Rhinoplasty Topics of Discussion

What to expect before and after a ‘nose job’

Posted by admin on  October 30, 2020

What to expect before and after a ‘nose job’

Rhinoplasty in Downtown Seattle
Patients who are dissatisfied with their nose’s size or form frequently choose rhinoplasty, also referred to as a “nose job.” But rhinoplasty is now used for a lot more than just its well-known cosmetic benefits. For example, it can help improve the way the nose works after an accident or illness, or it can help with breathing problems that make it hard to sleep or exercise.
Rhinoplasty aims to modify the nose to the patient’s desired aesthetics and functionality while taking into account their skin type and the structure of their entire face. Our cosmetic surgeons combine the science and art of rhinoplasty to give patients results that work and last.

Quick information on rhinoplasty

Candidates for rhinoplasty should, in general, be finished growing. For instance, during adolescence and early adulthood, facial development may have an impact on the nose’s appearance and functionality. The only exception would be children who were born with a facial birth deformity like a cleft palate. Patients should also be in good general health and refrain from smoking because it can impair blood flow and raise the possibility of tissue injury. Teenagers who comprehend the procedure and have full parental agreement are eligible for rhinoplasty. Before having surgery, ladies should ideally be at least 15 or 16 years old, and boys should be at least 17 or 18. This treatment, when coupled with septoplasty (straightening of the septum), can help a patient breathe easier and feel more confident.

The surgeon should make sure the patient is aware of all the dangers and benefits of the rhinoplasty operation before beginning. Although rhinoplasty is a safe treatment, a skilled surgeon should perform the process. Seattle Nose Surgeon uses 3D imaging to show patients what their nose might look like following surgery. The plastic surgeon can print out models of the nose before and after surgery to show the predicted results. This is merely a teaching tool, not a promise of success. However, it can aid in improving communication between the surgical team and the patient regarding the intended outcomes. We’ve discovered that allowing patients to picture the desired outcomes also makes them feel more at ease about having surgery. We can also offer 3D printed models that can display results both before and after.

Rhinoplasty: Changing the Shape of Your Nose and Face


Dr William Portuese, a board-certified plastic surgeon in Seattle , talks about how our plastic surgeons use 3D imaging and printing to give patients the natural-looking noses they want and how rhinoplasty can make that simulation come true.
If the goal of rhinoplasty is to improve breathing as well as look, the surgeon may remove the nasal hump, change the nose tip, change the size or shape of the nostrils, or change the nose’s overall size and projection.
A rhinoplasty typically lasts 1.5 to 3 hours and is performed as an outpatient. In “closed rhinoplasty,” incisions are made inside the nostrils, a procedure with limited adaptability. In “open rhinoplasty,” the tissue between the nostrils and the nostrils themselves are both cut into. These cuts are hardly noticeable when they have healed completely.
The patient’s nasal septum is frequently used to harvest extra cartilage if it is required to enlarge the nose. This cartilage may be removed from an ear or rib in secondary or revision rhinoplasty, which is performed to repair abnormalities brought on by a prior treatment. However, occasionally authorized cadaver cartilage may also be used. Revision rhinoplasty is a trickier treatment to accomplish because of the cartilage demands and possibility for scarring, so it’s crucial that it’s done by a highly qualified plastic surgeon.
Nonsurgical or liquid rhinoplasty involves a series of in-office treatments carried out while the patient is awake. Without requiring extensive surgery, the contour and size of the nose can be changed with injectable hyaluronic acid fillers.

Rhinoplasty Surgery in King County WA

Posted by admin on  October 30, 2020

Rhinoplasty Surgery in King County WA

rhinoplasty surgery in King County WA

1. Rhinoplasty, also known as a nose job, is a plastic surgery procedure that is used to correct and reconstruct the nose.

