who, at the request of your physician, becomes involved in your care by providing assistance with your health care diagnosis or treatment to your physician.

Payment: Your protected health information will be used and disclosed, as needed, to obtain payment for your health care services provided by us or by another provider. This may include certain activities that your health insurance plan may undertake before it approves or pays for the health care services we recommend for you such as: making a determination of eligibility or coverage for insurance benefits, reviewing services provided to you for medical necessity, and undertaking utilization review activities. For example, obtaining approval for a hospital stay may require that your relevant protected health information be disclosed to the health plan to obtain approval for the hospital admission.

Health Care Operations: We may use or disclose, as needed, your protected health information in order to support the business activities of your physician’s practice. These activities include, but are not limited to, quality assessment activities, employee review activities, training of medical students, licensing, fundraising activities, and conducting or arranging for other business activities.

We will share your protected health information with third party “business associates” that perform various activities (for example, billing or transcription services) for our practice. Whenever an arrangement between our office and a business associate involves the use or disclosure of your protected health information, we will have a written contract that contains terms that will protect the privacy of your protected health information.

We may use or disclose your protected health information, as necessary, to provide you with information about treatment alternatives or other health-related benefits and services that may be of interest to you. You may contact our Privacy Officer to request that these materials not be sent to you.

We may use or disclose your demographic information and the dates that you received treatment from your physician, as necessary, in order to contact you for fundraising activities supported by our office. If you do not want to receive these materials, please contact our Privacy Officer and request that these fundraising materials not be sent to you.

Other Permitted and Required Uses and Disclosures That May Be Made Without Your Authorization or Opportunity to Agree or Object

We may use or disclose your protected health information in the following situations without your authorization or providing you the opportunity to agree or object. These situations include:

Required By Law: We may use or disclose your protected health information to the extent that the use or disclosure is required by law. The use or disclosure will be made in compliance with the law and will be limited to the relevant requirements of the law. You will be notified, if required by law, of any such uses or disclosures.

Public Health: We may disclose your protected health information for public health activities and purposes to a public health authority that is permitted by law to collect or receive the information. For example, a disclosure may be made for the purpose of preventing or controlling disease, injury or disability.

Communicable Diseases: We may disclose your protected health information, if authorized by law, to a person who may have been exposed to a communicable disease or may otherwise be at risk of contracting or spreading the disease or condition.

Health Oversight: We may disclose protected health information to a health oversight agency for activities authorized by law, such as audits, investigations, and inspections. Oversight agencies seeking this information include government agencies that oversee the health care system, government benefit programs, other government regulatory programs, and civil rights laws.

Abuse or Neglect: We may disclose your protected health information to a public health authority that is authorized by law to receive reports of child abuse or neglect. In addition, we may disclose your protected health information if we believe that you have been a victim of abuse, neglect or domestic violence to the governmental entity or agency authorized to receive such information. In this case, the disclosure will be made consistent with the requirements of applicable federal and state laws.

Food and Drug Administration: We may disclose your protected health information to a person or company required by the Food and Drug Administration for the purpose of quality, safety, or effectiveness of FDA-regulated products or activities including, to report adverse events, product defects or problems, biologic product deviations, to track products; to enable product recalls; to make repairs or replacements, or to conduct post marketing surveillance, as required.

Legal Proceedings: We may disclose protected health information in the course of any judicial or administrative proceeding, in response to an order of a court or administrative tribunal (to the extent such disclosure is expressly authorized), or in certain conditions in response to a subpoena, discovery request or other lawful processes.

Law Enforcement: We may also disclose protected health information, so long as applicable legal requirements are met, for law enforcement purposes. These law enforcement purposes include (1) legal processes and otherwise required by law, (2) limited information requests for identification and location purposes, (3) pertaining to victims of a crime, (4) suspicion that death has occurred as a result of criminal conduct, (5) in the event that a crime occurs on the premises of our practice, and (6) medical emergency (not on our practice’s premises) and it is likely that a crime has occurred.

