Rhinoplasty and Nose Jobs in New York
Your nose: is it too large, too small, too flat, and too pointed? Is it crooked? Do you have trouble breathing from one or both nostrils? If so, you are in good company. Many people feel their nose detracts from their whole face, taking away from the natural beauty of their eyes, hair, or other facial features. That’s why they choose to get a rhinoplasty.
Rhinoplasty surgery, also known as a "nose job," can change the shape of the whole nose or of just a small part, making it fit more harmoniously with the rest of the face. Top rhinoplasty surgeon, Dr. Miller in Manhattan New York, is skilled in making these changes during a nose job while preserving, or if need be enhancing, the function of the nose so that breathing is free and comfortable.
Careful and extensive preoperative discussions and planning will take place before your nose surgery. We will consider the prominence of your cheeks, your jawline, your skin thickness and quality, and the overall dimensions of your nose before advising you of how not only to achieve the changes you want but also to achieve overall harmony of all your facial features. New York's top facial plastic surgeon, Dr. Miller, can perform a rhinoplasty on your current nose that detract from your overall facial aesthetics.
If breathing through your nose is a problem, Dr. Miller will conduct a detailed examination and advise you as to how this can be improved with rhinoplasty surgery. Sometimes, special tests to measure your degree of obstruction or to evaluate your sinuses may be required. If you suffer from sinus problems, these can be improved at the same time as nasal surgery during your nose job in New York
Who is the Best Candidate for Rhinoplasty Surgery in NYC?
Rhinoplasty is one of the most popular and best facial plastic surgery procedures as indicated in this study by the University of California Irvine, but not everyone is an appropriate candidate for a nose job in NYC. As with any elective surgery, patients should be in good physical health and have realistic expectations for improvement. If you are in good health and looking to improve the shape of your nose, you may very well be a good candidate for a rhinoplasty or a nose job. Some rhinoplasty patients seek a nose job to improve an inherited characteristic such as a bump on the nose or to address deformities or breathing complications related to a nasal fracture. If the below list applies to you - you can consider rhinoplasty in New York City.
Why Do People Typically Choose Rhinoplasty?
There are various reasons why rhinoplasty is one of the top-performed plastic surgery procedures today. Men and women looking for cosmetic enhancement might choose rhinoplasty if they are concerned about one or more of the following:
Size: A large nose can overpower your other facial features, while a small nose can make your other features look too prominent. Size correction brings all the features into balance, creating a more aesthetically-pleasing appearance.
Tip: Whether your tip is bulbous, drooping, or pinched, these issues can detract from the overall beauty of the face. Tip refinement is a common reason Dr. Miller performs rhinoplasty, whether it is a single concern or combined with other types of correction. Tips can be reshaped, resized, and rotated to create the best possible result.
Humps and Bumps: A bump on the dorsal bridge affects your profile and your confidence. These bumps can make the nose look bigger than it is and even affect the nasal tip. Trimming away a hump can dramatically improve the look of the nose.
Nostrils: Even the size and shape of the nostrils can impact the look of the nose. Rhinoplasty can also make adjustments here to create better proportion between the bridge and base of the nose. In some cases, surgery that focuses solely on the nostrils (alarplasty) is all that is needed to achieve the desired effect.
Asymmetry: Crooked noses, uneven nostrils, or other minor imperfections can have a significant effect on the overall appearance of the nose. In some cases, these asymmetries can also affect your nasal function. Both form and function can be addressed in a single procedure, boosting your confidence and helping you breathe more easily.
One of the greatest advantages of rhinoplasty is that it is typically a one-and-done procedure. Once the surgery is completed and the nose has fully healed (which can take up to one full year), patients can enjoy the improvements to their nose over a lifetime.
A nose job can also have a profound impact on the balance and harmony of the entire face. Through this single procedure, Dr. Miller can improve the profile, create proportion with all the facial features, and produce a central feature that blends in with the rest of the face rather than standing out. Patients typically experience a substantial boost to their self-confidence and their self-esteem with a well-performed rhinoplasty.
