Dr. Philip J. Miller has helped hundreds of patients improve their breathing through septoplasty and turbinate reduction surgery in his NYC practice. If you suffer from debilitating nasal symptoms like excessive mucus production, runny nose or nasal congestion that have not responded to other treatments, septoplasty & turbinate reduction may be an appropriate option.

Dr. Philip Miller currently sees patients at his office at 60 E. 56th & Park New York, New York 10022. You can call Dr. Miller to set up your consultation and surgery.

What Is Septoplasty & Turbinate Reduction?

Septoplasty & turbinate reduction is actually a combination of two procedures. Septoplasty allows Dr. Miller, a board-certified surgeon in NYC, to realign the wall between the two nostrils – the septum – to achieve balance and symmetry between the two nasal cavities. When the septum is misshapen, the condition is called a “deviated septum.” For more information about deviated septum and how to treat it, please watch Dr. Miller’s video here.

Turbinate reduction permits the surgeon to reduce or remove the nasal turbinates – the bony, mucosa-lined outgrowths on the sides of each nostril. Turbinates are the filtering device that the nose uses to clean inhaled air before it reaches the lungs. When turbinates become enlarged or inflamed, they can cause nasal blockage, mucus production, and nasal drip.

Many patients suffer from both a deviated septum and chronically enlarged turbinates. These conditions, when combined, can make breathing very difficult. Oftentimes, septoplasty & turbinate reduction surgery is the only answer.

How is a Septoplasty Turbinate Reduction Performed by Dr. Miller?

Dr. Miller performs septoplasty turbinate reduction surgeries in his NYC office’s accredited surgical suite. The outpatient procedure, which usually lasts less than one hour, begins with Dr. Miller separating the septum from the mucosa lining surrounding it. The septum is repositioned and the mucosa lining is replaced. He then addresses the reduction or removal of the enlarged turbinates.

What Should I Expect After A Septoplasty Turbinate Reduction?

While nose surgery recovery varies from patient to patient, you should expect the following:

Return Home Immediately After Your Procedure

Turbinate reduction is an outpatient procedure. If general anesthesia is used, you should not drive or travel alone and should be accompanied by someone for at least the first day.

Take Some Time Off From Work Or School

Most people take between two days to one week off of work or school to ensure a comfortable and restful recovery. How long will depend on the type of work you do. You want to avoid dusty environments or heavy physical activity during at least the first week or so.

Keep The Nasal Cavities Moist

Dr. Miller will provide the appropriate post-operative treatments, along with specific directions for their use.

What Are The Benefits Of Septoplasty & Turbinate Reduction?

There are numerous benefits associated with a septoplasty turbinate reduction procedure, including:

Improved Breathing

By clearing the nasal passages, you can enjoy uninterrupted breathing patterns.

Better Sleep

Impeded nasal airways are the leading cause of a poor night’s sleep. Whether it is excessive snoring, sleep apnea or other conditions, repairing the inner nasal structure to improve airflow can be the most effective way to enjoy more restful nights.

Fewer Sinus Infections

Blocked nasal passageways result in an increase in sinus infections. By creating an open and unimpeded airway, drainage improves and these infections are reduced or eliminated.

To learn more about turbinate surgery, visit medlineplus.gov.

Am I A Good Candidate?

If you experience recurrent sinusitis, excessive and continuous nasal drip or other respiratory complaints, you may be a good candidate for a septoplasty & turbinate reduction procedure. An otolaryngologist (ear, nose and throat doctor), such as Dr. Miller, can examine you to identify whether a deviated septum and enlarged turbinates are the cause of your problems.

How Do I Find Out More About Septoplasty Turbinate Reduction by Dr. Miller?

If you are interested in learning more about septoplasty / turbinate reduction, please contact us to set up a consultation with Dr. Miller in Manhattan, NYC. You can complete our convenient contact form or call us. One of our helpful patient administrators will get back to you as soon as possible.

Our septoplasty procedure in New York City allows a facial plastic surgeon to realign the wall between the two nostrils–the septum–to achieve balance and symmetry within the two nasal cavities. Septoplasty is a surgery performed by Dr. Philip Miller to straighten a deviated septum. For some NYC patients, the simple act of breathing can be a labored affair. Structural irregularities in one or both of the nasal cavities can lead to nasal obstructions that impede airflow. The most common irregularity is a deviated septum – a condition where partition between the two nasal cavities does not run straight down the center of the nose. The crooked shape contributes to the blockage that prevents open airflow and hinders patient breathing.
For New York patients with this condition, a septoplasty procedure can correct the problem and return their breathing to normal.

The nasal septum is the wall that divides the two sides of the inner nose which should be properly aligned for healthy noses. However, the nasal septum can be crooked for some people. When this occurs, it is known as a deviated septum, which can block the nasal passage and contribute to symptoms of nasal blockage and obstruction.

Deviated septums can be corrected through septal surgery, also known as deviated septum surgery or a septoplasty. Dr. Philip Miller specializes in septoplasty in NYC and has over 20 years of experience performing this type of surgery. Since a deviated septum usually produces no external visual signs, most people with a deviated septum do not even know they have this condition. But for some people the deviation causes problems such as snoring, sinusitis, breathing difficulties, sleep apnea, and respiratory complaints. These types of issues may often require surgical procedures.
Dr. Philip Miller currently sees patients at his office at 60 E. 56th & Park New York, New York 10022. You can call Dr. Miller to set up your Septoplasty consultation and surgery.

