What not to do after Botox?

Aging is something we all experience as a natural part of life. We cannot stop it, but it is something we can manage through lifestyle choices, diet, exercise, and professional treatments like Botox®. Botox Cosmetic has been around for a long time and has been shown to turn back the clock by smoothing away some types of wrinkles on the face.

Botox is a minimally-invasive treatment that does not require any downtime afterward. However, there are still things you should and should not do after your Botox treatment to ensure the best possible results.

What to Expect After Your Botox Treatment

Botox is an FDA-approved injectable treatment that helps soften wrinkles and lines to reduce signs of aging. If it’s your first Botox treatment and you don’t see improvement when you walk out of your provider’s office, don’t panic. Many patients don’t see immediate results. It can take 2-10 days to see a reduction in those wrinkles. Your provider will likely take before and after photos to help you see the actual improvements in your wrinkles over time.

Botox treatments do not require anesthetics and most patients find the treatment to be relatively comfortable. It is a minimally-invasive treatment with few, if any, side effects. Some patients may experience:

  • Tenderness
  • Mild swelling
  • Light bruising
  • Redness
  • Headache
what not to do after botox

What Not to Do to Your Face after Botox Injections

Like any cosmetic procedure, it is important to follow aftercare instructions to ensure proper healing and maximum results. Results vary by patient and can be impacted by bad habits and improper care, including:

Rubbing your Face

Botox is injected into precise treatment areas to tackle cosmetic issues like lines and wrinkles. Continuous rubbing and touching can impact the spread of the injectable and alter results. Keep your hand away from your face for at least one day after treatment to allow it to treat the intended muscles.

Lying on your Face

Much like rubbing your face, resting or sleeping on your face can cause the treatment to pool to an unintended area. Stay upright for at least four hours after a treatment and try to sleep on your back for the best results.

Applying Makeup to Your Face

Putting makeup on the face calls for unnecessary rubbing and pressure that can disperse the treatment to areas outside the target zone. Avoid applying makeup for at least 24 hours after a Botox treatment.

Getting Treatments on the Face

what to avoid after botox

Other facial treatments like peels and lasers can interfere with Botox. Schedule other treatments at least one to two days after Botox to allow the injectable to settle. Your provider should be able to help you set up a treatment schedule to ensure you get the most out of all your procedures.

What to Avoid After Botox

It is important to understand that there are certain things that you should avoid after your injection. After a Botox injection, you should follow aftercare instructions and avoid:

Alcohol

Alcohol can thin the blood and cause bruising after a Botox treatment. It is best to avoid consuming alcohol for at least one to two days before and after an injection.

Some Medications and Supplements

Like alcohol, aspirin is a blood thinner that can cause bruising or bleeding. Ask your surgeon which medications and supplements to avoid before and after a treatment.

Exercise

While exercise and physical activity are recommended for a healthy lifestyle, they should be avoided for a day or two after a Botox injection to ensure no severe side effects.

Sun Exposure

Avoid direct sun exposure after a Botox treatment, especially for patients that experience redness or swelling, as it can lead to sunburn.

what you shouldn't do after botox injections

What to do After Botox

The most important thing to do after a Botox treatment is to be proactive in getting after-care instructions from your injector. You can also follow a few easy steps to ensure your Botox will be effective.

Move Your Face

Face exercise can stimulate the muscles and lead to faster visible results. It is important not to touch your face, but you can make different faces like frowning, smiling, and eyebrow raises to stretch your muscles.

Wash Your Face (Very Gently!)

You can wash your face after a Botox treatment, but it is essential to use a gentle cleanser and be gentle with your hands. Do not scrub or apply pressure and use cool water.

Remain Upright for the First Four Hours

To allow Botox to settle and treat the intended area, it is important to stay upright for at least four hours after an injection.

Schedule Your Botox Treatment in Manhattan

Botox is a quick, effective way to address a variety of facial lines to create a more youthful appearance. By taking a few simple steps after your procedure, you can ensure your treatment is both safe and successful. 

Gotham Plastic Surgery is a renowned surgery center in Manhattan, New York, that creates personalized treatment plans to ensure patient satisfaction. Dr. Philip Miller, a double board-certified plastic surgeon with more than 20 years of experience, and Dr. Douglas Steinbrech, a board-certified plastic surgeon specializing in minimally invasive procedures, are discreet, confidential, and offer a range of procedures, including Botox, in an accredited facility.

Gotham Plastic Surgery aims to create natural results for each patient using the NatraLook® process. This process empowers patients to make informed choices and enhances aesthetic confidence. Contact us to schedule a consultation and learn more about Botox.  

Can You Slow Down the Aging Process?

Aging is an inevitable part of life. Skin is the most visible indicator of aging and can even show early signs of aging with wrinkles, fine lines, creases, and sagging skin. Lifestyle has a significant impact on aging and can even slow the process down. It’s important to make healthy choices and use proper skincare and protection to preserve natural beauty.

Gotham Plastic Surgery is a plastic surgery center led by two double-board certified plastic surgeons, Philip Miller, MD, FACS, and Douglas Steinbrech, MD, FACS. These Manhattan plastic surgeon experts can help you slow down signs of aging to achieve stunning and natural-looking results.

When do you start aging?

Genetics and lifestyle both play a role in when we begin to age and how aging shows up in our hair, skin, and body. By your 20s, many individuals already begin to age due to unhealthy lifestyle habits, environmental damage, and constant UV exposure, which can cause skin cells to weaken, and slow down the natural cell renewal process.

In your 30s, skin is typically still firm and elastic due to collagen and elastin. However, the body’s production of these critical proteins begins to decline by this time, leading to a dull complexion and wrinkle formation. In your 40s, the skin begins to thin, and the fatty protective barrier is not as strong. More prominent signs of aging can appear in your 40s and continue due to reduced hydration retention, chronic stress, inflammation, and other health conditions.

Aging is not an overnight process. Our skin and bodies go through stages of decline that slowly lead to wrinkles, fine lines, creases, and sagging skin.

How does the skin age?

The most common culprits that speed up the aging process or produce early signs of aging for some individuals include:

  • Genetics
  • Environmental factors
  • Lifestyle choices like diet and exercise
  • Sun exposure

The skin is complex with many layers and functionalities and can age in many ways, including:

  • The body’s production of collagen and elastin decline, diminishing the skin’s natural support system and leading to skin laxity and wrinkles.
  • The number of cells containing pigment decrease in size and amount, leaving skin thinner and paler.
  • The outer layer of skin thins even though cells are being produced.
  • Blood vessels in the dermis are more fragile and can lead to increased bruising and bleeding under the skin.
  • Glands produce less oil and can lead to itchy, dry skin that lacks hydration.
  • Skin tags, warts, brown patches, and other blemishes are more likely to appear.
  • The naturally-protective lipid barrier lessens.

Preventative Tips to Slow the Aging Process

Thankfully, our skin and bodies are resilient and respond well to positive lifestyle changes and interventions. It is never too late to make healthy choices and take proper care of your skin to help slow the aging process. You can slow the process by:

  • Using daily sun protection
  • Avoiding the tanning booth and using a self-tanning lotion
  • Kicking the smoking habit
  • Eating a balanced diet and exercising several times a week
  • Sticking to a dermatologist-recommended skincare regime
  • Applying moisturizer every day
  • Getting at least 8 hours of sleep
  • Reducing your sugar and alcohol intake

Treatments that Reverse Aging

Even when you meticulously follow the steps above, aging will eventually create wrinkles, lines, and sagging skin that is difficult to manage without professional treatments. There are many surgical and non-surgical procedures that can help reverse the signs of aging.

