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Revision Rhinoplasty

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Rhinoplasty Before & After Gallery

San Diego rhinoplasty specialist and California revision rhinoplasty expert, Dr. John Hilinski, is proud to report that he now has one of if not the largest rhinoplasty photo galleries in all of San Diego. In fact, Dr. Hilinski likely has one of the largest galleries of rhinoplasty photos in all of Southern California. As a San Diego double board certified facial plastic surgeon, he has a specialty focus in rhinoplasty surgery - arguably the most... Continue Reading
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Spreader Grafting in Rhinoplasty & Revision Rhinoplasty

San Diego nose specialist and California rhinoplasty expert, Dr. John Hilinski, has just added a new online chapter to the rhinoplasty tutorial guide. This latest rhinoplasty discussion focuses on use of spreader grafts in nose reshaping and correction of nasal obstruction. Spreader grafts are a specific surgical maneuver performed during nasal reshaping and typically only done by specialists in rhinoplasty and revision rhinoplasty. To learn more about spreader grafts in nose surgery, click here to... Continue Reading
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Removing Tape After Rhinoplasty or Revision Rhinoplasty

Many rhinoplasty patients out there are instructed to tape their nose on a regular basis to help the nasal skin shrink wrap down to the new shape of the nose. If you haven't done so yet, please take a look at our online rhinoplasty tutorial on taping the nose following rhinoplasty and revision rhinoplasty. One helpful hint that I wanted to point out with regard to taping the nose has to do with removal of... Continue Reading
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Myths About Pain Following Rhinoplasty & Revision Rhinoplasty

I just saw of one my many San Diego nose job (rhinoplasty) patients in the office today to take off her cast following nose reshaping 5 days ago. She was doing quite well with minimal bruising and very little swelling despite a full reshaping of the nose. She was pleasantly surprised how little of a recovery was involved with her rhinoplasty procedure. In addition, she was quite happy that her pain levels following the nose... Continue Reading
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New Rhinoplasty Tutorial Chapter On Steroid Injections In Nose Surgery

San Diego rhinoplasty specialist, Dr. John Hilinski, has just completed another chapter for his online rhinoplasty tutorial that helps current and prospective nasal reshaping patients better understand the entire process of nose surgery. This latest rhinoplasty chapter focuses on the use of nasal steroid injections in management of the nose surgery patient. To learn more about this rhinoplasty topic, click here to learn about our nasal reshaping tutorial on steroid injections for rhinoplasty patients.
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Revision Rhinoplasty For Pollybeak Deformity

As a revision rhinoplasty specialist in San Diego, we are continually trying to update our website with useful rhinoplasty information. Toward this end, we recently added a new section to our online rhinoplasty tutorial focusing on management of the pollybeak deformity in revision rhinoplasty. I hope this helps anyone out there considering revision rhinoplasty surgery to address this type of abnormality of the nose. Sincerely, Dr. Hilinski
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Not The ‘Occasional’ Rhinoplasty Surgeon

One of the main reasons why we do so many rhinoplasty and revision rhinoplasty surgeries is the fact that my practice has extensive experience when it comes to cosmetic reshaping of the nose. In fact, a large part of my San Diego Facial Plastic Surgery practice is dedicated to rhinoplasty and revision rhinoplasty. Facial plastic surgeons who are rhinoplasty specialists are vastly different from what my colleague, Dr. Steven Dayan in Chicago, refers to as... Continue Reading
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Revision Rhinoplasty For A Severely Pinched Nasal Tip

Repair of the pinched nasal tip is one of the most challenging cases in the world of rhinoplasty, or nasal reshaping. Below is a case example of a San Diego patient who had prior unsuccessful rhinoplasty performed by a different rhinoplasty surgeon. She was, unfortunately, left with a severely pinched nasal tip as seen below. In addition to her cosmetic nose concerns, she had a significant problem with breathing through her nose as one might... 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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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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Ethnic Revision Rhinoplasty

This patient was seen in our office today for follow-up evaluation, prompting me to post a blog regarding her ethnic revision rhinoplasty case (Asian and African American nose). She originally had a septorhinoplasty by another rhinoplasty surgeon here in San Diego. She was unhappy with how her nose looked following the nasal reshaping process and also had difficulty breathing through her nose. As you can see from her before photos below, her nose appears asymmetrically... Continue Reading
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Taping the Nose Following Rhinoplasty

We have just added a new segment to our online rhinoplasty tutorial titled Taping the Nose. This segment was added for all of you rhinoplasty and revision rhinoplasty patients who have been instructed to tape your nose at night. The tutorial covers my general guidelines and techniques for taping the nose after nasal reshaping surgery. Hope it helps.

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