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Anatomy of a Female Facelift Necklift Patient in San Diego

This is a very pleasant lady who underwent a lower facelift and upper necklift procedure in our San Diego facial plastic surgery office. She presented to our demonstrating excess sagging neck skin. As with many facelift and necklift candidates, there was a notable amount of excess fatty tissue underneath the skin that contributed to the problem. In these patients, you cannot, unfortunately, just liposuction the neck. If you do so and remove the unwanted extra... Continue Reading
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Plastic Surgery Virtual Consultation With Skype

Just finished another virtual plastic surgery consultation on Skype this morning with a previous patient on mine from Arizona. This is a patient on mine who had some facial plastic surgery years ago and is looking to have more cosmetic enhancement performed here in San Diego, CA. We have scheduled a tentative date for his surgery but he had some residual questions that he wanted answered prior to flying out. Skype is a great method... Continue Reading
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Ear Pinning Example (Otoplasty) in San Diego

One of the most commonly performed surgeries here at The Hilinski Clinic of Facial Plastic Surgery is ear pinning to help reshape an overly prominent ear. This is a plastic surgery procedure involving the ear that is listed on many plastic surgeons' websites. Unfortunately, many board certified plastic surgeons, even those that are well-established in the community, simply do not do ear pinning on a regular basis. What sparked this plastic surgery blog entry is... Continue Reading
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Skin Pinch Lower Eyelid Lift (Blepharoplasty) in San Diego

I happen to see quite a few facial plastic surgery patients in San Diego who are looking to have more of a 'finesse' type of lower eyelid lift. These are patients that are relatively younger compared with most lower eyelid lift patients. They usually present with some degree of excess lower eyelid skin and bunching under the eyes, but typically don't have significant 'pseudohernation' of the fat (often referred to as eyelid 'bags' by many... Continue Reading
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Pinched Nasal Tip in Rhinoplasty & Revision Rhinoplasty

The Hilinski Clinic of Facial Plastic Surgery in San Diego, CA, is happy to announce the most recent addition to our San Diego Rhinoplasty Tutorial - the Pinched Nasal Tip. Management of the pinched nasal tip is one of the more challenging dilemmas in the world of rhinoplasty and revision rhinoplasty surgery. Obtaining successful outcomes requires a thorough understanding of the anatomical problem and a well strategized surgical plan. To learn more about this updated... Continue Reading
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Rejuvenating TCA Chemical Peel For Aging Spots & Facial Hyperpigmentation

Chemical peeling is a well-established technique for rejuvenating your skin that is quite affordable and very effective. This is a great case example of what a TCA (trichloroacetic acid) chemical peel might do for someone with aging spots and hyperpigmentation. In today's day and age of expensive, fancy laser skin rejuvenation devices, chemical peeling is a fantastic office-based skin enhancement procedure. This very pleasant San Diego patient presented to the office noting dark age spots... Continue Reading
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San Diego Rhinoplasty (Nosejob) Healing From Closed Approach

This was a great case example to use for discussing the healing process following a closed rhinoplasty procedure (nosejob). This particular San Diego nasal reshaping patient presented to our office noting difficulty breathing through the nose along with some cosmetic concerns about the appearance of her nose. After examination, it was determined that she had collapse of her nasal bridge (also called the dorsum) and a drooping nasal tip (called ptosis and pronounced toe-sis). Both... Continue Reading
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Economics of Facial Plastic Surgery

I just read a very interesting online article discussing the economics of facial plastic & cosmetic surgery and thought it would be a good time to post a blog entry on this somewhat controversial topic. This article highlighted the fact that there has been a significant spike in the number of non-plastic surgeons who are now offering cosmetic surgery services. For instance, there are obstetrician-gynecologists who routinely advertise liposuction of the face and body. And... Continue Reading
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Am I Too Old To Have A Facelift Procedure In My 60s?

The answer is hopefully not! As facial plastic surgeons, we get asked this question all the time from patients considering facelift surgery in their 60s. The reality is that some patients are going to be considered great candidates to have this type of facial rejuvenation procedure while others might not be such good candidates. Much of this depends on how your skin has aged over the years. If your skin still has reasonable elasticity (a... Continue Reading
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Smiling After Rhinoplasty/Nose Reshaping

We at the Hilinski Clinic of Facial Plastic Surgery are quite proud of the fact that our San Diego nosejob patients love their rhinoplasty results. However, there is always the issue of whether or not patients should be smiling after a rhinoplasty procedure. I like to tell my rhinoplasty patients that they should refrain from smiling after their nosejob for at least 6-8 weeks. Instead, I suggest they try what I like to call a... Continue Reading
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Rhinoplasty Imaging & Realistic Nose Reshaping Results

I wanted to post a plastic surgery blog entry focusing on rhinoplasty imaging as it relates to achieving realistic results in nose reshaping. This particular San Diego rhinoplasty patient had suffered trauma to the nose when he was actually stepped on after falling to the ground. As you can see on his frontal rhinoplasty view, he had severe trauma to the bridge of his nose with collapse. You can see his frontal view looks 'washed... Continue Reading
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San Diego Plastic Surgery Expert in Revision Rhinoplasty Nostril Reshaping

One of the more common reasons for patients seeking revision rhinoplasty, or cosmetic nose reshaping, is for issues related to nostril asymmetry. For example, the San Diego rhinoplasty patient highlighted below had a prior nose job by a different plastic surgeon prior to consulting with our office. She consulted with us because of our reputation here in San Diego as a regional referral expert in rhinoplasty and revision rhinoplasty surgery. Nostril Asymmetry Her main issue... Continue Reading

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