Facial asymmetry is a concern in which the features on each side of the face do not perfectly mirror each other. Although no one’s face is perfectly symmetrical, science suggests we perceive symmetrical faces as more attractive. Noticeable asymmetry in the face can lead to low self-confidence and a more aged appearance. Fortunately, many surgical and non-surgical treatments exist to fix facial asymmetry and boost self-esteem.
Why is my face asymmetrical?
There are many causes for asymmetry in the face, the most common being:
Genetics. Uncontrollable factors such as genetics determine the symmetry of our facial characteristics. If you have asymmetrical facial features, you might notice your family members have them too.
Trauma.A broken nose or trauma from accidents are common causes of facial asymmetry.
Lifestyle. Day-to-day habits like frequent sun exposure, smoking, and sleeping on the stomach can contribute to asymmetry. If you’re looking for how to make your face more symmetrical naturally, you can avoid these contributing habits.
Dental Work. Dentures, veneers, and tooth extractions can all lead to changes in the contours and muscles of the face.
What surgical procedure fixes facial asymmetry?
Now that we know what contributes to asymmetry, how do you fix an asymmetrical face? In severe cases, a more permanent surgical procedure may be the best option. If you’re wondering how to make your face more symmetrical to correct facial trauma or abnormalities, facial reconstruction surgery can achieve the results you desire. This surgery can produce dramatic and life-changing results for those suffering with facial asymmetry due to defects, scars, or trauma from an accident.
A weak or underdeveloped chin is another common cause of more prominent facial asymmetry. Facelifts,buccal fat removal, and chin and cheek augmentation can be performed to create aesthetic balance in the face and restore symmetry to the sides of the face, cheeks, and chin.
Many patients want to know how to get a more symmetrical face without a surgical procedure. Aside from trauma and abnormalities, most cases of facial asymmetry are mild, and can be corrected without surgery. Fixing facial asymmetry with fillers, Botox®, and PDO Thread Lifting are the most effective and common non-surgical options. These options produce fast results with exceptionally short recovery time.
Correcting Facial Asymmetry with Fillers
Correcting facial asymmetry with fillers such as Restylane®, Radiesse®, and Juvéderm® is a popular non-surgical option. Dermal fillers can bring balance to your face by sculpting your nose, chin, or cheeks. If one cheek is flatter, one side of the chin isn’t as prominent, or even if one side of the lip doesn’t have as much volume as the other, fillers can be used to add volume and correct these common asymmetrical features.
Philip J. Miller, MD, FACS, in Manhattan, New York and New Orleans, Louisiana knows how to fix face asymmetry using fillers and produce natural-looking results to boost your confidence. The Miller Lift (liquid facelift) is a liquid facelift technique that uses a combination of fillers to define and correct the contours of the face and achieve a more symmetrical, youthful appearance.
Botox works by relaxing certain muscles in your face to reduce the appearance of lines and correct minor facial asymmetries. Certain facial features, such as the eyebrows, may be uneven due to the muscles on one side working harder than the other. One of the most common uses of Botox to achieve facial symmetry is correcting the position of the eyebrows. When one eyebrow is higher than the other, Botox is injected to relax the muscle and bring the brow in alignment with the other.
How to Get a Symmetrical Face with a PDO Thread Lift
Another alternative to surgery is the use of PDO threads—absorbable sutures placed under the skin to balance the proportions of the face. This innovative procedure, now proudly offered at Dr. Miller’s office in Manhattan, New York and New Orleans, Louisiana, allows for the cheeks, jawline, eyebrows, and neck to be lifted while smoothing fine lines and wrinkles. Like fillers and Botox, PDO threads help achieve facial symmetry without having to “go under the knife”.
How to Fix Facial Asymmetry in New York City
If you’re searching for how to get a symmetrical face with treatment in Manhattan, New York and New Orleans, Louisiana, Dr. Miller will perform an initial consultation to determine how to make your face more symmetrical and achieve the results you desire. All of Dr. Miller’s work to create facial symmetry is performed within the NatraLook® Experience, which empathizes with the patient experience and strives to achieve the most natural results. Schedule a consultation by calling (646) 791-3025 or filling out our online contact form.
More men are now defying the aging process with cosmetic intervention, and the number of men seeking facelift procedures has drastically risen in the last few years.
While all facelifts are tailored to address a unique patient’s needs and goals, facelift surgery for men requires a different approach.
Here are 6 facts that make a male facelift unique:
1. Male Facelifts Occur More Often than You Think
Although women still represent the majority of plastic surgery patients by far, men are steadily increasing the number of procedures they want to maintain their youthfully masculine appearance.
According to the Aesthetic Society’s annual Aesthetic Plastic Surgery Statistics, following a year in which many practices closed temporarily and reduced hours, plastic surgery surged in 2021. Surgical procedures increased by 54%, and the average plastic surgeon performed 320 surgical procedures in 2021, compared with 220 in 2020.
Men, aged 36-50, comprised 40% of male patients who underwent a surgical procedure, with 5,061 males undergoing a facelift in 2021.
2. Male Facelifts Have Different Goals
While both men and women desire to stop the clock on aging, the dynamics of their facelift will have key differences. Women often get a facelift to eliminate deep lines and wrinkles around the cheeks, as well as sagging skin in the neck. While they want to look younger, they also want to maintain a feminine appearance and an aesthetically-pleasing heart shape to the face with well-defined cheeks and a slim, contoured jawline.
The opposite is true for men. Although they also want a facelift to address noticeable wrinkles around the mouth and nose, or sagging skin on the cheeks and jawline, they desire to have a more masculine or “rugged” appearance. They want their facelift to create a strong, chiseled, and defined jawline – without the loose folds on their neck that they often complain make it difficult for them to properly shave.
No two people are the same. The facelift procedure, whether for a male or female patient, will be customized to focus on the unique problem areas and desired results of each individual.
3. Male Skin Needs to be Treated Differently
Anatomy differs between men and women, and this includes skin structure. A man’s facial skin is generally thicker and oilier compared to a woman’s skin.
