Dr. William Portuese is one of the few nasal and face surgeons in the Pacific Northwest with his degree of training. He has received the RealSelf Top 100 Doctor Award from 2010 to present, Clinical Instructor at the University of Washington, member of the King County Medical Society, American Academy of Facial Plastic and Reconstructive Surgery, Board Certification – American Board of Otolaryngology, Head and Neck Surgery and American Board of Facial Plastic and Reconstructive Surgery
This is a highly delicate procedure that Dr. Portuese performs with a unique level of artistry and medical judgment since the nose is an organ that both gives form to the face and provides function via breathing. The nose and the rest of the face must be in harmony, much like in a classical picture. The purpose of Rhinoplasty is to allow you to focus on your eyes and beauty rather than on the features of your nose. Dr. Portuese is a closed rhinoplasty surgeon who specializes in making all incisions inside the nose. With this knowledge, he constructs the outside and interior of your nose to improve both its form and function. His goal is to provide you with a nose that looks natural and breathes freely for the rest of your life.
Dr William Portuese will like to learn about your goals and expectations at your initial meeting. He wants to get to know you as a whole person. He will utilize a state-of-the-art imaging tool to show you how your nose will look after surgery after taking some time to get to know you. Patients frequently have no idea how much rhinoplasty can alter their profile. The ability to see this is a significant tool that can aid in the deciphering of your objectives.
Dr. Portuese’s closed rhinoplasty in Seattle is a one-of-a-kind procedure in which Dr. Portuese will guide you through every step of the procedure. Dr. Portuese will reshape your nose with artistry while you are under the supervision of professional board certified anesthesiologists at our Seattle surgical center that has the highest degree of accreditation and provides unmatched care.
For the first week after surgery, you will wear a light splint on your nose. Dr. Portuese employs a unique blend of surgical and holistic techniques, allowing most patients to return to work or social gatherings one – two weeks after surgery.
Cosmetic Seattle Rhinoplasty
Rhinoplasty, also known as a “nose job,” is a cosmetic plastic surgery treatment that involves changing the shape of the nose and enhancing facial characteristics.
In our facial cosmetic surgery clinic, it is the most prevalent procedure. Our facial plastic surgeon’s goal with Rhinoplasty or a nose job is to give patients a very natural appearance by balancing all of the components of the nose and face, as well as the entire new nose with the patient’s facial features. Many unfavorable aspects of the nose can be altered by surgery. A crooked nose, which may have been broken, can be straightened, a dorsal hump can be removed, a large and boxy nasal tip can be refined, and a wide nose can be narrowed. If you have a functional breathing problem, it can be treated at the same time as your cosmetic Rhinoplasty.
Male Cosmetic Rhinoplasty
Male rhinoplasty is becoming increasingly popular for a variety of reasons. Nose reshaping (rhinoplasty) is one of the most common cosmetic plastic surgery procedure among men. There is a major difference between rhinoplasty performed on men and rhinoplasty conducted on women from the standpoint of the anatomy. The form of the nose is one of the most important aspects of a male appearance. When a man’s nose is molded with plastic surgery, it should be symmetrical and proportionate to the rest of his face while maintaining a masculine appearance. In addition to the beauty of the nose, its functionality must be considered. During a male rhinoplasty treatment, a qualified surgeon may often enhance breathing by repairing functional faults like past injury damage or a deviated septum.
Female Cosmetic Rhinoplasty – Revision
Because there is scar tissue and previous modifications to the normal anatomy, revision rhinoplasty surgery is more challenging than a primary rhinoplasty. Revision rhinoplasty is performed for a variety of reasons, including a residual dorsal hump, polybeak deformity, a hanging columella, twisted and asymmetric nasal bones, or concavities in the nose that necessitate a cartilage graft.
Cosmetic Rhinoplasty – Bulbous Tip
The lower lateral cartilages of the nose, which form the bulbous nose, are made up of a combination of wide, divergent, and thick cartilages. Inter-domal and intra-domal stitches are suture techniques used to narrow the current wide and boxy cartilages. A conservative amount of cartilage is removed to optimize the shape and retain a natural outcome, in addition to suture procedures to narrow the nasal tip cartilages. These procedures can be carried out using a closed technique, which involves making all incisions on the inside of the nose.
Breathing Difficulties Out of the Nose (Nasal Obstruction)
Allergies, which are treated with nasal sprays, antihistamines, and decongestants, and turbinate hypertrophy, which is also treated medically, can reduce breathing difficulties. When medicinal treatment has failed, turbinate surgery may be considered. Valve collapse and vestibular stenosis on the inside of the nose can be static or dynamic with inspiration, and are treated by spreader grafts (made from cartilage taken from inside the nose) to keep the nasal valve and upper lateral cartilage from collapsing inwards during breathing. Nasal obstruction can also be caused by a deviated septum restricting airflow. Surgical septoplasty and rhinoplasty treatments are used to treat this. Chronic sinusitis is caused by chronic sinus polyps in the sinuses, which can be addressed through functional endoscopic sinus surgery.
A deviated nasal septum, broken and misplaced nasal bones, and a deviation of the septum generating a crooked nose, in addition to a fracture of the septum off the maxillary crest and vomer, are all factors that contribute to a crooked nose. When the top lateral cartilage is shattered and dislocated from the nasal bone, the nose might become concave in the middle. Rhinoplasty, which involves placing osteotomies in the nasal bones to straighten them back to their pre-injury state, is commonly used to treat this. Straightening the midportion of the nose and filling out the concave upper lateral cartilage can be accomplished with a cartilaginous spreader graft obtained from inside the nose. When the cartilages are asymmetrical, a tip-plasty is required, and cartilage grafting or cartilage removal may be required. A septoplasty is required if the nasal septum is fractured or if the midline septal cartilage is deviated. Any of these surgery components can be performed as an outpatient surgical procedure using the closed rhinoplasty method under general anesthesia