The tummy tuck is a surgical procedure offered at our New York City office designed to flatten and shape the abdomen and waist by tightening the underlying muscles and removing excess fat and skin. The goal is to create a firmer, flatter, more pleasing abdominal appearance. Unfortunately, this goal is not always achieved. Whether due to improper technique, a surgeon’s lack of experience or complications with healing, some patients are left with poor results, leaving them frustrated and dissatisfied.

Fortunately, the revision tummy tuck can help. For many patients who have had tummy tuck surgery elsewhere and are unhappy with their results, significant improvement can be made with revision surgery.

Revision Tummy Tuck Common Concerns

Some of the more common concerns addressed during surgery include the following:

• Loose skin. Some patients are left with significant loose skin of the abdomen. In particular, this can occur in individuals who were improperly selected as candidates for liposuction when they would have been better suited with a tummy tuck. Liposuction removes excess fat and only, whereas tummy tuck surgery is needed to address excess skin and loosened abdominal muscles.
• Dog ears. Sometimes, excessive redundant skin is left at the ends of the incision, resulting in what many refer to as “dog ears” or skin pleating.
• Residual bulge. Some tummy tuck patients are left with a remaining bulge, often due to insufficient repair of the underlying muscle wall. This may occur in cases where a mini tummy tuck is performed when the patient was a better candidate for a full tummy tuck.
• Step-off. Sometimes, an unnatural-looking “step-off” occurs at the incision line when there is an uneven amount of tissue above and below the incision.
• Contour irregularities. Contour irregularities such as lumps, bumps, and depressions may occur after either tummy tuck or liposuction.
• Belly button deformity. Deformities of the belly button can occur for a number of reasons. The belly button can look unnatural if attempts are made to use the navel as a removal point for loose skin. Other patients may be left with a belly button that is too high, a nearly absent belly button, or an innie belly button may be converted to an outie.
• Excess or unsatisfactory scars. Poor scarring can occur as a result of improper surgical technical or complications with healing. While scars cannot be completely erased, they can often be vastly improved through various methods
• Weight fluctuations and pregnancy. Previously satisfactory results can become unsatisfactory following weight fluctuations and pregnancy. In many cases, revision surgery can improve these changes.

Revision tummy tuck surgery may involve additional tightening of the underlying muscles as well as the removal of excess skin and fat to restore more ideal contour lines to the abdomen. Liposuction is often used at the same time. In most cases, significant improvement can be made and patients can expect very natural-looking and pleasing tummy tuck results. This is a very gratifying procedure for many patients, providing them with the results they had initially longed for. While evaluation can be performed at any time, surgery is often postponed until six months or longer after the initial tummy tuck.

Prevention is always the best course of action. Whether you’re seeking tummy tuck surgery for the first time around or to revise previous poor results, make sure that you find a highly qualified and experienced plastic surgeon in NYC and that you carefully follow his instructions before and after surgery. This will help to ensure that you receive the best possible outcome.

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Liposuction, otherwise known as lipoplasty and suction lipectomy, is an invasive procedure aimed to enhance the body shape by eradicating undesirable fat accumulations from particular areas of the body. Liposuction candidates are individuals who are physically fit and of average weight, but with parts of additional fat that are resilient to steady diet and exercise. Patients must likewise be mentally stable and possess sensible hopes of what the procedure can provide.

The best candidate for liposuction is a person who is physically healthy and of normal weight but with areas of excess fat that are resistant to regular diet and exercise. Patients should also be psychologically stable and have realistic expectations of what the procedure can offer. Patients with firm, elastic skin tend to achieve the best results, while older patients with diminished skin elasticity may not achieve the same results as a younger patient.

The Liposuction Procedure

Liposuction eliminates fat from your body using suction. In this technique, little, thin, blunt-tipped tubes (cannula) are put in through minute incisions. Our plastic surgeons shift these tubes beneath your skin to pursue fat deposits and then draws them out. All procedures are performed at his New York City surgical suite.

There are assortments of methods that assist in this procedure:

• Tumescent refers to a “wetting solution” with a local anesthetic that is inoculated prior to surgery, causing blood vessels to tighten. This permits the procedure to be completed under local anesthesia, reduces blood loss, and decreases post-surgical discomfort and bleeding.
• Suction-assisted is the most customary method and pulls out fat using a vacuum.
• Power-assisted is much like suction-assisted, except for an instrument that amplifies the movement of the cannula, accelerating fat elimination.
• Ultrasound-assisted transfers energy through a particular handpiece that aids in relaxing and melting fat, allowing a larger amount of fat to be eradicated. This is best for bigger regions, compressed fat, and male patients.
• VASER, a variant of ultrasound-assisted, is an ultrasonic cannula with numerous indentations that equally diffuse the energy, enhancing fat interference and eradication.
• Laser-assisted is a moderately new technology. The concept is that the laser will function like the ultrasound to unsettle the fat cells and make fat deduction more effective and less painful.

Your doctor will plan treatment regions and a cannula is put in via a minute cut. The fat is then removed using one of the methods above.

The Recovery Process

Throughout your liposuction recovery, a compression garment or flexible bandages might envelop treatment regions when your procedure is finished. These aid in restraining inflammation and constrict the skin to your new body silhouettes.
Furthermore, small short-term drains might be positioned in present cuts under the skin to take away any additional blood or fluid.