Men have stronger connective tissues, and they may not experience visible signs of aging for much longer. However, it is the thickness and heartiness of their skin that make their necks and jawline particularly vulnerable to folds and crepey skin.
A facial plastic surgeon performing a male facelift will need to exercise care to avoid pulling skin too tight, as this can result in a facelift with an overly done or pulled appearance.
Men also have more facial hair than women, and this means having more hair follicles that rely on blood supply to grow. Since male skin is also more vascular and will demand more blood supply, men are more susceptible to post-surgery bleeding, which is a factor facial plastic surgeons must take into consideration during and after a facelift on a male patient.
4. A Male Facelift Requires Different Incision Placement
Compared to women, men have shorter hair and hairlines that tend to recede with age. Surgeons may make the incisions at the spot where the ear connects with the head or under the chin, where they are less noticeable or can be hidden in the natural folds of the skin.
Surgeons will need to watch areas of the skin where facial hair grows because they would not want to shift skin with hair follicles to another area where hair does not typically grow. For instance, if skin with hair follicles is lifted and placed higher on the face, the patient might need to start shaving in that area.
5. Scarring Can be a Bigger Concern with the Male Facelift
Surgeons may need to modify incision placement on male patients who are bald or losing hair to keep scars hidden. For patients who don’t have hair to camouflage scarring, incisions are shortened and placed higher up along the ear. Incision placement has to be precise and should still enable the surgeon to have adequate access to underlying tissues while avoiding tension on any stitches and keeping scars discreet. The surgeon’s advanced skill and technique are required to ensure minimal scarring when performing facelifts for males.
6. Men Don’t Have to Stop at a Facelift
The facelift is a comprehensive anti-aging procedure that can produce dramatic results. Pairing a facelift with one or more other cosmetic procedures can produce even better results. Men are discovering that adding treatments to their facelift can produce an optimal outcome for them and when procedures are performed together, this approach does not impact the amount of time taken from work and other activities.
Male facelifts are often combined with a neck lift. The incision made under the chin for a neck lift allows the surgeon to also remove excess fat and tighten tissues and muscles in this area to enhance a man’s neck and jawline. When the face and neck are surgically rejuvenated together, the results will look more natural as well.
Other patients may find eyelid surgery, rhinoplasty, or laser skin resurfacing can help them achieve all of their aesthetic goals.
What exact surgical and non-surgical procedures will pair well with your facelift? Come in for a consultation to get a customized procedure plan that will help you achieve your aesthetic goals.
Considering a Male Facelift in New York? Consider Dr. Philip Miller for All Your Cosmetic Needs
Philip J. Miller, MD, FACS, is a double board-certified facial plastic surgeon who has extensive experience with plastic surgery procedures for men as well as women. He pioneered the NatraLook methodology for his cosmetic procedures for the face, which is a specialized consultation process through which Dr. Miller will evaluate your facial features and listen to your specific concerns. NatraLook creates a collaborative environment that ensures a unified vision for optimal results and the most natural outcome possible.
To learn more about facelifts for men, view male facelift before and after photos, or determine the cost of a male facelift, contact Dr. Miller in Manhattan, New York to schedule a consultation today.
Losing weight is often a long and frustrating journey that requires hard work and dedication. The result of your efforts can include loose or sagging skin, which may require surgery to put the finishing touch on your weight loss efforts. A facelift helps patients achieve the contour for a seamless face and neck.
How does weight loss change your face?
Weight loss can change the contour and appearance of your face. Whether through strict diet and exercise or intervention like bariatric surgery, weight loss can impact the skin and face in a multi-dimensional manner leaving the face looking hollow in some areas when fat is lost.
Another facial change that can happen after significant weight loss is sagging skin. Skin does not always shrink to match your frame, and when patients experience significant weight loss, it can remove fat but leave skin laxity that doesn’t bounce back if the change occurred too quickly.
After massive weight loss, you may want to make an appointment with an experienced facial plastic surgeon who can assess your skin changes and determine the best treatment plan for your specific needs. Plastic surgeons sometimes recommend facelifts to patients that are healthy and have achieved their target goal on the scale.
Each person experiences the impact of weight loss differently. Some see facial changes within a matter of weeks while don’t see the effects of weight loss for many months. Your plastic surgeon may suggest different injectables during your weight loss journey to help your face appear symmetrical and reduce sunken areas. A complete facelift is most successful after weight loss is complete to ensure there are no further changes to the face after surgery.
Does losing weight make your face look younger?
While weight loss can drastically change your appearance, weight loss alone does not always make you look younger. Many individuals define an attractive face as contoured and full. Unfortunately, weight loss can have the opposite effect on the face, leaving behind hollow areas, sagging skin, and an overall deflated look. Sagging skin can also lead to deep folds and wrinkles for a more aged appearance.
Fortunately, these skin concerns can be addressed with a facelift. A facelift lifts and tightens skin, removes excess skin and fat, and reshape portions of the face like the jawline and jowls. There are several types of facelift procedures that can help patients look younger after massive weight loss:
Traditional facelift: This is a complete facelift with incisions made around the hairline, ears, and lower scalp so that fat can be redistributed or removed and underlying layers can be lifted and tightened.
Mini facelift: The mini lift is less extensive and has a shorter incision length that targets more focused areas. This outpatient procedure requires local anesthesia in most cases and recovery tends to be shorter than with a traditional facelift.
Thread lift: A temporary, dissolvable barbed suture is threaded into the skin along the temple or jawline that lifts the skin and stimulates collagen production.
Deep plane facelift: This type of facelift involves access to the underlying SMAS tissue and actually releases ligaments that tend to keep the SMAS in a specific position. This technique allows for lift in the lower and midface for natural and dramatic improvement.
Micro lift: This innovative procedure mimics the results of pulled-back hair in a ponytail. It is minimally invasive and subtly lifts the eyes and tightens the skin for sharper cheekbones.
Do jowls and sagging face go away after losing weight?
