A rhinoplasty, more commonly known as a nose job in New York, is treated by most people as a simple act of shopping –that is, purchasing a new nose. I know it sounds easy and straightforward. It begins by you wanting to correct an issue with your nose. So, you browse through social media and “shop” for the celebrity nose you like, then set an appointment with your surgeon.
Simple, right? Not really. Whenever you plan on undergoing invasive cosmetic changes, there is one crucial factor that must be addressed: your EXPECTATIONS for your surgery. In this blog, I share some of my tips for managing your expectations about getting a nose job and one crucial element for getting the nose you will love.
Only Use Celebrity Noses As Inspiration
During a rhinoplasty consultation, I ask my patients to thoroughly discuss their desired results. This way, we can share a Unified Vision. A Unified Vision incorporates the patient’s aesthetic goals along with what I deem is surgically feasible with their given anatomy. Often times when we find certain individuals attractive, we naturally go about wanting to emulate their facial features. Celebrities under the spotlight often have variants of a slim, dainty nose that is turned-up, a.k.a. the celestial or “button nose.” My patients often bring in photos of celebrities; Jennifer Lopez, Kim Kardashian-West, Scarlett Johansson, Angelina Jolie, and Meghan Markle are amongst the most popular rhinoplasty examples.. Patients like to come prepared and bring in these photos as a point of reference for how they’d like their noses to turn out. I prefer my patients to bring in these photos because I use them as an effective communication tool to determine what the patient desires, as well as to see how realistic their expectations are.
The Goal of Rhinoplasty
I explain to my patients that the goal of a rhinoplasty procedure is to reshape the nose to create an overall improvement to the facial structure and aesthetic. In other words, a nose job can help you improve the balance of your facial features which ultimately will increase your self-confidence. But don’t expect that someone else’s 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. I help my patients create a natural-looking nose that will complement their features and honor their ethnicity, rather than give them a “cookie-cutter nose” from a celebrity. To learn more about rhinoplasty, visit medlineplus.gov
Managing Realistic Expectations
There is no such thing as a perfect nose because “perfect” has a fluid and subjective definition. It will depend on the patient’s facial structure, size, and balance. Facial plastic surgeons can produce amazing results through modern rhinoplasty techniques, but there are always limitations. Going back to having a celebrity nose –if you specifically want to have a Meghan Markle nose, you’d probably end up having to alter your entire facial structure instead of just your nose. It is very important to have an open mind during your consultation so you can listen to your surgeon’s recommendations on what the “perfect” nose is for YOU. By understanding the procedure and having a more thoughtful and practical approach to your results, you will be giving yourself a better chance of having complete satisfaction with your rhinoplasty outcome.
Consult With A Recognized Expert In Facial Plastic Surgery
Your realistic expectations for your nose job will serve as the foundation for your cosmetic surgery. And as the surgeon, I will become the foundation of its success. Rhinoplasty is a complex surgical procedure that requires experience, expert knowledge, and top-notch skills. To set yourself up for a successful journey, begin by choosing the best facial plastic surgeon. You can review the criteria here.
I am double board-certified in Facial Plastic and Reconstructive Surgery, as well as Otolaryngology/Head and Neck Surgery, and am considered one of the country’s leading experts in facial rejuvenation and rhinoplasty. I have lectured on innovative rhinoplasty techniques at the 10th International Symposium of Facial Plastic Surgery, and consistently since 2007, have been voted among the “Best Doctors in America” and “Top Doctor of New York.” It is my goal to help my patients find a look that makes them feel beautiful and confident. I combine my expertise, experience, skill, and artistic eye to deliver those life-changing results.
Are You Interested in a Rhinoplasty Consultation?
If you are interested in undergoing rhinoplasty, always remember to only trust your face to a world-class board-certified facial plastic surgeon, and be sure to communicate your expectations to achieve the most realistic outcome. To schedule a consultation with Dr. Miller, contact his office located at 60 East 56th Street, Third Floor in New York City, by calling (646) 791-3025
You’re ready to reshape your nose and light up your entire face with an expertly performed rhinoplasty. You want to make sure you get the most flattering, natural-looking results possible. But you’re also concerned about the cost. Is it time to search through Groupon deals, or book a trip to another country for bargain-basement surgery? While we understand wanting to save money, there is a time and a place for choosing a service based on the lowest price. Surgery for your face isn’t one of them.
If you’re savvy about your finances, you already know that so-called “bargains” can ultimately cost more than quality goods. That’s especially true when it comes to rhinoplasty, which is one of the most complex cosmetic facial plastic surgeries performed today.
