William Portuese MD – Seattle WA

Dr. William Portuese – Board Certified Facial Plastic Surgeon in Seattle WA

If you are searching for a board-certified facial plastic surgeon in Seattle, WA, look no further than Dr. William Portuese. With over three decades of experience, Dr. Portuese is a double board-certified facial plastic surgeon and one of Seattle’s best rhinoplasty experts in the Pacific Northwest.

Board certification is a crucial factor when it comes to selecting a facial plastic surgeon. Dr. Portuese is board certified by the American Board of Facial Plastic and Reconstructive Surgery (ABFPRS) and the American Board of Otolaryngology Head and Neck Surgery (ABOto). These certifications signify that he has undergone extensive training and passed rigorous exams in his field of practice, making him a highly qualified and skilled surgeon.

Dr William Portuese’s expertise in facial plastic surgery is widely recognized, as evidenced by his numerous awards and accolades. He has been named one of Seattle’s top doctors by Seattle Met Magazine and has received the Best of Seattle award for Rhinoplasty by Seattle Magazine. In addition, he has authored numerous publications and textbook chapters, and has given lectures and presentations at national and international conferences.

Services Offered by William Portuese MD

Dr. William Portuese offers a wide range of facial plastic surgery procedures to help patients achieve their desired look. His services include rhinoplasty, facelift, blepharoplasty, otoplasty, brow lift, and more. He also offers non-surgical treatments such as Botox, fillers, and chemical peels.


Rhinoplasty is one of Dr. William Portuese’s specialties. It is a surgical procedure that alters the shape and size of the nose to improve its appearance and function. Rhinoplasty can be performed to correct a variety of issues, including a bump on the bridge of the nose, a crooked nose, or a wide nose. Dr. William Portuese uses advanced techniques to achieve natural-looking results that complement the patient’s facial features.

Facelift with Dr WIlliam Portuese

A facelift is a surgical procedure that rejuvenates the face by tightening loose skin and muscles, and removing excess fat. Dr. William Portuese performs facelifts that create a natural-looking result, avoiding an overly tightened or pulled appearance. He tailors the procedure to the patient’s individual needs, taking into account their facial structure, skin quality, and desired outcome.

Blepharoplasty with Dr William Portuese

Blepharoplasty, also known as eyelid surgery, is a surgical procedure that improves the appearance of the eyelids. It can be performed on the upper or lower eyelids, or both. Dr. Portuese uses techniques that minimize scarring and create a natural-looking result that enhances the patient’s appearance.

Virtual Consultations with William Portuese MD

Dr. Portuese offers virtual consultations for patients who are unable to visit his office in person. These consultations are a convenient way for patients to discuss their concerns with Dr. William Portuese and learn about their options for facial plastic surgery. Virtual consultations can be conducted via video call or phone, and are available for all procedures.

Choosing a facial plastic surgeon is a significant decision, and it is essential to select a board-certified surgeon with expertise in the desired procedure. Dr. William Portuese is a double board-certified facial plastic surgeon with over three decades of experience. His expertise in facial plastic surgery is widely recognized, and he offers a wide range of procedures to help patients achieve their desired look. If you are considering facial plastic surgery, contact Dr. William Portuese

Dr. William Portuese is a board-certified facial plastic surgeon based in Seattle, Washington. He has been in practice for over 30 years and is widely recognized for his expertise in facial plastic surgery. Dr. Portuese specializes in a range of facial procedures including facelifts, rhinoplasty, eyelid surgery, and brow lifts.

Dr. Portuese received his medical degree from the University of Medicine and Dentistry of New Jersey and completed his residency in Otolaryngology-Head and Neck Surgery at Loyola University Medical Center in Chicago. He then completed a fellowship in Facial Plastic and Reconstructive Surgery at the University of Illinois at Chicago.

Dr. Portuese is a member of several professional organizations including the American Academy of Facial Plastic and Reconstructive Surgery, the American Board of Facial Plastic and Reconstructive Surgery, and the American Medical Association. He has also published numerous articles in peer-reviewed journals and has presented at national and international conferences.

Dr. William Portuese is a highly skilled and experienced facial plastic surgeon who has helped many patients achieve their desired aesthetic goals.

The Seattle Facial Plastic Surgery Center

The Seattle Facial Plastic Surgery Center is a medical facility located in Seattle, Washington that specializes in providing cosmetic and reconstructive facial surgery services. The center is led by Dr. William Portuese, a board-certified facial plastic surgeon with over 25 years of experience.

The center offers a range of surgical and non-surgical treatments, including rhinoplasty (nose surgery), facelift, eyelid surgery, brow lift, chin and cheek implants, and non-surgical facial rejuvenation treatments such as Botox, fillers, and laser resurfacing.

Patients who are interested in undergoing a facial surgery procedure at the Seattle Facial Plastic Surgery Center can schedule a consultation with Dr. Portuese to discuss their goals and concerns, as well as to receive a personalized treatment plan. The center also provides financing options to help make treatment more accessible to patients.

Top 10 Rhinoplasty Questions

One of the most common cosmetic operations performed worldwide is rhinoplasty. Numerous inquiries from new patients are brought on by its popularity.

What is a rhinoplasty, exactly?

A rhinoplasty is a surgical procedure that modifies the nose’s structure and shape.
A rhinoplasty procedure aims to make the nose seem better (aesthetically), make breathing easier (functionally), or sometimes both.

Who does rhinoplasty surgery?

A board-certified facial plastic surgeon who has received the appropriate training should perform rhinoplasty procedures. Both facial plastic surgeons and plastic surgeons typically perform them. However, many otolaryngologists (ENT) surgeons with experience and training also undertake rhinoplasty surgeries.

Who is eligible for a rhinoplasty?

When deciding whether to get rhinoplasty, numerous factors are taken into account, including:

Age: To avoid any potential difficulties and lessen the need for additional surgery in the future, surgeons advise waiting until growth and bone maturity are complete before undergoing surgery. The majority of young women acquire skeletal maturity between the ages of 15 and 17, whereas young men may continue to grow skeletally from the age of 18 until their early 20s.

For aesthetic nasal surgery, individuals must be 16 to 18 years old, as a general rule.
However, some patients receive rhinoplasties as children due to medical need.

Goals and Expectations: Before a consultation for rhinoplasty, take some time to consider your goals and expectations and assess their viability.
It’s a good idea to do some research, but keep in mind to see an expert surgeon for advice and remember to ask questions.

Medical History: Rhinoplasty may not be a possibility if you have a medical history or a condition that would make surgery impossible or raise your risk of complications.
Patients should seek advice from their surgeon and primary care physician if they are unsure about whether rhinoplasty surgery is a good option for them.

Finances: Rhinoplasty is an investment, and costs rise as surgeons get more talented, knowledgeable, and experienced.
Like with any cosmetic treatments, there are prices associated with an anesthesiologist, the surgery facility, postoperative supplies, and medications in addition to the surgeon’s fees and consultation expenses.

How much time does healing require?

Rhinoplasty recovery varies from patient to patient and case to case. Typically, within the first three months following surgery, patients have a 70–80% reduction in swelling. There will, however, be some swelling that lasts for a full year. This might possibly go on for more than a year. This is just the way the nose heals, not a characteristic of patients or doctors. It is significant to remember that according to your surgeon’s detailed recommendations is the best approach to recover quickly.

Can a pregnant woman have rhinoplasty surgery?

No. Patients who are pregnant are not encouraged to have any type of elective surgery.
Ddoctors advise delaying your initial consultation for at least three months after giving birth. Depending on whether a mother is breastfeeding, surgery might need to be postponed even longer.To make sure that surgery is safe for you, especially if you are pregnant, always check with your surgeon, obstetrician, or primary care physician.

Are outcomes prompt?

No! You will have tape and an external splint on your nose just after the rhinoplasty.
In the hours and days following surgery, swelling and minor bruising may then appear.
You’ll start to see the effects of your rhinoplasty after these brief changes in appearance start to fade after a few weeks. But as was already stated, it will take at least a year (12 months) to get your desired outcome.

Are there various rhinoplasty procedures?

Yes! In rhinoplasty surgery, a variety of approaches and techniques are used, each with a different end objective, healing time, etc. For instance, with an open rhinoplasty, the external portion of the nose is where the incision is performed. Additional rhinoplasty options include closed, liquid, tip, and more.

How will having a nose job effect my ability to breathe?

Depending on your rhinoplasty objectives. You might decide to get a rhinoplasty particularly to facilitate better breathing. However, if a trained surgeon does a rhinoplasty for cosmetic reasons, it shouldn’t have any adverse effects on your ability to breathe. In either case, a board-certified facial plastic surgeon will base each surgical choice on your final objective and seek out the most efficient ways to improve your breathing.

How frequently is a rhinoplasty allowed?

Rhinoplasty should only be done once, although occasionally corrections are necessary.
Most surgeons frequently emphasize the necessity to wait a year following rhinoplasty before thinking about a revision rhinoplasty. This is based on data showing how the nose recovers and changes throughout time.

You and your surgeon can discuss the possibility of a revision rhinoplasty after enough time has gone since your initial procedure if you’re still unhappy with the results.
However, it should be the intention that this is not required.

Are nose jobs and rhinoplasty the same thing?

Yes! Rhinoplasty is the formal and acceptable term for a nose job. It is carried out to improve attractiveness, reshape the nose, or solve breathing problems, as was described in answer to question one.

Considering a  nose job?
You’re here for the right reason! If you’re thinking of having a facial plastic surgeon perform a rhinoplasty call us today

Rhinoplasty: The Facts

Rhinoplasty: The Facts

To reduce the dangers, it is crucial that you adhere to all the directions your plastic surgeon gives you both before and after your rhinoplasty treatment. Clotting, bruising, edema, and infection are the most well-known and frequent dangers of rhinoplasty surgery. That is not all, though.

During a rhinoplasty surgery:

The covering nasal skin may have little shape if too much of the nose supporting cartilage and/or bone is removed, which may lead to a deformity known as the “polly beak” deformity. The bridge of the nose can descend if the septum is not properly supported, leading to a “saddle nose” deformity.
During rhinoplasty, if the cartilages at the tip of the nose are overly removed, this may give the nose a constricted appearance.
When the nose tip is elevated excessively, the nostrils can become overly noticeable and give off a pig-like appearance.
The degree of numbness in the nose can vary if an incision for an open rhinoplasty is made across the collumella and may not go away for several months.
Adhesions may develop in the nose following rhinoplasty. Scar tissue called adhesions develops to create a bridge between the septum and the turbinates in the nasal cavity. Although uncommon, they restrict the nose and must be removed for proper breathing. A “septal perforation”—a hole that can be formed in the septum during surgery—can also be done. Breathing issues, persistent nasal bleeding, and crusting can all be brought on by this hole.

Furthermore, you can’t always predict how rhinoplasty would seem. Nasal bones may move after surgery, and cartilage and soft tissue shape may alter over time. It is crucial that the patient avoids any kind of stress to the nose following rhinoplasty surgery because any pressure may have an impact on the procedure’s final results.

Asymmetry is possible in some uncommon circumstances, and results might not progress as the patient had intended. To improve the results obtained with the initial rhinoplasty surgery in this situation, a secondary (revision) rhinoplasty treatment can be required.

Rhinoplasty is intended to increase your self-confidence, and with the right care, it won’t negatively impact your quality of life and should start to provide effects soon. Make every effort to locate a qualified rhinoplasty surgeon if you want to make sure that the results of your procedure will be satisfactory. Research is required to discover the finest rhinoplasty surgeon for you since, like any other cosmetic surgery, a rhinoplasty should not be undertaken lightly.

If you’re looking for a safe and effective way to substantially alter your looks, rhinoplasty is undoubtedly one of the operations you should think about. More people have rhinoplasty every day to improve their self-esteem.