Collagen stimulating treatments

reverse aging procedures new york

Collagen stimulating treatments boost your natural collagen production to help improve skin firmness, texture, and laxity. Gotham Plastic Surgery offers several treatments, including:

  • Face-Tite™: This treatment uses radiofrequency-assisted liposuction technology to contour the face and neck. It can tighten skin for a smoother, more youthful appearance.
  • Body-Tite™: This contouring and cellulite removal procedure removes signs of aging by increasing collagen production.
  • Laser skin resurfacing: This cosmetic laser procedure removes the outermost layer of skin to treat wrinkles, scars, and hyperpigmentation.
  • Ultherapy: This non-surgical procedure uses ultrasound energy to tighten and refresh the skin while boosting collagen levels deep in the dermal tissue.

Wrinkle Reducers 

forehead wrinkles reducer in new york results

Botox® is a popular Manhattan wrinkle reducer that is safe, quick, and highly effective. Botox is ideal for eliminating expression lines that often appear around the upper face without downtime or discomfort. Gotham Plastic Surgery also offers hyaluronic acid (HA) dermal fillers and injectable collagen stimulators to restore volume and reduce fine lines on the lower face, neck, lips, and hands.

Surgical Solutions

surgical solutions to reduce wrinkles before and after

Non-surgical solutions can help slow the aging process and produce excellent results. When patients are experiencing significant aging and want to turn back time with longer-lasting improvement, numerous surgical procedures can tackle multiple concerns, often with a single surgery. Dr. Miller and Dr. Steinbrech offer:

  • Facelift: This procedure targets the mid-to-lower face and neck. It tightens muscles, removes excess fat and skin, and reduces the appearance of deep creases.
  • Neck Lift: The neck can be an instant age give-away, and this procedure improves the appearance of the jawline and neck by removing loose skin and fat deposits.
  • Tummy tuck: This procedure removes excess fat and skin to flatten and shape the abdomen and waistline.
  • Body Lift: This surgery is intended for individuals who have achieved significant weight loss and have folds of loose skin left over as a result. The procedure removes excess loose skin to contour the torso and upper legs.

Why Gotham is Your Go-To Place for All Your Anti-Aging Needs

Aging can be a sensitive subject, and it takes subject experts to educate patients on specific concerns and treatment options. Gotham Plastic Surgery doesn’t focus on eliminating signs of aging; Dr. Miller and Dr. Steinbech concentrate on creating a personalized treatment plan for natural-looking results. They use the NatraLook® process to empower patients to explore their aesthetic beauty and find confidence in their unique appearance.

Contact us to schedule a consultation and learn more about the right anti-aging procedures for you. 

What is Preventative Botox?

You’ve probably heard about Botox® Cosmetic and (most likely) have put that treatment option onto your beauty bucket list of things you’ll do in 10 to 15 years. Botox is one of the most popular anti-aging treatments in the world, and it wouldn’t hurt to be equipped with the right tools to smooth out those unwanted lines and wrinkles in the future. 

But did you know that Botox can also be used to stop wrinkles in their tracks? It’s called “Preventative Botox” – a now-trendy “tweakment” for stopping the clock on aging.

Dr. Miller injecting preventative Botox in his New York office

Philip J. Miller, MD, FACS, is a double board-certified facial plastic surgeon who is considered one of the country’s foremost experts in facial rejuvenation. Focusing exclusively on the face for more than two decades, he blends art and science with innovation and skill to provide thousands of his Manhattan, New York patients with impeccable results – including smoother and younger skin, courtesy of Botox. 

What is Botox?

To better understand how preventative Botox works, you must know what Botox is designed to do. Every time you make a facial expression, a muscle contracts and a crease develops as your skin moves. When the muscle relaxes, the line disappears – these are known as dynamic lines because they are associated with repetitive expressions such as smiling, frowning, and squinting. 

Neuromodulators like Botox Cosmetic block nerve impulses from entering the muscle to reduce its activity, and as the muscle relaxes, frown lines, crow’s feet, and other dynamic wrinkles smooth away.

What is Preventative Botox?

Just like it sounds, preventative Botox involves using early Botox injections to prevent the formation of lines and wrinkles. As the saying goes, “an ounce of prevention is better than a pound of cure,” and preventative Botox is that ounce of prevention that keeps those wrinkles at bay. 

When to Start Botox: How Old Do You Have to be to Get Botox?

If you’re looking for a fixed and definite rule that clearly states when you should exactly start getting Botox – there isn’t one. Although many patients start getting their preventative Botox treatments in their 20s and 30s, there is no exact age recommendation to consider. 

Instead of worrying about what age to start Botox, focus on your skin. Once you begin noticing the onset of fine lines and you want to prevent those early fine lines from developing into full-blown wrinkles, preventative Botox can be a good solution. It’s a good idea to see your surgeon to start discussing a preventative Botox regimen that can prevent the deepening of those lines and generally slow down the facial aging process.

botox cosmetic bottle

Botox is FDA-approved for patients aged 18 and older, and most experts agree that patients in their mid to late 20s and early 30s may benefit from preventative Botox treatments. Each patient is unique and should never feel bound to a specific age to start taking a proactive approach to their skin care. 

Why Consider Preventative Botox?

Fine lines are part of the natural aging process, but there is nothing wrong with taking steps to slow down that aging process. Every individual will have different needs and personal goals, which is why we recommend consulting with an expert and seeking treatments that will help you feel more confident. For this reason, Dr. Miller developed the NatraLook® process.

The NatraLook® process is an enriching experience through which patients explore and ultimately boost their confidence by enhancing their appearance. During your NatraLook® consultation, Dr. Miller will discuss your unique needs and goals, as well as work through your personal obstacles to improving your Aesthetic Confidence®. NatraLook® elevates the typical cosmetic procedure experience into a safe, collaborative, and empowering environment where you and Dr. Miller can create a unified vision of your desired results.

Are There Any Risks?

Botox has an excellent safety record for the prevention and treatment of lines and wrinkles. But just like any other procedure, there are possible risks too (especially when performed by inexperienced injectors). In addition to common side effects such as swelling, bruising, dry eyes, and headaches, getting Botox repeatedly over a long period from a young age may lead to atrophy of the muscles. Although rare, patients can also build up resistance to Botox.

When should you start Botox? When you’ve done the research about this neuromodulator, and once you’ve consulted with a reputable and qualified doctor who will guide you every step of the way and provide the best possible results.

Prevent Wrinkles in Manhattan, New York

If you’re interested in staying ahead of the aging process, preventative Botox may be your solution. At Gotham Plastic Surgery, we create custom treatment plans that combine minimally-invasive techniques and advanced technology to help you achieve the best version of yourself. Contact us to schedule an appointment with Dr. Miller and learn more about our anti-aging treatments.

A Masculine Touch: Plastic Surgery For Men

Whether to stay competitive in the workplace or simply look and feel their best, an increasing number of men are seeking cosmetic procedures to improve their faces and physiques. According to the American Society of Plastic Surgeons, one in every 35 male adults has had a plastic surgery procedure.

With cutting-edge techniques, impressive results, and thousands of satisfied patients, board-certified plastic surgeons Dr. Philip Miller and Dr. Douglas Steinbrech of Gotham Plastic Surgery in New York City are nationally known experts in male cosmetic procedures. 

A Rising Trend

Men accounted for 13% of all cosmetic procedures performed in 2020—almost 290,000 procedures total. Women still outnumber men, but the gap is narrowing as more men realize the significant benefits cosmetic procedures can offer in improved appearance and confidence. 