To learn more about the liposuction procedure, visit medlineplus.gov

Liposuction Before and After Photos

*Individual patient results can vary 

The Liposuction Consultation

For those considering a liposuction procedure, the route starts with arranging a consultation. Throughout your consultation, your whole body will be evaluated. Centered on the doctor’s discoveries and your individual wishes, it can be decided if lipoplasty only or in combination with additional procedures will best aid you in attaining your ambitions.

Lipoplasty is often done together with other plastic surgery procedures, for example, a facelift, breast reduction or augmentation, or a tummy tuck, to attain better outcomes.

Though the initial appointment for liposuction in New York will be a suitable time for you to obtain significant facts regarding the procedure and what to anticipate, it’s likewise beneficial to ask questions.

Liposuction FAQ

How often do you do liposuction surgery?

As it is the most popular procedure across the globe, it’s safe to presume that most plastic surgeons have a lot of know-how in completing this procedure. In fact, this might not always be true.

Make sure to ask your doctor detailed questions about what you should anticipate throughout your specific recovery time, such as:

• What medication will I be presented with or prescribed after surgery?
• How long will I put on the compression garment?
• When can I return to my usual activities and exercise?

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Next, read revision tummy tuck.

Women think about their breast size daily, whether too big or too small. For those who have a generous breast size, it can be a blessing. But, many women who have large breasts can consider them to be too large and look for answers. For thousands of women, breast reduction surgery can be a blessing.

Breast reduction surgery, known as reduction mammoplasty, involves the removal of the unnecessary overabundance of glandular tissue and skin. Patients are able to live life with comfortable, lighter breasts that appear firmer and lighter. Our plastic surgeons expertly size the breasts to be proportionate with the patient’s entire body.

For many, breasts that are too large, not well supported and sagging cause not only physical problems, but mental anguish. Large breasts are attractive, but breasts that are too large for a woman’s body can cause health problems ranging from severe back problems to permanent indentations in the shoulders from lingerie that is unable to support the weight.

When a woman’s breasts are so large that they draw attention, they begin to suffer from loss of self-esteem and an overall sense of awareness that they are being looked at. This surgery is becoming a common option for many women that can make positive changes in every aspect of their lives.

Breast Reduction Consultation

During your initial consultation, the plastic surgeon in NYC who will be performing the procedure, you can ask questions and vice versa. Be prepared when you arrive with any questions about his credentials, about the procedure and about what to expect during and after the surgery. Our plastic surgeons will conduct an initial exam and then he will be better able to answer questions about what you can expect from the procedure. The doctor will be able to show you photographs of before and after to give you a better idea of what to expect. When you arrive prepared with questions and information, this will ensure that you have thought well about the change and are not only informed, but prepared.

*Each patient is unique and individual results may vary.

The Surgery

Because the removal of glandular tissue from the breasts involves the glands of the breast, our doctors are meticulous about the details of the surgery. The typical reduction surgery will last between two and five hours. There are many techniques for performing this surgery, but the most common one involves an incision that encircles the areola of the breast, extends below the breast and then horizontally along the crease beneath the patient’s breast.

In some less extensive cases, there are not as many incisions, but it varies from patient to patient and involves the patient’s requests and the doctor’s expert advice. Any extra skin and glandular tissue are removed through the incisions. In some cases, when breasts are extremely large and have been misplaced for a long period of time, the nipple is misplaced, so your doctor will remove the nipple and place it in a more appropriate higher area on the breast.

If this occurs, the patient will lose sensation in the nipple of the breast, but the visual appearance of the breast will be normal.

The Recovery

The discomfort is usually tolerable with little physical exertion and patients experience immediate relief that their breasts are reduced. Most return to work in one to three weeks with no physical exertion until at least six weeks after surgery. Stitches are removed anywhere from seven to ten days after surgery. Most healing, including bruising, swelling and soreness will be gone within six months and the scars may take one to two years to fade.

Other Options

When having the breasts reduced, a patient may also opt to have the breasts lifted at the same time. Or, a less invasive surgery for patients who don’t have extremely large breasts is liposuction. Liposuction involves small incisions, much less healing time and can be performed relatively simply. Liposuction is a procedure involving removal of excess fat and glandular tissue with a small, straw-sized tube, performed under general anesthesia. A simple surgery such as this result in dramatic overall effects. Consulting about all options or visiting medlineplus.gov will allow the patient to leave feeling confident and informed of your decision.

The Ideal Candidate for Breast Reduction Surgery

A woman who suffers from macromastia, the medical term for oversized breasts in proportion to the body, can experience chronic head, neck, shoulder and back pain. Some patients have oversized breasts which are significant enough that the patient can suffer from secondary symptoms such as impaired blood circulation, difficulty breathing, skin problems around the breasts such as chaffing and rashes, indentations to the shoulders from improperly fitting lingerie and an overall sense of self-consciousness that pervades daily life.