You must make a well-informed selection before undergoing rhinoplasty surgery. If you’re considering having a rhinoplasty, you need to find the answers to the following questions: “What can I anticipate after having a nose job? Am I a suitable candidate for a rhinoplasty? Does rhinoplasty suit me? Where can I locate an expert in rhinoplasty? How long does it take to recuperate from a nose job?”

Finding a qualified cosmetic surgeon with experience in rhinoplasty is also essential. The more you know about the process, the higher your chances of success are.

Cost of Rhinoplasty

Cost of Rhinoplasty

One of the most popular plastic surgery treatments performed worldwide is rhinoplasty, or nose surgery. To begin making plans toward their objective of having a better-looking nose, people who decide to have it done will need to know how much rhinoplasty will cost.

Between $3,000 and $12,000 is the pricing range for rhinoplasty. Why such a wide range in price? The price of rhinoplasty will mostly rely on a number of factors, just like the price of other cosmetic surgery treatments.

A list of the variables that affect the final cost of your rhinoplasty is provided below:

1) The region where your rhinoplasty doctor practices

In the United States, rhinoplasty procedures often cost $4,500. If the rhinoplasty surgery is well-known or practices in a location with high demand, such as Atlanta, Beverly Hills, or New York City, nose jobs may cost extra. For instance, the cost of a rhinoplasty in New York City is about $7000, whereas it may go as high as $5000 in Oklahoma. The price range for rhinoplasty in Asia is probably between $2000 and $4000.

2) The location of the operation

The location of the rhinoplasty is a key factor in determining the price of a nose operation. The cost of facilities will be higher if a hospital is required for the nose surgery rather than an outpatient surgical center or doctor’s office.

3) The Training and Skills of a Rhinoplasty Surgeon

A board-certified plastic surgeon from the American Board of Cosmetic Surgery who specializes in all aspects of facial plastic surgery and has a great deal of experience performing rhinoplasty is likely to charge more. A surgeon who has earned board certification has successfully completed specialized and demanding surgical education and training. By hiring a board-certified surgeon, you may ensure that you get the best care possible for your condition and lower your risk of complications.

4) The Method of Anesthesia

Whether a local or general anesthetic is required to complete the procedure will also affect the price of rhinoplasty. The price will be higher if a general anesthetic is required because an anesthesiologist’s services will cost at least $700.

5) The scope of the rhinoplasty operation

The final cost depends on the degree of change caused by surgery. For instance, reshaping or shortening the nose’s tip takes less time during surgery than narrowing the bridge or completely altering the nose’s structure. The open versus closed rhinoplasty technique type affects both the length of the operation and the subsequent expense.

As you can see, the cost of rhinoplasty will vary depending on the surgeon’s experience, the area in which the surgeon practices, the location of the surgery, the type of structural and cosmetic adjustments needed, and more.

Before selecting a surgeon for rhinoplasty, take your time and conduct some research. Only once the surgeon of your choice has conducted an assessment and created a surgical plan will you get a more accurate sense of how much rhinoplasty surgery will cost you.

Two Basic Rhinoplasty Procedures

Two Basic Rhinoplasty Procedures

There are two types of surgery to change the shape of the nose: open (external) and closed (internal).
The surgical procedure in which an exterior incision is performed in the space between the two nostrils is known as “open rhinoplasty,” to put it briefly. All incisions are made inside the nasal structure during a closed rhinoplasty.
Whether or not a surgeon uses a certain technique depends on his or her preferences and level of experience.
In an open rhinoplasty, the horizontal incision enables the skin to be elevated so that the cartilage at the tip of the nose may be seen and reached more easily. Open (external) rhinoplasty has the benefit of giving doctors more access to specific nasal components. The small exterior incision and potential for little scarring are drawbacks.
A closed rhinoplasty involves no exterior incisions and is performed totally inside the nose. Compared to the open process, this one requires more technical expertise and manual dexterity.
Plastic surgeons have long employed both open and closed treatments.
Compared to a closed technique, the surgeon may more easily see the cartilage and other inside structures of the nose when doing an open rhinoplasty. Additionally, he or she is better able to make adjustments with greater control and accuracy. In fact, there are some alterations that can only be made through an open rhinoplasty.
When doing more difficult surgeries, such as correcting significantly deviated nasal structures or sophisticated nasal abnormalities like cleft-lip rhinoplasty, open rhinoplasty is frequently the method of choice.
In addition to these more common treatments, cosmetic surgeons can use open rhinoplasty to fix a tip that is too big, droopy, pinched, or sticks out.
Closed rhinoplasty is usually the best option for small changes that can be made without having to make an incision on the outside of the nose and look inside.
All of the incisions are made inside the nose during a closed rhinoplasty, also known as an endonasal rhinoplasty. The nostrils’ small holes are used to execute the entire procedure. The decreased surgical access places the plastic surgeon in front of significant obstacles as well as certain technical constraints. This is especially true for rhinoplasty operations that are more intricate.
There is less recovery time needed after a closed rhinoplasty, and there is less edema. The outside of the nose is likewise scar-free. The open rhinoplasty method has some problems, like less direct visibility and not being able to get to the structure.
If your surgeon wants to do an open rhinoplasty and you are worried about scarring, ask to look at before and after pictures.
The surgeon’s comfort and background should be taken into account more than anything else when determining whether to perform an open or closed rhinoplasty. You must select a plastic surgeon for yourself as a patient that you respect and have faith in. The surgeon will then decide which strategy will work best for your unique situation. If you do what they did, you’ll probably be happy with how your rhinoplasty turns out.

Finding A Good Rhinoplasty Doctor

Finding A Good Rhinoplasty Doctor

We all have a specific appearance when we are born. Some of us are genetically endowed with the facial symmetry of the cherubs in Botticelli, while others are less fortunate. Of course, having a less than perfect face need not exclude a person from being content with their appearance.

I don’t consider myself to be very attractive, but I like my face just fine. I adore my face, in fact. I would not trade any aspect of it for the world, yet that would be a lie. My nose is a pain. If I had the guts, I’d alter it right away because it’s too bumpy.

I’ve been considering getting rhinoplasty, so I’ve been looking for a reputable rhinoplasty expert. It’s not difficult to find someone who knows what they’re doing, but if you want a rhinoplasty surgeon who understands your goals and with whom you can communicate effectively, a little more investigation may be necessary.

Describe rhinoplasty

Any surgical operation that includes altering a person’s appearance is considered plastic surgery. Even the face has various techniques that are used for different body sections.

Rhinoplasty is a type of plastic surgery used to reshape a person’s nose. It is typically performed for cosmetic purposes to alter a person’s appearance. This type of cosmetic surgery, also known as a “nose job” or “nose reshaping,” is typically a relatively safe and straightforward procedure; most of the time, a rhinoplasty doctor will let their patient go home and only take a few pain medications and antibiotics shortly after their operation.

As an alternative, there is non-surgical rhinoplasty, which doesn’t require any kind of surgery. This quick technique uses needles rather than knives, and is similar to Botox injections.

To alter a person’s nose shape and appearance, fillers are injected. Compared to rhinoplasty surgery, it is far less intrusive and frequently less expensive, but the results are frequently only temporary. Most non-surgical rhinoplasty results last five months to a year, depending on the filler used, and only one type of permanent filler has so far received FDA approval.

When a person has a birth defect or has respiratory issues as a result of the shape of their nose, a rhinoplasty specialist may perform the operation in addition to its cosmetic purposes. Some health insurance policies will actually pay all or a portion of the procedure’s price.

However, it’s quite likely that insurance plans won’t cover a nose job if the only goal is to alter a person’s appearance. This indicates that the price of a rhinoplasty might range from $1,000 to $12,000.


How do I choose a reputable rhinoplasty surgeon?

Finding the correct rhinoplasty expert for you might occasionally be as easy as asking other medical professionals or former rhinoplasty patients for recommendations. — Especially if the rhinoplasty surgeon in question has received several glowing recommendations.

Of course, the majority of the time, a little more investigation is still required. This is especially true if you found a possible rhinoplasty specialist by typing a few words into a search engine.

Ask potential applicants whether they have documentation proving they have completed their surgical and plastic surgery training if you have already reduced your list of candidates. Since most of these groups have screening processes and standards that a surgeon must meet to join, it is usually safe to choose a rhinoplasty surgeon who is a member of a medical group like the ASPS or American Society of Plastic Surgeons.

A further recommendation for choosing the best rhinoplasty professional for you is to go online to see what other people have to say about them. If you know what you’re searching for, forums and blog posts can be quite informative.

We all know that the internet isn’t exactly the most trustworthy source of information, so meeting a potential plastic surgeon in person is one of the best methods to determine if they are the appropriate fit for you and your rhinoplasty. Before signing the contract, try to arrange a meeting or make an appointment with them to see if you’d genuinely like to work with them.

Should I have a nose job?

Even if you’ve already spent a lot of time and money looking for the right rhinoplasty specialist, if you’re having second thoughts, take a moment to think about how the surgery would affect you.

And yes, it IS surgery—complete with the anesthetic and the scalpel—unless it’s a filler injection-type treatment. That can be a huge concern since there is always a chance that something could go wrong, regardless of how experienced your rhinoplasty doctor is.


What should I know before getting a nose job?

What Should I Know Before Getting a Nose Job?

In the United States, rhinoplasty procedures often cost $4,500 and above. Some rhinoplasty patients may have to fork over as much as $12,000 in fees.
Rhinoplasty surgery may be able to help you if you have breathing issues or are unhappy with the way your nose looks. Similar to other types of cosmetic surgery, rhinoplasty permanently changes your appearance, so it’s a significant procedure. It carries danger and might be expensive. Before electing to have the treatment, it is crucial to have a full grasp of what is involved.
The average cost of a rhinoplasty might vary by up to $7500, as you are fully aware. Here are some estimates and a breakdown of how much rhinoplasty usually costs, to help you with your research:

1) Medical costs

The fees for your doctor will probably start at $3000 and go higher. Surgeons with higher levels of training and board certification can charge more. How complicated your surgery is will directly affect how much it will cost on average.
The major portion of the normal cost of rhinoplasty is made up of the surgeon’s fees. But do not pick a doctor only on the basis of his or her fees. Only a small number of the more than 150 self-designated boards have received professional recognition. Make sure that the surgeon doing your nose surgery treatment is board-certified by the American Board of Plastic Surgery, the American Academy of Facial Plastic and Reconstructive Surgery, or the Academy of Plastic Surgery.

2 Facility Charge

The cost of using the facility ranges from $800 and higher. If the surgery has to be done in a hospital instead of an outpatient surgery center or office, you will have to pay a higher facility charge.

3 Anesthesia

The starting rate for an anesthesiologist is $700 to $1,200. Whether a local or a general anesthetic is required to complete the procedure will determine how much anesthesia will cost. If your surgery lasts longer than anticipated, general anesthesia is necessary and more expensive.

4) Pain relievers, nasal dressings, and other treatments

Depending on what you require, the price of these extras could be $200 or higher.

5) Post-Operative Touch-Ups and Secondary Rhinoplasty

You could have to pay up to $2,00 more for this. So, before choosing a rhinoplasty surgeon surgeon to perform your rhinoplasty, make sure they are well qualified. A skilled and moral surgeon will stand by their work and is likely to provide any postoperative touch-ups at no additional charge. A year following your treatment, you are also less likely to need any subsequent rhinoplasty.

From the aforementioned estimations, you will only get a general sense of the average cost of rhinoplasty. After your doctor has performed an evaluation and created a unique surgical plan just for you, only then will you have a more accurate notion of how much you need to pay for your rhinoplasty treatment.

One of the most popular plastic surgery treatments in the US is rhinoplasty. Several important variables can affect the average cost of rhinoplasty in Miami. On average, you should budget between $2,501 and $10,000 for your treatment. Insurance is probably not going to cover the price of a rhinoplasty if it is only cosmetic in nature. However, if you have a history of breathing problems, your insurance might pay all or part of the cost of the operation. Ask for a price estimate and discuss your treatment with your plastic surgeon. From there, you can explore your budget-friendly financing alternatives.

