The Portland Center For Facial Plastic Surgery
The Portland Center for Facial Plastic Surgery ™
 10690 NE Cornell Rd. Suite 324A, Hillsboro, OR 97124
1339 NW Couch St Suite A, Portland, OR 97209

Offering FREE
Virtual Consultations

All Surgery Performed in
the Seattle Location


Questions to Ask Your Surgeon About Rhinoplasty

Before your procedure, you might wish to ask your rhinoplasty surgeon some of the following queries.

1: What led you to choose a career in cosmetic surgery?
How long have you been a cosmetic surgeon in practice?

Do you hold a board certification?
If so, how long and by what board?

3. Have you ever received disciplinary action from the state or the board?

How many rhinoplasties have you carried out, total?

5: On average, how many adjustments do you have to make to your own work?

6: On average, how many rhinoplasties do you conduct each year?

7: Would you or have you ever carried out this surgery on a friend or family member?

8: Is there a circumstance under which I would not be a good candidate for a rhinoplasty?

9: What risks are associated with rhinoplasty?

10: Do you favor doing procedures in an open or closed environment?

11: Are there any newer or additional strategies that I am not aware of?

12: Do you have a video I may see of a rhinoplasty being done?

13: How long should I be away from work, school, etc. to allow my body to heal properly?

14: What kinds of drugs will you give me, and which painkillers do you typically recommend?

What type of anesthetic is applied during rhinoplasty?

16: Can I see a collection of imperfect images in addition to your great ones?

17: Where will the procedure take place?
Is the surgery center or suite certified if the procedure won’t be performed in a hospital?

18: If so, which hospitals do you have hospital privileges at?
Why not if you don’t have access to the hospital?

19: Who will provide the anesthetic, and what qualifications does that individual have?

20: Can you provide me any advice on how to reduce my discomfort and pain?

21: I have spectacles on.
Will I be able to put them on over the cast the day after surgery?
When may I regularly don my glasses?

22: I take (birth control, diet pills, antidepressants, etc.).
Will the prescribed drugs or the anesthetic cause me any side effects?

What is your policy for a revision if my results don’t turn out the way I expected them to?

24: Do you think I can get what I want?

25: Will my money be returned if I decide not to proceed?

26: What should I do if I have an emergency the night after surgery?

27: When will my stitches be removed if I require them?

28: Are there any unstated fees that I should be aware of, such as those for lab testing, follow-up appointments, or extra medications?

29: How can I contact you or your personnel after business hours if I require anything regarding the surgery?

30: What guidelines do you have for postoperative care?

Do you provide financing?
Do you demand upfront payment in full?
Can I make partial payments?

Will I require a graft?
What sort, if any?

33: Will my nose be packed after surgery?
What kind of packing is used?
How much time?

34: What is the background of the people who will be in the recovery room with me?

35: How far in advance must a surgery date be scheduled?
rhinoplasty surgery

What’s Rhinoplasty Surgery?

Rhinoplasty, also known as a “nose job,” is a surgical procedure that alters the bone or cartilage of the nose to improve its appearance.
One of the most popular types of plastic surgery is rhinoplasty.

Causes of rhinoplasty

People have rhinoplasty to fix their noses after accidents, to address breathing issues or birth defects, or just because they don’t like the way their nose looks.

Through rhinoplasty, your doctor could alter your nose in the following ways:

a shift in scale

a shift in angle the bridge becoming straighter the tip becoming more angular the nostrils becoming narrower

You should hold off having a rhinoplasty until your nasal bone has fully developed if the procedure is intended to enhance your appearance rather than your health.
This is roughly the age of 15 for females.
Boys may continue to grow until they reach a certain age.
However, rhinoplasty can be done at a younger age if you’re having surgery due to a breathing problem.

Rhinoplasty risks

Risks associated with surgery include infection, bleeding, and negative anesthetic reactions.
The risks of rhinoplasty include the following:

breathing problems


a numbed nose, asymmetrical scars on the nose

Patients can have issues with their operation.
You must wait till your nose is completely healed before having another procedure if you want one.
This can require a year.

Getting ready for a rhinoplasty

In order to determine whether you are a good candidate for rhinoplasty, you must first visit with your surgeon.
You’ll discuss your motivations for pursuing the procedure and your goals for doing so.

Your surgeon will review your medical history and inquire about any current diseases and prescription medications you may be taking.
Your surgeon will probably advise against any elective surgery if you have hemophilia, a condition that results in severe bleeding.

To ascertain what kind of adjustments can be done, your surgeon will conduct a physical examination, paying special attention to the skin on the inside and outside of your nose.
Blood testing and other lab tests may be prescribed by your surgeon.

Your surgeon will also decide if any other surgeries should be performed concurrently.
For instance, some people who have rhinoplasty also get a chin augmentation, which improves chin definition.

A variety of angles will be used to photograph your nose during this consultation.
These photographs may be consulted both before and after surgery to evaluate the long-term effects of the procedure.

Be sure to comprehend the costs associated with your procedure.
It’s considerably less probable that insurance will pay for a rhinoplasty if it’s being done purely for cosmetic reasons.

Ibuprofen and aspirin-containing medicines should be avoided for two weeks prior to and two weeks following surgery.
These drugs can cause you to bleed more by slowing the blood coagulation process.
Tell your surgeon about the drugs and supplements you’re taking so they can help you decide whether to keep taking them or not.

Smokers have a harder time recovering from rhinoplasty because smoking hinders the healing process.
Because nicotine narrows your blood vessels, less blood and oxygen reach your repairing tissues.
Smoking cessation can hasten healing both before and after surgery.

rhinoplasty surgery

rhinoplasty surgeries

What Rhinoplasty Can Do?

Rhinoplasty procedures are frequently requested by patients who enter a plastic surgeon’s clinic without a clear understanding of what the operation comprises or what to anticipate.
They won’t settle for anything less than the nose of their favorite TV or movie star, and once the treatment is complete, they regrettably grow disappointed and want to hold the surgeon accountable.
When it comes to reconstructing the nose, rhinoplasty is only so effective.
However, patients will be considerably satisfied with the outcomes if they are aware of what a nose job includes before hand.

What a nose job can do

Although this treatment can ultimately lead to a nose that blends in better with the other natural aesthetic elements of your face, don’t assume nose reconstruction can address every issue.
Depending on how the tip, hump, length, or width of the nose should vary, the surgeon may make the nose straighter, shorter, or slimmer during the process.
With the aid of a facial plastic surgeon, functional flaws like a deviated septum or larger nasal turbinates can also be surgically fixed.
A rhinoplasty can frequently be paired with a medically essential nose procedure like a septoplasty, which assists with breathing and overall nasal functionality.
You should be aware, however, that the majority of insurances will only pay for the medical septoplasty component of the treatment.
In general, it’s critical to speak with a qualified facial plastic surgeon in Portland, like Dr. William Portuese or Dr. Joseph Shvidler, to help you decide if a nose operation would be the right choice for you.

Rhinoplasty’s limitations

It doesn’t always work to reconstruct a nose to appear like one that a patient thinks is lovely, especially if the nose is out of proportion to the patient’s face.
Additionally, this form of surgery won’t be able to change your nose’s fundamental structure or overrule genetics.
To get the best outcomes, it helps to have strong cartilage, decent skin, and healthy tissue.
Finally, patients should be aware that rhinoplasty or any other plastic surgery operation won’t make people like or accept them because they look better or fix any underlying, serious self-esteem problems a patient may be experiencing.
Finally, with complete knowledge following a medical consultation with one of our surgeons, patients can make a rational and more knowledgeable choice.

Go Ahead and Start

To find out more about rhinoplasty and what it can and cannot do, get in touch with one of our doctors.
During the initial appointment, we will do a complete assessment, present medical information, specifics on realistic expectations, sample work, and respond to all of your concerns.
The process will go more smoothly the more at ease you are before to it.

best candidates for rhinoplasty

Rhinoplasty surgery

Why is Rhinoplasty So Popular?

Surgery to correct or reshape the nose is known as rhinoplasty (sometimes referred to as a “nose job”).
This could be done for purely cosmetic purposes to alter the shape and proportion of the nose and boost one’s confidence.
Breathing issues brought on by structural issues with the nose are also treated with plastic surgery of the nose.

Specialists in ear, nose, and throat (ENT) and plastic surgery both do rhinoplasties.
Cosmetic surgeons can also conduct rhinoplasties.

Since almost majority of these procedures are carried out through the nostrils, there are no obvious facial cuts (or later scars).
In some procedures, the tissue in the area between the nostrils must be sliced in order to execute the rhinoplasty.

The size, width, and profile of the nose can all be altered during rhinoplasty.
It is also possible to change the nostril shape, nose tip, and symmetry of the nose.

Using cartilage grafted from other parts of the body, surgery on the nose can diminish or enlarge features of the nose.
A slice of rib cartilage and (rarely) an ear cartilage fragment may also be used on occasion.