The most popular cosmetic procedures among men included: 

  • Liposuction
  • Rhinoplasty (nose surgery)
  • Blepharoplasty (eyelid surgery)
  • Ear surgery
  • Laser skin resurfacing
  • Dermabrasion

Benefits of Plastic Surgery for Men

Increased Confidence

Men have plastic surgery to look and feel better. Some men turn to plastic surgery because they’re unhappy with a particular element of their appearance. Others want to look younger to stay competitive among younger peers at work. 

A Better Body

Some men seek body sculpting procedures to rid themselves of stubborn fat deposits that are resistant to diet and exercise. Liposuction and other procedures can give men a leaner, more defined physique. 

Looking Younger Without Downtime

Men are increasingly embracing injectable treatments such as Botox and dermal fillers, which provide a more youthful, revitalized appearance with no downtime. 

Relief of Medical Conditions

Beyond aesthetic advantages, plastic surgery offers functional benefits. A deviated septum can be repaired during rhinoplasty, back pain from gynecomastia can be relieved by breast reduction surgery, and excess skin following weight loss can be removed with body sculpting procedures. 

Men and Rhinoplasty

rhinoplasty before and after

Rhinoplasty, or a “nose job,” can resize the nose, minimize the appearance of a bump or hooked bridge, reshape the nasal tip, and improve facial symmetry. When performed by an expert facial plastic surgeon well-versed in aesthetic standards for men, rhinoplasty surgery can masculinize the nose and improve overall facial appearance.

Dr. Miller will perform an in-depth consultation, assess your nose and facial features, and discuss your desired outcome. Using his proprietary NatraLook process, you’ll collaborate in developing a treatment plan to address your concerns and aesthetic goals. 

Men and Facelifts

Facelift and neck lift to rejuvenate the appearance of a male patient by Dr. Miller. After surgery, loose neck skin is gone and jaw is more defined.

Men choose facelifts because they want to look and feel better. Facelift surgery can help turn back the clock and increase confidence. Techniques differ significantly between male and female patients. 

Women typically have facelift surgery to achieve a more delicate, soft look, whereas men seek a rugged, masculine appearance. Men opt for facelift surgery primarily to enhance jawline definition and eliminate loose skin folds in the neck.

Facelift Options

Dr. Miller offers a variety of facelift options for his male patients. By using different approaches and techniques, he can customize each treatment to the precise needs of his patient, ensuring natural, lasting improvement. 

Miller Lift. The Miller Lift is a non-surgical technique using a combination of Botox® for a firmer, lifted appearance and dermal fillers to smooth lines and wrinkles. Dermal fillers also restore volume to the contours of the face. Fat eliminators and collagen stimulators complete the Miller Lift.

Micro Lift. Men who prefer a minimally invasive option over facelift surgery may achieve their goals with a Micro Lift. A Micro Lift reduces the early signs of aging and improves the appearance of jowls, sagging skin, and displaced fat on the lower face.

Facelift (rhytidectomy). The traditional facelift is a comprehensive anti-aging procedure, producing dramatic results. The results of facelift surgery can last up to 15 years.

Procedures such as rhinoplasty, eyelid surgery, neck lift surgery, and laser skin resurfacing can be combined with facelift surgery for maximum anti-aging effects. 

The Masculine Jawline

jaw tightening before and after

Creating a more masculine jawline doesn’t necessarily have to involve surgery. If you’re unhappy with the appearance of your chin or jawline and want to add definition to those areas, dermal filler injections may offer a non-surgical solution. Dermal fillers boost hyaluronic acid in the skin and restore volume, improving the look of sagging around the jaw.

Non-surgical jawline contouring can:

  • Create a square jawline
  • Minimize the look of jowls
  • Give the jawline a sharper, contoured appearance
  • Strengthen or add proportion to the chin
  • Provide a strong foundation for the face
  • Reduce the effects of age-related volume loss 

Combined with a treatment such as  Kybella®—an injectable procedure that helps eliminate facial fat—non-surgical jaw contouring can help eliminate a double chin. 

Dr. Miller’s exclusive, trademarked G.I. Jaw® procedure sharpens the angle of the mandible and the area underneath the jaw for increased jawline definition. Facial implants can be used in the procedure but aren’t always necessary.

G.I. Jaw® can include any one or more of the following procedures:

Dermal fillers such as Voluma define and enhance the jawline for a more masculine appearance. Kybella targets and destroys fat cells for a sculpted jawline and a better chin profile.

The Male Physique

body banking body contouring before and after results in New York City

Men often seek liposuction to eliminate stubborn fat that is resistant to diet and exercise. Liposuction can help sculpt these areas into a more youthful, leaner, athletic appearance.

 Liposuction is also frequently used to treat gynecomastia and pseudo-gynecomastia to reduce excess male breast tissue.

Board-certified plastic surgeon Dr. Douglas Steinbrech is a nationally known, sought-after expert in cosmetic procedures for men. His innovation and expertise in male cosmetic procedures make him uniquely qualified to help you achieve your desired results.

Liposuction Options

Popular liposuction techniques include tumescent liposuction and ultrasound-assisted liposuction. Tumescent liposuction is the most commonly used technique. This is the technique Dr. Steinbrech uses in his BodyBanking technique, in which fat removed from one area of the body is used to sculpt or enhance another area. 

Before liposuction, you may receive local anesthesia, general anesthesia, or an epidural.

During tumescent liposuction, a mixed solution of saline, lidocaine, and a small amount of adrenaline (to decrease bruising and bleeding), is injected to ease fat removal. 

Narrow, blunt-tipped tubes known as cannulae are inserted through small incisions in the treatment area. The surgeon uses the cannula to dislodge the fat cells, which are then suctioned out of the body.

You’ll see an immediate change in your body shape after your procedure, with continued improvements becoming visible as swelling diminishes. Most patients resume work within a few days, although strenuous activity should be avoided for 2-4 weeks.

Dr. Steinbrech’s signature fat transfer procedure, BodyBanking®, involves removing fat from specific areas, then using the extracted fat to augment the pectorals, shoulders, biceps, triceps, glutes, and calves. 

The strategically placed fat provides the appearance of muscle enhancement, transforming the body into a sculpted, natural-looking powerhouse. BodyBanking can be combined with Dr. Steinbrech’s innovative, proprietary MuscleShadowing® technique for a dramatic body sculpting transformation.

Why Gotham Plastic Surgery is the Top Choice for Men

plastic surgeon, Dr. Philip Miller consulting with a patient in NYC Dr. Miller—a double board-certified facial plastic surgeon, and Dr. Steinbrech—a board-certified general plastic surgeon, work together at Gotham Plastic Surgery in Manhattan to create comprehensive and innovative treatment plans and results that exceed expectations. Together, they provide customized treatments for the face and body using their patented NatraLook™ experience. 

Dr. Miller is a double-board certified facial plastic surgeon whose practice includes many male patients. His expertise with male plastic surgery has given him a comprehensive understanding of men’s goals and in-depth knowledge of the aesthetic improvements that enhance the male face.

Dr. Steinbrech is an expert in men’s cosmetic surgery, with a surgical approach and techniques specifically designed for the male anatomy. The Wall Street Journal, Forbes, The New York Times, NBC, ABC,  and other media outlets have recognized Dr. Steinbrech as one of the nation’s top plastic surgeons for men.

Schedule Your Procedure at Gotham Plastic Surgery Today

Dr. Miller and Dr. Steinbrech are renowned experts in cosmetic procedures that produce natural, aesthetically pleasing, long-lasting results for male patients. 

Ready to transform your face and body? Contact our New York plastic surgery clinic today to schedule your consultation.