Coroners, Funeral Directors, and Organ Donation: We may disclose protected health information to a coroner or medical examiner for identification purposes, determining cause of death or for the coroner or medical examiner to perform other duties authorized by law. We may also disclose protected health information to a funeral director, as authorized by law, in order to permit the funeral director to carry out their duties. We may disclose such information in reasonable anticipation of death. Protected health information may be used and disclosed for cadaveric organ, eye or tissue donation purposes.

Research: We may disclose your protected health information to researchers when their research has been approved by an institutional review board that has reviewed the research proposal and established protocols to ensure the privacy of your protected health information.

Criminal Activity: Consistent with applicable federal and state laws, we may disclose your protected health information, if we believe that the use or disclosure is necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public. We may also disclose protected health information if it is necessary for law enforcement authorities to identify or apprehend an individual.

Military Activity and National Security: When the appropriate conditions apply, we may use or disclose protected health information of individuals who are Armed Forces personnel (1) for activities deemed necessary by appropriate military command authorities; (2) for the purpose of a determination by the Department of Veterans Affairs of your eligibility for benefits, or (3) to foreign military authority if you are a member of that foreign military services. We may also disclose your protected health information to authorized federal officials for conducting national security and intelligence activities, including for the provision of protective services to the President or others legally authorized.

Workers’ Compensation: We may disclose your protected health information as authorized to comply with workers’ compensation laws and other similar legally-established programs.
Inmates: We may use or disclose your protected health information if you are an inmate of a correctional facility and your physician created or received your protected health information in the course of providing care to you.

Uses and Disclosures of Protected Health Information Based upon Your Written Authorization

Other uses and disclosures of your protected health information will be made only with your written authorization, unless otherwise permitted or required by law as described below. You may revoke this authorization in writing at any time. If you revoke your authorization, we will no longer use or disclose your protected health information for the reasons covered by your written authorization. Please understand that we are unable to take back any disclosures already made with your authorization.

Other Permitted and Required Uses and Disclosures That Require Providing You the Opportunity to Agree or Object

We may use and disclose your protected health information in the following instances. You have the opportunity to agree or object to the use or disclosure of all or part of your protected health information. If you are not present or able to agree or object to the use or disclosure of the protected health information, then your physician may, using professional judgment, determine whether the disclosure is in your best interest.

Facility Directories: Unless you object, we will use and disclose in our facility directory your name, the location at which you are receiving care, your general condition (such as fair or stable), and your religious affiliation. All of this information, except religious affiliation, will be disclosed to people that ask for you by name. Your religious affiliation will be only given to a member of the clergy, such as a priest or rabbi.

Others Involved in Your Health Care or Payment for your Care: Unless you object, we may disclose to a member of your family, a relative, a close friend or any other person you identify, your protected health information that directly relates to that person’s involvement in your health care. If you are unable to agree or object to such a disclosure, we may disclose such information as necessary if we determine that it is in your best interest based on our professional judgment. We may use or disclose protected health information to notify or assist in notifying a family member, personal representative or any other person that is responsible for your care of your location, general condition or death. Finally, we may use or disclose your protected health information to an authorized public or private entity to assist in disaster relief efforts and to coordinate uses and disclosures to family or other individuals involved in your health care.

2. Your Rights

Following is a statement of your rights with respect to your protected health information and a brief description of how you may exercise these rights.

You have the right to inspect and copy your protected health information. This means you may inspect and obtain a copy of protected health information about you for so long as we maintain the protected health information. You may obtain your medical record that contains medical and billing records and any other records that your physician and the practice use for making decisions about you. As permitted by federal or state law, we may charge you a reasonable copy fee for a copy of your records.

Under federal law, however, you may not inspect or copy the following records: psychotherapy notes; information compiled in reasonable anticipation of, or use in, a civil, criminal, or administrative action or proceeding; and laboratory results that are subject to law that prohibits access to protected health information. Depending on the circumstances, a decision to deny access may be reviewable. In some circumstances, you may have a right to have this decision reviewed. Please contact our Privacy Officer if you have questions about access to your medical record.