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Breast Reduction FAQ

Q. Will I be able to breastfeed after surgery?

A. Many women go on to live perfectly normal lives, including the ability to breastfeed, after breast reduction surgery. If the nipple and areola are still intact, the chances that you’ll be able to nurse are very good. For extreme cases where the nipple was completely removed and repositioned, nerve and duct damage may take a while to heal and redevelop. The nerve sensations are the most significant factor in breastfeeding; they trigger the release of necessary hormones such as prolactin and oxytocin which affect the production of breast milk.

Discuss this with your doctor prior to the surgery.

Q. When will I be able to experience the results of the surgery?

A. You will experience immediate relief from the weight of over-enlarged breasts. You will feel
relief on your back, neck and in your posture. Post-op healing will be the only distraction.

Q. What can I expect to feel post-operation?

A. After about a week to ten days, swelling and bruising will begin to subside. Doctors suggest a variety of healing techniques, including topical ointments, ingestion of a supplement called bromelain, and even drinking pineapple juice as soon as three days after surgery. All of these have been shown to increase healing and a decrease in most post-op symptoms. If you are experiencing pain beyond what you can tolerate, even after you have taken your pain medication, don’t hesitate to call your doctor’s office.

Q. What are the advantages of liposuction over mammoplasty?

A. Depending on the patient, there are many advantages of liposuction, if it is an alternative. It is less expensive, less painful, and involves less recovery time. It is less invasive and involves only a few small incisions, allowing the patient to return to normal activity much faster. However, this is also a decision to discuss with your surgeon. For some women, enlarged breasts are such an invasion of their ability to function daily that liposuction would not make enough of an improvement to actually make the patient well.

Next, read about breast augmentation.

There are many reasons, both medical and otherwise, for a patient to seek breast augmentation. Those who are living with frustrating conditions like asymmetry or tubular breasts, as well as those who have gone through a mastectomy, will consider augmentation for obvious corrective reasons, but the fundamental reason for most women is just to bring their body more in line with their own personal ideal. Appearances are very important both socially and in terms of self-image, and augmentation can be a great tool to achieve a sexier, more feminine appearance.
With modern techniques, the old stereotype about the “bolted-on” look no longer applies. Breast implants can look perfectly natural when done by a good surgeon who knows correct sizing and placement, and fortunately, here in New York City we have some of the finest cosmetic surgeons in the world.

Breast Augmentation Consultation in New York

During your initial consultation, you’ll sit down with our plastic surgeons and discuss what you want to achieve with the augmentation and how best to do that. He will explain the sizes and types of implants and help you to choose what will work best for you as well as discussing where and how to place the implants.

In addition, you’ll discuss the steps you can take to minimize the risks of surgery, like getting a full medical screening from your regular doctor and stopping smoking for a few weeks to decrease the risk of complications like blood clotting and infection. Practical matters like recovery time will be included in the conversation, too.

Breast Implant Sizes

Despite the stereotype that women with breast implants are cartoonishly top-heavy, there is a wide range of size options available. You can certainly go for extremely busty if that’s the look you’re after, but most women choose something a little more moderate.

The simplest way to select the correct size of implant for your needs is to place various sizes in your bra and look carefully at how you look in a well-fitted shirt. Our doctors also suggests taking pictures of how various sizes look on your frame. Looking at a photo instead of a mirror offers a little psychological distance, which can make it easier to see things objectively. It also gives a good point of reference for your pre-surgery discussions.

Try to find a good middle ground in terms of size. Very large implants will look unnatural, assuming that’s something you’re worried about, and they can cause problems with finding clothes that fit. Larger implants also have a higher risk of complications. On the other hand, if you go with something too small, you might remain dissatisfied and end up back for another augmentation in a year or two, so choose carefully.

Breast Implant Options

There are two options for the contents of your implants: Silicone and saline. They differ in feel, price, and the ability to detect rupture.

Silicone Implants

Silicone implants have a bad rap because of safety problems with their earlier form, but they’ve been safely back on the market since 2006 and are becoming increasingly popular. Learn more about the safety of breast silicone implants at fda.gov. They come pre-filled with silicone gel and are lighter and longer-lasting than saline implants. Silicone feels more natural and is less likely to ripple, so they are often recommended for extremely thin patients or patients with very little natural breast tissue to mask the implant. On the negative side, rupture is harder to detect with silicone, sometimes requiring an MRI.

Saline Implants

Unlike silicone implants, saline implants are placed empty and then filled with a saline solution. Since they’re placed empty, they don’t need as big an incision as silicone, and they’re more adjustable, so size can be increased or decreased as needed during surgery. The edges of the implant are more detectable than a silicone implant, but when placed behind the muscle in a woman with sufficient breast tissue, they will feel extremely natural.

In addition to the different types of implants, there are also two main choices for placement: Above or below the muscle. While recovery is less painful if you place the implant above the muscle, our surgeons prefers to go under the muscle because it feels more natural, is less likely to interfere with mammograms, and has a greatly reduced chance of rippling.

The final option is scar placement. The most common method is called inframammary and places the scar in the fold under the breast, leaving a small scar just an inch or two long. Since it’s under the breasts, it’s well-hidden even without clothes or in a bathing suit, and it offers good access for any necessary repositioning and shaping.

Peri-areolar placement, which goes under the nipple between the areola and the breast skin, is also common but becoming less popular. While the scar typically heals well, it’s in a conspicuous location, and since it requires cutting near the nipple and through a lot of breast tissue, there is a higher risk of affecting lactation and nipple sensitivity.

