Rhinoplasty in Portland Oregon  - Nose Surgery

Comprehensive Guide to Rhinoplasty in Portland, Oregon

Introduction

Rhinoplasty, commonly referred to as a nose job, is a complex and delicate surgical procedure that can significantly enhance facial harmony and improve nasal function. Our board-certified facial plastic surgeons in Portland, Oregon, specialize in various rhinoplasty techniques, ensuring each patient receives the highest standard of care. This guide will cover everything you need to know about rhinoplasty, from the different types of procedures to the detailed consultation and recovery processes.

Types of Rhinoplasty Procedures

Closed Rhinoplasty

Closed rhinoplasty involves making all incisions inside the nostrils, leaving no visible scars. This approach is favored for its minimally invasive nature and faster recovery times. It is suitable for:

• Reducing a dorsal hump: Shaving down the bone and cartilage on the nose bridge.

• Narrowing the nasal bridge: Performing osteotomies to reshape the nasal bones.

• Refining the nasal tip: Using sutures to adjust the lower lateral cartilages.

• Alar-plasty: Reducing wide nostrils.

Revision Rhinoplasty

Revision rhinoplasty addresses issues from previous nasal surgeries. It is more complex due to altered anatomy and scar tissue. Our surgeons use computer imaging during consultations to set realistic expectations and visualize potential outcomes. Revision techniques include:

• Correcting polly-beak deformity: Removing excess cartilage in the supratip area.

• Adjusting a hanging columella: Shaving down excess tissue to balance the nasal structure.

• Reshaping a residual bulbous tip: Utilizing suture techniques and cartilage removal.

• Straightening a crooked nose: Performing osteotomies and applying spreader grafts.

Consultation Process

Initial Consultation

The consultation begins with a thorough discussion of the patient’s concerns, including:

• Deviated septum

• Nasal shape and size

• Breathing difficulties

A 30-minute session with our patient care coordinator includes computer imaging to provide a realistic preview of the post-surgery appearance.

Surgical Planning

On the day of the surgery, the surgical plan and imaging results are reviewed. The patient meets with our board-certified anesthesiologist before being admitted to our Medicare-certified outpatient center. General anesthesia is used to ensure safety and comfort.

Surgical Procedure

Rhinoplasty procedures typically last between one to two hours. Post-surgery, a cast is applied across the nose bridge and remains for six days. The following steps are taken:

• General anesthesia: Administered for patient safety.

• Surgical technique: Closed rhinoplasty to avoid external scars.

• Post-operative care: Patients are monitored in the recovery room before going home with a caretaker.

Recovery and Follow-Up

Immediate Post-Operative Care

Patients experience visible bruising and swelling for 10-14 days. The first follow-up visit occurs at one week for cast removal. Subsequent visits are scheduled at one month, three months, six months, and one year to monitor the healing process and results.

Long-Term Recovery

Healing from rhinoplasty can take up to a year. Regular follow-ups ensure proper recovery and satisfaction with the results. Any concerns or complications are promptly addressed by our team.

Costs of Rhinoplasty in Portland

The cost of rhinoplasty varies based on the complexity of the procedure:

• Standard Rhinoplasty: $8,850 - $9,350 (plus $980 for anesthesia)

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

Finding the Best Rhinoplasty Surgeon in Portland

Selecting a qualified surgeon is crucial for successful outcomes. Consider the following when choosing a rhinoplasty specialist:

• Experience and training

• Before and after photos

• Patient reviews and care ratings

• Consultation and fees

Dr. William Portuese and Dr. Joseph Shvidler are renowned for their expertise in rhinoplasty, offering exceptional care and results. Schedule a consultation to discuss your specific needs and expectations.

Conclusion

Rhinoplasty can significantly improve both the aesthetic appearance and functionality of the nose. Our expert surgeons in Portland, Oregon, are dedicated to providing personalized care and achieving the best possible outcomes for each patient. Contact us today to schedule your consultation and take the first step towards a more confident you.

Revision Rhinoplasty Surgery Portland Oregon

Revision rhinoplasty, a specialized procedure also known as secondary rhinoplasty, is essential for correcting or improving outcomes from prior nasal surgeries. This intricate surgery demands a high level of skill, precision, and a deep understanding of nasal anatomy. In Portland, Oregon, Dr. William Portuese and Dr. Joseph Shvidler are recognized leaders in this field, renowned for their expertise in achieving natural-looking results and restoring both function and aesthetics.

