Asian Rhinoplasty Surgery
Asian rhinoplasty is a form of ethnic rhinoplasty that involves a much different approach compared to the standard rhinoplasty surgery. First off, Asian rhinoplasty patients typically present with complaints about their bridge being too low, which often translates into the frontal appearance being too wide. A frequent comment from Asian rhinoplasty candidates is that they actually have difficulty wearing eyeglasses and sunglasses because their bridge is too low to actually support the glasses. In addition,... Continue Reading
Rhinoplasty For Hump & Poorly Projected Nasal Tip
One of the most common complaints among patients seeking rhinoplasty is a dorsal hump and lack of tip projection. Because how common this is noted among rhinoplasty candidates, I decided to post a quick blog entry using a case example. Most of these patients present with a chief complaint of a bump along the bridge. When this is combined with poor tip projection, both issues can be exaggerated more than there are individually. For instance,... Continue Reading
Three Weeks Post Rhinoplasty – Nose Looks Wider Than Previously
"I had a rhinoplasty procedure nearly 3 weeks ago and now my nose looks wider than it did preoperatively. Is this normal or should I be worried?" This question or a variation of this question is often asked on online rhinoplasty forums. The reality is that many rhinoplasty and revision rhinoplasty patients can appear wider at 3 weeks out than they did before surgery. This can be especially noted if grafting was performed as part... Continue Reading
Imaging Example In Ethnic Rhinoplasty
With as many questions as I get regarding rhinoplasty and computer imaging, I felt compelled to leave a quick post using an ethnic rhinoplasty patient of mine as an example. This particular patient consulted with us desiring reshaping of her nose for a dorsal bump, a depression in her supratip and ptosis (drooping) of her nasal tip. As can be seen from the attached photos, she is an ethnic rhinoplasty patient. Therefore, surgical planning in... Continue Reading
Alar Base Reduction Following Rhinoplasty
Many patients online have inquired about whether or not they can undergo alar base reduction (narrowing) following rhinoplasty. The answer is - yes. In many cases of rhinoplasty and revision rhinoplasty, patients can benefit from having the base of the nose narrowed at the same time other areas of the nose are being reshaped. There are cases, however, when narrowing the alar base is considered a borderline decision. In these types of rhinoplasty and revision... Continue Reading
Columella Scar Following Rhinoplasty
Many rhinoplasty candidates inquire about the appearance of the columella scar following an open rhinoplasty approach. As I tell most patients considering an open rhinoplasty, the scar generally heals quite nicely with minimal visibility. In fact, we intentionally create a geometrically broken line incision so that we fool the naked eye when it comes to visualization. The incision is also strategically placed under the nose, across the columella that divides the two nostrils. So even... Continue Reading
Influence of Scar Tissue Development on Rhinoplasty Healing
Some patients have inquired about scar tissue formation after rhinoplasty and revision rhinoplasty. Specifically, they ask if the nose permanently becomes bigger because of scar tissue development under the skin following nasal reshaping? In most cases, the nose will not enlarge significantly following rhinoplasty or revision rhinoplasty. In fact, in most cases the nose will trend toward shrinkage as the months and years go on. There are, however, instances where rhinoplasty and revision rhinoplasty patients... Continue Reading
My Nose Is Numb One Month Following Rhinoplasty. Is This Normal?
The answer to this question is - yes. In fact, it is the rule of thumb that rhinoplasty and revision rhinoplasty patients will experience some degree of numbness and/or tingling of their nose for upwards of several months following surgery. Usually the heralding sign of normal return of sensation is pings of pain that some rhinoplasty and revision rhinoplasty patients note. The good news is that pain sensations are fairly blunted early on due to... 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.
How Do You Choose Your Rhinoplasty Surgeon?
I see this exact question or some variation of it posed on forums all the time. The answer to this is actually fairly straightforward. The challenge is finding a rhinoplasty surgeon who fulfills all of the desired qualifications. Given the fact that rhinoplasty, or nose reshaping, is hands down the most difficult plastic surgery procedure to perform correctly, it is well worth the effort to research this topic carefully and thoroughly. The first thing you... Continue Reading
