If you’re unhappy with the appearance of your nose, you’re not alone. According to the American Society of Plastic Surgeons, rhinoplasties, or nose jobs, are the most common facial plastic surgery procedures in the U.S. Many people feel that their nose is too prominent and detracts from other facial features, while others long for more definition of their nasal tip.
No matter your concern, double board-certified facial plastic surgeon, Philip J. Miller, MD, FACS, in New York City has the artistic skill and experience to reshape or reconstruct your nose for enhanced facial symmetry. His goal is to bring balance to your features by evaluating the prominence of your cheekbones and jawline, the width of your eyes, and even the texture of your skin before making recommendations regarding your nose.
The next step is determining whether you’re a better candidate for open or closed rhinoplasty. While both procedures can achieve exceptional results, each has its own advantages and drawbacks to consider during your consultation.
Open Rhinoplasty
During an open rhinoplasty at his plastic surgery clinic, Dr. Miller makes a small incision in the columella — the piece of tissue that separates the nostrils. Also called an 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 highly common type of rhinoplasty, Dr. Miller can reshape the nose and repair damage without jeopardizing its structural support.
Dr. Miller typically recommends open rhinoplasties for patients with complex structural concerns, such as:
A severely crooked nose
Nasal trauma or deformities
An asymmetrical tip
A large nasal tip
A large dorsal hump (bump on the nasal bridge)
An open technique is also best for revision rhinoplasty. If you’ve had rhinoplasty in the past and are unhappy with the results, Dr. Miller can perform open rhinoplasty to address your concerns.
Open Rhinoplasty Pros / Cons
Choosing an open rhinoplasty offers many advantages if you want to reshape your nasal structure, particularly if your case is complex. However, there are certain considerations to take into account before making your choice.
Pros: Improved Precision
Opening the columella allows Dr. Miller to see the internal structures of your nose. As a result, he can correct complex nasal deformities with precision and accuracy. Clear visibility also allows him to preserve as much of your tissue, cartilage, and bone as possible because he can reshape rather than remove it.
Pros: Enhanced Structural Support
By confining all incisions to the outside of the nose, Dr. Miller can maintain its structural stability. He’s able to create dramatic results without disrupting much of the surrounding bone, cartilage, and tissue.
Cons: Scarring
Since an open rhinoplasty requires an external incision, you may have minor scarring after the procedure. Fortunately, the Z-shaped incision is very small, so the scarring should fade with time. Furthermore, Dr. Miller carefully takes your skin and facial structure into consideration before making the incision. This step ensures that the scar is barely visible as it is between the nostrils at the base of the nose.
Cons: Longer Recovery
An open rhinoplasty is inherently more invasive than a closed rhinoplasty, so it’s no surprise that the recovery process is slightly longer. Many patients find that rhinoplasty is less painful than expected, but swelling and discomfort are common side effects of the procedure. You may also experience congestion for the first few days. Most patients can resume their normal activities within 7-14 days. To accelerate your recovery, keep the incision site clean, avoid strenuous exercise, and refrain from tobacco use.
Closed Rhinoplasty
Also called an endonasal rhinoplasty, a closed 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.
Closed Rhinoplasty Pros / Cons
A closed rhinoplasty is especially appealing for those who want to make minor modifications to their nose. It’s also ideal if you have breathing problems, such as chronic sinusitis. As a more conservative type of rhinoplasty, however, this technique isn’t right for everyone.
Pros: No Visible Scarring
The primary benefit of a closed rhinoplasty is that there’s no external evidence of the procedure. All stitches are located inside the nose, so you may feel more comfortable resuming your normal activities sooner than you might after an open rhinoplasty.
Pros: Shorter Recovery Time
With no external incisions, the skin between the tip and bridge of the nose remains intact. This means blood circulation functions normally and fluid can drain rather than accumulate. As a result, most patients start to recover within one week. However, rigorous exercise, smoking, and blowing your nose can hinder your recovery.
Pros: Subtle Results
Closed rhinoplasties typically address less complex nasal concerns than open procedures. If you have a dorsal hump, wide nasal bridge, or enlarged nasal tip, a closed rhinoplasty can deliver subtle results with little impact to the surrounding tissue.
Cons: Low Visibility
Since a closed rhinoplasty is performed through the nostrils, visibility is limited during the procedure. An endoscope can provide a clearer view of the internal structures, but an open rhinoplasty will always have fewer obstructions.
Cons: Limited Modifications
With low visibility and limited access, a closed rhinoplasty is not the best choice for complex nasal modifications that require extreme precision. Instead, the closed technique is ideal for minor adjustments to the nasal tip and bridge.
Which one Should You Choose?