You have the right to request a restriction of your protected health information. This means you may ask us not to use or disclose any part of your protected health information for the purposes of treatment, payment or health care operations. You may also request that any part of your protected health information not be disclosed to family members or friends who may be involved in your care or for notification purposes as described in this Notice of Privacy Practices. Your request must state the specific restriction requested and to whom you want the restriction to apply.

Your physician is not required to agree to a restriction that you may request. If your physician does agree to the requested restriction, we may not use or disclose your protected health information in violation of that restriction unless it is needed to provide emergency treatment. With this in mind, please discuss any restriction you wish to request with your physician.

You have the right to request to receive confidential communications from us by alternative means or at an alternative location. We will accommodate reasonable requests. We may also condition this accommodation by asking you for information as to how payment will be handled or specification of an alternative address or other method of contact. We will not request an explanation from you as to the basis for the request. Please make this request in writing to our Privacy Officer.

You may have the right to have your physician amend your protected health information. This means you may request an amendment of protected health information about you in a designated record set for so long as we maintain this information. In certain cases, we may deny your request for an amendment. If we deny your request for amendment, you have the right to file a statement of disagreement with us and we may prepare a rebuttal to your statement and will provide you with a copy of any such rebuttal. Please contact our Privacy Officer if you have questions about amending your medical record.

You have the right to receive an accounting of certain disclosures we have made, if any, of your protected health information. This right applies to disclosures for purposes other than treatment, payment or health care operations as described in this Notice of Privacy Practices.

It excludes disclosures we may have made to you if you authorized us to make the disclosure, for a facility directory, to family members or friends involved in your care, or for notification purposes, for national security or intelligence, to law enforcement (as provided in the privacy rule) or correctional facilities, as part of a limited data set disclosure. You have the right to receive specific information regarding these disclosures that occur after April 14, 2003. The right to receive this information is subject to certain exceptions, restrictions, and limitations.

You have the right to obtain a paper copy of this notice from us, upon request, even if you have agreed to accept this notice electronically.

3. Complaints

You may complain to us or to the Secretary of Health and Human Services if you believe your privacy rights have been violated by us. You may file a complaint with us by notifying our Privacy Officer of your complaint. We will not retaliate against you for filing a complaint.

You may contact us for further information about the complaint process. This notice was published and becomes effective on 09/6/2018.

Microdermabrasion

Say goodbye to dirt, oil and dead skin and hello to kissably soft, smooth skin with microdermabrasion. The ultimate in exfoliation, microdermabrasion gently clears out clogged pores and eliminates dead skin cells to completely restore your complexion. Microdermabrasion is also the perfect pre-treatment to prepare your skin for further facial treatments.

What is microdermabrasion?

Performed by one of our expert aestheticians in New York City, our practice uses the Bio-Brasion® Trinity Wet/Dry micro-derm which is a multilayered skin-resurfacing device that features a fine-diamond tip device that gently removes dead skin cells from your epidermis. The epidermis is the top layer of your skin.

When you’re younger, your skin easily sheds dead skin cells so that healthy new skin can take its place. As you age, this process slows down. Dead cells stay on the surface longer, making your skin look dull. Microdermabrasion sloughs off this outer layer so that your bright new skin shines through.

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What conditions does wet/dry microdermabrasion treat?

We recommend wet/dry microdermabrasion to improve skin that’s been damaged by the sun or stressed by the environment or aging. Microdermabrasion is also a great way to improve the overall quality of your skin, and minimize the chance of acne breakouts or other problems. Wet/Dry microdermabrasion removes or improves:

  • Fine lines
  • Wrinkles
  • Scars
  • Brown spots
  • Acne
  • Dry skin

How does wet/dry microdermabrasion differ from regular dermabrasion?

Traditional microdermabrasion consists only of one pass of the microdermabrasion device over dry skin that has been sprayed with tiny crystals. While traditional microdermabrasion can be effective, it doesn’t get the dramatic outcomes that wet/dry microdermabrasion does. In this two-step process, Dr. Miller resurfaces your skin while dry but also while infused with nourishing treatments.

