Nose Surgery
Rhinoplasty, commonly known as a ‘nose job,’ is a surgical procedure aimed at reshaping the nose to improve facial aesthetics. It stands as the most frequently performed surgical intervention in our medical practice. Led by our board-certified facial plastic surgeons, Dr. William Portuese and Dr. Joseph Shvidler, our objective is to achieve a natural appearance where all facial components harmonize seamlessly, ensuring the new nose blends flawlessly with the rest of the facial features. In collaboration with patients, most facial cosmetic surgeons recognize numerous aspects of the nose that can be enhanced through surgery. Whether addressing width issues, dorsal humps, wide or boxy tips, or correcting deviations caused by injury, such as a crooked nose resulting from a fracture, rhinoplasty offers solutions. Additionally, functional breathing problems can also be addressed concurrently during rhinoplasty. For consultations regarding nose, facial, or skin-related concerns, please contact us at (206) 624-6200 to devise a personalized surgical plan
Board Certified Facial Plastic Surgeons
Dr. William Portuese is an expert in the field of Facial Plastic Surgery, encompassing a comprehensive range of procedures such as Facelifts, Blepharoplasty, Rhinoplasty, Forehead lifts, Facial Implants, and Neck Lift/Liposuction.
He holds dual board certifications from the American Board of Facial Plastic and Reconstructive Surgery, as well as the American Board of Otolaryngology, Head & Neck Surgery, ensuring his expertise and commitment to excellence in these specialized areas.
Drawing from over 17 years of surgical experience, Dr. Shvidler is a highly accomplished practitioner specializing in facial plastic and reconstructive surgery. His career journey began with a foundation in Otolaryngology, focusing on ear, nose, and throat surgery. He further honed his skills through a fellowship in cosmetic and reconstructive surgery at the University of Washington hospitals.
Dr. Shvidler's dedication to his craft led him to serve as section chief of facial plastic and reconstructive surgery at Madigan Army Medical Center in Tacoma, WA, where he contributed his expertise for over 12 years. Now, transitioning to civilian life, he extends his services to the South Puget Sound area, catering to communities including greater Seattle, Tacoma, Gig Harbor, Puyallup, and Federal Way.
Our renowned surgical team, along with our esteemed medical practice, proudly serves patients residing in Seattle WA 98104, King County, Bellevue, Kirkland, Olympia, and neighboring areas. Every patient can anticipate receiving personalized treatment plans meticulously tailored to their specific needs and aspirations, coupled with access to cutting-edge facilities and technology.
At our center, patient safety and comfort take precedence. Our dedicated team of seasoned medical professionals is unwaveringly committed to delivering exceptional care throughout every phase of treatment. Whether before, during, or after procedures, we prioritize ensuring a supportive and reassuring environment for our patients.
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
Best Rhinoplasty Surgeon
Rhinoplasty, often referred to as a "nose job," is a delicate surgical procedure that requires a blend of artistic vision, surgical precision, and a deep understanding of facial aesthetics. In the bustling city of Seattle, Washington, two esteemed rhinoplasty surgeons, Dr. William Portuese and Dr. Joseph Shvidler, have earned widespread acclaim for their exceptional skill, commitment to excellence, and dedication to patient satisfaction. Let's delve into the expertise and contributions of these two renowned practitioners, exploring what sets them apart as the best in their field.
Dr. William Portuese: Mastering the Art of Rhinoplasty
Dr. William Portuese stands as a pillar of excellence in the realm of rhinoplasty, renowned for his meticulous approach, unparalleled expertise, and transformative results. With over two decades of experience specializing exclusively in facial plastic surgery, Dr. Portuese has honed his craft to perfection, earning the trust and admiration of countless patients seeking refinement in their nasal contour.
Expertise and Specialization: Dr. Portuese's expertise lies not only in his technical proficiency but also in his ability to understand and address the unique needs of each patient. With a singular focus on facial plastic surgery, particularly rhinoplasty, he brings a depth of knowledge and a nuanced understanding of facial harmony to every procedure.
Commitment to Natural Results: One of Dr. Portuese's defining principles is his commitment to achieving natural-looking results that enhance, rather than alter, the patient's facial features. By employing advanced surgical techniques and state-of-the-art technology, he ensures that each rhinoplasty procedure is tailored to the individual's anatomy and aesthetic goals.
Patient-Centric Approach: Beyond his surgical skill, Dr. Portuese is celebrated for his compassionate bedside manner and dedication to patient care. From the initial consultation to post-operative follow-ups, he prioritizes open communication, transparency, and personalized attention, fostering a sense of trust and confidence in his patients throughout their journey.
Dr. Joseph Shvidler: Elevating Rhinoplasty to Artistry
Dr. Joseph Shvidler epitomizes the fusion of science and artistry in the realm of rhinoplasty, sculpting noses with precision and finesse to achieve symmetrical, harmonious results. With a passion for aesthetic enhancement and a commitment to excellence, Dr. Shvidler has earned acclaim as one of Seattle's foremost rhinoplasty surgeons.
Innovative Techniques and Visionary Approach: Dr. Shvidler is revered for his innovative techniques and visionary approach to rhinoplasty, constantly pushing the boundaries of what is possible in facial rejuvenation. By leveraging the latest advancements in surgical technology and drawing upon his innate artistic talent, he crafts bespoke nasal contours that complement and enhance each patient's unique facial anatomy.
Emphasis on Symmetry and Proportion: Central to Dr. Shvidler's philosophy is his unwavering dedication to symmetry and proportion, recognizing that subtle adjustments can have a profound impact on the overall aesthetic balance of the face. Whether addressing structural imperfections or refining nasal tip definition, he meticulously tailors each aspect of the procedure to achieve optimal results that align with the patient's aesthetic ideals.
Exemplary Patient Care and Satisfaction: Dr. Shvidler's commitment to excellence extends beyond the operating room, encompassing every aspect of the patient experience. From the initial consultation to the final outcome, he prioritizes open communication, empathy, and collaboration, ensuring that each patient feels heard, supported, and empowered throughout their rhinoplasty journey.
Conclusion: In the vibrant landscape of Seattle's cosmetic surgery scene, Dr. William Portuese and Dr. Joseph Shvidler stand out as shining examples of excellence in rhinoplasty. With their unparalleled skill, artistic vision, and unwavering commitment to patient satisfaction, they have earned the trust and admiration of countless individuals seeking transformative nasal refinement. Whether sculpting elegant contours or restoring facial harmony, these two esteemed surgeons continue to redefine the standards of aesthetic excellence, leaving an indelible mark on the faces—and lives—of their grateful patients.