The best type of rhinoplasty for you depends entirely on the concerns you want to address. Neither technique is necessarily better than the other. To ensure you achieve the best results possible, Dr. Miller offers a proprietary consultation process called NatraLook. During your NatraLook consultation, he evaluates your nose and facial features while listening to your concerns and goals. This process establishes a collaborative environment in which you and Dr. Miller can create a unified vision for your results and the most natural outcome possible.
Contact Our Plastic Surgery Clinic Today
To learn more about the different types of rhinoplasty procedures Dr. Miller performs and find out which technique is best for you, contact our New York City plastic surgery clinic today.
Rhinoplasty is arguably one of the most requested cosmetic surgeries in the U.S. (more than 350,000 surgeries were performed in 2020). But it’s not just us, non-famous people going under the knife. Even celebrities are no strangers to getting a little work done here and there, and some of them are not only admitting to getting a nose job but are also candidly standing by their decision to tweak their looks.
Double-board certified in facial plastic and reconstructive surgery, Dr. Philip Miller, is considered one of the country’s foremost experts in rhinoplasty and facial rejuvenation. His approach that combines art and science with skill and innovation provides thousands of patients in Manhattan, New York, natural-looking results that exceed their goals.
Who is Getting Nose Surgery?
Friends co-stars Jennifer Anniston and Lisa Kudrow admitted undergoing nose procedures and spilled some of the details in their interviews. Jennifer tells People magazine in 2007 that she got a nose job for medical reasons, specifically, to fix her deviated septum. Lisa, on the other hand, reveals how her nose job was a life-altering experience. In her interview with The Saturday Evening Post in 2013, the comedian, writer, and producer said she went from looking “hideous to not hideous” after her surgery.
Big Bang Theory’s, Kaley Cuoco has no regrets about her nose job too. She spoke to Women’s Health in 2016 and openly shares about the necessity of looking good in addition to loving one’s inner self. She also says that you shouldn’t go through the transformation for a man or anyone else, but make yourself feel more confident.
People, therefore, (celebrity or not) decide to go through nose procedures for cosmetic and medical purposes. Specifically, the following are the common reasons why people choose to undergo rhinoplasty:
Reduce an Oversized Nose
Whether they are unhappy with the width, profile, or nostril size, many people struggle with a disproportionately large nose for their face. A reduction rhinoplasty or nose reduction addresses this common issue by removing, trimming, or rearranging bone and cartilage to achieve a smaller nose shape.
Refine the Nasal Bridge and Tip
A nose that has a more prominent bridge can typically appear slimmer and more attractive. A nose reshaping procedure can heighten the nose bridge, giving the impression of a longer and more refined nasal tip. As a result, the nose will look sharper and more sophisticated while seamlessly blending with the rest of your facial features.
Boost Your Confidence
Your nose is the first thing people see when they meet you. If you feel that your nose’s flaws dominate your face, it can be a source of insecurity and make you feel apprehensive about being seen. A nose job can correct the shape, size, and proportion of your nose to the rest of your face, enhancing balance and symmetry and ultimately making your entire face look more attractive. With renewed self-confidence, you can face the world with a new go-getter attitude to match. You will be motivated to seek new opportunities, achieve significant accomplishments, and pursue more personal relationships.
Correct a Broken Nose
Accidents or injuries from contact sports can result in nasal fractures and broken noses. While some broken noses can be resolved with a basic alignment, some patients may also experience difficulty breathing. Dr. Miller specializes in the cosmetic and structural repair of broken noses damaged through accident or trauma.
Improve Breathing
Jennifer Anniston says she slept like a baby for the first time in years after she had her deviated septum fixed. The septum is the wall of bone and cartilage that divides the nose into two separate nostrils. This can be crooked in some people, resulting in a deviated septum which can make breathing difficult. Dr. Miller can perform a septoplasty to treat nasal blockages. Septoplasty will straighten the septum, allowing for improved airflow through the nose.
Why Experience Counts
Rhinoplasty is a very challenging procedure and one of the most difficult surgeries to master. It is crucial only to trust your face to an experienced plastic surgeon who specializes in rhinoplasty. The best rhinoplasty surgeons know how to customize a nose surgery to the precise needs of each patient to achieve balance and natural beauty while considering both the form and function of the nose.
The Complexity of Rhinoplasty
The nose is a complex and delicate structure to begin with since it’s more than just a passageway for air. It consists of an intricate mix of fragile bone and cartilage. A blend of a surgeon’s training, skill, experience, and refined sense of aesthetics all come into play to achieve optimal results and avoid complications –because it’s not like molding a piece of clay into the desired shape. Rhinoplasty involves disassembling, augmenting, trimming, and repositioning the nose’s components where each millimeter counts.