Common Nose Job Terms
The Difference between Open and Closed Rhinoplasty
It’s important to define what open rhinoplasty and closed rhinoplasty are. Closed rhinoplasty, also referred to as endonasal rhinoplasty, is a rhinoplasty procedure in which all incisions are confined to the inside of the nostrils, resulting in no visible skin incisions. Once the incisions are made, the skin is lifted from the underlying cartilage and bone and the nose is then contoured and reconstructed. For open rhinoplasty, also referred to as external rhinoplasty, a very small incision is made between the nostrils on the underside of the nose. This allows the tip of the nose to be opened in order to reveal the structures of the lower and middle third of the nose.
Why choose excellent closed rhinoplasty?
- No Visible Scarring
Since all incisions are inside the nostril, no external evidence of the nose job can be identified. It also means that a patient does not have to deal with external stitches during the recovery phase.
- Less Recovery Time
Since the skin bridge between the tip of the nose and the lip remains intact throughout a closed rhinoplasty, the flow of blood and fluid accumulation is unimpaired. Consequently, the swelling can drain more easily and patients enjoy a shorter recovery period during the post-op phase after a nose jo6
Some drawbacks to closed rhinoplasty include:
- Difficult of the Rhinoplasty Surgery Itself
Since all nasal access is through a tiny interior incision, the rhinoplasty surgeon must be highly skilled and experienced in limited-visibility surgical procedures.
- Limits The Ability To Perform All Rhinoplasty Techniques
Closed rhinoplasty is ideal for modifications such as minor tip and bone changes, but procedures which require more complicated and delicate steps may not be able to be performed with the limited access and exposure afforded by the closed technique.
How do you know which nose job procedure to choose?
Some rhinoplasty surgeons strongly believe that the external incision for open rhinoplasty is not necessary for a primary, or first time, rhinoplasty procedures. Instead, they think that open rhinoplasty should only be performed for revision cases that are significantly difficult. Other surgeons, however, perform open rhinoplasty on both primary and revision rhinoplasty procedures.
Both groups may be right. The appropriate approach for a nose job – be it open or closed – really depends upon the complexity and difficulty of the particular patient’s nose as well as the surgeon’s level of experience and skill. Some nose job surgeons who are very skilled at open rhinoplasty, favor this approach for most cases and achieve excellent results. Other rhinoplasty surgeons favor closed rhinoplasty and are able to achieve excellent results with this approach.
When determining which rhinoplasty approach is right for you for your nose jo5, it’s important to focus on your satisfaction with the surgical result. Most patients would prefer the rhinoplasty procedure that results in no visible scarring, but it’s important that you not select your surgeon solely because he or she favors one approach over another. The emphasis should not be on whether or not you have a resultant scar but on the whole of the surgical result. After all, the incision required for open rhinoplasty is a small one on the underside of the nose that typically heals into a nearly invisible, fine-line scar. It’s certainly a small price to pay, if necessary, for a harmonious and natural appearing nose. If you are still unsure which nose job procedure is right for you, visit medlineplus.gov.
Our Reliable Rhinoplasty (Nose Job) Consultation
Dr. Miller’s approach to rhinoplasty encompasses the NatraLook Process, which empathizes the patient experience and strives to ensure the most rewarding results. The goal of this process is for patients to find a new aesthetic confidence, or empowerment, after their surgery. It all starts at the consultation, when Dr. Miller will reassure and support your opinions in a positive way, creating a collaborative environment that keeps you involved in your procedure.
Meeting Dr. Miller in New York
Dr. Miller believes that the consultation, at his Rhinoplasty Clinic in New York City, is the most important step in your rhinoplasty journey. It is an excellent time to discuss your expectations and concerns, address any questions, and figure out what you want to take away from your surgery.
