Facial Plastic Surgery

I like to see my facelift, or face lift, patients fairly regularly following their surgery. I will continue seeing them upwards of 6-9 months out typically. It is around this time that facelift patients seem to reach a plateau in terms of their recovery process. Although facelift scars will continue…

Many candidates for facelift, or face lift, surgery inquire about the type of anesthesia that is required for the procedure. In my own practice here in San Diego, I typically do a facelift, or face lift, under an IV sedation (twilight anesthesia) or general anesthetic. I also only use a…

"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…

I had a patient consult with our office recently who inquired about ear lobe reduction/reshaping. This happens to be a niche procedure that not a lot of plastic surgeons actually perform on a regular basis. Given the fact that my practice focuses on facial plastic surgery here in San Diego,…

On behalf of the staff at The Hilinski Clinic of Facial Plastic & Reconstructive Surgery here in San Diego, we would like to wish all of our family, friends and patients a very merry Christmas!

Management of a wide middle vault in rhinoplasty is one of the more difficult techniques when it comes to nasal reshaping. The reason is because you have to consider the positioning of the nasal bones in conjunction with their transition into the upper lateral cartilage as it helps form the…

One of the main differences between my practice and other plastic surgeons' practices is that I have additional advanced specialty training in reconstructive work related to the nose. This more commonly involves patients that need a plastic and reconstructive surgeon for functional, or medically indicated, work that needs to be…

This is a question I have seen on some online rhinoplasty forums and decided to answer with a patient example. This patient was recently seen in follow-up evaluation in our office and was thought to be a good case example of altering nasal height and length at the same time.…

I was just speaking with one of my plastic surgery colleagues here in San Diego about recent inquiries regarding patients with excessively long foreheads. Believe it or not this is a relatively common complaint among patients, particularly females. Usually patients note that their hairline starts much higher up than normal.…

One of my revision rhinoplasty patients from San Diego was seen in follow-up evaluation today, which reminded me to post a quick note on thick skinned patients undergoing revision rhinoplasty. This particular patient had undergone three previous rhinoplasty surgeries performed by three different plastic surgeons. Her main issue was a…