The Prevalence of Revision Procedures
Revision rhinoplasty is an all too common procedure. Approximately 5-15% of patients who undergo nose jobs will request a secondary procedure at some point. Cutting costs and settling for an inexperienced surgeon using outdated techniques, having unrealistic expectations, lack of communication between doctor and patient, and complications from the procedure and subsequent healing process can all impact the surgery’s results and become reasons for needing a revision rhinoplasty.
What is the Goal of Rhinoplasty?
There is no one-size-fits-all approach to rhinoplasty. Dr. Miller always tells his patients that the goal of a rhinoplasty is to reshape the nose to create an overall improvement to the facial structure and aesthetic or improve its nasal functions. But don’t expect that a celebrity nose will look right for your face. It should not be your goal to match somebody else’s appearance, but only take them as a source of inspiration. Everybody is unique in their facial features and, therefore, should also be treated as such. Dr. Miller will help his Manhattan and New Orleans patients achieve a natural-looking nose that will complement their features rather than give them a celebrity “cookie-cutter nose.”
Dr. Miller’s approach to rhinoplasty encompasses the NatraLook® process, which optimizes the patient experience by creating a collaborative environment that keeps you an active participant in your transformation journey. This ensures the most rewarding results because it is the process’s goal to empower you and help you achieve Aesthetic Confidence®.
Rhinoplasty Done Right the First Time
Correcting a botched rhinoplasty procedure is not a decision that should be taken lightly. The procedure can be much more intricate than the primary rhinoplasty and will require a surgeon with a broad understanding of the nasal structure and the best surgical techniques. The procedure, therefore, can take longer to perform and may cost significantly more than the initial surgery. This is why getting rhinoplasty right the first time by choosing the best plastic surgeon is crucial.
Dr. Philip Miller has specialized exclusively in facial plastic surgery, offering his patients over 20 years of experience and knowledge. A recognized expert in rhinoplasty, Dr. Miller has been frequently invited to share his specific techniques with his peers at various national facial plastic surgery meetings. He has been voted among the Best Doctors in America each year since 2007. In 2019, Dr. Philip Miller won the Castle Connolly Top Doctors award.
Schedule A Rhinoplasty Consultation With A Plastic Surgeon Today
Settle for nothing but the best in facial plastic surgery. By choosing a world-class surgeon with the right combination of experience, skill, expertise, and aesthetic eye, you can achieve beautiful, natural-looking, and life-changing results. Contact Dr. Miller’s Manhattan, New York, or New Orleans clinics to learn more about rhinoplasty and other facial plastic surgery procedures that can enhance your appearance.
The cosmetic industry boom isn’t showing any signs of slowing down. As pandemic restrictions have eased across the U.S., surgeons and dermatologists are noticing an increased demand from their male patients for both non-surgical and surgical treatments. Whether it’s the Zoom Boom or the lockdown-induced sedentary lifestyle, the pandemic has accelerated male desire for aesthetic enhancements. And now that the world is re-opening, their aim is to reveal better versions of themselves.
The Top Choice for Male Patients
Double-board certified facial plastic surgeon Dr. Philip Miller specializes in cosmetic facial procedures that help both women and men achieve their aesthetic goals. Considered one of the country’s leading experts in rhinoplasty and facial rejuvenation, Dr. Miller can create innovative and comprehensive procedure plans to provide natural-looking results. And with his Natralook® approach that empowers his patients to achieve Aesthetic Confidence®, he can produce life-changing outcomes.
A Rising Trend
There has been asignificant increase in the number of men seeking cosmetic procedures over the past decade. The American Society of Plastic Surgeons saw a 29% increase in total cosmetic procedures in men from 2000-2018. The Aesthetic Plastic Surgery National Databank Statistics recorded 5,037 nose surgeries in men in 2019 and 7,475 rhinoplasty procedures in 2020.
Whether men want sharper, more defined noses or brighter, younger-looking eyes, they are aware that they can benefit from the same procedures that women have long embraced. Men seeking cosmetic procedures is no longer a secret, and the pandemic has certainly given them the push they needed to finally pursue their aesthetic goals.
What is the Zoom Boom?
With the switch to remote work, online meetings, and virtual gatherings, people went from sparingly looking at their reflections while brushing their teeth to suddenly staring at their image on a screen for hours a day. As a result, there was greater scrutiny of their lines, wrinkles, and other signs of aging. Men are as concerned as women about their appearance and are becoming proactive about keeping aging symptoms at bay with the help of cosmetic procedures.
The COVID 15
For millions of Americans, one of the unintended consequences of the pandemic has been the “COVID 15,” which refers to the weight gain that people in lockdown may have experienced. With gyms and workout facilities closed, plus easy access to the pantry and fridge, the extra pounds stealthily crept on for many. Now that businesses are beginning to open and cities are now resuming normal activities, men want to improve their neglected body contours by undergoing body-contouring procedures to enhance their physiques.