What is a Septoplasty?

Septoplasty procedures in NYC can be performed independently from rhinoplasty surgery. The surgeon can usually realign the septum into the midline using incisions all well hidden within the nostrils. The procedure begins with Dr. Miller separating the septum from the mucosa lining surrounding it. The septum is repositioned and the mucosa lining is replaced.

What Happens The Day Of My Septoplasty Procedure?

If general anesthesia will be used, you cannot drive or travel alone following your septoplasty. Please arrange for transportation home and for someone to stay with you for at least the first 24 hours following your septoplasty.

Benefits

There are numerous benefits associated with a septoplasty procedure, including:

What Are The Risks Associated With Septoplasty?

Many of the risks associated with septoplasty procedure can be minimized in the hands of a highly skilled and experienced surgeon like Dr. Miller. However, risk can never be 100% eliminated. Certain factors beyond Dr. Miller’s control can sometimes intervene and create complications.
During your septoplasty consultation, Dr. Miller will explain the risks associated with this nose job procedure. You will be asked to sign consent forms acknowledging that you understand these risks.

How Can I Help My Septoplasty Recovery?

The best way you can ensure a good recovery after a septoplasty procedure is to follow all of Dr. Miller’s orders. He has performed thousands of these procedures and has decades of experience with septoplasty patients. His instructions should be trusted and followed.
Besides following your doctor’s orders, there are a few additional things you can do to help streamline your recovery process.

Elevate Your Head

Use a few extra pillows at night to elevate your head and keep swelling down.

Avoid Strenuous Activity

For at least the first two weeks, you should focus on taking it easy. Even if you’re feeling better, don’t push it. You don’t want to do anything during this important recovery phase that could jeopardize your final results.

Don’t Pull Clothing Over Your Head

Try and avoid turtlenecks or tight t-shirts or any other article of clothing that will put pressure on your nose. If you ever wanted a reason to only wear loose, comfy tops or button-up shirts, the days and weeks following your septoplasty procedure are it.

When Will I Be Back To Normal?

You can usually return to work and daily activities within a few days, but you should refrain from strenuous physical activity for 2-3 weeks. You will likely feel much better within a week or so. However, the healing process will continue long after you are feeling like yourself again since cartilage and nasal tissue can take up to one year to settle into their new shape. For more info here please read this.

Am I A Good Candidate For Septoplasty?

If you experience excessive snoring, sleep apnea, recurrent sinusitis, or other respiratory complaints, you may be a good candidate for a septoplasty procedure. An otolaryngologist (ear, nose and throat doctor), such as Dr. Miller, can examine you to identify whether a deviated septum is the cause of your problems.
Other candidates for septoplasty include patients who experience a deviated septum as the result of injury or trauma to the nose. In those instances, a nose job procedure may need to be performed in addition to the septoplasty, to correct the external appearance of the nose as well as the deviated septum.

How Do I Learn More About Septoplasty by Dr. Miller?

If you experience difficulty breathing or have suffered trauma or injury to the nose, you may be an excellent candidate for a septoplasty procedure performed by Dr. Philip Miller in New York City. Simply fill out our convenient contact form or call us and one of our friendly Patient Advisers will help you get started on the journey to the new and improved you.
Next, read septoplasty turbinate reduction.

Hundreds of patients who suffer from the sinus pain and pressure associated with chronic sinusitis have sought out Dr. Philip J. Miller, a leading NYC rhinoplasty surgeon and otolaryngologist, for help. Though Dr. Miller does not perform sinus surgery, he does work with the best sinus surgeons and they perform the nasal and sinus procedure together. The patient benefits from undergoing anesthesia just once, while two experts in their field perform their specialized procedures.

Balloon sinuplasty is a popular, less-invasive treatment designed to open up blocked sinus passageways and help drain mucus buildup in patients who suffer from chronic sinusitis.

Balloon sinuplasty uses a small, inflatable catheter – a balloon catheter – to open up blocked sinus passageways. The balloon catheter is inserted through the nostril and into the inflamed sinus. The catheter is then inflated to expand the sinus opening.

Once the sinus is opened, the sinus is flushed with a saline solution to remove built-up mucus. When the mucus is removed, the balloon catheter is deflated and removed. The sinus then maintains the improved, wider shape.

The procedure takes approximately 3 hours, including anesthesia recovery time. Patients are able to go home the day of the procedure.

What Are the Benefits of Balloon Sinuplasty by Dr. Miller?

Patients suffering from chronic sinusitis turn to balloon sinuplasty for the many benefits, including:

Safe & Immediate Relief

The nature of the procedure allows your sinus passageways to be opened through non-surgical or invasive means. This results in no long healing period and minimal risk of complications. The passageways are immediately opened, providing instantaneous drainage and relief.

Local Anesthesia

If you prefer to avoid general anesthesia or cannot tolerate it due to medical reasons, this procedure can be completed under only localized anesthesia.