 

5 Beautiful Steps to Take in 2022

There’s something about the start of a new year that makes us think about how we can improve. Everyone wants to look and feel their best. Maybe you’d like to change the size or shape of your nose or dramatically turn back the clock on the aging process. Perhaps your goal is a more defined jawline or a sculpted physique.

These goals are within your reach in 2022, and the expert surgeons at Gotham Plastic Surgery in Manhattan, New York, can help you take steps to achieve them. Gotham Plastic Surgery helps patients achieve their aesthetic goals with a full range of surgical and non-surgical facial and body procedures.

1. Enhance Your Nose with Rhinoplasty

 

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.

Rhinoplasty, or a “nose job,” is a surgical procedure that refines the nose by altering its size, shape, and contours. Depending on your needs and goals, the results can be subtle or dramatic. Double board-certified facial plastic surgeon Dr. Philip Miller will assess your nose and other facial features to help you attain facial symmetry.

The benefits of rhinoplasty include: 

  • Reducing or increasing the size of the nose 
  • Modifying the width of the nostrils 
  • Changing the angle or shape of the nose’s tip
  • Altering the distance between the nose and upper lip
  • Aligning a hooked or crooked nose
  • Removing a bump from the bridge of the nose
  • Bringing the nose into proportion with other facial features

One significant advantage of rhinoplasty is that it offers a permanent solution to an aesthetic concern. Once the surgery is complete and the nose has healed, patients enjoy their improved appearance and confidence for a lifetime. 

2. Improve Aging Symptoms with a Facelift

 

Facelift, neck lift, and dermabrasion to refresh the appearance of a female patient by Dr. Miller. Surgery and skin treatment reduce the appearance of wrinkles and jowl formation, leaving skin softer and smoother.

A facelift, or rhytidectomy, is a surgical procedure that lifts, tightens, and smooths the facial skin to reduce the signs of aging. A facelift may include the removal of excess skin, the smoothing of folds and wrinkles, and the tightening of facial tissue. 

A traditional facelift focuses on the lower portion of the face, jawline, and jowls. It can be performed concurrently with other facial procedures, such as a brow lift, eyelid surgery, or a neck lift.

Dr. Miller also offers the innovative, minimally invasive Micro Lift procedure, which is designed to mimic the appearance of pulled-back hair. The procedure takes less than an hour, is performed under local anesthesia in the office, and is virtually painless. A Micro Lift is an excellent option for patients who aren’t ready for a full facelift or don’t want to commit to a lengthy recovery period.

If you prefer a non-surgical option, the Miller Lift may be right for you.

A Miller Lift, also known as a liquid facelift combines Botox® and dermal fillers to provide a lifted, firm appearance while softening and filling out lines and wrinkles. Dermal fillers help restore youthful facial contours by adding volume to the cheeks, chin, and lips. Collagen stimulators and fat eliminators add to the procedure’s effectiveness.

What can a Miller Lift achieve?

  • Reduce the appearance of lines, wrinkles, folds, and creases
  • Give your facial features a gentle lift
  • Enhance your cheeks, chin, and jawline
  • Restore the fullness and contours of your face
  • Provide a rested, revitalized appearance

Dr. Miller consults with each patient before performing procedures via his proprietary NatraLook® Experience. This enables you to collaborate with him in developing a customized treatment plan that will ensure you achieve your desired results.

3. Refresh Your Appearance with Injectable Treatments

before and after results from Botox injections in NYC, NY

Gotham Plastic Surgery’s injectable treatments are quick and minimally invasive, allowing you to achieve a more youthful, fresh appearance with no downtime.

Neuromodulators, or wrinkle relaxers such as Botox® Cosmetic, work by blocking signals from the nerves to the muscles. Since the injected muscle can’t contract, dynamic wrinkles relax and soften. Botox is used most often on frown lines, forehead lines, and “crow’s feet” around the eyes.  

As we age, we lose subcutaneous fat that supports the skin. Dermal fillers boost the skin’s supply of hyaluronic acid and add volume, instantly restoring facial contours and smoothing wrinkles and creases. RHA fillers are designed with Resilient Hyaluronic Acid (RHA) to move with the face.

For optimal results, wrinkle relaxers can be combined with dermal fillers, as our expert physicians do with the liquid facelift. 

4. Rejuvenate the Neck and Jawline

jaw tightening before and after

If a more defined lower face and neck is your goal, you may want to consider NeckTite™ .

This procedure eliminates excess fat from the neck while tightening and contouring loose or sagging skin for a firmer, smoother, younger-looking neck.

Perfect for treating small areas such as the neck and jowls, this minimally invasive liposuction technique is an excellent alternative to surgical procedures like a neck lift or facelift.

With the specific goals of men in mind, Dr. Miller designed his proprietary G.I. Jaw® technique to enhance the chin and jawline for a masculine, chiseled look. 

The G.I. Jaw® procedure may include any (or a combination) of the following: 

  • Injectable treatments such as Voluma®, Botox®, Restylane®, Juvéderm®, and Kybella® 
  • Liposuction
  • Neck-Tite 
  • Facial implants

Chin and jaw injections are minimally invasive with no downtime required and long-lasting results. 

5. Sculpt the Body with Our Proprietary Body Banking Procedures

body banking before and after results in NYC, NY

Do you want to feel better about your body in 2022? 

Stress, long hours, poor eating habits, and inactivity can contribute to increased fat accumulation in your stomach, waist, love handles, thighs, and buttocks — especially once you’re in your mid-30s and beyond. 

The combined effects of age and a slower metabolism can make even the healthiest diet and most diligent workouts far less effective than they once were.  

Gotham Plastic Surgery’s body contouring expert, Douglas Steinbrech, MD, FACS, devised his innovative BodyBanking® fat transfer procedure to counter the effects of age and inefficient metabolism. When combined with his exclusive MuscleShadowing® technique, this advanced method of body contouring can dramatically sculpt and transform your body.

Schedule a Consultation at Our New York City Plastic Surgery Clinic

A new year, a new you! Schedule the treatments that will achieve your desired results for a beautiful 2022. 

Contact Gotham Plastic Surgery in New York City today to schedule a consultation with plastic surgeons Dr. Miller or Dr. Steinbrech.

 

Just for Men: The Best Facial Contouring Procedures

Cosmetic treatments are no longer just for women, as men are realizing the benefits of procedures to turn back the clock and enhance their appearance. Double board-certified facial plastic surgeon Philip Miller, MD, FACS, has developed procedures for men that take the specific needs and goals in mind in his New York City office. 

The Masculine Face

Although tastes vary regarding what constitutes handsomeness, studies and surveys indicate that Americans, from a purely physical standpoint, consider the following characteristics to be indicators of male attractiveness:

  • Symmetrical face
  • Strong, muscular jaw
  • Well-defined cheekbones
  • Square chin

The Uptick in Male Procedures

Almost 290,000 cosmetic procedures were performed on men in 2020, accounting for 13% of total procedures that year. The most popular male facial cosmetic procedures at a plastic surgery clinic included: 

  • Lipoplasty (liposuction)
  • Blepharoplasty (eyelid surgery)
  • Rhinoplasty (nose surgery)
  • Dermabrasion
  • Cheek implants
  • Chin augmentation

Facial Slimming Options

Gotham Plastic Surgery New York NY On the left, a man is shown with submental fullness, a small chin, large nose and full cheeks. On the right, the same man is shown after NatraNose, Buccal Fat Removal, NatraChin, Submental Liposuction, and Necktite with a slimmer face, smaller nose and more defined neck. Some men want to slim areas of the face to create a more sculpted facial contour. Buccal fat excision removes the fat pads on the bottom third of the face for a more chiseled or slender appearance. This procedure may be beneficial for patients with round or full “chipmunk” cheeks.” Buccal fat excision can be especially effective when combined with other procedures, such as cheek implants, chin implants, or non-surgical jaw contouring. 