Because your nose is the central feature of your face, you can’t hide surgical mistakes or hope that no one notices them. You need to get it right the first time, to save yourself both money and emotional distress. Keep in mind that the nose is also a vital organ and an essential part of your respiratory system. It is imperative that it still functions well after surgery.
When estimating the cost of rhinoplasty in New York, begin by determining which type of rhinoplasty procedure will meet your needs best. To help patients interested in rhinoplasty, Dr. Miller offers the following information:
Primary Rhinoplasty
When you have never had a nose job in the past, the procedure is considered primary rhinoplasty.
You might also opt for tip plasty, which is less expensive, but only improves the look, angle or shape of the nasal tip.
The nose is a highly complex, finely sculpted structure that consists of a variety of tissue types, including skin, cartilage, and bone. Lack of expertise working with any of these mediums can result in a nose that heals incorrectly and calls unwanted attention to itself. However, a beautifully executed rhinoplasty corrects defects in the size, shape, and angle of your nose.
With an expert facial plastic surgeon such as Dr. Miller, you can expect aesthetic improvements such as:
Shorter nose
Straighter nose
Removal of bumps
More symmetrical nostrils
Thinner or wider nostrils
Thinner nose
Larger nose
More defined tip
Nose proportionate to other facial features
Ideally, your primary rhinoplasty is so successful that you never need revision rhinoplasties, and, after your healing period of up to two years, your new nose is everything you ever dreamed it would be. In reality, if you choose the wrong surgeon, you could need at least one revision and potentially more. In fact, up to 10% of patients who undergo rhinoplasty will seek out a revision procedure. To learn more about rhinoplasty, visit medlineplus.gov.
Revision Rhinoplasty
A surgeon who is not board-certified as a facial plastic surgeon, or even a plastic surgeon who doesn’t specialize in rhinoplasty, can leave you with a nose that looks worse than your original nose. Revision surgery may cost between $9,500 to $32,000 to improve your initial results.
Keep in mind that it can take up to a full year to heal after rhinoplasty and determine whether a revision is necessary. Common reasons for needing a revision rhinoplasty include:
Too much cartilage removed (collapsed nose)
Over-rotated tip (pig-like nose)
Difficulty breathing
Drooping tip
Crooked nose
Asymmetric nostrils
Nose doesn’t harmonize with facial features
Nose is inappropriate for ethnicity or gender
If your surgeon botched your primary rhinoplasty, you could require multiple revision rhinoplasties to achieve the result you want. When the mistake is minor and you are comfortable returning to your original surgeon for revision, you may not be charged, or you could pay a reduced price.
If you’ve changed your mind about what you want, or if the mistake is so grave that you no longer trust your surgeon, you may have to pay substantially more for a new surgeon and surgery. That’s why seeking out a bargain for your first rhinoplasty isn’t a cost-effective choice.
As complex as a primary rhinoplasty is, revision rhinoplasty is even more challenging. Even a well-executed primary rhinoplasty creates scar tissue in your nose. A nose job that is poorly done could leave a significant amount of scar tissue, while creating structural problems that may be difficult to rectify.
If you need a revision rhinoplasty, it is imperative that you find a surgeon who specializes in this procedure. The quality of your cartilage, bone, and skin have already been compromised by your first surgeon. You now require expertise to compensate for that structural damage. Dr. Miller is an expert at correcting mistakes made by other surgeons and giving you the nose you want and deserve.
Non Surgical Rhinoplasty
Non surgical rhinoplasty costs about 10 times less than a surgical nose job. Charges range from $750 to about $3,500, depending on your location, the expertise of your surgeon, and the amount of filler that’s required to improve your nose. The best candidate for nonsurgical rhinoplasty is a man or woman who is happy with the length and shape of the nose but would like to address bumps or asymmetries. This procedure is accomplished with the aid of hyaluronic acid-based dermal fillers.
Dr. Miller also uses liquid rhinoplasty to reshape and reposition your nasal tip and recontour your nose. Other than some possible soreness and swelling directly after the injections, you will not have any required downtime, and side effects are unlikely. You may also see immediate results, and if you don’t like them, the filler can be dissolved.
Even though non surgical rhinoplasty is much less complex than rhinoplasty surgery, it still requires knowledge about facial anatomy, aesthetics, and harmony. Don’t trust your liquid rhinoplasty to an inexperienced provider. Select a board-certified doctor who is qualified to produce the best possible results for you.
If you’re nervous about rhinoplasty or you want to make some improvements to your nose while saving up for primary rhinoplasty surgery, nonsurgical rhinoplasty with dermal fillers is a great way to ease into a nose job. Many women and men opt for a nonsurgical nose job first, as a way of “auditioning” a potential new nose shape. Others are so happy with their results that they continue touching-up their nose with fillers, without ever having to undergo surgery. However, you’ll need to have follow-up treatments to maintain your results, whereas a surgical procedure provides permanent results.
