Google review of Dr William Portuese by Maria Perry★★★★★ "I had a major revision rhinoplasty surgery to correct issues from my original rhinoplasty surgery with another surgeon. My original surgery resulted in my looking worse than before the surgery. I selected Dr. Portuese after doing over one year of research. I selected Dr. Portuese to have a consultant because of his extensive knowledge and experience working on facial surgeries, especially rhinoplasty and revision rhinoplasty surgeries. I was extremely impressed with the consultation. We had a thorough discussion about my original surgery, what I had originally requested, and his recommendations. Dr. Portugese focused on the issue and how to get it fixed so I could achieve I nose I had originally requested. I left the consultant confident that Dr. Portuese was the correct specialist for the revision rhinoplasty. During the consultation, I found Dr. Portuese very knowledge and informative, and made the consultation a very pleasant experience. The entire process was very efficient and effective. All of his staff were very kind, friendly, and supportive. The surgery was done as Dr. Portuese had described – and the surgery was flawless! The procedure involved incisions on the inside of my nose to gain access to the bridge and nasal bones so Dr. Portugese could make the required changes. The result of the revision rhinoplasty was better than I had ever expected. I could see immediate results the first day he took off my splint a week later. There were not any visible scars on my nose because of where and how he made the incisions. The final result is that my nose has turned out to look like what I had originally requested. I am overjoyed! I am writing this testimonial for anyone who is thinking of having either a rhinoplasty or revision rhinoplasty surgery. I hope you will learn from my mistake by selecting the right surgeon the first time. I had to live with my mistake for the past few years until I found Dr. Portuese and trusted him to fix my issue. My lesson learned from my experience was to select a surgeon who has extensive knowledge in “facial” surgeries: Thus, I would have selected Dr. Portuese the first time and have saved myself a lot of pain and heartache. I cannot go back and undo what was done in the previous surgery with another surgeon, but I can share my experience with others to help them avoid similar mistakes. I want to say a huge “THANK YOU” to Dr. Portuese and his staff. He has made a tremendous impact on my life. I can look at myself now in the mirror and actually be happy and smile. THANK YOU!"

Rhinoplasty Surgery: An In-depth Look

Rhinoplasty, commonly referred to as a “nose job”, is a surgical procedure designed to reshape or repair the nose. It stands as one of the most frequently performed cosmetic surgeries globally. But it’s not just for cosmetic enhancement; rhinoplasty can also be done for functional reasons, such as correcting structural abnormalities that impede breathing.

History of Rhinoplasty

The first recorded instance of a rhinoplasty procedure dates back to ancient Egypt and India. In the latter, physicians used skin from the forehead to reconstruct noses that were amputated as a form of punishment. The surgical methods practiced in ancient India were reintroduced to the Western world in the 18th century, laying the foundation for modern techniques.

Types of Rhinoplasty

Cosmetic Rhinoplasty: As the name implies, this procedure focuses on altering the nose's appearance to enhance facial harmony. The modifications can be minute or significant, ranging from slight reshaping of the nostrils to a complete alteration of the nose's size and shape.
Functional Rhinoplasty: Not all nose jobs are for aesthetics. Some people experience breathing difficulties due to structural abnormalities in their nose. Functional rhinoplasty addresses these issues.
Revision Rhinoplasty: Sometimes, the results of an initial rhinoplasty may not meet the patient's expectations or could lead to unforeseen complications. In such cases, a revision rhinoplasty is done to rectify or enhance the results of the previous surgery.

The Procedure

Rhinoplasty can be done using one of two methods:

Closed Rhinoplasty: All incisions are made inside the nostrils. This method has the advantage of leaving no visible scars.
Open Rhinoplasty: Involves an incision at the base of the columella – the narrow strip of tissue that separates the nostrils. This method provides the surgeon with greater access and visibility to the nasal structures.

The specific procedure will depend on what the patient desires and the surgeon's expertise. Generally, the surgeon will reshape the bone and cartilage underneath the skin. Once the desired shape is achieved, the skin is redraped over the new structure.

Recovery

Recovery varies based on the extent of the procedure and individual factors. Generally, after the surgery:

A splint or cast might be placed on the nose to maintain its shape.
Bruising around the eyes is common but will fade within a week or two.
Patients are advised to keep their heads elevated and avoid strenuous activities.
Nasal congestion is a common complaint as internal swellings might obstruct airflow.
The splint or cast is usually removed within a week.
Swelling might persist for several weeks or even months.
It's essential to protect the nose from any potential injuries after the surgery.

It's crucial to note that while you might see immediate changes, the final result of the surgery can take up to a year or more to become fully apparent due to the slow resolution of all swelling.

Risks

As with any surgical procedure, rhinoplasty comes with risks:

Infection
Adverse reaction to anesthesia
Prolonged swelling or bruising
Nosebleeds
Breathing difficulties
Unwanted scarring
Dissatisfaction with appearance

A qualified and experienced surgeon can minimize these risks, but they cannot be entirely eliminated. Thus, it's crucial for patients to be fully informed and maintain realistic expectations.

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