The Seattle Facial Plastic Surgery Center™

Tuesday, February 14, 2023

The difference a month makes 🙌🏼 Our beautiful patient @tawnyovoxo is only one month post op from her closed rhinoplasty with Dr. Portuese and we think she looks amazing! Keep swiping 👉🏼 to see her original reveal video

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Sunday, February 12, 2023

Love this transformation! 📸This patient had an upper and lower blepharoplasty with Dr. Portuese. Swipe 👉🏼 for more!

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Thursday, February 9, 2023

My New Nose Reveal - Closed Rhinoplasty Surgery

My New Nose Reveal - Closed Rhinoplasty Surgery This one is emotional! 🥹 This beautiful patient is only one week post op from her closed rhinoplasty and she already looks amazing! No exterior incisions are visible during a Closed Rhinoplasty, in which all incisions are made inside the nose. An open rhinoplasty is one in which the entire surface of the nose is lifted up off of the cartilages through an incision made across the columella to access the tip and the bridge. Without the necessity for an external incision on the nose, our board-certified nose job doctors with years of experience employ the closed approach to produce natural and balanced results. View some of our photo galleries showing the results of nose surgery. Learn more about the consultation, concerns, medication, reshaping, structure, symmetry, and scars. one of the best in Washington. View our ratings, client endorsements, and rhinoplasty pictures. https://www.portlandfacial.com/procedures/rhinoplasty-portland-oregon https://www.seattle-rhinoplasty.com/ https://www.seattlefacial.com/procedures/rhinoplasty.html #closedrhinoplasty #newnose #rhinoplastybeforeandafter https://youtu.be/pEXbc7MGoMk

My New Nose - Rhinoplasty Surgery Reveal - Seattle - Portland

My New Nose - Rhinoplasty Surgery Reveal - Seattle - Portland My New Nose - Rhinoplasty Surgery Reveal - Seattle - Portland Patients who are dissatisfied with their nose's size or form frequently choose rhinoplasty, also referred to as a "nose job." However, rhinoplasty has developed to have far more varied applications in addition to the procedure's well-known cosmetic advantages, such as improving nose function following a traumatic accident or illness or assisting with breathing issues that influence sleep and the capacity for exercise. Rhinoplasty aims to modify the nose to the patient's desired aesthetics and functionality while taking into account their skin type and the structure of their complete face. To provide patients with successful, long-lasting results, our board-certified facial plastic surgeons blend the science and art of rhinoplasty. Candidates for rhinoplasty should, in general, be finished growing. For instance, during adolescence and early adulthood, facial development may have an impact on the nose's appearance and functionality. The only exception would be children who were born with a facial birth deformity like cleft palate. Patients should also be in good general health and refrain from smoking because it can impair blow flow and raise the possibility of tissue injury. Teens who comprehend the procedure and have full parental agreement are eligible for rhinoplasty. Before having a surgery, ladies should ideally be at least 15 or 16 years old, and boys should be at least 17 or 18. This treatment, when coupled with septoplasty (straightening of the septum), can help a patient breathe easier and feel more confident. The surgeon should make sure the patient is aware of all the dangers and benefits of the rhinoplasty operation before beginning. Although rhinoplasty is a safe treatment, a skilled surgeon should perform the process. The Seattle Facial Plastic Surgery Center uses 3D imaging to show patients what their nose might look like following surgery. The facial plastic surgeon can print out models of the nose before and after surgery to show the predicted results. This is merely a teaching tool, not a promise of success. However, it can aid in improving communication between the surgical team and the patient regarding the intended outcomes. We've discovered that allowing patients to picture the desired outcomes also makes them feel more at ease about having surgery. We can also offer 3D print models that can display results both before and after. #newnose #nosejobbeforeandafter #rhinoplastybeforeandafter https://youtu.be/4E7wfI8FBg4

Dr Joseph Shvidler - Board Certified Facial Plastic Surgeon in Seattle Washington

Dr Joseph Shvidler - Board Certified Facial Plastic Surgeon in Seattle Washington

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February 09, 2023 at 06:59PM

Wednesday, February 8, 2023

Before and After Rhinoplasty Surgery

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February 08, 2023 at 07:33PM

The Portland Center for Facial Plastic Surgery

The Portland Center for Facial Plastic Surgery

The Portland Center for Facial Plastic Surgery
10690 NE Cornell Rd Suite 324a,
Hillsboro, OR 97124
(503) 899-0006
https://www.portlandfacial.com
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February 08, 2023 at 04:50PM

