Board Certified Facial Plastic Surgeons

Comprehensive Guide to Rhinoplasty in Seattle

Understanding Rhinoplasty: Enhancing Facial Harmony

Rhinoplasty, commonly referred to as a "nose job," is a surgical procedure aimed at altering the shape and structure of the nose to achieve a more balanced and harmonious facial appearance. This procedure, performed by board-certified facial plastic surgeons, can address both aesthetic concerns and functional issues related to breathing.

What is Rhinoplasty?

Rhinoplasty involves reshaping the nasal framework, which may include modifying the bones, cartilage, and skin. It is the most frequently performed surgical procedure in our practice, with the goal of achieving a natural look that harmonizes with the patient's other facial features. Rhinoplasty can correct various nasal imperfections, such as:

• Wide Nose: Narrowing the nasal width.

• Dorsal Hump: Removing the bump on the nose bridge.

• Bulbous Tip: Refining the nasal tip.

• Crooked Nose: Straightening a deviated or fractured nose.

• Functional Issues: Addressing breathing difficulties.

Detailed Surgical Procedures

Straightening Crooked Noses

A crooked nose can result from a deviated septum, fractures, or dislocated cartilage. Correction typically involves:

• Osteotomies: Surgical cuts in the nasal bones to realign them.

• Spreader Grafts: Cartilage grafts to support the nasal structure.

• Septoplasty: Correcting the deviated septum.

Reduction of the Bulbous Tip

A bulbous nasal tip, caused by thick and wide lower lateral cartilages, is refined through:

• Suturing Techniques: Inter-domal and intra-domal sutures narrow the tip.

• Cartilage Removal: Conservative removal of excess cartilage.

Narrowing a Wide Nose

A wide nose, often due to congenital factors or trauma, is corrected by:

• Medial and Lateral Osteotomies: To narrow the nasal bones and upper lateral cartilages.

• Casting or Splinting: To stabilize the bones post-surgery.

Lifting a Droopy Tip

A droopy nasal tip, exacerbated by downward-pointing cartilages or smiling, is addressed by:

• Releasing Depressor Septi Ligament: Prevents dynamic drooping.

• Tip Elevation: Adjusting cartilage and ligaments to lift the tip.

Shaving Down the Dorsal Hump

Removing a dorsal hump involves:

• Cartilage and Bone Shaving: To smooth the nasal profile.

• Osteotomies: To close the “open roof” deformity created by hump removal.

Addressing Breathing Difficulties

Functional issues such as nasal obstruction are treated by:

• Septoplasty: Correcting the deviated septum.

• Turbinate Reduction: Reducing nasal tissue to improve airflow.

• Spreader Grafts: Preventing nasal valve collapse.

Widening a Narrow Nose

A narrow nose is expanded using:

• Reverse Osteotomies: To widen the nasal bones.

• Spreader Grafts: To maintain the new structure.

Additional Procedures

Chin Augmentation

Combining rhinoplasty with chin augmentation can enhance facial balance, particularly if the chin is under-projected. This involves:

• Chin Implants: Various sizes and shapes are available to achieve the desired profile.

• Digital Imaging: Helps visualize the potential outcomes.

Nasal Reduction of the Hanging Columella

Addressing a hanging columella, which may result from excess cartilage or previous surgery, includes:

• Columella-Plasty: Surgical removal or repositioning of cartilage.

Revision Rhinoplasty

Revision rhinoplasty addresses issues from previous surgeries such as:

• Residual Deformities: Correcting asymmetries, scars, or functional problems.

• Scar Tissue Management: Carefully navigating through existing scar tissue.

Recovery and Aftercare

Post-surgery, a cast is placed over the nose for one week. Patients can expect:

• Minimal Internal Packing: Dissolvable stitches and no painful packing.

• Bruising and Swelling: Visible for about two weeks.

• Full Healing: Takes up to a year, with noticeable improvements in three months.

Cost of Rhinoplasty in Seattle

Rhinoplasty costs vary depending on the complexity:

• Regular Rhinoplasty: $8,350 - $9,350 plus $980 for anesthesia.

• Complex/Revision Rhinoplasty: $10,000 - $11,500 plus $1,176 for anesthesia.

Ideal Candidates and Insurance

The best candidates for rhinoplasty are typically between 18 and 40 years old, having achieved physical and emotional maturity. While rhinoplasty is often elective and not covered by insurance, functional aspects of the surgery might be covered if they address breathing issues.

Scheduling a Consultation

For those considering rhinoplasty, scheduling a consultation with our experienced surgeons is the first step towards achieving desired facial harmony. Contact our Seattle office at (206) 624-6200 to schedule an appointment.

Enhance your facial features and boost your confidence with professional rhinoplasty services in Seattle. Our board-certified surgeons are committed to providing natural, balanced results tailored to each patient's unique needs. 

What is a rhinoplasty?

• A rhinoplasty, or "nose job," is a surgical procedure to alter the shape of the nose, improving its appearance and function 

Who is a good candidate for rhinoplasty?

• Good candidates are individuals who are physically healthy, have realistic expectations, and are seeking improvement rather than perfection in their appearance 

What can rhinoplasty correct?

