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, commonly referred to as a nose job, is a sophisticated surgical procedure that alters the shape, size, and structure of the nose. In Portland, Oregon, Dr. William Portuese and Dr. Joseph Shvidler stand out as two of the most skilled and experienced rhinoplasty surgeons. Their dedication to the craft, combined with a compassionate approach to patient care, ensures exceptional outcomes for those seeking both aesthetic and functional improvements.
Dr. William Portuese: Mastering the Art of Rhinoplasty
Dr. William Portuese is renowned for his meticulous approach to facial plastic surgery, with a particular focus on rhinoplasty. His extensive training began at the University of Washington School of Medicine, followed by a residency in Otolaryngology – Head and Neck Surgery. To further refine his skills, he completed a fellowship in Facial Plastic and Reconstructive Surgery.
Dr. Portuese's philosophy centers on creating natural-looking results that enhance a patient's facial harmony without appearing artificial. He understands the complex anatomy of the nose and employs advanced surgical techniques to ensure precision and safety. Whether addressing cosmetic concerns or functional issues such as breathing difficulties, Dr. Portuese tailors each procedure to the individual needs of his patients.
His reputation extends beyond Portland, as he is an active member of the American Academy of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology. These affiliations highlight his commitment to continuous learning and contribution to the field through research and education. Patients appreciate Dr. Portuese not only for his technical expertise but also for his empathetic approach, making them feel understood and supported throughout their surgical journey.
Dr. Joseph Shvidler: Precision and Personalized Care
Dr. Joseph Shvidler brings a unique blend of precision and compassion to his practice. Educated at Oregon Health & Science University (OHSU), where he completed both his medical degree and residency in Otolaryngology – Head and Neck Surgery, Dr. Shvidler further specialized through a fellowship in Facial Plastic and Reconstructive Surgery. This extensive training equipped him with the skills needed to perform complex rhinoplasty procedures with finesse.
Dr. Shvidler is adept at both primary and revision rhinoplasty, addressing a variety of nasal concerns. His approach is deeply patient-centered, focusing on understanding each patient's goals and concerns to create a customized surgical plan. His patients frequently commend his ability to communicate clearly, ensuring they are well-informed and comfortable throughout the process.
A key aspect of Dr. Shvidler's practice is achieving balanced, aesthetically pleasing results that complement the patient's facial features. He carefully considers the proportions and unique characteristics of each face, striving for outcomes that look natural and harmonious. This dedication to individualized care has earned him a loyal following and numerous positive reviews.
Cutting-Edge Techniques and Collaborative Excellence
Both Dr. Portuese and Dr. Shvidler utilize state-of-the-art surgical techniques and technologies to achieve optimal results. They are skilled in both open and closed rhinoplasty, allowing them to choose the best approach based on the specific needs and goals of each patient. Open rhinoplasty involves an incision across the columella (the tissue between the nostrils), providing greater visibility and access to the nasal structures. Closed rhinoplasty, on the other hand, involves incisions within the nostrils, resulting in no visible scarring and typically a shorter recovery time.
While each surgeon operates independently, their collaborative spirit enhances their practice. They frequently consult with each other on complex cases, combining their expertise to ensure the best possible outcomes. This collegial relationship not only benefits their patients but also fosters a continuous exchange of knowledge and innovation.
The Transformative Power of Rhinoplasty
Rhinoplasty is more than just a cosmetic procedure; it can profoundly impact a person's self-esteem and quality of life. Whether correcting congenital deformities, injuries, or breathing issues, the transformative power of rhinoplasty is significant. Dr. Portuese and Dr. Shvidler understand this and approach each case with the utmost care and professionalism.
Patients seeking rhinoplasty in Portland can be confident in the expertise of Dr. William Portuese and Dr. Joseph Shvidler. Their combination of technical skill, artistic insight, and compassionate care ensures that each patient receives the highest standard of treatment. From the initial consultation to the final follow-up, they are dedicated to helping patients achieve their desired results and enhance their overall well-being.
In conclusion, Dr. William Portuese and Dr. Joseph Shvidler exemplify excellence in rhinoplasty surgery. Their extensive training, innovative techniques, and patient-centered approaches make them the top choice for individuals seeking to improve the function and appearance of their noses. Whether you are considering rhinoplasty for aesthetic enhancement or to resolve functional issues, these esteemed surgeons offer the expertise and compassionate care needed to achieve your goals.