Locations
Spokane Center for Facial Plastic Surgery
Spokane, WA
Phone
Practice website
About
Bio
Double board certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology.
In private practice in Spokane, WA
SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Plastic Surgery
Licenses
United States: Washington
Languages spoken
English
Doctor Q&A
259 Answers
17 Agrees
The number of answers this doctor has agreed with.
A 21-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Days to months: Recovery from bell's palsy is quite variable. It can take from a few weeks to many months to recover facial movement. Fortunately, most people will re... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Exam and tests: Bell's palsy is facial weakness or paralysis that is thought to be caused by a viral infection. It is diagnosed by the medical history and on physical... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
No: Bell's palsy may be related to a viral infection of the facial nerve but this is not thought to be contagious.
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
It depends: In general facial Botox injections should be ok if you are on blood thinners. However, your risk for extra bruising will be higher. You should also b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Depends: If the numbness doesn't last very long then it might be caused by pressure on the nerve while sleeping. If this lasts longer than a few minutes then i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
About a week: During the first week you should be careful to not forcefully blow you nose because of bleeding risks. After a week or so you can frequently use nasal... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Need evaluation: Can't really answer that without more information. This could be a family trait or may be a sign of something called acromegaly which is a hormone dis... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Maybe: Basal cell cancers tend to grow fairly slowly so a delay in treatment for a couple of months may be ok in some cases. But it really depends where it i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
An otoplasty: Although each person is different, ear reshaping -otoplasty- usually involves changing the shape and position of the ear cartilage. This is done thro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Usually yes: A drooping eyelid may be caused by "ptosis" which is actual drooping of the eyelid. A drooping appearance can be caused by excess upper eyelid skin or... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Possibly: Actinic keratosis (ak) is a sign that your skin has had excessive sun exposure. It may represent a "pre-cancerous" lesion as some will become skin can... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A male asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Not usually: Rhinoplasty should not predispose you to nosebleeds in the long term. It is common to have some bloody drainage from your nose for the first few days ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
It may come back : No one knows exactly why keloids form but they often follow piercings. If you have had a keloid treated most would adivse against re-piercing. If you ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Usually yes: A facelift can be done at almost any age as long as you are in good overall health. People who smoke or have other medical problems are often not good... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Use caution: There really is no such thing as a "non-surgical" nose job. An injectable filler can provide some temporary slight change in the contour of the nose b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Antiobiotics, surger: Orbital cellulitis is a serious infection of the tissues around the eye socket. It is treated with IV antibiotics and occasionally surgical drainage i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Not available: All clinically effective laser for skin treatment are only available to health care professionals and not for home use. Visit a qualified professional... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 54-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Need more details: There are many things that can cause a difficult intubation during surgery. Ask your surgeon for more details. You should mention this to your surgeon... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Teaching hospital: Try a teaching hospital like mass eye and ear or mass general.
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsAnswered >2 years ago
A 48-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Facial paralysis: Bell's palsy is weakness or paralysis of the facial muscles. It is thought to be caused by a virus but it is important to rule out other causes such a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsAnswered >2 years ago
A 42-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Yes but rare: Facial palsy or paralysis can be inherited but this is rare. There are a number of syndromes that include facial paralysis. If this is present in a ne... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Perhaps: Renova (tretinoin) is a cream that encourages desquamation - or removal of the outer most layers of the skin. This is best for sun and age damage of t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsAnswered >2 years ago
A 30-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Outpatient procedure: Rhinoplasty is a common outpatient procedure usually done with a general anesthetic - you are asleep. It normally takes 1-2 hours and can either be do... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Salt water rinses: Small wounds in the mouth will heal quickly on their own. Gentle salt water or diluted peroxide rinses might help. Only very large cuts need to be sti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsAnswered >2 years ago
A 46-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Usually yes: Diluted betadine solution is usually safe on a wound. It is commonly used as a disinfectant in surgery.
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 27-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Usually: Nasal steroid sprays might be helpful especially if you have allergies or chronic inflammation of the nasal cavity, you should be careful to avoid spr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsAnswered >2 years ago
A 30-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Unlikely: It depends on the cause. Most cases of drooping eyelids are either due to a nerve/muscle problem or due to excess skin. A drooping eyelid can also be ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Not usually: A well-done septoplasty operation will not usually change the appearance of the nose. Rarely, there could be some collapse of the nose if there was da... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 20-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Ask your surgeon: What you can eat all depends on what kind of fracture you had repaired. Sometimes you can eat soft food right away and sometimes you need to only have... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Complex question: Not exactly what you mean by "eagle beak". There are a number of things that can cause an unacceptable nasal shape after rhinoplasty. You should be ev... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsAnswered >2 years ago
A 41-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Betadine effective: Betadine is a skin disinfectant that is commonly used in surgery. It works well and only occasionally causes skin allergies or reactions.