Wednesday, January 4, 2023

Nose Surgery

Rhinoplasty, also known as a "nose job," is a popular cosmetic procedure that is designed to change the shape and appearance of the nose. If you are considering a rhinoplasty in Seattle, you are in luck. The city is home to a number of highly qualified plastic surgeons who are skilled in performing this procedure. When choosing a surgeon for your rhinoplasty in Seattle, it is important to do your research. Look for a surgeon who is board-certified by the American Board of Plastic Surgery (ABPS) and has a lot of experience performing rhinoplasty procedures. You can also check the surgeon's credentials and see if they have received any awards or recognition in their field. It is also a good idea to schedule a consultation with the surgeon. This will give you an opportunity to ask questions, get to know the surgeon, and determine if you feel comfortable with them. Seattle is a great city for rhinoplasty because of its rich history in plastic surgery. The city is home to the University of Washington School of Medicine, which is one of the top medical schools in the country. In addition, Seattle is home to a number of world-renowned hospitals and clinics that are equipped with state-of-the-art technology and facilities. When it comes to the actual procedure, rhinoplasty in Seattle is typically performed under general anesthesia. The procedure typically takes between 1 and 3 hours to complete, and patients can expect to have some swelling and bruising after the surgery. Most patients are able to return to work and other normal activities within a week or two of the procedure. Overall, rhinoplasty in Seattle is a safe and effective way to improve the appearance of your nose and boost your self-confidence. If you are considering a nose job, be sure to choose a qualified and experienced surgeon, and follow their instructions carefully to ensure the best possible outcome.

Tuesday, November 15, 2022

Closed Rhinoplasty

Quick facts About A closed rhinoplasty is a surgical procedure that changes the shape of the nose. Because the incisions are made inside the nose, there is less swelling and scarring than with a traditional nose job. Safety Close rhinoplasties are generally thought to be safe. Only a trained, board-certified plastic surgeon should perform them. Convenience The procedure itself usually takes between 1 and 2 hours. It takes a week of intensive healing and time off work. Cost Closed rhinoplasties can range in price from $5,000 to $25,000, depending on the complexity of the procedure and the location of your surgeon. Efficacy Close rhinoplasties are long-term procedures that can be used to correct dorsal humps and narrow the nose tip or bridge. The overall satisfaction rate with rhinoplasty was 83.6 percent, according to a 2015 study of 2,346 online patient satisfaction reviews. Furthermore, females (87.6 percent) were more satisfied with the surgery results than males (56 percent). What exactly is a closed rhinoplasty? If you are unhappy with the appearance of your nose, you may be looking for a way to change it without leaving visible scarring. A closed rhinoplasty is a cosmetic procedure that involves making incisions inside the nostrils and nose to avoid visible scarring on the outside. Closed rhinoplasty, as opposed to more traditional open rhinoplasty, is typically used to reshape the tip of the nose, shorten the nose, or remove a bump or dorsal hump. The nose of the ideal candidate would be symmetrical, with the majority of the reshaping occurring on the bump or tip. How does a closed rhinoplasty procedure work? The surgeon will make all incisions inside the nostrils during a closed rhinoplasty, also known as an endonasal rhinoplasty. The nose is not completely open, and the nasal structure is not visible. The surgeon has limited visibility because all of the work is done through narrow openings in each nostril. As a result, it's critical to choose a skilled surgeon and examine before and after photos of their work. In addition to leaving no visible scars, the closed rhinoplasty procedure is relatively quick and does not cause excessive swelling or a lengthy recovery. It will most likely be performed under general anesthesia. A closed rhinoplasty procedure You will be sedated on the day of the procedure. Some doctors prefer general anesthesia for rhinoplasty because the procedure can cause blood in the throat, which can be dangerous if the patient is unconscious. After you've been sedated, your surgeon will make incisions inside your nostrils. They will separate your skin from your cartilage and then begin the reshaping process by adding cartilage, shaving, or adding bone. A bone graft is required to add bone. When the shaping is finished, sutures or stitches will be used to close any incisions, and you will be given a cast or a nose splint. A closed rhinoplasty procedure takes about 1 to 2 hours. Is there any danger or side effect? Closed rhinoplasties, like all surgeries, carry some risk. The following are some side effects to be aware of: breathing problems nosebleeds a swollen nose a nose that is asymmetrical scars Anesthesia-related allergic reaction bruising that persists postoperative deformities necessitating a second surgery What to anticipate following a closed rhinoplasty You will be required to wear a cast or splint for 5 to 7 days following the procedure. This will aid in the healing of your nose. Make arrangements ahead of time for someone to drive you home, as you will be unable to drive while under anesthesia. You should plan on missing a few days of work and sleeping with your head elevated to reduce swelling. Your doctor may advise you to avoid the following foods:

exercise or strenuous activity chewing excessively swimming consuming alcoholic beverages spitting your nose You are sleeping on your face. putting your clothes on over your head Your cast or splint will be removed after about a week, revealing your new nose. Although you may still have some bruising and swelling around your nose and eyes, you should be able to resume normal activities. Unless you break or damage your nose, the results are permanent.

