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

Revision rhinoplasty, also known as secondary rhinoplasty, is a specialized surgical procedure aimed at correcting or improving the results of a previous nose surgery. This complex surgery requires a high level of expertise, precision, and an in-depth understanding of nasal anatomy. In Portland, Oregon, Dr. William Portuese and Dr. Joseph Shvidler are distinguished for their exceptional skills in performing revision rhinoplasty, ensuring patients achieve natural-looking results with enhanced function and aesthetics.

Understanding Revision Rhinoplasty

Revision rhinoplasty addresses various issues that can arise from a prior nose surgery, including:

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

• Functional Issues: such as breathing difficulties due to structural changes or blockages.

These challenges are compounded by scar tissue and altered nasal structures from previous surgeries, making revision rhinoplasty more intricate than primary rhinoplasty.

Dr. William Portuese: Leading Expert in Facial Plastic Surgery

Dr. William Portuese is a highly regarded facial plastic surgeon known for his expertise in rhinoplasty and revision rhinoplasty. He completed his medical education at the University of Washington School of Medicine and pursued advanced training through a residency in Otolaryngology – Head and Neck Surgery. Dr. Portuese further specialized in Facial Plastic and Reconstructive Surgery during a fellowship, refining his skills in complex nasal and facial procedures.

Dr. Portuese approaches revision rhinoplasty with meticulous planning and personalized care. He conducts thorough evaluations of each patient’s unique anatomy and surgical history, ensuring a comprehensive understanding of their needs and desired outcomes. Dr. Portuese aims to achieve harmonious results that blend seamlessly with the patient’s facial features while addressing functional concerns. His commitment to excellence and compassionate patient care has established him as a leader in facial plastic surgery in Portland.

Dr. Joseph Shvidler: Precision and Patient-Centered Approach

Dr. Joseph Shvidler is another esteemed specialist in revision rhinoplasty practicing in Portland. 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 background equips him with the advanced skills necessary to perform intricate nasal surgeries with precision and expertise.

Dr. Shvidler emphasizes a patient-centered approach to revision rhinoplasty, prioritizing clear communication and understanding of each patient’s aesthetic goals and functional concerns. He collaborates closely with patients to develop customized treatment plans that address their specific needs, ensuring a personalized 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 the desired outcomes without compromising nasal function or aesthetics.

• 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.

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

Both Dr. Portuese and Dr. Shvidler are adept at overcoming these challenges using state-of-the-art surgical approaches. They are skilled in both open and closed rhinoplasty techniques, selecting the most appropriate method based on the patient’s individual needs and surgical goals. Open rhinoplasty provides better visibility and access to the nasal structures, while closed rhinoplasty results in no visible external scars and may offer a quicker recovery time.

Importance of Choosing Experienced Surgeons

Choosing an experienced and skilled surgeon is paramount in achieving successful outcomes in revision rhinoplasty. Dr. Portuese and Dr. Shvidler’s extensive training, dedication to ongoing education, and commitment to patient safety ensure that each patient receives the highest standard of care. Their comprehensive 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 requires the expertise of highly trained surgeons like Dr. William Portuese and Dr. Joseph Shvidler, who are renowned for their proficiency in facial plastic surgery in Portland, Oregon. Their advanced skills, personalized approach, and dedication to patient care ensure that individuals seeking revision rhinoplasty receive exceptional treatment and achieve natural-looking, harmonious results. By choosing experienced professionals, patients can confidently embark on their journey to restoring both function and aesthetics to their noses, enhancing their overall quality of life.