Recovery: More Time, More Privacy
Men who were considering surgery, but had worries about the downtime, found a golden opportunity while on lockdown. Those working remotely could recover from procedures without taking as much time off or letting others know of their plans. Work-from-home wardrobes consisting of loose tops and sweats also made post-surgery recovery much more comfortable. In essence, quarantine life provides the best setup for privacy and a discreet recovery time.
Popular Procedures for Men
Even taking the pandemic out of the equation, there is less taboo surrounding cosmetic procedures for men today. Men are taking better care of their skin and bodies, and they want a more youthful appearance to match their energy and vigor with the help of the following procedures:
Eyelid Surgery
No matter their age, men like to look rested, energetic, and attentive. The eyes are one of the most vulnerable areas when it comes to aging and can make a man look tired and older than he feels. This delicate skin diminishes with age, resulting in droopy eyelids and puffy bags under the eyes. To address these concerns and achieve a younger-looking appearance, more men are now discovering the benefits of blepharoplasty or eyelid surgery in Manhattan, New York.
Neck Lift
Whether they blame it on heredity, gravity, fluctuations in weight, or the natural aging process, men will notice a distinct loss of skin elasticity on their face, neck, and jaw, along with increased fatty deposits. To reverse these signs of aging, men are turning to a neck lift procedure to achieve harmony between their appearance and the way they feel. Dr. Miller can perform a neck lift to remove excess fat and skin from the neck to improve visible signs of aging in the neck and jawline, creating a smoother, slimmer, firmer, and more refined neck appearance.
Rhinoplasty
With Zoom meetings and more time spent on multiple social media platforms, men (like women) have become more focused on their imperfections. Research has found that selfies can also make people’s noses look larger than they actually are. Rhinoplasty is one of the most often requested procedures by male patients in Dr. Miller’s plastic surgery clinic. Since masculine features are the perceived key to male attractiveness, most men choose to have rhinoplasty to eliminate any unsightly features while maintaining a strong-looking nose.
Bro-Tox
A testament to the fact that Botox injections aren’t just for women, “Bro-tox” continues to be a popular trend over the last decade. As its man-friendly nickname suggests, Bro-tox refers to Botox procedures for men. In addition to its subtle results and minimally-invasive approach, the appeal of Botox injections also comes from its short treatment sessions and minimal downtime. Dr. Miller strategically injects Botox to specific facial areas to block nerve impulses to the muscles responsible for dynamic wrinkles, creating a smoother, more youthful appearance.
Why Gotham Plastic Surgery is the Best Plastic Surgery Clinic for Male Patients
Mostplastic surgeons only see a small fraction of male patients, and this gives them little experience with the unique needs of men. Dr. Miller understand the unique concerns of his male patients and creates improvements that are both natural and distinctly masculine.
Settle For Only The Best In Facial Rejuvenation
Can’t decide which procedure is best for you? During your consultation at our plastic surgery clinic, Dr. Miller will make recommendations based on your skin quality, signs of aging, and specific concerns. Together, you can create a Unified Vision® that will best meet your goals. Contact Gotham Plastic Surgery today to schedule an appointment.
The availability of non-surgical options in cosmetic dermatology has made it easier for most people to try new treatments. A liquid facelift, for instance, gives you a chance to “test drive” a new look before committing to a surgical facelift. While non-surgical procedures sound like the quick, safe, and easy approach, they may not always be the most suitable solution to your aesthetic needs and goals. Sometimes, taking the surgical route is the better choice. So, how do you know which procedure is right for you?
Esteemed double board-certified facial plastic surgeon, Philip J. Miller, MD, FACS, specializes in cosmetic facial surgeries including the classic facelift in Manhattan, New York. He creates custom treatment plans utilizing the most advanced techniques to help you achieve your ideal look. Furthermore, his Natralook® process empowers you to help design your transformation journey and achieve your desired results.
What is a Liquid Facelift?
For younger patients who do not have severe aging symptoms and do not want to undergo surgery, a liquid facelift can provide restorative and rejuvenating results without the need for incisions or anesthesia. To perform a liquid facelift, doctors inject fillers and neuromodulators into targeted areas, adding volume to the cheeks or contouring the jawline, all while eliminating the appearance of fine lines and wrinkles. Depending on the injectables used, liquid facelift results can last for up to two years. Even though you did not “go under the knife,” the appropriate patient can still receive impressive anti-aging results. To learn more about liquid facelift, visit healthcare.utah.edu
Benefits of a Liquid Facelift
At our Manhattan plastic surgery clinic, our patients enjoy the amazing results they’re able to achieve with our proprietary liquid facelift technique, called the Miller Lift. In addition to beautiful results, you may enjoy these other benefits:
It’s non-invasive
It saves you time
It does not involve any downtime
It’s typically not very painful, and some patients report feeling no pain
It produces natural-looking results
It’s a precise procedure
It’s more affordable
What You Need to Know About Surgical Facelifts
Over time, the skin loses elasticity and begins to sag, causing deep creases, wrinkles, droopy eyes, jowls, and pronounced loose folds. While we can’t stop the aging process, a surgical facelift is an effective rewind button that can take years off your appearance. The traditional facelift is a household name in the beauty world—and for good reason. Surgical facelift results are more dramatic compared to liquid facelifts and last longer because surgeons tighten underlying muscles, remove excess skin and fat, and reposition the skin, taking a more thorough approach.