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 29-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Usually yes: It will depend on the type of blood thinner you are on. If it is Coumadin (warfarin) then be sure your INR isn't too high. Aspirin and plavex are not ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Not a problem: Chemical or laser peels are often combined with filler injections like restylane (dermal fillers). There is no reason to not combine them. So go ahead... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Either one: Trauma to the nose may break the nasal bones or the nasal cartilages. This can make the nose crooked or lead to nasal congestion or blockage. A nose s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 26-year-old male asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Perhaps: There are a number of ways to balance the facial movements after a bell's palsy. The most common is to have some Botox injections to even out the faci... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Depends what it is: This could be a cyst from an oil gland or some scar from a prior piercing. Either way it may need to be reoved. Consult with a facial surgeon or a der... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Extremely unlikely: Basal cell cancer (or carcinoma) is the most common type of skin cancer and it caused by cumulative sun exposure. It can spread by directly growing in... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Yes!: It all depends what you are concerned about. "minilifts" or short scar lifts may be good options for younger patients. Laser skin rejuvenation may be ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
No: A nasal steroid spray may reduce some nasal congestion especially if that is due to allergies or swelling. A deviated septum means the bone and cartil... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Not usually: Bell's palsy typically only has facial weakness or paralysis. Other symptoms such as dizziness are not common. It is important to have a thorough eva... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Perhaps surgery: If you mean a high hairline then there are facial plastic surgery procedures which can lower the hairline some. See an experience surgeon for advice.
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Usually is very safe: General anesthesia - being totally asleep- is commonly used for nose and sinus surgery. This is usually administered by a qualified anesthesiologist o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 41-year-old female asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Probably: The most common problem like this is when a blood vessel rupture is under the conjunctiva which is the clear covering over the white part of the eye. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 44-year-old male asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Some : If you stop using Renova (tretinoin) for the summer months you will lose some of your benefit. If you are very careful about sun protection and use an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Yes but rare: Bell's palsy can recur but this is rare. Recurrent facial paralysis or weakness may be more commonly related to a tumor growth, infection or a nerve d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 44-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Complicated: Basal cell nevus syndrome is an inherited disorder with many features. There are small pits in the skin of the palms and soles, facial bone changes an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsAnswered >2 years ago
A 43-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Time or injection: Juvederm will be slowly reabsorbed on its own. In some cases this process can be sped up by injecting something called hyaluronidase.
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 24-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Eyelid surgery: "bags under the eyes" can be caused by excess or displaced fat or perhaps lax eyelid skin. Blepharoplasty surgery is designed to recontour or remove s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 27-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Very common: The vast majority of orbital fractures will cause a black eye. If you've been hit in or near the eye you should have a complete evaluation by an eye d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsAnswered >2 years ago
A 53-year-old member asked:
Dr. John Hoffmannanswered
Plastic Surgery 40 years experience
Depends where it is: Any injury to the eye socket bones can be serious. Not all require surgical repair but it is essential that you have a complete eye exam to be sure th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsAnswered >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
3
Recommendations
409
Thank you notes
Mar 25, 2015
Great doctor. Consistently gives thoughtful, insightful and expert advice.
HealthTap member
Mar 30, 2015
Dr. Hoffmann is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Hoffmann is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thanks for the candor. I actually had a "Button" many years ago following the septoplasty. It didn't work because the hole was too large. I have mainly controlled the dryness with daily saline flushes...Read More
HealthTap member
Thank you, your answer was very helpful! Thank you for the information, I appreciate it!
HealthTap member
This made me feel good. Thanks! Thank you so much doctor! You helped to calm my worries.
Education & Training
Medical/Graduate school
Baylor College of Medicine, TX
Graduated 1983MD
Awards
Most Influential, Second Place, Spokane, WA - Winter
2013
Thought Leader, Third Place, Spokane, WA - Winter
2013
Top Plastic Surgeon , Third Place, Washington - Winter
2013
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