Rhinoplasty Surgery in the Pacific Northwest

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

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

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

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

Top Nose Surgeon’s Surgery Day

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

Nasal Contouring Revision Rhinoplasty in Pacific Northwest

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

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

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

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

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

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

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

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

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

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