Wednesday, October 12, 2022

What is recovery time for nose job?

What is recovery time for nose job? There will be some swelling after surgery. Although most people stop noticing the swelling after a couple of months, it can take months to resolve. People are usually able to resume most activities within a week and all activities within two to four weeks. During the operation Rhinoplasty requires either local anesthesia with sedation or general anesthesia, depending on the complexity of your surgery and the preference of your surgeon. Before surgery, discuss with your doctor which type of anesthesia is best for you. Sedation and local anesthesia This type of anesthesia is typically used as an outpatient procedure. It only affects one part of your body. A pain reliever is injected into your nasal tissues, and you are sedated with medication injected through an intravenous (IV) line. This makes you drowsy but not completely asleep. Anesthesia in general. The drug (anesthetic) is administered either orally or through a small tube (IV line) inserted into a vein in your hand, neck, or chest. General anesthesia affects the entire body, rendering you unconscious during surgery. A breathing tube is required for general anesthesia. Rhinoplasty can be performed either inside your nose or through a small external cut (incision) between your nostrils at the base of your nose. Your surgeon will most likely reposition the bone and cartilage beneath your skin. Your surgeon can alter the shape of your nasal bones or cartilage in a variety of ways, depending on how much needs to be removed or added, the structure of your nose, and the materials available. The surgeon may use cartilage taken from deeper inside your nose or from your ear for minor changes. For larger changes, your surgeon may use rib cartilage, implants, or bone from other parts of your body. Following these modifications, the surgeon reattaches the nose's skin and tissue and stitches the incisions in your nose. The septum (the wall between the two sides of the nose) can also be corrected by the surgeon to improve breathing. You'll be in a recovery room after the surgery, where the staff will monitor your return to consciousness. You could leave later that day, or you could stay overnight if you have other health issues. Following the operation To reduce bleeding and swelling after surgery, you must rest in bed with your head higher than your chest. Swelling or splints placed inside your nose during surgery may cause congestion in your nose. Internal dressings are usually left in place for one to seven days after surgery. In addition, your doctor will apply a splint to your nose for protection and support. It's usually there for about a week. Slight bleeding and mucus and old blood drainage are common for a few days after surgery or after the dressing is removed. To absorb drainage, your doctor may place a "drip pad" — a small piece of gauze held in place with tape — under your nose. As directed by your doctor, change the gauze. Do not press the drip pad against your nose. Your doctor may advise you to take precautions for several weeks after surgery to reduce the chances of bleeding and swelling. Your doctor may instruct you to: Aerobics and jogging are examples of strenuous activities to avoid. While you have bandages on your nose, take baths instead of showers. You should not blow your nose. To avoid constipation, consume high-fiber foods such as fruits and vegetables. Constipation can cause you to strain, putting strain on the surgical site. Avoid making extreme facial expressions like smiling or laughing. Brush your teeth gently to keep your upper lip from moving. Wear clothes that zip up the front. Do not pull clothing over your head, such as shirts or sweaters.

How much does rhinoplasty cost in WA?

Nose (Rhinoplasty) (Rhinoplasty) Seattle Rhinoplasty Rhinoplasty, or nose surgery in Seattle, is a cosmetic procedure used to reshape the nose and improve its appearance or function. Rhinoplasty, also known as a "nose job" in Seattle, is performed for cosmetic or reconstructive reasons, such as correcting breathing problems. Nose surgery can alter the size, width, and profile of the nose. The nose tip, nostril shape, and nasal balance (nasal symmetry) can all be altered. Please keep in mind that we only perform initial rhinoplasty surgery for females of any age and males under the age of 25. Schedule a Consultation The first step in determining whether nose surgery in Seattle is right for you is to schedule a consultation with your Specialist Plastic Surgeon. They will go over your expectations as well as any concerns you may have. Pricing and post-operative care will be discussed as well. You are in the hands of a skilled medical team at The Seattle Facial Plastic Surgery Center. You will always be informed, at ease, and confident. Questions and Answers What should I expect from Seattle nose surgery? - The following are the goals of nose surgery: Make a crooked nose straight. Improve the symmetry of the nose (keeping in mind that perfect symmetry is not always possible) Make the nose smaller or larger as desired. Restore a flattened area's height Change the look of the nasal tip Make large nasal openings smaller. Repair a hump deformity Enhance the appearance of the nose in relation to the upper lip. Repair birth defects Repair injury or disease-related damage Improve your breathing by opening up your nasal passages.