Unfortunately, jowls and sagging faces do not always resolve after weight loss. In some cases, they may even become more defined. While weight loss can slenderize the face, this improvement is often hidden by sagging skin and lack of contour. Facelifts have many benefits in reducing jowls and improving facial balance and beauty, including:
Create a well-defined jawline
Lift and tighten sagging skin
Eliminate loose jowls
Reduce deep fold, fine lines, and wrinkles
Rejuvenate skin
Produce a younger and healthier appearance
Double-board certified facial plastic surgeon, Philip J. Miller, MD, FACS, provides innovation and expertise to patients looking for seamless and natural results at his New York City, NY, and New Orleans, LA, offices. Contact us to schedule a consultation and learn more about facelift procedures after weight loss.
There really is no “normal” age when we start to notice wrinkles. Their formation depends on a variety of factors – some of which we can control and others we can’t. While your friend might start to notice fine lines around the eyes in her 20s, you might not see lines develop until almost a decade later.
Wrinkles are a normal part of aging. Some wrinkles are the result of repeated facial expressions like squinting or smiling. Others occur because of collagen depletion in the dermal structure, which leads to skin laxity and facial creasing. Factors that might accelerate this process include genetics, sun damage, poor diet, and lifestyle choices like smoking and drinking alcohol.
What age do wrinkles start appearing?
The aging process is different for each patient. Many people show the first signs of aging in their mid-20s as our bodies begin to produce less collagen and sun damage can take an early toll. Prominent signs of aging like wrinkles often appear on the face, neck, hands, and forearms, with the most noticeable areas on the neck and face. While aging cannot be stopped, there are many ways to promote healthy skin and reduce wrinkles, sun damage, sagging skin, and other signs of aging.
Are wrinkles normal at 20?
As individuals move out of their teens and into their 20s, signs of aging can begin to appear. The first signs of wrinkles in your 20s are movement lines around the brow, mouth, and eyes, due to repetitive movements like smiling, laughing, and frowning. Significant wrinkles and lines on the forehead and other areas are not typical. If they do occur this early, they can likely be attributed to factors like excessive sun damage or lifestyle choices like smoking.
Are wrinkles normal at 30?
Most people still have a youthful appearance in their 30s without significant wrinkles. Wrinkles and fine lines may become more apparent in the mid-to-late 30s, or even sooner depending on sun exposure and other variables. The most common spots for lines at this age are between the eyebrows (frown lines) and the triangle areas between the nose and corners of the mouth (nasolabial folds).
What causes wrinkles?
Wrinkles are just one of the many changes to our skin as we age. As we grow older, our skin loses elasticity and becomes thinner and more translucent. Aging skin is more fragile and retains less moisture, making it easier for wrinkles to form. While age is a major contributing factor to wrinkles, there are many causes, including:
Repetitive facial movements
Sun damage
Smoking and alcohol consumption
Lack of proper skin care
Dehydration
Wrinkle Prevention
Aging is an inevitable process, but there are many preventative measures that can keep skin looking young, healthy, and wrinkle-free, including:
Sun Protection: Sun exposure is the leading cause of premature aging and can be prevented with proper protection like hats, sunglasses, and sunscreen. Sun protection should be worn every day to avoid damaging ultraviolet rays from penetrating your skin, even if it is overcast.
Moisture: A quality moisturizer helps nourish and hydrate the skin, especially ones containing hyaluronic acid. Dry skin is more prone to wrinkles, and daily moisturizers can prevent wrinkles.
Water: Drinking enough water each day is essential for overall health and skin health. Water can help flush toxins, regulate digestion, and keep your skin hydrated from the inside out to promote a youthful appearance.
Diet and Exercise: Eating vitamin-rich foods like salmon, avocados, vegetables, and leafy greens are key to absorbing nutrients and antioxidants that promote healthy skin cells. Exercise increases blood flow to the dermal tissue, helping you maintain a rosy glow and keeping skin in top condition.
Wrinkle Treatment
Wrinkles are inevitable at some point, despite our best efforts. There are treatments to help reduce those lines and promote a youthful appearance, from minimally-invasive dermal fillers to facelift surgery. Gotham Plastic Surgery in New York offers:
Dermabrasion: A skin resurfacing procedure that removes the top layer of skin for rejuvenation and reduction in wrinkles and other signs of aging.
Botox®: This injectable treatment effectively reduces facial lines like crow’s feet, frown lines, worry lines, forehead lines, and neck wrinkles.
Liquid facelift: A non-surgical treatment that combines facial fillers like Restylane and Juvederm to reduce wrinkles and add volume.
FaceTite: This non-surgical treatment delivers radiofrequency energy into the dermal tissue to tighten skin and boost collagen levels for a reduction in visible wrinkles.
MicroLift: This less invasive surgical facelift technique resembles the result you get when you pull up your hair in a tight ponytail. With smaller incisions and a shorter recovery time, it can be a good option for younger patients before they opt for a deep plane facelift.
Deep plane facelift and neck lift: These surgical procedures remove and tighten skin, while repositioning fat and tissue to reduce sagging and wrinkles.
Schedule Your Wrinkle Treatment at our Manhattan Office
Gotham Plastic Surgery is an innovative practice that serves patients in a discreet, confidential, and accredited facility. Led by Dr. Philip Miller, a double board-certified facial plastic surgeon, our team works closely with patients to identify the best wrinkle treatment plans to help patients look younger, healthier, and more natural.
Dr. Miller uses the NatraLook® process to empower patients to explore their aesthetic confidence and naturally enhance their appearance. Gotham Plastic Surgery in New York is a safe and positive environment to discuss personal desires and achieve beauty goals through a unified vision.
Contact us to schedule a consultation and learn more about our wrinkle treatments.
Have you been considering cosmetic work, but aren’t sure when the best time may be to have your procedure? Fall is the perfect time for several reasons, so schedule your consultation now.
4 Reasons Fall is the Perfect Time for Cosmetic Surgery
1. Avoid the sun and heat.
With the cool autumn weather, you won’t have to worry about inflammation or skin damage from sun exposure or hot temperatures.
2. Recover before the holidays.
If you have your surgery done in the fall, you can recover before the festivities begin. You’ll feel refreshed and ready to enjoy time with your loved ones during the holiday season.