Fast Recovery

Since there is no cutting or removal of bone or tissue, you can usually return to normal activities within a few days.

Consistent Results

Balloon sinuplasty enjoys a very successful track record. Most patients would recommend the procedure to family and friends for relief from chronic sinusitis.

Am I a Good Candidate for Balloon Sinuplasty?

If you have been diagnosed with chronic sinusitis or you suffer from recurrent sinus infections, sinus headaches, facial pressure or pain and you have not responded favorably to medication or other treatments, you may be a good candidate.

However, not every patient with chronic sinusitis is a candidate for balloon sinuplasty. While balloon sinuplasty excels at opening and widening sinuses, the nature of the procedure means balloon sinuplasty cannot remove nasal polyps or treat heavily scarred sinus openings. For patients with those conditions, more traditional surgical procedures may be warranted.

To determine if balloon sinuplasty is the right treatment for you, a consultation with a qualified otolaryngologist, such as New York-based Dr. Miller, is required. During the consultation, Dr. Miller will review your patient history, evaluate your symptoms, thoroughly examine you and review or order a sinus CT scan to determine if balloon sinuplasty will be effective for you. If so, he will refer you to a specialist in the field.

How Do I Find Out More About Balloon Sinuplasty by Dr. Miller?

If you are interested in learning more about balloon sinuplasty, visit ncbi.nlm.nih.gov or please get in touch to set up your consultation in Dr. Miller’s NYC office. You can call the office or simply complete our contact form to get started.

Next, read about broken nose surgery.

Rhinoplasty has helped many Manhattan, New York and New Orleans, Louisiana patients enhance their appearance or improve their breathing through nose job procedures. One of the first questions these patients often ask at their initial consultation is what to expect from the recovery process.

Through decades of working with patients, Dr. Miller understands that an educated patient is in the best position to enjoy exemplary rhinoplasty results. This rhinoplasty recovery guide is designed to help potential nose job candidates understand what is involved in the days and weeks following surgery.

How Long is Nose Job Recovery: What to Expect

How long does it take to recover from rhinoplasty?

It will take some time to heal after rhinoplasty. You can usually return to work and other activities within three weeks, but you should refrain from strenuous physical exercise 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. 

You will have at least two postoperative follow-up visits during this time as well. 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.

How long does swelling last after rhinoplasty?

Pain and swelling will be most pronounced during the first week post-surgery, and you will most likely have some bruising and tenderness under your eyes and on your cheeks as well. The majority of the facial swelling should subside and most of the bruising should be resolved after the second week.

Hard Nose Tip after Rhinoplasty

A temporary hard tip or bump on the nose after rhinoplasty is very common. A hard tip typically occurs due to swelling of the nasal tissue or the presence of scar tissue. The hardness of the tip may also be indicative of the cartilage grafts used during surgery. The nasal tip is narrowed and supported with cartilage grafts, which give the nose a new shape but also prevent the nose from changing its shape once it has fully healed, making your nose feel tight after rhinoplasty. 

The stiffness is temporary and should resolve in 9 months to one year after rhinoplasty. As swelling and stiffness ease, the tip will be much softer, and normal sensation will return. Cut back on salt to help relieve swelling and fluid retention. If the tip of the nose is still hard one to two years after rhinoplasty, seek advice from your surgeon.

When can I wear glasses after rhinoplasty?

You can resume wearing your glasses or sunglasses after rhinoplasty by about six weeks when bones are more stable. Dr. Miller will give you specific instructions when he monitors you during your recovery process. 

When can I drink alcohol after rhinoplasty?

Drinking alcohol is a dangerous activity for any patient healing from surgery, including rhinoplasty. Alcohol can interfere with your medications and thin your blood, promoting excess bleeding and bruising. To be safest during your recovery, avoid drinking alcohol for at least three weeks after your rhinoplasty surgery.

When can I sleep on my side after rhinoplasty?

During the initial part of your recovery, it is extremely important that you keep your head elevated in a straight position to facilitate proper blood flow and prevent additional bruising and swelling, as well as displacing your nose. You’ll need to sleep in an upright position (with your head propped on two to three pillows or on a foam wedge) for 6 weeks. At that point, you can resume sleeping on your side if that is a more comfortable position for you.

How long does your nose bleed after rhinoplasty?

How long after rhinoplasty can I breathe through my nose?

The nature of your procedure and the accompanying swelling in your nasal cavity means that you will likely experience a bit of congestion in the weeks following the procedure. If nasal packing after rhinoplasty is necessary, it is typically removed within two days after surgery. 

Swelling and bruising will often increase in the first 2-3 days following surgery and then start to subside. The nasal may feel congested for at least 2 weeks following surgery. It may be difficult to breathe through the nose initially but as the swelling goes down, the congestion should disappear. 

Schedule your Nose Job in NYC

Dr. Miller performs his nose job surgeries at his accredited plastic surgery clinic. Rhinoplasty is an outpatient procedure that usually lasts 1.5 to two hours and after the nose job is complete, patients can return home. Fly-In Program patients can convalesce in a hotel or recovery facility. The goal for all rhinoplasty patients is to allow for rest and recuperation in comfortable surroundings.