Septoplasty (functional nose job)
If you have a deviated septum, your septum (the nasal bone and cartilage that divide your nose in half) takes up extra space in one of your nostrils, making it hard to breathe. Many women and men require a septoplasty in addition to their desire for cosmetic rhinoplasty. A septoplasty alone will not improve the aesthetics of the nose, but since a deviated septum is a medical condition that impairs your ability to take in full breaths through your nose, your septoplasty may be covered by your medical insurance.
When you combine rhinoplasty with septoplasty, only the portion of the operation that’s medically necessary is eligible for insurance coverage. Aesthetic improvements are not eligible for coverage or reimbursement. Never trust an unethical surgeon who tells you your cosmetic procedure will be covered or try to manipulate the system to pay for your cosmetic surgery.
Choosing Your Rhinoplasty Surgeon
Philip J. Miller, MD, FACS is a double board-certified facial plastic surgeon in New York City who specializes in rhinoplasty. He has lectured on innovative rhinoplasty techniques at the International Symposium of Facial Plastic Surgery, written chapters on rhinoplasty for medical textbooks, and specializes in his patented NatraNose® approach to rhinoplasty procedures.
Dr. Miller’s Nasal Surgery Research and Scientific Papers
Structural Approach to Endonasal Rhinoplasty (view here) Anil R. Shah, MD and Philip J. Miller, MD, FACS
New Developments in Nasal Valve Analysis and Functional Nasal Surgery (view here) Philip J. Miller, MD, FACS and Dr. Minas Constantinides, MD, FACS
A Simple and Reliable Method of Patient Evaluation in the Surgical Treatment of Nasal Obstruction (view here) Philip J. Miller, MD, FACS, Dr. Minas Constantinides, MD, and Dr. Susanne K. Doud Galli, MD, PhD
In addition to paying for the expertise and skill of your surgeon, rhinoplasty has several other expenses to consider when making a final decision based on price:
Your procedure may vary depending on how complex and difficult it is. Dr. Miller’s quotes are always all-inclusive, and include the following:
Surgeon’s fee
Anesthesiologist’s fee
Anesthesia
Surgical center
Postsurgical care (follow up visits and tests)
Medication-related to surgery
Bandages and wraps
Dr. Miller has the advantage of his own surgical suite, which helps you avoid an expensive hospital stay. When consulting with other facial plastic surgeons who specialize in rhinoplasty, always ask for a complete breakdown of their price, so you won’t be surprised by add-ons in the end.
When considering the total cost of your rhinoplasty, remember to factor in the cost of recovery. You’ll need to take time off from work, and arrange for help with your house and kids. For additional information, please visit our rhinoplasty and nose job booklet.
When a Bargain isn’t a Bargain
If you’re savvy about your finances, you already know that so-called “bargains” can ultimately cost more than quality goods. That’s especially true when it comes to rhinoplasty, which is one of the most complex cosmetic facial plastic surgeries performed today.
Because your nose is the central feature of your face, you can’t hide surgical mistakes or hope that no one notices them. You need to get it right the first time, to save yourself money and emotional distress. Keep in mind that the nose is also a vital organ and an essential part of your respiratory system. It is imperative that it still functions well after surgery. Only an expert can ensure the best result.
Schedule a Rhinoplasty Consultation Today
To set up a consultation with an expert in rhinoplasty so you can have an aesthetically pleasing, well-formed nose and the Aesthetic Confidence® it inspires, contact Dr. Miller today.
Historically, men’s concerns about their appearance have been focused on building up muscles to create a more masculine and powerful physique. Remember those comic-book and wrestling-magazine ads that made you feel insecure about being a “98-lb. weakling,” even though you were only 12?
But these days, the ubiquity of social media demands that men of all ages look selfie-ready at a moment’s notice. And the “gig” economy, which puts you in the financial ring with ever-younger competitors of both sexes — has made looking energetic, strong, and youthful more important than ever.
Most plastic surgeons see only a small fraction of male patients so have very little experience with men and their unique needs. Luckily, Dr. Miller and Gotham Plastic Surgery in NYC are unique because almost half of their patients are male.
Dr. Philip Miller, a groundbreaking, double-board certified facial plastic surgeon in New York City, knows what kinds of aesthetic improvements look natural and empowering to the male face. As the developer of unique, trademarked procedures such as NatraLook™ facelifts and G.I. Jaw™ chin and jaw enhancement for men, Dr. Miller is committed to making you feel like the absolute best version of yourself so you can achieve Aesthetic Confidence™.