Dr. Miller will examine and assess your nose and how it relates to your other facial features, as well as the thickness and quality of your skin. Computer imaging may also be used to help give you an idea of the changes that can be made to your nose and what you can expect from surgery. He will also review your medical history and overall health. All details of the procedure will be reviewed, including the available options and rhinoplasty techniques, the facility, the anesthesia, the post-op recovery, the risks and benefits, and the costs. Together, you and Dr. Miller can come up with a realistic goal for your rhinoplasty surgery. As indicated by this study, the outcome of your procedure can heavily impact your self body image and quality of life.
Rhinoplasty Recovery Timeline
Rhinoplasty recovery is an extended process that requires some patience before the final result becomes evident. Here is a timeline of what you can expect after your rhinoplasty surgery:
The Day of Surgery
Cosmetic or functional rhinoplasty surgery of the nose usually takes 1½ hours to 2½ hours and may be done either with you asleep under general anesthesia or awake under sedation. Most incisions are placed inside the nostrils, but in some cases, a small incision may be made in the natural creases along the sides or near the base of the nose. These heal quickly and leave scars that are nearly invisible.
At the end of the nose surgery, a cast will be placed on your nose to help you heal during the post-op recovery process. If there is any bleeding, a light dressing may be placed inside the nostrils and removed the same day or the next day.
Since rhinoplasty is performed under general anesthesia, you will need someone to drive you home and remain with you for the first 24 hours. Rest is essential immediately following your surgery, but keep your head elevated to keep swelling to a minimum.
At the end of the first week, Dr. Miller will likely remove the cast and any sutures that were placed. You will likely be experiencing significant bruising and swelling at this point, and your nose may feel extremely congested. These side effects will subside soon.
At the end of the second week, you should begin to notice improvement in how you feel and how you look. Much of the bruising should be gone at this point, and swelling will subside. However, you will continue to see some residual swelling up to one year after your procedure. At this point, you may start to feel like venturing out with your new nose.
By the end of the first month, the improvements should be sufficient to allow you to socialize with confidence. Residual swelling is likely to remain, but the nose will look much better and the swelling may not be easily noticeable to anyone but you. Keep in mind it will still be some time before the complete effects of your rhinoplasty become evident.
At this point, you should be able to resume all of your activities, including strenuous exercise. It is still a good idea to protect your nose from any type of impact, however. You will likely see more evidence of what the final improvement will look like.
By now, swelling should be completely gone and your new nose is fully evident. If you have any lingering concerns about your nose job, now is the time to address them with Dr. Miller. Rest assured you will be able to enjoy the improvements for a lifetime!
Before and After Rhinoplasty Photos
*Patient results may vary
Female New York Rhinoplasty Patient 1: This patient wanted to reduce the hump on her nose to create a smoother shape. Dr. Philip Miller performed a rhinoplasty and left no scarring with minimal swelling.
Female New York Rhinoplasty Patient 2: This patient wanted to remove the hump on her nose and straighten the tip of her nose. Dr. Philip Miller was able to achieve this through a rhinoplasty with no scarring and minimal swelling.
Female New York Rhinoplasty Patient 3: This patient wanted to reduce the dorsal hump on her nose and reduce the overall size. Dr. Philip Miller performed a rhinoplasty to smoothen the shape of her nose and reduce the size of her nose. This procedure resulted in no scarring and minimal swelling.
Male New York Rhinoplasty Patient 1: This patient wanted to fix his bulbous nose and straighten the tip. Dr. Philip Miller performed a rhinoplasty and the procedure resulted in no scarring with minimal swelling shortly after taking off the cast.
Male Rhinoplasty Patient 2: This patient wanted to fix his bulbous nose, reduce the dorsal hump, and straighten the tip. Dr. Philip Miller successfully gave him the nose that he wanted through a rhinoplasty, and the procedure resulted in no scarring with little to no swelling.
Female Rhinoplasty Patient 4: This rhinoplasty patient wanted to reduce a minor dorsal hump on the top of her nose. Dr. Philip Miller successfully managed to do so through a rhinoplasty which resulted in no scarring and minimal swelling.
Female Rhinoplasty 5: This patient wanted to have the bump on her nose reduced and the tip straightened. Dr. Miller successfully removed the bump through a rhinoplasty, and after the nose fully healed, there was no swelling or scarring.