Additional Cost Elements


Budgeting for a rhinoplasty operation should take into account potential supplemental expenses that may arise while you are under anesthesia. You can incur additional charges for the procedure if you have to spend the night in the hospital. You can also incur additional costs for medications like blood thinners or antibiotics. If your doctor’s office is far from your house, you should additionally factor in travel fees and the amount you would lose by missing workdays. Keep in mind that you might possibly have follow-up appointments that require time away from work.
Preparing for Rhinoplasty

When considering a rhinoplasty treatment, it’s important to mentally, physically, and emotionally get ready. Discuss the difficulties you are facing with your doctor in detail, and ask about preoperative and postoperative instructions. Prior to your surgery, keep up a healthy lifestyle that includes a balanced diet and regular exercise. Any drugs or prescriptions you may be taking should be disclosed to your doctor.

Tips to Negotiate For the Best Rhinoplasty Price

Tips to Negotiate For the Best Rhinoplasty Price

You may want to bargain with your surgeon when you have rhinoplasty scheduled. Insurance might pay for your procedure if you need a rhinoplasty for a medical condition. However, if it is determined that plastic surgery is not essential, you will be responsible for the expense. The cost of your rhinoplasty surgery will be high if you see one of the best doctors in the area.

Getting a rhinoplasty may sound strange, but it happens frequently. Surgery has fixed costs, such as facility fees, equipment expenditures, and nursing pay. Other costs, though, do have some flexibility. Typically, they cost the same as medical exams, anesthesia, and office visits.

1. Make an offer to your friends, family, or employer

Many doctors will provide their friends and family members with special discounts. Additionally, they give discounts to people in the media, other doctors, and celebrities. If doctors can give discounts to certain populations, they can do the same for others. Additionally, they frequently give discounts to clients who undergo two or more operations. The surgeon uses fewer assistants and nurses and just needs to reserve the operating room once when mixing treatments. If you’re asking for a professional discount, be ready to give something of value in exchange for discounted services. Think of the services your surgeon might need that you can offer, such as office cleaning, blogging, or child care.

2. Make a cash payment

If your health insurance will not cover your rhinoplasty, offer to pay in cash for the treatment in order to possibly receive a discount. The surgeon can avoid credit card processing fees as a result of this. It can also cut back on other costs. Ask your surgeon about a layaway plan if you are unable to pay the full amount in advance. You can start making payments before the operation date and finish it before the actual procedure. You might be able to negotiate a slight discount on your purchase.

3. Choose the season that is the least busy

By scheduling your surgery for a period when demand is low, you might be able to lower the cost of your rhinoplasty. Summer is usually when this happens. Ask when it is because each surgeon has distinct slow seasons. In the off-season, your surgeon may be willing to give you a rate that is significantly lower than in-season — maybe up to 25% lower.

The majority of people decide to have rhinoplasty surgery in the fall or winter, when kids are in school and there is no one at home. If you have surgery in the summer when everyone is at home, it is crucial that you find a way to unwind and heal in a cool, air-conditioned location.

You can offer to have your operation when it is most convenient for your surgeon, in addition to choosing a sluggish season of the year. They may have an operating room, but only half of the time is scheduled since surgeons must reserve their operating rooms in predetermined blocks of time. When it is convenient for the surgeon, they can add you to the schedule if you volunteer to be on call. In some cases, you might find out up to two weeks ahead of time, but your procedure might be a lot cheaper.

Getting Ready for a Rhinoplasty

Getting Ready for a Rhinoplasty

Patients should be well-prepared before having a rhinoplasty treatment, whether or not it includes internal functional surgery to improve the airway. To prevent anxiety before the surgery, it is crucial to be aware of everything that will happen. You should receive a response to each and every query you have.

Preparing For Rhinoplasty

There are always vital dos and don’ts. These ought to be covered at the doctor and office staff’s initial consultation. It is generally advisable to bring a list of inquiries. The rhinoplasty surgeon should spend as much time as possible with you. Only your doctor has the authority to speak with you about all aspects of medical prepping, anesthesia, and recovery. Each patient is unique, and each has unique needs that must all be carefully attended to.

What to do before having a rhinoplasty treatment:

Choose a date that works with both your job and leisure commitments. Not by “squeezing it in.” Allow yourself a sufficient “buffer.” Recovery usually takes 7 to 10 days after surgery, which is a reasonable estimate. You should be able to resume all regular activities, including intense exercise, after 10 days.

Get a list of drugs—prescription and over-the-counter—and even supplements—from the clinic that should be avoided.

Your personal physician should perform a preoperative physical on you. It is not recommended to have it done by a surgeon who is unable to fully assess your health. While internists and family practitioners should be the most knowledgeable about your overall medical condition, surgeons conduct surgery. Given that many of the issues raised in your surgeon’s evaluation have anesthesia and surgical repercussions, his office should provide you with a document to go to your doctor.
Before the day of surgery, you should schedule a conversation with the anesthesiologist. This has major significance. Meeting the anesthesiologist in the waiting area where you might be unconscious and unable to speak clearly is not ideal. The best strategy, which is how we operate, is to inform the patient that the anesthesiologist will contact them the evening before surgery, no later than 9 p.m. Please get in touch with me if the anesthesiologist hasn’t called by then.
A detailed preoperative preparation guide addressing fundamental topics It ought to specify which items, and by what time, should be consumed the previous evening. Your preoperative instruction leaflet should include information on what to wear and facial washing. Please do not bring any jewels or other valuables. A reminder that aspirin should not be used before surgery. Prior to surgery, you must call the office right away if you notice any pimples or rashes on your nose since they need to be examined. Acne lesions are minor infections, and no elective surgery should ever be done when there is an infection present. A schedule for getting better and a list of phone numbers to call with any questions should also be sent. Ideally, the home or mobile number of the doctor should be on the list.
A final preoperative appointment with the office manager is held during which time final written instructions are provided that cover the entire list above. There will be written permission.The day and time of the surgery will be confirmed, as well as who will be picking up the patient afterward and who will be attending the surgical center for homecare instruction from the staff in the recovery room.

Final Thoughts Regarding Rhinoplasty Planning

The responsibility of providing any and all information is on the surgeon and office staff because the patient is not an expert on anesthesia, surgery, or recuperation. We think the patient should come to
Facial Plastic Surgery with all of their questions answered and all of the important information in front of them.

Can a rhinoplasty make you breathe better?

Can a rhinoplasty make you breathe better?

Rhinoplasty, often known as plastic surgery on the nose, is frequently associated with cosmetic purposes. But it happens frequently for people who don’t want to alter the way their nose looks or get rhinoplasty in order to breathe better. While the septoplasty procedure, a kind of rhinoplasty, may alter the nose’s external look, its primary goal is to alter the nasal airway for medical reasons.

What Justifies Functional Rhinoplasty?

The desire for functional rhinoplasty might be attributed to a variety of factors. The most common cause is a physical problem that was there before. This could be a birth defect, illness, or damage to the nose that causes the nostrils to close, the nasal channel to get smaller, or other breathing problems.
Many functional rhinoplasty procedures are carried out to fix a deviated septum. This happens when the wall separating the nasal canal twists, decreasing airflow and making breathing difficult. Snoring, blocked nostrils, recurring sinus infections, crusting or bleeding in the nose, and a deviated system are all symptoms. A deviated septum can happen on its own or because the nose has been hurt.
Enlarged turbinates, which are structures in the upper nose that can expand as a result of infections, allergies, or other irritants and limit your airway, are another frequent reason for choosing functional rhinoplasty. If you have surgery to fix a deviated septum, enlarged turbinates, or any other physical problem that makes it hard for you to breathe, your life can get a lot better.

What Sets Cosmetic Rhinoplasty Apart From Functional Rhinoplasty?

Dr William Portuese specializes in both functional and cosmetic rhinoplasty and frequently finds that patients gain from a combination procedure that enhances both the nose’s appearance and function. Dr William Portuese may typically execute a minimally invasive treatment requiring only internal incisions when the patient only requires correction of a deviated septum or reduction of the turbinates. To help his patient breathe easier, he can alter the position of the septum, move the turbinates, or reduce their size once he has gained access to the nasal cavity. These surgeries, also referred to as closed surgery, promote health while leaving very few scars and requiring the least amount of recuperation time.

Assessing Your Eligibility for Functional Rhinoplasty

You have probably sought the counsel of an ENT (ear, nose, and throat) specialist if you experience breathing difficulties as a result of a deviated septum or obstruction in your nasal cavity. To help you breathe and sleep better, he or she might have prescribed drugs or a CPAP (continuous positive air pressure) machine. It could be time to think about functional rhinoplasty if these haven’t adequately addressed your disease, or if you’re sick of taking medication or being hooked up to a machine every night. The next step is to arrange a consultation with a functional rhinoplasty expert like Dr William Portuese, who can assess the root causes of your breathing issues and tell you if the procedure is likely to help. The surgeon will walk you through the rhinoplasty procedure, address any concerns you may have, and assist you in getting ready for the procedure.

Having a Functional Rhinoplasty: What to Expect

You shouldn’t spend more than one and a half to two hours in the operating room for your surgery, depending on how much work needs to be done on your nose. Surgery on enlarged turbinates or a deviated septum will be performed, and you will need the least amount of recovery time possible. The Kotler Nasal Airway, a unique set of breathing tubes, will be wrapped around your nose as you leave the doctor’s office. After surgery, you should avoid blowing your nose and sleep with your head raised since you should anticipate swelling and bruising for a few days. Most patients find that they can go back to their normal lives and jobs after about a week.
Consider a functional  rhinoplasty surgery if your breathing issues are affecting your ability to sleep or your general sense of wellness. Make an appointment with Dr William Portuese right away to find out if this kind of surgery can help you breathe easier and live a better, more fulfilling life.


What to do if a rhinoplasty fails?

What to do if a rhinoplasty fails?

Patients who have had not just rhinoplasty but at least one, two, or three prior revisions and are now in a position where they are unsure if it is safe for them to do the treatment are one of the hardest classes of patients that we see. The Michael Jackson effect is a persistent worry among patients, who worry that they may lose their noses and wonder whether it is really safe for them to undergo the treatment. These patients frequently represent the end of the line. They believe they have lost faith and hope. They don’t know who to trust anymore when it comes to what’s feasible, so we feel an even greater obligation to be upfront with them about what they can actually achieve. We never make overly optimistic claims, but for many of those patients, if they are now in the care of revision rhinoplasty specialists with a lot of expertise in dealing with these difficulties, there may still be substantial advantages to be achieved. Most of these patients will hear us say that the skin’s quality is likely the most crucial thing to consider. There is typically little you can do if your skin doesn’t have any give. Second, if there are numerous scar tissues, you must be prepared to accept the fact that we will go in and remove every scar, and the area will then look fantastic. After a year or two, it will appear much better than it does now, but you must accept the fact that in 10-15% of those people, you will need to remove the rind once more. It’s also crucial that the surgeon doesn’t keep going back and removing more structure while he or she works. If you’re going to go back and do something, it’s crucial to stabilize and ensure that the nose can support itself and has new strength. In this situation, restoring the framework is critical. Many patients who have undergone reductive rhinoplasty have had too much cartilage removed, and if another surgeon attempts to remove even more cartilage, even more complications may result. These include collapsing, having trouble breathing, twisting, and losing support; over time, these problems tend to get worse. We are staunch fundamentalists when it comes to restoring the nose’s structure and support so that this will be the last rhinoplasty you’ll need. This will set you up for the rest of your life with a nose that remains in shape as you age and looks better than it would if you hadn’t had any work done. It’s crucial to note that boosting support and strength does not automatically result in a larger nose. These two items differ greatly from one another. If you provide support so that the skin has a place to contract, you can erase scars and other things to make the nose smaller. For some people, it does translate to having a broader nose. Many patients have had their noses scooped out or overshortened, which makes them look quite artificial. We discovered that by using rip grafting over hundreds of patients over many years, we have been able to reach a point where we can genuinely tell patients we can get a very nice change. Restoring length is one of the hardest things to do in revision rhinoplasty. We must take a tip that has been overly shortened and bring it back to its normal natural length. The skin quality is the only qualification worth mentioning. We may need to explain the restrictions of surgery if the skin has already been harmed. Even so, we often manage to do it admirably. So, what we’re suggesting is that you should consult someone with extensive editing experience if you’re wondering if you’ve done too much and if you should go farther. This type of rhinoplasty surgery cannot be performed by a surgeon who does a few cases a year; rather, 50 to 150 cases must be performed annually.

