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.
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 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.
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.
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.
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.
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.
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.
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)
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.
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.
Rhinoplasty, a delicate and intricate surgical procedure, aims to enhance the appearance or function of the nose. In Portland, Oregon, two renowned surgeons, Dr. William Portuese and Dr. Joseph Shvidler, have established themselves as leading experts in this field. Their extensive training, innovative techniques, and patient-focused care make them top choices for individuals seeking rhinoplasty.
Educational Background and Training
Dr. William Portuese is a board-certified facial plastic surgeon with a distinguished career. He earned his medical degree from the Louisiana State University School of Medicine and completed his residency in Otolaryngology-Head and Neck Surgery at the University of Oklahoma Health Sciences Center. Dr. Portuese further specialized by completing a fellowship in Facial Plastic and Reconstructive Surgery, accredited by the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS).
Professional Experience and Expertise
With over 25 years of experience, Dr. Portuese has performed thousands of rhinoplasty procedures, making him one of the most experienced surgeons in Portland. He practices at The Portland Center for Facial Plastic Surgery, where he utilizes cutting-edge techniques and state-of-the-art technology to achieve optimal results. Dr. Portuese’s approach to rhinoplasty combines scientific precision with artistic sensibility, ensuring that each procedure is tailored to the individual needs and aesthetic goals of his patients.
Artistic Vision and Technical Proficiency
Dr. Portuese is celebrated for his ability to blend technical skill with an artistic eye, crucial for achieving natural-looking results in rhinoplasty. His meticulous attention to detail allows him to create balanced, harmonious outcomes that enhance the overall facial appearance. Whether performing a primary rhinoplasty or a complex revision, Dr. Portuese’s goal is to deliver results that look both beautiful and natural.
Patient-Centered Approach
A key aspect of Dr. Portuese’s practice is his commitment to patient care. He ensures that each patient receives personalized attention, taking the time to understand their unique concerns and desires. During consultations, Dr. Portuese provides thorough explanations of the procedure, potential risks, and expected outcomes, fostering a sense of trust and confidence. This patient-centered approach has resulted in high levels of satisfaction and numerous positive reviews from patients.
Educational Background and Training
Dr. Joseph Shvidler is another top facial plastic surgeon in Portland, known for his expertise in rhinoplasty. He earned his medical degree from the University of Washington School of Medicine and completed his residency in Otolaryngology-Head and Neck Surgery at the University of Miami. Dr. Shvidler further specialized in facial plastic surgery through a fellowship in Facial Plastic and Reconstructive Surgery, providing him with advanced training in rhinoplasty and other facial procedures.
Professional Experience and Techniques
Dr. Shvidler’s practice focuses on using innovative techniques to achieve natural and aesthetically pleasing results. He is skilled in both open and closed rhinoplasty methods, allowing him to address a wide range of cosmetic and functional nasal issues. His ability to customize his approach based on the specific needs of each patient ensures high-quality outcomes.
Commitment to Innovation
Dr. Shvidler stays at the forefront of advancements in facial plastic surgery by continually updating his skills and incorporating new technologies into his practice. This commitment to innovation allows him to offer the latest and most effective treatments to his patients, enhancing both the safety and results of rhinoplasty procedures.
Patient Satisfaction and Care
Dr. Shvidler is deeply committed to providing exceptional patient care. He believes in open communication and ensures that his patients are well-informed about their options and the potential outcomes of their surgery. His thorough consultations and detailed pre-operative planning help patients feel confident and comfortable with their decisions. Dr. Shvidler’s dedication to excellence is reflected in his high patient satisfaction rates and the numerous accolades he has received throughout his career.
Selecting the best rhinoplasty surgeon is crucial for achieving the desired results. Both Dr. William Portuese and Dr. Joseph Shvidler offer exceptional skills, extensive experience, and a patient-first approach. Here are some key considerations when choosing between these top surgeons:
Credentials and Experience: Both surgeons have impressive educational backgrounds and extensive training in facial plastic surgery. Their board certifications and fellowship training ensure they are highly qualified.
Artistic Vision and Technical Skill: Rhinoplasty is as much an art as it is a science. Both Dr. Portuese and Dr. Shvidler are known for their ability to create natural, aesthetically pleasing results.
Patient Reviews and Testimonials: Positive patient feedback is a strong indicator of a surgeon's skill and bedside manner. Both surgeons have numerous positive reviews, reflecting high levels of patient satisfaction.
Consultation and Comfort Level: Personal rapport and communication are essential. Scheduling consultations with both surgeons can help prospective patients determine who they feel more comfortable with.
Dr. William Portuese and Dr. Joseph Shvidler are both highly esteemed rhinoplasty surgeons in Portland, Oregon. Their extensive training, innovative techniques, and dedication to patient care make them top choices for anyone considering rhinoplasty. By focusing on personalized treatment plans and maintaining the highest standards of surgical excellence, both surgeons have built outstanding reputations in the field of facial plastic surgery.