Rhinoplasty
(Nose Reshaping, Nose Job in New Jersey)
   

Rhinoplasty is one of the most frequently performed procedures in plastic surgery.  The size and shape of the nose has a great impact on how a person looks and the correct improvement can greatly enhance one’s appearance.         Dr. Miller has spent the last 10 years performing rhinoplasty and refining his techniques in order to give patients an exceptional result that is completely natural.  He trained at Tulane University, learning from nationally recognized rhinoplasty surgeons, and he dedicates his practice to plastic surgery of the face and neck.  This allows him to concentrate on the fine details of rhinoplasty which he performs every week.

Patient Testimonial To Dr. Miller & Staff: Thank you so much for my new nose - I love it, love it, love it.   M.K.

         Analysis of the nose is THE most important part of the whole process.  While the surgery is meticulous, the wrong plan can produce significant problems even if the procedure is done well.  Dr. Miller will analyze your nose, and together with your input, will create an ideal plan.  This plan is enhanced with computer imaging to help you understand what can and cannot be done.  It is extremely important that the patient has realistic expectations and be mature enough to understand surgery whether he or she is 17 or 70 years old.  Let’s look at some examples:

Rhinoplasty Surgery is complex and is not performed the same way on all patients.
Different procedures include:
  

Primary Rhinoplasty
Rhinoplasty for Men versus Women
Revision (Re-do) Rhinoplasty

Open Rhinoplasty vs. Closed Rhinoplasty
Rhinoplasty for Asian or African-American patients
Rhinoplasty with Sinus surgery or Septoplasty

Primary Rhinoplasty
    
Primary Rhinoplasty is defined as rhinoplasty performed for the first time.  Primary rhinoplasty is the best time to get the procedure correct as subsequent procedures are much more difficult.  Dr. Miller usually achieves a refined, natural nose that rarely needs improvement.  During a primary rhinoplasty, the skin is easily lifted off of the cartilage structures through hidden incisions.  Then the cartilage is sculpted, the bump is removed, and the nose can be straightened.  Finally, the skin is redraped and the incisions are carefully closed.
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Rhinoplasty for Men versus Women

It is extremely important that the rhinoplasty surgeon understand the differences between a female nose and a male nose, and that these procedures be performed differently.  The bridge of a female is a little softer and the tip is set slightly higher than in a man.  From the side view, the tip extends a little bit past the rest of the nose.  A man’s nose has several features that are particular to a masculine appearance.  The bridge is stronger and the tip is set slightly lower than in a woman.  From the side view, the tip is straight in line with the rest of the nose.  Observing these differences is crucial because feminizing a male nose would look completely unnatural, and a woman is also upset when her nose has a masculine appearance.
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Revision (re-do) Rhinoplasty  (First surgery done elsewhere)

Dr. Miller performs many revision rhinoplasty procedures on patients that were initially operated on by other surgeons.   During this procedure, the skin is lifted, but it is usually much more difficult than primary rhinoplasty because of scar tissue.  Usually, the cartilage has been overresected and Dr. Miller will build the nose back up again using the patients own internal cartilage as support.  This will result in a natural appearing nose without an “operated on” look.  Usually, the patient’s breathing will be much improved as well.
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Open vs. Closed Rhinoplasty 

These two procedures are performed in the same manner except a small incision is made between the nostrils to lift up the nasal skin in the open rhinoplasty.  This technique allows excellent vision of the nasal cartilages and allows precise maneuvers to be carried out.  The incision is carried out with meticulous care and disappears in time.  Closed rhinoplasty is carried out when mostly bony work has to be done.  Dr. Miller performs rhinoplasty both ways and will determine which way is best for you.
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 Rhinoplasty for Asian and African-American Patients

Just as rhinoplasty for men and women require different approaches, rhinoplasty for different ethnic groups require alternate methods as well.  Often times, an Asian or African-American patient will have a flat nasal bridge.  The bridge can be built up to create a more balanced nose, taking the emphasis off of the tip.  The tip or the nostrils are often wide in the ethnic patient and Dr. Miller can sculpt or thin these areas to improve the shape.  Dr. Miller can dramatically improve the shape of the ethnic nose while keeping the patient’s general ethnic appearance intact.
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Rhinoplasty with Sinus Surgery or Septoplasty

Many patients may have breathing difficulties or chronic sinus conditions that are no longer responding to medical treatment.  A rhinoplasty can easily be done at the same time to improve the outer appearance of the nose.  Dr. Miller specializes in surgery of both the inside and outside of the nose, and performs this combination regularly.  Also, insurance may cover the surgery done inside the nose.  This will allow you to look better and breathe easier all in one procedure.
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         After surgery, one can expect some mild congestion but minimal pain.  Patients often do not need strong painkillers.  At six days, the splint and stitches are removed.  No uncomfortable packing is needed.  Most patients return to work in one week, and avoidance of strenuous activity for two weeks is advised.

 Please view the additional pictures below and contact Dr. Miller’s office for your free consultation.