Depending on your needs, the wet treatments contain peptides to reduce inflammation and wrinkles, salicylic acid to treat acne and oily skin, or skin brighteners. He may even perform up to four passes over your skin in a single treatment to improve your problem areas.

Using a diamond tip rather than spray-on crystals also increases the safety and versatility of the procedure. Dr. Miller can even use the diamond tip around the delicate eye area.

What benefits can I expect from microdermabrasion?

Microdermabrasion immediately improves the look of your skin by revealing healthy, new skin. Your face looks brighter and more radiant. The microdermabrasion process also stimulates your skin to produce strengthening collagen and elastin, so you can expect:

  • Smoother, silkier skin
  • Tighter skin
  • More evenly toned skin
  • Smaller pores
  • Fewer wrinkles and lines
  • Less noticeable scars
  • Less acne
  • Reduced spots

Depending on the condition of your skin and your aesthetic goals, you may need a series of treatments. Dr. Miller also recommends regular touch-up treatments in our practice in New York City to maintain your healthy glow.

What happens when I get microdermabrasion?

Each wet/dry microdermabrasion treatment takes about 30 to 60 minutes. The process is so gentle that you don’t even need a numbing cream. Your skin may feel tight or look pinkish after your procedure, but this will resolve within 24-48 hours.

Is there any downtime with microdermabrasion?

There’s no downtime with wet/dry microdermabrasion. As soon as your procedure’s over, you can return to your regular activities. You can even apply makeup directly after wet/dry microdermabrasion.

Can I combine microdermabrasion with other anti-aging treatments?

Dr. Miller often recommends more than one anti-aging treatment to maximize your results. For example, combining wet/dry microdermabrasion with Co2 laser resurfacing can create dramatic improvement in your skin’s texture and tone.

Am I a candidate for microdermabrasion?

You may be a candidate for wet/dry microdermabrasion if your skill looks dull or wrinkled, or if you have acne, scars, or hyperpigmentation. Finding out whether microdermabrasion is the best procedure for you starts by consulting with Dr. Miller. Based on your skin quality and other issues, he may recommend wet/dry microdermabrasion, other treatments, or combination therapy. clinicaltrials.gov has more information on microdermabrasion and if it’s right for you.

Rejuvenate Your Complexion Today

Whether you’re targeting a specific skin condition, or just looking to improve your overall skin health, you deserve a more rejuvenated appearance. Whether used alone or in combination with other treatments, your skin imperfections will show visible improvement in overall tone, texture and brightness with microdermabrasion! If you have questions or want to schedule an appointment with us in New York City, please call (646) 791-3025 or fill out this contact form.

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Male Breast Reduction

Gynecomastia, while rarely discussed, is a fairly common medical condition characterized by an enlarged breast in men. In fact, it’s believed that 40 to 60% of men suffer from gynecomastia. While there is no known cause in many cases of gynecomastia, there has been some correlation with certain drugs and medical conditions.

For men who are self-conscious about their appearance, male breast reduction surgery in NYC can help by restoring a flatter, firmer appearance to the male chest. Prior to surgery at our New York City surgical center, patients should be checked to see if there is any medical cause of their gynecomastia and if there is it should be sufficiently treated.

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Before and After Male Breast Reduction Images

*Individual patient results may vary

Image of a male breast with reduced fat and athletic built after breast reduction surgery, New York, NY
Image comparing breast of a male patient who had a breast reduction surgery. The breast is contoured with no man boobs after the procedure, New York, NY
A male has bigger breast that were reduced substantially after a breast reduction procedure, New York, NY

Male Breast Reduction Surgery Procedure

Our doctors perform male breast reduction surgery in NYC on an outpatient basis at our JCAHO-accredited office-based surgery facility in New York City. General anesthesia or local anesthesia may be used. During surgery, excess fat and/or glandular tissue are removed from the breasts. In extreme cases, excess skin may be removed as well.

Recovery From Surgery

Some swelling and bruising can be expected after surgery. If drainage tubes are inserted, they will be removed within a day or two. You will be required to wear a special compression garment for a period of time during recovery to help support the new contours of the chest. If you experience any pain or discomfort, this can be relieved with medication. You will likely feel well enough after your surgery to return to work within one week.

