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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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How Long Do I Need To Wear Bandages After Ear Reshaping?

I get asked this question all the time by my patients undergoing ear reshaping, or otoplasty, here in San Diego. I recently developed a new online ear reshaping tutorial that you can reference to help answer this question and many others. But, in short, I recommend my San Diego ear reshaping patients wear their initial bandage for 1-2 days. This is usually a bulky, gauze wrap that helps compress the newly reshaped ears to prevent... Continue Reading
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Pinched Nasal Tip & Hanging Columella In Revision Rhinoplasty

I just finished a revision open rhinoplasty today on this female patient from San Diego. We took some intraoperative photographs to show others what the anatomy looks like when dealing with a pinched nasal tip and hanging columella. This patient had  a prior rhinoplasty done by another San Diego plastic surgeon. She was still unhappy with the appearance of her nose and consulted with my office for a revision rhinoplasty. Preoperative Rhinoplasty Assessment On preoperative... Continue Reading
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Lip Enhancement Augmentation With Juvederm

In order to help let our potential patients know what it looks like immediately after lip enhancement with Juvederm (or Restylane), I have provided the following case example. This young female patient presented for augmentation of her lips using an injectable filler. On examination you can see that her lips were clearly asymmetric with the right upper lip being much smaller than her left upper lip. As is indicated by the white arrow, one can... Continue Reading

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