Underarm placement is a relatively new option that is increasingly popular. It leaves a very small scar in the underarm that can just look like a skin crease, and since it doesn’t require cutting through breast tissue or milk ducts, it has a very low chance of interfering with breastfeeding or mammograms. It can only be done with a saline implant, however, since it uses a very small incision, and any follow-up surgeries require a different approach because of the placement.

Finally, a belly-button approach gaining popularity because it supposedly reduces scarring, but it’s fairly risky because it involves cutting through both muscle and breast tissue. It also requires pushing implants through a tube that could damage them, and it does still leave a small scar about a centimeter long.

Possible Risks or Complications of Breast Implants

Breast augmentation poses some of the same risks as any surgery: Bleeding and infection. These can be mitigated by cutting as minimally as possible, using a tumescent solution to reduce bleeding, and using antibiotics to prevent infection.

The most common of the augmentation-specific complications is capsular contracture, a hardening of the scar around the implant, which can cause pain or unnatural-looking implants. It’s generally caused by bleeding or infection, so precautions against those will guard against capsular contracture as well. There is also a chance of rippling, which can be visible or just noticeable to the touch.

This is best avoided by covering as much of the implant as possible with breast tissue or muscle. Finally, there is a chance of rupture because the lifespan of any implant is limited. Good follow-up care and quality implants can extend lifespan, but a ruptured implant will need to be removed and replaced.

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Breast Augmentation FAQ

Q. Do I need implants if I just want to correct sagging?

A. While combining augmentation with a lift is popular, it is generally not necessary. For women that desire more fullness, adding implants at the same time is a great option.

Q. How long will the recovery be?

A. While most women go home a few hours after the surgery, you will need to use gauze dressings and a gentle support bra for a few days to keep everything comfortable and reduce swelling. Most women experience 1-2 days of intense recovery, followed by a few days of reduced activity and several weeks of soreness and swelling before everything feels normal again.

Q. Will I be able to breastfeed?

A. Lactation is generally not affected since dissection isn’t done in the same place that milk is produced. While you should definitely discuss this with your surgeon, generally the best bet is to go with an underarm or inframammary approach so as to disturb the nipple and milk ducts as little as possible.

Q. Will I lose sensation in my nipples?

A. The changes in nipple sensation such as numbness or hypersensitivity are among many women’s top concerns about augmentations, but these changes occur almost exclusively with the peri-areolar approach. Discuss your concerns with your surgeon, but as long as you choose a different approach, you should experience no change in sensitivity.

Q. How do you correct asymmetrical breasts?

A. Asymmetry is faced by a surprising number of women, and it can be easily fixed during an augmentation. The normal procedure is to fill one implant more than the other to correct the asymmetry, but it’s also possible to augment one while simply lifting the other or even to perform an augmentation on one side and a reduction on the other. Learn more about Breast Reduction procedures.

Feel free contact our office in New York City for a consultation today.

Our surgeons discuss potential complications with breast augmentation surgery in New York

Next, read about breast reduction.

For anyone considering a nose job, a source of concern comes from wondering what the finished result will actually be. For anyone considering a major surgical procedure such as rhinoplasty, it is quite natural to have some reservations that your appearance after the procedure will not match the image you had in mind. Will all the effort and recovery be worth it? Will you get the improvement you hoped for? Will you like the “new” you?
The good news for today’s potential nose job patient is that these concerns are a thing of the past. With Virtual Rhinoplasty, technology has merged with medicine to provide a cutting-edge tool that allows you to visualize plastic surgery results – all from the comfort of your consultation chair.

Dr. Philip J. Miller is a leading NYC rhinoplasty surgeon with more than two decades experience devoted to the human nose. He incorporates the latest in technology using Virtual Rhinoplasty, to help patients visualize nose job results from the comfort of his NYC office.

Virtual Rhinoplasty utilizes the latest in computer imaging and technology to provide rhinoplasty patients with the ability to see what finished results will look like before ever stepping foot in the surgical suite.

How Does Virtual Rhinoplasty by Dr. Miller Work?

When you schedule a nose job consultation with Dr. Miller in NYC, one of the things you will likely do together is use Virtual Rhinoplasty software to explore how different changes to your nose will impact the final results. Dr. Miller will take pre-operative photographs of your nose from different angles and then upload them to his computer, where he will manipulate the photos with his specialized Virtual Rhinoplasty computer program.

Virtual Rhinoplasty allows you and Dr. Miller to work together to see how various changes, such as tip contours and nasal reshaping, will affect your overall appearance. With Virtual Rhinoplasty, you can “try on” a variety of changes to find the look that is best for you.

What Are the Benefits of Virtual Rhinoplasty by Dr. Miller?

The main benefits of Virtual Rhinoplasty include:

Increased Patient Confidence

When you decide on a nose job, having a window into what the final results will look like proves immeasurably helpful. Even when Dr. Miller fully explains techniques and expected outcomes, you may still have difficulty visualizing the end product. As they say, “a picture speaks a thousand words,” and that has never been truer than with Virtual Rhinoplasty.