To learn more about male breast reduction, visit betterhealth.vic.gov.au

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Mommy Makeover

While the experience of giving birth and having a child can be a wonderful and rewarding one, the reality is that pregnancy and breastfeeding can cause significant unwanted changes in the body. These may include sagging breasts and enlarged areolas, less definition in the waist, sagging and pockets of fat in the abdomen, and stretch marks. While some of these may improve over time, such as stretched or sagging skin and loose muscles, the simple fact is that the body never fully returns to its pre-pregnancy state.

Fortunately, plastic surgery can help to restore a more youthful contour to the breasts and abdomen. There are several procedures available which are often referred to collectively as the “mommy makeover” or post-maternity breast and body reshaping. These include the breast lift, breast reduction, tummy tuck and liposuction. A mommy makeover does NOT require general anesthesia; in most cases, there is no issue with performing a mommy makeover with local anesthesia and a little sedation to make you relaxed here at our New York City office.

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Breast Lift

Following pregnancy and breastfeeding, many women experience unwanted changes in the breasts including sagging, decreased volume, uneven breasts, drooping nipples and stretched or enlarged areolas. These changes can be improved with the breast lift. Also referred to as mastopexy, this surgical procedure removes excess skin and tightens the supporting tissues to restore a more youthful and uplifted shape to the breasts. The breasts will appear more elevated and firmer following surgery. In addition, enlarged areolas may be reduced in size if necessary. For women desiring larger or more fuller breasts, the breast lift can be combined with breast augmentation with implants. Conversely, breast reduction may be performed with the breast lift for those seeking a reduction in breast size.

Breast Reduction

While most women experience a reduction in breast size leading to sagging after pregnancy and breastfeeding, some women are left with breasts that remain larger than desired. For these women, breast reduction surgery can help by returning the breasts to their smaller, pre-pregnancy size. This can help to relieve symptoms commonly associated with large breast, including pain, rashes, breathing problems, improper posture, skeletal deformities, and poor self-esteem. Breast reduction is a surgical procedure in which excess fat and glandular tissue are removed and the remaining skin is tightened. The result is smaller, lighter breasts that are more proportionate to the rest of the body.
It should be noted that women who are planning to breastfeed in the future should postpone the surgery as many of the milk ducts leading to the nipples are removed.

Tummy Tuck

Pregnancy often takes its greatest toll on the abdomen, where stretching and weakening of the skin and muscles in the abdomen and waist can lead to loose skin, less definition in the waist, and stretch marks. These unwanted changes are often resistant to even the best attempts at diet and exercise.

Abdominoplasty, more commonly known as a tummy tuck, can help by restoring a flatter, more toned appearance to the abdomen and waist. This surgical procedure removes excess skin and tightens the muscles of the abdominal wall. This may be combined with liposuction to address areas of fat in the abdomen or flanks.

For patients planning a future pregnancy, it may be recommended that surgery is postponed as future pregnancy can diminish the results of the tummy tuck.

Liposuction

For some women, pregnancy leaves them with pockets of fat in the lower abdomen and decreased definition in the waistline that cannot be improved with diet or exercise. In addition, women who have undergone a C-section are often left with an area of fat that hangs over the surgical scar. In these cases, liposuction can help by removing excess fat from the abdomen, buttocks, hips, thighs and/or waist. Liposuction can sculpt the body after pregnancy for a slimmer, more contoured shape.

Several newer methods of liposuction exist today which generally offer benefits over traditional liposuction. These include ultrasound-assisted lipectomy (UAL) and suction-assisted lipectomy (SAL), both of which involve the injection of a special fluid into the treatment area prior to the removal of fat. Incisions made for liposuction are very small and inconspicuously placed so that the resultant scars are undetectable. Through these incisions, a small tube called a cannula is inserted to break up the fat which is then suctioned out.