2. Rhinoplasty can be used to alter the shape of the nose, correct a birth defect, or improve breathing.

3. The surgery is performed by making incisions in the skin, then breaking and reshaping the nose bone.

4. The surgery typically takes 1-2 hours, with a two-week recovery period.

5. Rhinoplasty is a delicate surgery, so it is critical to select an experienced and qualified surgeon.

6. The cost of rhinoplasty varies according to the surgeon, location, and complexity of the procedure.

7. Rhinoplasty is a painful procedure, and there will be some swelling and bruising afterward.

1. Rhinoplasty is the third most commonly performed cosmetic surgery procedure in the United States (after breast augmentation and liposuction).

2. Approximately 500,000 rhinoplasty procedures are performed in the United States each year.

3. A rhinoplasty procedure typically costs $8,000.

4. Rhinoplasty procedures are most commonly performed on patients aged 15 to 34.

5. The vast majority of rhinoplasty patients (approximately 80%) are female.

6. Rhinoplasty can be used to correct a variety of nasal flaws, such as a deviated septum, a bulbous nose tip, and a crooked nose.

7. Rhinoplasty is a relatively safe cosmetic surgery procedure with a low complication rate.

8. The most common rhinoplasty complication is minor bleeding and bruising.


King County is bounded to the north by Snohomish County, to the west by Kitsap County, to the east by Kittitas County, and to the south by Pierce County.
It also has a small border to the northeast with Chelan County.
In Puget Sound, King County includes Vashon and Maury Islands.

King County is in the state of Washington in the United States.
According to the 2020 census, the population was 2,269,675, making it the most populous county in Washington and the 13th most populous in the United States.
Seattle, the state’s most populous city, serves as the county seat.

King County is one of three counties in Washington that are part of the Seattle-Tacoma-Bellevue metropolitan statistical area.
(The other counties are Snohomish to the north and Pierce to the south.)
The suburbs of Seattle are home to roughly two-thirds of King County’s population.

Rhinoplasty Surgery in the Pacific Northwest

Posted by admin on  October 30, 2020

Rhinoplasty Surgery in the Pacific Northwest

Our doctors are among the best rhinoplasty surgeons in the Pacific Northwest, and we have devoted a significant portion of our medical practice to closed rhinoplasty, revision rhinoplasty, and functional nasal surgery – the nose job. The nose is the most prominent feature of the face, and rhinoplasty surgery can achieve the goal of a natural-looking nose, producing some of the best results possible.

Rhinoplasty is one of the most difficult operations in the field of cosmetic surgery, and Dr. William Portuese and Dr. Joseph Shvidler, along with their plastic surgery team, take great pride in caring for patients throughout the entire nasal surgery process. Facial plastic surgeons are experts in all aspects of facial cosmetic surgery.

All incisions on the inside of the nose are made during the closed rhinoplasty procedure.
This top rhinoplasty procedure can perform all of the best open rhinoplasty techniques, including shaving down a dorsal hump made up of both bone and cartilage, osteotomies of the nasal bones to narrow the bridge line, and cartilage grafting techniques, which are sometimes used to build up the upper lateral cartilages when they are concave.
Suture techniques applied to the lower lateral cartilages of the nasal tip reduce the bulbous tip, and an alar-plasty is performed when patients have wide nostrils.

In Oregon, the consultation process for rhinoplasty includes a 30-minute in-person consultation with the facial plastic surgeon to discuss issues such as a deviated septum, shape, appearance, goals, treatment, balance, health, needs, splint, size, breathing, harmony, breathing function, and techniques with the patient, followed by another 30-minute consultation with the patient care coordinator for computer imaging.
Fees, follow-up questions, and scheduling are also covered.
Patients can get a good idea of how their new nose will look with their facial features using computer imaging for rhinoplasty.

