Unilateral Otoplasty
This otoplasty patient of mine was seen in follow-up evaluation just recently and is a great example of how otoplasty, or ear reshaping, can be done for patients who have only one ear that is prominent. This male patient presented to our office with a chief complaint that his left ear has always stuck out further than his right. Indeed, his left ear was clearly less developed than his right and was definitely more prominent.... Continue Reading
Widening the Narrow Nasal Tip
I just saw one of my revision rhinoplasty patients in follow-up today and it reminded me to post a quick note on management of the narrow nasal tip following prior rhinoplasty. This particular patient had prior rhinoplasty performed by a different plastic surgeon years ago. He was unhappy with the fact his nasal tip was too narrow for his face. If you look at his preoperative frontal photo below left you can appreciate that his... Continue Reading
What Is A Lip Lift Procedure?
A lip lift procedure is intended to shorten an excessively long upper lip. It is a procedure that is not done as commonly as other lip enhancement procedures. In fact, it is quite difficult to find a plastic surgeon who has any real experience in performing a lip lift procedure. There are basically two ways to shorten the vertical length of the upper lift. One involves making an incision under the nose where it junctions... Continue Reading
Reconstructing A New Nasal Tip
About every 3-4 months or so, I see a revision rhinoplasty patient who needs to have the entire nasal tip reconstructed. The following patient is a great example of exactly this type of rhinoplasty procedure. If you look at this particular patient, the tip of his nose looks as if it were truncated, or removed. After consulting with our office, he elected to proceed with the surgery to reshape his nose. We performed his rhinoplasty... Continue Reading
Update On Dermal Fillers
Many patients ask whether or not fillers can be used in the more aged patient as an alternative to undergoing the knife. The reality is that many patients, including more elderly patients, are considered great candidates to undergo dermal filler treatment of their face. The following patient is a great example of exactly what I am referring to with dermal fillers. This female patient from San Diego is 77 years old and simply didn't want... Continue Reading
Do I Have to Be Careful With My Ears All my Life Following Otoplasty?
We get this question from potential otoplasty, or ear reshaping, patients quite commonly. Do I need to be careful with my ears for the rest of my life following the surgery? The answer is no. Fortunately, otoplasty is done using permanent sutures to reshape the ear. Once the healing process is completed around 3-4 months out, there is sufficient scar tissue to maintain the shape of the ear permanently. It will take upwards of one... Continue Reading
Combining Chin Implant with Platysma Muscle Tightening
We have had several patients consulting with us over the past few months for chin augmentation with placement of an implant. Many of these patients were seeking an increase in projection to achieve more definition along the jawline and upper neck. In several of these patients, it was noted that tightening of the platysma muscle would also prove beneficial in their surgical outcome so I decided to post a quick blog regarding this combination procedure.... Continue Reading
When Do Rhinoplasty Patients Typically Become Happy With Their Noses?
This is a question often asked by rhinoplasty & revision rhinoplasty patients. The answer to this in my patient population is usually around 1-2 months out. Most people feel presentable in the public eye around 10-14 days out from surgery but still don't quite appreciate the changes made to the nose. As the swelling subsides in the first 1-2 months, a majority of patients will begin to see the new shape of their nose becoming... Continue Reading
Rhinoplasty Lecture at UCSD School of Medicine
I had the pleasure of speaking at the University of California, San Diego School of Medicine, Division of Plastic Surgery Grand Rounds this past Saturday. It was a great meeting of the minds with many local and regional plastic surgeons getting together to exchange ideas. I spoke about rhinoplasty pearls - various topics related to my personal approach to rhinoplasty and revision rhinoplasty. I was joined by Dr. Malcolm Lesavoy, a plastic surgeon from the... Continue Reading
Dr. Hilinski to Discuss Rhinoplasty at Upcoming Plastic Surgery Symposium
Dr. Hilinski was invited to be a featured speaker at the upcoming University of California, San Diego, Division of Plastic & Reconstructive Surgery Symposium this coming Saturday. Dr. Hilinski was asked to present his personal approach regarding rhinoplasty and revision rhinoplasty to an audience of San Diego plastic and reconstructive  surgeons. Dr. Hilinski was invited largely based on the fact he is a regional expert in complex, challenging rhinoplasty and revision rhinoplasty cases.
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