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What Is the Best Age for a Nose Job?

The best age for a nose job will depend on a variety of factors, including the patient’s reason for seeking the procedure. Although there are no concrete age guidelines, this overview can help you determine whether now is the right time to pursue nose surgery. 

Rhinoplasty is the surgical reconstruction of the nose. In nose surgery, doctors reshape the nose by removing excess tissue, correcting crooked cartilage, and augmenting the nose to improve its appearance. The type of rhinoplasty procedure performed depends on the results you hope to achieve and the unique characteristics of your nose.

Rhinoplasty to remove a bump from the nasal bridge and enhance the facial profile of a female patient.

There are also medical reasons an individual may choose to have a nose job. The nose is a complex structure that plays an important role in the health and well-being of the body. The nose is responsible for airflow into and out of the mouth, which is essential for breathing, eating, and talking. The nose also plays a critical role in the sense of smell.

The nose has both cosmetic and medical functions that require surgical corrections. Many young patients feel insecure about their noses and seek rhinoplasty for cosmetic reasons. But how young is too young for a rhinoplasty procedure? 

At what age can you get a nose job?

There are no concrete age requirements for a rhinoplasty procedure, but many surgeons suggest waiting until around 18 years old for a nose job to ensure facial features are fully developed.

Facial features mature at different rates and patients have different reasons for a rhinoplasty procedure. This is why speaking with a board-certified expert rhinoplasty surgeon who can evaluate your nose and give you a personal recommendation is so important.

rhinoplasty surgeon, Dr. Philip Miller consulting with a patient in NYC

Can I get a nose job at 14, 15, 16, or 17?

Yes, teenage patients can get a nose job between the ages of 14-17 in some circumstances. However, a cosmetic rhinoplasty procedure for 14-17 year-olds is less common because their facial features may still be changing. In the younger age group, a medical rhinoplasty is more common to fix issues like a cleft palate or breathing problems.

A rhinoplasty procedure for young patients should be an open discussion between the patient, parents, and the plastic surgeon. Outside of facial maturity for the process, it is essential to consider emotional maturity to understand the life-changing effects of a nose job. Rhinoplasty surgeries are complex procedures that require significant recovery. Final results can take up to one year and requires patients to follow careful post-operative instructions to ensure an optimal outcome.  

Boys and girls reach facial maturity at different ages. Girls typically have full development around 14-15, while boys don’t tend to fully mature until around 16-18. It is a very individualized decision that is less about age and more about developmental and emotional maturity.

teenage rhinoplasty patient in new york city

Philip J. Miller, MD, FACS, is double board-certified facial plastic surgeon specializing in rhinoplasty procedures and facial rejuvenation. With more than two decades of experience, Dr. Miller provides customized and innovative care to all patients. When it comes to teenage rhinoplasty patients, he is very conservative in his approach to evaluating candidates. Expectations are critical when determining if a young patient is ready for the procedure.

Dr. Miller assumes professional responsibility for involving parents in a thorough assessment of psychological and developmental maturity. In some cases, Dr. Miller asks trusted psychologists to help during the process to ensure a comprehensive evaluation of each patient. Teens that move forward with surgery can expect many benefits from working with an expert, including:

  • Improved self-confidence
  • Better health and structural harmony
  • Comfortable breathing
  • Natural results

Dr. Miller uses the Natralook® procedure to help patients explore their aesthetic confidence. It is an enriching process that provides a safe and supportive space to discuss personal challenges and desires. For any patient, regardless of age, it is essential to work with a surgeon that has a unified vision and experience creating natural results.

Are you thinking about rhinoplasty? Contact us to schedule a consultation and learn more about teenage rhinoplasty procedures.   

Should You Get A Facelift After Massive Weight Loss?

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. 

facelift after a massive weight loss

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.

Facelift to address skin sagging and loss of volume by Dr. Miller. After surgery, patient has a more defined jawline and cheekbones and looks refreshed and more youthful.
does facelift makes you look younger

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 is also called the ponytail lift because it mimics the results of pulled-back hair. 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. 

Do I Need a Spreader Graft?

Spreader grafts are a common technique used in rhinoplasty and rhinoplasty revision. They are grafts of cartilage placed between the upper lateral cartilages and the septum to widen the middle third of the nose. These grafts assist with vestibular stenosis and help prevent depressions and concavity in the middle third of the nose.