• Rhinoplasty can correct a wide nose, dorsal hump, bulbous tip, crooked nose, and functional issues like breathing problems

How long is the recovery period?

• Initial recovery takes about 1-2 weeks, with most swelling and bruising subsiding. Full results can take up to a year to become apparent

What are the risks associated with rhinoplasty?

• Risks include infection, bleeding, scarring, difficulty breathing, and dissatisfaction with cosmetic results 

What types of rhinoplasty techniques are there?

• There are open and closed rhinoplasty techniques. Open involves an external incision, while closed is done entirely within the nostrils 

How much does rhinoplasty cost?

• The cost varies but typically ranges from $8,000 to $15,000, depending on the complexity and location of the surgery 

Is rhinoplasty covered by insurance?

• Cosmetic rhinoplasty is usually not covered by insurance, but functional aspects like correcting a deviated septum might be .

Can rhinoplasty be performed in-office?

• Some minor rhinoplasty procedures can be performed in-office if the facility is properly licensed and accredited

How do I choose a qualified rhinoplasty surgeon?

• Look for a board-certified plastic surgeon with extensive experience in rhinoplasty. Check their before-and-after photos and patient reviews 

Bellevue Rhinoplasty

Rhinoplasty, commonly referred to as a "nose job," is a surgical procedure that holds the power to transform not only the appearance of the nose but also the overall facial harmony and self-confidence of an individual. In Bellevue, Washington, individuals seeking nasal refinement are presented with a plethora of options. However, when it comes to entrusting one's facial aesthetics and well-being to a surgeon, expertise and experience are paramount. Dr. William Portuese and Dr. Joseph Shvidler emerge as esteemed figures in Bellevue rhinoplasty, celebrated for their surgical mastery, precision, and commitment to patient satisfaction. In this in-depth article, we explore the intricacies of Bellevue rhinoplasty with these distinguished surgeons.

Understanding Rhinoplasty:

Rhinoplasty is a complex surgical procedure aimed at reshaping the nose to enhance its aesthetic appearance and functional capabilities. Whether addressing cosmetic concerns, correcting structural abnormalities, or improving breathing difficulties, rhinoplasty requires a delicate balance of surgical skill and artistic vision.

Meet the Surgeons:

1. Dr. William Portuese: A Maestro of Facial Transformation Dr. William Portuese is a board-certified facial plastic surgeon with over three decades of experience specializing in rhinoplasty. Revered for his surgical expertise and compassionate care, Dr. Portuese has established himself as a trusted authority in nasal surgery.

   • Surgical Excellence: Dr. Portuese's surgical skill is unparalleled, enabling him to perform a diverse range of rhinoplasty procedures with precision and finesse. His extensive experience allows him to address complex nasal issues and achieve natural-looking results tailored to each patient's unique anatomy.

   • Artistic Vision: Dr. Portuese approaches rhinoplasty as both a science and an art, aiming to enhance facial harmony and balance while preserving the individuality of each patient. He collaborates closely with patients to understand their aesthetic goals and works diligently to deliver results that exceed expectations.

   • Patient-Centered Care: Dr. Portuese places a strong emphasis on patient satisfaction and safety throughout the surgical process. From the initial consultation to post-operative care, he provides compassionate care, open communication, and comprehensive support to ensure his patients feel comfortable and confident.

2. Dr. Joseph Shvidler: Innovator in Nasal Surgery Dr. Joseph Shvidler is a highly skilled rhinoplasty surgeon known for his innovative techniques and commitment to excellence. With a passion for surgical precision and a dedication to achieving superior results, Dr. Shvidler has become a trusted name in nasal surgery.

   • Advanced Surgical Techniques: Dr. Shvidler employs advanced surgical techniques and state-of-the-art technology to optimize patient outcomes. He stays abreast of the latest advancements in rhinoplasty and tailors his approach to each patient's unique needs, ensuring precise and natural-looking results.

   • Natural-Looking Results: Dr. Shvidler's goal is to create results that harmonize with the patient's facial features, enhancing overall facial aesthetics. He adopts a conservative approach to surgery, focusing on achieving balanced proportions while preserving nasal function and structural integrity.

   • Patient Care: Dr. Shvidler is committed to providing compassionate and individualized care to each patient. He takes the time to listen to their concerns, educate them about their treatment options, and guide them through every stage of the rhinoplasty process with empathy and understanding.

Advancing Bellevue Rhinoplasty:

Drs. William Portuese and Joseph Shvidler are at the forefront of advancing Bellevue rhinoplasty through their commitment to excellence, innovation, and patient-centered care. Their collective contributions have not only transformed the lives of countless patients but have also elevated the standard of nasal surgery practice in the region.

Conclusion: Bellevue rhinoplasty represents a transformative journey towards enhanced facial aesthetics and improved self-confidence. Dr. William Portuese and Dr. Joseph Shvidler exemplify the pinnacle of surgical skill, artistry, and compassion in the realm of nose surgery. Whether patients seek cosmetic enhancement or functional improvement, they can place their trust in the expertise and dedication of these esteemed surgeons to achieve results that exceed their expectations and enhance their quality of life.