Male Facial Aesthetics
No matter how successful and healthy you are, you can’t stop the inevitable march of time. A whole-foods diet, sun avoidance, and plenty of cell-enriching and muscle-building exercise can do wonders to keep you in optimal shape. Nevertheless, the passing years take their toll on your face, with signs of aging such as:
Jowling
Sagging skin
Hooded eyelids
Under-eye bags
Double chin
Soft neckline
Sunspots
Uneven skin tone
When you’re bothered by facial aging, Dr. Miller spends time listening to your concerns, evaluating your particular facial structure, and designing a customized aesthetic improvement plan. Depending on how early you are in the aging cycle, he may be able to create all the improvements you need without a single incision or stitch.
What’s more, Dr. Miller understands the unique concerns men have about altering their appearance. Dr. Miller is an expert in men’s facial anatomy and can enhance their appearance while maintaining their masculinity.
Mini lift — resolves jowling and sagging of lower face
Facelift — resolves jowling and sagging of both midface and lower face
Fat grafting — your own excess fat is used to restore lost facial volume in midface, tear troughs, or temples
Neck lift — underlying plastysmal muscles (also known as neck bands, these are the vertical muscles that are evident when you make a grimace, clench your teeth, or carry stress in your neck region) tightened, double chin removed via liposuction, skin lifted, tightened, and trimmed
FaceTite™ — radiofrequency assisted liposuction (RFAL) to tighten loose skin and contour the lower face and neck
excel V+ — laser treatment to improve fine lines and wrinkles as well as hyperpigmentation
You don’t have to decide ahead of time which procedure is best for you. During your consultation, Dr. Miller makes his recommendations based on your anatomy, skin quality, and signs of aging. Together, you will create a Unified Vision decide which procedures best meet your goals.
Dr. Miller custom designs the G.I. Jaw™ procedure based on the proportions of your upper face, lower face, nose, chin, neck, and jawline, as well as your degree of facial sagging and fat distribution. Depending on your needs, he may recommend:
Rhinoplasty to better balance your chin and jaw
Medical-grade chin implant to create a more projected, stronger chin
Medical-grade jaw implant to strengthen and sharpen jawline
Medical-grade cheek implants for lift and contouring
Liposuction to remove double chin and strengthen jawline
Nonsurgical augmentations with dermal fillers
Nonsurgical Kybella® to permanently melt away double chin
If you choose to go the nonsurgical route, Dr. Miller lets you know how frequently you’ll need touch-ups, based on the type of dermal filler used. If you’re considering jaw or chin implants, but aren’t yet sure, a nonsurgical augmentation with dermal fillers is a great way to “audition” a new look.
Schedule Your Consultation in New York Today
Wanting to look our absolute best is a common goal. Dr. Miller is your partner in achieving your aesthetic goals using a customized approach with the right treatments to suit your needs and lifestyle. To set up an appointment and find out how Dr. Miller can enhance your appearance, call (646) 791-3025 or use the online form to book your consultation.
You’ve always prided yourself on being informed and getting the most value for your hard-earned dollars. So, when you notice a few wrinkles on your forehead, at the corners of your eyes, or realize your skin doesn’t look quite as brilliant and glowing as it used to, you’re not going to head to the store and pick up the latest “wrinkle cream.” You know that lotions and potions can only go so far. You want cosmetic options that produce real results.
Dr. Philip J. Miller, an expert facial plastic surgeon in New York City believes that any cosmetic product or procedure — whether surgical or non-surgical — should result in what he coins, “Aesthetic Confidence®”. Aesthetic Confidence comes from knowing that everything you do for yourself enhances your own unique natural beauty, making you look like the absolute best and healthiest version of yourself.
Prejuvenation is Prevention
“Prejuvenation” is one of the hottest trends in aesthetics, and continues to grow. “Prejuvenation” means keeping your skin young and lustrous looking by enacting effective, science-based prevention strategies to stop wrinkles from forming in the first place. It erases signs of sun damage and improves the overall quality of your skin. According to an article in New Beauty, millennials are starting on prejuvenation by age 26, compared to women aged 55 and older, who didn’t start addressing signs of aging until they were about 47.
Treating the First Signs of Aging
You know that glowing skin starts with strong, healthy skin cells. That’s why you eat plenty of vegetables, fruits, proteins, and healthy fats. And why you exercise regularly and keep well hydrated. It’s also why you don’t leave the house without liberally applying a high-quality sunscreen with an SPF 30 or more.
