What is Rhinoplasty?

A rhinoplasty, in simplest terms, is the surgical manipulation of the bones, soft tissue, and cartilage of the nose. Sometimes called a nose job, a rhinoplasty can be performed for a variety of reasons. For some, their nose shape is bothersome, and they desire a nose that enhances their face rather than draws unwanted attention. For others, health concerns like chronic sinusitis and labored breathing have led them to pursue a surgical correction. There are many ways to approach a rhinoplasty, and only highly trained and experienced rhinoplasty surgeons can deliver consistently outstanding results. A primary rhinoplasty is the first time a patient undergoes the procedure, whereas a secondary rhinoplasty is a revisional procedure.

Rhinoplasty Before & After Photos

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Rhinoplasty expertise and experience

Dr. Miller is a rhinoplasty expert, having performed thousands of successful rhinoplasties over his nearly three-decade-long career. Dr. Miller is double board certified in Facial Plastic & Reconstructive Surgery and Otolaryngology/Head & Neck Surgery and is an innovator in the field, having created the mico rhinoplasty and other specialized procedures. 

Dr. Miller regularly sees clients from all over the world and has consistently earned stellar reviews. He has taught and lectured internationally and been featured on media and beauty platforms such as Elle, GQ, ABC, and The Today Show. Needless to say, any patient undergoing rhinoplasty in New Orleans with Dr. Miller is in excellent hands.

What are the Benefits of a Rhinoplasty? 

We’ve loved sharing the benefits of this procedure, which include: 

  • Improved appearance and self-confidence
  • Correction of breathing problems
  • Correction of structural defects or trauma-related issues
  • Enhanced facial harmony and balance

Am I a Good Candidate for a Rhinoplasty? 

It's common to have questions about which procedure can address your particular requirements. Generally, individuals who benefit the most from rhinoplasty include:

  • Those dissatisfied with the size or shape of their nose
  • Individuals with a nose that is proportionately too large or too small for their face
  • People with a noticeable bump or hump on the bridge of their nose
  • Those with a crooked or asymmetrical nose
  • Individuals experiencing breathing difficulties due to a deviated septum or other structural issues in the nose
  • People who are in good overall health and have realistic expectations for the procedure

Open Rhinoplasty Vs. Closed Rhinoplasty

Open Rhinoplasty

During an open rhinoplasty, Dr. Miller makes a tiny incision in the columella, which is the part of the nose that joins the tip to the base. From there, Dr. Miller is able to see the entire nasal cavity. This modality is often used for nostril resculpting, cartilage grafts, or restructuring a crooked septum. This type of rhinoplasty does result in light scaring and hardness in the tip of the nose; however, the scar will fade to be almost imperceptible, and the nose tip softens over time.

Closed Rhinoplasty

When performing a closed rhinoplasty, Dr. Miller makes small incisions inside the nostrils. From there, he is able to manipulate the structure of the nose. The closed rhinoplasty leaves no visible scarring. This method is ideal for minor corrections or reshaping the tip of the nose.

What are the Types of Rhinoplasty Options?

Rhinoplasty is not a monolith

There is no such thing as ‘one size fits all’ when it comes to rhinoplasty in New Orleans. Dr. Miller has an extensive knowledge of the various modalities available for nose enhancement, both surgical and minimally invasive. He offers an array of rhinoplasty services, some of which are listed below.

Revision rhinoplasty 

Also known as a secondary rhinoplasty, revisional rhinoplasties are corrective procedures done after an unsatisfactory primary rhinoplasty. Common reasons for botched procedures include a surgeon’s lack of experience, or inadequate communication with the patient. Dr. Miller has performed countless successful revisional rhinoplasties.

Functional rhinoplasty 

Functional rhinoplasties help the nose work properly. Those with chronic sinus problems, deviated septums, loud snoring, or irregular breathing often seek functional rhinoplasties for relief and a better quality of life. Functional rhinoplasties can also be combined with cosmetic adjustments if desired.

Male rhinoplasty 

The nose is the centerpiece of everyone’s face, and anyone can desire a cosmetic correction. However, what constitutes a successful rhinoplasty is not universal across genders. Dr. Miller understands the nuances of what constitutes a masculine nose. Men seek rhinoplasties at ever-increasing numbers, and Dr. Miller goes above and beyond to ensure his patients receive the naturally handsome look they deserve.

Ethnic rhinoplasty 

Cultural sensitivity, relevant experience, and sophistication are key when operating on people of varying ethnic backgrounds. Dr. Miller has been one of the top rhinoplasty surgeons in the multi-ethnic enclave that is New York City for decades, and has operated on patients from all over the world. He understands that respect and deep knowledge of differences in facial anatomy are key when performing rhinoplasties on BIPOC patients.

Micro rhinoplasty 

Ever the innovator, Dr. Miller created the micro rhinoplasty after learning about a tool called the microrasp that is primarily used in dental practices in Europe. The microrasp is a high-powered and delicate instrument that can quickly smoothen out nasal bumps and humps. The best part is that micro rhinoplasties take no more than 15 minutes, require only one tiny skin incision, and can be done under local anesthesia.

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What is the Recovery after Rhinoplasty

Recovery from rhinoplasty is uncomfortable but not painful. For most patients, it feels like a bad cold for a week or so. After the operation, a cast is placed over the nose. If you have external sutures, these, along with the cast, will be removed in a week’s time. Bruising is a normal part of the process and will subside within a few days to a week. Swelling is also to be expected, and will take anywhere from 3 weeks to 3 months to abate.

Exercise should be avoided for the first week or two, or until cleared by Dr. Miller. Patients should also sleep with their heads elevated.

Dr. Miller wil schedule follow-up appointments to ensure that healing is progressing well. The nose takes about 12-18 months to fully settle into its final shape.


One of the biggest reasons for Dr. Miller’s long-term success is the excellent rapport he builds with his patients. Dr. Miller considers himself a partner in each patient’s journey toward aesthetic confidence; he knows that when patients feel good about their appearance, self-assuredness ripples into all areas of their life. The first experience patients have with Dr. Miller is the NatraLook process, which is Dr. Miller’s comprehensive and patient-centered version of a consultation. During the NatraLook process, Dr. Miller studiously listens to the patient’s aesthetic ideals, insecurities, and medical history. The goal is for the patient to feel comfortable enough to communicate fully and honestly in a non-judgemental, supportive setting.

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Schedule a NatraLook consultation with Dr. Miller

Dr. Miller offers the above and many, many more services to cater to your nasal cosmetic and functional needs. His staff are warm and knowledgeable, a mirror of Dr. Miller himself. Contact us today to schedule your free NatraLook consultation with Dr. Miller!

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