Before and After Mommy Makeover Photos in New York

*Individual results can vary 

Breast implants to increase the size of the breasts by Dr. Steinbrech. After surgery, breasts are larger, rounder and lifted.

mommy makeover body contouring procedure in new york

mommy makeover breast surgery in new york

mommy makeover before and after in new york

body contouring plastic surgery in new york

body makeover plastic surgery before and after in new york

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How to Choose a “Mommy Makeover” Surgeon in New York

If you’re thinking about undergoing a Mommy Makeover, we feel that it’s vital to choose a surgeon who you’re comfortable, and one who owns his own surgical center. Dr. Miller prefers using his own Joint-Commission Facility for Mommy Makeovers, as this center experience lower infection rates than traditional hospitals. Additionally, Dr. Miller can guarantee that any patients who use his Manhattan surgical center will be treated by a board-certified anesthesiologist.

During the recovery period, patients can stay overnight in our post-operative recovery room, stay in a local hotel, or go home with one of our private duty nurses. Contact our NYC facial plastic surgery center today to learn more about the Mommy Makeover and other body procedures! Additionally, you can visit plasticsurgery.org to learn more about the Mommy Makeover.

Body Banking

If you’re like many men and women, you may be dissatisfied with the appearance of your body. This is particularly true if you’re in your mid-30s or older, especially here in New York City.

Stress, bad eating habits, long work hours, and lack of exercise may contribute to the reduction of muscle mass and loss of body definition. These factors also may lead to an increase in fat accumulation in areas like your stomach, waist, love handles, thighs, butt, and more.

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It can be difficult to improve your body shape because, at some point, the combination of age and an inefficient or slow metabolism can render all your efforts at weight loss and fat reduction ineffective.

That’s why our plastic surgeons offer patients who come to Gotham Plastic Surgery in New York City from far and wide our unique BodyBanking® procedure. This innovative method of body contouring, combined with our MuscleShadowing® technique, can transform your body into a sculpted, natural-looking powerhouse.

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Before and After Body Banking

*Individual results can vary
image doing side to side comparison of a male body with fat and reduced definition before, gets more contoured and gets rid of the excessive fat after body banking procedure, New York, NY
image doing side to side comparison of a male body with fat and reduced definition before, gets more contoured and gets rid of the excessive fat after body banking procedure, New York, NY

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Post Operative Rhinoplasty Instructions

Dr. Philip Miller, a plastic surgeon in New York, NY, prides himself on giving patients comprehensive care, both before and after their procedures. Rhinoplasty is one of the most common forms of plastic surgery for both medical and aesthetic purposes. To ensure you experience the best results, this rhinoplasty guide will walk you through what to expect and how to care for yourself after surgery. Our team will discuss these instructions with you after your surgery and make sure you have everything you need. We look forward to sharing your journey and guiding you through the care and healing process.

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WHAT TO EXPECT AFTER RHINOPLASTY SURGERY

Although rhinoplasty is a straightforward procedure, we recommend having another adult with you on the day of your procedure to take you home and care for you after you’ve successfully completed surgery. You should also plan to have someone stay with you the first night in case you experience any discomfort or serious side effects. Although it is rare, if you experience any serious discomfort or unusual symptoms, be sure to seek immediate medical attention.

For the first few days after your surgery, it is important to avoid touching or jarring your nose. Keep your head elevated at all times (even when you’re sleeping) the first night. We recommend sleeping in a comfortable reclining chair or propped up in bed to aid the healing process. To alleviate any discomfort and reduce natural swelling around your nose and eyes, use cool compresses during the first 48 hours after surgery. Gently drape a washcloth soaked in cold water across each of your eyes in twenty-minute intervals. You may switch out the cloths as often as needed to keep the area cool and comfortable. After the first few days, you will begin to see and feel great improvement.

While every risk after rhinoplasty surgery cannot be eliminated, there are some things you can do to minimize certain risks:

1.) Protect Your New Nose: Be Careful

Your new nose after a rhinoplasty surgery will be in a protective cast for the first week. It goes without saying that once the cast is removed, you should take great care to guard your nose against any trauma or impact.

2.) Sleep With Your Head Elevated

In the first few days after your nose job, try to keep your head slightly elevated and avoid contact with your pillow or other objects.