Improved Communication Between Surgeon and Patient

Dr. Miller has decades of experience successfully working with patients to realize their nose job goals. With Virtual Rhinoplasty, Dr. Miller is able to reinforce the communication between doctor and patient in a visual way. The process ensures that both you and Dr. Miller are on the same page before the procedure begins. In fact, Virtual Rhinoplasty is so accurate, Dr. Miller can be exceptionally confident that your results will be extremely close to the computer-generated images.

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FAQ

Q. Is there such a thing as 3-D Virtual Rhinoplasty?

A. Yes. Dr. Miller has incorporated 3-D technology into his practice and is capable of showing you your intended result in 3-D. A modification of the tip from the side can be viewed simultaneously in all directions.

Q. Why should I consider Virtual Rhinoplasty?

A. Never before has a rhinoplasty patient had such clarity into what to expect after a nose job procedure. If you’re on the fence about how rhinoplasty can improve your overall appearance, Virtual Rhinoplasty gives you an extremely accurate view of the “new” you.

How Do I Learn More About Virtual Rhinoplasty?

To learn more about Virtual Rhinoplasty in NYC, please contact our office to set up a consultation with Dr. Miller. You can fill out our convenient contact form or call us to get started on the journey to the new and improved you.

Next, read about wide nostril/big nostril nose job.

Rhinoplasty surgery cannot be approached in the same way with every patient. This is especially true with ethnic nose reshaping procedures, as ethnic groups have varying features, characteristics, and areas of concern that require a specialized approach, particularly when it comes to preserving the patient’s ethnic identity.
Losing ethnic identity through nasal surgery is a common concern. Many patients feel conflicted between getting the nose they want and losing a part of their heritage. In New York City, facial plastic surgeon Dr. Miller uses specialized techniques to help such patients achieve the results they are after and facial harmony without sacrificing their ethnic identity.

Many Jewish “nose job” patients share some of these common nasal characteristics:

• An amorphous nasal tip
• An over-projected nasal tip
• A large dorsal hump

In his practice, Dr. Miller employs his own specialized techniques in order to achieve the attractive results his patients want, without taking away their ethnic identity. With more than two decades of experience in facial plastic surgery, Dr. Miller’s dedication to each of his patients gives him the ability to develop a customized treatment plan that blends change and preservation for the optimum ethnic “nose job” results.

Choosing a Rhinoplasty Surgeon

Start your search for a “nose job” surgeon in NYC by looking at your candidates’ actual experience with the procedure. You want to choose an experienced, credentialed facial plastic surgeon who is well-versed in specialized techniques. Your future surgeon should be able to demonstrate a strong knowledge of the unique characteristics that set the Jewish nose apart, as well as how to address these characteristics.
One method of understanding your surgeon’s abilities is to see his “before and after” photography portfolio. All surgeons view these photos as a testament to their work, so they will be able to provide this real evidence of their skills and expertise when asked.

Dr. Miller Answers Questions About Rhinoplasty

Are You A Good Candidate?

The best candidates for this procedure are men and women of Jewish descent who have concerns about their nose’s appearance. You should also be at least in your teens, not smoke, and be in good overall health. The only way to know for sure if you are a good candidate for this procedure is to consult with a reputable facial plastic surgeon specializing in this procedure. After a thorough examination of your nose, he can provide a recommended surgical plan to resolve your nasal concerns while preserving your nose’s ethnic features.

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Learn More About Jewish “Nose Job” Surgery

If you are interested in learning more about this surgery, contact our office to schedule a consultation with Dr. Miller. Fill out the contact form or call (646) 791-3025.
Next, learn about male rhinoplasty.

There is no one-size-fits-all approach to rhinoplasty. Among the many factors to consider is the patient’s ethnicity, as each group has unique nasal features, as well as challenges that require a different surgical technique. Indian rhinoplasty, for instance, will require ethnic nose reshaping designed to consider Indian and Pakistani noses and facial characteristics to offer the best results possible.

Typical patients of Indian descent may share some of these common nasal characteristics:

• Rounded nasal tip
• Wider nasal structure
• Thicker skin on the nose
• Nasal bridge that slopes downward
• Hump or bump on the nasal bridge

Philip J. Miller, MD, FACS, uses his own specialized techniques for Indian rhinoplasty to achieve the results patients desire by creating a nose that matches the patient’s unique facial characteristics. 

When searching for a nasal plastic surgeon for Indian nose jobs in NYC, compare the experience of the doctor first and foremost. With such a complicated procedure, it is important to select an experienced and credentialed facial plastic surgeon who has substantial experience with rhinoplasty and has a strong knowledge of specialized ethnic nose job techniques and the unique characteristics of a female or male Indian nose. 

Am I A Candidate for An Indian Nose Job?

Are you considering an Indian rhinoplasty. If you would like to make changes to the appearance of your nose and you are a man or woman at least 16 years old, you might be a good candidate. Patients should also be in reasonably good health and come into their procedure with realistic expectations about the outcome. Dr. Miller can help you determine whether a nose job is the right option for you at your consultation in his New York office.

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Indian and Pakistani Rhinoplasty FAQ

How much does Indian rhinoplasty cost in NYC? 

