Posted on February 14, 2012 in Nose Job, Nose Reshaping, Rhinoplasty
I wanted to update everyone on Christine’s progress following rhinoplasty surgery performed nearly one month ago now. For those of you who don’t know, Christine works in the front office here at the clinic. We previously posted a blog entry showing her healing within weeks of having cosmetic nose surgery to lift her tip and reduce the bridge, performed by Dr. Hilinski in mid December 2011. These photos shown here are her rhinoplasty progress shots nearly one month out of surgery. As you can see, there has been a fairly significant decline in the tip and bridge swelling that was previously noted at 2 weeks after rhinoplasty. The right frontal and side photos shown below represent her at approximately one month out. Her nasal bridge is starting to thin and her tip is beginning to show more definition. On the side view, you can see the entire nose is shrinking down in size. The nose also is now less projected (sticks out less from her face) and smaller. You can see that her overall nasal tip position is still quite stable with a marked improvement when compared to before rhinoplasty. I hope this helps those patients wondering what rhinoplasty healing is like and the time course they can expect when it comes to resolution of the swelling.
Posted on February 8, 2012 in Nose Job, Nose Reshaping, Rhinoplasty, Septal Reconstruction
I recently saw a new patient in my office for evaluation of his nose following an injury sustained while playing soccer. Immediately following the nose injury, he was seen and evaluated in a local emergency room. X-rays were taken and confirmed an obvious nasal fracture. While in the emergency room, he was told that he needed to have the nasal fracture repaired by a nose specialist. Unfortunately, he was also told that he would never be able to play soccer again! This comment from the emergency room staff prompted an immediate phone call to me via this patient’s family member who was a personal friend. Fortunately, I was able to calm their nerves by clarifying his true prognosis. The reality is that once repaired and once healed, a vast majority of patients who sustain an injury to the nose are able to resume essentially all of their normal activities – including playing sports. It is a rare case where a patient suffers a nose injury that is so severe that future participation in sports would be prohibited. If you have questions or concerns about repair of your nose following an injury, feel free to contact one of San Diego’s experts in nasal fracture repair – Dr. John Hilinski.
Posted on January 28, 2012 in Facial Reconstruction, Nose Reshaping, Rhinoplasty, Skin Cancer Surgery
As a San Diego rhinoplasty and revision rhinoplasty expert, Dr. John Hilinski utilizes much of this expert knowledge and experience in nose surgery to help patients who require repair of nasal defects following removal of skin cancer. This is often times referred to as MOHS surgery of the nose, where skin cancers are carefully removed most commonly by dermatologists. In many of these patients, the defect or hole that is created from removal of the skin cancer can be quite extensive. In these situations, dermatologists will frequently refer these cases to Dr. Hilinski to repair the resulting defect. This case example provided here in the latest blog entry focuses on repair of a fairly extensive defect involving the nasal bridge in this female patient from San Diego who had MOHS surgery by a local dermatologist. She was then referred to Dr. Hilinski to help in the repair process because of his widespread reputation as one of the finest nose surgery experts in the region. Learn more about nasal reconstruction following MOHS surgery of the nose by linking here.
Posted on January 8, 2012 in Nose Job, Nose Reshaping, Rhinoplasty
A common concern among rhinoplasty and revision rhinoplasty patients in San Diego, CA is their appearance in the short-term following cosmetic nose reshaping. This blog post here attempts to shed some light on this issue using a real patient example. This particular San Diego rhinoplasty patient happens to be a familiar face – she is the front office staff member of San Diego Face and Neck Specialties – Christine! This past month Christine underwent a cosmetic rhinoplasty procedure to reshape her nose. Specifically, she had her nasal tip lifted up and the bridge of the nose reduced slightly while being narrowed. These photos represents what our typical rhinoplasty patient looks like just 2 weeks out from surgery. As you can see, there has been an obvious change in the shape and size of her nose. In addition, you can appreciate that she still has swelling of the soft tissues of the nose that contribute to the nose still looking puffy. But overall she is quite presentable to the public eye at just 2 weeks out from surgery. In fact, she is already back to work here at the office! You can also see that she has minimal signs of bruising around the nose and eyes – something that often times concerns potential rhinoplasty patients who are having their nose broken like Christine did. It also helps that Christine was very compliant with her recovery process and post-rhinoplasty instructions. Hopefully this series of photos provides some further insight into the early healing period for anyone considering cosmetic rhinoplasty surgery here in San Diego and the surrounding regions.
Posted on January 4, 2012 in Nose Job, Nose Reshaping, Rhinoplasty
Dr. Hilinski continues to expand on one of the largest rhinoplasty photo galleries in San Diego with the addition of the latest example of finesse rhinoplasty surgery. This young female from San Diego desired cosmetic nose reshaping surgery to simply make her nose look more refined for her face. 
Specifically, her nasal bridge was too wide as seen from the frontal view (and she had a small bump on the bridge). If you look at the adjacent photo shown here, you can appreciate that her nose was too wide for her face. Overall, she is an attractive female, but her nose was out of balance with her surrounding facial features. This is shown in the diagrammed photo where the red lines indicate the actual width of her nose and the blue lines indicate the approximate desired width that would provide a more refined nasal appearance. Dr. Hilinski, an expert in finesse type of rhinoplasty surgery, performed the nose reshaping procedure to provide her with a nice cosmetic enhancement including narrowing of the nasal bridge. The rhinoplasty surgery was done in this case with a closed approach – where no incisions are made externally on the nose. Her nasal bridge was reshaped by gently sanding it down while the bones were moved inward. These rhinoplasty maneuvers were performed using a finesse technique so there was not a dramatic change in her appearance. In many ways, this type of finesse cosmetic nose surgery is actually more difficult than performing rhinoplasty where a significant hump, for instance, is reduced. This is predominantly because the margin of error is markedly less in someone with a face and nose like hers. Because of this, only finesse changes can be tolerated to create a nose that looks more shapely, yet natural looking. You can see in the before and after rhinoplasty photos in this case example how the nose now appears more narrow and refined on the frontal view. Look specifically at the width of her nasal bridge – she now has a more attractive nose that shadows much better than it had prior to rhinoplasty reshaping. This type of change is largely a result of the osteotomies that were performed during surgery – where the nasal bones are intentionally broken in a controlled manner and narrowed appropriately. As you can see in the photos, she still very much looks like her old self. But she now has a nose that is more in balance with her facial features with improved definition. If you have a nose that you think might benefit from finesse rhinoplasty surgery like this one, feel free to contact one of San Diego’s finest rhinoplasty surgeons today!