Please do not hesitate to contact our NYC plastic surgery clinic for any recovery or post-operative instructions after your rhinoplasty surgery. For more information or to schedule your initial consultation, contact our office today. 

For nose reshaping procedures, hundreds of patients each year trust their face to Dr. Philip J. Miller, a leading rhinoplasty expert in the greater NYC area. People who are unhappy with the shape or size of their nose turn to nose reshaping, also referred to as rhinoplasty, to improve their appearance or correct nasal breathing problems.

Nose reshaping can increase or decrease the overall size of your nose, reduce or eliminate bumps or humps and even modify nostril size. Virtually any aspect of your nose can be changed with rhinoplasty.

If you’re happy with the appearance of your nose, but struggle with difficulties breathing due to a deviated septum – one of the most common causes of restricted airflow through the nasal cavities – nose reshaping can also provide relief. A skilled rhinoplasty surgeon can adjust the inner nasal structure to produce better alignment and improve airflow.

What Does a Nose Reshaping Procedure by Dr. Miller Involve?

As one of the premier nose reshaping surgeons in NYC, Dr. Miller calls upon more than 20 years experience and incorporates a variety of techniques to achieve impeccable results. His superior skill ensures that your revised nose is in harmony with the balance of your face. His strategies include modifying nostril width, altering the angle between the nose and mouth, reshaping, reducing or enlarging the width of the nose, and reshaping the tip of the nose.
Every rhinoplasty patient is unique and so is the approach Dr. Miller takes in treating his nose reshaping patients. Despite these differences, all nose reshaping procedures follow a common format.

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Initial Consultation with Dr. Miller

Every nose reshaping starts with an initial office consultation with Dr. Miller. During this important first meeting, your concerns and expectations are fully discussed. Dr. Miller examines your nose and facial structure, and makes recommendations suitable for you. Dr. Miller also carefully explains any potential limitations suggested by your existing nasal structure and skin condition. Pre-operative photographs will be taken at this time and then digitally manipulated to show you the intended end result. This “virtual surgery” is now performed in both 2-D and 3-D.

Day of Surgery

You arrive at Dr. Miller’s accredited, office-based surgical suite, and are prepped for the 1 to 2.5 hour outpatient procedure. You will be sedated with either a general anesthesia or intravenous medication to ensure comfort throughout the procedure, and the procedure begins.
Depending on the shape and contours of your nose, Dr. Miller will perform either an open or closed rhinoplasty to access the interior nasal structure. Open rhinoplasty involves small, discreet incisions in the columella, the column between the nostrils. In closed rhinoplasty, the incisions are made inside the nose.

Once the procedure is complete, temporary nasal packing may be placed to control bleeding, and a light cast is placed over the nose to control swelling and provide support. The packing is removed before you leave the office. The cast is removed after one week.

Post-Operative Care

Since your nose reshaping will be an outpatient procedure, you can go home shortly after surgery. If general anesthesia was administered, you are not permitted to drive and must be accompanied by someone for the trip home and in the hours immediately following the procedure.
Even though there is usually not much post-operative pain associated with a nose job, pain medication will be prescribed and can be taken as needed. Swelling, stuffiness and bruising are typical in the first few days after surgery, but will clear up in a few weeks.
You can usually return to work and daily activities within one week, but should refrain from rigorous physical activity for 3-6 weeks following the procedure. Throughout the recovery period, if you wear glasses you should avoid resting them on the bridge of your new nose.

What Are The Benefits Of Nose Reshaping?

Whether you want nose reshaping to improve your appearance or fix a breathing problem, there are many benefits from rhinoplasty. Dr. Miller has helped thousands of patients improve their quality of life through nose reshaping procedures in his NYC practice.

Easier Breathing

For some people, breathing through the nose is difficult or even impossible due to nasal cavity blockage. This blockage is most often caused by a deviated septum – the structure that separates the two nasal cavities. Dr. Miller can reshape the inner nose and correct these issues, allowing you to finally breathe easier.

Better Sleep

Six to eight hours of restful sleep each night are the minimum your body needs to maintain good health. Unfortunately, structural irregularities in your nasal cavity can cause excessive snoring, sleep apnea or other breathing problems that interfere with a good night’s sleep. A nose reshaping can help eliminate these common sleep problems.

Improved Self-Confidence

Your nose is the focal point of your face. When you are self-conscious about it, your overall confidence suffers. Getting a nose reshaping can be the easiest way to boost your self-confidence and put your best face forward.

Am I A Good Candidate For Nose Reshaping?

The decision to pursue nose reshaping is an important and very personal one. If you struggle with self-esteem or other difficulties due to the shape or size of your nose, rhinoplasty surgery can be a life-changing event.
The ideal rhinoplasty patient is healthy, at least 13 years of age and a non-smoker. More importantly, the ideal nose reshaping candidate has realistic expectations about the final outcome. While rhinoplasty can improve your appearance in dramatic ways, there are still limitations. Open and clear communication between you and your surgeon, combined with your acceptance and recognition of realistic outcomes, is the best combination to ensure satisfactory and appreciated results.