Female Rhinoplasty Patient 6: Dr. Philip Miller straightened the tip on this patient's nose and removed the bump.
Male Rhinoplasty Patient 3: This patient wanted to straighten the nose, reduce its size, and straighten the tip. Dr. Philip Miller successfully did so through a rhinoplasty surgery at his New York plastic surgery office, and the patient was left with minimal scarring and swelling.
The Classic Nose Job Post-Op Recovery Process
Most people are amazed by how little pain there is after rhinoplasty surgery. The most uncomfortable part of the recovery is the inability to breathe through the nose for several days due to swelling. This usually improves within one or two weeks. Expect some swelling around your eyes for several weeks. As the swelling subsides, you will start to see the improvements from your surgery. A few special precautions are required during your post-op recovery period. Bending or lifting can prolong swelling, so this is not recommended for three weeks after surgery. Running, cycling or aerobics should not resume for three weeks. Contact sports should be avoided for six weeks, as it takes that long for the bones to fully heal. You may drive when the swelling subsides enough not to interfere with vision, and you may fly two to three weeks after surgery.
Minimizing Surgery Risk
While every risk cannot be eliminated, there are some things you can do to minimize certain risks. For a more thorough list of post-operative guidelines, please read our post-operative rhinoplasty instructions.
You will want to also protect your nose after your nose job.
Detailed Pre-operative and Post-Operative Nose Job Instructions
This is by far the most effective way to help ensure a smooth post-op recovery process and reduce the chance for certain risks. Dr. Miller will provide you with an extensive list of post-op instructions. He is giving you these for a reason. Please carefully follow them after your rhinoplasty surgery.
1.) Protect Your New Nose: Be Careful
Your new nose after a rhinoplasty surgery will be in a protective cast for the first week. It goes without saying that once the cast is removed, you should take great care to guard your nose against any trauma or impact.
2.) Sleep With Your Head Elevated
In the first few days after your nose job, try to keep your head slightly elevated and avoid contact with your pillow or other objects.
3.) Natural Nose Job Recovery
It takes 3-6 weeks to fully recover from a nose job. Even when you’re feeling better during this time, you should avoid strenuous activity or anything that presents a risk to your new nose after a rhinoplasty surgery.
More Options: Non-Surgical Rhinoplasty
If patients are not ready or do not require rhinoplasty surgery, non-surgical rhinoplasty is a great option. With this procedure, also known as liquid rhinoplasty, your surgeon can inject fillers into your nose to modify shape, size, and position of the nasal tip, straighten the nose, and even hide bumps.
While non-surgical rhinoplasty is a safe and effective procedure with little to no downtime, it is a temporary solution that is not appropriate for every nose or for patients that desire a nose reduction -- something only a rhinoplasty surgery can do.
Rhinoplasty New York Top FAQ's
Q: What are some of the risks associated with a Nose Job?
A: Bleeding, Infection, nasal obstruction, undesired result. Speak to your rhinoplasty surgeon specifically about these complications and how they can occur.
Q: What should I ask my surgeon before my rhinoplasty procedure? And how can I best prepare myself prior to the nose job surgery?
A: During your rhinoplasty consultation, it is best to ask your plastic surgeon the following questions:
- Are you Board Certified?
- How many rhinoplasties do you do a year?
- Will you make any incisions on the outside of my nose?
- Do you pack my nose and for how long?
- When is the cast removed?
On the day of the surgery...
Wear clothing that fastens in the front or back. Avoid slipover sweaters, T-shirts, and turtlenecks. Do not eat or drink anything, including water, the morning of your nose surgery. Leave your valuables at home; do not wear jewelry. Do not wear any facial or eye make-up, or nail polish. You may wear your glasses; do not wear contact lenses. If you wear dentures, keep them in.
Q: How much does the the best rhinoplasty procedure cost? Is it different at a clinic vs. a hospital?
