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Facial Plastic Surgery

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Dr. Hilinski Among Three Rhinoplasty Surgeons Recognized In This Region

Dr. John Hilinski was selected by the Association for Medical Ethics as one of three rhinoplasty experts in this region who met the ethical and surgical standards established by the Association. Dr. Hilinski is proud of this recognition and honored to be one of only three rhinoplasty and revision rhinoplasty specialists selected. For many years now, Dr. Hilinski has put forth enormous effort in building his reputation as a rhinoplasty and revision rhinoplasty expert. He... Continue Reading
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Dysport Is Back And On the Rise!

Interestingly, our office has seen several patients recently who have requested to have Dysport instead of Botox for their unwanted facial lines and wrinkles. Botox is still very much in demand and is definitely the more popular treatment option. But Dysport has clearly made a lasting impression on many of our patients when it comes to addressing those frown lines and crow's feet. Because of this, The Hilinski Clinic is now back to carrying both... Continue Reading
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San Diego Facial Plastic Surgeon Launches New Website

Dr. John Hilinski, board-certified San Diego facial plastic surgeon, recently launched a new website that provides a comprehensive network of information to enhance his current and potential patients’ virtual experience with his practice. The website incorporates the latest website technology to showcase the wide range of procedures and extensive experience of Dr. Hilinski as he remains dedicated to the refinement of his patients’ natural beauty. The... Continue Reading
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A New Face For Our New Office

The Hilinski Clinic would like to welcome Ronnie, our new front office clinical coordinator. Ronnie comes to us with an extensive background in the world of plastic and reconstructive surgery. She looks to be a valuable resource for you, your family members and any friends considering facial cosmetic enhancement!
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Facelift Technique Update

I often times get asked what type of facelift technique do I prefer to do on my patients. The answer to this is – it depends on the type of facial anatomy that I am presented with and the desired change. Essentially any facelift procedure done today involves some type of lifting of the SMAS layer (also known as the superficial musculo-aponeurotic sytem). This is the thicker fibrous layer of tissue that sits below the... Continue Reading
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Appearance After Blepharoplasty (Eyelid Lift)

One of the more frequently asked questions is what will my eyes look like after an upper blepharoplasty, or eyelid lift, procedure? Or what can I expect at one week out from my eyelid lift? Within the first 72-96 hours your eyes will swell and might even bruise. We always recommend ice compresses (or Karo syrup bags) to the eyes during this period to minimize swelling and discoloration. Within 5-6 days, I will see you... Continue Reading
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Rhinoplasty and Revision Rhinoplasty Photos

Question: Why do some plastic surgeons only show the lateral or profile view of the nose following rhinoplasty or revision rhinoplasty? Answer: This is a great question. In my opinion, plastic surgeons should provide at least two views of the nose in their before and after photos. Nasal reshaping is such a 3-dimensional process that I don’t a single lateral view can represent an accurate outcome of the surgery. Plastic surgeons should always try to... Continue Reading
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Cast After Rhinoplasty or Revision Rhinoplasty?

Question: Do you always put a cast on the nose following rhinoplasty or revision rhinoplasty? Answer: The answer is – no. I will only place a cast on the nose if I have performed osteotomies (breaking the nose) during the rhinoplasty procedure. The cast, like for a broken arm, is intended to keep the bones in position during the early healing process. Unlike with your arm, however, we take the cast off within the first... Continue Reading
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Nasal Base Reduction in Rhinoplasty and Revision Rhinoplasty

Question: If I just want to narrow my nose by reducing the width of the base, do I have to undergo an anesthetic? Answer: The answer to this is ‘no’ if that is all you want done in terms of a limited rhinoplasty or revision rhinoplasty. We have several patients every year that only want to narrow the base of the nose where the nostrils attach to the cheek and lip. There are a variety... Continue Reading
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Straightening a Crooked Septum With Suture Technique

Many patients inquire about septoplasty for nasal obstruction, or difficulty breathing through the nose, and ask whether I perform suture technique to straighten the septum. The answer to this is ‘no’ in terms of my primary surgical technique for septoplasty. The reason for this is that the cartilage of the septum has what we call ‘memory’, which means that it has a tendency to go back to its original shape if given the opportunity. Conservative... Continue Reading
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Temporary Injectable Fillers for the Nose

I just completed an interview today with an independent journalist here in San Diego who was researching the topic of injectable filler use for the nose. This idea has actually been around for many years but has been gaining increasing media attention. It has been called among other things the non-surgical nose job as well as injection rhinoplasty and lunchtime rhinoplasty. These names and labels all refer to the technique of injecting a dermal filler... Continue Reading
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Pain with nasal exercises after revision rhinoplasty

One of my San Diego revision rhinoplasty patients was just in and asked what many patients ask regarding nasal exercises. Is it normal to have pain with the exercises? The answer is absolutely. In fact, if you are not pushing hard enough on your nose to elicit some degree of pain, you are likely not pushing hard enough! In order to effectively move the nasal bone after we perform an osteotomy (fracture or break the... Continue Reading
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Ear Pain Following Complex Rhinoplasty

Question: I had an ear graft done as part of a complex revision rhinoplasty. Is it normal for my ear to hurt more than my nose? Answer: Thank you for your inquiry. The answer is yes. It is quite normal to have more attention drawn to the ear as a result of discomfort and pain. The ear is quite sensitive being innervated by many sensory nerves. Therefore, it is expected to hurt more than the... Continue Reading

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