Tuesday, October 11, 2022

Rhinoplasty - Cast removal

Wednesday, March 2, 2022

The Seattle Facial Plastic Surgery Center

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Facial Plastic Surgery Procedures and Treatments in Seattle WA

Thursday, March 18, 2021

Facial Plastic Surgery in Seattle WA

Thursday, April 9, 2020

Dr William Portuese - Seattle Facial Plastic Surgeon

Dr William Portuese - Seattle Plastic Surgeon

Removing The Dorsal Hump - Rhinoplasty Surgery

Hi, Dr. William Portuese here in Seattle. Today, I'm talking about dorsal hump removal with closed rhinoplasty. Patients with a large dorsal hump tend to be very self-conscious about that hump from the side profile. And if their nose is crooked they always are turning their head towards the camera at a tangential angle so that their nose looks good without shadow affects. Once we've removed that hump their self-confidence really tends to shine. It really tends to improve. Because they're not having to worry about what angle people are looking at them from. Like a side angle or a three-quarter angle and having to adjust their head position all the time to have a conversation or take a photograph. Take the hump off and the hair's back, and this big smiles and the confidence goes up and they just tend to blossom. The dorsal hump is composed of both bone and cartilage. And it has to be shaved down in order to remove it. So what we do is we make some incisions on the inside of the nose, go in and shave the hump down. Once we shave the hump down we have intermittently, created an open roof, flat top nose deformity. And so we have to then, go in and perform osteotomies in the nasal bones. Osteotomies are little cuts in the nasal bones that allow us to close the open roof created from the hump removal. And that allows the nasal bones to be in a more narrow position that looks refined, feminized and balanced with the facial features. So the surgery itself is a closed rhinoplasty. All of the incisions are placed on the inside of the nose. The stitches are dissolvable. The cast is applied on the bridge of the nose after I've reset the nasal bones more in a narrow position, take and shave the hump off. The cast stays on for about a week. Then there's, anticipate about two weeks of visible bruising and swelling. I take the cast off a week later. And then, there's still, you know, there's bruising and swelling underneath the eyes. And that's gonna take a good two weeks to subside. And then most of the swelling, about 70% of the swelling is gone in about a month after the surgery. About 90% is gone in about three months after the surgery. And then full healing takes about a year. This patient has an over projecting nose with a large dorsal hump. Most of the hump that she has is cartilage. About three quarters of it is cartilage. And about a quarter of it is bone. And that was all shaved down. And I decreased the overall projection of the nose by shaving down the dorsal hump. I did some minor little adjustments to the nasal tip to make sure that it balanced with the bridge line. And then the osteotomies placed in the nasal bones were mandatory in order to close the open roof, flat top nasal deformity that you would see from the frontal profile. So her nasal bones ended up getting narrowed as well. So the whole nose gets smaller. Visibly, the largest amount of change you see on this rhinoplasty is reduction of that dorsal hump and removal of that dorsal hump.

Dr William Portuese
1101 Madison St #1280
Seattle, WA, 98104 USA
206-624-6200

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Removing a Bulbous Tip - Rhinoplasty