How Do I Find Out More About Nose Reshaping by Dr. Miller?

To learn more about nose reshaping and find out if it is right for you, contact Dr. Miller’s NYC office to set up your initial consultation. You can call us or contact us on our website. One of our friendly Patient Advisors will be in touch to help you get started.
Next, read about revision rhinoplasty.

Your nose sits front and center of your face and is responsible for a number of daily functions that you usually take for granted. From smelling the flowers, to filling your lungs, your nose plays a vital role in your day-to-day existence.
Unfortunately, unless there is a nasal blockage that prevents easy breathing, you probably ignore your nose for the most part. Your nose may hold your sunglasses upright or warn you of spoiled food, but is otherwise neglected or unnoticed. Unless, of course, your nose has the misfortune of sporting an unattractive hump, bump or other characteristic that draws your ire. In those cases, your nose may be prompting you to consider a nose job.
To better understand how and why rhinoplasty by Dr. Miller in NYC works, you should have a basic understanding of how your nose is built.

The Anatomy Of The Nose

Your nose is comprised of two obvious areas – the outside and inside. Nuances within each of these areas can cause your nose to possess undesirable characteristics such as humps, bumps, hooks or nasal blockages.

Outside Of The Nose

The outside is made up of a hard bony “roof” that consists of your nasal and cheek bones; both hard and soft cartilage that forms your bridge and shapes your middle and lower nose; and very soft cartilage that forms your nostrils and nose tip.
The entire exterior structure is covered in skin, which adheres closely to the bone and cartilage and forms the shape of your nose.

Nasal Bones

Though the upper third of the nose is made of bone, only the very peak of the bone consists of the separate paired nasal bones. Those bones sit on top of an extension of the upper jaw bone, called the Maxilla, that extend forward away from the face.

Upper Lateral Cartilages

The upper lateral cartilages are wing shaped cartilages extending horizontally across the middle third of the nose and then vertically. They are attached to the bone structure described above.

Lower Lateral Cartilages

The lower lateral cartilages are paired rams horn shaped cartilages that are floating in a skin and soft tissue envelope. The lower lateral cartilages constitute the lower third of the nose, namely the tip of the nose. It is these cartilages that are altered, narrowed, re-positioned, shortened or elongated to modify the nasal tip.

Inside Of The Nose

The main internal structure of your nose is your septum, the structure that separates your two nostrils. The septum is made up of bone and cartilage that is covered by a mucous membrane. While you can’t see your septum, you can feel it by running your finger down your bridge to the middle third of your nose, or by placing your thumb and forefinger inside your nostrils and feel for the bridge of skin that separates your finger tips.
Also inside your nose you will find turbinates – small bony, mucosa-lined outgrowths on the sides of each nostril. Turbinates are the filtering device that the nose uses to clean inhaled air before it reaches the lungs.

How Does My Nose Structure Affect A Rhinoplasty Procedure by Dr. Miller?

When you are considering a nose job, there is undoubtedly some aspect of your existing nose that you don’t like. Perhaps it is aesthetic or maybe it is a structural problem that keeps you from breathing easily.
Regardless of why you seek out rhinoplasty, your nose’s unique structure and characteristics will impact all aspects of your nose job procedure. During your consultation with Dr. Miller in his New York City office, he will thoroughly examine your nose and surrounding bone structure and identify your goals and objectives. He will advise you as to the proper technique and strategies he will use to give you the nose of your dreams. To learn more about the anatomy of your nose, visit rochester.edu or contact our office.
Next, learn about balloon sinuplasty.

Nasal fractures, or broken noses, result from facial injuries in contact sports or falls. When a physical fight or car accident results in a broken nose, there is more than just appearance to consider. While many NYC patients may often have to contend with a significant alteration to his or her appearance, they may also experience difficulty breathing. Dr. Philip J. Miller specializes in the cosmetic and structural repair of broken noses in NYC damaged through accident or trauma.

You can call Dr. Miller to set up your broken nose or nasal fracture consultation and surgery. Dr. Miller accepts most POS and PPO insurances for any medical issues related to the nose as an out-of-network provider. Please contact us today to find out.

How Can A Broken Nose Be Treated?

While some broken noses can be resolved with a basic alignment procedure, in most cases surgery is needed to restore full functionality and appearance to the nose. Depending on the severity of the break, Dr. Miller may choose one or more procedures.

Closed Reduction of Nasal Fracture

There is a 7 to 14-day window after nasal trauma when the fractured bone can be put back into its original position. This can be done without breaking the bones again, or requiring any advanced techniques. It simply requires the patient to be adequately anesthetize a long the nose such that manipulation does not cause any discomfort or pain.

Open Reduction of Nasal Fracture

After the 14-day window, the displaced nasal bones have already begun to heal and have formed firm attachments to their new position. As such, a more involved procedure is required to realign the bones. An open reduction means that incisions inside the nose have to be made in the bones read broken. An open reduction can be avoided if the patient is seen and treated within the first 7 to 14 days after nasal trauma.