Since a surgical facelift is a more complex procedure, it is important to understand what the procedure is designed to address and what outcome you can potentially achieve.
When Surgery is the Right Choice
Because surgeons tailor a surgical facelift to your unique bone structure, skin condition, and aging patterns, you can achieve a lifted, firmer appearance with younger-looking skin while still looking like yourself. Specifically, you can benefit from a surgical facelift when:
1. You Have Severe Aging Symptoms
Surgical facelifts are ideal for older people or those who are looking for a dramatic solution to significantly sagging skin, defined wrinkles, loose jawlines, and deep creases. When performed properly, a facelift can turn back the clock by smoothing the skin, firming up muscle tone, and restoring attractive facial contours.
However, if you’re still young and would like to address early signs of aging and experience long-lasting results but are not ready for an invasive full-facelift, you may be able to find your desired results through a Micro-Lift, which uses smaller incisions and requires less downtime.
2. You Can See Significant Skin Laxity
While fillers can plump up areas to restore natural fullness, they cannot restore elasticity to skin that has begun to sag. Facelifts are best-known for addressing skin laxity. Surgeons remove and tighten skin that’s begun drooping with age, producing a more youthful look. By removing excess tissue, surgeons can address the following:
Jowls
Turkey wattles
Overall aged appearance
Droopy skin around the eye area
However, surgeons should not pull skin too tight, as this can create a frozen, wind-blown appearance that is typical of procedures performed by inexperienced surgeons. Dr. Miller will ensure your results are very natural and that you look like a younger, refreshed version of yourself.
3. Your Neck Also Needs Rejuvenation
Since the neck’s skin is thinner than facial skin, the neck is one of the first areas to show signs of aging. A facelift without a neck lift can create an unbalanced look. This is why surgeons usually perform a neck lift in conjunction with a facelift. By lifting and tightening the deeper tissue along the jawline, pulling up the sagging tissue, and excising loose skin, you can achieve a smooth and very defined jawline to complement your younger-looking face.
4. You Don’t Want to Come in Every Few Months
A surgical facelift offers the most long-lasting results of any other anti-aging procedure available today. Since it addresses sagging skin and volume loss with a more thorough and comprehensive approach, results can last for up to 10 years.
5. You Want Dramatic Results
Considered the gold standard in facial rejuvenation, a facelift offers the most dramatic improvement in addressing the signs of aging. While patients seeking subtle results have found injectables to be effective in achieving their desired look, those who undergo a surgical facelift get a more striking transformation by correcting sagging skin, removing jowls, lifting the cheeks, and refreshing the overall appearance. When performed well, this procedure can take 10+ years off your appearance while maintaining your natural look.
Discover The Right Facial Rejuvenation Procedure For You At Our Plastic Surgery Clinic
In addition to determining the right procedure for you, it is also essential that you find the best surgeon to perform it for you. For more than two decades, Dr. Miller has provided patients with customized surgical and non-surgical facial procedures. By combining his expertise and skill with his artistic eye, Dr. Miller can achieve impeccable results and give you Aesthetic Confidence®. To learn more about our facial rejuvenation procedures and other non-surgical options such as Face-Tite™, contact Dr. Miller at his New York City plastic surgery clinic today.
The nose is a complex and delicate structure, making rhinoplasty a very challenging procedure and one of the most difficult surgeries to master. A blend of a surgeon’s training, skill, experience, and refined sense of aesthetics all come into play to achieve optimal results and avoid complications. Getting the procedure right the first time by choosing the right plastic surgeon is key to a successful outcome.
Double board-certified in both facial plastic and reconstructive surgery and head and neck surgery, Philip Miller, MD, FACS, is considered one of the country’s foremost experts in rhinoplasty and facial rejuvenation. He has over 20 years of experience within the facial plastic surgery industry and has performed over 5,000 successful surgeries. His approach combines art and science with skill and innovation and provides thousands of patients in Manhattan, New York with natural-looking results that exceed their goals.
