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
Nose Job Cost
Embarking on the journey to enhance one's nasal aesthetics through rhinoplasty involves numerous considerations, with cost being a significant factor for many prospective patients. In Seattle, Washington, two distinguished rhinoplasty surgeons, Dr. William Portuese and Dr. Joseph Shvidler, offer their expertise not only in surgical mastery but also in guiding patients through the financial aspects of their transformative journey. Understanding the factors that influence nose job costs can empower individuals to make informed decisions as they pursue their aesthetic goals.
Exploring the Factors Impacting Nose Job Costs:
Complexity of the Procedure: The complexity of a rhinoplasty procedure is a primary determinant of its cost. Procedures that require extensive reshaping of nasal structures to address functional issues or correct significant aesthetic concerns often involve more intricate surgical techniques, longer operating times, and higher associated costs. Conversely, minor adjustments or revisions may incur lower expenses due to their simplified nature.
Surgeon's Experience and Expertise: Both Dr. William Portuese and Dr. Joseph Shvidler are renowned for their mastery in rhinoplasty, bringing years of specialized training, clinical experience, and a track record of successful outcomes to their practice. Surgeons with a distinguished reputation and proven expertise typically command higher fees reflective of their skill, proficiency, and the quality of care they provide.
Facility Fees and Anesthesia Costs: Nose job costs encompass not only the surgeon's fees but also additional expenses associated with the surgical facility and anesthesia. State-of-the-art surgical facilities equipped with advanced technology and dedicated support staff may incur higher facility fees. Similarly, the type of anesthesia administered during the procedure, whether local or general anesthesia, can influence overall costs.
Geographic Location: The geographic location of the surgical practice can significantly impact nose job costs due to variations in overhead expenses, market demand, and regional economic factors. Seattle, as a metropolitan area with a high cost of living, may have slightly higher average nose job costs compared to less urban regions. However, the expertise and reputation of surgeons like Dr. Portuese and Dr. Shvidler often justify the investment for many patients.
Preoperative Assessment and Postoperative Care: Comprehensive preoperative assessments, including consultations, imaging studies, and medical evaluations, are essential components of the rhinoplasty process and may be included in the overall cost. Additionally, postoperative care, such as follow-up appointments, medications, and potential revisions, should be factored into the budgetary considerations for a nose job.
Navigating Nose Job Costs with Dr. William Portuese and Dr. Joseph Shvidler:
Transparent Pricing and Patient Education: Dr. William Portuese and Dr. Joseph Shvidler prioritize transparency and patient education when discussing nose job costs. During initial consultations, they provide detailed breakdowns of fees and expenses, ensuring that patients have a comprehensive understanding of the financial aspects involved in rhinoplasty. This transparency empowers patients to make informed decisions aligned with their budget and aesthetic goals.
Customized Treatment Plans: Recognizing that each patient's needs and aspirations are unique, Dr. Portuese and Dr. Shvidler develop customized treatment plans tailored to achieve optimal results while respecting the individual's budgetary constraints. Whether addressing functional concerns, aesthetic imperfections, or a combination of both, they collaborate closely with patients to prioritize interventions that align with their goals and financial capabilities.
Flexible Financing Options: To accommodate diverse financial situations and ensure accessibility to rhinoplasty services, Dr. Portuese and Dr. Shvidler offer flexible financing options tailored to meet individual needs. These may include payment plans, financing arrangements through third-party providers, or guidance on utilizing healthcare savings accounts or insurance coverage for eligible procedures. By providing flexible financial solutions, they strive to make nose job costs more manageable and accessible to a broader spectrum of patients.
Conclusion: Navigating nose job costs requires a comprehensive understanding of various factors, from procedure complexity to surgeon expertise, facility fees, geographic location, and postoperative care. Dr. William Portuese and Dr. Joseph Shvidler, esteemed rhinoplasty surgeons in Seattle, Washington, offer invaluable guidance and support to individuals embarking on their nasal refinement journey. Through transparent pricing, customized treatment plans, and flexible financing options, they empower patients to pursue their aesthetic aspirations with confidence, knowing that their investment will yield exceptional results under the care of experienced professionals.