Posted on October 9, 2011 in Nose Job, Nose Reshaping, Rhinoplasty
This is great example of tip rhinoplasty, or nasal tip reshaping, in a patient who had an obvious deformity following skin cancer involving her nose. This patient underwent removal of a skin cancer in the nasal tip region, which was performed by a different plastic surgery years prior. Unfortunately, the area where the skin cancer was removed from the nose did not heal well – leaving the patient with a very visible depression. As you can see in this preoperative photo, there is an obvious area of her left nasal tip that is missing, which translates into an abnormal cosmetic contour. Looking at a 45 degree angle from her right side, you can easily appreciate what was bothering her in terms of the nasal tip shape. In addition, this type of collapse of the nasal tip created difficulty in breathing through the nose as well. She was ultimately referred to our rhinoplasty clinic in San Diego, CA because of Dr. Hilinski’s known expertise as one of the regions best rhinoplasty specialists.
Rhinoplasty to Reshape the Nasal Tip
Dr. Hilinski recommended an open rhinoplasty procedure to reshape the nasal tip region. This included use of septal cartilage from inside of the nose to graft the tip. In addition, he used temporal fascia grafting to help bolster or soften the skin overlying the defect. The rhinoplasty surgery was performed by first lifting the skin off of the nose. The septal cartilage grafts were then used to literally rebuild the nasal tip concentrating on creating a more symmetric looking nose. The fascia graft was finally layered over the cartilage grafts before the nose was closed. The final results of this type of tip rhinoplasty surgery are shown herein. As you can see, there has been a significant improvement in terms of her tip shape – especially in terms of symmetry of the nose. As one will also appreciate, her right angled view demonstrates how her nasal tip is now better contoured with a more natural looking rhinoplasty result.
Rhinoplasty Consultation in San Diego, CA
If you have had prior cancer of the nose and are considering further reconstructive surgery to help restore a more normal appearance, feel free to contact one of San Diego’s busiest and most experienced rhinoplasty clinics – the office of Dr. John Hilinski.
Posted on September 14, 2011 in Nose Job, Nose Reshaping, Rhinoplasty
Management of the over-projected nasal tip is one of the more challenging types of cosmetic nose reshaping. This is a good example of this type of nosejob procedure where the tip of the nose is brought back closer to the face. In this particular case, the nasal tip stuck out too far from the plane of the face, disrupting theharmony and balance of the nose. The goal of the nasal reshaping surgery was to bring the tip in closer, thus making the entire nose smaller but more proportional for her face. This is called deprojection in rhinoplastyterminology. As you can in her before and after photos, there has been a dramatic change to the shape of her nose as seen on side view. On frontal view of the nose, however, there has been much less change since the primary alteration was more front to back rather than side to side. She still has some degree of mild swelling in her tip and bridge in these photos, which should continue to improve as the months of healing go on. From the side and oblique (angled) views, you can see a rather obvious improvement in the balance and harmony of her nose. The nasal tip has now been deprojected and is in much more harmony with the surrounding facial features. In fact, this type of rhinoplasty surgery has really enhanced her inherently beautiful facial features. To learn more about deprojection of the nasal tip, use this link here to see our San Diego Rhinoplasty topic discussion page.
Before and After Tip Deprojection
Posted on September 1, 2011 in Nose Job, Nose Reshaping, Rhinoplasty
Dr. John Hilinski is proud to announce the latest addition to his SanDiegoRhinoplasty.com website – management of the Hispanic nose in cosmetic rhinoplasty. San Diego being the border city it is has a significant number of Hispanic patients interested in having cosmetic nose reshaping. Dr. John Hilinski happens to see a great number of these Hispanic rhinoplasty patients for nose job surgery. This is a very specific form of ethnic rhinoplasty that requires expert knowledge and dedicated experience in reshaping the Hispanic nose. To learn more about this type of ethnic rhinoplasty from a cosmetic nose specialist in San Diego, CA, use this link here to be taken to the SanDiegoRhinoplasty.com discussion on the Hispanic nose.
Posted on August 30, 2011 in Facial Plastic Surgery, Nose Job, Nose Reshaping, Revision Rhinoplasty, Revision Rhinoplasty Specialist, Rhinoplasty
Dr. John Hilinski and his staff are proud to announce the launch of SanDiegoRhinoplasty.com – a website dedicated to educating potential rhinoplasty and revision rhinoplasty patients. SanDiegoRhinoplasty.com is intended to complement our main website – drhilinski.com – as a specialized online resource for those considering cosmetic nose reshaping. The new site also contains an online rhinoplasty patient primer that is similar but distinct from our current rhinoplasty tutorial. As an authority and regional expert in rhinoplasty and revision rhinoplasty, Dr. Hilinski felt compelled to develop SanDiegoRhinoplasty.com so that those considering plastic surgery of the nose would have a fully dedicated educational and reference guide. We hope you enjoy the new site!