Different Types of Nasal Surgeries

Did you know that there are many different kinds of nose surgery other than cosmetic rhinoplasty? While that’s certainly a very popular choice for many patients seeking an effective way to enhance their aesthetic appeal, there are other kinds of nose jobs, each with a different intended outcome.


Everyone’s body is unique, and therefore, all cosmetic surgeries—and all surgeries in general—will be slightly different. Let’s explore the different kinds of nose surgeries available and which purposes they serve.


Reduction Rhinoplasty


Reduction rhinoplasty does exactly what it says: it reduces the size of the nose. When patients opt for this type of surgery, they can choose to reduce the overall size of the nose or concentrate on specific areas that need to become smaller, like the tip, a hump or bump, and more. During this process, the resizing is often done by removing cartilage and/or bone from the nose to achieve the desired shape and size.


Reduction rhinoplasty begins with a consultation between you and a facial plastic surgeon. At this one-on-one meeting, you’ll have the chance to discuss your nose, what you don’t like about it, what you do like about it, and what you’d like it to change about it. If you’re talking a lot about how big your nose is, your surgeon will know to start including reduction rhinoplasty techniques into his surgical plan for you.


Augmentation Rhinoplasty


During this nose surgery treatment, the doctor performs bone or tissue grafting to build up the nasal tip and/or bridge. In many cases, he or she uses cartilage from other parts of the nose, usually the nasal septum.


However, if a patient does not have enough tissue in this area a number of materials are available to the rhinoplastic surgeon to augment the nose. These include, alloplasts (synthetic implants), allogenous materials (obtained from cadavers), or autologous implants (harvested from the patient’s own tissue).


Post-Traumatic Rhinoplasty


The nasal structure is a delicate part of the human anatomy, composed of small and intricate parts that are interconnected to create the shape of your nose. When the nose sustains an injury, any number of disastrous things can affect this carefully balanced structure, including broken bones, damaged cartilage, visible changes to the nose, internal deviations, asymmetries inside and out, and even trouble with breathing.


Bleeding is also a cause for concern, as blood clots can form around the nasal septum and block it off from regular blood flow. This will lead to the death of this cartilage partition between the airways, a condition medically known as septal hematoma. The bridge of the nose may collapse as a result, leading to a saddle nose or boxer nose deformity.


Reconstructive Rhinoplasty


Following surgery to remove cancer or occasionally following facial trauma, the nose may be left severely disfigured due to the lack of tissue that has been removed or lost. Reconstructive Rhinoplasty refers to surgery required to restore tissue that is absent or has been damaged beyond repair.


Surgical repair requires the use of grafts and flaps from various parts of the body to restore the missing component tissues.


Due to the complex nature of this procedure, patients may require multiple surgeries over a period of several months. Additionally, reconstructive rhinoplasty is a specialized procedure, and patients should look for surgeons who have extensive experience in this area.


Refinement Rhinoplasty


Complaints about the nasal tip rank among the top reasons for rhinoplasty surgery. Many patients are unhappy with the way their nose points up or down at the tip, how bulbous or round the tip appears, or how pointy the tip is. As the most protrusive area of the face, tip projection is extremely important to how a face may appear and is perceived.


Refinement rhinoplasty is a highly individualized procedure that specifically caters to each individual’s unique facial characteristics. Tip refinement can involve various tactics to fine-tune the nasal tip in a more pleasing fashion, one that complements the other features of the face. Your surgeon may add or remove cartilage and tissue in order to perfect the tip’s shape or direction.


Ethnic Rhinoplasty


A nasal surgery where the nose is surgically altered to create a symmetrical, aesthetically pleasing nose that suits the individual patient’s face without diminishing the patient’s ethnic characteristics.


Revision Rhinoplasty


A Rhinoplasty surgical procedure designed to repair both form and function of a nose that has previously been operated on. Many people have difficult breathing from their nose or are dissatisfied with the cosmetic appearance of their nose as a result of prior nasal surgery.



How To Choose A Rhinoplasty Surgeon?

How To Choose A Rhinoplasty Surgeon?

It is not a choice to be made lightly when selecting a surgeon who will drastically alter your appearance by reshaping the dominant feature of your face. The choice to get a rhinoplasty or any type of nasal surgery must be made after carefully weighing your choices. There are no short cuts; you must invest the necessary time in your own independent investigation. Although recommendations from friends and coworkers are excellent, you must still base your selection on your own analysis of the relevant material. Before selecting a surgeon for your rhinoplasty treatment, consider the following areas of expertise

Surgical aptitude

The Rhinoplasty surgeon you select should be well-educated, well-trained, and have impressive credentials from esteemed medical and academic organizations. He or she should have a track record of numerous successful operations that may be verified by positive patient reviews. Your chosen surgeon should be able to do closed rhinoplasty procedures, which are much less invasive than open ones, and they should give patients a choice of how to recover.

Official Credentials

The person you select should not only be a doctor but also a surgeon, and they should also hold board certifications from the American Academy of Otolaryngology (AAO), the American Academy of Facial Plastic and Reconstructive Surgery (AAFPS), and the Rhinoplasty Society, and be authorized to practice in your state (unless you wish to travel to your surgeon for your procedure). If the surgeon you choose has titles or awards from major organizations in the field of rhinoplasty, both their peers and their patients will know about them.

A Creative Approach

Rhinoplasty is both a surgical and an artistic undertaking. The better the surgeon understands beauty and aesthetics in general, the more likely it is that they will be able to provide the desired facial outcomes for you. You should choose a surgeon whose biography shows that he or she is very interested in rhinoplasty as an artistic treatment.

Practical Experience

Verify that the surgeon you select specializes in rhinoplasty and has successfully completed the procedure numerous times. The more rhinoplasty experience your surgeon has, the more familiar they will be with the procedure.Such experience will not only sharpen such abilities, but it will also make your surgery much safer because the doctor will have seen potential issues in the past.


Your confidence in and familiarity with the surgeon as a person will ultimately matter, regardless of how well-regarded the surgeon is or how impressive his or her qualifications are. If you perceive the doctor to be kind and compassionate during your initial session, you will feel secure and assured that the surgeon has your best interests at heart.


Never select a surgeon for a innumerable rhinoplasty without first viewing examples of their work. The majority of doctors have easy access to examples of their work on their websites and even on various social media platforms. You should look at the work your surgeon has done in the past if you want to know what kind of results you can expect in the future.

Rhinoplasty Recovery Timeline

Rhinoplasty Recovery Timeline

Almost all surgeries, including rhinoplasty, require recovery time, although everyone has a different schedule. We’ll talk about how long it takes for the average person to recover from rhinoplasty so you have a general idea of what to expect.

Initially, recovering usually takes a week (about 7 days after surgery). This is your time off from work (or school), so you should try to rest as much as you can, sleep with your head propped up, freeze your nose, and watch too much TV. Patients are often thrilled with the results by week’s end, or perhaps week two.

Facts About the Recovery from Rhinoplasty

Usually, there is little to no pain to cope with right away. Yes, soreness, bruising, and swelling. The majority of the soreness often goes away with the removal of the stitches and packing (if any) after the first week.

Your intermediate recovery period lasts for approximately one to three months after rhinoplasty. Your nose looks better and healthier every day, yet the swelling still exists. The majority of your outcomes are starting to become apparent at this point. It’s possible that untrained spectators won’t recognize your rhinoplasty.

Good preparation can speed your recovery

You should have received your rhinoplasty pre-surgery and recovery instructions from your surgeon and had the specifics outlined well before the actual operation day. You’ve chosen a friend who has volunteered to pick you up from the hospital, drive you home after surgery, and stay with you the first day and night. Your instructions might look something like this:

Some prescription or over-the-counter medications, particularly those that could lead to excessive bleeding, such as vitamin E, fish oil, and aspirin, may have been advised against. If your surgeon hasn’t told you to, don’t skip any of your regular prescription drugs.

Surgery Day

On the day of surgery, recuperation starts as soon as you are taken to the recovery area. You will be gently roused from the anesthetic there. Later on, you might not recall these first moments following surgery. You’ll wear a nasal splint while being wrapped. The packing in your nose can be there.

If packing is not required, you will have an attractive drip pad taped below your nostrils to catch any blood that may emerge on your first night following rhinoplasty. As the recuperation period after your rhinoplasty starts, you’ll experience some pressure around your nose and sinus congestion. If necessary, after your surgical pain medications wear off, you can take painkillers at home if necessary. Frozen peas can be used to reduce edema and relieve pressure.

2-3 Days after Rhinoplasty

You’re in what we refer to as the “uncomfortable” part of the healing process for rhinoplasty, the first few days. You could not be inhaling via your nose right now, and it’s likely that you aren’t smelling anything. In case you need to call your surgeon for anything, you should keep your phone next to your recliner.

Even though they are typically not painful, these two days can be dreadful. Most patients score their pain as 3 to 4 on a scale of 10. Use your prescription to treat any pain as necessary. You might be experiencing nausea. You may have trouble falling asleep if you mouth breathe. You’ll feel better if you follow the post-surgery guidelines for nasal irrigation.

End of Week 1

By the end of the first week, the nasal splint and stitches are routinely removed. Even though there will still be some swelling, you can now more clearly picture how your nose will look. After a week, the majority of patients go back to work, but they avoid intense activity.

It’s crucial to minimize your exposure to the sun at this time, either by donning a hat or by staying out of the sun for at least two months.

2 weeks after rhinoplasty.

At ten days following your rhinoplasty, at this time next week, bruises should have significantly lessened. Swelling and bruising usually disappear in another week or less, making them invisible to the untrained eye. Around day eight, you can go back to work or school, while some patients are advised to take two weeks off for healing from rhinoplasty.

3-4 Weeks after Rhinoplasty

You can anticipate returning to your regular exercise and activity levels between weeks three and four, albeit with a moderate intensity. You should avoid playing contact sports and engaging in really demanding exercise for at least another month. You can return to sports sooner if you’re willing to put on a mask for protection. Constantly consult your surgeon. Your swelling has mostly subsided by this point, with the tip taking the longest time to go down. As the days go by, you’ll notice your nose getting more refined.

2-3 Months after Rhinoplasty

Any swelling on the bridge of the nose should have entirely gone down by this point. The tip of your nose can still be a little numb. This is typical, and the sensation will eventually return. An open surgery scar will start to disappear.

One year after rhinoplasty

With the exception of the altered shape or symmetry of the nose,  rhinoplasty swelling totally goes away after a year and there are no visible indications that rhinoplasty treatmentssurgery was performed. Because every patient is unique, healing times cannot be guaranteed. Call your plastic surgeon if you are worried about how long it is taking for the swelling to go down.


Can I smoke after having a rhinoplasty?

Can I smoke after having a rhinoplasty?

If you’re a nose surgery patient in Seattle  who also smokes (or vapes, or uses chewing tobacco), you might be concerned about how your habit will influence your healing. Yes, that’s the resounding response! It can potentially make your procedure more difficult. Dr Joseph Shvidler  tells all of his patients that they can’t smoke for at least two weeks before and after surgery.

Why Does Smoking Affect the Recovery After Rhinoplasty?

Smoking has a negative impact on the healing process after a rhinoplasty because it narrows your blood vessels. You want to make sure you have the best blood flow after rhinoplasty, or any surgery for that matter, so you can heal as soon and effectively as possible.

You see, our blood is a stream that travels via a convoluted network of arteries and veins to carry cells and antibodies to every area of our body. Your body must function at its peak to deliver nutrients to your nose after rhinoplasty and promote healing.