Cheek liposuction is another option for re-shaping the mid and lower face, by  permanently removing fat cells in the cheek area. This procedure is done using tiny incisions and a gentle suction device to eliminate fat from targeted areas. 

 Neck-Tite™ is a minimally invasive technique that combines radiofrequency energy with aspiration to gently remove excess fat while contouring and tightening the neck area. Neck-Tite™ is superior to other liposuction techniques for treating small areas and can restore a smoother, firmer appearance in patients concerned with jowls or loose, sagging neck skin.

 You and your surgeon can discuss the benefits of each procedure and decide which is best for your face and goals.

Treatments for a Weak Chin

Individual facial features can significantly impact entire appearance of the face. If the nose is prominent or large, it will appear even more pronounced when combined with a weak chin. Similarly, a small chin will appear diminished when set against flat cheekbones. 

Non-surgical jawline contouring. If you’re dissatisfied with the look of your jawline or chin and want to add definition to that area, treatment with injected dermal fillers can provide a non-surgical solution. The procedure adds volume and stimulates hyaluronic acid or collagen production, reducing the appearance of sagging and bone loss around the jaw.

Non-surgical jawline contouring can:

  • Reduce the effects of age-related volume loss in the lower face
  • Create a square jawline
  • Reduce the appearance of jowls
  • Contour the jawline, giving it a sharper appearance
  • Balance an asymmetrical jawline
  • Strengthen or add proportion to the chin
  • Provide a strong foundation and frame for the face

Gotham Plastic Surgery Male Facial Contouring New York NY Non-surgical jaw contouring alone isn’t usually recommended for eliminating a double chin. However, it may be effective for this condition when combined with other treatments like Kybella®, an injectable procedure that helps eliminate facial fat.

The results of non-surgical jaw contouring can often be seen right away. Individual results vary, but fillers from a plastic surgery clinic may last as long as two years for many patients. The body gradually metabolizes dermal fillers, so your doctor may recommend touch-up injections about every 6-12 months to maintain your results. 

Chin Implants. Chin implants are a popular way to effectively strengthen a receding or weak chin and can be customized to suit the unique characteristics of your face. Implants are composed of biocompatible materials that synthesize efficiently with the body for a natural appearance.

Chin implants can widen and define the lower part of the face, give the chin a more prominent appearance, and create a stronger profile. Implant procedures are often combined with other complementary procedures, such as rhinoplasty (nose surgery) or dermal injections to create a balanced overall facial appearance.

Custom Treatments for the Most Natural Results

Gotham Plastic Surgery Male Facial Contouring New York NY Dr. Miller has developed the G.I. Jaw® technique, an exclusive, trademarked procedure designed to enhance your features by defining and supplementing the jawline and existing facial structures. The G.I. Jaw® procedure sharpens the angle of the mandible and the area underneath the jaw for increased jawline definition. Facial implants can be used in the procedure but aren’t always necessary.

Dr. Miller’s exclusive procedure can include any one or more of the following:

  • Facial injectables: Botox®, Restylane®, Juvéderm®, Voluma®
  • Facial implants
  • Liposuction/Neck-Tite™
  • Kybella®

Voluma is a dermal filler that can lift, define, and enhance the jawline for a more masculine appearance. It can be injected along the jaw for increased definition or under the chin to appear more prominent. Kybella targets and destroys fat cells for a more sculpted jawline and a better chin profile, making this treatment ideal for individuals with a double chin.

These procedures are minimally invasive and require no downtime. Results are long-lasting—sometimes even permanent—especially if a healthy diet and exercise regimen is followed.

To Learn More about Facial Slimming Procedures for Men, Contact Our Plastic Surgery Clinic

Several procedures are available for men who are interested in achieving a slimmer or more defined facial appearance. Contact Dr. Miller’s Manhattan, NY, office to schedule a consultation and learn how to best achieve your personal aesthetic goals. 

5 Quick Treatments for a Beautiful New Year

The holidays are a great time to schedule self-care cosmetic treatments. Everyone wants to look their best for holiday gatherings and festivities, and dermal fillers and injectables are the simple, minimal-downtime solution. 

At Gotham Plastic Surgery, double board-certified facial plastic surgeon Dr. Philip Miller offers a variety of surgical and non-surgical treatments to help you achieve all your aesthetic goals. He has developed his own techniques to produce superior results with minimal discomfort and downtime – perfect for patients looking for a quick improvement before a holiday or special event. 

Get Midnight-Ready Lips

When the ball drops on New Year’s Eve, will your lips be ready? Lip augmentation uses injectable fillers to add fullness to thinning lips. This safe, effective procedure is performed in-office. Local anesthesia may be used, and the procedure often takes as little as ten minutes. 

Minor swelling or bruising may result but typically subsides quickly. Most patients return to work and other activities immediately following treatment. Results are temporary, and treatment must be repeated every 6-12 months to maintain your results.

Wake Up Tired Eyes

Non-surgical eye rejuvenation can refresh the appearance of your eyes without the cost, downtime, or risks associated with surgery.

In about 30 minutes, using a combination of facial fillers and neuromodulators such as Botox®, wrinkles will be reduced, dark areas minimized, and facial volume restored. Depending on the treatments used, the results may be immediately visible or take several days to become apparent.

You may be an ideal candidate for this procedure if you have the following:

  • Horizontal forehead lines
  • Drooping eyelids or brow 
  • Frown lines
  • Crow’s feet
  • Under-eye bags and dark circles
  • Hollowing under the eyes

before and after results from Botox injections in NYC, NY Botox Cosmetic treats lines and wrinkles by relaxing the movement of the underlying muscles. Results typically last 3-4 months. Fillers can be used in the tear troughs to minimize discoloration and hollowing, while creating a refreshed appearance. Filler improvements usually last 6 months or longer. 

You can immediately resume your usual activities following treatment. You may experience minimal bruising or swelling, but these diminish after about a week. Expect about 6-9 months of rejuvenation from dermal fillers, although results vary.

Achieve Facial Harmony

Non-surgical rhinoplasty safely and effectively alters the shape of the nose to enhance your facial symmetry. With injectable fillers, the nose can be reshaped to blend beautifully with your facial features without changing the cartilage or underlying bone of the nose. Non-surgical rhinoplasty is not designed to reduce the size of the nose.

Non-surgical rhinoplasty is an effective solution for instantly creating a more satisfying nasal shape and profile, particularly if you have any of the following:

  • Nasal bump
  • Crooked nose
  • Asymmetric nose
  • Flat or wide nasal bridge
  • Broad nasal tip

cosmetic treatment before and after results on male patient from NY, NY Dr. Miller and his expert staff can perform a non-surgical rhinoplasty in under 15 minutes at his Manhattan, NY, plastic surgery clinic. The procedure is relatively painless. Although mild swelling and bruising are common, expect little to no downtime from injectable facial fillers. 

Men are increasingly turning to cosmetic procedures to enhance their facial features, contour their bodies, and improve their skin. For this reason, Dr. Philip Miller offers male patients the proprietary G.I. Jaw® procedure to enhance the jawline and chin to create a chiseled appearance.