A: Depending on the reasons for having rhinoplasty, it can be covered by insurance. If the reason is purely cosmetic, it is not covered, but if is it performed to correct breathing issues, then it may be partially covered by your insurance policy. Our blog, “Cost of Rhinoplasty,” further explains the factors that contribute to the cost of your surgery.
Q: What is the difference between male rhinoplasty vs female rhinoplasty?
A: Rhinoplasty is one of the most common cosmetic procedures requested by men. While women typically want a reduction rhinoplasty for a more narrow and feminine nose, men usually want to erase unappealing feature but maintain a strong and structured nose. Therefore, for a male rhinoplasty, Dr. Miller can use a variety of rhinoplasty techniques, including strengthening the dorsum and increasing the projection of the nasal tip. In the end, the main goal of both a male and female rhinoplasty is for the nose to work in harmony with other facial features and enhance aesthetic confidence.
Q: Could weight loss affect my rhinoplasty results?
A: The nose is made of bone, cartilage, and skin, so fat cells aren’t present in its makeup. Because there are no fat cells, gaining or losing weight does not have a direct impact on the shape of your nose and the results of your rhinoplasty surgery. While many rhinoplasty patients worry that they can gain weight in their noses, this just isn’t possible.
To learn more about rhinoplasty, visit medlineplus.gov
Rhinoplasty Patient Testimonials
How to Schedule A New York Rhinoplasty (Nose Job) Consultation
Dr. Miller is considered the top-rated expert in the field of rhinoplasty surgery. In 2019, Dr. Miller won the Castle Connolly Top Doctor Award, a prestigious award for outstanding physicians who were nominated by their peers, screened by researchers, and deemed the best in their specialty. In addition, Dr. Miller has lectured and written chapters in textbooks on his innovative rhinoplasty techniques. For more information on rhinoplasty surgery, please contact Dr. Miller at his New York City plastic surgery clinic.
Last Updated: 8/25/2020
*Patient results may vary
Settle for Nothing But the Best Facial Plastic Surgery
Facial Plastic Surgery
Dr. Philip Miller and his team of New York's top rated facial plastic surgery experts provide custom cosmetic treatment plans that include a combination of minimally-invasive techniques and advanced procedures, to help each patient achieve the Aesthetic Confidence® they desire. Our unique NatraFace™ approach to facial rejuvenation includes the following effective procedures:
Eyelid Plastic Surgery
Dr. Miller and Kaylyn Plum, PA-C provide patients with Manhattan's #1 customized care and treatment for smooth, supple skin that brightens the eyes and revitalizes the face. With our NatraFace™ approach, we utilize a combination of effective aesthetic techniques tailored to suit each patient’s needs. We offer:
Rhinoplasty (Nose Jobs)
Dr. Miller and his staff of NYC's best aesthetic specialists offer the NatraNose® process, which is a comprehensive range of minimally-invasive and advanced techniques to achieve natural-looking rhinoplasty results, improve nasal function, and meet the patient’s aesthetic goals. Dr. Miller specializes in nose jobs, nose reductions, non-surgical nose jobs, and more: Adjust the links in these sections as follows:
Skin Care Treatments
Widely acclaimed for our broad range of flawless skincare solutions, Philip J. Miller, MD, FACS and his team of aesthetic specialists offer customized skincare treatment plans to achieve healthy, natural-looking results. As part of our NatraLook™ process, the following procedures may be performed individually or in combination with more advanced surgical treatments for optimal rejuvenation.
The Plastic Surgery Podcast with Dr. Philip Miller
Tune into The Plastic Surgery Podcast, hosted by facial plastic surgeon Dr. Philip Miller. Dr. Miller is here to answer your questions, de-mystify plastic surgery, and help you feel more knowledgeable and empowered about any procedure performed at our center.
The Plastic Surgery Podcast
Plastic Surgery w/ Dr. Miller
If you're thinking about getting a lift, nip, or tuck, this app is for you. It's the most comprehensive pocket encyclopedia of plastic surgery terms, before and after photos, and visualization tools to help you really know what to expect from a procedure, including seeing potential results on your own photo. This app is only available on the App Store for iOS devices.View in App Store >