However, Dallas patients who decide to maintain their habit during their recovery process experience delayed healing because nicotine usage constricts blood vessels. Additionally, the longer it takes for you to heal completely, the higher your risk is for complications, like infections at the incision sites.

For the best possible recovery, Dr Joseph Shvidler  advises all of his patients to give up smoking, vaping, and chewing tobacco for at least two weeks following their rhinoplasty.
Smoking’s Impact on Your Surgery

We now know that smoking causes blood vessels to contract. What’s this? Blood flow during your treatment may be limited by blood vessel constriction, which might make your surgery for a nose job more challenging to accomplish. You obviously want the day of your procedure to go as smoothly as possible. Because of this, Dr Joseph Shvidler also requires that people who are getting facial plastic surgery stop smoking for at least two weeks before their procedures.

Getting Support for Refusing

We’ve all heard how difficult it is to quit smoking. If you’re thinking about getting a nose job, it may be time to make the decision to stop permanently. You can utilize over-the-counter smoking cessation aids like step-down nicotine gum, lozenges, or patches prior to surgery. You can also go to your primary care doctor  to get a prescription for medicine that has been shown to lessen nicotine cravings.

You can enroll in a smoking cessation program that will assist with the psychological and social components of quitting as well, if over-the-counter or prescription drugs aren’t effective for you. Ask your primary care doctor or Dr Joseph Shvidler during your first appointment for a recommendation.

You may ask Dr Joseph Shvidler any questions you may have

Don’t be hesitant to ask Dr Joseph Shvidler about smoking and nose job recovery or how to stop when you have your initial consultation with him or leave a message

The most crucial thing is to be truthful. Although Dr Joseph Shvidler is very concerned about giving you the surgical outcomes you want, your general health and surgical safety are his top priorities. Dr Joseph Shvidler must be informed if the day of your surgery approaches and you haven’t been able to quit smoking.


How soon after a nose job can you work out?

How soon after a nose job can you work out?

You might discover that your recovery from rhinoplasty surgery is quicker and simpler than you imagined. You might even be in such a good mood that you want to start exercising or moving in fast, energetic motion once more. Wonderful news, yes? Although it is wonderful that you feel amazing, your body probably isn’t ready for the challenge just yet.

It’s time to recover and heal

Following surgery, many rhinoplasty patients aim to get back to their regular routines as quickly as possible. Even so, how your face heals after a facial operation like a rhinoplasty depends on what you do with the rest of your body. Your body is working hard to heal itself after any type of surgery, and in order to recover fast, it requires rest, the right fluids, and nourishing foods. Right in front of your eyes, your body is devoting its resources to repairing, regenerating, and rebuilding the sore and swollen area. Your nose’s inside tissues are still tender from surgery, in need of healing time, and still prone to bleeding.

Early exercise after a rhinoplasties will prevent proper recovery. Nutrients that at this time are better dedicated to the nose should be given to torn muscles. (Remember that muscles do not grow during exercise; they grow afterward.)Intense cardio can result in nosebleeds, bruising, and post-surgical problems. It will also increase your heart rate and blood pressure. As a result, limit your physical activity to light to brisk walking.

Patients are also worried about how activity may affect how they look while they are recovering. After rhinoplasty surgery , swelling reduces gradually and steadily. Exercise will boost the blood flow to the nose, which frequently causes the swelling to grow. However, things should return to normal within a few hours, and this exercise-related impact will gradually fade away over the next few weeks.

How long do I have to wait?

You can continue your regular exercise program once your nasal structures have had six weeks to “glue” themselves back in place. You’re free to gradually begin light, non-contact workouts like swimming and road biking three to four weeks after your rhinoplasty. Start out slowly and take care when engaging in motion-or bouncing-intensive exercises like high-impact aerobics or jumping rope. During this initial phase of three to four weeks, running or jogging should also be avoided.

You should cautiously ease back into your training program because you took some time off. Avoid enrolling in the most challenging aerobics class and refrain from attempting the same distance you ran before surgery. Start lifting lighter weights and gradually increase them over the next few weeks as your body permits. If you start to feel sick or start to feel your nose throbbing, stop the exercise. Your body is telling you to take it easy. If you take painkillers, you should know that the voice of caution may still be there, even though it may be hard to hear.

Even more time will pass before you can return to physical sports. You don’t want to risk damaging your new nose, and getting hit shortly after surgery could cause more damage to your nose’s appearance than a typical impact would, not to mention increase your risk of suffering a major injury. You will better comprehend the distinction between a healed and damaged area of the body if you have ever had a bee sting or stubbled a toe and realized that immediately after that initial injury, the area seemed to be getting hit again and again, “all the time.” Most likely, these light impacts have been happening all along; they are just now very obvious and uncomfortable.

Sports that could potentially result in injury, such as basketball, football, and baseball, must be postponed for at least six weeks following the operation. Ask your surgeon to provide you with specific recuperation recommendations if you participate in any form of sport. For a while, safety equipment like a helmet and face visor may be advised.

Returning to Your Life

Even though it can be difficult to restrain yourself when you like working out, keep in mind that this respite is both brief and crucial. Allowing your body to recover from surgery and safeguarding your nose are both very worthwhile. There are a few particular methods you can use to aid your body in speeding up its healing process. Foods with natural anti-inflammatory effects include turmeric, ginger, pineapple, and blueberries. After surgery, increasing your intake of these and other foods might speed up recovery and make you feel better. Additionally, it’s critical to get enough relaxation, sleep, and water. Both are necessary for healing.


How Long Does a Rhinoplasty Take?

How Long Does a Rhinoplasty Take?

Have you ever had the impression that your nose is too big or too round for the rest of your face? Do you have a tilt or a lean to your nose, or does it have any outsized or unusually formed features? Alternatively, do you struggle to breathe easily through your nose and wish you could? If any of these describe an experience you’ve had, rhinoplasty may be the best option for giving you the nose you’ve always desired. Seattle nose Surgeon is the best place to spend money on a new nose that looks good on both sides.
An operational nose job

You are seeking a functional nose job if you are considering having a nose job due to respiratory issues or problems with your nose’s functionality. Too-short nasal passages and deviations in the septum, a line of cartilage, are two typical issues that lead patients to seek functional nose surgery . Deviated septums can form naturally or as a result of physical harm.

A functional nose job may be desired for a variety of reasons, including persistent allergies or sinus infections, hormonal changes, or both. The turbinates, or nasal conchae, a component of the nose, may enlarge as a result of this. Nasal airflow may be obstructed by the enlarged tissues.
Functional nose jobs, as opposed to cosmetic ones, can be performed at a younger age because they help with breathing.

A cosmetic nose job

Because of an asymmetry they believe draws too much attention, people frequently decide to get cosmetic nose jobs. You can have a nose that tilts oddly, points too far in one direction, or has a noticeable bump. Your nose tip may be turned up or have a bump, or your nostrils may be too big.
Most people who believe their nose to be “too big” may pinpoint one or two specific traits that they feel are out of proportion. Changes could be made to this or that part of the nose to make the whole thing look better.

The nasal bone should be fully matured before cosmetic nose operations are performed. For girls, this usually happens around the age of 15, and for boys, it happens a little later.

What procedure is used for rhinoplasty?

You and your plastic surgeon can decide between an endonasal or external approach to a nose job depending on how much work needs to be done on your nose. The external approach, which is also called the closed approach, is different from the endonasal approach, which is also called the closed approach.

Endonasal Method

All of the incisions are done inside the nostrils, keeping the nose “closed” throughout the process, giving rise to the phrase “closed approach.” Parallel cuts go around about half of the inner lining of the nose. All of the cuts are on the inside, so they can’t be seen from the outside.

External Strategy

An open technique for a rhinoplasty gives the plastic surgeon complete access to the nose’s underlying anatomy, giving him or her far greater flexibility to make alterations. Your surgeon makes the same semicircular incisions inside both nostrils as he would in the closed method. The two incisions are then joined by what is known as a trans-columellar incision, which is made across the cartilage column separating your two nostrils.
As a result, your nose’s skin can be propelled upward, providing the surgeon with full access to the bone and cartilage inside. Your surgeon will be able to make significant structural alterations as a result. Your surgeon might take some cartilage from deep inside your nose or from your ear to be grafted onto your new nose if it needs a modest quantity of extra cartilage. The best thing is that, despite the fact that an incision is created on the exterior of your nose, it usually heals to the point where it is essentially undetectable.

Does Rhinoplasty Surgery Affect Thick Skin?

Does Rhinoplasty Surgery Affect Thick Skin?

The surgical reshaping of the cartilage and bone to get the ideal nose you’ve always desired is known as rhinoplasty. But many people are unaware that the thickness of your skin is another important physical aspect of nose surgery.
People with ancestry from Africa or Eastern Europe are more likely to have thicker skin. Male skin is often thicker than female skin. Age, genetics, and excessive sun exposure can all contribute to thin skin. Skin thinning may result from some drugs.
How will your skin’s health affect your new nose and the results of your treatment if you have thicker or very thin skin?

How Your Rhinoplasy Surgery Is Affected By Skin Thickness

Your skin’s thickness may influence the surgical technique used and the final result. Both thin and thick skin around the nose have advantages and disadvantages. A qualified surgeon, Dr William Portuese, will take the time to measure the thickness of your skin so that he can prepare for your treatment in the best way possible.

Consequences of thin skin

The adjustments the surgeon has made to your bone and cartilage will be more clearly seen with thin skin. However, there is a drawback in that thin skin will more obviously show surgical abnormalities. The surgeon must exercise extreme caution when the skin is exceedingly thin.

The surgeon faces two challenges: producing a symmetrical nasal tip and a smooth nasal bridge. A grafting method like the temporalis fascia technique may be used by the surgeon. It has been demonstrated that this gives patients with paper-thin skin satisfactory results. During the procedure, tissue from the temporalis muscle is taken and used to make a nose that is the same on both sides.

The consequences of thick skin

Although thicker skin may conceal asymmetries or surgical issues, it may also mask changes to the nose. Patients with thicker skin occasionally have wider nasal tips and bigger nostril rims. These characteristics make it more difficult to modify the nasal tip.
The surgeon can make sure that your nose will have the shape you’ve always desired. To get an acceptable result, the surgeon may decide to highlight and exaggerate the cartilage of the nose tip. To improve the finished appearance, the skin can also be thinned and stretched.

Recovery from rhinoplasty of the thick skin

Recovery from thick skin rhinoplasty typically takes longer. Thick-skinned nose surgery patients frequently require one to two years for the tip to fully heal, whereas thin-skinned rhinoplasty patients typically take from six months to a year.
Although every patient and recovery process are unique, many patients with thicker skin who have rhinoplasty endure more swelling and for a longer length of time. Your surgeon might give you a steroid shot to speed up the healing process if the swelling doesn’t go down.
The good news is that thick skin rhinoplasty is no longer painful, and your pain medication as prescribed should make it bearable. The initial healing progress markers are the same. The patient having a thick skin rhinoplasty can go back to work in about two weeks, and any stents will be taken out in the first week.

Rhinoplasty nose jobs

For both thick-skinned and thin-skinned rhinoplasties, a qualified surgeon is needed who knows how to give their patient a smooth, symmetrical nose and knows the pros and cons of each skin type.

Examine the before-and-after photo galleries on a surgeon’s website before hiring them. Inquire about examples of work done on individuals who had thick skin or extremely thin skin. Make sure your surgeon only performs plastic surgery on the face and neck and is board-certified in otolaryngology—head and neck surgery. Your surgeon should use an approved hospital or surgical center.

Risks of Rhinoplasty Surgery

Risks of Rhinoplasty Surgery

Many people’s faces are most easily recognized by their noses. If you like your nose, that’s fine, but many people have noses that they wish they could change because they were born with them. Through rhinoplasty surgery, this is simply rectified. No matter if you want to make your nose bigger or smaller, a rhinoplasty expert in Irvine can assist you.

