Reviews

Customer Reviews

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: The Art and Science of Nasal Reshaping

Rhinoplasty, often colloquially termed a "nose job", is one of the most sought-after cosmetic surgeries worldwide. This intricate procedure involves reshaping the nose's structure to improve its aesthetic appearance, restore its function, or both. As the central feature of the face, even subtle changes to the nose can have a profound impact on an individual's overall appearance and self-confidence.

Historical Perspective

The history of rhinoplasty spans several millennia. Ancient Egyptian medical texts, such as the Edwin Smith Papyrus, provide early evidence of techniques used to treat nasal injuries. By the time of ancient India around 600 BCE, the Sushruta Samhita detailed surgical techniques for reconstructing noses that were amputated as a form of punishment. In the Renaissance, medical pioneers began refining these techniques, laying the foundation for the modern procedures we see today.

The Anatomy of the Nose

Understanding the anatomy of the nose is crucial for any surgeon. The nose comprises:

External Skin: Varies in thickness, with the tip being the thickest and the dorsum the thinnest.
Bone: Forms the upper third of the nasal structure.
Cartilage: Provides shape and support to the lower two-thirds.
Internal Lining: A mucous membrane that covers the inner surface, aiding in humidifying and warming the air we breathe.

All these elements must be considered during rhinoplasty to ensure a harmonious and functional result.

Types of Rhinoplasty

Rhinoplasty can be categorized into:

Cosmetic Rhinoplasty: Focuses on enhancing the nose's appearance, addressing concerns like bumps on the nasal bridge, wide or upturned nostrils, or a bulbous tip.
Functional Rhinoplasty: Addresses medical issues like a deviated septum, which can obstruct airflow and cause breathing difficulties.
Revision Rhinoplasty: Performed to correct issues arising from previous surgeries, whether aesthetic or functional.

Procedure Details

Rhinoplasty can be performed under general or local anesthesia, depending on the complexity of the procedure. Surgeons can choose between two main approaches:

Closed Rhinoplasty: All incisions are made inside the nostrils, meaning no external scars. However, this method provides limited visibility and access to the nasal structure.
Open Rhinoplasty: An additional incision is made on the columella, the skin between the nostrils, providing greater access and control. The tiny scar is usually inconspicuous.

During the surgery, the skin is lifted off the underlying bone and cartilage. The surgeon then reshapes the structure and re-drapes the skin over the new framework. Techniques can include removing or adding bone and cartilage, grafting tissue from another part of the body, or using synthetic materials.

Recovery and Aftercare

Post-surgery, patients might experience swelling, bruising, and discomfort, typically managed with pain medications. It's recommended to elevate the head, even during sleep, for the initial days to minimize swelling. Temporary nasal congestion is also a common side effect due to swelling inside the nose.

It's essential for patients to follow post-operative instructions closely, including avoiding strenuous activities and wearing protective gear to shield the nose from accidental bumps. While most swelling subsides within a few weeks, minor swelling, especially in the tip of the nose, can persist for several months and is usually noticeable only to the patient and surgeon.

Risks and Complications

As with any surgery, rhinoplasty carries risks, including infection, bleeding, anesthesia reactions, or unfavorable scarring. Specific to the procedure, risks include difficulty breathing, numbness, asymmetry, nasal septal perforation (a hole in the nasal septum), and dissatisfaction with the appearance. While complications are rare, it's crucial to choose an experienced surgeon to minimize these risks.

Page updated

Google Sites

Report abuse