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Revision Rhinoplasty

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Bizymoms Online Interview With Dr. Hilinski

Dr. John Hilinski was recently featured in an online interview with Bizymoms.com discussing rhinoplasty surgery. Bizymoms.com is a website that caters to moms of all ages and covers a wide ranging of topics, including plastic and reconstructive surgery options. Click here for a link to Bizymoms and Dr. Hilinski's rhinoplasty interview.
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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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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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What Do I Look Like After Rhinoplasty?

This is a frequent question that I get asked from potential rhinoplasty and revision rhinoplasty patients. Normally most rhinoplasty patients will look ’supermarket’ presentable in about 10-14 days. I will remove the sutures, tape and cast (if placed) 5-6 days following your surgery. The nose looks swollen that day but, in general, rhinoplasty patients can appreciate the changes that were made even at that point in time. A significant improvement will be seen between that... Continue Reading
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Does Insurance Pay for Septoplasty?

The short answer to this question is – yes, if you have symptoms of nasal blockage that are not improved with medications. If you are found to have evidence of a deviated septum, or crooked septum, on examination by a facial plastic surgery or otolaryngology specialist, they will likely recommend surgical repair. In order for your insurance company to cover these services, your surgeon will submit paperwork documenting their opinion and recommending septoplasty surgery. If... Continue Reading
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Rhinoplasty and Steroid Injections

Question: What are steroid injections and why are they used for rhinoplasty and revision rhinoplasty patients? Answer: Steroid injections refer to an injectable corticosteroid (called steroid for short) solution that is used to decrease swelling and dissolve unwanted scar tissue. I use steroids quite commonly to help during the healing process following rhinoplasty and revision rhinoplasty. If taping the nose does not address the issue sufficiently and/or quickly enough, I might recommend a steroid injection... Continue Reading
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How To Minimize Bruising Following Rhinoplasty and Revision Rhinoplasty

All patients undergoing rhinoplasty or revision rhinoplasty by my office are counseled on how to minimize chances of bruising following surgery. The onset and severity of bruising after cosmetic rhinoplasty is dependent on multiple factors, which can usually be accounted for by careful planning. All patients are instructed to review our list of restricted of medications that is handed out to you and is always on our website for reference. I prefer my patients avoid... Continue Reading
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Rhinoplasty and Spreader Grafts

In many cases where patients are undergoing reshaping of the dorsum (bridge) I will recommend that we place spreader grafts at the time of the surgery. Spreader grafts are long, rectangular-shaped pieces of cartilage that are placed in parallel with the bridge in between the septum and the upper lateral cartilage. They are what we term ‘hidden’ grafts in that they are placed within a precise pocket without contacting the skin directly. This is in... Continue Reading
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Ear Grafting (Auricular Cartilage Grafting) and Revision Rhinoplasty

Many patients who are scheduled to undergo revision rhinoplasty require ear cartilage grafting (also known as auricular cartilage grafting) as part of their surgery. This is commonly done when we need to add structural support and/or additional contour to the nose following prior rhinoplasty where too much cartilage or bone was removed. Patients often wonder what the ear is going to look like after the cartilage has been removed from their ear. As I tell... Continue Reading

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