The first thing to decide when thinking about
rhinoplasty is how you want your nose to look. The cosmetic surgeon now has a location to start thanks to this knowledge. A lot of folks look up a picture of a prominent person whose nose they like and bring it to their initial session.
You should talk to the cosmetic surgeon about the rhinoplasty operation once you and the surgeon have a concept of how you’d like your nose to look. There are two types of rhinoplasty procedures: open and closed. The difference is whether the physician needs to open your nasal canal while performing the operation. Although there is a tiny danger of scarring and the recovery time is greater than with a closed operation, you will frequently get the best-looking results from an open procedure.
The cosmetic surgeon will have better access to your nose’s tissue and cartilage during the open operation, enabling better nose reshaping results. Smaller changes are typically okay with the closed process, and it does have the advantage of a quicker recovery. Because the surgeon must work in such tight quarters, the closed operation is frequently more expensive as well. The decision regarding which procedure is best for you must be made by you alone. Your rhinoplasty doctor should be able to tell you which procedure will work best for you.

Although the nasal airways within the nose appear to be pretty simple from the outside, they are actually quite complicated. Due to this complexity, there are certain chances of complications after rhinoplasty, but they are usually small. Swelling and bleeding are frequent side effects that usually go away within a few days to a week. Your cosmetic surgeon will be able to suggest different techniques to stop nosebleeds after rhinoplasty since you can’t just pinch your nose to stop them.
The majority of insurance policies do not cover rhinoplasty because it is regarded as an elective procedure. This means that, in most situations, you will be responsible for paying for the rhinoplasty. However, you might be able to get insurance to cover some of the costs if you can show that your rhinoplasty is being done to treat a medical issue. Getting your rhinoplasty paid for is an additional popular choice. Paying for your rhinoplasty will be much simpler now that many cosmetic surgeons provide financing options.

The primary decision factor for your nose surgery shouldn’t be price. Your Irvine cosmetic surgeon must make you feel confident and at ease. Finding the ideal cosmetic surgeon for you may take some time, but it will be worthwhile to check around.

What You Should Know About Rhinoplasty

What You Should Know About Rhinoplasty

Rhinoplasty, also known as “Nose Job,” is a nose surgery procedure.If you have breathing problems or have had any structural problems with your nose from birth, rhinoplasty may be performed. You can alter the shape, location, and width of your nose with rhinoplasty.
A rhinoplasty procedure can also be done to remove a hump from the nose or to reduce the size of the tip. Rhinoplasty is often carried out either by an open operation or a closed procedure.

Operative rhinoplasty

Rhinoplasty endonasally: Incisions are made from outside the nose during an open rhinoplasty procedure. An even greater view of the nasal structure is provided by the open rhinoplasty procedure, which completely opens up the nose. After the procedure, there will be a little scar that is hardly noticeable near the base of the nose.

Rhinoplasty endonasally

Incisions are created inside the nasal structure during an endonasal rhinoplasty procedure. In the opinion of the surgeons, endonasal rhinoplasty offers them a clear view of the nasal anatomy. This procedure entirely removes the scar at the base of the nose, unlike open rhinoplasty.
After a rhinoplasty procedure, the results are permanent. So, it’s best to schedule the surgery after your nose is fully grown, so that it doesn’t get in the way as it grows.
The decision you make regarding your surgeon is currently the most crucial aspect of the procedure. Which plastic surgeon you choose to conduct your rhinoplasty will have a long-lasting good or negative impact. Although there are numerous plastic surgeons available, selecting the best one will yield the best results. Here are a few suggestions to assist you in selecting the best surgeon:
The doctor should be skilled and knowledgeable about the surgery they are about to do on you as a patient.
He or she should be a licensed surgeon, and you should look into the feedback he or she has received from past clients.
He or she ought to be able to respond to all of your questions about your procedure.
He or she should explain in detail the difficulties, risks, and what to expect after the procedure is done.
He or she needs to be able to mentally get you ready for the operation.
As a plastic surgeon, he or she ought to go above and above to make you feel “wowed.”
View the before-and-after photos of the surgeon’s prior patients.
Finally, but most crucially, the surgeon should put you at ease and should treat patients with outstanding skills and etiquette. The entire crew should be able to put you at ease, not just the doctor, since this will aid in achieving the greatest possible outcomes from the rhinoplasty procedure.
The information provided above should, if you are thinking about getting a rhinoplasty, help you decide whether you need one and who you want to have the procedure done on. Not only can having a nose job improve your health, but it can also boost your self-esteem.

Consider a nose job

Male Rhinoplasty

Male Rhinoplasty

Male cosmetic surgery has become much more common in recent years and has lost its stigma. Male following rhinoplasty. accounts for over a quarter of all nose jobs, making it the most popular type of plastic surgery among guys.
Ten to fifteen percent of all rhinoplasty patients require revision rhinoplasty, which involves additional surgery to improve the nose or correct mistakes from the initial rhinoplasty procedure.This percentage is higher among male rhinoplasty patients since men are typically less pleased with the outcome than female patients. Even more male patients experience dissatisfaction and melancholy following more difficult procedures, such as ethnic rhinoplasty, when the surgeon must expertly give the patient’s “ideal” nose while safeguarding the ethnicity of the face. According to statistics, male Asian patients who have had rhinoplasty are more likely to need a second procedure. It is therefore especially important for male patients to find an excellent rhinoplasty surgeon, especially if they have ethnic heritage.
Plastic surgeons generally agree that the “less is more” maxim should be followed when performing successful male rhinoplasty. On a man’s face, where a subtler change typically looks best, an aggressively altered nose is likely to appear even more out of place than it would on a woman’s. Under the care of a less experienced surgeon, “over-operating” on a male nose runs the risk of feminizing it. The goal should be to get rid of unattractive features like a big dorsal hump while making a strong, masculine, and, most importantly, natural-looking nose.
It takes a lot of investigation to find a reliable surgeon. You should select a surgeon who has received board certification. Knowing which certifying bodies are regarded as credible is vital because the requirements for medical education, experience, and training vary amongst organizations. Both the American Board of Facial Plastic and Reconstructive Surgery and the American Society of Plastic Surgeons (ASPS) have a solid reputation for holding themselves to high standards (ABFPRS).
It’s a good idea to spend some time reading books and browsing the websites of several clinics. The majority of clinics include before and after photos of rhinoplasty procedures, demonstrating a surgeon’s aptitude for treating a variety of patients based on gender and race. Researching a variety of clinics increases your chance of finding the best surgeon with the ability to give you the nose you want. Individual surgeons may differ in their approach to rhinoplasty techniques.
Your next move should be to schedule a consultation once you have located a trustworthy hospital or surgeon (which is usually free). The surgeon will be able to evaluate your needs and talk about what can be done in a timely manner. The majority of clinics use computer software that enables you to view an example of how your nose might appear following rhinoplasty surgery. A date for your procedure can be determined, and a consultation appointment for pre-operative preparations can be scheduled if you feel at ease with the doctor and are satisfied that you want to move forward.
There is no such thing as a “perfect” nose for any gender. The goal of rhinoplasty is to create a nose that is harmonious and in proportion to the rest of the face. Finding a surgeon with excellent communication skills will significantly increase your chances of getting the nose you want.

Female Rhinoplasty: Create a Balanced Look for Your Face

Female Rhinoplasty: Create a Balanced Look for Your Face

Numerous celebrities have gained notoriety as a result of drastic changes to their noses that have transformed their appearances. A rhinoplasty procedure procedure typically takes an hour or two to complete. With this procedure, a person’s nose can be perfectly shaped to improve the harmony of their face. With this surgery, a person’s nose can be made right, whether they have a crooked nose, suffered nose damage in an accident, or if their nose has always been asymmetrical.
Since the nasal bone can be changed easily, mid-teenage females are the best candidates for female rhinoplasty surgery. As a woman gets older, her nose bone also gets older and stabilizes in shape. The overall aesthetics of the face are improved, which is the main advantage of female rhinoplasty surgery. People enjoy looking at symmetrical faces.
An unbalanced nose can make a woman appear unattractive, misshapen, or extremely plain. Women might have their nostrils, nose tip, or bridge altered through rhinoplasty surgery. Rhinoplasty may also be done to change the appearance of the entire face. With this operation, the nose’s size can also be altered to increase or shrink. Female rhinoplasty surgery clears the airways and makes it possible for people who have breathing issues to breathe easily.
It’s crucial that the patient and the surgeon go over every detail of the female rhinoplasty procedure. The patient should discuss her expectations with the doctor to see if they are reasonable and useful. After reviewing your medical history and understanding your expectations, the doctor creates a 3D image of the patient’s face and begins simulating how the face will appear after rhinoplasty.
A patient is instructed to stay away from aspirin and other substances that thin the blood, as well as to take more vitamin supplements, particularly vitamin C and E, and iron supplements. The night before a female rhinoplasty, the patient should not eat or drink anything until after the procedure.
The patient is first given general anesthesia before an incision is made on either side of the columella to reveal the nasal cartilage and bone. The skin is then restitched after it has been molded into the desired shape. The procedure is finished, and the patient is subsequently sent to the recovery area. The average female rhinoplasty procedure takes one to two hours.
While rhinoplasty is a routine surgical treatment with few complications, there are potential dangers as with any operation. Very rarely, if preoperative and postoperative procedures were not carefully followed during the female rhinoplasty surgery itself, an extreme hazard, such as irreversible nerve injury, could be observed.
A nose patient may have numbness, edema, nosebleeds, or scars; these side effects often go away over time. It is best to speak with your doctor in advance, be aware of any potential side effects, and be ready. Make sure post-operative instructions for rhinoplasty surgery are followed in the correct order.

Rhinoplasty – Is it Right for You?

Rhinoplasty – Is it Right for You?

Rhinoplasty, also known as a “nose job,” is one of the most frequently performed cosmetic treatments worldwide. They are also among the most ancient.The technique entails altering the nose’s form in some way, either to reverse the effects of an accident or injury or to enhance the face’s overall appearance. Rhinoplasty is often used to get rid of a bump, change the size of the nose, change the shape of the nostrils, or change the shape of the tip.
Rhinoplasty, a technique that dates back to the 7th century in India, has been carried out for countless years. Modern surgical techniques have made it possible to do rhinoplasty with a high level of accuracy, less scarring, and a very high rate of success.
“Closed rhinoplasty” is one of these surgical procedures that is growing in popularity among both patients and physicians. There are no outward scars at all with this method. Inside the nostrils, incisions are made that, after healing, are virtually undetectable.

What Advantages Are There?

rhinoplasty can make patients feel more confident since it can enhance their appearance. In turn, higher self-esteem might be advantageous in other areas. Patients who get rhinoplasty may feel more comfortable talking to people or doing certain things because they no longer care about how they look.
Additional advantages beyond aesthetics may be provided via rhinoplasty. Additionally, rhinoplasty can help patients breathe better. Some people may experience problems with airflow due to conditions including a deviated (crooked or moved to one side) septum, scar tissue following an injury, or an issue with the cartilage in the nose. Surgeons can change the shape of the inside of the nose to improve airflow and make breathing easier.
The lengthy history of safety and success of rhinoplasty is one of the factors contributing to its popularity. In fact, most rhinoplasty patients say that their lives have gotten better overall and that they are happy with the results.

Are you suitable for it?

If you suffer from snoring or sleep apnea, rhinoplasty surgery may be beneficial. Since these illnesses are frequently caused by problems with the form and structure of the nose, they are frequently treatable through surgically changing that structure. Unlike other treatments for sleep apnea and snoring, rhinoplasty can fix the problem at its source for good.
If you really believe that the shape of your nose has an adverse effect on your appearance and, consequently, your quality of life, you might also want to think about rhinoplasty.

However, it’s crucial to go into any cosmetic operation with reasonable expectations. While rhinoplasty can undoubtedly enhance your appearance, you may not be a good candidate if you anticipate that cosmetic surgery will significantly enhance your social life or pave the way for more lucrative employment. In order to decide whether rhinoplasty is the best course of action for you, it’s crucial to be candid with your cosmetic surgeon about your expectations.