Understanding Revision Rhinoplasty

Revision rhinoplasty addresses various issues that may arise from a previous nose surgery, including:

• Aesthetic Concerns: such as asymmetry, uneven contours, or dissatisfaction with the appearance of the nose.

• Functional Problems: such as breathing difficulties due to structural changes or nasal obstruction.

The challenges of revision rhinoplasty are compounded by scar tissue and altered nasal structures, making it a more complex procedure compared to primary rhinoplasty.

Dr. William Portuese: Expert in Facial Plastic Surgery

Dr. William Portuese is a highly respected facial plastic surgeon with a comprehensive background in rhinoplasty and revision rhinoplasty. He completed his medical education at the University of Washington School of Medicine and underwent rigorous training in Otolaryngology – Head and Neck Surgery. Dr. Portuese further specialized in Facial Plastic and Reconstructive Surgery through a fellowship, refining his skills in advanced nasal and facial procedures.

Dr. Portuese’s approach to revision rhinoplasty is characterized by meticulous planning and personalized care. He conducts thorough evaluations to understand each patient’s unique anatomy and surgical history, ensuring a tailored surgical approach that addresses both functional concerns and aesthetic goals. His commitment to achieving natural results and enhancing patient satisfaction has established him as a leading authority in facial plastic surgery in Portland.

Dr. Joseph Shvidler: Precision and Patient-Centered Care

Dr. Joseph Shvidler is another esteemed specialist in revision rhinoplasty practicing in Portland, Oregon. He completed his medical training and residency in Otolaryngology – Head and Neck Surgery at Oregon Health & Science University (OHSU), followed by a fellowship in Facial Plastic and Reconstructive Surgery. Dr. Shvidler’s extensive training and expertise enable him to perform complex nasal surgeries with precision and compassion.

Dr. Shvidler emphasizes a patient-centered approach to revision rhinoplasty, prioritizing clear communication and understanding of each patient’s unique concerns and expectations. He collaborates closely with patients to develop individualized treatment plans that address their specific needs, ensuring a personalized and positive surgical experience. Dr. Shvidler’s proficiency in both primary and revision rhinoplasty allows him to manage a wide range of nasal issues, providing comprehensive care and achieving optimal outcomes for his patients.

Advanced Techniques and Challenges in Revision Rhinoplasty

Revision rhinoplasty presents unique challenges that require advanced surgical techniques and meticulous attention to detail:

• Scar Tissue Management: Previous surgeries can leave behind scar tissue that must be carefully managed to achieve optimal results without compromising nasal function.

• Structural Reconstruction: Altered nasal structures may require reconstruction using cartilage grafts from the patient’s own body, such as from the septum, ear, or ribs, to restore nasal symmetry and function.

• Functional Improvement: Addressing functional issues such as breathing difficulties requires precise adjustments to improve airflow while maintaining or enhancing the aesthetic appearance of the nose.

Both Dr. Portuese and Dr. Shvidler employ state-of-the-art surgical approaches to overcome these challenges. They are proficient in both open and closed rhinoplasty techniques, selecting the most suitable method based on the patient’s individual anatomy and surgical goals. Open rhinoplasty provides better visibility and access to nasal structures, while closed rhinoplasty offers the advantage of no visible external scars and potentially a quicker recovery time.

Importance of Choosing Experienced Surgeons

Selecting an experienced and skilled surgeon is crucial for achieving successful outcomes in revision rhinoplasty. Dr. Portuese and Dr. Shvidler’s extensive training, commitment to ongoing education, and dedication to patient safety ensure that each patient receives the highest standard of care. Their thorough pre-operative assessments, precise surgical techniques, and attentive post-operative care minimize the risk of complications and enhance the likelihood of achieving the desired aesthetic and functional improvements.

Conclusion

Revision rhinoplasty is a highly specialized procedure that demands the expertise of renowned surgeons like Dr. William Portuese and Dr. Joseph Shvidler. Their advanced skills, personalized approach, and dedication to patient care make them leaders in facial plastic surgery in Portland, Oregon. By choosing these experienced professionals, patients can confidently pursue revision rhinoplasty to restore both function and aesthetics to their noses, improving their overall quality of life. Dr. Portuese and Dr. Shvidler’s commitment to transforming lives through meticulous and compassionate care ensures exceptional surgical outcomes and patient satisfaction.