Based on your desired goals, Dr. Miller’s innovative procedure can include a combination of the following:

  • Botox® 
  • Restylane®, Juvéderm®, Voluma®
  • Kybella®
  • Liposuction
  • Neck-Tite
  • Facial implants

Voluma is a facial filler that can lift, define, and enhance the jawline. It can be injected along the jaw to fill it out or directly under the chin for a more prominent appearance. 

Kybella injections target and destroy fat cells for a sculpted jawline and improved profile, making this an ideal treatment for a double chin.

Chin and jaw injections are minimally invasive, involve no downtime, and offer long-lasting results. The results of this 30-minute, in-office procedure can last as long as two years. For some patients, results can be permanent if a healthy diet and regular exercise regimen are maintained. 

Go Natural with the Latest Fillers

RHA fillers are the only dermal fillers FDA-approved to treat dynamic wrinkles in the upper face caused by expressions. In the past, neuromodulators were the only option to treat these symptoms. 

RHA fillers moisturize, volumize, and give structure to the skin without restricting your movements, delivering many of the same benefits as dermal fillers like Juvederm or Restylane. 

Dr. Miller offers the complete family of RHA dermal fillers to treat many signs of aging: 

  • Forehead lines
  • Crow’s feet
  • Glabella lines
  • Thin lips and perioral lines 
  • Nasolabial folds 
  • Loss of volume in the cheeks and face
  • Deep skin depressions 

Turn Back Time

liquid facelift before and after results in NYC, NY At Gotham Plastic Surgery in New York City, NY, Dr. Miller performs liquid facelifts, known also as the “Miller Lift,” using a combination of facial fillers to add volume to areas of the face where natural fat has depleted with age or where hollows have developed. This contours and plumps the face, filling in wrinkles, creases, and lines for a more youthful appearance. 

Common treatment areas include the mouth, eyes, cheeks, and chin. The lips can be augmented for a fuller, lush appearance while also improving any perioral lines.

Botox injections may also be administered to address dynamic wrinkles, such as frown lines, forehead wrinkles, and crow’s feet. 

The liquid facelift is performed in-office in an hour or less with minimal discomfort. Recovery is minimal, and most patients return to their routine immediately. Minor redness, swelling, and bruising can occur but quickly subside. Effects will be visible immediately, with continued improvement over the next 7-10 days. Liquid facelift results are temporary, generally lasting between 6-12 months.

Dr. Miller performs all of his treatments using his proprietary NatraLook Process, an enriching experience through which you can explore and ultimately boost your aesthetic confidence by enhancing your appearance. It creates a unified vision of your desired result so that you and New York surgeon Dr. Philip Miller know what to expect.

Take the Next Step and Contact Our Plastic Surgery Clinic

Injectable treatments are versatile and effective, allowing you to achieve natural yet dramatic improvements quickly. You’ll look refreshed and feel confident going into the holidays and new year. If you’re considering injectable treatments this season, Dr. Miller can recommend the best procedures to meet your goals. Contact his New York City plastic surgery clinic today to discuss your options.

How To Choose the Right Plastic Surgeon in NYC For You

Choosing the right plastic surgeon is not as simple as doing an online search and finding the nearest doctor who “seems like a good fit” to perform your desired procedure. Nor should you choose one who is the most entertaining on social media.  Whether going for a facelift or rhinoplasty  procedure, choosing the best plastic surgeon involves plenty of research, consultations, and conversations. After all, you will have to live with the results of your plastic surgery for many years, if not for the rest of your life.

By investing time to do your homework, you’ll be in a better position to choose a surgeon in Manhattan, New York who will deliver beautiful, natural-looking results while safeguarding your health.

Find a Plastic Surgeon Who Specializes in What You Want 

plastic surgeon, Dr. Philip Miller consulting with a patient in NYC Cosmetic surgery encompasses a whole spectrum of surgical as well as non-surgical procedures, and each area of cosmetic surgery will require a different set of skills. Operating on a nose, for instance, involves working with bone and cartilage which are completely different from operating on breasts which mostly consist of soft tissue. Choose a surgeon who is not only board-certified in cosmetic surgery, but has substantial experience in the procedure you want. 

Plastic Surgeons vs. Facial Plastic Surgeons

Plastic surgeons are trained in cosmetic and reconstructive procedures of the entire body, including the face. Their training is more comprehensive, with a less exclusive focus on the face and neck. Facial plastic surgeons, on the other hand, are specifically trained in procedures exclusively for the face and neck. This means facial plastic surgeons have specialized knowledge of the complex anatomy and function of the face and neck, and a deeper understanding that both aesthetics and function are critical to achieving optimal results. 

Experience, Expertise at Gotham Plastic Surgery

Dr. Philip Miller and Dr. Douglas Steinbrech comprise New York’s first collaborative duo of a facial plastic surgeon and a general plastic surgeon. 

Double board-certified facial plastic surgeon, Dr. Philip Miller, is considered one of the country’s leading experts in rhinoplasty and facial rejuvenation. He specializes in cosmetic facial procedures and can create custom treatment plans that combine minimally invasive treatments, innovative surgical techniques, and advanced technology to help patients achieve the best version of themselves. He has over 20 years of experience within the facial plastic surgery industry and has performed over 5,000 successful surgeries. His approach combines art and science with skill and innovation to provide thousands of patients in Manhattan, New York with natural-looking results that exceed their goals.

Dr. Steinbrech is a board-certified plastic surgeon who focuses on face and body procedures, including breast augmentation and body contouring. He is described by Forbes as the “go-to surgeon for men,” leading the new wave of techniques in the advancing field of men’s aesthetics.

Together, they provide customized treatments for the skin and body at their plastic surgery clinic, using their own patented NatraLook. The NatraLook process ensures patients undergo an enriching experience in which they achieve results that are rewarding in both physical and emotional ways. Procedures Dr. Miller and Dr. Steinbrech offer include:

Rhinoplasty

rhinoplasty results from facial plastic surgeon in NYC Rhinoplasty can improve the nose’s appearance by reshaping, reducing, or augmenting the nose, removing a hump, narrowing the nostril width, or changing the angle between the nose and mouth. In addition to aesthetics, Dr. Miller can also improve nasal function by correcting injuries, birth defects, and certain breathing problems. 

Facelift

Also known as a rhytidectomy, a facelift is designed to counteract the signs of aging in the mid to lower face and neck, such as wrinkles, deep creases, jowls, loose folds, and fat deposits. During surgery, Dr. Miller tightens muscles and removes excess fat and skin to restore a more youthful and refreshed facial appearance.

Blepharoplasty

Also known as eyelid surgery or an eyelid lift, a blepharoplasty rejuvenates the eye area by removing excess fat and skin from the upper and lower eyelids to improve a puffy, sagging, or tired appearance. The procedure results in a more youthful and refreshed appearance to the eyelids. Dr. Miller can perform blepharoplasty for cosmetic purposes, such as to improve aging symptoms or for functional reasons, such as droopy eyelids that interfere with the patient’s field of vision.

Body Banking

body banking results from plastic surgeon in Manhattan, NY Body Banking is Dr. Steinbrech’s signature fat transfer procedure that takes body contouring to a whole new level. The method involves designating specific areas for fat removal by using proper fat-purification techniques and introducing extracted fat to augment other areas of the body. Particularly, Dr. Steinbrech uses selective fat transfer to enhance areas like the pectorals, shoulders, biceps, triceps, glutes, and calves. The strategically placed fat provides the appearance of muscle enhancement, transforming the body into a sculpted, natural-looking powerhouse.

