Treatment Provider

John M. Hilinski, MD
Board Certified Facial Plastic Surgeon
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4 month post op!

So many have reached out with questions about Dr. Hilinski...hope I have answered and helped you all! Quick update, I continue to heal...slowly, but swelling is coming down in the tip. The columella is still an issue. I looked at some before and now photos and see no difference quite honestly. Hope a bit is swelling. And really hoping it would be a minor tweak if I have to go in and shave a bit off. Still very pleased with Hilinki's office and work:) My journey just might not be over as quickly as I would like with this columella still hanging.

Well I am finally writing a review. I am not ready...

Wanted a Natural Looking Nose from Dr. Hilinski. Well I am finally writing a review. I am not ready to give my final "star" review as I am still healing. So I started out with a pointy, long, droopy nose and wanted a very natural improvement. Dr. Hilinski certainly gave me that. I consulted with several other doctors and felt confident with Dr. Hilinski's expertise in rhinoplasty and revision rhinoplasty. He also has wonderful credentials. When he performed the digital imaging he was spot on so I knew we were on the same page. Fast foward to the day of the surgery...healing was a piece of cake. The surgery was fairly long. I do feel Hilinski takes a great deal of time with his patients and surgeries.
Now to the results. I started out with very thin skin which gave me nice definition but left me with visible cartilage show after the swelling went down. See attached pics. Dr. Hilinski assured me at the year mark we could easily put a fascia graft in the tip and this all would be camouflaged. I was also left with a somewhat hanging columella....pretty minor, and a "funky" bump on the incision area. I knew right away these two problems would need to be fixed at the year mark. I wasn't thrilled about having another surgery but know things don't always turn out perfectly the first time. However, I loved everything else about my new nose! It was very natural looking, not too perfect and suited my face. If you want the "perfect" nose, do not go to Hilinski! If you want natural and conservative approach, he is your doctor.
Now onto the minor revision May 1st 2017. I had another open procedure as I really wanted to make sure the tip was slightly shaved down perfectly and the fascia graft was placed correctly. Also, wanted the columella tucked. Now... should the fascia graft been placed the first time? I think so. Would another doctor have done it? I will never know. Dr. Hilinski made a call the first time around not to do it and I have to trust that he made the right one. But I did have to go back at the year mark to have it placed. The little touch up was really no big deal in the big scheme of things. Healing has been fast and uneventful.I'm 2 months out and still very swollen in the tip. Probably from the open procedure and the graft placement. I do not see the cartilage show anymore but my tip is now bigger....should settle and go down. My biggest concern....my columella! It really doesn't look any different and I definitely wanted it tucked. Mat still be swelling but I am not sure. Good thing is that can easily be fixed with a closed procedure but oh man! I am waiting to give my final review to see how the office handles this last problem I seem to be having. But I do have a feeling I will definitely need another touch up to fix the columella. Will update with pictures as soon as I get further along with the healing process. I have included before and afters and hope this is helpful. Please reach out with any questions!

Provider Review

Board Certified Facial Plastic Surgeon
11199 Sorrento Valley Rd., San Diego, California
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