The Reasons Behind So Many Revision Rhinoplasties
Approximately 10-15% of patients who undergo nose jobs request a second procedure at some point. Cutting costs by settling for an inexperienced surgeon who uses outdated techniques and lacks clear communication skills could result in complications from the procedure and poor results, creating a need for a revision rhinoplasty. Specifically, functional and aesthetic issues that may warrant revision rhinoplasty may include:
Pinched tip (too much cartilage being removed from the tip of the nose results in a “pinched nose” appearance or a short nose)
Progressive nasal obstruction
Scar tissue formation during the healing process
Crooked or twisted nose
Deviated septum
Revision rhinoplasty is not a decision that should be taken lightly. The procedure can be much more intricate than the primary rhinoplasty and requires a surgeon with a broad understanding of the nasal structure and the best surgical techniques. In effect, the procedure can take longer to perform and may cost significantly more than the initial surgery. This is why getting rhinoplasty right the first time by choosing the best surgeon is crucial.
It is important to note that only a facial plastic surgeon should perform revision rhinoplasty. Dr. Philip Miller is known for his ability to produce the most natural and aesthetically appealing rhinoplasty results. With a high success rate, he is an expert at revising original rhinoplasties that did not produce the desired result.
The Complex Nose Structure
Surgeons consider form and function when performing rhinoplasty because, while nose jobs are mostly desired for cosmetic reasons, you must also consider the nose’s proper function. While operating, facial plastic surgeons must make sure the nose’s structure remains intact and the patient can breathe properly once they’ve recovered. More than just a passageway for air, the nose consists of an intricate mix of varying tissues. Fragile bone at the back and bridge and flexible cartilage in the front support the nose. Covering all of that is skin that surgeons must carefully manipulate during surgery so it drapes properly over all of the nose’s components. In some cases, surgeons also correct functional issues while enhancing the nose’s appearance.
Altering the nose is unlike sculpting a piece of marble that you chisel down to the desired shape and size. Rather, the nose is disassembled, augmented, or trimmed, repositioned, and then rebuilt—all while preserving its important functions such as airflow.
Are Your Expectations Realistic?
When considering any type of nose surgery, even if it’s a non-surgical rhinoplasty, your prospective surgeon must be more than willing to sit down for a consultation with you. Making sure you and your plastic surgeon are on the same page during the consultation and on the day of your procedure helps ensure a successful result. Your surgeon must have a clear understanding of your aesthetic goals, ask about your medical history, and discuss your available cosmetic options, potential risks, and pre- and post-operative care. Your surgeon should be able to confidently answer all your questions.
Dr. Miller uses before and after photos as well as image morphing to make sure your expectations are realistic and can be met. Particularly, he uses virtual rhinoplasty as a tool to help you visualize your rhinoplasty results, all from the comfort of his Manhattan office. With the latest in computer imaging and 3D technology, you can “try on” a variety of changes to see your potential results, helping you find the best look for you before surgery.
If the Nose Fits
Part of having realistic expectations for rhinoplasty is understanding what rhinoplasty can achieve for your nose. Everyone has unique nasal features and facial structures that determine how much can be changed. Sure, Blake Lively and Jennifer Lopez may appear to have the “perfect” noses, and you are free to show their photos to your plastic surgeon. However, don’t expect that someone else’s nose will look right on your face. It shouldn’t be your goal to match somebody else’s appearance, but only use them as a source of inspiration. Achieving the right nose for you will depend on your facial structure, symmetry, size, and balance. Surgeons should not use a one-size-fits-all approach, and you cannot expect a perfect replica of another person’s nose after surgery.
To set yourself up for success, begin by choosing the best facial plastic surgeon. The best surgeons know how to customize a nose surgery to the precise needs of each patient to achieve balance and natural beauty. Dr. Miller’s approach to rhinoplasty starts with the NatraLook® process, which optimizes the patient experience by creating a collaborative environment that keeps you as an active participant in your transformation journey. This ensures the most rewarding results because it is the process’s goal to empower you and help you achieve Aesthetic Confidence®.
Schedule A Rhinoplasty Consultation With A NYC Plastic Surgeon Today
Settle for nothing but the best in facial plastic surgery. By choosing a world-class plastic surgeon with the right combination of experience, skill, expertise, and aesthetic eye, you can achieve beautiful and natural-looking results that are life-changing. Contact Dr. Miller in New York City to learn more about rhinoplasty and other facial plastic surgery procedures that can enhance your appearance.
Facelifts are the gold standard of long-lasting, anti-aging procedures, but many believe outdated or simply wrong information about what this surgery does for patients. As with most new cosmetic procedures, the facelift was met with great skepticism, but thanks to advancements in technology and surgical techniques, it’s losing its infamy, which is why 123,685 people in the U.S. chose to undergo this surgery in 2019.
Philip J. Miller, MD, FACS, is an innovator in facial plastic surgery, and he offers the latest and best techniques for facial rejuvenation in Manhattan, New York. Using his proprietary NatraLook process, Dr. Miller guides patients through an aesthetic journey to help each person realize the best procedures for their unique goals and facial structure. Facelifts are one of the most popular cosmetic surgery procedures in New York, and Dr. Miller debunks 10 common myths about this procedure below.
