Dr. John Hoffmann

Plastic Surgery
Spokane, WA
40 years experience

Locations

Spokane Center for Facial Plastic Surgery

Spokane, WA

Address

217 W Cataldo, Spokane, WA
Directions

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

Specialties
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 50-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Sun,smoking, genes: The most common things that cause premature wrinkling and skin damage are sun exposure, tanning booths, smoking and heredity. Use of effective sun blo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. John Hoffmann
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.
A 25-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Few problems: When Botox injections are performed by experienced physicians or well supervised nurses, the risks and problems are rare. Sometimes there may be some ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
No: Bells' palsy is an acquired condition that causes weakness or paralysis of the facial muscles and may be related to a viral infection. There are inhe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Weak lips and cheek: Bell's palsy affects the muscle of the face. This can affect the lips and the muscle that tightens the cheek. These can affect your speech but fortuna... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Variable but rare: Serious complications are rare after facelift. The most common problem is bleeding or a hematoma- a collection of blood under the skin. Excessive scar... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Absolutely: The vast majority of basal cell cancers can be cured with surgical removal. Of course, the earlier it is treated then better. Isome times a special te... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Unknown: The exact cause of bells palsy is unknown but it is thought that it may be due to a viral infection in the facial nerve.
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
See your surgeon: This is not common after that type of surgery. You should go see your surgeon to find out why and to get treatment.
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old female asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Do it right away: If you had incomplete ski cancer removal, you should have further treatment right away. You might even need special treatment called mohs surgery. Wit... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Not a good idea: As rhinoplasty surgery is elective you should only have this type of surgery when you are healthy. If you have a cold or the flu it might delay your h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
No: Botox is only useful to reduce facial wrinkles caused by muscle movement. Regular treatments may reduce the development of crowfoot and frown lines bu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Not usually: Infection after rhinoplasty surgery is rare but many surgeons routinely place their patients on antibiotics as a precaution. These antibiotics however... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 60-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Yes that is normal: Although most swelling and tenderness should be gone within a couple of weeks, some tenderness can continue for a month or two. As long as you are imp... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Yes: Most people with bell's palsy will regain normal facial movement. This may take weeks or months however. Some people will only regain some movement an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old male asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Ask about training: You should consult with an experienced nasal surgeon and inquire about their training, board certification and their personal experience. Most nasal s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Sometimes: Rhinoplasty surgery can be done on the cartilage portions of the nose like the tip of the nose or on the bridge of the nose which has bone and cartil... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Perhaps: It is common for one brow to sit lower than the other. This will be much worse if someone has weakness of the facial muscles as in bell's palsy. Certa... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
See your surgeon: This could simply be firm scar tissue but could also be additional cancer. If it is just scar, it may improve with time or cortisone injections. If it... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Very common: Twitching of the eyelid muscle is a common thing and usually nothing to worry about. It may get worse with fatigue, stress or too much caffeine. If y... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Yes definitely: It is quite common to combine septoplasty surgery - which is done to improve the nasal airway- with esthetic rhinoplasty surgery. This combination may... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Very high risk: About one third of people will have an allergic reaction to collagen fillers. These are no longer marketed in the usa and have largely been replaced b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Don't ingnore it!: Although basal cell cancers don't usually spread distantly they will cause extensive damage and continue to grow. They can spread along nerves and lym... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Numbness common: Facial or tooth numbness is common with facial bone fractures. This is because the nerves pass through the cheek and jaw bones and may be injured. For... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Varies: It depends on your particular problem. Sometimes bags are caused by excess or protruding fat behind the eyelids. Sometimes they are due to problems wi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Head elevated: You will reduce swelling and be more comfortable if you keep your head somewhat elevated after facelift surgery. Usually a couple of extra pillows wil... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Rarely: Bells palsy his weakness of the facial muscles perhaps due to a viral infection in the facial nerve. It is rare for this to affect both sides of the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Weakens muscle actio: Botox works to weaken muscle function by blocking the connection between the nerve and the muscle. The Botox action slowly is reversed and eventually ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
One is inside: A deviated septum refers to crooked or displaced bone and cartilage inside the nose. This can cause blockage of the nasal passages. The nasal bones ar... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old male asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Gice it more time: 5 weeks is too soon to be really concerned after nose surgery. It can take a few months for all the swelling to resolve. Until then you breathing may ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Not really: Only surgery will reposition or tighten facial tissues that sag from aging. Other treatments such as dermal fillers, laser skin rejuvenation and Botox... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Several specialists: Bell's palsy can be evaluated by several different specialists. The most common would be an ear, nose and throat (ENT) specialist as they treat many w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
See any doctor: Your regular doctor should be able to check you if you have suspicious spots on your skin and probably can even take a biopsy to make the diagnosis. I... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Diet and exercise: Facial fat can be reduced in the same ways as body fat- with good diet and regular exercise. In some areas, conservative liposuction or contouring can... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Facial weakness: Bells palsy refers only to weakness or paralysis of the muscles of the face. The exact cause is unknown but it may be due to a viral infection in the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old male asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
No specific limit: In general there is no strict age limit to having rhinoplasty surgery. Overall health and suitability for anesthesia are key. However, for older patie... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Several options: Although there is no universal agreement some believe that cortisone medications or antiviral antibiotics may be helpful in some cases. You should see... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Side effect of drops: This is usually caused by the eyedrops used during you eye exam. These can sometime cause temporary weakness of the eyelid muscles. This should resolv... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Ask your doctor: A deviated septum is a common cause of nasal blockage and congestion. It simply means that the bone and cartilage inside your nose are crooked and blo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Elevate and ice: Keep the head elevated and apply light ice packs. Some people like to use frozen peas or corn in a zippered plastic bag.
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
It varies: Bell's palsy has a quite variable outcome. The majority of people will regain normal facial movement with time. Some will be left with partial weaknes... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Facial paralysis: She has weakness or paralysis of the muscles of facial expression. This may be due to a viral infection in the nerve. Fortunately most people with bel... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Varies: It can take from a few weeks to many months for facial motion to return after bell's palsy. The more severe the initial weakness the longer it will us... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old male asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Depends where it is: In general, the sooner a wound is closed the better. However, areas like the face are more resistant to infection and can be repaired after some delay... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Definitely: Smokeless is absolutely a risk factor in the development of squamous cell carcinoma of the mouth, gums and jaw.
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
No: A deviated nasal septum is crooked or displaced cartilage and bone inside the nose. This can only be corrected with surgery. Noses sprays may provide ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Depends on fracture: Severe fractures may take 6-8 weeks to fully heal and some even need to have the upper and lower teeth wired or elastic banded together. So what and w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Depends where it is: It all depends on where and how severe the fracture is. If you need surgery then further training is out until the bone heals in 6-8 weeks. If you hav... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Not advised: 15 is still too young for boys and girls to have a rhinopasty. The face is still growing and changing and will do so for a few years. It is uncommon ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 40 years experience
Many options: There are many options for facial fillers and enhancement. There are different applications for the different fillers that are fda approved. Some are... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
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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