There are other options if you are self-conscious about the way you appear or considering cosmetic procedures to increase your confidence.
You might be able to get past your self-consciousness about your appearance by speaking with a counselor or psychologist.

Laws that govern cosmetic surgery may change.

The Health Services Act of 1988 was revised in 2018 to govern all surgical procedures, including cosmetic surgery.
The adjustments stated that:

Any operation must be performed in a licensed private hospital or day surgery facility.

Liposuction must be performed at a licensed private hospital or day surgery facility. Anaesthesia, including intravenous sedation and anything stronger than a small dose of local anesthetic, is also required.

As a result, it is now prohibited in Victoria to:

any procedure to be carried out in a facility that is not licensed by the Victorian Department of Health and Human Services, including cosmetic surgery

anesthesia to be delivered in an unlicensed facility (other than low doses of local anesthesia).

Rhinoplasty conditions that it can treat

Any of the following outcomes may be sought after during rhinoplasty:

Make a nose smaller or larger, straighten a crooked nose, or restore the height of a flattened section.

modify the nasal tip’s look

a hump be fixed birth defects be fixed

repair damage resulting from an accident repair damage resulting from a condition such an infection or cancer

enlarge the nasal airways to enhance breathing.

Considerations before undergoing rhinoplasty

Not everyone is a candidate for rhinoplasty.
Consult your doctor and take into account the following:

Present are restrictions on how much you can change the form of your nose because your doctor can only deal with the bone and cartilage that is already there.

It is crucial that the procedure doesn’t affect your ability to breathe and open your airway.
Your doctor may advise that your septum be straightened and the projections within your nose be reduced to enhance your breathing if your septum is deviated (that is, if the cartilage in your nose that divides your nostrils is uneven).

Before making any judgments regarding the requirement of additional surgery, it is crucial to wait until the full results, which could take up to 12 months to manifest.

Before having a nose surgery, the face and nose’s bones must be properly developed.

Consider the associated costs.
Medicare or commercial health insurance providers rarely offer rebates for cosmetic surgery.
For further information, check with your doctor to see if you qualify for a rebate and to inquire about any potential out-of-pocket expenses.



Rhinoplasty and Bruising Under the Eyes

This is a common reaction following rhinoplasty.
It occurs when the nasal bones are changed, and the result is usually some bleeding under the skin of your face.
Bruising under the eyes often starts to develop 24 hours after surgery and reaches its peak during the first 48 hours.

The bruising will probably have faded to a yellow or brown hue a week following your rhinoplasty surgery, which is often when your cast is removed.
Makeup can easily hide this healing stage.
Ten days after your surgery, the under eye circles are typically entirely gone.

recommendations for healing

You can take a few steps to lessen the visibility of the dark circles and hasten your total recuperation.
It typically helps to apply a cold compress to the area, like a bag of frozen fruit.

In order to protect the area around your nose while it heals from surgery, it’s also suggested to sleep on your back with cushions supporting your head.

Following your treatment, your facial surgeon will provide you comprehensive aftercare instructions.
You must strictly adhere to their instructions to guarantee a positive outcome.

permanent bruises

In a few instances, bruising following a rhinoplasty does not completely go away by itself.
Even after several months since the operation, the region is still discolored.

Some people (most often those with Mediterranean ancestry) are genetically predisposed to persistent bleeding.
In some situations, the bruises don’t heal and disappear into the body.
Instead, iron stains remain in the area, turning the skin a permanent shade of brown.

This does not imply that you must tolerate facial discolouration for the rest of your life.
This condition has treatments that can be corrected, and they resemble those for solar spots.
They typically include a chemical peel and many weeks of topical hydroquinone treatment.
The skin on the face seems healthy and renewed thereafter.

results of rhinoplasty

rhinoplasty surgery

skilled plastic surgeon

Rhinoplasty – What You Need to Know

Often referred to as a “nose job,” rhinoplasty is a plastic surgery procedure that quite literally means, “change the nose.” It may be done to reshape and improve the appearance of the nose and, in some cases, improve nasal breathing. There are times when enhanced appearance and improved nasal function will both be goals of the procedure.

Because the nose is such central facial feature, it is important to choose a surgeon with expertise in this type of surgery as well as a keen sense of facial artistry – someone who understands the aesthetics of facial proportions. Regardless of the primary reason for the procedure, the goal of rhinoplasty is always to achieve a result that is as balanced and natural-looking as possible, while preserving or enhancing nasal function

What are the different types of rhinoplasty?

Cosmetic Rhinoplasty

An elective procedure which changes the structure and appearance of the nose for purely cosmetic reasons. It may be done to make the nasal tip more refined, narrow the bridge of the nose, remove bony humps, or reshape the nose or nostrils.
Cosmetic and Functional Rhinoplasty
When performing a functional nasal surgery to improve breathing, many patients inquire about the ability to change the aesthetic of the nose at the same time. It is best to perform the cosmetic rhinoplasty in conjunction with any other functional nasal procedures such as a septoplasty. This is generally best performed by an ear, nose, and throat surgeon with a specialization in facial plastic surgery.

Reconstructive Rhinoplasty
A medically indicated procedure to repair or restore a nose that has been damaged due to accident, injury or as a result of cancer treatments such as surgical resection of the nose. It may also be recommended to improve breathing in people with a deviated septum – a condition in which the cartilage that separates the nostrils is misshapen or misaligned, causing partial nasal airway obstruction.

Revision Rhinoplasty
After rhinoplasty, a follow-up revision procedure may be done to further refine or alter the results of the initial surgery. Many revisions such as small bumps are minor and can be done under local anesthesia. Others may be more complex and require cartilage grafting and restructuring of the nose. Patients are advised to wait until they are fully healed and the swelling has completely resolved after their original surgery before considering a revision procedure.

How is rhinoplasty done?

There is no standard way to perform rhinoplasty. There are many different surgical techniques that a qualified surgeon may employ to achieve the desired outcome and every procedure is designed to meet each patient’s needs and expectations, while also taking into account their unique nasal structure.

The two main surgical approaches to rhinoplasty are:

Closed. A procedure in which all incisions are made inside the nose where they are carefully hidden and result in no visible external scars.
Open. The surgery is performed by making a small incision across the columella – the skin and tissue at the bottom of the nose between the nostrils. The skin that covers the nasal bones and cartilage is then raised, giving the surgeon access to the internal structures of the nose. After the procedure, the skin is placed back into position and the incision is stitched closed. The small incision typically heals very well with minimal scarring.

How long does rhinoplasty take?

The length of time it takes to perform rhinoplasty will vary depending on the complexity of the procedure, the surgical approach (open or closed) and the techniques required for an optimal outcome. In general, however, patients can expect the operation itself to take two to three hours. Complex cases and some revision rhinoplasty procedures may take longer.
Where is rhinoplasty done?

Rhinoplasty operations are almost always performed on an outpatient basis at an ambulatory surgery center or a hospital. Most patients will be able to go home on the same day as the procedure after a period of observation to ensure they are fully recovered from the anesthesia. All patients will be required to have someone there to drive them home after the surgery and, ideally, stay with them for the first night.
What will I experience at home after rhinoplasty?

After you are discharged to home (usually the same day as the procedure), you will be advised to refrain from any strenuous activities and exercise for at least two weeks to allow the nasal bones to heal and become more stable. Intense contact sports should be avoided for at least six weeks. Patients should plan to take at least one week off work, even if that work is not physically demanding. Additional symptoms you may experience include:

Although pain and nausea are usually minimal, you may experience some tenderness and/or achiness in the first several days after surgery. Your doctor will provide you with pain medication to help manage any discomfort although most patients find they don’t need it for very long.
There may be some nasal drainage and/or stuffiness for the first several days – this is normal and to be expected.
Some bruising and swelling is to be expected but will usually resolve within a week to ten days. Ice compresses may be applied in the first few days to keep this to a minimum.
You may have tape or a plastic splint on the outside of your nose. If a deviated septum was repaired, there may also be internal splints. These usually remain in place for one week.

Your doctor will provide additional instructions related to caring for the surgical site, how to avoid infection and when to schedule a follow-up visit.
When will my nose look normal again?

The initial swelling will typically subside within a few weeks. However, some swelling may persist for many months after surgery – it may come and go and will often be more pronounced in the morning. Even when the swelling is no longer visible, the nasal contours will continue to undergo subtle refinements for up to 12 months, at which time the final surgical outcome can be evaluated.
How do I prepare for rhinoplasty?

Your surgeon will provide you with detailed preparation instructions to follow in the days leading up to the surgery.
How long does rhinoplasty last?

A rhinoplasty permanently changes the structure of your nose and the results will typically last a lifetime. Normal aging may cause some gradual changes in the appearance of your nose but most of the improvements seen after rhinoplasty will be relatively permanent.
Does insurance cover rhinoplasty?