Dr. Philip Miller is a double board-certified facial plastic surgeon in facial plastic and reconstructive surgery and head and neck surgery located in the heart of Manhattan. Dr. Miller specializes in cosmetic facial procedures and is a leading expert in rhinoplasty and facial rejuvenation. Dr. Miller and his highly acclaimed team offer customized treatments in New York City, NY, and New Orleans, LA. 

Do I need a spreader graft?

A spreader graft may be useful during a variety of rhinoplasty procedures, including the following:

When a hump is removed, a spreader graft is used to strengthen and support the middle third of the nose. The hump contains delicate connections of cartilage and bone, so removing it increases the risk of the nose falling inward. Spreader grafts prevent a concave nose by adding structural support.

If there is a bend in the middle of the nose, it can be corrected with a spreader graft. In this case, the graft addresses the asymmetry of the nose and may improve the airway passages for easier breathing.

Nose trauma or a previously failed surgery can lead to depression in the middle third of the nose. A spreader graft can provide adequate support to the nose and rebuild the dorsum.

Patients that have medical issues and require better airflow can use a spreader graft to improve the internal nasal valve, the narrowest part of the nasal airway.

What is spreader graft in rhinoplasty?

During a rhinoplasty or rhinoplasty revision, a spreader graft is used to correct a specific problem. It is typically used to fix functional issues, like breathing, in the middle section of the nose between the nasal tip and below the nasal bone. In rhinoplasty, a spread graft is used to add support to the nose after a hump reduction or open the internal nasal valve for better breathing.

While the practical uses are ideal for breathing improvements, a spreader graft can also help solve cosmetic issues. A spreader graft can correct a twisted nose by only placing the graft on one side of the nose to straighten it. They can also be used in rhinoplasty revision to keep the septum straight. In some cases, they restore support that might have been lost after the initial rhinoplasty procedure.

Benefits of a Spreader Graft

A spreader graft offers many benefits, including:

  • Permanent solution for functional and cosmetic problems
  • Improves airway passage
  • Provides structural support for long-lasting rhinoplasty results
  • Balanced nose shape that is harmonious with other facial features
  • Prevent future problems and revision surgeries

About the Procedure

A spreader graft can be placed during an open or closed rhinoplasty procedure. The best option is during an open rhinoplasty so that surgeons have a clear view of the treatment area for accurate placement. The actual graft is made from the patient’s cartilage, usually from the septum or ear, if the septum cartilage is minimal.

The spreader graft is usually placed on both sides of the septum to widen the internal nasal valve. The graft is sewn into place with sutures, and then the upper lateral cartilage is put back into place for the middle vault reconstruction. It is an extensive surgical procedure that requires anesthesia and adequate recovery time.

Like any rhinoplasty procedure, performing a spreader graft requires extensive recovery before final results are evident. The graft placement itself is vast and can take up to 3 hours depending on if it is a combination procedure. Any incisions are minor and heal quickly with minimal scarring. Many patients have bruising and swelling for several weeks after the surgery and can expect most of the swelling to subside within a month or two. However, it can take up to a full year before swelling is gone entirely.

Dr. Miller analyzing a patient's nose during a consultation for rhinoplasty in NYC

Spreader grafts before and after

In some cases, a spreader graft does not add any cosmetic value to the nose and does not produce visible outward changes. When used to improve nose function, the changes are only internal and will be apparent to the patient with better breathing.

When spreader grafts are used to add support and change the shape of a nose, there are noticeable outward changes after surgery. A spreader graft can result in dramatic changes when a nose is collapsed or twisted.

Spreader grafts in Manhattan, NYC

Dr. Miller is a top plastic surgeon in New York City and New Orleans with more than 20 years of experience and thousands of successful surgeries. Dr. Miller and his team strive to create stunning and natural results with NatraLook®. The NatraLook process expands the typical plastic surgery experience into a safe opportunity to explore aesthetic confidence. Patients work closely with Dr. Miller to create a unified vision and work through obstacles to achieve natural results.

Contact us to schedule a consultation and determine if spreader grafts are right for you. 

5 Rhinoplasty Trends in 2022

Rhinoplasty surgery was the most frequently requested cosmetic surgery in 2020, with over 352,000 procedures performed. 

