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Revision Rhinoplasty For A Severely Pinched Nasal Tip

Repair of the pinched nasal tip is one of the most challenging cases in the world of rhinoplasty, or nasal reshaping. Below is a case example of a San Diego patient who had prior unsuccessful rhinoplasty performed by a different rhinoplasty surgeon. She was, unfortunately, left with a severely pinched nasal tip as seen below. In addition to her cosmetic nose concerns, she had a significant problem with breathing through her nose as one might... Continue Reading
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Creating An Inconspicuous Well Healed Facelift Incision

Many facelift patients inquire about how inconspicuous their scars will be once healed. Well here is a photo example of one of my San Diego facelift patients demonstrating how to conceal a facelift incision. This patient underwent a lower facelift along with tightening of her upper neck line. As you can see from the photos she has a nice rejuvenation and looks much more rested. Arguably more importantly she does not look like she has... Continue Reading
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Combining Facelift Surgery With Otoplasty (Ear Reshaping)

I just finished two surgeries in the last two days with both patients undergoing combined facelift surgery with otoplasty (ear reshaping). It just so happens that both of these patients from San Diego desired reshaping of their ears as well as facial rejuvenation of the lower face and upper neck. In both cases, we were able to easily reshape the ears in the midst of the face lift procedure. When performing a facelift surgery, we have... Continue Reading
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Dr. Hilinski In the News: UCSD Rhinoplasty Lecture

According to a recent online survey conducted by RealSelf.com, consumer interest in cosmetic enhancement is up, with nearly 70% of Americans stating they would pursue plastic surgery, such as breast augmentation or rhinoplasty, if money were not an issue. As interest in plastic surgery grows, the School of Medicine at the University of California in San Diego is playing a role in... Continue Reading
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Bone Resorption After A Chin Implant

I see this topic as a point of discussion on many plastic and cosmetic surgery forums. The reality is that almost everyone who gets a chin implant has some degree of bone resorption following the surgery. But this fact should not be something that is a great source of anxiety over having a chin implant procedure. The bone resorption that most cosmetic chin augmentation patients get following the implant placement is fairly minor. In fact,... Continue Reading
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Can Ear Reshaping, or Otoplasty, Be Performed on a 10-Year-Old?

The answer to this question is - absolutely. In fact, many patients who have ear reshaping or otoplasty done for prominent ears have it done at 5-6 years old. Cosmetic reshaping of the ears can be done as early as this age because the ear is essentially fully formed by that point. It is also good timing because many parents do not want their child subject to any unwanted attention as they become integrated into... Continue Reading
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Cosmetic Reshaping of the Crooked Ethnic Nose

Wanted to post a quick blog entry on cosmetic reshaping of the crooked ethnic nose. Correcting a crooked nose deformity is arguably one of the most difficult and challenging types of cosmetic rhinoplasty, or nose reshaping, procedures. This young rhinoplasty patient from San Diego presented to my office with a notable crooked nose. As you can see, her nose alignment is shifted to her right side. Like her, most rhinoplasty patients are bothered by the... Continue Reading
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Proud To Be An American

Just wanted to say 'thank you' to one of my San Diego plastic surgery patients for dropping off an American flag to me earlier today. As you can see, it is already sitting proudly on my office wall. He, like many other young men and women out there, proudly serves as a United States military member. He was kind enough to bring me a flag all the way from overseas. I just wanted to publicly say thank... Continue Reading
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Injection Rhinoplasty To Reshape The Asian Nose

I wanted to post a quick blog about one of our recent injection rhinoplasty patients. This Asian patient desired cosmetic reshaping of her nose but did not wish to undergo a surgical procedure. We discussed the possibility of undergoing an injection rhinoplasty procedure using one of many different injectable fillers to reshape the nose. She ultimately decided to have Artefill done. This particular product, Artefill, is the only FDA approved non-absorbable filler on the market... Continue Reading
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Cast Falling Off After Rhinoplasty – What Should I Do?

What should I do if my rhinoplasty cast keeps falling off? I have seen this question posed on other sites and forums related to cosmetic rhinoplasty. My advice to patients that ask this question is to call your rhinoplasty specialist and ask them what to do first. I can tell you from experience that it is extremely uncommon for the nasal cast to simply fall off after having undergone cosmetic rhinoplasty or revision rhinoplasty. My... Continue Reading
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Cosmetic Rhinoplasty At 77 Years Old!

For any of you cosmetic rhinoplasty patients out there in San Diego and beyond who think you might be too old for some nasal enhancement - I just saw a 77 year female who wants to have her nose reshaped! So why at 77 years old is probably what you are asking (which is precisely what I was asking). She stated that she had actually been unhappy with her nasal appearance dating back several decades,... Continue Reading
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Should I Have A Chin Implant or Chin Liposuction?

I have seen this question or a variation of this online. The answer is it really depends on what your anatomy is like. To help clarify this question about chin implant versus neck liposuction/neck reshaping, I posted a blog entry with case description a little while ago. Here is the link for your review: Case example of chin implant and neck liposuction with platysmaplasty.
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Rhinoplasty Results 3 Years Out

I just saw this male rhinoplasty patient in the office earlier this morning and thought it was a good opportunity to post a blog about long-term rhinoplasty results. Many patients and plastic surgeons are under the mistaken impression that the nose heals from rhinoplasty within 3-6 months of the surgery. The reality is that rhinoplasty results can take at least a year if not longer for the entire healing process to take place. That is... Continue Reading

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