Most insurance companies will cover rhinoplasty when it is performed for functional reasons such as after severe trauma or external deformity causing nasal obstruction. Purely cosmetic rhinoplasty will typically be considered an elective procedure and not be covered. However, health insurance policies can vary greatly and patients are always advised to check with their insurance provider before any surgical procedure. Our team will help provide the appropriate coordination with insurance prior to the procedure if appropriate.
nasal anatomy

How Long Does Rhinoplasty Last?

How Long Does a Rhinoplasty Procedure Take? 1. Frequently Asked Questions

Since every nose is different, every nose job must be approached differently.
The average nose job lasts 1.5 to 3 hours, although they might go longer if more extensive work is required.
After your nose surgery is finished, you will recover in a recovery area before being returned home to continue your rehabilitation.

2. Who Makes a Good Rhinoplasty Candidate?

Anyone can benefit from nose jobs to enhance their breathing, looks, or both.
Good candidates for this operation are generally in good health and free of any significant illnesses or medical issues.
Good individuals either don’t smoke or have the ability to stop for extended periods of time.
This is crucial because smoking might make healing more difficult.
Finally, qualified candidates have reasonable expectations and goals for their nose job.

3. What Motivates People to Choose Nose Jobs?

There are numerous causes for which someone would think about getting a nose job.
Some people elect to have this operation done solely for cosmetic reasons, while others decide to get a nose job entirely for medical reasons.
However, because form and function in the human body are interwoven, it’s likely that the patient’s problem breathing is also caused by an irregularity in the shape of their nose.

Practical Nose Work

You want a functional nose job if you need one because you have breathing problems or problems with the way your nose works.
Nasal passages that are excessively narrow or a distortion in the septum, a line of cartilage, are two typical issues that lead patients to seek functional nose jobs.
Septal deviations can arise spontaneously or as a result of physical trauma.

Another justification for getting a functional nose job is persistent allergies or sinus infections, as well as hormonal changes.
These may lead to an enlargement of the nasal conchae or turbinates, a part of the nose.
The enlarged tissues may prevent airflow from the nose.

Functional nose jobs can be performed earlier than cosmetic nose operations since they help with breathing.

Cosmetic nose surgery

An asymmetry that some people believe draws too much attention is one of the most frequent causes for cosmetic nose operations.
Your nose may tilt strangely, point too far in one direction, or have a noticeable bulge.
Your nose’s tip may be upturned or bulbous, or your nostrils may be too large.

The majority of people who think their nose is “too big” may focus on one or two specific aspects that feel out of proportion.
The nose as a whole seems to be more balanced after altering one or two of these features.

After the nasal bone has fully matured, cosmetic nose jobs should be performed.
For girls, this typically occurs at around age 15, and for guys a little later.

4. How Is a Rhinoplasty Operation Performed?

You and your plastic surgeon can choose between an endonasal or exterior approach to a nose job depending on how much work needs to be done on your nose.
While the external technique is also known as the closed approach, the endonasal approach is also referred to as the closed approach.

Endonasal Technique

Because all of the incisions are done inside the nostrils, keeping the nose “closed” during the process, the closed technique is appropriately titled.
About half of the inner nostril lining is encircled by parallel incisions, all of which are hidden from view from the outside since they are formed inside the nostrils.

External Perspective

An open procedure for a nose job gives the plastic surgeon complete access to the nose’s underlying structure and, as a result, significantly more flexibility to alter it.
Your doctor makes semicircular incisions within each nostril, much like in the closed method.
Then, your surgeon links the two incisions by making what is known as a trans-columellar incision across the cartilage column that divides your two nostrils.

This enables your surgeon to fully access the bone and cartilage of your nose by pushing up the skin of your nose.
This enables your surgeon to make significant structural alterations.
Your surgeon may take cartilage from your ear or from deep inside your nose to be grafted on if your new nose needs a little quantity of extra cartilage.
The best aspect is that, despite being made on the exterior of your nose, the incision usually heals to almost completely disappear.

Rhinoplasty recovery

Why is Rhinoplasty So Expensive?

During a rhinoplasty treatment, also referred to as a nose job or a nose reshaping, your surgeon will alter the size or shape of your nose.
Typically, the form of your nose is changed by shaping the bone and cartilage, or it might be grown bigger by adding cartilage grafts.

In the United States, rhinoplasties are the third most popular cosmetic surgery treatment, therefore it was inevitable that there would be misconceptions about its necessity.
Modern procedures have advanced greatly, yet they were first invented through the rehabilitation of battle damage.

Although rhinoplasty is now frequently done for cosmetic reasons, many people still seek this type of plastic surgery to help them breathe better, reconstruct their nose after trauma, or even cure a congenital abnormality.

You may have heard a variety of rumors concerning professional rhinoplasty, ranging from the practically credible to the really weird.
Therefore, today we’re going to look at the ten biggest myths concerning nose jobs.

A rhinoplasty can be carried out by any plastic surgeon.

You are paying for someone to replace a sensory organ when you have rhinoplasty, not just any bodily part.
In addition, because your nose is such a prominent aspect of your face, shaving even a small amount off makes a big difference.

You should seek out a cosmetic surgeon with experience in rhinoplasty when scheduling your procedure.
The surgeon you select must at the very least hold board certification in facial plastic and reconstructive surgery (ABFPRS).
These credentials better position surgeons to comprehend the function of the nose as a sensory organ and the significance of the nose to the face.
Ask you for many examples of their work, surgeon.
Find others who shared your desire for change.

It’s risky to use anesthesia.

The procedure for rhinoplasty frequently involves general anesthesia.
Only one death occurs after 200,000 patients receive anesthesia, making anesthesia-related deaths incredibly uncommon.
Additionally, the negative consequences of general anesthesia are not severe.
A sore throat from the breathing tube and nausea are the two most typical side effects of general anesthesia.

Additionally, it’s highly uncommon for you to awaken in the middle of surgery because a skilled anesthesiologist will be watching over you during your nose job.
We reassure all of our patients that our anesthesiologists will monitor them during the surgical procedure to ensure they’re receiving the ideal quantity of anesthesia. This is a typical concern among our patients, especially if they’ve never had a general anesthetic before.
Never once has a patient “woken up” in the middle of operation.

Only those with money can get rhinoplasty.

The average cost of rhinoplasty surgery in the United States in 2019 was $5,409. It’s important to note, however, that this cost just includes the operation itself and does not include the price of anesthesia, hospitalization, medicine, or consultations.
Sadly, it’s challenging to provide a specific number due to the fact that numerous hospitals and private practitioners bill plastic surgery differently.
A patient may need to make a larger financial commitment for more skilled surgeons.
Some surgeons may use your insurance to cover part of the surgery (but not the entire cost).
However, insurance is only employed when a functional issue, like a nasal blockage, exists.

Only women have surgery to reshape their noses.

Although women tend to seek cosmetic nose procedures in greater numbers than men do, more and more men are increasingly scheduling consultations as they become more self-conscious about their appearance.
Males getting nose jobs are more popular, especially now that men are encouraged to talk about their feelings and fears.

Also keep in mind that not all people who have rhinoplasty do so for purely cosmetic reasons.
A functional operation that opens the airway and straightens deviated septums is frequently beneficial for people who have difficulty breathing through their nose.

Your nose will seem phony after a rhinoplasty.

You “get what you paid for,” as they say.
Unfortunately, less expensive rhinoplasty procedures carried out by doctors with little skill can frequently appear “surgical.”
However, a cosmetic surgeon who specializes in rhinoplasty will have devoted their whole medical career to this challenging surgical operation, making their results appear far more natural.

This is why it’s crucial to be prepared for your appointment, as any competent rhinoplasty surgeon will sit down with you to discuss the results you want and present them to you visually.
Before having surgery, you can discuss any queries or worries with the surgeon.
Always request “before and after” pictures of similar surgeries to your own.

Insurance policies provide coverage for rhinoplasty.

No and yes.
Depending on your insurance policy, a rhinoplasty that is being performed for medical reasons, such as accident reconstruction or to address a breathing problem, may be partially or entirely reimbursed.
However, if you’re having a nose operation for simply cosmetic reasons, you probably won’t be able to afford the full price.

The rhinoplasty operation hurts.

People are frequently surprised by rhinoplasty since it is not as painful as they anticipate.
Of course, every type of surgery involves some level of pain or discomfort, so we’re not saying the process is completely painless.
You will have the chance to discuss pain relief following the procedure with your surgeon before you undergo the nose job, though.

In other words, you won’t feel anything because you won’t be conscious during the process.
Most individuals discover that they can manage the mild to moderate discomfort following surgery in conjunction with the generic medicines your doctor has given.

Breathing concerns persist after rhinoplasty.

Your capacity to breathe through your nose shouldn’t be hampered by a nose job done by a skilled surgeon.
However, when the procedure is carried out by someone who isn’t trained in plastic surgery or rhinoplasty, it may result in horrible unexpected outcomes.
It’s imperative that you confirm the credentials and experience of the surgeon you’ve selected.

Having said that, you’ll often discover that your nose has some obstruction as a result of the bandages after the treatment.
But after the cast, bandages, and splints are taken off, this usually goes away.

Reshaping the nose is only done for aesthetic purposes.

Although aesthetic nose jobs are very common, this isn’t the only reason people elect to get surgery.
When someone struggles to breathe through their nose or snores excessively, a nose job may be their only option. People who have narrowed nasal passageways or a deviated septum can benefit from rhinoplasty that particularly targets these regions.

Rhinoplasty can also be done to reconstruct the nose after cancer or a lesion has been removed, to correct a congenital deformity, or to restore the nose after damage.

A celebrity’s nose can be imitated by plastic surgeons.

For a variety of reasons, a plastic surgeon finds it very difficult to imitate a celebrity’s nose.
First of all, for ethical and moral considerations, any reputable rhinoplasty surgeon wouldn’t perform any operation meant to make someone seem like someone else.
However, because each of us has a unique face, rhinoplasty surgeons must match patient expectations while attempting to make the nose look as natural as possible.

Given this, any skilled rhinoplasty surgeon would advise his patients that they cannot imitate the facial traits of another person because it may not seem natural on them.
No competent surgeon will guarantee that you will have outcomes that resemble those of your favorite celebrities because the nose plays a significant role in one’s face appearance.


cost of rhinoplasty


What Happens After Rhinoplasty?

What is the recuperation like from a nose job?
When patients come in for a consultation about nose surgery at our Portland locations, this is one of the most typical queries they have.
Having reasonable expectations for recuperation is crucial, just like it is for every element of cosmetic surgery.
Your experience will be beneficial from our initial appointment to your final outcomes if you are aware of what to expect after your surgery and what you can do to ensure a quick recovery and lovely results.

We at The Portland Center for Facial Plastic Surgery are aware of your eagerness to see your brand-new nose and desire to resume your normal activities as soon as possible.
During your initial visit, Drs. Portuese and Shvidler will be pleased to address any inquiries you may have regarding rhinoplasty recovery.
What to anticipate from your nose job recovery day by day is described in the helpful information below, along with some suggestions to make this time as comfortable as possible.

How to Prepare for a Rhinoplasty

How long does recovery from rhinoplasty last?

Each patient’s nose is different, and each patient’s rhinoplasty recovery is also different.
Many distinct variables can affect how long it takes you to recover from your operation and receive your ultimate results, including:

Your general well-being

You are

How thick your skin is

The propensity of your body to swell or bruise

Which surgical method is employed—open or closed?

Whether you are having a revision rhinoplasty or your first rhinoplasty

How strictly you adhere to the postoperative recommendations of your surgeon

If you have different medical treatments in addition to your rhinoplasty

The rhinoplasty healing steps are generalized in the timeline below.
Before your operation, our surgeons will give you a specific recuperation schedule.

What to anticipate right away following surgery

Under general anesthesia or local anesthetic with sedation, rhinoplasty procedures are carried out at our on-site surgical center.
You will be transported home by a reliable friend once you are awake and able to depart. This person should stay with you for the first 24 to 48 hours in case you want assistance.
To safeguard and support your new nasal structures as they heal, a splint may be positioned inside, outside, or both parts of your nose.
You will be given a prescription for pain medicine to aid you with any postoperative discomfort.
Following rhinoplasty surgery, swelling, bruising, bleeding, congestion, and pain are frequent side effects.
During the initial stages of your rehabilitation, you won’t be able to wear eyeglasses, put on makeup, or breathe through your nose.

Expectations for the first week

You’ll feel the most discomfort and need the most rest during the first several days of your recuperation.
Try to unwind as much as you can, preferably with your head up.
Patients are frequently pleasantly surprised to discover that they are not in a lot of pain, despite the fact that this is normally the most challenging of the rhinoplasty healing stages.
Apply cold compresses to reduce pain and swelling.
Avoid stooping or blowing your nose.
You will be instructed to avoid any activity that can endanger your nose and to sleep on your back with your head raised.
You might notice that your sleep is disturbed and that your tongue and throat are quite dry since you will have to breathe through your mouth.
Care for your incisions according to your surgeon’s instructions.
After your surgery, your splints will be taken off five to seven days later.

What to anticipate during the coming weeks

For the first one to two weeks following your treatment, you will have some swelling, bruising, and mild discomfort.
After four to six weeks, these adverse effects ought to disappear.
After nearly a full week of resting at home, the majority of our patients in New York are able to resume light activities, including employment.
Exercise and strenuous activity after rhinoplasty should be avoided for at least two weeks, but probably four to six weeks.
You must continue to sleep on your back and are not permitted to use glasses or sunglasses.
It’s vital to remember that your nose, specifically the tip, still needs to recover quite a bit.
Your current state does not represent your ultimate outcome.

The surgical technique employed for your surgery will have some bearing on this interim stage of your recuperation.
Our surgeons make the incisions inside the nostrils during a closed rhinoplasty.
This less invasive procedure usually has a quicker recovery time and no visible scarring.
It might not be appropriate for people who need significant rhinoplasty, though.
An incision is made by the surgeon during an open rhinoplasty at the base of the tissue strip separating the nostrils (the columella).
There is a little scar on the bottom of the nose from this more intrusive procedure, which also has a lengthier recovery time.
But for those looking for more pronounced benefits, it is frequently the superior option since it offers the surgeon greater access.

When to Aim for Complete Recovery

Recovery from rhinoplasty is a gradual process.
Significant swelling might develop and take a long time to go away.
For months, your nose will continue to change as it adapts to its new form, some of which are so minute that only you and your surgeon will detect them.
As you wait to see how your improved nose will look, try to be patient.
Your ultimate findings may not become fully apparent for up to a year.
Throughout the course of your follow-up sessions, our surgeons will monitor your progress.
These appointments are necessary to track your healing process and make sure you are following all the necessary precautions for a good recovery and a lovely outcome.

Four Recovery Tips for Rhinoplasty

Because of their busy schedules, many of our patients from Portland want to know whether there is anything they can do to hasten their recovery from rhinoplasty.
There are actions you can do to make sure your recovery is as rapid and comfortable as possible, even though your body will eventually heal at its own speed.

Avoid smoking.
Patients who smoke recover more slowly.
Use of tobacco also raises the risk of infection and scarring.

Consume a healthy, balanced diet.
Consume a lot of the vital nutrients that support healing and strengthen your immune system to fuel your body for recovery.
Additionally, you’ll want to keep yourself adequately hydrated.

Avoid the sunlight.
When possible, stay out of the sun completely.
Wear sunblock if you must spend time outside.
As it heals, your skin will become delicate and vulnerable to sunburn.
Additionally, excessive sun exposure might cause more obvious scarring.

Contact us without delay.
Before your treatment, your surgeon will make sure you are fully aware of all the risks and potential consequences associated with rhinoplasty.
If you have any queries or worries while going through your recuperation, we invite you to get in touch with us at any time.



Is Rhinoplasty For Me?

The nose job, or rhinoplasty, is one of the most popular cosmetic treatments.
While the majority of pop culture references to getting a nose job emphasize shrinking the nose, many rhinoplasty patients want to reshape their noses or fix earlier rhinoplasty mistakes.
Medical conditions like a deviated septum or other structural flaws can also be fixed during a rhinoplasty.
Rhinoplasty may be done to heal a broken nose, trauma damage, or to reconstruct the nose after skin cancer removal surgery.

How Can I Tell If I’m a Good Rhinoplasty Candidate?

A nose job decision is a very individual one.
The decision to undergo rhinoplasty should be based on your comfort with your appearance, your confidence, and your intended outcome, unless you have a medical reason for doing so.
The majority of patients we treat report that having rhinoplasty significantly and favorably impacts their sense of self-worth.
You must be in good health, not smoke, and be of an age where your facial bones have finished developing in order to be a good candidate for rhinoplasty.
Around the age of 14, this growth is typically finished.

choosing to undergo rhinoplasty

You will meet with one of our board-certified plastic surgeons prior to the process to discuss the treatment, go over your desired results, including the size and shape of the nose after the operation, and go over your medical history.
The operation itself only takes a few hours, but you can endure swelling and bruising that lasts for a few days afterward.
Prior to being able to resume normal activities, it takes around two weeks.
It will take considerably longer to get the all-clear to start doing any demanding tasks again.

Breathing via the nose is a typical medical justification for rhinoplasty.
Nasal obstruction can interfere with other activities, interfere with sleep, make it difficult to exercise, and contribute to snoring and sleep apnea.
Surgery might be the next course of action if medical interventions (such nasal spray or sleep apnea treatment) are unsuccessful.
These kinds of medical rhinoplasty procedures are frequently covered by health insurance.

The type of nasal surgery depends on the underlying issue.
A septoplasty by itself may be able to correct a deviated septum, the midline wall of cartilage that separates the right and left sides of the nose.
However, a rhinoplasty is necessary to guarantee adequate breathing and nasal form when a septal deviation is more severe or occurs close to specific essential areas of nasal support.
With carefully positioned cartilage grafts, rhinoplasty (also known as septorhinoplasty) corrects the septal malformation and strengthens the nose’s vital breathing zones.


Dr William Portuese
Your doctor

plastic surgeon

Facial Plastic Surgery Portland – Hillsboro Oregon
Portland Plastic Surgery
Facial Plastic Surgeon Portland OR

Common Questions About Nose Irregularities and Rhinoplasty

What is the difference between rhinoplasty and septoplasty?

Rhinoplasty is a procedure that alters the appearance of the nose. Because breathing and the shape of the nose are linked, a rhinoplasty may be performed not only to improve the appearance of the nose but also to improve breathing through the nose.

Septoplasty is a surgery that straightens the wall inside the nose that splits the nasal passageways into right and left sides to improve breathing (nasal septum).
It can be difficult to breathe via the nose if the septum is crooked. A septoplasty is frequently performed in conjunction with a rhinoplasty.

Is rhinoplasty a straightforward procedure?

No. Rhinoplasty is a difficult procedure. This is because of a number of things. The nose, for starters, is a complex 3D form in the centre of the face. The alterations made during rhinoplasty are frequently minor. However, these alterations can have a significant impact on how the nose looks and operates. The margin for error is tiny because these changes are minor.

During surgery, swelling and the injection of local anesthetic into the skin deform the nose, masking many of the tiny modifications made. Rhinoplasty also lacks a uniform procedure or sequence of stages. Each procedure is tailored to the patient’s specific needs.

Is it likely that I’ll have to stay in the hospital?

Almost everyone who undergoes rhinoplasty is able to leave the hospital safely the same day. If you’re having trouble with nausea or have other health problems that need to be monitored, you may be admitted to the hospital for one night.

How long does it take to recover?

Take a week off from job, school, or other responsibilities. During the first week, you will notice a gradual improvement in your mood. People frequently feel like themselves again one week after plastic surgery.

There will be some edema after surgery. Although most individuals cease seeing the swelling after a few months, it can take months for it to go away.
After a week, most people can resume most activities, and after two to four weeks, they can resume all activities.

Are there any dangers?

Every surgery has its own set of dangers. Fortunately, the risks of rhinoplasty are minimal, and complications are uncommon. Before the procedure, your doctor will go over the risks and advantages with you in detail.

Is a rhinoplasty covered by insurance?

The cost of a rhinoplasty is sometimes covered by insurance, however it depends on the policy. Your doctor’s office will assist you in obtaining prior written authorization from your insurance company before scheduling surgery. Although this isn’t a guarantee of coverage, it is the only way to see if rhinoplasty is covered. Some insurance companies will cover part of a nose surgery but not the rest. In certain circumstances, you can acquire a price for the surgery by contacting the business office.

What is the price of rhinoplasty?

The cost of a rhinoplasty is determined by a number of factors, including the surgery’s complexity, the surgeon’s training and expertise, and geographic location. Regardless of whatever surgeon you choose, the cost of surgery will be the same.

Is it possible to envision how my nose will look after surgery?

Yes. Your doctor will take standardized images of multiple views of your face before to your consultation. These images can be altered to give you an idea of how your nose will look after surgery.

Is rhinoplasty a painful procedure?

For the most part, no. Most patients rate their pain on a scale of 0 to 4 on the first day after surgery.

How long am I going to be bruised?

Bruising is a rare occurrence. If you do have some small bruising, it normally goes away after a week.

What qualities should I seek in a surgeon?

Most rhinoplasties are performed by plastic surgeons, facial plastic surgeons, or otolaryngologists (ENT). A smart place to start is with training and board certification in one of these specialties. You’ll probably want a surgeon who specializes in rhinoplasty. Patients and other doctors will most likely recommend a surgeon with a high reputation. If your surgeon has authored numerous rhinoplasty-related papers in medical journals and has been invited to lecture at educational conferences, this is usually a sign that their peers value their rhinoplasty knowledge.

Ensure that your surgery will be performed in a hospital or surgical facility that is accredited. You should probably feel at ease with your surgeon as well.

Rhinoplasty Procedures in Hillsboro Oregon

A World-Class Rhinoplasty Experience at a Destination

In the Portland, Oregon area, Dr. William Portuese is a board-certified facial plastic surgeon. He is motivated by a rare blend of compassion and meticulous attention to detail, which shows in every patient interaction and operation he does. Come to Hillsboro Oregon, a rapidly developing boutique destination for cosmetic surgery, if you want the best Rhinoplasty operation imaginable.


Dr. Portuese employs computer imagery to assist patients to visualize their prospective post-procedure results. We also provide virtual consultations and a photographic rhinoplasty simulation. While you’re at home, we’ll also schedule your pre-treatment appointment.


All procedures are conducted in Seattle, WA, which is just a short drive from Portland. We routinely welcome patients from various cities and states, with the purpose of enhancing the natural beauty of our patients.

1. One month prior to your operation, we will work with you to verify that you have completed all necessary exams and documentation to guarantee that you are cleared for the procedure.

2. Two weeks prior to surgery, you will have a virtual pre-operative appointment to go over the final specifics of your treatment and to answer any questions you may have.

3. Arrive in town the day before your operation and depart 7-10 days afterward to ensure that all immediate follow-up care is completed.

4. After that, we’ll set up your virtual follow-up sessions with the doctor so that he can continue to monitor your progress.

We will gladly assist you in making travel arrangements. If you have any queries about travel plans or the treatment process, please contact our office.


Rhinoplasty is a procedure that can be performed on adults and teenagers over the age of 16. Facial maturation and growth are also required, and this will be discussed during your appointment, particularly for teens. If you’re unhappy with the way your nose looks and have specific concerns you’d like to improve, enhance, or repair, this treatment might be the way to go. Because your nose and facial profile will be altered, it is critical that realistic expectations are communicated.


Rhinoplasty surgery expertise necessitates education, experience, anatomical knowledge, and exceptional technical skill. Dr. Portuese is a board-certified Facial Plastic Surgeon who specializes in rhinoplasty and is widely regarded as one of the region’s best rhinoplasty surgeons. He has outstanding credentials and has built his practice on consistently excellent results in difficult rhinoplasty patients. View his rhinoplasty before and afters.

He is a frequent speaker on advanced rhinoplasty surgery subjects at Plastic Surgery seminars. He is noted for personalizing his surgical ideas for each patient and for his operating room artistry. Dr. Portuese devotes as much time as is necessary to meet and surpass all of his patients’ expectations, from pre-operative appointments to surgical procedures.


Rhinoplasty is a cosmetic procedure that alters the appearance of the nose. In certain cases, rhinoplasty can also help with a functional or respiratory difficulty. Despite the fact that rhinoplasty involves little adjustments, the outcomes can look extremely stunning. Among all facial and neck treatments, rhinoplasty surgery has some of the most complex and precise surgical techniques. Learn more about cost of rhinoplasty.

Rhinoplasty is a straightforward procedure that might alleviate your dissatisfaction with your facial profile. Rhinoplasty may be beneficial if you are unhappy with the size and shape of your nose, or if you have breathing problems. Rhinoplasty is a common cosmetic procedure with a high percentage of success. Dr. Portuese’s goal is to restructure your nose so that your entire face seems more balanced and appealing. Even minor adjustments might have a significant impact.

Top Facial Plastic Surgery Services in Portland Oregon

A rhinoplasty is a cosmetic treatment to alter the nose’s size or shape in order to improve appearance and create greater harmony and symmetry among the features of the face.
A rhinoplasty can also be done concurrently with operations that improve the nose’s functionality by removing breathing obstructions.

You may have faith in our strategy because it takes into account your goals, age, skin type, and overall health.

Our doctors approach rhinoplasty holistically, taking into account the harmony and balance of each feature of the face as well as its proportions.

Our team has a wealth of expertise.
Each of our four full-time faculty members is a world-renowned authority on facial plastic surgery with a specialization in rhinoplasty.

We provide a high level of ability and understanding in even the most complicated treatments because to our huge patient population and knowledgeable faculty.

Our skilled facial cosmetic surgeons approach each surgery with artistry and an eye for balance, taking into account each patient’s age, ethnicity, and skin type.

Selecting a professional is crucial while having rhinoplasty.
Many people believe that this treatment is the most difficult one that can be performed in all of plastic surgery.
Both facial plastic surgery and otolaryngology-head and neck surgery (or ENT surgery) are double board certified specialties of our physicians.
They have so invested decades on learning the inside and outside of the nose, respectively.
Additionally, they concentrate on rhinoplasty, which includes revision cases, which account for a sizable portion of our business.

What to Expect After a Rhinoplasty

One of our specialists will perform a complete assessment and go over your individual expectations for your rhinoplasty.
Some operations can address both respiratory problems and cosmetic concerns simultaneously.

Our experts will take pictures of you during your appointment while also reviewing your medical history, skin type, age, and ethnic background.
The surgeon will describe how to remodel the nose using the nasal bones and cartilage.

The rhinoplasty procedure can be performed in an office-based surgical facility, an outpatient surgery center, or a hospital.
To ensure your comfort, it is carried out under anaesthetic.

If cartilage grafts are necessary for the rhinoplasty, the surgeon will start by cutting a small piece of cartilage from the ear or a rib.
This will enable our surgeon to replace missing cartilage in the nose.
Incisions are stitched shut using tiny dissolvable stitches.

The doctor will next apply a thin splint to the nose to support the new structure and protect it.
Absorbent dressings may occasionally be stuffed inside the nose.
You will receive care instructions from the surgical care team in order to guarantee the best outcome, avoid infection, and ease suffering.
These might contain guidelines for:

taking painkillers

Cold compresses are applied to reduce edema.

Keeping the head up while resting and refraining from heavy exercise while recovering

Nasal swelling is typical and might last for several weeks.
Additionally, you might see bruises around the eyes and nose.
In a year, the nose is entirely recovered.
closed rhinoplasty

Board Certified Facial Plastic Surgeon Near Me

A person’s entire appearance is improved by a neckline with a sense of refinement that is smooth and graceful.
A cosmetic surgeon can assist patients of any age in achieving the naturally attractive neckline they desire through neck contouring surgery.

What is surgery for neck contouring?

Neck contouring gives the neck and chin a firmer, smoother, and more elegant appearance.
A thick, wrinkled, or drooping neck can be significantly improved even without any other alterations to the face, making a patient look years younger or even as though they have lost weight.
By creating a more defined jawline that frames the rest of the face, neck contouring can also help balance out facial features.

Options for Neck Contouring

The patient’s cosmetic objectives, not the surgical technique, determine neck contouring.
For a patient who wants to reduce a sagging “turkey neck,” a cosmetic surgeon will employ an entirely different surgical technique than for a patient who wants to remodel a full chin.
Neck contouring can be done independently or in conjunction with other facial cosmetic surgery treatments to get more all-encompassing results.

Neck liposuction

Despite being at a healthy weight, do you feel like you have a “double chin” or a chin that is overly full?
Liposuction of the neck can permanently provide a more defined, elegant neckline.

The typical neck liposuction patient will be younger, in their 20s to early 50s, as younger patients typically have good skin elasticity, which is necessary for the skin to contract smoothly and evenly after liposuction. This is because liposuction removes excess fat but cannot significantly improve sagging skin.
Find out more about liposuction procedures.

Neck liposuction is typically a rapid treatment for most individuals, and in many cases, local anesthetic can be used.
A cosmetic surgeon will make one or two very small incisions behind the ears or beneath the chin, then implant a small liposuction cannula to remove extra fat and shape the chin and neck naturally.
After the surgery, patients usually need to wear a special supporting chin strap for about 3 or 4 days, go back to work in about a week, and are prepared to resume full activity in about 2 weeks.
Following neck liposuction, it is common to suffer some swelling and bruising; however, these side effects should go away within the first 10 to 14 days.

Goals & considerations for neck liposuction:

makes a “double chin” or fullness under the chin look better

refines the jawline to highlight the chin or balance the features of the face

Usually, patients with healthy skin tones will experience the best outcomes.

can be combined to further improve facial features with chin augmentation or rhinoplasty.

As long as a patient maintains a constant weight, results are long-lasting.

Neck Lift Procedure

An effective remedy for drooping, loose skin on the neck may be a neck lift surgery operation.
The procedure for removing extra skin from the neck is known as cervicoplasty or platysmaplasty (to tighten loose neck muscles).
To tighten loose neck muscles and remove extra, sagging skin and restore a smoother, firmer, and more defined appearance to the neck, cosmetic surgeons will carry out one or both of these treatments.

Under general anesthesia or intravenous sedation, a neck lift treatment is commonly carried out as an outpatient procedure.
A small incision will be made behind each ear by your cosmetic surgeon. Depending on your desires, a third small incision may be made behind the chin.
To provide the neck a smoother, firmer, and more youthful appearance, he or she will tighten the neck muscles and/or underlying tissues through these incisions and remove extra, sagging skin.

The length of recovery following a neck lift will vary depending on the patient and the complexity of the procedure.
Within two weeks of surgery, patients usually resume normal activities, including going back to work.
For a few weeks, your neck should feel tight, and bruising and swelling are common.
These adverse effects should fade gradually; obvious bruising usually disappears during the first week, although the “tight” feeling may last for several months.
You’ll receive thorough instructions for recuperation and aftercare from your cosmetic surgeon.

Goals & considerations for neck lift surgery:

removes or reduces a “turkey neck” by removing extra, sagging skin. Eliminates or reduces neck wrinkles and creases.

makes vertical neck bands seem better

Long-lasting results that age naturally with the patient

is possible to combine with a facelift for a more thorough facial rejuvenation.

Procedures for Non-Surgical Neck Contouring

Neck contouring is one of the non-surgical cosmetic procedures that is gaining popularity due to its short downtime and lack of invasiveness.
There are a few non-surgical solutions available to you if you want to enhance the appearance of your neck, which we’ll go over in this article.

Most people picture the face when they think of Botox.
However, Botox is also quite good in treating dynamic wrinkles in the neck momentarily.
Because patients might anticipate their neck to look longer and thinner following treatment, like the ancient Egyptian Queen Nefertiti, a neck lift with Botox is sometimes known as a “Nefertiti lift.”
In order to minimize the look of turkey neck and define the jaw, your cosmetic surgeon or nurse aesthetician will inject Botox into the muscles in the platysma band (the muscles that protrude when you flex your neck).
Botox usually produces neck lift results that last 3 to 4 months.
Study more about Botox here.

Hyaluronic acid or calcium hydroxylapatite dermal fillers can be injected into the neck and jawline to lift drooping skin, smooth out wrinkles, and even out skin tone.
According to the filler brand, dermal filler neck lifts, commonly referred to as “liquid neck lifts,” last between 6 and 12 months.
Patients should anticipate smoother, more youthful-looking neck skin in the months after their injections since these fillers promote collagen production.
Restylane and Radiesse are popular fillers for a neck lift that doesn’t require surgery.
More info on dermal fillers here

Deoxycholic acid is the main ingredient in Kybella, an injectable treatment for submental and upper neck fat.
Patients with “double chins” are frequently treated with Kybella because this area is notoriously difficult to shape without liposuction.
Similar to liposuction, Kybella-treated fat cells won’t be able to retain fat, therefore you can anticipate losing weight in this area permanently.
Most cosmetic surgeons advise scheduling 4-6 Kybella treatments spaced one month apart for best results.
Usually, 4-6 weeks after your initial injection, results start to show.

In order to enhance collagen and elastin levels and stimulate the proliferation of fibroblast cells, microneedling employs small needles to inflict “micro-injuries” on the skin.
With little to no downtime, microneedling can swiftly reduce the appearance of sun damage, wrinkles, and more on the neck and décolletage.
Dermapen and SkinPen are two well-known microneedling companies.

In order to promote more collagen development and tissue tightness, microneedling can also be used in conjunction with radiofrequency (referred to as “RF microneedling”) to heat deep layers of the skin using insulated needles.
Brands of RF microneedling that are well-known include Genius and Morpheus8.

Even though many businesses provide DIY microneedling kits, it’s crucial to find a board-certified cosmetic surgeon to carry out your microneedling operation because the skin around the neck and décolletage is extremely delicate and prone to harm.

Ultrasound energy is used in Ultherapy, a more recent treatment, to tighten skin.
Ultherapy can lift and tighten deep layers of skin and underlying muscles when used on the neck.
Ultherapy is a fantastic way to visualize what a surgical neck lift would look like before you commit to the treatment.
Within two to three months of using Ultherapy, the majority of patients perceive an improvement in the condition of their skin.
Ultherapy increases collagen production in the skin, similar to other non-surgical skincare procedures, for a visibly smoother, younger-looking neck.
Find out more about Ultherapy here

treatment using a fractional CO2 laser.
Neck skin quality and tone can be improved by fractional CO2 lasers, and the effects are long-lasting.
Because they are so successful in treating more severe skin aging indications, fractional CO2 lasers are regarded as the gold standard for skin resurfacing.
Fractional CO2 lasers can boost collagen in the neck without causing any harm to the tissues around it since they heat the skin from deep within.
Additionally, these lasers need less recovery time because they are fractional, which means that the laser is spread out over the skin in “fractions.”
Brands of popular fractional CO2 lasers include Fraxel and MiXto Pro.

Top Facial Plastic Surgeon Near Me

Patients benefit from a special combination of significant training and experience in cosmetic and reconstructive surgery of the face, head, and neck provided by facial plastic surgeons at The Portland Center For Facial Plastic Surgery. This combination gives patients a full awareness of the architecture and functions of the head, neck, and face, enabling each patient to decide what they want to achieve with facial plastic surgery.

Because of their high impact locations and the fact that they house the majority of our sensory systems, the face, head, and neck are crucial areas for precise reconstruction during facial plastic surgery procedures. The Portland Center For Facial Plastic Surgery facial plastic surgeons specialize in treating the face, head, and neck and gain specialized knowledge from the concentrated experience they have performed everything from intricate reconstructive surgeries caused by cancer, trauma, and accidents to a full range of cosmetic procedures like eyelid surgery and mini facelifts.

cosmetic facial surgery

The visual form and function are corrected or restored by cosmetic surgery.
Facial plastic surgeons at Washington University provide the following services:

Blepharoplasty (eyelid surgery)


Surgery to elevate the brow and forehead


a little facelift

Neck raise

Otoplasty (ear surgery)

Rhinoplasty (nose surgery)

Revisionary nose surgery

Services for non-surgical rejuvenation

Board-certified facial plastic surgeons at Washington University are specialists committed to restoring your young appearance, including by removing lines, lessening wrinkles, increasing texture, and more.
Among our non-surgical rejuvenation options are:

wrinkle fillers for cosmetic use

injections of BOTOX®


cosmeceutical face peels

Resurfacing with laser

eyelash thickening LatisseTM

Lip enhancement Skincare items

surgery to restore the face

By restoring or repairing a deficiency or abnormality in a physical function, reconstructive surgery of the head and neck is used to treat the physical effects of disease, birth defects, trauma, illness, or a congenital problem.

Our offerings for facial reconstruction surgery include:

reconstruction after facial trauma

implants in the face

Face re-energization

Skin cancer reconstruction and surgery

revision of scars

scar concealment

Facial Plastic Surgery Near Me

How is a rhinoplasty treatment carried out?

The steps involved in rhinoplasty surgery are as follows:

First step: anesthesia

During the surgical procedure, you will receive medication for comfort.
General anesthesia or intravenous sedation are the options.
The option that is ideal for you will be advised by your doctor.

Step 2: Making the cut

An open rhinoplasty involves making an incision across the columella, the thin strip of tissue separating the nostrils, as opposed to a closed rhinoplasty, which conceals incisions inside the nose.

The skin covering the nasal bones and cartilages is gradually elevated through these incisions, providing access to alter the nose’s structure.

open columella-crossing incision during rhinoplasty

Step 3: Reshaping the structure of the nose

Bone or cartilage removal may be used to constrict an excessively big nose.
In some cases, cartilage grafts may be added during nose surgery.

The cartilage most frequently used for this purpose comes from the septum, the partition in the middle of the nose.
On rare occasions, a piece of rib cartilage or ear cartilage can be used.

Correcting a deviated septum in Step 4

To enhance breathing, a deviated septum can be straightened and the protrusion inside the nose can be diminished.

Closing the incision is step five.

The nasal skin and tissue are redraped, incisions are closed, and the nose’s underlying structure is moulded into the desired shape.

To change the size of the nostrils, further incisions may be made in their folds.

Step 6: Examine the outcomes

Splints and gauze packing may be used to support the nose for a few days as it starts to mend.
Find out more about the outcomes of rhinoplasty.


Facial Plastic Surgery Near Me

Facial Plastic Surgeon Near Me

Seattle Washington

In Seattle’s compact Downtown, skyscrapers overlook Elliott Bay.
Pike Place Market, with its diverse restaurants and food stalls, attracts shoppers who want to buy local crafts and produce, as well as visit big-name stores like Nordstrom.
The Seattle Aquarium and a giant Ferris wheel are located on the busy Central Waterfront, while the Seattle Art Museum and the 1928 Paramount Theatre are located in the surrounding city.

The central business district of Seattle, Washington is known as downtown.
Due to its geographical location, which is hemmed in on the north and east by hills, on the west by Elliott Bay, and on the south by reclaimed land that was once tidal flats, it is relatively compact compared to other city centers on the US West Coast.
It is bordered on the north by Denny Way, which is followed by Lower Queen Anne (also known as “Uptown”), Seattle Center, and South Lake Union; on the east by Interstate 5, which is followed by Capitol Hill to the northeast and the Central District to the east; on the south by S Dearborn Street, which is followed by Sodo; and on the west by Elliott Bay, which is part of Puget Sound.

Downtown Seattle’s main neighbourhoods include Belltown, Denny Triangle, the shopping center, the West Edge, the financial district, the government district, Pioneer Square, Chinatown, Japantown, Little Saigon, and the western flank of First Hill west of Broadway.
The Metropolitan Tract, which is owned by the University of Washington and operated as the university’s campus prior to 1895, is located near the heart of downtown.
Seattle’s financial and commercial maritime hub, as well as its nightlife and shopping district, is located downtown.
A monorail connects Westlake Center, a downtown shopping mall, to Seattle Center.

The Columbia Center in downtown Seattle has 76 floors, more than any other building west of the Mississippi River (although there are taller buildings in Texas and California).
Smith Tower, located in the Pioneer Square neighborhood, was once the tallest building west of the Mississippi.
The Washington Mutual Tower, Two Union Square, Nordstrom’s flagship store, Benaroya Hall, the Seattle Central Library designed by Rem Koolhaas, and the main building of the Seattle Art Museum (built 1991, enlarged 2007) with a main facade designed by Robert Venturi are among the other prominent structures.
Westlake Park, Freeway Park, and Victor Steinbrueck Park are among the city’s parks.

In April 1852, the Denny Party traveled across the then-named Duwamish Bay to a low-level marsh with a protected deep-water harbor, roughly in the city’s Pioneer Square area, after leaving ‘New York Alki.’ ‘Duwamps’ was the name given to this new frontier. In the late 1850s, what is now Downtown Seattle became the city’s primary residential outskirts. The commercial district was relocated to the city after the Great Seattle Fire. Beginning about 1876, some of the city’s hills in the downtown area were regraded.

With an estimated employee population of 243,995 in 2013, downtown Seattle is the largest employment center in the Puget Sound area, accounting for half of the city’s jobs and 21% of King County jobs., Nordstrom, and Expeditors International are among the Fortune 500 firms with headquarters in Seattle.

While Seattle was built in the mid-nineteenth century and has a history dating back to the gold rush, it is a surprisingly modern metropolis with only around two dozen historic buildings within its borders.
What DT Seattle lacks in historical structures, it more than makes up for with skyscrapers, including one with a whopping 76 stories.

Seattle may be the birthplace of Starbucks, but there’s more to do in Downtown Seattle than sipping coffee. Downtown Seattle has a unique waterfront that serves both social and industrial purposes, facing out onto the vast expanse of Eliot Bay. While spinning on one of the US’s largest Ferris wheels, watch cargo ships being prepared, or walk along the pier and pause for a seafood feast before getting your palm read under the glassy-eyed gaze of shrunken heads.

Downtown Seattle can only be defined in one word: eclectic.

Portland Face Doctor

The Pain of Facelift Surgery
The perfect way to choose whether a facelift is appropriate for you is to consult a board certified cosmetic surgeon. It is not often a painful encounter for the individual. Finding a Facelift for the Right Reasons While obtaining a facelift may force you to seem more likeable,’ you ought to think carefully about the procedure before making the last choice to commit.
The Good, the Bad and Facelift Surgery

Review our postoperative instructions to find out more about what things to expect following your facelift. Even though a facelift can produce a dramatic difference in the contours of your face, it can’t tackle some facets of skin texture. A mini facelift takes approximately two hours to finish, depending upon your special treatment program.

The Start of Facelift Surgery

If you’re considering a facelift, it is particularly important to choose a surgeon who performs facelifts frequently and delivers consistently excellent outcomes. A facelift can be combined with different procedures like Fat Transfer, Blepharoplasty or Browlift to enhance the look of the eyes during exactly the same surgery. The SMAS facelift might take several hours to finish, depending upon the degree of the process.

Contact this Portland Face Doctor today.

Plastic Surgery Portland Oregon Costs

What is surgery on the eyelids?