Facial plastic surgeon, Dr. Philip Miller in New York City—one of the country’s leading experts in rhinoplasty and facial rejuvenation—can help you achieve a nose you’ll love. You may choose traditional rhinoplasty to reduce or reshape the nose. For other patients, non-surgical rhinoplasty is the right choice to achieve their aesthetic goals. 

rhinoplasty before and after results in NYC Let’s look ahead at five rhinoplasty trends we expect to see in 2022. 

1. Zoom Boom Brings Rhinoplasty Boom 

Because of the COVID-19 pandemic, 2020 was a challenging year for many businesses. But for Zoom, the video-conferencing giant, lockdown and working from home brought unprecedented growth. 

Zoom usage jumped 67% between January 2020 and mid-March, when non-essential businesses and schools closed. The Zoom Boom also resulted in significant growth to an entirely different industry—cosmetic surgery. 

The built-in cameras on our computers are clearly not designed to flatter the human face, and many people weren’t pleased with the reflection they saw on their computer screens. 

The unflattering camera angle highlights facial flaws, such as wrinkling and sagging. People noticed unfamiliar lines, creases, and asymmetries as they saw themselves speaking on camera. 

It’s not surprising that the Zoom phenomenon caused a booming demand for cosmetic procedures such as dermal injectables, laser treatments, and eye lifts. 

On a Zoom conference call, the position of the computer’s camera relative to the user puts the focus on the center of the face, making the nose appear larger. As a result, demand for rhinoplasty significantly increased as well, and will likely continue into the New Year. 

2. The Need for Natural 

male rhinoplasty before and after results in New York City

In Manhattan, Dr. Miller is renowned for the natural results he achieves for his patients, both with traditional rhinoplasty—for patients desiring more significant changes and permanent results—as well as non-surgical rhinoplasty, for patients seeking relatively minor corrections. As demands for natural results will continue to be a factor in 2022, Dr. Miller is prepared to deliver satisfying results to his New York patients.

Rhinoplasty, also known as a nose job, is a surgical procedure that can improve the appearance of the nose by reshaping, reducing, augmenting the tissue, removing a bump, or adjusting the angle between the nose and the mouth.

A major benefit of rhinoplasty is that it’s typically a “one-and-done” procedure. Once the surgery is complete and the nose has fully healed, patients can enjoy the improvements over their lifetime.

If you’re dissatisfied with your nose because of minor depressions or hollows that affect its overall appearance, non-surgical rhinoplasty may be the right solution for you. 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 determine which fillers might help you achieve the best results and how long the improvement might last. 

3. Faster Recovery Times 

Plastic surgeons today are starting to use techniques to minimize post-procedure discomfort and healing time. Rhinoplasty is typically performed as an outpatient procedure under general anesthesia, and patients return home on the same day. While you may be up and moving within 24 hours, expect to take up to a week off from work or school as you heal. 

For the first several days, you’ll need to keep your head elevated and apply ice packs to reduce swelling. Most swelling and bruising subsides within a week following rhinoplasty. Nasal dressings, splints, and sutures are removed at about seven days after surgery. At this point, any residual bruising can be effectively camouflaged with makeup. Most patients feel comfortable appearing in public at about 7-10 days post-surgery.

Swelling will continue to subside and the nose may continue to improve in definition for up to a year after surgery. However, beyond the first week, these changes are subtle and typically not noticed by others. Many patients are pleasantly surprised at how quickly they recover from rhinoplasty. 

4. The Combination Approach

Achieving facial balance sometimes means making adjustments to the chin at the same time as the nose. Dr. Miller’s expertise with both procedures produces superior results. 

nose job before and after results in NYCWhen rhinoplasty surgery is performed to improve the overall shape and appearance of a nose, a receding chin could diminish the aesthetic effect of the face, making it look unbalanced. 

To achieve the best possible results with rhinoplasty, the proportions of the entire face must be considered. If your chin is well defined and proportionate to your new nose, your overall appearance will be aesthetically enhanced by rhinoplasty alone.

If you have a receding chin, however, chin augmentation surgery performed along with rhinoplasty surgery can give your face balance that rhinoplasty alone could not have achieved. Therefore, many board-certified plastic surgeons are beginning to suggest chin augmentation with rhinoplasty for certain patients.

Recovery after a chin implant takes around two weeks. You may experience swelling, tenderness, and bruising in the chin area immediately after the procedure, but most of these symptoms will diminish within about a week. Eating soft foods during the first week after surgery will help to make your recovery period more comfortable.