Myth #1 I Will Be Unrecognizable After A Facelift
When facelifts first emerged, most people associated them with a dramatic, windblown look. This is not the result when Dr. Miller performs your procedure. The goal of your facelift is to maintain your appearance and simply refresh your face. You will still look like yourself, but younger, refreshed, and perhaps more alert. Dr. Miller uses the most advanced techniques to enhance your natural beauty and help you achieve your desired results.
Myth #2 I’m Not Old Enough for a Facelift
Everyone ages differently and at varying speeds, so there are generally no age requirements for cosmetic procedures, including facelifts. Factors like sun exposure, lifestyle choices, and even genetics may affect the rate of your aging process, so some 40-year-olds may be ready for a facelift while others might not start thinking about this procedure for another decade. Dr. Miller also offers mini facelifts, which feature smaller incisions and shorter recovery periods, for those with less advanced aging signs.
Myth #3 Only Women Get Facelifts
Both women and men can benefit from the results of facelifts. While more women than men undergo this procedure, 12,597 men chose to get a facelift in 2019, according to the Plastic Surgery Statistics Report. Women and men typically have different goals for their facelift results. While women are primarily interested in restoring youthful contours and reducing jowl formation, men usually get facelifts to achieve strong cheekbones, a chiseled jawline, and an overall rejuvenated appearance.
Myth #4 Facelifts Are Too Painful
Any surgery requires some recovery, which may be accompanied by discomfort around the incisions. Facelifts are not among the most painful surgical procedures, and Dr. Miller’s patients typically only need Tylenol during their recovery. The best-performed facelifts cause minimal pain, and most of his patients say they are surprised at how little pain they feel. Our team will provide you with detailed post-op recovery instructions, and please don’t hesitate to contact us with any questions.
Myth #5 Everyone Will Know I Got A Facelift
While facelifts provide dramatic results for patients, the changes are mostly noticeable to the patients themselves, not to those around them. A successful procedure will enhance your unique beauty, not change your appearance to a uniform standard. Dr. Miller will customize your procedure to your unique facial structure to leave you looking younger and more refreshed. Furthermore, the incisions he makes will be hidden and heal to be virtually invisible, and bruising can be easily hidden up with makeup.
Myth #6 I Won’t Need A Neck Lift
Anti-aging procedures usually focus on the face, but just below your face is an area just as visible and even more susceptible to aging symptoms – your neck. Neck skin is thinner than facial skin, so sun damage and internal physical changes often appear on the neck more dramatically. Because the face and neck are typically on display together, Dr. Miller typically recommends getting a facelift and a neck lift at the same time. If your face is looking refreshed and virtually wrinkle-free after your facelift, but your platysma or neck bands are protruding and wrinkles are covering your neck, your appearance will be unbalanced. Combining a facelift with a neck lift can mean longer-lasting and even more dramatic results.
Myth #7 Other Treatments Can Give the Same Results
Dr. Miller offers non-surgical facelift alternatives, such as his signature MillerLift. This technique involves a combination of injectable treatments to minimize wrinkles and contour the face. You can achieve excellent results with treatments like the MillerLift, but none are as long-lasting or all-encompassing as a facelift because only facelifts can address loose, sagging skin, weak underlying muscles, and connective tissues all at once.
Myth #8 I Won’t Need Any More Treatments After My Facelift
Aging will continue after your facelift, but procedures will usually be small touch-ups and not necessarily more surgery. You will likely need to come into our Manhattan office periodically for years after your facelift. Laser treatments are popular as post-facelift procedures.
Myth #9 Weeks of Recovery is Not Worth It
You are welcome to schedule your facelift procedure as far in advance as you would like to make planning around it easier. Thankfully, most patients return to regular activities after just two weeks, and some are back even sooner. Because you likely won’t need to come back for regular treatments as often, you will end up spending less time away from work and other activities in the long-run.
Myth #10 All Facial Plastic Surgeons Are the Same
When you’re deciding who to trust with your facelift procedure, you should look for the best. Dr. Miller has been voted among the Best Doctors in America consistently since 2017 and a Top Doctor of New York. In 2019, Dr. Philip Miller won the Castle Connolly Top Doctors award. Dr. Miller has served as a guest examiner for the American Board of Otolaryngology and is a member of the Board of Directors for the American Academy of Facial Plastic and Reconstructive Surgery. With more than 20 years of experience, you can achieve great results with a procedure by top plastic surgeon, Dr. Miller.
Learn More About Facelifts in Manhattan
If you’re ready to learn more about facelifts, schedule a consultation with facial plastic surgeon Dr. Miller in our NYC office. Contact us for in-person or virtual consultation.
