The Seattle

Plastic Surgery Center

Rhinoplasty in Seattle Washington

Dr. William Portuese and Dr. Joseph Shvidler, both experts in the delicate field of rhinoplasty, believe that less is more when it comes to altering the nose. They strive to achieve a natural and balanced appearance that harmonizes with the rest of the patient’s facial features. Their goal is to provide among the best rhinoplasty Seattle has to offer, with a focus on creating an enhanced yet completely natural appearance. Too many poorly executed “celebrity nose jobs” have created a negative stigma surrounding the procedure, but with the right practitioner, the alterations should seamlessly blend with the rest of the face. With extensive experience in facial plastic surgery, Dr. Portuese and Dr. Shvidler are able to deliver outstanding results. If you are interested in nose surgery, for either cosmetic or health-related reasons, their practice is a great place to start.

Rhinoplasty Surgery Before and After

An Attractive and Functional Nose with Rhinoplasty

Restoring symmetry is crucial to achieving an attractive facial appearance. Rhinoplasty can address asymmetry caused by features such as a bulbous tip or wide nostrils. In addition to improving aesthetics, a nose job can also correct physical conditions like a deviated septum, which can lead to serious respiratory issues.

Choosing the Right Facial Plastic Surgeon for You

It’s important to carefully consider the decision to undergo nose surgery and choose a plastic surgeon who will listen to your goals and concerns. Dr. William Portuese and Dr. Joseph Shvidler offer some of the best rhinoplasty Seattle has to offer, taking the time to ensure their patients are satisfied with their results.

Our Approach

Using state-of-the-art imaging software, our facial plastic surgeons provide a clear visualization of the intended aesthetic changes, allowing for patient input and informed decision-making. Depending on individual circumstances, our surgeons may use open or closed rhinoplasty techniques to achieve the desired outcome. The use of existing cartilage from the septum allows for alterations to the nose structure without the need for foreign objects. We also prioritize an “ethno-sensitive” approach to rhinoplasty, preserving distinct ethnic features while enhancing overall aesthetics.

Recovery from a Nose Job

Recovery from a nose job, also known as rhinoplasty, can vary from patient to patient and depends on the type of rhinoplasty procedure performed. In general, the recovery period for rhinoplasty can last several weeks to a few months.

Immediately after the surgery, patients may experience some discomfort, swelling, and bruising around the nose and eyes. Pain medication can be prescribed to alleviate any discomfort. The nose may also be stuffed and congested, and patients may need to breathe through their mouth until the swelling subsides.

Most patients are able to return to work or school after about a week, but strenuous physical activity should be avoided for several weeks. It is important to avoid blowing the nose for at least a week after surgery to prevent bleeding and to allow the nose to heal properly.

Patients should also avoid wearing glasses or sunglasses for several weeks, as they can put pressure on the nose and affect the healing process. Sleeping with the head elevated can help reduce swelling and promote healing.

It is important to follow all post-operative instructions provided by the surgeon, including attending all follow-up appointments. Patients should also avoid smoking and exposure to secondhand smoke, as this can delay the healing process.

Once your rhinoplasty procedure is completed by Dr. William Portuese and Dr. Joseph Shvidler, a cast and splint will be applied to your nose to support its new structure. It is recommended to avoid wearing eyeglasses that can put pressure on your nose and cause discomfort during the healing process. Although some bruising, swelling, and puffiness are common, they will gradually decrease within two to three weeks. However, it may take up to 12 months for the swelling to fully subside. Despite this, you should notice a significant improvement in the appearance of your nose immediately after the surgery. During the rhinoplasty recovery period, taking medication and applying ice packs can help reduce discomfort, and the use of make-up can effectively conceal any bruising.

Areas We Serve

We are located in downtown Seattle WA. As such, we provide rhinoplasty procedures to patients from these cities, as well as King County, Bellevue, Tacoma and surrounding areas. Visit us for beautiful, functional results from rhinoplasty Renton clients and other Lynwood patients can rely on. Contact our office to establish a convenient time and location for your procedure.

Methods of rhinoplasty: incision types, open vs. closed

Open rhinoplasty involves creating a small incision on the columella, the skin that separates the nostrils, which then allows the surgeon to lift the skin off the nasal framework to see and access the underlying structure. This method provides the surgeon with greater visibility and control, enabling them to make more precise adjustments to the nose’s shape and structure. However, this method can leave a small visible scar on the columella, which is usually well-concealed and fades over time.

On the other hand, closed rhinoplasty involves making all incisions inside the nose, without any external cuts. This method is preferred by some surgeons because it has less swelling and faster recovery times. However, the limited visibility can make it more challenging to assess the underlying nasal structures, which can lead to a less accurate and less predictable result.

Both techniques have their advantages and disadvantages, and the choice between open and closed rhinoplasty depends on several factors, including the complexity of the procedure, the surgeon’s preference and skill level, and the patient’s individual needs and expectations. It’s essential to discuss these options with your surgeon during your consultation to determine the best approach for your specific case.

As board-certified facial plastic surgeons, Dr. William Portuese and Dr. Joseph Shvidler prefer a structural rhinoplasty approach that addresses both functional and aesthetic aspects of the nose. This technique maintains the cartilage and bone structure within the nose to ensure long-lasting results while preserving the functionality of the nose. By prioritizing both form and function, Dr. Portuese and Dr. Shvidler strive to deliver the best nose surgery in Seattle while minimizing the risk of breathing problems post-rhinoplasty.

Excisional Rhinoplasty

The technique of excisional rhinoplasty, which involves removing cartilage and bone to reshape the nose, is now considered outdated and can lead to problems over time, such as nasal collapse or deformity. Most cosmetic surgeons prefer the more modern approach of structural rhinoplasty, which focuses on maintaining the support structure of the nose while reshaping it. Dr. William Portuese and Dr. Joseph Shvidler, who perform nose jobs at their Seattle office, use this technique to achieve the desired results for their patients.

A Rhinoplasty is a combination of a functional septoplasty and cosmetic rhinoplasty performed during the same surgery. This approach can be beneficial as it eliminates the need for multiple surgeries, reduces costs and recovery time, and prevents scar tissue from interfering with subsequent procedures. If you require both a septoplasty and a rhinoplasty, a Fusion Rhinoplasty may be a good option for you to consider.

Non-Surgical Rhinoplasty

Non-surgical rhinoplasty is a cosmetic procedure that utilizes injectable fillers such as Restylane and Juvederm to enhance the appearance of the nose. This method can smooth out the nose’s profile, reduce the visibility of bumps or asymmetry, and shape the nasal tip. While it is not possible to decrease the actual size of the nose with non-surgical rhinoplasty, it can create an illusion of a smaller nose by providing a more harmonious and even shape. Compared to traditional rhinoplasty, non-surgical rhinoplasty is a more cost-effective option. However, it is important to note that the results are temporary and can last for around 8 months to a year, depending on the individual’s skin and the frequency of treatment.

Schedule a Consultation

To initiate the process of nose reshaping, your first step is to schedule a consultation with Dr. William Portuese and Dr. Joseph Shvidler. They will carefully assess your unique situation and provide you with all the necessary information related to rhinoplasty. As experienced board-certified facial plastic surgeons, their primary objective is to offer the finest nose job available in Seattle. You can contact their downtown Seattle office today to schedule a consultation

The Seattle

Plastic Surgery Center


Award Winning Highly Rated & Reviewed plastic surgeon Dr & medical clinic serving Seattle Wa 98104, King County, Bellevue, Kirkland, and Surrounding Areas. We offer a variety of surgical procedures and non surgical treatments for enhancement and rejuvenation.

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