5. Image Morphing 

The ability to “see” your results before surgery is a benefit that more patients are wanting from their rhinoplasty surgeon. At his Manhattan office, Dr. Miller uses computer imaging to help patients visualize their new nose before undergoing surgery. Besides helping communicate the goals of the patient to the surgeon before the procedure, image morphing also helps ensure patient expectations are in line with results.

If you have difficulty visualizing what your ‘after’ may look like, image morphing can help. While the final result may not be absolutely identical to the morphed picture, it provides a good idea of what you can expect.

The NatraLook Process

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 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 creates a unified vision of your desired result so that you and New York surgeon Dr. Philip Miller know what to expect. 

Contact an Expert Plastic Surgeon to Learn More About Rhinoplasty in New York City

Whichever procedure you ultimately choose, Dr. Miller can help you achieve your goals. His approach combines art and science with skill and innovation, providing patients in Manhattan, New York, aesthetically pleasing, natural results that are always in style.

To learn more about rhinoplasty surgery and non-surgical nose jobs, contact us online or call our practice in New York. One of our patient advisers will be happy to help you.

Fresh Face for Fall

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. 

Facelift, neck lift, dermabrasion and earlobe repair to enhance the appearance of a female patient by Dr. Miller. Surgery and treatment reduces jowl formation and wrinkles while firming and smoothing skin.

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. 

mini facelift before and after results in NY, NY

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. 

Rhinoplasty to remove nasal hump and refine tip by Dr. Miller. After surgery, dorsal hump is gone and nasal tip is slightly rotated for a more attractive profile.

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.

restylane filler for non-surgical facelift in new york

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.

 

7 Questions to Ask Your Facelift Surgeon

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, a facelift 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 you schedule 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.

before and after results of a facelift performed in NYC, NY

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?

facelift surgery results in NYC There are several options with facelift surgery, so during your consultation with Dr. Miller, you will learn about the different 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’s NatraLook 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.

facelift surgery results in Manhattan, NY

4. Where and how will you perform my procedure?

Dr. Miller performs all facelift procedures in the surgical suite of his Manhattan 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

facelift before and after results on a NYC patient

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 is normal after surgery.

Facelift surgery of any kind may produce some swelling or bruising. If you experience any unexpected symptoms, do not hesitate to contact 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 the before 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.

 

Functional or Cosmetic Rhinoplasty – Which One is Right for You?

The decision to schedule an elective or medically necessary surgery is not an easy one, and should be done with the goal of correcting a physical feature or medical condition to gain self-confidence or improve quality of life. Rhinoplasty is a surgical procedure that may provide multiple benefits for a patient, from cosmetic enhancements to improve appearance, to reconstruction of a nose or associated anatomy, such as the septum, to improve function. 

Dr. Philip Miller is a double board-certified facial plastic surgeon and recognized expert in rhinoplasty. He will guide you in making the right decision on which procedure is best – functional, or cosmetic rhinoplasty. Your self-confidence and your health deserve the very best, and Dr. Miller can give you exactly what you need. Whether you are a patient in Manhattan, New York, or New Orleans, Louisiana, you will find the best with Dr. Miller. 

What is Functional Rhinoplasty?

rhinoplasty surgeon, Dr. Philip Miller consulting with a patient in NYC

The meaning of functional rhinoplasty is in the title – the surgery provides improved functionality to the respiratory system by altering the nose, septum, or other parts of the nose to improve breathing. Functional rhinoplasty, such as septoplasty, turbinate reduction, or surgery to mend a broken nose, can correct internal nasal anatomy that is otherwise impeding the normal process of breathing.

Reasons for a Functional Rhinoplasty

Patients who seek Dr. Miller’s expertise with functional rhinoplasty procedures may have one of a number of reasons to schedule a surgical procedure, which may include:

  • Nose injury due to trauma
  • Birth defect
  • Deviated septum 
  • Other conditions, such as severe allergies that alter the internal anatomy of the nose

Any of the above conditions have the potential for causing problems with breathing or other respiratory functions, so it is very important to choose a facial plastic surgeon for your procedure. Their training is extensive as they are also board-certified ENT physicians and have a thorough understanding of the anatomy and functionality of the nose. A comprehensive consultation with Dr. Miller and the NatraLook process guides you in making your decision to schedule your procedure. Let the results of your surgery, not the condition of your nose, take your breath away.

cosmetic rhinoplasty results in New York City, NY

What is Cosmetic Rhinoplasty?

