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Dr. John Hoffmann

Plastic Surgery
Spokane, WA
39 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 40-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 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
A 44-year-old male asked:
Dr. John Hoffmann
Plastic Surgery 39 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
A 26-year-old male asked:
Dr. John Hoffmann
Plastic Surgery 39 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
A male asked:
Dr. John Hoffmann
Plastic Surgery 39 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
A 42-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 years experience
Related but differen: A deviated septum is a crooked or dislocated cartilage or bone in the divider that separates the two nasal passages. A broken nose is simply fractures... Read More
A 32-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 years experience
Yes: If the deviated septum is severe it can cause nasal airway blockage which can affect the voice quality. You should consult with a nose surgeon to see ... Read More
A 49-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 years experience
Not usually: A mole is a collection of skin pigment cells that are usually dark but not always. The base of the mole extends the full depth of the skin so to compl... Read More
A 35-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 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
A 41-year-old female asked:
Dr. John Hoffmann
Plastic Surgery 39 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
A 39-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 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
A member asked:
Dr. John Hoffmann
Plastic Surgery 39 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
A 34-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 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
A 37-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 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
A 46-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 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
A 30-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 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
A 40-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 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
A 34-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 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
A 31-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 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
A 47-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 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
A 30-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 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
A 41-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 years experience
Skin care providers: Aesthetics (or esthetics) relates to the study of beauty. Aestheticians are licensed skin care providers who perform skin treatments such as facials, ... Read More
A 44-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 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.
A 47-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 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
A 22-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 years experience
Any age: Bell's palsy can occur in any age. Other causes of facial paralysis should be ruled out whenever facial paralysis or weakness occurs.
A 21-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 years experience
Yes, most do: Most people who get bell's palsy do recover normal facial movement although it may take months. Some will get no return of facial movement and some wi... Read More
A 20-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 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
A 54-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 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
A 53-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 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
A 34-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 years experience
Usually yes: Treatment for bells palsy depends on the severity. Since this will make it hard to close the eye a top priority is protecting the eye. In some cases c... Read More
A 40-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 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
A member asked:
Dr. John Hoffmann
Plastic Surgery 39 years experience
Teaching hospital: Try a teaching hospital like mass eye and ear or mass general.
A 48-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 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
A 45-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 years experience
Better breathing: Deviated septum surgery is done to improve nasal airway by straightening the bone and cartilage. Long term problems are rare. Sometimes there can be s... Read More
A 34-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 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
A member asked:
Dr. John Hoffmann
Plastic Surgery 39 years experience
Get a biopsy: If you have a suspicious skin lesion that hasn't healed, then you should have a biopsy done. Most primary care doctors or specialists can do a biopsy.... Read More
A 35-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 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
A 21-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 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.
A 39-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 years experience
Not typically: Bell's palsy is thought to be due to a viral infection of the facial nerve but the exact cause is often unknown. While stress can aggravate many neuro... Read More
A 50-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 years experience
Rarely: Bell's palsy can affect both sides of the face but that is rare. If someone has weakness or paralysis on both sides of the face then a complete evalua... Read More
A 34-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 years experience
Not usually: Although both basal cell carcinoma and melanoma are related to sun exposure, having one doesn't mean your risk for getting the other is raised. Howeve... Read More
A 43-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 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.
A 21-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 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
A 22-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 years experience
No difference: Both men and women can get bell's palsy and there is no significant difference between them.
A 21-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 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
A 21-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 years experience
No: Bell's palsy specifically refers to facial paralysis or weakness.
A 44-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 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
A 27-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 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
A 53-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 years experience
Possible but uncommo: Belpaharoplasty surgery is intended to change the shape of the eyelids by removing excess skin and contouring the underlying fat. Most people heal ver... Read More
A 38-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 years experience
Possibly: It all depends on how severe the fracture is. Almost all orbital fractures have some numbness since the nerve that give feeling to your face runs insi... Read More
A 27-year-old member asked:
Dr. John Hoffmann
Plastic Surgery 39 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

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

3
Recommendations
408
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
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less