Dr. Leonard Miller uses neck liposuction and radiofrequency skin tightening techniques to address patient concerns of the neck, jowls and lower face.
Boston, MA – Dr. Leonard B. Miller, a board-certified Boston plastic surgeon, uses his experience in surgical and non-surgical facial aesthetics to provide patients with a comprehensive approach to cosmetic rejuvenation. At the Boston Center for Facial Rejuvenation, he prides himself on offering his patients effective, long-term results with minimal scarring and a quick recovery.
Radiofrequency skin tightening is a method of heating up the skin (collagen and dermis) to create a tightening effect. This procedure lifts the neck, jowls and lower face. To introduce the heat to the skin, Dr. Miller can either use an electrode on the skin’s surface, use a needle to reach below the skin, or use a combination of both.
Dr. Miller helped to develop the groundbreaking Radiofrequency therma-controlled electrode needle procedure for skin tightening. His patients now experience a painless non-surgical procedure that yields noticeable improvement over the course of a few months.
In addition to this innovative technique, the Boston plastic surgeon says RF skin tightening can be combined with liposuction of the neck to provide a more dramatic change in the contour of a patient’s neck, jawline, and facial features. However, understanding the difference in potential results of surgical and nonsurgical procedures is integral to achieving a successful cosmetic enhancement. The ideal candidate for neck liposuction possesses excess fat in the jowls and neck that may not necessarily need a skin tightening procedure. Compared to certain limitations of the RF skin tightening procedure, Dr. Miller says neck liposuction often produces tremendous results in patients ranging from age 18-50 without a skin tightening procedure.
The RF skin tightening procedure can also improve the outcome of a facelift, or sometimes help patients delay the need for a facelift altogether. Dr. Miller stresses that a surgical procedure is not always necessary to achieve the patient’s desired aesthetic goals, such as a firmer appearance and tighter skin quality, as well as a good shape or angle to the neck. For this reason, Dr. Miller believes anyone considering cosmetic enhancement should consult with a board-certified plastic surgeon to ensure realistic goals and a custom treatment plan are defined.
Regardless of the procedure his Boston plastic surgery patients choose to undergo, he says the ability to combine a varied range of treatments—including fat injections, collagen induction with a rolling needle technique, and radiofrequency skin tightening—allows his patients to achieve the aesthetic outcome they envision.
About Leonard B. Miller, MD, FACS, FRCS
Dr. Leonard Miller is a board-certified plastic surgeon and serves as a Clinical Instructor in Surgery at the Harvard Medical School. In addition to publishing on a wide variety of subjects and delivering lectures both nationally and internationally, Dr. Miller is also involved in the development of new products for the cosmetic industry.
Dr. Miller discusses his approach to achieving natural-looking results for facial enhancement in the January 2013 of COUP Boston.
Through the use of advanced surgical techniques, Dr. Leonard Miller says fat injections can help patients achieve a more youthful appearance.
Boston, MA–With age, skin tends to lose volume and shape, especially in a patient’s face. Dr. Leonard Miller, a board-certified plastic surgeon in Boston, offers several surgical and non-surgical solutions at his practice, which can help boost volume in facial features, such as the chin, lips and cheeks. Fat injections are one of the procedures he offers which he says can provide effective and natural-looking results.
Dr. Miller says he recommends fat injections, also known as fat “grafting,” over other facial injectables such as Restylane® or Juvederm® when patients:
- Have a sunken appearance
- Lack significant volume in the face
- Have poor skin quality
He adds that fat injections can be more beneficial than other facial enhancement alternatives because he can inject larger volumes of fat to better tailor results. In addition, fat injections can be performed in conjunction with any facial rejuvenation procedure, including a facelift, blepharoplasty and chemical peel procedures.
The procedure requires the extraction of fat cells from other parts of the body, such as the buttocks, thighs or abdomen, and reinjecting the cells under the facial skin. Dr. Miller says the procedure is typically done under local anesthesia and is commonly used to:
- Enhance lips
- Eliminate nasolabial folds
- Raise cheeks
- Restore volume in chin and jawline
At his Boston plastic surgery practice, Dr. Miller uses a structural fat grafting technique known as the Sidney Colman technique with centrifuge fat separation. He recommends two to three treatment sessions for long-lasting results that each require minimal to no downtime.
About Leonard B. Miller, MD, FACS, FRCS
Dr. Leonard Miller is a member of a number of professional organizations, including The American Society of Plastic Surgeons, The American Society for Aesthetic Plastic Surgery and The Royal College of Surgeons of Edinburgh. The board-certified plastic surgeon is a faculty member at Harvard Medical School and is constantly involved in the development of advanced cosmetic surgery techniques. Dr. Miller is available for interview upon request.
Before and After Photos
Belotero Balance was FDA approved for market in November of 2011. Belotero is different from other hyaluronic acids in that it can be used in superficial lines and wrinkles especially those around the eyes and lips. It can also be used in treating under the eyes.
A new minimally invasive contouring system developed by Dr, Miller to reduce bulges and loose skin in lower face and neck and in areas such as the axillae, back, lower abdomen, inner thighs and inner arms. The system uses a combination of mini-liposuction together with a Thermacontrolled radio frequency needle which is placed into the fat and below the dermis. This creates tightening of the neck and jowl and other areas of the body where there is loose skin. This obviates the need for large energy devices such as Thermage and various Laser devices which are expensive and need repetitive treatments. The procedure is done in the office under local anesthesia in less than an hour with minimal if any downtime.
Before Minimal Invasive Contouring
Aftter Minimal Invasive Contouring
Through its patented cooling technology developed by scientists at the Wellman Center for Photomedicine at Massachusetts General Hospital in Boston, a teaching affiliate of Harvard Medical School, CoolSculpting undeniably reduces fat in the treated areas. So, you can feel confident when wearing beach or pool attire.
Unlike surgery and other non-invasive methods of fat reduction, CoolSculpting is the only procedure that uses cooling technology – not laser-assisted or ultrasound methods. It is simple and the results are gradual and occur over the course of 3 to 8 weeks.
CoolSculpting can be done in a couple of hours so you can return to normal activity immediately after treatment, and it does not require any special diet or exercise programs.
Before ZELTIQ Cool Sculpting
4 Months After 3 ZELTIQ Cool Sculpting Treatments