Consider Their Education and Experience

The American Board of Cosmetic Surgery (ABCS) formed a board exclusively dedicated to a cosmetic surgeon’s education, training, and certification – and this is one of the most dependable ways of finding out if a surgeon is properly trained and experienced in cosmetic surgery.

plastic surgeon, Dr. Philip Miller looking at a patient's nose in NY, NY ABCS is a certifying board that tests a surgeon’s knowledge and experience exclusively in cosmetic surgery. Their surgeons have completed a fellowship (1-2 years) where they have trained exclusively in cosmetic surgery and patient care. Furthermore, their surgeons are carefully screened to ensure the highest level of patient safety, ethical practice, and outstanding moral character.

In addition to the surgeon’s education and credentials, experience matters too. The more times a plastic surgeon performs a particular procedure, the better your results will likely be. Experience is what allows a plastic surgeon to prevent or recognize surgical complications should they occur, or develop the aesthetic eye to create pleasing results.

Ask how many patients with your specific concern the plastic surgeon has treated. If you need a specific procedure, ask how many of the procedures the doctor has performed and find out about complication rates (complications the doctor has encountered, as well as your own risk of complications). 

Read Patient Reviews & Testimonials

Doing your homework and reading what other people have to say about a surgeon will provide a lot of insight into how a doctor communicates with his patients or how he performs his procedures. Patient reviews can reflect other people’s entire journey –from scheduling appointments and wait times in the office to the hospital environment, staff friendliness, and overall patient care. You can also speak with friends and family that you trust can provide honest opinions.

Take your time and don’t rush the decision-making process. You need to feel 100% comfortable with your surgeon and their support team. As you narrow down your list, call each surgeon’s office to see if he or she is accepting new patients. If so, request an appointment to meet and interview the plastic surgeon. 

For something as invasive and life-changing as plastic surgery, choose a surgeon who will not only achieve results based on your unique needs and goals, but someone who can provide the support and care you need before, during, and after your procedure.

Consider the Cost

Cost is another critical factor in selecting the right plastic surgeon for you. Keep in mind that like other things in life, you “get what you pay for,” when it comes to plastic surgery. The cost of cosmetic surgery typically represents the surgeon’s skill and experience, as well as the quality of care you can expect to receive. 

Schedule a Consultation at Our New York City Plastic Surgery Clinic 

Understanding how to find the right facial plastic surgeon is the first step towards achieving your aesthetic goals, as you embark on your journey towards a more confident you. To learn more, contact Gotham Plastic Surgery. Dr. Miller, Dr. Steinbrech, and the entire team at their plastic surgery clinic look forward to meeting you and discussing the changes you envision for yourself.

5 Fixes for a Sagging Jawline

Age brings about many changes — and, unfortunately, a sagging jawline is one of them. As we age, our bodies stop producing the collagen that once kept our skin and underlying tissue firm and elastic. Wrinkles begin to form, while the tissue in the midface starts to sag. This often causes fat and tissue to collect around the jawline, forming jowls and saggy skin.

At Gotham Plastic Surgery in Manhattan, New York, double board-certified facial plastic surgeon Dr. Philip J. Miller and board-certified general plastic surgeon Dr. Douglas Steinbrech take a multimodality approach to facial treatments. As highly reputable plastic surgeons, they offer the latest techniques in skin tightening, fat reduction, wrinkle reduction, and more.

If you’re unhappy with your jawline, Dr. Miller offers the best techniques for improving the shape of the chin and jawline.

Skin Tightening Solutions At Our Plastic Surgery Clinic

Jowls are simply skin and fat that sags beneath the chin and jawline. Nearly everybody gets jowls as the elasticity in their skin gradually depletes, though some have more prominent sagging than others. Fortunately, there are plenty of skin tightening solutions for loose skin around the jawline, including:

Ultherapy®

Ultherapy is a noninvasive treatment that is FDA-cleared to lift and tighten skin around the neck, chin, and brow. To lift saggy jowls, the device sends targeted ultrasound energy directly into the treatment area, which stimulates new collagen.

FaceTite™

FaceTite combines liposuction with radiofrequency energy to simultaneously eliminate unwanted fat and tighten skin. For those with saggy jowls, FaceTite is an excellent alternative to a traditional facelift.

Facelift

facelift surgery results to reduce sagging jowls in NYC A facelift is a surgical procedure to lift the skin and underlying tissue. This procedure is ideal for individuals with severe jowl formation. Most patients recover from facelift surgery within 14 days and the effects can last for 10 years or more. Dr. Miller can also perform a liquid facelift, which uses a combination of injectables to lift and plump the skin.

The Fat Factor

Loose skin is one of the primary culprits behind aging skin, but fat collection is another important cause of jowls. Eliminating sagging fat can slim out your face and give you a more youthful appearance overall. There are many surgical and nonsurgical treatments to reduce submental fat underneath the chin and sculpt the jawline, such as:

Kybella®

Kybella is an injectable medication that uses synthetic deoxycholic acid to eliminate unwanted submental fat. Deoxycholic is a substance the body uses to break down and absorb fat. By injecting a synthetic form of this molecule into the fat beneath the chin, your body can get rid of it without surgery.

CoolSculpting®

CoolSculpting is a noninvasive treatment that essentially freezes fat. Once frozen, the fat cells beneath your chin die off and your body removes them through the liver.

Facial Liposuction

Facial liposuction is a procedure to remove unwanted fat through a cannula, a small tube that results in less bruising and swelling than a traditional needle.

Wrinkle Treatments 

Wrinkles around the mouth and chin can exacerbate the signs of aging when you have a sagging jawline. Fortunately, Gotham Plastic Surgery in Manhattan, New York offers several treatments to minimize the appearance of fine lines and wrinkles. These include:

Neuromodulators

Neuromodulators, like Botox® and Dysport®, smooth wrinkles by temporarily paralyzing the muscles beneath them. Facial lines that form from expressions, such as smiling and frowning, are called dynamic wrinkles. If you have lines around the mouth from puckering your lips, neuromodulators can help soften these wrinkles before they become deep set, static wrinkles.

Dermal Fillers

Dermal fillers, such as Sculptra® and Restylane®, are gel-like substances that fill in static wrinkles. Unlike dynamic wrinkles, static wrinkles are formed by volume loss. Injecting dermal fillers into static wrinkles around your chin, cheeks, and midface can have a lifting effect that reduces the appearance of heavy, saggy jowls.

Laser Resurfacing

Laser resurfacing harnesses thermal energy to heat your skin’s underlying tissues. Your body responds by releasing new collagen and strengthening existing fibers to generate firmer, tighter skin.

Chin Improvement Options

A chin that looks proportional to the rest of your facial structure is crucial for a balanced appearance. When you lack jawline definition or have a weak chin, saggy jowls can appear more prominent. By increasing the size of the chin or jawline, Dr. Miller can improve your facial symmetry at their Manhattan, New York plastic surgery clinic. The treatments they offer include:

Chin Implants

chin implants before and after results in NY, NY Dr. Miller can increase the projection of your chin with a silicone, gore-tex, or medpor implant. Not only can a chin implant reduce the appearance of saggy jowls, it can also add balance between your chin and nose.

Mandibular Implants

Unlike chin implants, mandibular implants are designed to augment your entire jawline for a stronger, more defined appearance. Adding implants to your jawline also lifts and tightens saggy tissue that droops beneath the chin.

Injectable Fillers

Injecting dermal fillers into the lower face plumps up your skin to correct sagging around the chin and jawline. 

Neck Rejuvenation Tricks

When treating a sagging jawline, addressing the neck is just as important as tightening skin and reducing fat around the face. Fortunately, Dr. Miller offers several treatments to rejuvenate the neck at his plastic surgery clinic, such as:

Neuromodulators and Dermal Fillers

While neuromodulators can minimize neck wrinkles caused by muscle movement, dermal fillers can fill in lines to improve the appearance of horizontal lines and crepey skin.