3. Greater Scheduling Flexibility.
Many patients schedule cosmetic procedures in late winter or early spring. By scheduling your cosmetic procedure during the fall, you’re more likely to get the best appointment date for your schedule.
4. Treat yourself before the holidays.
Before the frenzy of the holiday season begins, why not treat yourself to some much-deserved self care and a new look to greet the New Year?
Turn Back the Clock with a Facelift
Manhattan’s world-renowned facial plastic surgeon, Dr. Philip Miller, specializes in facelifts and rhinoplasty. He offers several facelift options: a traditional facelift, a mini facelift, a Micro Lift, or the proprietary Miller lift. One of these is sure to be the right one for you.
Facelift Options
A facelift, or rhytidectomy, may be the perfect procedure for you if you’re looking for results that significantly turn back the clock. This procedure removes excess or sagging facial skin for a renewed, youthful look.
During a traditional facelift, incisions are made at the hairline and continue in front of and behind the ears, extending to the lower scalp. Fat can be redistributed from your face and neck through these incisions, or liposuction may be used for the removal of excess fat. Muscles and skin are lifted and tightened.
Incisions made during facelift surgery are hidden in the natural creases of your face and hairline, and meticulously closed with sutures to minimize visibility after your procedure. Drainage tubes may be inserted but can be removed in 1-2 days. Sutures are removed between 5-10 days.
A mini facelift targets those areas of the face that are just beginning to wrinkle and sag. The incisions are shorter than a traditional facelift, and often confined to the front of the ear only. The mini facelift requires local anesthesia and can be performed in 90 minutes or less.
The innovative, minimally invasive Micro Lift mimics the improved appearance that comes with pulled-back hair. It can be a perfect option for patients in their 20s-40s who want to erase early signs of aging. Comfortable, safe, quick, and performed under local anesthesia, the Micro Lift takes less than an hour in the office and requires little post-procedure downtime.
The Miller Lift is a proprietary, custom-designed liquid facelift technique that uses a combination of fillers, such as Juvéderm® and Restylane®, to soften and fill out lines and wrinkles. Besides smoothing wrinkles, facial fillers can address volume loss in the cheeks, chin, lips, and other contours of the face.
Along with facial fillers, Dr. Miller performs injections of Botox Cosmetic® to address the dynamic wrinkles associated with facial expressions, such as forehead wrinkles, frown lines, and crow’s feet. Collagen stimulators, such as Sculptra, and fat eliminators, such as Kybella, round out the Miller Lift. Results can last for up to two years.
Achieve Balance with a Rhinoplasty
Surgical vs. Non-Surgical Rhinoplasty
Surgical rhinoplasty, also known as a nose job, adjusts, corrects, or reduces the look of the nose. Dr. Miller will consider the prominence of your cheeks, your jawline, your skin thickness and quality, and the overall dimensions of your nose before advising you how to achieve the changes you want while maintaining overall facial balance.
A major benefit of rhinoplasty is that it’s typically a “one-and-done” procedure. Once the procedure is complete and the nose has fully healed, patients can enjoy the results for a lifetime.
Non-surgical rhinoplasty, also known as liquid rhinoplasty, uses injectable fillers to make subtle, yet dramatic changes to your appearance.
Non-surgical nose jobs are safe and effective, providing immediate results with exceptionally short recovery time. With this non-invasive procedure, injectable fillers are used to make small yet dramatic modifications to the nose.
Non-surgical rhinoplasty has its limitations, however. Since corrections are made with dermal fillers that ultimately dissolve, results aren’t permanent. Non-surgical nose jobs aren’t appropriate for every nose and can’t reduce the size of the nose.
Results will vary by patient, but the longevity of a non-surgical nose job is typically between 8-24 months. During your consultation, Dr. Miller will give you an idea about what you might expect from your results as well as how long they might last.
Quick Pick-Me-Ups: Botox and Dermal Fillers
Surgery isn’t your only option for rejuvenating your appearance. Injectables minimize wrinkles and add volume in areas that lack fullness. With little-to-no downtime, injectables deliver results in a matter of days so that you can enjoy your fresh, youthful appearance right away.
Botox relaxes the muscles that pull on the skin to form wrinkles. Botox Cosmetic is superior to dermal fillers for minimizing frown lines, horizontal furrows on the forehead, and crow’s feet around the eyes. It can also be used around the lips, around the nose, or on the bands of the neck. Results last up to four months.
Dermal fillers, including Restylane® and Juvéderm®, are gel-like substances that restore volume. They fill in creases and static wrinkles, which form from gradual volume loss. Hollow cheeks, saggy jowls, and under-eye bags are common treatment areas for dermal fillers, which can last up to 12 months or more.
Dr. Miller and his team of skin specialists in New York provide the latest and most effective wrinkle treatments. Using various injectables, Dr. Miller can restore facial volume, reduce deep wrinkles, and help rejuvenate and lift the face.
Natural Results for a Beautiful 2022
Aesthetic Confidence® is the sense of empowerment we feel about the way we look, dress, design, and decorate. It dovetails with confidence in our abilities, intellect, and emotions. The NatraLook Process focuses exclusively on the look component of Aesthetic Confidence. The NatraLook Process is an enriching experience through which you can explore and ultimately boost your aesthetic confidence by enhancing your appearance.
The NatraLook process evaluates and expands the typical plastic surgery experience into a safe, non-intimidating opportunity to explore your aesthetic confidence. It provides a reassuring, supportive, and positive environment. It creates a unified vision of your desired result so that you and New York surgeon Dr. Philip Miller know what to expect.
The Next Step: Consulting with a Plastic Surgeon
Renowned for producing natural-looking results that exceed expectations, Dr. Philip Miller and his team of New York City’s top-rated facial plastic surgery experts provide custom cosmetic treatment plans. These include a combination of minimally invasive techniques and advanced procedures to help each patient achieve the Aesthetic Confidence® they desire.