Despite these healthy steps, the first wrinkles to appear tend to be the ones that are caused by the dynamic muscles that let you raise your brows, squint your eyes, and make other extreme expressions. The best way to stop those wrinkles from forming in the first place, or to prevent them from worsening, is with regular treatments with Botox® Cosmetic or another effective neuromodulator, such as Dysport® or Xeomin®.
According to the American Society of Plastic Surgeons, use of Botox and other neuromodulators has surged by 819% since the year 2000, with more than 7,000,000 treatments in the U.S. in 2017 alone. Botox stops the signals that trigger your muscles to move and press your skin into creases and wrinkles. Within a few days to two weeks after treatment, your muscles relax and your skin smooths out so that it’s wrinkle-free again. Not only that, but by treating them early, you help prevent them from worsening and new wrinkles from forming. To learn more about Botox, visit fda.gov
Treating the Secondary Signs of Aging
By the time you get into your thirties, you may notice that your skin isn’t as plump and luscious as it used to be, and neither are your lips. Every year, your body produces less of your skin’s building blocks, the proteins collagen and elastin. After age 40, too, you begin to lose about a teaspoon of fat per year in your face. Your skin also has less hyaluronic acid (HA), the lubricating agent that helps retain moisture, keeping your skin supple.
Prejuvenation isn’t just about knocking out wrinkles. It’s about restoring volume loss quickly and effectively using state-of-the-art dermal fillers made with HA, such as Juvèderm® and Restylane® and collagen stimulators such as Radiesse®. Dermal fillers come in a variety of thicknesses and consistencies to restore volume to your midface, smooth out creases around your mouth and nose, fill in tear troughs, restore your hands, and create nonsurgical lip augmentations.
Get a Jumpstart on Aging Gracefully
Prejuvenation also restores your skin’s strength, elasticity, and plumpness with fresh new collagen, elastin, and HA. Dr. Miller offers a variety of therapies, such as acne scar treatment, to stimulate your skin to turn over skin cells faster and build up new stores of collagen and elastin. Depending on your needs, he may recommend:
CO2 laser resurfacing
MicroPen microneedling
Monthly chemical peels
Aging gracefully needs a pro-active beauty regimen. Dr. Miller can help create a comprehensive routine that helps you maintain your health and radiance. To schedule an aesthetics appointment with Dr. Miller in New York, call (646) 791-3025 or use the online form.
You look at your face in the mirror and you notice that something is lacking. Whether you’ve lost volume
to aging, or just never had it due to your bone structure, you don’t have to be content with flat, hollow, or receding contours anymore. Whether you want to permanently alter the planes and curves of your face with implants, or “audition” a new look with temporary dermal fillers, Dr. Philip Miller, expert New York City facial plastic surgeon, can help you reshape your jawline, cheekbones, and chin to get the beautiful, harmonious look and Aesthetic Confidence™ you’ve always dreamed of having.
Restore Lost Facial Volume
Aging and sun damage deplete key elements in your face that may result in a look that’s drawn and gaunt. Collagen and elastin — building blocks of skin that keep it plump, pliable, and elastic — diminish with age. The fat that once made your cheeks lovely and pinchable dissipates, too. Even your underlying bone structure atrophies over the years, so that your face no longer has the support it enjoyed in your youth.
In the early stages of aging, this process of volume loss can be reversed with treatments that stimulate your skin to produce more collagen and elastin, such as laser therapy and microneedling. However, if you’ve already lost volume, Dr. Miller can plump up your midface and build up sagging cheekbones with a lush filler such as Voluma®, which is made of hyaluronic acid (HA) — a substance that your body produces naturally. Dermal fillers are so effective for improving facial volume, they are the second most popular non-invasive cosmetic procedure performed each year.
But if you’re looking for a permanent option to restore lost facial volume, Dr. Miller can use fat from other areas of your body where you don’t need it (such as lower abdomen), and transfer it to your cheeks, where it helps restore the volume of the mid-face.
Create Model Cheekbones
You may have noticed that most celebrities and models have well-defined cheekbones. Cheekbones not
only create an elegant, sophisticated look, but they also provide a natural lift to your lower face. Whether your cheekbones have receded over the years due to bone loss, or you’ve always been frustrated with flat cheekbones, Dr. Miller can reshape and contour your cheekbones with either high-quality implants or dermal fillers such as Voluma or Sculptra®.
Building up your cheekbones with Sculptra, Voluma, or layering both is a great way to try out a new look. Sculptra adds volume by stimulating the production of new collagen and elastin over time. Voluma does the same by instantly plumping up and re-contouring your skin. Layering both dermal fillers gives you volume that’s both instant and long-lasting — up to a year or more.