The price of an Indian nose job in New York City can vary widely, ranging from $9,000 to $25,000 or more. Your cost will be affected by factors like the extent of correction you need and the experience and expertise of the surgeon you choose. Keep in mind the more experienced surgeons may charge more but you are also more likely to enjoy an optimal outcome after your procedure. Your actual cost will be provided during your consultation with Dr. Miller.

How will the procedure go? 

Dr. Miller typically takes 3-4 hours to perform an Indian rhinoplasty, although time will vary based on the complexity of the procedure. He may use an open or closed technique, depending on the specific details of the procedure.

During an open rhinoplasty, Dr. Miller will make a small incision in the tissue that separates the nostrils, known as the columella. This incision allows for more access and visibility of the underlying nasal anatomy, allowing Dr. Miller to make more significant alterations to the appearance of the nose. This approach does leave a small scar underneath the base of the nose that is typically almost invisible once it heals.

A closed rhinoplasty, also known as endonasal rhinoplasty, on the other hand, keeps all incisions inside the nose. During the procedure, Dr. Miller uses limited access to make changes to the nasal tip or bridge. This technique does not leave any visible scarring, but changes made using this technique tend to be more subtle.

Dr. Miller will choose the best technique for you based on your specific needs and goals.  

What does recovery look like?

Desi nose job patients can typically return to their regular activities within 2-3 weeks, but Dr. Miller recommends avoiding strenuous physical exercise for 3-6 weeks. You will begin to see the swelling and bruising disappear during the initial three weeks so you can start to see your initial results. Full results usually take 6-12 weeks although some swelling can linger for up to one full year. Dr. Miller and his team will follow you through this entire process, but please be patient to see the final results.

Does it hurt?

Patients concerned about pain during and after surgery are often pleasantly surprised at how comfortable the recovery process can be. Patients may experience some discomfort in the hours immediately following plastic surgery for an Indian nose job. Dr. Miller will prescribe pain medication to alleviate these symptoms, although few find it necessary.

Concerns before surgery are completely natural and It is important to discuss all your concerns with your surgeon before your surgery. Dr. Miller will discuss your concerns and provide you with full post-operative instructions to ensure your healing process is as smooth as possible.  

Will insurance cover my Indian nose job?

Insurance does not cover elective procedures done for purely cosmetic reasons. If you are undergoing an Indian or Pakistani nose job to correct breathing or other functional issues, you may be eligible for at least partial coverage of your procedure.

Schedule an Indian Nose Job Consultation in New York 

Dr. Miller developed his proprietary consultation process called NatraLook. During the NatraLook consultation, he evaluates the patient’s nose and facial features while listening to their concerns and goals. This process evaluates and expands the typical plastic surgery experience into a safe, collaborative environment where patients can explore their aesthetic confidence. To learn more about Indian and Pakistani rhinoplasty, contact our office to schedule your consultation with Dr. Miller. You will be put in touch with a patient advisor who will help you get started. Fill out our contact form or give us a call at (646) 791-3025.

A Middle Eastern, or specifically, a Persian, Arab, Turkish, or Armenian “nose job” is a specific type of ethnic nose reshaping. The goal of this procedure is to consider unique features and concerns to produce aesthetically pleasing results while preserving the patient’s ethnic identity.

New York City facial plastic surgeon, Philip J. Miller, MD, FACS, often consults with patients who are concerned about losing their ethnic identity through nasal surgery. While many patients feel conflicted between getting the nose they want and appearing “too Caucasian,” Dr. Miller employs specialized techniques that address the common concerns and problem areas associated with Middle Eastern noses while maintaining ethnic identity.

Armenian, Arab, Persian, Lebanese, or Iranian noses may share some of these common nasal characteristics:

• Large nasal profiles
• A curvature (e.g., downward sloping) of the nasal bridge
• A bulbous or hanging nasal tip 

Yara, Arabic, Turkish, and Middle Eastern noses in general also tend to have thicker facial skin with more fatty tissue, as well as longer noses that feature a higher bridge, droopy tip, nasal humps, imbalanced nostril tip, and wide bones. The goal of these Middle Eastern rhinoplasty patients is to create a more symmetrical and desirable nose that stays in balance with the proportions of their face while still maintaining their Middle Eastern heritage for the best results possible.

Dr. Miller’s Approach to Middle Eastern Rhinoplasty

When searching for a nasal plastic surgeon in NYC, compare the experience each candidate has with the procedure you are considering. With such a complicated procedure, it is important to select an experienced and credentialed facial plastic surgeon who is well-versed in the unique characteristics of the Middle Eastern nose. Always view a surgeon’s “before and after” portfolio to get a good idea of the surgeon’s abilities and expertise with procedures performed on Persian, Arab, or Turkish noses.

Dr. Miller is a double-board certified facial plastic surgeon in New York and is recognized as an expert in rhinoplasty and facial rejuvenation procedures. He has more than two decades of experience in facial plastic surgery. He provides personalized treatment plans that combine desired changes with the preservation of a patient’s ethnic identity.

Dr. Miller developed his proprietary consultation process called NatraLook. During the NatraLook consultation, he evaluates the patient’s nose and facial features while listening to their concerns and goals. This process evaluates and expands the typical plastic surgery experience into a safe, collaborative environment where patients can explore their aesthetic confidence. This opportunity allows patients and Dr. Miller to create a unified vision for optimal results and the most natural outcome possible.