After a comprehensive facial evaluation, Dr. Miller can recommend the best treatments to meet your goals. To discuss your full range of treatment options, contact his plastic surgery office today.
A facelift may smooth sagging skin and tighten the tissue underneath the skin to give your face a fresh look. If you desire a more permanent improvement to the features of your face, afacelift may produce the beautiful glow that boosts your confidence and lifts your spirits. If you have questions about something as important as facelift surgery, don’t be afraid to ask your surgeon what you desire to know.
Dr. Philip Miller is your Manhattan, New York, and New Orleans, Louisiana, expert on all types of facelift surgery especially deep plane facelift surgery. He is a double board-certified facial plastic surgeon who will answer every question you have about this procedure. The following seven questions are frequently asked by people who choose to undergo facelift surgery. When youschedule your consultation with Dr. Miller, have your questions ready so you are prepared to move forward if you decide a facelift is the right choice for you.
1. Am I a good candidate for a facelift?
Facelift surgery is not a procedure you should decide to schedule on the spot. You should do your homework, research your options, and choose a surgeon who specializes in facial plastic surgery. Dr. Miller will provide you with a comprehensive consultation to determine if you are a good candidate for a facelift. There is no “perfect” age for a facelift – when you look in the mirror and see skin laxity, creases, and facial hollowing that indicate you need a change, that is when you need to schedule your consultation. Dr. Miller can help you determine if facelift surgery or another procedure is the best option.
2. How often do you perform this procedure?
Dr. Miller has focused on facial procedures for over two decades. That means all of his time goes into treatments for the face, while a general plastic surgeon might divide time between the face and body procedures. His double board-certification and expertise in facial plastic surgery are also a guarantee that you will receive the best attention for your needs.
3. What type of facelift will work best for me?
There are several options with facelift surgery, so during your consultation with Dr. Miller, you will learn about thedifferent types of surgery that meet your needs. Based on the results you desire, you may choose the traditional facelift, or a procedure like the micro or mini facelift that are less invasive and a good option for earlier signs of aging. No matter which facelift you choose, Dr. Miller’sNatraLook consultation process will ensure you build trust with your surgeon and receive professional, expert advice from one of the country’s leading experts on facial plastic surgery.
Doctor Miller routinely performs the preferred deep plane facelift as it gives the most natural redraping of descended tissue and restores depleted volume.
Deep Plane Facelift
Dr. Miller performs the deep plane facelift to restore sagging midface tissue and volume depletion. The deep plane is different than the traditional facelift as it extends the flap further toward the upper midface so that sagging tissue in the cheek and jowl region can be rejuvenated. Not all patients require a deep plane lift, but for those that do, no other surgery can compare.
Traditional Facelift
Dr. Miller performs the traditional facelift procedure by making intricate incisions on your hairline, in front of your ears, and behind your ears near the lower part of your scalp line. Based on your desired look, Dr. Miller will redistribute fat through these incisions, and may also use liposuction to remove additional fat. Don’t worry – the incisions are concealed so visible scarring is minimal afterward. Your incisions will be closed with sutures, and based on the complexity of your facelift, you may have drains in place that can be removed in a couple of days. You will follow up with Dr. Miller in 5-10 days for suture removal. To learn more about a traditional facelift, please visit medlineplus.gov.
Mini Facelift
The mini facelift is another effective option that targets earlier signs of aging. This technique is designed to target specific areas of the face at the onset of wrinkling or sagging. Dr. Miller will make his incisions at the front of the ear, but not behind the ear. The procedure does not require general anesthesia; you will receive a local anesthetic and be done in about 90 minutes.
4. Where and how will you perform my procedure?
Dr. Miller performs all facelift procedures in the surgical suite of hisManhattan office. The surgery suite is accredited and adheres to the strict standards set forth by the Joint Commission.
Surgery, whether minor or major, will require local (focused on a specific region) or general (surgery while you are asleep) anesthesia. Depending on the type of facelift you are scheduled for will determine the type of anesthesia used, and will be discussed during your consultation. Traditional and mini facelifts – both designed to give you a fresh new look, are performed differently, and are tailored to your precise needs and goals. Dr. Miller performs a variety of facelift techniques, to ensure your results are beautifully natural and distinctly you.
5. What happens after surgery? What will my recovery look like?
Your recovery is a process of resting and healing to ensure you see the best results. If you had general anesthesia, you may remain in our surgical suite for a short period to allow the effects of general anesthesia to wear off before you leave. A local anesthetic may produce numbness but will wear off soon after the procedure is complete. Make sure you have a ride home after your surgery with a friend or family member who can stay with you for the first 24 hours of your recovery if possible.
Recovering at Home
You will be sent home with dressings in place to protect the incisions and sutures. Drains may also help to drain fluid from the surgical site. Soreness and tightness on your face are normal after surgery.
Facelift surgery of any kind may produce some swelling or bruising. If you experience any unexpected symptoms, do not hesitate tocontact Dr. Miller’s office right away. Rest assured that Dr. Miller will also keep in touch with you during your recovery process and through your post-operative appointments.
You may receive a prescription for pain medication prior to your surgery, but many of Dr. Miller’s patients report they did not require the medication as their recovery was more comfortable than expected.
Your recovery time may not be textbook, but most people can return to work and normal activities within a couple of weeks. Excessive activities, such as exercise or heavy lifting are not recommended for about a month after your surgery. During your recovery at home, stay active (but not too active!) to ensure your blood circulation is promoting the healing process. You will be instructed to avoid medications like aspirin or other blood thinners, as these can cause excessive bleeding after your surgery.
One of the most important parts of your recovery is following the instructions provided by Dr. Miller. His guidance will provide you with a step-by-step overview of how to prepare for your surgery, what to expect during and after surgery, and how to recover properly by caring for your incisions. Make sure you keep all of your scheduled follow-up appointments, and in time, you will see the benefits of your surgery with a refreshed, more youthful appearance.
6. What can I expect from my results?
You may be wondering about the results of your facelift – how will I look? Dr. Miller is a double-board certified facial plastic surgeon, the best you can ask for with facelift surgery. You may see as much as 10 years taken off, but one of the best testimonials for facelift surgery are thebefore and after photos. Dr. Miller’s staff will take before and after photos so you can see the drooping and sagging disappear.