3.) Avoid Strenuous Activity

It takes 3-6 weeks to fully recover from a nose job. Even when you’re feeling better during this time, you should avoid strenuous activity or anything that presents a risk to your new nose after a rhinoplasty surgery.

MAINTENANCE AND DAILY CARE

Daily care and maintenance are simple and straightforward. Your nurse will review these steps with you after surgery, and our team is available in person or over the phone to answer any questions that arise throughout your journey.
Check out the video below as New York surgeon Dr. Philip Miller explains the proper post-operative care after a Rhinoplasty.
For Week 1:

For Weeks 2-3:


1. Use a cotton swab soaked in hydrogen peroxide to gently clean the suture lines inside your nose three times a day. After cleaning the stitches, coat the area with Vaseline to keep the skin supple. The stitches inside your nose will dissolve on their own as your skin heals.

2. When bathing and showering, be sure to keep the tape and splint on your nose dry. We recommend baths as opposed to showers. You can take a shower on your second day after surgery provided that you keep the area dry. Avoid getting water or bath products on the skin near your nose as it may irritate the surgery site. Only use gentle shampoos and cleansers for the first few weeks after surgery.

3. You may experience some minor bleeding or seepage around your sutures as the skin heals. However, if bleeding persists more than ten minutes, or if it is accompanied by fever, severe pain, swelling or infection, be sure to contact our team immediately.

4. We will bring you back to the office to remove any external stitches seven days after surgery. If you do not have external stitches, we will let you know when we need to see you again to remove the tape and split supporting your nose.

5. After the tape and splint are removed, be gentle with your nose for the next few weeks. Be sure to wash your face twice a day with mild soap to reduce the natural build-up of dust, oil and dirt on your skin.
For Weeks 2-6:

WHAT POST-SURGERY SYMPTOMS ARE NORMAL?

Don’t worry, some side effects are completely normal following surgery. This does not mean anything is wrong, but be mindful of your symptoms. Discuss any changes with our team or call if your side effects seem abnormal. These are the types of mild side effects you may expect after surgery:
Swelling – Most swelling should subside after two to three weeks, but it may take up to three months for swelling to completely dissipate. In the first few days, swelling may increase and your nose may still appear swollen after your splint is removed. Don’t be alarmed, this is all part of the healing process.
Discoloration – Discoloration and bruising may appear around the surgery site. Some patients will experience light, yellow bruises while others may see deep blue and red marks. This will vary by person, but should not be accompanied by extreme pain.
Numbness – As your nose heals, you may experience numbness, tingling or mild discomfort and itching.
Bleeding – Bleeding may occur from time to time, but it should stop quickly. Apply light pressure near the bleeding and wait. If bleeding lasts longer than 10-15 minutes, please contact our office.
Depression – Some patients feel a mild depression or disappointment after cosmetic surgery while swelling is going down and the healing process is taking place. It may take two to three months for your nose to fully heal, so be patient with yourself and your body during that time.
Eye Glasses – If you wear glasses, talk to your nurse about how to protect your nose from changing shape due to the pressure of the glasses. You may wear your glasses while your nose is still splinted, but they should be supported or suspended from your forehead or cheeks for six weeks after the splint is removed. Contact lenses are typically safe to wear two weeks after surgery. Your nurse can discuss options with you to ensure your vision is not impaired during this time.

RESTRICTIONS

For the first two weeks, avoid exercise or strenuous physical activity, pulling clothing over the face, blowing and rubbing your nose, or any large facial gestures (such as yawning or vigorous chewing). You should also use a baby toothbrush on your upper teeth for the first two weeks after surgery. Try to avoid driving, contact sports, and swimming. To learn more about rhinoplasty, visit ncbi.nlm.nih.gov

IN SUMMARY

Healing varies from person to person, but is often a mild and quick process. No matter what your experience is like, our team is here for you every step of the way. All visible healing should be completed after four to six weeks, but you may still experience changes throughout the first year after surgery. We’re here for you. Don’t hesitate to reach out to Dr. Miller today to schedule your rhinoplasty in New York.