Middle Eastern Nose Job Before and After

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Am I a candidate for a Middle Eastern nose job?

The ideal candidates for Iranian nose jobs are men and women who are concerned about the appearance of their noses and are in good physical health, non-smokers, and at least 16 years old. The best way to determine if you are a candidate for this procedure is through a consultation with a qualified facial plastic surgeon who will perform an examination of your nose and provide an appropriate surgical plan.

Dr. Miller Explains Ethnic Rhinoplasty

Middle Eastern Nose Job FAQ

How much does Middle Eastern rhinoplasty cost in NYC? 

A Middle Eastern nose job can cost anywhere from $9,000 to $25,000 in New York City. This is the average price for the area, but the true cost varies from patient to patient, depending on factors, such as the patient’s aesthetic goals, the length and involvement of the surgery, anesthesia and facility fees, and the surgeon’s experience. The actual cost will be provided during your consultation. For more information on the cost of rhinoplasty, please contact Dr. Miller at his Manhattan, New York plastic surgery office.

How will the procedure go? 

Any type of rhinoplasty procedure is highly complex and requires meticulous attention to detail. It typically takes 3-4 hours for Dr. Miller to complete the procedure.

There are two surgical approaches to rhinoplasty: An open or closed technique. If performing an open rhinoplasty, Dr. Miller will make a small incision in the columella –the piece of tissue that separates the nostrils. Also called external rhinoplasty, this technique opens the tip of the nose to reveal its internal structures. An open rhinoplasty provides enhanced visibility when maneuvering through the bone, cartilage, and tissue that make up the nose. When performing this type of rhinoplasty, Dr. Miller can reshape the nose and repair damage without jeopardizing its structural support. 

A closed or endonasal rhinoplasty is an internal procedure in which all incisions are confined to the inside of the nostrils. Patients concerned about visible scarring need not worry with a closed rhinoplasty. During the procedure, Dr. Miller carefully lifts the underlying bone, cartilage, and tissue through the nostrils, so you won’t be able to see any scarring.

Dr. Miller will choose an open or closed method depending on the patient’s goals, as well as the size and structure of the patient’s nasal passages. 

What does recovery look like?

Lebanese, Iranian, and Turkish nose job patients usually return to work and normal activities within 2-3 weeks, but you should refrain from 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.

Does it hurt? 

You can expect to experience very minor pain in the nose and forehead region in the hours immediately following surgery. Pain medication is provided and may be taken to alleviate these symptoms, although few find it necessary because severe pain is extremely uncommon.

It is important to discuss all your concerns with your surgeon before your surgery. Dr. Miller will be able to set your expectations for your recovery and recommend specific after-care solutions to make your healing process as smooth as possible.  

Will insurance cover my Middle Eastern nose job?

Depending on the reasons for having rhinoplasty, it can be covered by insurance. If the reason for your Armenian or Persian nose job is purely cosmetic, it is not covered. But if it is provided to correct breathing or other functional issues, then it may be covered by your insurance policy.

Schedule a Middle Eastern Nose Job Consultation in New York

To learn more about Middle Eastern rhinoplasty, contact our office to schedule your consultation with Dr. Miller. You will be put in touch with a patient advisor who will help you get started. Fill out our contact form or give us a call at (646) 791-3025.

Rhinoplasty is a complex surgery that requires a unique approach for each patient. When performing this procedure on a Hispanic ethnic nose, the unique ethnic characteristics and features of the patient are essential to ensuring an optimal outcome while maintaining ethnic identity.

With more than 52 million Latinos in the United States, it is no surprise that there is high demand for the Hispanic nose job. The Latino community has a wide range of diversity, which means rhinoplasties for patients can be broken down into even smaller ethnic groups. Hispanic patients often share several common nasal characteristics and nose shapes, including thick skin and a bulbous nasal tip that is difficult to refine using traditional methods. Other areas that must be considered include:

• A large bridge (Spanish heritage)
• Wide, flat nostrils (Caribbean heritage)
• Flatter nasal tips and bridges (Central and South American heritage)

Philip J. Miller, MD, FACS, frequently meets with patients who are concerned they will lose their ethnic identity through nasal surgery. Dr. Miller has developed many techniques specific to Hispanic patients to ensure excellent results that retain their facial features and ethnic identity.

Dr. Miller’s Approach to Hispanic Rhinoplasty

When considering an ethnic rhinoplasty like a Hispanic nose job, it is essential to select an experienced facial plastic surgeon with expertise in rhinoplasty techniques and who understands the unique features of the Hispanic nose. Always view a surgeon’s “before and after” portfolio of past patients to gain a visual idea of the surgeon’s abilities and expertise.

As a double-board certified facial plastic surgeon in New York with two decades of experience in facial plastic surgery, Dr. Miller is regarded as an expert in rhinoplasty techniques as well as procedures like facelifts and jawline contouring. After a rhinoplasty with Dr. Miller, you will look like yourself, only better. 

Dr. Miller’s dedication to each patient led him to develop his proprietary consultation process known as NatraLook. This process allows for highly customized treatment plans that target the specific desires of the patient, while preserving ethnic identity. NatraLook goes beyond the typical plastic surgery experience to create a safe, collaborative environment where patients can explore their Aesthetic Confidence. This process ensures a unified vision for the most natural, beautiful outcome.