Rhinoplasty

Also commonly called a “nose job,” a rhinoplasty procedure is performed by a skilled facial plastic surgeon that uses a variety of techniques to restore the appearance of the nose. Nasal bones and cartilage are modified or removed and tissue is sometimes added for reshaping the structure of the nose. The skin of the nose remains unaltered. However, once the underlying bone structure is revised, the skin conforms to the new shape, resulting in an impressive final result. While performing a concomitant rhinoplasty with a close reduction of the nasal fracture is typically uncommon, many patients with a long-standing nasal fracture who have elected to undergo an open reduction, as discussed above, will elect to simultaneously get refinement of the nasal contour.

Septoplasty

Septoplasty allows the surgeon to realign the wall between the two nostrils – the septum – to achieve balance and symmetry within the two nasal cavities. In many nose break cases, the septum can become very misshapen. In turn, this causes breathing difficulties, as either one or both of the nasal cavities becomes blocked.

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Whether one or both procedures will be required, depends on the severity of the break. Dr. Miller regularly performs close reduction, open reduction, rhinoplasty, and septoplasty procedures in his NYC office for patients who have suffered broken noses as a result of accidents or trauma.

How Is Broken Nose Surgery Performed by Dr. Miller?

Every broken nose patient is unique and so is the approach Dr. Miller takes in treating his broken nose surgery patients in NYC. Whether the patient requires a close reduction, open reduction, rhinoplasty, septoplasty, or any combination thereof, the patient can expect the following:

Initial Consultation

Every broken nose evaluation starts with an initial office consultation with Dr. Miller. Dr. Miller examines the patient’s nose and facial structure, assesses the structural damage and makes recommendations to restore the nose. X-rays will be reviewed or ordered as seen necessary. Dr. Miller also carefully explains any potential limitations suggested by the patient’s existing nasal structure and skin condition. Pre-operative photographs will also be taken at this time.

Day of Surgery

Post-Operative Care

Since nose break surgery is an outpatient procedure, patients can go home shortly after surgery. If general anesthesia was administered, the patient cannot drive and must be accompanied by someone for the trip home and in the hours immediately following the procedure.
Pain medication will be prescribed and the patient should expect some swelling, stuffiness and bruising in the first few days after surgery. This will clear up in a few weeks.
Patients can usually return to work and daily activities within one week, but should avoid rigorous physical activity for 3-6 weeks following the nose job surgery. Throughout the recovery period, patients who wear glasses should avoid resting them on the bridge of the nose.

What Are The Benefits Of Nose Job Surgery by Dr. Miller?

A patient who suffers a traumatic nose break can experience many benefits from close reduction, open reduction, rhinoplasty and/or septoplasty, including:

Restored Appearance

Broken nose surgery can restore the nose to it’s pre-accident or original condition. In many cases, a rhinoplasty procedure can result even make improvements, resulting in a new nose that is more symmetrical and streamlined than the nose prior to the break. Patients often comment that they love their “new nose” even more than the old one.

Easier Breathing

When the inner nasal structure is broken, irregular or difficult breathing can result. During broken nose surgery, the inner nose can be reshaped to correct these issues, allowing the patient to finally breathe normally.

Better Health

Obstructed breathing can lead to a host of health issues. By restoring the nasal airflow, nose job surgery can help a patient avoid common health issues related to poor nasal airflow.

Improved Self-Esteem

Nothing can make a patient more self-conscious than the disfigured nose after a nose break. With the right surgical procedures, the patient can once again enjoy a natural looking nose and the boosted self-confidence that comes along with it.

How Can I Learn More About Broken Nose Surgery by Dr. Miller?

If you have suffered a broken nose as the result of traumatic accident or injury and are now suffering from breathing difficulties or an undesirably altered appearance, you may be an excellent candidate for broken nose surgery.
The best way to determine if broken nose surgery is right for you is to set up a consultation with Dr. Miller in his NYC office. Please call us our practice in New York City or complete the convenient contact form to request more information. One of our helpful Patient Advisers will get back to you as soon as possible to schedule your consultation. You can also visit harvard.edu to learn more about a broken nose.
Next, learn about ethnic rhinoplasty.

Nose reduction, also called reduction rhinoplasty, is one of the most common rhinoplasty surgeries performed by New York top facial plastic surgeon, Dr. Miller.

One of the most common complaints made by nose job candidates in New York City is that they want a smaller nose. Big noses are definitely a top ranking culprit when it comes to complaints among prospective rhinoplasty patients. After all, a large nose can throw off the proportions of the entire face, drawing attention right to it, and causing you endless frustration. Whether they are unhappy with the width, profile or nostril size, many people struggle with a nose that is disproportionately large for their face.

In reduction rhinoplasty, nasal cartilage and bone is removed, trimmed or rearranged to achieve a smaller shape. This is accomplished through small incisions inside the nostrils which allow access to the underlying bone and cartilage. Although the underlying structure is reduced, the exterior skin is left intact. During the healing process, the skin shrinks down to adopt the new shape.

Depending on how much of a reduction is desired, the nostrils may need to be reduced to keep everything in proportion. If that is the case, tiny incisions will be made on each nostril. These incisions will leave only very fine scars and are hidden within the crease between the nostril and the face. Our guide on rhinoplasty has additional info on the surgical procedures.

