Dr. John Hilinski
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Rhinoplasty

Rhinoplasty, also known as a nose job, is a procedure to reshape or resize your nose. Many patients are dissatisfied by the appearance of their nose because it draws unwanted attention and is not in balance with the overall facial appearance. Even a slight variation in proportion or symmetry can detract from the beauty of other facial features.

Common concerns among patients seeking rhinoplasty include a nose that is disproportionately large or small for their face. Others are bothered by a crooked alignment of their bridge or an unnaturally high bridge (dorsal hump deformity). Still others are more concerned about tip abnormalities (asymmetries), including a tip that lacks definition or is poorly positioned. Some noses involve a combination of these abnormalities, while others have only isolated irregularities. Patients who desire refinement and reshaping of their nose and have realistic expectations may be good candidates for rhinoplasty.

The goal of rhinoplasty is to provide a balanced and pleasing shape to your nose while maintaining a natural look that is harmonious with the rest of your face. Rhinoplasty is a delicate operation of allusion and sculpting that can produce dramatic, beautiful results. Cosmetic changes to the nose, however, are inextricably linked to vital functions such as nasal breathing. Too often you hear from other patients who had cosmetic rhinoplasty, but then developed difficulty breathing through the nose. This link between cosmetic appearance and function makes rhinoplasty arguably the most complex and challenging of facial plastic procedures. Ultimate success requires a surgeon, such as Dr. Hilinski, who has specialized training in not only cosmetic enhancement of the nose, but also expert knowledge of functional (breathing) nasal surgery.

Rhinoplasty can be performed using either an “open” or “closed” surgical technique. Open rhinoplasty involves making a small incision underneath the nasal tip, which becomes nearly imperceptible after it heals. Closed rhinoplasty involves incisions that are made entirely within the nose. There are advantages and disadvantages to both techniques. Certain individuals would benefit more from one than the other. The technique that is best suited for your nose can be discussed in detail during consultation with Dr. Hilinski.

In most cases, you will have an opportunity to sit down with Dr. Hilinski prior to surgery to view computer-generated before and after images of your face and nose. Using this cutting edge computer morphing technology you will be better able to appreciate realistic changes that are expected to result from surgery.

Dr. Hilinski performs most rhinoplasty procedures in an outpatient surgery center. Deep sedation or general anesthesia is commonly used and the surgery typically takes two to two and a half hours to complete. Most rhinoplasty patients go home the same day as their surgery.

Patients can expect an initial recovery of five to seven days. Bruising and significant swelling are uncommon. Stitches are removed within five to seven days. Although many patients take a week off of work or school, some are able to return within a few days after surgery. Although, light activity is permitted after the first two weeks, vigorous exercise should be avoided for at least four to six weeks. While most patients are presentable in public within seven to ten days, the majority of soft tissue swelling can take several months to fade and the nose will continue to undergo healing and remodeling of the shape for upwards of a year and beyond in some cases.

Do you have more questions about Rhinoplasty? Click here to visit our frequently asked questions or contact our office to schedule a consultation.

For more detailed information on nasal reshaping, please also visit our online San Diego rhinoplasty tutorial and our extensive San Diego rhinoplasty blog focusing on the latest news in nasal reshaping.

We have also developed a sister site (SanDiegoRhinoplasty.com) that is dedicated completely to discussion and analysis of cosmetic nose reshaping surgery. This site is intended to complement the information provided here on our main website. We hope you enjoy the information. Click here for a link to one of the few sites in San Diego devoted to rhinoplasty and revision rhinoplasty surgery.

Dr. Hilinski’s office in San Diego, CA is conveniently located near the following: