Rhinoplasty Portland Oregon – Nose Surgery Procedures
Dr. William Portuese is a top rhinoplasty surgeon in the Pacific Northwest and has dedicated a significant portion of his practice to the discipline of closed rhinoplasty, revision rhinoplasty and functional nasal surgery. The nose is the most prominent feature of the face and rhinoplasty surgery can achieve the goal of a natural looking nose.
Rhinoplasty is one of the hardest operations to perform in the entire field of cosmetic surgery and Dr. William Portuese and his healthcare team takes great pride in caring for patients throughout the entire process of nasal surgery.
Closed Rhinoplasty Procedure
The closed rhinoplasty procedure places all incisions on the inside of the nose. This rhinoplasty procedure can accomplish all of the techniques of an open rhinoplasty; shaving down a dorsal hump, which is composed of both bone and cartilage, osteotomies of the nasal bones to narrow the bridge line and cartilage grafting techniques – sometimes used to build up the upper lateral cartilages when they’re concave. The bulbous tip is reduced with suture techniques applied to the lower lateral cartilages of the nasal tip and when patients have wide nostrils, an alar-plasty is performed.
The consultation process for rhinoplasty Oregon involves a 30 minute in-person consultation with Dr. William Portuese to address concerns and techniques with the patient and another 30 minutes with the patient care coordinator for computer imaging. Fees, additional questions and scheduling are also discussed. Computer imaging for rhinoplasty allows patients to get a reasonable idea on how their new nose would look with their facial features.
Day of Surgery
On the day of the surgery, Dr. Portuese reviews the surgical plan and computer imaging with the patient. Patient’s also meet the board certified physician anesthesiologist and are then admitted into our Medicare certified outpatient surgery center. In our practice, a rhinoplasty is always performed under general anesthesia for patient safety and comfort. The surgery usually takes between one to two hours under the direct supervision of the anesthesiologist. Dr. Portuese performs the entire surgery with a closed rhinoplasty approach and then applies a cast across the bridge of the nose that will stay in place for 6 days. Patients are taken to the recovery room where they will wake up from the anesthesia and then go home with their caretaker. Patients will have visible bruising and swelling for approximately 10-14 days after the procedure. The first postoperative visit is at one week when the cast is removed and patients can see their initial results. There will also be followup appointments at one month, 3 months 6 months and one year.