Hispanic Nose Job Before and After

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Am I a candidate for a Hispanic nose job?

The best candidates for this procedure are men and women with concerns about the appearance of their nose (e.g., a bulbous tip or a wide nose). Candidates should be non-smokers, at least 16, and in good physical health. The best way to find out if you are a good candidate for a Latino nose job is to schedule a consultation with a reputable facial plastic surgeon who specializes in this procedure.

Hispanic Nose Job FAQ

How much does Hispanic rhinoplasty cost in NYC? 

The cost of rhinoplasty may range from $9,000 to $14,000 or more in New York City. The actual cost varies considerably from patient to patient, depending on factors like the extent of correction needed, the duration of the procedure, anesthesia and facility fees, and the surgeon’s experience. Dr. Miller will provide you with an actual cost during your consultation at his Manhattan, New York plastic surgery office.

How will the procedure go? 

Hispanic nose job surgery usually takes about 3-4 hours for Dr. Miller to perform. Depending on the goals of the procedure, you may undergo open or closed rhinoplasty. During open rhinoplasty or external rhinoplasty, Dr. Miller makes a small incision in the columella, which is the tissue at the base of the nose that separates the nostrils. This technique allows for greater access and visibility to the internal nasal structure to create more dramatic changes to the nose.

A closed rhinoplasty or endonasal rhinoplasty does not include any incisions on the outside of the nose – everything is done internally. While there is no visible scarring after closed rhinoplasty, it also limits the surgeon’s ability to alter the nasal structure significantly.

Dr. Miller will choose an open or closed method depending on the specific needs and goals of each patient. 

What does recovery look like?

You can usually return to work and normal activities within 2-3 weeks, but you should refrain from 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.

Does it hurt?

Patients are often pleasantly surprised at how little pain there is after Mexican rhinoplasty. Pain medication is provided, although few find it necessary. 

It is natural to feel some anxiety before any surgical procedure, including rhinoplasty. You can share your concerns with Dr. Miller and he will also provide you with information and instructions for your recovery to ensure your comfort and an optimal healing experience. 

Will insurance cover my Mexican nose job?

When a Latin or Spanish nose job is performed for cosmetic reasons only, insurance does not typically cover the procedure. If the purpose of the surgery is also to correct breathing or other functional issues, a portion of the procedure may be covered. It is important to check with your insurance provider to determine eligibility before you undergo surgery.

Schedule a Mexican Nose Job Consultation in New York

Learn more about Hispanic, Mexican, or Puerto Rican nose reshaping in NYC by contacting us to schedule a consultation with Dr. Miller. You may fill out our contact form or contact us at (646) 791-3025. You will be put in touch with a patient advisor who will help you get started on this new path.

Rhinoplasty surgery in New York must be approached in a personalized manner for each patient for successful results. This is especially true with ethnic nose reshaping, which is designed to address each ethnic group’s specific features, characteristics, and concerns. This procedure focuses on concerns specific to patients of Korean ethnicity.
Facial plastic surgeon Dr. Miller often consults with patients considering a “nose job” but who are concerned about losing their ethnic identity with final results that appear “too Caucasian.” Dr. Miller uses techniques that are developed for the nasal features of Korean patients to produce final results that both create balance with the face and address concerns while preserving ethnic identity.

Many patients of Korean descent have the following nasal characteristics:

• A slight nasal bridge
• A flatter nasal profile
• Wide nasal tip
• Wide nostrils

Dr. Miller employs specialized techniques to achieve attractive results without taking away from the patient’s ethnic identity or heritage, and he takes care to avoid over-correction common among less-skilled nose reshaping surgeons. This includes avoiding excessive narrowing of the nostrils, an overly punched tip or an over-augmented bridge.
Dr. Miller has over two decades of experience as a facial plastic surgeon and he is committed to taking the time to develop a personalized treatment plan for each patient that combines preservation with change for the best possible surgical results.

Dr. Miller Describes The Features Of An Asian Nose Reshaping Patient

Choosing a Rhinoplasty Surgeon

To find the best plastic surgeon in New York City to perform your procedure, review each surgeon’s experience with the procedure at hand. Due to the complexity of this procedure, and the fact that your nose is your most prominent facial feature, you want a surgeon who is credentialed and experienced, as well as extremely well versed in the latest techniques for patients of Korean descent. It is very important to review each surgeon’s before and after portfolio to examine past results on Korean patients and learn about the surgeon’s skills and expertise.

Are You A Good Candidate?

Ideal candidates for this procedure are men and women of Korean descent who are concerned about the appearance of their nose and are at least in their teens, non-smokers and in good physical health. Schedule a consultation with a qualified facial plastic surgeon to find out if you are a good candidate. This consultation will include a thorough evaluation of your nose and medical history, as well as a recommended plan to resolve your concerns.

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Learn More About Korean Nose Reshaping Surgery in NYC

Schedule a consultation with Dr. Miller today to learn more about Korean nasal surgery. You can call us at (646) 791-3025 or fill out the contact form to be put in touch with a Patient Advisor who will answer your questions and help you on this new journey.
Next, learn about Hispanic rhinoplasty.