Top Nose Surgeon’s Surgery Day

Our surgeon reviews the surgical plan and computer imaging with the patient on the day of surgery. Patients are also introduced to our board-certified physician anesthesiologist before being admitted to our Medicare-certified outpatient surgery center. A rhinoplasty is always performed under general anesthesia in our surgical center for the patient’s safety and comfort. Under the direct supervision of the anesthesiologist, nose surgery usually takes one to two hours. The entire procedure is carried out using a closed rhinoplasty approach, and a cast is placed across the bridge of the nose for 6 days. Patients are taken to the recovery room, where they will awaken from anesthesia and then be taken home with their caregiver. Patients will experience visible bruising and swelling for 10-14 days following the procedure. The first postoperative visit is one week after surgery, when the cast is removed and patients can see their preliminary results. There will also be appointments at one month, three months, six months, and one year.

Nasal Contouring Revision Rhinoplasty in Pacific Northwest

Because of previous alterations to the normal anatomy of the nose and scar tissue, a revision rhinoplasty is more difficult than a primary rhinoplasty. The healing process for a revision rhinoplasty is less predictable than for the initial rhinoplasty procedure. It’s also critical to have realistic expectations about what a revision rhinoplasty procedure can and cannot accomplish. At the time of the consultation, digital computer imaging can be performed to give the patient an idea of what can be accomplished with revisional nasal surgery.

The closed rhinoplasty approach or the open rhinoplasty approach are two rejuvenation techniques available to Oregon rhinoplasty surgeons, depending on the surgeon’s preference. For nose jobs, our Portland surgeons use the closed rhinoplasty approach.
Furthermore, some revision rhinoplasty procedures will make the nose smaller, whereas others will involve cartilage grafting techniques to build up the bridge line, tip, or sidewalls of the nose.

He does not provide injectable nonsurgical rhinoplasty. Drs. Portuese and Shvidler perform male rhinoplasty, ethnic rhinoplasty, and female rhinoplasty.

Polly-beak deformity is treated by removing excess cartilage from the supratip area of the nose. This is due to cartilage that was left over from the primary rhinoplasty. In most cases, steroid shots will be required in the first few months after the procedure in patients with thick skin. Blenderm taping is also recommended for patients with thick skin on the tip of their nose.

A hanging columella is treated by removing excess skin and cartilage that creates the appearance of a “bottom heavy” nose. The hanging columella is usually the result of rhinoplasty, but it can also be congenital. With this technique, the columella-labial angle can be adjusted upward or downward.

Patients with a dorsal convexity, a residual hump, and irregularities across the bridge of the nose can have this filed down. Patients with an over-resected nasal dorsum will need cartilage grafting techniques to rebuild the bridge.

Suture techniques and conservative cartilage removal are used to treat a residual bulbous nasal tip, which is made up of lower lateral cartilages. When there is asymmetry in the tip, asymmetrical cartilage on one side can be removed and cartilage grafting techniques can be used on the opposite side.

When patients have a crooked nose, osteotomies in the nasal bones are required.
Both medial and lateral osteotomies involve making small cuts in the nasal bones and manually straightening them. A one-week cast is then placed across the nose. Expect 10 days of visible bruising and swelling during the recovery period.

When patients have crookedness in the mid-portion of their nose due to a concave upper lateral cartilage, a cartilaginous spreader graft is harvested from the nose and fashioned into place underneath one or both concave upper lateral cartridges. This is known as a spreader graft, and it provides structural support in the middle of the nose.

Find a plastic surgeon in the Pacific Northwest that specializes in Rhinoplasty today.

Rhinoplasty Surgery in Puget Sound WA

Posted by admin on  October 30, 2020

Rhinoplasty Surgery in Puget Sound WA

When you are looking for a plastic surgeon in Puget Sound WA for someone that specializes in rhinoplasty surgery contact us today.

Rhinoplasty is a specialized surgical procedure for people who are unhappy with the size, shape, or function of their nose. In these cases, your top rated plastic surgeon will make minor changes to your nose to significantly improve your face appearance, giving you the balanced, natural, and stunning look you desire with some of the best rhinoplasty Puget Sound has to offer.