Of course, the most dramatic way to re-sculpt your cheekbones is with permanent silicone implants. Dr. Miller chooses the size, shape, and angle that perfectly matches your unique beauty and facial structure. If you’d also like to compensate for lost skin volume, Dr. Miller can infuse your skin with Voluma at the same time you receive your cheek implants for complete facial rejuvenation.
Transform with a G.I. Jaw®
Both men and women often long for the straight, clean jawline of a G.I. Joe or supermodel. Now you don’t have to be born with great bones to benefit from their effects. If your chin is receded or your jawline weak, Dr. Miller can resculpt your jaw and create a stronger chin with Sculptra and Voluma, or with permanent silicone implants. He may also suggest liposuction or Kybella® to remove excess fat and tighten the jawline skin.
Revive Your Facial Volume Today
Replenishing your skin and creating stronger, more lifted contours with either dermal fillers or facial implants is a great way to start the new year with a new you. Dr. Miller can even give you a preview of your new look via digital morphing. To set up an appointment and find out how fillers and implants can create the look of your dreams, call (646) 791-3025 or use the online form to book your consultation.
You’re considering a facelift but you’re wondering if it’s really worth the expense and downtime. If you’re listing the pros and cons while trying to come to a decision, a study from the Journal of the American Medicine Association (JAMA) Facial Plastic Surgery, supplies a number of new entries for your “pro” column. As it turns out, women who’ve had facelifts and other upper-face rejuvenation procedures aren’t just perceived as looking younger, but also as being more attractive, healthier, and more successful.
Dr. Phillip J. Miller, an expert facial plastic surgeon in New York City, has long promoted facelifts as one way to attain what he calls “Aesthetic Confidence®.” Dr. Miller’s patients relay that his surgeries do not just improve their appearance, but they have other life-changing benefits.
Some of these benefits include feeling happier and more confident after their surgery, and also that people react more positively to them than they did before. The following study, “Association Between Facial Rejuvenation and Observer Ratings of Youth, Attractiveness, Success, and Health” confirms his patients’ perceptions. Let’s explore each benefit so you can fully understand how, in the right hands, life-changing a facelift can be.
Before and After
The study included before-and-after photographs of twelve older women who’d either had eyelid surgery and a facelift, or eyelid surgery, a facelift, and a brow lift. Each of the 504 participants who looked at these photos in an online survey either saw the “before” or the “after” photograph from each of the twelve patients, but never saw both views.
When the researchers looked at how the observers rated all of the photos, they found that…
The “Afters” Looked Younger
On average, women were estimated 4 to 5 years younger in their “after” shots than they were in their “before” shots.
Technique plays an important role in creating this youthful result. When performing a facelift, Dr. Miller always lifts the underlying SMAS (submucosal aponeurotic system) layer, along with the skin. Lifting the SMAS both vertically and horizontally creates a more youthful, uplifted face that appears much more natural than when lifting skin alone. The re-positioned SMAS also provides better support for your skin, allowing your facelift to last longer.
The “Afters” Were More Attractive
On a scale of 1 to 100, the “before” photos were rated “50” on attractiveness. The “after” photos jumped up to 68.
Another technique that Dr. Miller utilizes to restore a youthful visage is fat grafting. Dr. Miller often recommends fat grafting in combination with a facelift to get the best outcome for facial rejuvenation. The fat grafts fill in areas of lost volume on your face by using fat you’ve donated from a place where you have excess fat, such as your abdomen. Using an artist’s eye, Dr. Miller uses fat grafts to give your face more youthful and balanced contours. Another added benefit is the fat grafts also help your facelift heal.
The “Afters” Looked Much Healthier
Using the same scale, the average of the “before” photos was just “50” on how healthy they looked. But the “after” shots gained 20 points.
Youthful vitality and health go hand in hand. To accelerate your healing and improve the quality of your skin overall, Dr. Miller recommends a skin rejuvenation procedure such as Fractora(TM) laser or microneedling in tandem with your facelift. Lasers and microneedling devices stimulate your skin to produce rejuvenating collagen. Your skin becomes thicker, stronger, smoother, and glows with health.
The “Afters” Looked More Successful
The study participants also rated that the women in the “after” pictures appeared more successful. The average “before” rating was only 50 but jumped to 61 for the “after” photos.
And, as Dr. Miller’s patients report, getting positive feedback on their appearance after a facelift or other cosmetic surgery really does give them a confidence boost. That confidence translates into more willingness to take risks in romance and on the job, leading to more success … and more confidence.
Rate Your Own “After” Photo
Not sure about getting a facelift, but still considering? As part of your facelift consultation, Dr. Miller can create a computer image that shows you what your life-changing results will be. Call Dr. Miller and his facial rejuvenation team to book your facelift consultation in NYC today. You deserve to live your after.