Hi, Dr. William Portuese here in Seattle. And today we're gonna talk about reduction of the bulbous nasal tip. The bulbous nasal tip can be caused from a variety of issues. It can be caused from thick skin which we really can't do much about because rhinoplasty involves cartilage surgery, not skin surgery. So, if you have really thick skin, [You're] probably not a candidate for a bulbous-tip rhinoplasty. However, if the the bulbous nasal tip is caused by thick and wide and divergent cartilages in the tip of the nose, we can refine those tip cartilages with a combination of suture techniques. And these sutures last about four to six months, holding the cartilages together to narrow and refine the tip cartilages. And then we also perform a conservative cartilage removal so that the width and the bulk of the tip is reduced. The suture techniques that we use to reduce the bulbous tip are really a powerful tool that allows us to give a natural appearance. It's still the patient's own cartilages; just, it's sutured together to give a more narrowed and refined appearance. But the sutures are what's important to hold those cartilages in those newer positions that are more narrower and refined and less bulbous. The bulbous nasal tip involves suture techniques and conservative cartilage removal, and usually osteotomies and sometimes spreader grafts placed in the nose. So it's a lot of work. Therefore, the nose is swollen for a considerable period of time. And especially so because we did so much work on the tip itself. So the tip itself stays swollen for the longest period of time, approximately 70% of the swelling is gone at a month after the surgery, about 90% is gone about three months after the surgery, but full healing takes a year. And some patients who have thick skin in the tip of the nose, will require some steroid shots to ensure that the soft tissue envelope over the framework of the nose heals in a fashion such that it's balanced. Because when you do these techniques in patients with thick skin, there will be an extended amount of swelling left on the inside of the nose. After the bulbous tip reduction surgery with those suture techniques, it doesn't look like I did anything to the nose tip for at least a couple of weeks because it's too swollen, because all the work we had to do to reduce that bulbous nasal tip. So, the swelling is such that it doesn't look like I did much. But you start to see what that nose looks like at about a month, and patients really start to see what it looks like at about three months. The bulbous nasal tip surgery will make the tip of the nose significantly narrower, which will balance with the remainder of the nose depending upon if there's a dorsal hump or a wide bridge. But all we're trying to do is, when patients have a really bulbous nasal tip, it's usually the first thing that everybody sees. And we're trying to just make sure that that bulbous tip is refined such that it blends in with the patient's facial features. After the bulbous tip reduction, the nose does look smaller after the surgery. So this patient presented to us with complaints of a very large, wide, boxy, and bulbous nasal tip. In addition, if you notice right above her boxy tip, she was really pinched in the mid portion of her nose, and then she had wide nasal bones. So what we did was, through a closed-rhinoplasty approach, went in and did a conservative cartilage removal in that nasal tip. And then placed some sutures between the two nasal tip cartilages to reduce the 'bulbousness', to give a significant amount of refinement to that nasal tip. And so I also put... Just above that bulbous tip, I also put a little patient's own cartilage called a spreader graft in that area, which transitions the bridge to the tip, and actually builds out that pinched area right above the tip itself, which also helps reduce the amount of look of the bulbous nasal tip itself. She also underwent a hump reduction and placement of osteotomies which are cuts in the nasal bones to narrow the bridge line, so that the nose looks good in all three dimensions, you know side, three-quarter, and front. But she was very very pleased with the outcome of her results. You know we'd performed a closed rhinoplasty approach that gave her a much better aesthetic profile, and a better balanced tip for her facial features.

Dr William Portuese

1101 Madison St #1280
Seattle, WA, 98104 USA
206-624-6200

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Widening a Narrow Nose - Rhinoplasty

Hi, Dr. William Portuese, based in Seattle, Washington. I'm a facial plastic surgeon, specializing in rhinoplasty. And today, we're gonna be talking about widening a very narrow nose. First of all, if they have a hump, we have to shave the hump down. That automatically widens the nose. But if they need additional widening, we make some little, tiny cuts in the nasal bones, and we place two little cartilaginous spreader grafts in the upper lateral cartilages and up in those nasal bones, and open up the nasal bones a little bit. And they're held open with those cartilage grafts. The cartilage grafts are harvested from inside the patient's nose, so it's their own tissue. It's not a foreign body or anything. And that ends up holding the nasal bones in a more open and wider position so that the dorsal aesthetic lines look much better, rather than this pinched nose we occasionally see. The spreader grafts that we use to widen a narrow nose are only about two millimeters in width. So, when you put two spreader grafts in, you're only getting four millimeters of width to the nose. That's about a quarter of an inch. But that makes a pretty dramatic and remarkable difference between the before and the after photos. And patients, you know, it really helps that pinched nasal bone, when they're really excessively narrow. At one week after the surgery, the cast is removed. Patients can see their new bridge line, but the tip of the nose is typically very swollen. And so, the tip, itself, takes a long time for the swelling to subside. But, typically, visible bruising and swelling is two weeks. About 70% of the swelling has subsided at a month after the procedure, and about 90% has subsided about three months after the rhinoplasty procedure, and then, full healing takes a year. This is a patient that I accomplished, not only shaving down the dorsal hump, but he had a very narrow, both nasal bones were very narrow, and I ended up widening them a little bit. And I did that by the combination of hump removal, which leaves you a little bit more wider base. And then, I placed spreader grafts between the septum, nasal septum, and each nasal bone. And that widened the bridge line a little bit, along with reverse osteotomies, which are cuts in the nasal bones. And the spreader grafts hold those nasal bones in a wider and more open position, and that way he didn't have that pinched appearance to his nose. In the after photos, all the components of his nose are more balanced, and his nose, just, the tip of his nose doesn't look quite so bulbous, because the rest of the nose has been widened to match his tip. The spreader grafts, actually, probably improved breathing a little bit too, because the nose is so pinched. And we do perform those for some patients for functional breathing purposes.

Dr William Portuese
1101 Madison St #1280
Seattle, WA, 98104 USA
206-624-6200

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