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. 

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 Dr. Miller today.

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 takes a multimodality approach to facial treatments. As a highly reputable plastic surgeon, he offers the latest techniques in skin tightening, facial contouring, 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 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 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 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 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 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, 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.


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.

Cellulite 101

Cellulite has been a huge problem for a very long time! Cellulite—which is characterized by dimpled, lumpy appearance—is mainly caused by three specific factors:

  1. Uneven globular fat (essentially “fat droplets” under the skin)
  2. Irregular thickness of overlying skin
  3. Dimpling caused by tethering of skin attachment to lower tissues

To learn more about cellulite, visit medlineplus.gov

For years, doctors and body sculpting surgeons have tried treating cellulite with creams, but the results were less-than-satisfactory. However, thanks to new technologies used by Gotham Plastic Surgery in New York, we can now attack the root cause of cellulite directly!

Cellulite Treatments at Gotham Plastic Surgery

At Gotham Plastic Surgery, we offer patients the best and most state-of-the-art cellulite treatment devices that specifically attack all three factors behind cellulite. With Body-Tite, we can help reduce unwanted cellulite on multiple areas of the body, including the arms, legs, buttocks, and more.
A Body-Tite procedure utilizes various treatment methods when dealing with cellulite. First off, radiofrequency lasers will be used to thicken the skin. Liposuction may also be performed, which removes the fat and other elements that cause skin dimpling.
Aside from in-office procedure, cellulite can also be reduced via diet and exercise (to a minimal degree). An increase in physical activities and a change in diet may lessen the amount of globular, but it will not help with irregular skin thickness nor with skin dimpling.
After years of expensive creams that do not work, patients finally have an option to improve cellulite on tough and frustrating areas of the body. Contact the New York body sculpting experts at Gotham Plastic Surgery to learn more cellulite treatments today!