If you have sagging upper eyelids or dark, hollow or baggy areas under your eyes, you may have tried — and discarded — a number of ineffective creams, lotions, and devices. Unfortunately, the skin around your eyes is thin and delicate, which is why it’s one of the first areas to show your age. And although medical-grade skin care with retinoids or other rejuvenating agents can hold back the earliest signs of aging, once your eye skin starts to bag or sag, surgery may be your best option.
Dr. Phillip Miller in New York knows that deciding to undergo cosmetic eyelid surgery is a major step that takes careful consideration and research. As the inventor of The Natralook Process™, Dr. Miller is committed to procedures that rejuvenate you while still maintaining your unique beauty and a natural, healthy appearance.
The Ideal Eyelid Surgery Candidate
Following are some tips that can help you determine the best procedure to get the results you want:
Are your upper lids sagging?
When your upper eyelids lose fat, collagen, and elastin, they start to droop and make you look tired or older than you feel. If the sagging is extreme, the excess skin can even hood your eyes, obscuring your vision.
Fat deposits in the upper lids also collect and droop with age, making your eyelids look thicker, too. Heavy, drooping lids are best remedied with a surgical procedure called upper blepharoplasty, otherwise known as an eyelift.
Dr. Miller hides eyelift incisions in the creases of your eyelids, then tightens the underlying lid muscle, which is one of the causes of your drooping lids. He removes excessive fat but leaves enough to make your eye look natural and youthful. He then tightens the eyelid skin and trims away any extra skin.
After you’ve healed from your surgery, your eyes look naturally more alert and youthful. Your incisions are so tiny that the hidden scar is barely visible.
Does your forehead look heavy or wrinkled?
Another sign of aging is a sagging brow that lowers the position of your eyebrows. If your eyelid skin also sags, you may benefit from both upper blepharoplasty and a brow lift.
During the procedure, Dr. Miller conceals the brow lift incisions in your forehead. He tightens the muscles in your forehead and eyelids. He lifts your brow skin — thereby smoothing out wrinkles — and trims away the extraneous skin. His skilled, artistic eye ensures that your eyebrows maintain a natural and youthful position.
If your eyelid skin hasn’t yet started to droop excessively, but you still notice that you don’t look as energized as you feel, Dr. Miller may suggest a forehead lift alone without or instead of upper blepharoplasty. This minimal surgery gives you the vibrant and energized look you deserve.
Do you have bags, wrinkles, or deep hollows under your eyes?
The first signs of aging under your eyes may be fine wrinkles, or just a darkening of your skin as it thins out due to aging or sun damage. Over time, your lower lids can sag so much that they reveal the white of your eye under your iris, a look that’s unflattering and aging. Fat also collects in the delicate under-eye area, creating puffy looking bags that make you seem perpetually tired, no matter how much sleep you’ve gotten.
Dr. Miller reverses age-related changes in the lower lid with a lower blepharoplasty. These incisions can be camouflaged under your lower lashes or inside your lid, then Dr. Miller tightens the underlying muscles, removes excess fat, tightens your skin, and trims away redundant skin.
Free from bags, sags, and dark circles you look youthful and rested. Many women and men elect to have both upper and lower blepharoplasty at the same time, with or without a brow lift.
Do you want to change your look?
If you have a monolid and desire a double eyelid, talk to Dr. Miller. He’s an expert at natural-looking facial plastic surgeries — including eyelid surgeries — that respect your ethnicity while giving you the improvement you want.
Are you still not sure about surgery?
If you’re still not sure you’re ready for surgery and your eye droop or bagging is minimal, there are a few options. Fillers used in combination with Botox are an alternative that may give temporary improvement to the under eye area. This is a great choice for patients looking for a non-surgical option or can be used in conjunction with surgery to meet your aesthetic goals.
Another non-surgical option Dr. Miller may recommend to revive your eyes is laser therapy. He employs groundbreaking Face-Tite™ radiofrequency(RF)-assisted liposuction technology by InMode to remove excess fat and tighten skin in the facial area. Dr. Miller offers a variety of non-surgical options to treat the eyelid problem areas.
Face-Tite works by sending pulses of RF energy through a tiny cannula. The energy heats up the fat, killing excess fat cells, while simultaneously initiating a collagen-remodeling process in your skin. Over the next weeks to months, your face tightens and your skin rebuilds itself with new, strong strands of collagen and elasticizing elastin.
Face-Tite can be used as a standalone therapy or in conjunction with facial plastic surgery. In addition to tightening your skin, Face-Tite makes it stronger and more pliable and also aids in the postsurgical healing process.