7. What will the cost of my procedure be?
The cost of your surgery varies depending on which facial procedure you choose. The details of the cost will be discussed during your consultation. You must also consider other costs associated with the surgery, which might include a facility fee, the surgeon and anesthesiologist fees, and any postoperative supplies you may need for recovery. Facelift surgery is considered cosmetic and elective (not medically necessary), and would not be covered by your insurance. Remember that the costs vary and are not inexpensive, but if a facelift is not in your range of affordability, Dr. Miller can recommend other procedures that may provide a similar look without the same cost.
Schedule a Facelift Consultation with NYC’s Top Facial Plastic Surgeon
Whether you choose a traditional, mini, micro, or other facelift procedure,Dr. Philip Miller can turn the clock back and give you a new look, a fresh face, and a reason to smile again.Schedule your consultation today.
Once upon a time, you didn’t have many options after the signs of facial aging started to appear, other than smearing your face with ineffective cold cream or wearing a chin strap to try to lift up your jowls. Nowadays, though, there are so many choices offered in New York City for reversing signs of aging and rejuvenating your skin that you may be overwhelmed and uncertain of what choice to make.
You might even feel paralyzed by the number of options available to you — stuck in the “paradox of choice” that we sometimes experience in our abundant world. At Dr. Phillip J. Miller’s Facial Plastic Surgery practice, we want to make sifting through your abundance of choices easy for you. Here are a few questions that can help you decide whether you’re ready for a surgical facelift, or if another option better suits your needs and lifestyle.
Do you want immediate results for your face?
You’ve made up your mind to turn back the clock, but you don’t want to spend weeks to months in recovery from a surgical facelift. A liquid facelift is by far your best option if you want to leave our office looking anywhere from 5-10 years younger, with no recovery time at all. Dr. Miller developed his own variation on a liquid facelift — dubbed the Miller Lift — in which he resculpts and re-contours your face to look more youthful, using only injectable therapies.
Facelift, neck lift, dermabrasion and earlobe repair to enhance the appearance of a female patient by Dr. Miller.
Dr. Miller may choose from a variety of dermal fillers to find ones with the right consistency, longevity, and composition to reverse the signs of aging on your face. You can use a liquid facelift to:
Restore volume to your midface, which lifts up a slightly sagging lower face
Build up your cheekbones for greater elegance and more lift, too
Fill in hollows under your eyes or on your temples
Smooth out and un-do deep creases around your nose and mouth
Re-contour your jawline and chin to be sharper and more youthful
Smooth out fine lines and wrinkles, including perioral lines
Rejuvenate and plump up your lips
Philip Miller, MD, may recommend combining hyaluronic-acid (HA)-based fillers (e.g., Juvéderm® and Restylane®) with collagen stimulators (e.g., Radiesse® and Sculptra®) to give you the best of both worlds. The HA fillers immediately add volume, lift, and add smoothness to your face so that you look visibly younger in less than an hour. The collagen stimulators work over the long-term, in the deeper layers of your dermis, to create more collagen that rebuilds and strengthens your skin from the inside out. Together, they provide a powerhouse of anti-aging benefits.
Your treatment could also include Botox® as part of your liquid rejuvenation. Botox smooths out wrinkles:
On your forehead
Between your brows
At the top of your nose
Around your eye corners
*Patient results may vary
However, Botox’s benefits don’t stop there. Dr. Miller can also use Botox to relax tensed muscles around your jawline, neck, and mouth to create cosmetic improvements such as:
Softer, more feminine jawline
Liquid neck lift
Nonsurgical lip flip
The final component in a Miller Lift is Kybella® — an injectable treatment that melts away unwanted facial fat. Dr. Miller uses Kybella to eliminate double chins and jowls, and tighten the skin along your jawline.
The downside of a liquid facelift is that some of your immediate and dramatic benefits are temporary. You will need periodic touch-ups of both the dermal fillers and Botox (though not of Kybella!), which can range from every 3-4 months for Botox, to up to 24 months for some fillers. We are able to schedule your maintenance checkups and send you reminders so that you always look great, but if you’d rather trade the time savings of a liquid facelift for the ultimately lower cost of more long-term anti-aging solutions, then keep reading.
Are you willing to wait (just a bit) for your facelift? There is an in-between option.
Non-surgical skin-tightening treatments can dramatically rejuvenate your look over time without incisions or scars. They work by stimulating collagen in the deep layers of your skin, which thickens and strengthens your skin, literally turning back time. Although you may notice a difference in the texture and firmness of your skin directly after your first treatment, your skin gets tighter and more youthful-looking over the next several months as your body produces new collagen and elastin. Dr. Miller offers:
Ultherapy® — Ultrasound energy heats the collagen layers of your skin to tighten and firm your neck, jawline, face, and brow
Neck-Tite™ — Neck-Tite uses radiofrequency (RF) energy to melt and vacuum away excess fat around your chin and neck to firm and tighten your skin, permanently removing a “turkey neck”
You can combine both Ultherapy and Neck-Tite with elements of a liquid facelift for a more dramatic and instant effect.
Do you want to wow them with the best possible results?
Despite the advantages of anti-aging technologies, if you want the most dramatic, long-lasting rejuvenation possible,nothing can rival a beautifully performed surgical facelift. Dr. Miller performs a deep-plane lift that not only repositions and lifts up your skin, but also the underlyingsuperficial muscular aponeurotic system (SMAS) layer for superior, longer-lasting, and more natural-looking results. Using mini liposuction, he removes any excess fat from your lower face and chin, which causes jowls and drooping. Choose from:
Full facelift — entire lower face and neck area tighten, lifted, and recontoured
Mini lift — Only lower face and jowls lifted and tightened
Micro lift— this slight, skin-only lift mimics the rejuvenating effects and lift of wearing your hair in a tight ponytail
Depending on your needs, Dr. Miller also performs a neck lift, in which he tightens and lifts the neck’s platysma muscle. In most cases, he recommends fat grafting, which removes unwanted fat from an area where you don’t want it (such as your tummy or legs) and injects it into your cheeks, where it integrates with your tissues to create long-lasting volume. You might also benefit from a:
You won’t see your full results for 2-3 months and may be slightly uncomfortable or a little self-conscious as your facelift heals. You’ll also have slight scars behind your ears. However, Dr. Miller always makes sure to hide the scars in the creases of your skin. You can also later get laser treatments to minimize their appearance.