Cosmetics improve the appearance of the face; foundation, eyeshadow, liner, blush, powder, mascara, and lipstick are the basic tools in anyone’s makeup kit, but what if one feature of your face is not to your liking? Simple cosmetics may enhance the eyes, cheeks and lips, but the nose cannot change its size or shape with shading or color. A cosmetic procedure, however, can reshape or resize your nose in a number of ways to streamline and give your nose a better, symmetrical appearance.

Dr. Miller can give you a new reason to smell the roses with cosmetic rhinoplasty that can do some of the following:

  • Straighten a crooked nose
  • Create better proportion between the nose and the face
  • Reduce or widen nostrils
  • Alter the tip or angle of the nose to improve appearance
  • Remove a bridge bump

These are just a few benefits of a cosmetic rhinoplasty procedure a patient may see after surgery with Dr. Miller, whose expertise will provide amazing results. Reading about cosmetic rhinoplasty is the beginning; take the next step by browsing the before and after gallery of patients who scheduled an appointment with Dr. Miller. You may find your way to the contact page sooner than you think to schedule your own consultation! 

graphic illustrating the benefits of a cosmetic rhinoplasty in New York City

What About Septoplasty?

Septoplasty is one of several types of rhinoplasty that is performed to correct a deviated, or crooked septum. The septum is a strip of cartilage in the center of the nose that creates an even divide between the nasal passages, but some people have a septum that is deviated enough to cause severe breathing or sinus problems. Septoplasty is a functional rhinoplasty surgery that can improve the quality of life by straightening the cartilage in the septum, which allows air to pass normally through each nasal passage. Dr. Miller explains how rhinoplasty, and in this case, fixing a deviated septum, can give you a breath of fresh air again. 

Because a true septoplasty or functional rhinoplasty may be considered medically necessary, the surgery may be covered by your insurance plan. A combination rhinoplasty (functional and cosmetic) may be partially covered by your insurance plan. 

The Combination Approach

functional rhinoplasty before and after results in Manhattan, NYC

Functional and cosmetic rhinoplasty both provide a patient with a positive outlook and more self-confidence with improved appearance and breathing. But can one procedure provide the same results as the other?

Functional rhinoplasty, such as septoplasty, may improve the appearance of a patient’s nose; since part of the cartilage may be removed to straighten the septum, this may act as an added benefit for the patient as it provides a cosmetic effect. Conversely, a patient undergoing cosmetic rhinoplasty to remove a dorsal hump (on the bridge of the nose) may experience improved breathing, as the cartilage in the nose is reduced and altered to change the overall appearance of the nose. 

Whether you are changing the appearance of your nose, or improving your ability to breathe, you may experience a combined benefit with long-lasting effects.  To learn more about both functional and cosmetic rhinoplasty, please read this blog from American Society of Plastic Surgeons.

A Complex Procedure

The nose is an intricate and unique part of the face that provides your sense of smell and allows you to breathe. On the surface, you want your nose to look pretty and proportional, and ideally, all of the internal facets of your nose should work together to act as an intake for oxygen. Rhinoplasty is a common, yet delicate procedure that requires the expertise of a double board-certified facial plastic surgeon to ensure that your surgery, whether functional or cosmetic, is successful, and meets your expectations. 

One of the added benefits of choosing Dr. Miller as your surgeon is the inclusion of the NatraLook process that goes beyond the run-of-the-mill surgery, providing you the opportunity to discuss your needs with Dr. Miller, and creating the best experience that aims to give you confidence and build trust with your surgeon. 

Schedule a Consultation With a Plastic Surgeon Today

Rhinoplasty is a path to the new look or breath of fresh air that you have been waiting for! Dr. Miller serves his patients in Manhattan or New Orleans, so make the call or schedule your appointment online now!

Revealing Results of a Rhinoplasty: Watch This Young Woman’s Unbelievable Reaction

Transforming Lives Through Results Is What Rhinoplasty Is All About…

Meet this patient of Dr. Miller’s. She can hardly believe her new nose. For most individuals who are seeking nose surgery, they are looking to alter more than just their aesthetic appearance. They are on an authentic quest to enhance their lives through the power of reclaiming one’s self-esteem. After all, looking good is meaningless if you do not truly believe that you are beautiful or have feelings of worthiness. Self-consciousness is a stressful and daily struggle. Yet, everyone from young adolescents to mature adults experience displeasure with their looks- especially their nose.