In general, good candidates for rhinoplasty, whether cosmetic or therapeutic, are physically and mentally healthy, old enough for their noses to have fully grown, and in good bodily and mental health.

Rhinoplasty Will Change Your Look

Rhinoplasty Will Change Your Look

A rhinoplasty procedure, also known as a “nose job,” is essentially a surgical procedure to modify your nose. However, it does more than just improve your appearance. Even graver issues like trouble breathing or stuttering due to nasal obstruction can be resolved by it. The procedure helps to alter your nose’s size and form while maintaining its proportion to the rest of your face. Seattle is one of the most well-liked locations for rhinoplasty surgery in the US.

To give the nose a smaller appearance, the tip can be shrunk, and the bridge can also be somewhat changed. It can alter the humps or depressions on the bridge as well as the bridge’s breadth. You can also have a nose tip that is too big or that turns up excessively fixed. The compatibility of the alterations with the person’s face is taken into consideration when doing everything. A qualified rhinoplasty surgeon will enhance your appeal while maintaining structural integrity, rather than make you look false, unnatural, or unattractive. Along with altering your appearance, it can boost your confidence because it improves your appearance.

Due to the fact that the nose dominates the face, even a tiny bit of inexperience can have tremendous effects on anyone, for better or ill. Therefore, when choosing a cosmetic or plastic surgeon for your procedure, experience is key. Verifying that the surgeon is certified to do the surgery by the local board of plastic surgeons is one of the best ways to guarantee their training and experience.

After selecting the surgeon, schedule numerous consultations to learn more about your specific condition. Only get surgery performed once you are completely satisfied and confident enough with the surgeon. The nose is the most crucial facial feature on a human face, so you cannot afford to make any little adjustments because they will only last a short time. There is no prize for figuring out that you just want a good change!
The bump on your nose, which frequently detracts from the other cosmetic aspects, can be removed by rhinoplasty. The hump throws off the balance of the face’s many characteristics. In addition to enhancing the nose’s appearance, rhinoplasty can also enhance the face’s overall appearance. To regain the balance, additional adjustments are made to the other facial features outside the nose. Since the bulge is gone, the other attractive characteristics are no longer obscured, making the person appear even more stunning than before. Rhinoplasty before and after photos are available here.
Rhinoplasty success depends on meticulous preoperative preparation. It is important to carefully consider the relationship and proportions of each component of the nose, including the dorsum (or “bridge”) of the nose, the tip, and the nostrils. It is necessary to anticipate and analyze how changing one aspect will alter how the other looks. The procedure of rhinoplasty genuinely combines art and science.

There are two ways to conduct a rhinoplasty. The “closed” approach, in which no exterior incisions are made, is the recommended method. Every incision is made inside the nose. This method has the benefit of leaving no visible scars. With this method, all scars are concealed.

The “Open” method refers to a procedure in which the “columella” is cut through with a minor incision (which is the small bridge of tissue between the nostrils leading up to the tip of the nose). The incision is designed to be undetectable after healing. Furthermore, this portion of the nose and the scar are typically invisible when someone is viewed at eye level. Patients who have breathing issues choose it.

Without a doubt, rhinoplasty surgery requires meticulous planning and execution and is a highly specialized procedure. It entails both an anaesthetic and real surgery. If you can connect your nose job to a medical issue, you may even be able to claim medical insurance for the procedure.

Numerous famous people visit Dr William Portuese Seattle office, usually for rhinoplasty. Whether a celebrity or not, Dr William Portuese always gives each of his patients his undivided attention.

the nose.

Rhinoplasty Types and Techniques

Rhinoplasty Types and Techniques

the nose rhinoplasty
Rhinoplasty ranked second in terms of frequency among all cosmetic procedures in 2009, according to the American Society of Plastic Surgeons. The technique is made more difficult by the fact that nose surgery can take a variety of distinct forms. As a rhinoplasty specialist in Seattle, I think the surgeon needs to be knowledgeable about the various rhinoplasty techniques in order to provide each patient with the best possible outcomes.

Closed vs. Open Technique

The positioning of the rhinoplasty incisions is determined by the closed and open procedures. The incisions are made on the inside of the nose during a closed rhinoplasty. An additional incision is made in the columella between the nostrils when doing an open rhinoplasty, in addition to the incisions made within the nose. Although there are no visible scars after a closed rhinoplasty, it does not offer the same level of access as an open operation. Although open rhinoplasty necessitates an incision across the columella, the resulting scar is well disguised and, within a few weeks to months, practically disappears. Whether Seattle plastic surgeons use a closed or open procedure for nose surgery will depend on what the patient wants from the surgery.

Nose jobs of various ethnicities

Since there is no such thing as a “perfect” nose, it is important for a rhinoplasty surgeon trying to restore facial balance and harmony through nose surgery to take into account the different cultural ideas of beauty.

African American

An African American nose often has a wide tip and a low nasal bridge. An African American patient would typically request a nose augmentation to properly balance the face.


The hump at the bridge of the nose is something that most patients with Mediterranean nasal traits often want to minimize. In many situations, I would tell someone to keep a small hump to keep their ethnic identity while still looking better.


Asian patients frequently want to address a low bridge. Patients can get a look that is both natural and lovely by enhancing the tip projection and bridge.

Wide bridges and underprojected tips are two characteristics of Hispanic noses. Many Hispanic rhinoplasty patients have the same surgical objectives as their Asian counterparts. Maintaining the patient’s ethnic heritage is crucial when performing any ethnic rhinoplasty. Because their ancestry contributes to their overall beauty and makes them unique, it is frequently important to avoid making significant changes to the nose’s appearance.

Updated rhinoplasty

Patients who have had nose surgery occasionally dislike how they now look. Revision rhinoplasty can help make the nasal appearance better so that a person achieves their initial goal, whether this is because their cosmetic surgeon in Seattle gave them a “nose job” that does not look natural, because they are experiencing breathing issues, or for other reasons.

Due to the alterations that have already been made to the normal architecture of the nose, revision rhinoplasties are often far more complicated than the initial nose surgery. The functionality of the nose may have been affected, and scar tissue may be present, making the repair process more challenging. Implants or grafts might be used to rebuild the nose depending on the patient’s requirements. Although filler treatments must be repeated over time to maintain the appearance, injectable fillers are sometimes used to treat minor nose flaws.There are many different reasons why corrective nose surgery may be required, so the procedure will depend on each individual.

Finding a surgeon who is good at nose surgery and has done hundreds of rhinoplasty surgeries is one of the most important things to do to make sure the results look good, no matter what techniques are used.

Working Out After Rhinoplasty Surgery

Working Out After Rhinoplasty Surgery

Stages of primary rhinoplasty Recovery

1. How long will the surgery last?

The procedure itself usually takes 1-2 hours.
However, this only includes the time spent in the operating room getting ready for surgery and the time spent in recovery afterwards.
The average length of stay in the hospital is 4-6 hours.

2. How long will it take to recover?

The time it takes for your body to heal after an injury or surgery is referred to as the recovery period.
Depending on the severity of the injury or surgery, it can range from a few days to several months.
Rest is the most important factor in the recovery process.
Your body requires time to repair and heal itself during the recovery period.
You may need to limit your activities and give your body time to heal depending on the type of injury or surgery.

3. How much pain is typically experienced following surgery?

There is no single answer to this question because everyone experiences and tolerates pain differently.
Furthermore, the type of surgery you have will influence how much pain you feel.
A minimally invasive surgery, for example, will typically result in less pain than a more invasive surgery.
However, it is critical to discuss your pain management options with your surgeon prior to surgery so that you have a plan in place for managing your pain afterward.

4. How long will the effects last?

Assuming you’re inquiring about the outcomes of a medical treatment:
It is determined by the treatment.
Some treatments, such as chemotherapy, have only short-term effects.
Chemotherapy kills cancer cells while also killing healthy cells.
This can make a person feel extremely ill.
When chemotherapy is finished, the side effects usually go away.
Other treatments, such as radiation therapy, can have long-term consequences.
Radiation therapy can harm healthy cells and have unintended consequences.

5. What is the cost of the surgery?

The cost of nose patient for surgery surgery varies depending on several factors, including the type of surgery performed, the location of the surgery, the surgeon’s fees, and the hospital’s fees.
However, the cost of surgery can range from a few hundred dollars to several thousand dollars in general.


Thinking about rhinoplasty?

Thinking about rhinoplasty?

A rhinoplasty, sometimes known as a nose job, is a surgical procedure used to change the way your nose looks and works. The most frequent facial plastic surgery operation is rhinoplasties, which the American Society of Plastic Surgeons reports seeing close to 220,000 performed each year. With rhinoplasty, you can improve your breathing and make your face look more balanced at the same time.

Does rhinoplasty suit me?

Breathing via the nose is a typical medical justification for rhinoplasty. Nasal obstruction can interfere with other activities, interfere with sleep, make it difficult to exercise, and contribute to snoring and sleep apnea. If medical interventions (such as nasal spray or sleep apnea treatment) are unsuccessful, surgery might be the next course of action. These kinds of medical rhinoplasty procedures are frequently covered by health insurance.
The type of nasal surgery depends on the underlying issue. A septoplasty by itself may be able to correct a deviated septum, the midline wall of cartilage that separates the right and left sides of the nose. However, a rhinoplasty is necessary to guarantee adequate breathing and nasal form when a septal deviation is more severe or occurs close to specific essential areas of nasal support. With carefully placed cartilage grafts, rhinoplasty (also called septorhinoplasty) fixes the septal malformation and strengthens the nose’s important breathing areas.

How about a cosmetic nose job?

Patients frequently ask, “Could you make other alterations to my nose job while you’re in there?” Yes, it is the answer. Reducing a nasal hump, fine-tuning the tip, or addressing asymmetries are the most frequently requested procedures. It is common to combine these cosmetic procedures with functional rhinoplasty so that there is just one recovery period. These cosmetic procedures are not covered by insurance.

How should I prepare for this surgery?

General anesthesia is used during rhinoplasties. A very small incision is made along the base of the nose, but it is undetectable until the skin has healed. This incision is linked to invisible incisions inside the nose. These cuts give access to the bones and cartilage of the nose. Then, the airways in the nose are made better, and if necessary, the bone and cartilage are carefully moved to change the shape of the nasal bridge.
Patients frequently inquire, “Will you have to break my nose?” Normally no. Most rhinoplasty surgery don’t touch the bones. The nasal bones may occasionally be moved into a more advantageous position after surgery if patients have experienced major trauma to the nose in the past. A bony nasal hump may be flattened down to a straight profile or a softer curve for cosmetic purposes. The day after waking up from anesthesia, patients return home.

What can I anticipate regarding recovery?

You might anticipate missing a week of work or school. Rest, ice, and a nasal cleaning regimen are advised during that period. Although painkillers are offered, most people only need them for a short period of time.
Because splints (bendable, thin plastic sheets) are inserted into the nose to maintain the septum’s straightness during recuperation, it is challenging to breathe comfortably through the nose. The third day is when swelling peaks before declining. Sometimes, bruising under the eyes happens. You’ll have a small cast on your nose for a week following surgery to protect it and reduce swelling.