Reduction Rhinoplasty Details

Typical rhinoplasty surgeries are performed in a similar fashion, beginning with incisions for the closed rhinoplasty or open rhinoplasty approach. During a closed, or endonasal, rhinoplasty, your facial plastic surgeon will make careful incisions inside the nostrils, leaving behind no visible stitches or scars.

From here, he can lift the underlying cartilage and bone to re-contour or reconstruct the nose. During an open, or external, rhinoplasty, a very small incision will be placed between the nostrils on the underside of the nose. Through this approach, the surgeon can access the top of the nose as well as the structures of the lower and middle third of the nose.

There is no set way that a facial plastic surgeon will approach a reduction rhinoplasty, although the end result of a smaller nose is always the same. Regardless of the incision placement, your surgeon will need access to the cartilage and bone that will be rearranged or removed to make your nasal structure smaller.

How your surgeon accesses the bone and cartilage will largely depend on where he must do the bulk of his work. Discuss the surgical approach for your own reduction rhinoplasty directly with your facial plastic surgeon. In some cases, adjustments may be made to your nostrils to keep them in proportion to the rest of your nose, but you will also know about this beforehand.

Am I A Candidate For A Nose Reduction?

If you struggle with self-consciousness due to a large nose, you may be a good candidate for reduction rhinoplasty. The first step to determine whether a nose reduction procedure is right for you is to schedule a consultation with Dr. Miller in New York City.

At this consultation, Dr. Miller will examine your existing nasal structure and skin conditions to determine what is surgically possible. Some limitations on the amount of reduction that can be achieved include age, skin condition or thickness, and pre-existing injuries.

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What are the Benefits of a Reduction Rhinoplasty by Dr. Miller?

For NYC patients who pursue a nose reduction surgery with Dr. Miller, the benefits can be many.

Better Facial Symmetry

An oversized nose can throw the entire facial appearance out of balance. By reducing its size, the nose can be brought into proportion with the eyes, mouth and cheeks to produce a harmonious overall appearance.

More Flattering Nose Shape

A nose that is too wide or that has noticeable ridges and bumps can be aesthetically displeasing to the eye. A nose reduction can address these issues by reducing the incongruities and streamlining the nose to make it flow with other facial features.

Improved Quality Of Life

A patient who is self-conscious about a large nose tends to lose confidence in all areas of life. By reducing the nose size and bringing it into proportion with the balance of the face, the patient gains renewed self-confidence and enjoys a higher quality of life.

When Can I Expect Results?

Full results usually take 6-12 weeks to be seen while  your healing will continue for the entire first year. As with any rhinoplasty procedure, results are different for each patient. You can expect bruising and swelling, especially around the eyes.

It usually takes up to three weeks for these symptoms to disappear. You will also need to wear a firm splint over your nose for at least one week. Even though there is usually not much post-operative pain associated with reduction rhinoplasty, pain medication will be prescribed and can be taken as needed.

You can usually return to work and daily activities within one week, but should refrain from rigorous physical activity for 3-6 weeks following the procedure. Throughout the recovery period, if you wear glasses you should avoid resting them on the bridge of your nose. You may experience a numbness or stiffness around the tip of the nose for several months.

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Planning for a Reduction Rhinoplasty

When you’re hoping to reduce the size of your nose, your first step is to meet with a board-certified and experienced facial plastic surgeon to discuss your specific case. During this rhinoplasty consultation, you’ll have the opportunity to talk about what makes you unhappy with your nose and what changes you’re hoping to make.

If it’s just a smaller nose you’d like, a reduction rhinoplasty will do the trick. If you also want to change the shape of your nose, the tip of your nose, or something else, your facial plastic surgeon will device a combination of techniques to complete your surgery and deliver the results you desire.

During this meeting, you should also be ready for your facial plastic surgeon to perform a thorough examination of your nose and other facial features. He may take measures to calculate how out of proportion your nose is and how drastic a change can be safely made without resulting in an unnatural look. You certainly don’t want to wind up with a nose that is too small for your face, so be sure to listen to the advice your facial plastic surgeon has to give.

Although you have had your nose for your whole life, your surgeon has looked at many different kinds of noses for years, maybe decades. Trust the he has a good understanding of what size nose will look best among your other facial measurements.

After Your Reduction Rhinoplasty

Reduction rhinoplasty does not require any specific limitations or extra time for recovery. Your nose and surrounding tissue will heal on the same timetable as any other nasal surgery and your results will gradually become apparent as the swelling goes down. Your facial plastic surgeon will not do anything to reduce the skin on your nose, as it will shrink up to fit your new, smaller nose all on its own. You should expect this to happen during your recovery time without you even noticing it.

What is the cost of a nose reduction surgery?

There are a lot of factors to consider when assessing the cost of a nose reduction surgery. We do have a rhinoplasty cost-analysis guide, however.

Other Options

Yes, there are numerous nose surgery options available – visit this page to see them all.

How Do I Learn More About NYC Nose Reduction by Dr. Miller?

It is easy to find out more about a nose reduction procedure with Dr. Miller in New York City. Simply fill out our convenient contact form or call us and one of our friendly patient advisers will help you get started on the journey to the new and improved you.