Your facelift lasts for at least 10 years. That means, even if you don’t do another thing to your face — other than using medical-grade skincare and getting regular chemical peels — you’ll look younger than your peers for a decade or more. So, although the initial investment is larger, you save money and time in the long run. To learn more about facelift, visit medlineplus.gov
Dr. Philip Miller – New York’s Top Facial Plastic Surgeon
Move from considering to choosing by calling our office for a consultation today at 646-791-3025. You can also book an appointment with the online contact form.
Non-Surgical Facial Rejuvenation, or as laymen’s refer to it, a “Liquid Facelift” is the latest in innovative treatments available in NYC. Patients are lining up to take advantage of the non-invasive methods offered to aid in their concerns for wrinkles, sagging skin, and other anti-aging issues. The beauty behind this procedure is you are achieving optimal, desired results without undergoing surgery or extensive recovery time. The Liquid Facelift is an accredited, cosmetic treatment designed to help you rediscover your natural, youthful beauty by re-filling areas of soft tissue that have diminished with age. This “facelift in a bottle” can safely and effectively restore ageless beauty.
Rejuvenation is just as important as prevention when it comes to assisting patients in successfully appearing fresher, more youthful, attractive, and give their confidence a much needed boost! The right board-certified surgeon will provide you with a customized plan. The physician’s expertise allows a certain level of flexibility to utilize various products and multiple techniques to help a patient understand how their goals will be executed and how to produce the proper aesthetic expectations for each individual patient.
A Liquid Facelift treatment may involve Botox, which relaxes muscles in the face, giving patients a reduction in the fine lines around their eye and brow area. There is a diverse range of dermal fillers to infuse volume and life back into the skin. Fillers will be a key tool for filling in wrinkles and adding contouring to the overall facial structure. For the Liquid Facelift, Dr. Miller uses a combination of facial fillers, such as Restylane and Juvederm, to fill in areas of the face where natural fat has depleted with age or where hollows have developed. This effectively plumps and contours the face and fills in wrinkles, creases and lines for a more youthful appearance. It can plump facial folds like the nasolabial folds and improve under eye bags and hollows. Common treatment areas include the eyes, cheeks, mouth area and chin. The lips can also be treated for a fuller, pouty appearance while also improving annoying lipstick lines that may have developed with age. Dr. Miller may also perform Botox injections at the same time to address dynamic wrinkles associated with facial expressions, such as frown lines, forehead wrinkles and crow’s feet. The Liquid Facelift can also be combined with the NatraFirmST Skin Tightening system, or Ulthera for individuals concerned with sagging skin.
Many patients may have a fear of invasive procedures, even if they are minimal, there is a hesitance or apprehension that comes from any long-term, permanent, or painful aspect of the process. Yet, individual’s still strive for an improvement or “youthifying” (the latest term being thrown around by medspa professionals defining rejuvenation) transformation. If this sounds like you, Liquid Facelift may be the perfect solution for you.
Dermal Fillers used in the treatment, are becoming increasingly popular and seemingly the norm for beauty maintenance. The reason for the leading demand is most patients describe the injection as “they don’t feel a thing.” In rare cases, some patients may experience a slight discomfort like that of a pinch. When researching, you will find that the benefits of the filler will last anywhere between 6-12 months. Patients will notice a gradual change in the mirror when the injection seems to be wearing off. The good news is patients will receive continual quality care with the guidance and personalized plan from their surgeon for basic upkeep.
What To Expect In Liquid Facelift?
The Liquid Facelift is performed in the office setting and can be completed within an hour or less. There is typically little discomfort and a topical or local anesthetic is often sufficient. Recovery is minimal and most patients are able to return to their normal routine right away. Some minor redness, swelling and bruising can occur but these side effects tend to resolve quickly. Results can be seen immediately with continued improvement as Botox, if used, begins to take effect.
Proof Is In The Face
The Liquid Facelift can provide an excellent alternative to a traditional surgical facelift for individuals seeking more immediate improvement with no downtime and minimal risk or those looking to avoid surgery altogether. It is ideal for younger individuals who are not yet ready for or in need of surgical correction but would still like to improve early signs of facial aging and volume loss. For some, treatment can even help to postpone surgery. Results are temporary, generally lasting anywhere from six to twelve months.
For more information on our available procedures or if you have any questions about Liquid Facelift treatments specifically, or any of our other dermal fillers, and services, we are happy to assist you. Please contact our office or feel free to schedule a consultation with top board-certified facial plastic surgeon, Dr. Philip Miller.
In addition to adorable puppy ears, floral headpieces, and new pairs of sunglasses to try on, Snapchat also offers face-perfecting filters that instantly smooth out your skin and give you bigger eyes, a smaller nose, and a thinner face. While it may seem all fun and games at first, teenagers can become obsessed with their filtered selfies and may go to great, social media-approved lengths to be able to “Facetune” their faces in real life, with the help of a cosmetic surgeon. Those who choose to undergo plastic surgery in New York City to look like their pixel-perfect selfies may be suffering from an underlying mental health condition called Snapchat Dysmorphia.
What Is Snapchat Dysmorphia?
Social media platforms like Snapchat and Instagram and photo-editing apps like Facetune are contributing to a dangerous trend where people are feeling insecure about not looking as beautiful and flawless as their own filtered selves that have garnered ego-boosting hearts and “likes” from their followers.