How to Choose a Facial Plastic Surgeon

How to Choose a Facial Plastic Surgeon

How do you start your search for a skilled facial plastic surgeon?
The competitive nature of today’s culture has led to a huge increase in the popularity of rhinoplasty since everyone wants to appear young and vibrant. Despite the fact that it seems like everyone is getting something “done,” few people are willing to admit it or even recommend a doctor to you. In theory, referrals are a terrific way to review a surgeon’s work, but they can occasionally be hard to come by. Then what? So let’s get to the assignment.
A residency in otolaryngology/head and neck surgery, where they only perform operations on the face, nose, eyelids, head, and neck first, takes board-certified and fellowship-trained facial plastic surgeons five years to complete. During this period, they do reconstructive surgery on the face as well as cancer surgery on the head, neck, nose, and face. During this time, they also carry out aesthetic surgeries like facelifts, eyelid lifts, and rhinoplasty. They continue on to complete a second year of fellowship training, where they enhance their specialization in the most recent methods of facial plastic and reconstructive surgery. The American Academy of Facial Plastic and Reconstructive Surgery is funding this fellowship.
Just getting your board certification is the start. It is now time to look at some before and after pictures after you have confirmed that your surgeon is qualified by looking at the relevant boards. Peruse the pictures they have posted online. A talented surgeon should have a ton of before and after images online. It’s also crucial to consider how attractive the surgeon is. Cosmetic surgery is a skill and an art, so just because a doctor has all the necessary training doesn’t mean they can give you the look you want.
Additionally, you’ll want to confirm your doctor’s hospital affiliations. A doctor’s performance and credentials are proven to be regularly reviewed if they are granted permission to do surgery at an approved facility. Although most plastic surgeons solely operate in their offices, they do have the right to do so at a nearby hospital. Do not use a doctor if they do not have these privileges.
You should then set up a consultation. It is crucial that you feel at ease at the office since, if you choose to have surgery with this doctor, you will be there for a considerable amount of time. A good doctor will pay attention to your worries, respond to all of your inquiries, and thoroughly explain all the risks and advantages of the operations you are considering. Some surgeons model the changes you could anticipate after undergoing facial cosmetic surgery using computerized morphing software. This has been a useful tool for a lot of people.
It is highly likely that you will meet with a patient care coordinator after your consultation with the surgeon. Your pre-and post-operative instructions, scheduling your surgery dates, and any other queries you may have will all be covered by the patient care coordinator. The Patient Care Coordinator can then put you in touch with a patient who has undergone the same surgery you are thinking about if you would like to chat with them. Happy patients who are willing to talk to someone about their experiences with a skilled surgeon are common.
One of the most crucial decisions you will make will be whether to get facial plastic surgery because you cannot hide your face. You might want to schedule another appointment with your surgeon if you still have concerns.
A facial plastic surgeon, like Dr Joseph Shvidler, concentrates on the face, head, and neck in his or her practice. You should “Trust your Face to a Facial Plastic Surgeon” because they have a background in Head and Neck Surgery and specialized training in Facial Plastic Surgery. This gives them a clear understanding of the face and its underlying anatomy.

The best surgeon for rhinoplasty

The best surgeon for rhinoplasty

You’re in the perfect place if you’re considering rhinoplasty in Seattle. Dr Joseph Shvidler is a famous facial plastic surgeon who has helped many celebrities get the noses of their dreams. The overall attractiveness and “personality” or character of your face are significantly influenced by your nose. Additionally, it typically displays your ethnic heritage, connecting you to the origins and lineage of your family. Few individuals are born with a nose that is properly formed and harmoniously complements the rest of their facial characteristics. Additionally, if you are really self-conscious about the way your nose looks on your face, it may affect the rest of your life. Because of your nose, you can experience withdrawal, anxiety, or even depression. This happens frequently. One of the trickiest and most delicate operations we conduct is rhinoplasty. In fact, it might be the most careful and personally satisfying way of doing plastic surgery ever.

You can improve your self-esteem and get natural, personalized outcomes that some members of your family might not even notice initially. They’ll notice that you look wonderful but not understand why. This is the sign of a natural approach to nasal shaping that has been skillfully done. The goal of rhinoplasty is to improve the size and form of your nose, which will enhance the appearance of your entire face. It is frequently a life-altering procedure that gives patients more self-confidence and an all-around higher quality of life. It doesn’t have to change your lovely ethnic heritage or appear forced or “done.” Dr Joseph Shvidler and other real rhinoplasty experts are paving the way for you to have a successful “nose-journey” in this new era.

As you may expect, rhinoplasty is a difficult and complicated procedure best left to the most experienced doctors. Any time the main facial feature is changed, the remainder of the face will be impacted. To prevent under-or over-correction, excellent technique and a detail-oriented approach are essential. Fewer and fewer surgeons are even attempting to specialize in this procedure because it involves millimeter-level precision. Your surgeon needs to operate on hundreds of instances per year to gain experience with the many kinds of noses. It is essential to visit a surgeon who can handle whatever patient walks through the door because all noses differ so greatly from one another.

Choosing the best plastic surgeon is essential to getting the results you want. People from all around the nation and abroad seek Dr Joseph Shvidler expertise in rhinoplasty. He is renowned for his superb technique and dedication to his patients. Thanks to Dr Joseph Shvidler, thousands of men and women now have more appealing noses and feel more confident. Numerous textbooks and peer-reviewed articles have featured his methods and ideas. He is a highly sought-after national and international speaker who talks about his original ideas and strategies.

For these reasons, patients believe in Dr Joseph Shvidler for rhinoplasty.

She has won praise from patients, other plastic surgeon’s, and the media for her surgical talent and compassion. Because of his expertise and rhinoplasty methods, he enjoys great esteem. At his Seattle office, Dr Joseph Shvidler does many different kinds of plastic surgery, but rhinoplasty is one of his specialties.

Dr Joseph Shvidler rhinoplasty philosophy

Dr Joseph Shvidler respects the uniqueness and diversity of each of his patients. He creates surgical plans that consider the particular requirements and objectives of each patient. There is never a “cookie cutter” strategy employed, and no short cuts are ever taken. You’ll notice as you look through our rhinoplasty photo gallery that the noses there are significantly distinct from one another; this is due to the variation and individuality of each nose and the surgery that has been done. The anatomy varies greatly between individuals. The interaction of the skin, bones, and cartilage presents a difficulty similar to that of a special musical composition. If these structures are done right, they can come together to make a beautiful symphony.


Nose Job Tips

Rhinoplasty Questions – facts and more

1. What qualifications do you have to perform rhinoplasty?

I am a board-certified plastic surgeon with a focus on rhinoplasty.
I’ve been doing rhinoplasty for over 15 years and have helped thousands of patients get the nose they’ve always wanted.
I have a keen eye for detail and a strong desire for perfection, both of which have aided me in honing my skills in this delicate procedure.
I am constantly researching new techniques and technologies in order to provide the best possible care to my patients.

2. How many times have you gone through this process?

I’ve done this procedure countless times.
It is a very simple procedure that takes only a few minutes to complete.
I’ve never had any problems with it, and it’s always been very successful.

3. What are the risks and complications of rhinoplasty?

Rhinoplasty is a very delicate surgery, and as with any surgical procedure, there are risks and complications.
The most common rhinoplasty complications are bleeding, infection, and scarring.
These complications, however, are usually minor and easily treated.

4. What can I expect my rhinoplasty results to look like?

If you’re thinking about rhinoplasty, you’re probably wondering what the outcome will be.
Sadly, there is no simple answer to this question.
Every patient is unique, and every surgeon employs a unique approach and technique.
This means that it is impossible to predict your exact results.
However, there are some generalities to be aware of.
To begin, you can anticipate gradual results from your surgery.

5. How long will my rhinoplasty results last?

Your rhinoplasty results will last a lifetime.
However, due to the natural aging process, the shape of your nose may change over time.
Furthermore, if you sustain a nose injury, the outcome of your surgery may be affected.

6. How long does it take to recover from rhinoplasty?

The recovery time for rhinoplasty varies depending on the patient.
Most people report feeling better in two to three weeks, though minor swelling and bruising may persist for up to six weeks.
To allow the incisions to heal properly, avoid strenuous activity or nose-blowing for at least a week after surgery.

7. What are the risks of rhinoplasty?

There are numerous potential side effects of rhinoplasty that should be considered before undergoing the procedure.
The most common side effect is temporary swelling and bruising around the eyes, which usually go away after a week or two.
Other possible side effects include: -Numbness around the incisions
-Permanent numbness of the skin around the incisions -Temporary difficulty breathing through the nose

8. What should I expect during my rhinoplasty consultation?

The consultation for rhinoplasty is a critical step in the procedure’s preparation.
During the consultation, you will meet with the surgeon to discuss your surgical goals and to learn more about what the surgeon can do for you.
You will also be able to ask any questions you may have about the surgery.
The surgeon will examine your nose and face during the consultation to determine the best course of action for your surgery.

9. What is the cost of  Rhinoplasty?

nose plastic surgery is a surgical procedure that is used to alter the shape of your nose.
It is also known as a nose job.
Rhinoplasty can improve the appearance of your nose as well as your self-esteem.
It can also help you breathe better.
The cost of rhinoplasty varies depending on the surgeon, geographic location, surgical complexity, and other factors.
In the United States, the average cost of rhinoplasty is around $5,000.

Do you have any before and after photos of previous patients I could look at?

Yes, you can look through our before and after photo gallery on our website.
You can also narrow down the results by procedure type to see only the photos that apply to you.




Cosmetic Surgery for the Nose

Cosmetic Surgery for the Nose

A nose job, or rhinoplasty as it is officially known, is surgery done on the nose to alter its appearance or enhance its functionality.

Various rhinoplasty procedures include:

Reducing the nose’s hump
Raising the bridge’s girders
Changing the tip of the nose
Expanding or contracting the nostril size
Adjusting the nose following a wound
Opening the bronchial tubes
Increasing or decreasing the nose’s size
Nose jobs can be performed for cosmetic or medicinal purposes. For instance, surgery may be necessary for some people to fix a problem with the cartilage that separates one nostril from the other. Others might just wish to alter the size or form of their nose.

Rhinoplasty and teenagers

Teenagers’ noses shouldn’t be altered until they have grown to adult proportions. This often occurs for girls around the age of 15 or 16, and for guys around a year later.

Selecting a Nose Job

Find a surgeon who has experience with plastic surgery of the nose and a history of happy patients. The most popular organization for certifying rhinoplasty surgeons is the American Board of Plastic Surgery (ABPS).

The procedure should be performed in an accredited facility. A skilled surgeon and a well-trained staff will be able to assess and address any complications you may have.

Schedule a consultation to discuss your objectives and to discuss your concerns regarding your nose as well as your desired changes.

A perfect nose does not exist, so keep that in mind. However, surgery can highlight facial traits and draw attention to your distinctive and natural beauty. A plastic surgeon can explain the distinctive facial characteristics that make you special and explain how changing they will improve your appearance.

Your nose and other face components will be examined by the surgeon. They can inform you if your expectations are reasonable after this assessment.

The surgeon should go over the dangers, length of recovery, and cost with you as well as take into account your general health.

The nose can be reshaped using a variety of ways. Your surgeon should outline their proposed course of action in detail once you decide to move forward.

Make sure to speak with your health insurance provider in advance if you have one so that you are aware of what is covered and what you will have to pay for. The majority of the time, cosmetic operations are not covered by health insurance.

Step-by-Step Guide to Rhinoplasty

There is typically no overnight stay required for a nose job because it is an outpatient procedure. You will either receive general or local anaesthetic. If you have general anesthetic, the procedure will keep you asleep. You won’t be able to feel the pain since local anaesthetic will sedate you and numb your nose.

The surgeon makes cuts inside the nostrils during an operation. The surgeon might also make cuts across the nose’s base in more challenging circumstances. The interior bone and cartilage are then reshaped by the surgeon to create a more attractive appearance.

Nose Job Restoration

People typically use a nasal splint for the first week following a rhinoplasty. For at least 24 hours following the procedure, you must keep your head elevated. After surgery, you should anticipate some swelling and bruising around the eyes, which should start to go down by the third day. It might last for two weeks.

Expect a small amount of swelling in your nose, which likely only you and your surgeon will notice. The next six months will see an end to this. Your nose’s final shape will become clear once it has fully recovered.

Following rhinoplasty surgery, you should take 3 to 6 weeks off from intense exercise. In as little as 2 to 3 weeks, you can resume your social activities without showing any telltale symptoms that you recently underwent surgery.


What to expect before and after a ‘nose job’

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.

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