To learn more about nose reduction you can visit medlineplus.gov.

For patients in NYC wishing to remove a hump or bump on the bridge of the nose, MicroRhinoplasty may be the answer. MicroRhinoplasty is the latest advancement in nose job procedures that allows the surgeon to reduce a hump or bump on the nose in a less invasive manner than traditional techniques. The development of MicroRhinoplasty is especially exciting, as hump or bump removal is the most common request among rhinoplasty patients.

In a traditional rhinoplasty procedure, an osteotomy is the usual technique employed to reduce humps or bumps on the bridge of the nose. An osteotomy requires that the surgeon manually fracture the nasal bones to re-shape the nasal structure and eliminate the hump. While quite effective, an osteotomy is a complex procedure. It is typically performed under general anesthesia and results in significant swelling and bruising and significant recovery times. Some patients also experience complications from the procedure.

With the introduction of MicroRhinoplasty, Dr. Miller can now eliminate unsightly humps and bumps without resorting to bone fracturing or highly invasive procedures. Using an innovative air-powered microrasp and utilizing only a local anesthesia, MicroRhinoplasty procedures are done in the office and completed in as little as five minutes.

To learn more about MicroRhinoplasty™ in NYC, please contact our office to set up a consultation with Dr. Miller. You can fill out our convenient contact form or call our practice in New York. One of our Patient Advisers will be happy to help you start the journey to a new improved you. More information on the difference between a rhinoplasty and MicroRhinoplasty can be found here scholar.harvard.edu.

What Problems Does MicroRhinoplasty Correct?

The primary problem a MicroRhinoplasty corrects is a bump or hump on the nasal bridge, also known as a dorsal hump. This concern is a common one among Eastern and Northern European populations but can occur to nearly anyone regardless of ethnicity.

How Does MicroRhinoplasty Work?

To perform MicroRhinoplasty, Dr. Miller accesses the treatment area through a tiny incision in the nostril. Then, using a specialized microrasp, he removes the obtrusive bony layers with extreme precision until the desired contour is achieved. Patients report very little pain, minimal swelling and bruising, and usually, return to normal activities within a few days.

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Are you a good candidate for MicroRhinoplasty in NYC?

While the MicroRhinoplasty is an excellent alternative to the more traditional rhinoplasty procedure, not everyone is an appropriate candidate. Individuals who are frustrated with a ‘nasal hump’ or bump along the bridge of the nose may make an excellent candidate for a MicroRhinoplasty procedure. Patients should also be in generally good health and have realistic expectations from the procedure. Before a surgery is scheduled, a consultation appointment will be set up with Dr. Miller. At this time, it will be determined if a MicroRhinoplasty is the correct procedure for the specific situation.

What Are The Benefits Of MicroRhinoplasty by Dr. Miller?

For the right patient, the benefits of MicroRhinoplasty by Dr. Miller in NYC are many.

Short Treatment Time

Perhaps the number one benefit of MicroRhinoplasty is the short duration of the procedure. Most procedures can be completed in as little as five to fifteen minutes and only require a localized anesthesia.

Minimal Pain and Discomfort

The nature of MicroRhinoplasty means that the patient will experience very little pain – either during or after the procedure. Minor swelling or bruising may occur but usually resolves in a few days or weeks.

Quick Resolution

Microrhinoplasty is ideal for those patients who are bothered by having a very small bump and want to remove it, but the bump is not so obtrusive to justify a complete rhinoplasty.

Fast Recovery

Once the procedure is complete, a patient is free to resume normal activities in one to two days, although strenuous activity should be avoided for 4-6 weeks. Unlike traditional nose job procedures that require weeks of devoted recovery time, MicroRhinoplasty allows a patient to return to normal life within a day or two of leaving Dr. Miller’s office.

How Do I Prepare For My MicroRhinoplasty Procedure?

Prior to your MicroRhinoplasty procedure, you will receive detailed pre-operative instructions from Dr. Miller. MicroRhinoplasty patients should also remember the following:

Review All Materials

During your consultation, you will receive a packet of information regarding your MicroRhinoplasty. If you have any questions about your procedure, you should contact Dr. Miller’s office before the day of your procedure.

Fill All Prescriptions Ahead Of Time

Make sure you have any prescriptions filled before your surgery date. The hours immediately following your procedure should be devoted to rest and recovery, not standing in line at the pharmacy.

Arrange For Transportation Home

Even though the nature of MicroRhinoplasty is not as invasive as a traditional nose job, you will still receive anesthesia during the procedure. Each patient recovers differently from anesthesia, and driving or traveling alone is not allowed.

Keep Contact Information Handy

While you are recuperating, it is important that your friends, family or caregiver has immediate access to Dr. Miller and other emergency personnel. Make a list of all contact numbers and keep it handy in case you need assistance once you’re home.

Schedule Your Follow-Up Appointments

Dr. Miller wants to carefully assess your recovery progress and does this through your post-procedure appointments. This follow up is critically important to your healing process, so mark your calendar and don’t miss these appointments.

Schedule Your Nose Bump Removal by Dr. Miller in New York

To learn more about MicroRhinoplasty 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. One of our patient advisers will be happy to help you start the journey to a new improved you.