When looking younger is the goal, most people think about smoothing out wrinkles, brightening the eyes, and lifting sagging skin. Have you ever thought to add rhinoplasty to that list? When patients come for a nose procedure, they typically want to correct the tip, adjust the nostrils, or remove a hump. Now we know, thanks to a recent UCLA study, that rhinoplasties can also make people look up to three years younger—or more.
As a facial plastic surgeon who focuses exclusively on cosmetic procedures for the face, Philip J. Miller, MD, FACS, offers patients the latest in facial enhancement and anti-aging procedures, including surgical and non-surgical rhinoplasty at his New York City office. Peers recognized Dr. Miller as an expert in facial plastic surgery, and particularly in rhinoplasty. Most recently, Dr. Miller spoke at the 10th International Symposium of Facial Plastic Surgery and lectured on innovative rhinoplasty techniques.
How Can A Nose Show Age?
As you age, internal changes cause external symptoms, and this is true for the nose as well as other areas of the face. The nose consists of bone, cartilage, and soft tissues, all of which can shift over time. Beneath the surface, bone loss can cause the nose to droop. The nasal tip often stretches with age, widening the nose. Paired with irregular skin texture and thinning outer skin, the nose can show a lot of aging symptoms.
Rhinoplasty for Anti-Aging in New York
The nose is a stand-out facial feature, and it’s largely responsible for creating a balanced or unbalanced appearance. As a main focal point, if it looks irregular or aged, the rest of the face will likely look off as well.
Researchers from UCLA studied how much the nose can affect peoples’ perceived ages, and they found that the rejuvenating effects of rhinoplasty can make women look up to three years younger or more, in some cases. The researchers used artificial intelligence to analyze before and after photos of 100 women who had undergone rhinoplasties 12 or more weeks ago. The women in the photographs were aged 16 to 72, and an algorithm guessed their ages based on the photographs.
“This technology allows us to accurately estimate age in an objective way and has proven to recognize patterns and features of aging beyond what the human eye can perceive,” says Dr. Robert Dorfman, lead author of the study and a resident physician in the division of plastic and reconstructive surgery at the David Geffen School of Medicine at UCLA.
The most dramatic results were evident in women 40+ as some looked up to seven years younger, according to the AI algorithm. The sample size of this age group was only 25, so researchers will need to conduct further studies to confirm the results.
Possible Improvements from a Rhinoplasty
People seeking rhinoplasties sometimes come with specific concerns they want to be corrected, and others might just want an overall facial improvement. With a rhinoplasty procedure, you can achieve:
Nasal symmetry
Balanced nose and face proportions
Slimmed, slightly rotated, and aesthetically pleasing nasal tip
Narrower nostrils
Smoother nasal bridge (remove humps or depressions)
No matter what your nasal or facial concerns, Dr. Miller will help you understand what improvements are possible with a rhinoplasty at your initial consultation. Revision rhinoplasty may be required in some cases. Using his proprietary NatraLook process, Dr. Miller creates an enriching experience for patients to explore possibilities with cosmetic procedures in a safe, unintimidating environment.
Other Reasons to Consider a Rhinoplasty
Nose surgeries are not just for aesthetic concerns because noses do much more than just look pretty. Procedures can also correct improper nose functions, such as:
Blocked airflow
Sleep apnea
Damage due to an injury
Dr. Miller performs septoplasties in Manhattan to correct deviated septums, a condition where partition between the two nasal cavities does not run straight down the center of the nose. The crooked shape can create a blockage that prevents open airflow and hinders normal breathing.
Entrust Your Nose Procedure with Dr. Miller
Rhinoplasties are known as one of the most difficult plastic surgery procedures to perform, which is why you should only trust the best to enhance this important feature on your face. As a double-board certified facial plastic surgeon, Dr. Miller is focused solely on treatments for the face, continually innovating and improving upon known rhinoplasty techniques. Dr. Miller has published chapters in rhinoplasty textbooks, served as a guest editor of the monographs Facial Plastic Surgery and Clinics of Facial Plastic Surgery, and regularly lectures at facial plastic surgery events in front of his peers. If you want the best possible rhinoplasty results to restore youthfulness to your appearance in a welcoming atmosphere, entrust your procedure to Dr. Miller.
Dr. Miller also uses advanced technology so he can offer virtual rhinoplasties. A virtual rhinoplasty enables a patient to see an approximation of how their surgical rhinoplasty will look—before undergoing surgery. This 3D imaging will allow you the most complete view of how your nose could look after your procedure, and enables you and Dr. Miller to discuss more concretely your goals for your results.
Schedule Your Rhinoplasty Consultation in NYC Today
If you want to restore youthfulness to your face with a rhinoplasty, contact our Manhattan office today to schedule your consultation, or request a virtual appointment.
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