Dubbed as “Snapchat Dysmorphia” by a group of dermatologists at Boston University, this new phenomenon has patients seeking out cosmetic surgeries in an attempt to look identical with the filtered versions of themselves –with a thinner nose, bigger eyes, and fuller lips. The paper which was published in the JAMA Facial Plastic Surgery Viewpoint also mentions how Snapchat Dysmorphia is a new twist on the condition known as Body Dysmorphic Disorder in which people have an excessive preoccupation with their perceived flaws. What is happening right now is a significant rise in “selfie” surgery requests and instead of patients bringing in photos of celebrities who possess their ideal nose or face shape, they are now presenting highly-edited selfies fit for an airbrushed cover of a glossy magazine. “This is an alarming trend because those filtered selfies often present an unattainable look and are blurring the line of reality and fantasy for these patients,” the paper read.
Social media, it seems, is shaping our concept of beauty and is putting the spotlight on our flaws as we attempt to achieve physical perfection offline. No matter how advanced and innovative the techniques in plastic surgery are today, attempting to measure up to your altered images can be unrealistic, unattainable, and unhealthy. This is why it is important that you consult with a double-board certified facial plastic surgeon like Dr. Philip Miller. Dr. Miller and his team can help you achieve healthy aesthetic changes that can highlight your natural, unfiltered beauty.
No Filter Needed
Dr. Miller and his New York team can help you healthily achieve your aesthetic goals. His expertise ensures you will have a natural and refreshed look, not just what you see in altered and heavily filter pictures.
Some of the best available treatments today don’t even need a scalpel and can be done in a lunch hour with minimal downtime. And what is brilliant about these non-surgical procedures is that you will still look like yourself –just fresher, younger, and more radiant with glowing skin, a sharper nose, and a taut jawline. These are the non-surgical face and skin-transforming treatments that can be performed by Dr. Miller:
Non-Surgical Rhinoplasty
Also referred to as a liquid rhinoplasty, a non-surgical nose job allows the surgeon to subtly alter the nose’s size, shape, position of the nasal tip, as well as straighten the nose and hide bumps through the use of injectable fillers.
A non-surgical nose job is a pain-free alternative to surgical procedures for correcting undesirable nasal characteristics. And since injectable fillers are used, the results are immediate. In addition, if you are unsatisfied with the results, the fillers can be dissolved within 24 hours. Non-surgical rhinoplasty has no long-term effects, making you a potential candidate for a traditional rhinoplasty in the future should you still desire to undergo the procedure. A MicroRhinoplasty™ is a less invasive alternative to a traditional rhinoplasty as well.
Dr. Miller is considered one of the country’s leading experts in rhinoplasty and facial rejuvenation and has even lectured on innovative rhinoplasty techniques as well as written chapters for rhinoplasty textbooks.
Botox
Those who want to look more youthful by smoothing their fine lines and wrinkles are good candidates for Botox injections. FDA-approved to treat crow’s feet and frown lines, Botox works by blocking nerve impulses to the facial muscles, causing dynamic wrinkles to soften and relax. Skin will appear smoother and less wrinkled, giving you a refreshed and rejuvenated appearance.
Dermal Fillers
With over 20 years of experience, Dr. Miller is recognized as an expert in facial rejuvenation procedures, including filler injections. Dermal fillers are made from hyaluronic acid (HA) which is a natural substance within the skin that’s responsible for keeping the skin supple and hydrated while adding volume. We lose HA as we age, resulting in skin’s lack of moisture, strength, and volume. When injected into the skin (cheeks, around the eyes and mouth area, chin, or lips), fillers will replace lost volume to plump and contour the face. Examples of dermal fillers include Juvéderm and its products (Voluma, Ultra, Ultra Plus, and Volbella), Restylane, and Radiesse (calcium hydroxylapatite).
Dermal fillers combined with Botox can work wonders in rejuvenating the face. They create a powerful anti-aging treatment that gives the face a natural lift as they relax and fill in those lines, wrinkles, and hollow areas while redefining the contours of the face.
Treatments For Skin Resurfacing and Tightening
Laser, light, and energy devices can help address signs of aging such as fine lines and wrinkles, blemishes, and pigmentation through short and direct pulsating beams of light that create heat points or micro-injuries in various depths of the skin, triggering the skin’s natural healing process. Skin becomes smoother, tighter, and clearer, with improved tone and texture. Examples of treatments include:
CO2 Resurfacing Laser Treatment – creates microscopic treatment areas where shafts of intense light penetrate into the deeper layers of the skin. During the healing process, old, damaged skin is replaced with new skin that is smoother, tighter, and more radiant. The laser effectively treats acne scars, blotchy skin, deeper wrinkles, and scars from surgery or trauma.
Ultherapy – Dr. Miller is among the first in New York City to offer the Ultherapy treatment for toning and lifting loose, lax skin without any downtime. It uses safe ultrasound energy to trigger collagen production, resulting in tighter skin and a more youthful, contoured appearance on the brow, chin, and neck.
Fractora & Fractora Firm – Fractora utilizes fractional radiofrequency technology to resurface the skin, effectively correcting common skin concerns such as fine lines and deep wrinkles, redness, brown spots, visible blood vessels, and poor skin texture. On the other hand, Fractora Firm is an advanced skin rejuvenation treatment that uses thermal energy to deeply heat beneath the skin, stimulating collagen formation which results in tighter, more youthful, and glowing skin.
Choosing the Right Surgeon
Focusing exclusively on the face for more than two decades in New York City, double board-certified facial plastic surgeon Dr. Philip Miller seamlessly blends art and science with skill and innovation to provide his thousands of patients with impeccable results. With his compassionate and empathetic approach to treating patients, he will work with you to highlight your best attributes instead of focusing on your flaws. And with the many non-surgical procedures he can perform, transformation need not be drastic. Enhancing your features could mean subtle yet beautiful, natural-looking results that will help you achieve the best version of yourself.
Consult With New York’s Facial Plastic Surgery Specialist
Dr. Philip Miller and his team of top-rated facial plastic surgery experts can provide you with a custom cosmetic treatment plan consisting of a combination of advanced, non-surgical procedures that will help you achieve the Aesthetic Confidence you desire. To learn more, contact Dr. Miller today.