NeckTite™

sagging jawline treatment before and after results in New York City While FaceTite slims and tightens the face, NeckTite targets unwanted fat and skin laxity in the neck. Combining these treatments can significantly improve the appearance of the jawline and neck for comprehensive rejuvenation. 

Neck Lift

A traditional neck lift is a surgical procedure that lifts the tissue around the neck. This one-time procedure produces long-lasting results that can dramatically enhance the tone and texture of the skin beneath your jawline. Many patients choose to combine a facelift and neck lift to address sagging in both areas.

Dr. Miller’s proprietary NatraLook® process is an individualized treatment that allows you to collaborate with your facial plastic surgeon for truly customized results. During this process, you are encouraged to work with Dr. Miller to design a treatment plan that addresses all your concerns and helps you achieve your aesthetic goals. 

To schedule a consultation with Dr. Miller, contact Gotham Plastic Surgery in New York City today.

 

Surefire Signs of Plastic Surgery

Patients who undergo facial plastic surgery procedures have a common goal: to achieve a youthful, enhanced look without displaying telltale signs of surgery. Because the most successful plastic surgery outcome is the one that no one else can see.

Double board-certified facial plastic surgeon, Philip J. Miller, MD, FACS, knows the best, most innovative techniques to produce natural, beautiful results. Dr. Miller specializes in cosmetic facial procedures and is one of the country’s leading experts in rhinoplasty and facial rejuvenation. By creating comprehensive and customized procedure plans and delivering the highest level of care at his plastic surgery clinic in Manhattan, New York, Dr. Miller can help you achieve your aesthetic goals without leaving behind the following clues that you’ve had anything done.

Facelift Tip-Offs 

facelift before and after results included in blog about signs of plastic surgery in NYC A facelift is a powerful procedure that can tackle severe wrinkles, droopy jowls, and restore more youthful contours, producing dramatic results. However, it is a complex surgery, and mistakes can happen.

Noticeable Incisions 

Visible scars are glaring signs of plastic surgery. Generally, facelift incisions run from the hairline at the temple and continue in front of and behind the ears and extend to the lower scalp. If a surgeon does not strategically position the incisions, that is, if they’re not within the highlights and shadows to blend in on the face, even the thinnest, flattest scar will become conspicuous.

Pixie Ear 

When a surgeon secures a facelift only to the skin instead of the ear’s cartilage, and if the skin is pulled too tightly, the earlobes may begin to droop over time, resulting in an elongated look. To learn more about pixie ear, please visit pubmed.gov

Unnatural Facial Expressions 

Have you met someone with a permanently surprised look on their face? Are they showing a severely “pulled” look that prevents them from shifting facial expressions? Especially if they’re over 60 and sporting wide-awake eyes and a windswept look, they most likely underwent a facelift with an inexperienced surgeon.

Rhinoplasty Fizzles

rhinoplasty before and after results included in blog about signs of plastic surgery in New York City Rhinoplasty is a highly challenging procedure that is very difficult to master. The nose itself is a complex structure, making missteps a common occurrence when an inexperienced surgeon is involved. 

Pollybeak Deformity 

When a surgeon does not remove enough cartilage above the nose’s tip or when the tip falls because of lack of support, undesired results in the form of a “pollybeak deformity” can occur. Resembling a parrot’s beak, a pollybeak deformity is characterized by showing an unnatural fullness at the nasal tip.

Over-Rotated Tip

Overrotation of the nasal tip takes place when the surgeon attempts to correct a droopy tip by shaving off cartilage or septum too aggressively which ends up shortening the nose’s length and causing an upturned look.

Bridge Abnormalities 

When the surgeon removes a bump incorrectly and the cartilage is not supported, or when they shave off too much dorsum, an inverted-V deformity or scooped-out appearance of the nose on the profile view can occur.

Blepharoplasty Flops 

blepharoplasty before and after results included in blog about signs of plastic surgery in NY, NY When performing blepharoplasty, the surgeon’s goal is to modify the configuration and contours of the eyelids by removing excess fat, skin, and muscle. Due to the intricate nature of the eye’s anatomy, errors can happen.

Unnatural Crease Above the Eye

A scar can easily hide within the natural crease on the upper eyelids, but when surgeons misplace the incision, the eyelid’s shape can change, resulting in an asymmetrical and unattractive look.

Lower Lid Hangs Too Low

Lower lid surgery is an extremely delicate procedure where every micro-centimeter counts. Positioning the lower lid incorrectly can dramatically alter the eyes’ shape and make them appear to be different sizes.

Visible Scarring 

Eyelid scars are more noticeable when they are depressed, and they typically result from excessive removal of muscle or connective tissue.

Liposuction Fails

liposuction before and after results included in blog about signs of plastic surgery in NYC While liposuction is clinically proven to safely and effectively minimize unwanted fat, results may still look all wrong when not performed properly.

Visible Scarring

Liposuction scars are typically 2mm in length and should be barely visible. When significant scarring occurs, it can be due to poor incision placement during the procedure.

Irregular Contours 

A successful liposuction procedure should be able to smooth away isolated pockets of fat to form a more desirable shape. Uneven fat removal will result in lumpy, irregular contours.

Sagging Skin 

Experienced plastic surgeons should be well aware of the impact the skin elasticity has on overall results. Knowledge of certain liposuction techniques would also help encourage the skin to tighten back up. If a surgeon removes too much fat, performs the procedure on patients who already have loose skin, or does not comply with the weight limit associated with the liposuction procedure, visible laxity may become more pronounced after surgery.

Botox Gone Wrong 

Botox before and after results included in blog about signs of plastic surgery in NYC While Botox® Cosmetic injections do a wonderful job at non-surgically rejuvenating the face, the procedure is more of an art form. Without a trained aesthetic eye, wrong placement or incorrect dosing of Botox or another neuromodulator like Xeomin, Dysport, or Jeuveau can occur and produce unnatural-looking results. 

Altered Brow Line 

When performed incorrectly, Botox Cosmetic injections to the forehead can distort the eyebrows, giving the patient a super arched or “sinister” look. In other cases, a slight miscalculation during the procedure can cause Botox to migrate over to the eyelid muscles, causing a drooping effect. This, however, is uncommon in experienced hands.

Frozen Forehead

The real art of Botox Cosmetic injections lies in making the results subtle. So, when the surgeon incorrectly calculates the dosage and injects too much Botox in the forehead or other areas, the patient can end up with an unnatural appearance or what many describe as the “frozen look.”

Unnatural Facial Expressions

Having a frozen look will result in an expressionless face. And a face that can’t move is unattractive. We want to be able to show how we are feeling, right?

It is crucial to look for a surgeon who has your best interests at heart and won’t continue to add more Botox when you really don’t need it. This is the reason behind Dr. Miller’s NatraLook approach. The process expands the typical procedure experience for patients by creating the opportunity to explore their Aesthetic Confidence® in a supportive and positive environment. By allowing patients to become active participants in their journey, they can create a unified vision of their desired results. 

Trust Your Skin to Manhattan’s #1 Plastic Surgery Clinic

By recognizing the telltale signs of plastic surgery, you can better select your surgeon and achieve overall satisfaction with your results. For more than two decades, Dr. Miller has dedicated his career to providing patients with customized treatments with the most advanced techniques. Combining his expertise and skill with an artistic eye, Dr. Miller achieves impeccable results that can be life-changing. To schedule a consultation, contact Dr. Miller’s Manhattan, New York plastic surgery clinic.