Either with Face-Tite or on their own, dermal fillers and fat grafts offer yet another way to rejuvenate your eye area. Dr. Miller performs nonsurgical eyelifts and fills tear troughs using state-of-the-art fillers, such as Restylane and fat grafts.
Restore Your Vitality
Whether you’re ready to rejuvenate your eyes, or still just curious, contact Dr. Miller for a consultation. Dr. Miller is committed to creating a unified vision of your desired results. Call his New York City office or use the online form.
Wrinkles get a lot of press when it comes to aging, but they’re not the only issue that can make you look older than you really are. In fact, sagging skin is one of the most frustrating signs of aging. This is skin that has lost its elasticity and firmness and has begun to droop and hang as a result. So what can you do about sagging skin? First, you need to understand why it happens. Collagen is a structural protein that gives the skin its firmness and youthful elasticity. As we age, collagen begins to break down and new production also slows. This means that the skin no longer has the support it needs to stay youthful and it begins to sag.
The good news? Your skin isn’t doomed once collagen production slows down. You can encourage new collagen to form by choosing to undergo skin treatments with a plastic surgeon in New York. A series of “Tite” treatments is a great choice for sagging skin, whether you need face, body, or neck skin tightening. Let’s take a look at the options!
Face-Tite
For many people, the face is the most pressing area of concern when it comes to aging. It’s easier to hide sagging skin and other issues in other areas of the body with clothing. But our faces are the first impression people get of us. Face-Tite is a great solution for sagging skin that can help contour the face for a more youthful appearance.
Using radiofrequency energy combined with gentle liposuction, the face is contoured by using small cannulas (tubes) to remove unwanted fat through tiny incisions. It’s a minimally invasive procedure that helps stimulate collagen production for tighter skin, while the liposuction removes any unwanted fatty deposits, allowing the skin to contract. The fat removed is minimal, but the overall results can be dramatic. Patients can look more youthful and refreshed, often gaining enhanced confidence following treatment!
Just like Face-Tite, Neck-Tite makes use of radiofrequency-assisted liposuction to tighten the neck and jowls. While sagging in the face is common and noticeable, sagging in the neck can be even more troublesome. Many people develop a “turkey wattle” look that can make them look much older than they really are. Neck-Tite contours the neck and jowls and helps the skin to tighten and contract for a fresh new look. Another option to tighten skin and get a more youthful appearance is with a traditional neck lift.
BodyTite
Stubborn fat and cellulite can be some of the most frustrating problems you can face, as no amount of diet and exercise can help resolve certain problem areas. BodyTite is a great solution for people who just want a sleek physique without the little lumps and bumps that persist, despite a healthy lifestyle.
Radiofrequency assisted liposuction is a gentle procedure that can help create a more toned appearance with little downtime. It also assists with tightening the skin, due to increased collagen production. Good results from liposuction require the skin to retract properly, and the subtle but powerful results of BodyTite accomplish just that.
Tite-FX
Tite-FX uses the same radiofrequency technology as the other procedures, but instead of combining the energy with liposuction, it uses vacuum technology to remove excess fat non-invasively. This treatment is fantastic for people with busy lives because it effectively reduces fat and improves the overall body contours with no downtime. Cellulite is a difficult problem to treat. Yet some patients have noticed a reduction in cellulite after undergoing Tite-FX treatment, which can help boost confidence and self-esteem. This procedure can also be combined with liposuction for even better results.
Gradual, Lasting Improvement
The best part about getting “Tite” is that the results are gradual and long-lasting. You’ll notice a difference right away, of course, due to the contouring of the treated area, but the radiofrequency energy will produce other benefits that will become apparent gradually. You should notice your skin tightening over several months following treatment as new collagen is produced to support the skin. While this won’t last forever, the new collagen is long-lasting and should help slow down the effects of aging for a while. Maintaining a healthy weight and lifestyle is a great way to keep the results looking good for a long time to come!
Choosing the Right Doctor
As with any plastic surgery procedure, choosing the right surgeon is absolutely essential to your success. If you’re interested in the power of radiofrequency-assisted liposuction, you will want to make sure you choose an expert to perform your procedure—someone who has the experience and the artistic eye to make your dream a reality.
There are many excellent plastic surgeons in New York, NY, but Dr. Philip Miller is a seasoned provider of all four “Tite” treatments. He knows how powerful the procedure can be, and he helps patients regain their confidence and self-esteem by helping them choose a treatment plan that’s right for their needs. If you’d like to schedule a consultation with Dr. Miller, call (646) 791-3025 today!
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