To ensure your comfort and safety, your Puget Sound nose job will begin with either intravenous sedation or general anesthesia. During your initial appointment, he will go over each of these options with you and help you decide which one is best for you. During the procedure, your facial plastic surgeon will make an incision inside your nostrils to conceal any future scars. The underlying bone and cartilage will be expertly reshaped to create the ideal nose for your face.

After addressing your aesthetic concerns, he will address structural abnormalities that are contributing to breathing difficulties, such as a deviated septum. After sculpting your ideal nose, the plastic surgeon will redrape the nasal skin and tissue before carefully closing the wounds.

Are you a good candidate for rhinoplasty?

Your facial plastic surgeon determines candidacy for each of his patients after thoroughly analyzing the cosmetic and functional issues that are most important to them. Rhinoplasty is a relatively safe procedure for any healthy adult who wishes to improve the appearance and/or function of their nose. Patients under the age of fifteen or sixteen may be considered for this treatment, but only if their adolescent growth stage has ended, which usually happens around the age of fifteen or sixteen. Though these criteria should help you determine who might benefit from rhinoplasty, the only way to be certain is to schedule a consultation with your plastic surgeon today so he can walk you through the procedure and determine if it is right for you.

Frequently Asked Questions About Rhinoplasty »
What to anticipate during the healing process

To aid healing, the doctor will apply a splint and bandages to your nose immediately following your Bellevue rhinoplasty procedure. Before being sent home to begin the healing process, you will be given detailed instructions regarding post-operative care and medications. The surgeon will also call you at home the evening following your surgery to check on your progress and ensure you are doing well. Expect some bruising and swelling during the first two weeks of your recovery, but it will go away on its own. Maintain a relatively calm and raised head during this time to aid healing and reduce discomfort.
Although your recovery time will vary depending on your specific circumstances, most patients are able to return to work within ten days.

» What Is the Difference Between Open and Closed Rhinoplasty?

According to The Seattle Cosmetic Surgery Center, open and closed rhinoplasties are two facial plastic surgery techniques used to alter the interior and exterior tissues of the nose.
They are frequently performed at our private plastic surgery clinic in Bellevue. These two techniques give doctors access to the body’s interior structure, allowing them to manipulate bone, tissue, and cartilage to achieve a more pleasing, balanced appearance.
Because every person is unique, this is a method that is tailored to each individual.

Closed Rhinoplasty

In closed rhinoplasty, all incisions are made within the nostrils. Because no part of the incision is visible from the outside, there are no visible scars after a closed rhinoplasty.
For those who want to build up a flat nose bridge to achieve better facial balance, this treatment can be used to correct less drastic nose reshaping surgeries like nasal bridge refinement or augmentation.

Open Rhinoplasty

During open rhinoplasty, a small incision is made on the columella (the tissue strip between the nostrils). This gives our facial plastic surgeon complete access to the nasal structures, allowing for more thorough contouring – an excellent surgical method for patients with a droopy or bulbous nose tip, excessive nose projection, or other flaws.
The small scar is hidden beneath the nose and is usually undetectable once healed.

Rhinoplasty in the Puget Sound WA
What are the benefits of rhinoplasty?


There are numerous reasons why someone might be interested in rhinoplasty. When performed by a top facial plastic surgeon the procedure can successfully address a variety of potential issues, including:

Cosmetic Issues
Having an abnormally large or small nose.
There is a large bump or hump on the bridge of the nose.
A crooked nose
Your nose is getting smaller.
The tip has a bulbous shape.
A nose that is either too big or too small.
Nostrils that are either too large or too small
Issues with functionality
The nose has been damaged and distorted.
Birth deformities include cleft lip rhinoplasty.
A septum that is bent.
The nasal airways are clogged.

    Schedule a Consultation Today

    The Seattle Rhinoplasty Center

    Seattle Nose Surgeon ®
    William Portuese MD
    Joseph Shvidler MD

    Seattle, Washington 98104

    (206) 624-6200

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