The nose is such an imperative feature and focus of everyone’s facial structure, restoring balance and symmetry from many different angles. Dr. Miller’s team was overwhelmed with joy after capturing this reveal of the results of the self-confessed, life-altering rhinoplasty surgery for this young patient. She not only acknowledges the contribution and impact that a new and improved nose will make on her overall life, but also she expresses her gratitude for the highly-skilled hands of Dr. Miller and leading his team under the right guidance and direction. From the assessment process throughout the procedure, all the way up until the total makeover moment, Dr. Miller is thrilled to change the lives of his patients for the better.

Watch this happy rhinoplasty patient of Dr. Philip Miller’s. Her reaction to her improved nose made us all happy to share the moment with her. See her final result.


 

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3-D Rhinoplasty in NYC

3-D Rhinoplasty results in NYC Reasons For Rhinoplasty

  • Nasal issue that makes breathing through the nose difficult.
  • An injury of your nose or facial structure that may need reconstructive work.
  • Genuine dissatisfaction with the appearance of your nose.

When making your decision, there are various types of rhinoplasty that may be a solution.

-But is there such a thing as a 3D Nose Job you ask?

Yes. Dr. Miller has incorporated 3-D technology into his practice and is capable of showing you your intended result in 3-D. A modification of the tip from the side can be viewed simultaneously in every direction. This allows the surgeon to not only assess from every angle and determine an appropriate strategy and treatment plan, but the opportunity for you to virtually see the results. This ensures a patient’s expectations and if their desired, expectations/results can be achieved. The accuracy of the optimal aesthetic can be executed using the most innovative techniques step by step.

Otherwise Known As:

First of all, virtual rhinoplasty is NOT rhinoplasty. I had to get that out there because I’m sure someone would read “virtual rhinoplasty” and think of it as an alternative to the actual procedure or surgery. It’s not. Virtual rhinoplasty supplements the procedure by providing a more reliable picture (literally) of what the end result will be.

Virtual Rhinoplasty allows you the ability to access one’s options but also their success rate before ever even stepping foot into a surgical suite. Through the most cutting-edge (pun-intended) computer imaging and advanced technology, potential nose job patients no longer feel doubt or apprehension when considering surgical treatment.

The Patient Benefit of Going 3D

  • By utilizing 3D virtual and digitized imaging, you are eliminating unrealistic expectations and offering an accurate understanding of the outcome of each procedure.
  • Since the nose is the focal point of the face, people need to visualize the potential success and the various methods being used by their trusted surgeon.

The positive news is through virtual rhinoplasty these concerns are becoming a thing of the past. Patients can now experience total ease and comfort from the consultation, the procedure being performed and the completion of the recovery process.

Exploring Every Option

  • Virtual rhinoplasty allows you to explore every treatment option and possible method for achieving the right proper aesthetic.
  • Through the computer software, individuals may see how the various techniques will impact the final design of the nose.
  • The pre-operative photographs are key for analyzing a nose from different angles and essentially manipulating the photos to precisely predict the execution method with a specialized, virtual rhinoplasty computer program.
  • Your overall aesthetic will benefit as changes in tip contouring and nasal reshaping will become more evident and the tool will prove best efficient for choosing the procedure that will increase optimal results.

Virtual Break Down

Your nose is photographed using a 3D camera.

The resulting image is manipulated to show, with surprising accuracy, how you will look after the procedure.

There are two advantages to this.

  • First, you can enter the procedure with realistic expectations of the end result. This is a helpful aid in making the decision to have the work done or not.
  • Second, you can discuss the outcome with the surgeon who can also provide you with possible visual alternatives (depending on what they need).

This allows you more control over the outcome than would be available without 3D imaging technology. It’s really a “win-win” for you and your doctor alike.

Window Into The Future

With a window into the future, virtual rhinoplasty improves the communication between the surgeon and the patient, as well as a boost in confidence and of course, appearance! Dr. Miller is renowned for his experience successfully working with patients to realize their nose job goals. With virtual rhinoplasty, Dr. Miller is able to reinforce his expertise with the exceptional computer-generated images.

Never before has a rhinoplasty patient had such clarity into what to expect after a nose job procedure. If you’re on the fence about how rhinoplasty can improve your overall appearance, Virtual Rhinoplasty gives you an extremely accurate view into the “new” you.

 

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