The appearance of the upper, lower, or both of the eyelids can be improved with eyelid surgery, sometimes referred to as blepharoplasty.
It gives the region around your eyes a refreshed appearance, making you appear more relaxed and awake.
In blepharoplasty, sagging eyelids are fixed by removing extra skin, muscle, and fat.
Your eyelids spread as you become older, and the muscles that hold them in place are weaker.
As a result, extra fat may collect above and below your eyelids, resulting in drooping upper lids, bags beneath your eyes, and sagging brows.
Significantly drooping skin around your eyes might reduce your peripheral or side vision in addition to making you look older.
Such vision impairment can be lessened or eliminated through blepharoplasty.
Find out what outcomes you can reasonably expect and take the time to research the advantages and disadvantages of blepharoplasty to help you determine if it is the correct operation for you.

Short Facts

By reducing extra fat, skin, and muscle, you can treat puffy bags beneath the eyes and drooping upper eyelids.


Local anesthesia combined with sedation
sometimes general, usually outpatient

temporary discomfort, eyelid constriction, swelling, and bruises.
eyes that are momentarily dry, stinging, and itchy.
excessive ripping and light sensitivity throughout the initial weeks.

RISK: Temporary double or blurry vision; vision impairment (extremely rare.)
Whiteheads and swelling around the corners of the eyelids.
slight asymmetry in the scarring or healing process.
Having trouble fully closing your eyes (rarely permanent).
Lower lids are pulled down (may require further surgery)

RECOVERY: You can resume your normal daily activities right away.
In 5 to 7 days, you can resume light duty (no lifting more than 10 pounds).
For three weeks, refrain from making any jerky motions with your upper body.

REPEAT: Restart exercise at a third-week intensity.
Low-impact exercises at a third of the recommended time, weight, and repetitions.
60% intensity after six weeks.
8 weeks of full intensity with high impact (running, riding a horse, high impact aerobics)

READY: Two to three days

PERIOD OF CONTACT: Two weeks or longer.

BRUISER: two to four weeks

4 to 6 weeks, Mild to Subtle
2 to 3 months, depending on how extensive the operation is (s).

PERIOD of RESULTS: Several years.
occasionally permanent

First 3 to 5 days, second 5 to 14 days.

Number of office visits anticipated: 2 to 3 in the first 3 months, then 6 months, then yearly

N/A PAIN MEDICINE: Ibuprofen or narcotics as necessary

Considerations for Eyelid Surgery

Adult men and women with healthy face muscles and tissue who also have realistic goals for improving the upper and/or lower eyelids and the surrounding area are typically candidates for blepharoplasty surgery.
The following conditions may suggest that you are a candidate for eyelid surgery:

upper eyelids that are baggy or swollen.

extra skin covering the fold of the upper eyelid.

upper eyelid sagging noticeably.

Lower eyelids that are drooping could allow the eye’s white to appear below the iris.

pockets of fat and extra skin beneath the eyelids.

‘Dark circles’ or hollows around the lower eyelids.

Upper eyelid surgery advantages

Sagging, drooping eyelids can compromise eyesight in addition to being an unsightly visual feature.
Surgery on the upper eyelids is done to get rid of extra skin, fat, and tissue that is blocking part of the eye.
This method’s ultimate objective is to provide a perceptive and alluring aesthetic while enhancing vision for a higher quality of life.
Additionally, this process can make applying and wearing glasses, contact lenses, and eyeglasses much more comfortable. rhinoplasty

Portland Plastic Surgery

A facelift or necklift is what?

A facelift is a surgical operation designed to reduce the obvious indications of aging in your face and neck, which are the characteristics that people will notice the most.
In general, a facelift addresses the lower two-thirds of the face, while the upper one-third can be addressed by combining it with a brow lift and/or eyelid surgery.
A facelift is intended to freshen and revitalize the appearance of the face without altering a person’s features.
Because it is tailored to your unique traits, a facelift is a common cosmetic procedure.
To achieve the best results, our surgeons determine which features of each patient’s face need to be changed individually.

Short Facts

The facelift has changed over the previous five to ten years, and Boulder Plastic Surgery goes to great lengths to guarantee that every facelift treatment yields results that last.
The following information will offer you a decent indication of what to expect from your facelift case, even if every facelift case is slightly different from the next.

Duration: 3 to 4 hours

Light general anesthesia, typically performed on an outpatient basis.
Some people could need only a brief hospital stay.

Temporary bruising, swelling, numbness, discomfort, tightness, and skin dryness are among the side effects.
Men with facial hair may need to shave behind their ears since facial hair causes the skin to move.

Recovery: After 10–14 days, patients can return to work, and the first 2–4 weeks are when the skin may look better.
In the first six months, there will be a subtle improvement in the skin’s appearance.

Resuming low-intensity and moderate-intensity exercise is possible for patients after three and six weeks, respectively.
Closer to 8 weeks may be the time for patients to begin vigorous activity.

Improvement of the scar and fading: 6–12 months.

Moderate swelling throughout the first four weeks.
a little edema two to three months following the facelift.
Swelling, however, is based on how much of a facelift was performed.

Results often last between five and ten years.

First office visit occurs 24 hours following the operation.
Within five days of the procedure, the second visit should be scheduled.
There should be a total of 7–10 appointments in the first 3 months, followed by visits every six months to a year.

Wear a neck strap for four to six weeks.

Ibuprofen and sedatives should be taken as prescribed for pain.

Considerations for Facelifts

Facelift techniques have evolved over time from simple skin tightening that gave patients the appearance that their faces were being pushed back to more intricate deeper plane lifting methods that lift and rearrange the facial features in a way that is far more natural-looking.
Despite the fact that a facelift can tighten loose skin, it won’t affect the skin’s texture.
Consider skin-resurfacing operations in addition to a facelift if you have acne scars, age spots, wrinkles around the mouth, sun damage, uneven skin tone, and/or creases caused by acne.
The following circumstances may suggest that facelift surgery is a good choice for you:

There is drooping and loose facial skin.

Deeper wrinkles are developing below the lower eyelids, under the chin, and around the lower lip.

a prominent fold or line that connects the corners of your mouth and nose.

Jowls or a lack of a distinct jawline

Your neck may have loose skin, wrinkles, or vertical bands of skin.

excessive neck fat

Combining a facelift with other facial cosmetic operations, such as a brow lift or eyelid surgery, can result in a more well-rounded, organic renewal.

Options for a facelift might differ significantly depending on the patient’s particular needs and aspirations.
There are numerous methods available today that produce results that are consistently dependable and long-lasting.
A classic facelift often entails an incision in your hairline that begins at your temples and extends through your hairline and sometimes into your scalp to the back of your ears.
To enhance the appearance of your neck, a cut may be performed beneath the chin.
For younger patients who are exhibiting early signs of aging, a limited-incision facelift may potentially be an option.
With fewer incisions and quicker healing than a standard facelift, it offers the same benefits.
Starting at your temples and moving down and around the front of your ears, our surgeons will make a series of small incisions in your hairline.
During your consultation, our surgeons will go over these possibilities.
The deeper layers of the face are “lifted” when varying degrees of skin undermining are done following the incisions.
It is possible to do neck and jowl liposuction in addition to muscle tightening.
The surplus skin will then be trimmed down, giving the area a more youthful and natural appearance. The skin will then be draped over the new contours.

We can perform a minor facelift on people who have good skin texture, elasticity, and little extra skin to improve their appearance and help them look youthful.

A little facelift is what?

With fewer comprehensive steps than a regular facelift, a small facelift is a special surgery that can support a young appeal.
This method works well for people with very little to no excess skin that needs to be removed and very moderate jowling.
Very little to no deeper underlying tissues must be accessed during a micro facelift in order to get the desired outcomes.
Additionally, there usually isn’t much scarring left behind.

Rhinoplasty Specialist in Oregon

Your nose is front and center when it comes to how you look and feel about yourself.
You’re not the only one who feels that their nose doesn’t “fit” with their face because of its size, shape, or other features.
The top five invasive cosmetic surgery procedures include rhinoplasty, according to the American Society of Plastic Surgeons.

Is rhinoplasty appropriate for you, then?
Rhinoplasty, also known as a “nose job,” when carried out by a trained, certified cosmetic surgeon, can significantly improve both your appearance and health.

Here are a few of the most popular justifications for rhinoplasty.
If any of these apply to you, a nose job might be the best option.

You have trouble breathing.

An aesthetic problem with your nose might occasionally result from a medical problem.
Think about the potential that you might have a deviated septum if you experience persistent congestion or breathing difficulties (which can cause a structural nasal problem that may also create a misshapen nose).

The nasal cavity is divided in half by a cartilage wall called the septum, which is located between your two nostrils.
The right and left sides of the nose’s septum should have an equal channel that is centered in the nose.
A deviated septum, which develops when the septum moves away from the midline, can lead to both aesthetic concerns and breathing problems.
This can be fixed through rhinoplasty, which will allow you to breathe normally and give you a lovely, smooth profile.

You have a hump, a hook, a bigger or crooked nose, or another ugly feature.

You might be a fantastic candidate for rhinoplasty if you’ve ever wanted your nose was smaller or straighter or if you’ve never believed it looked proportionate to the rest of your face.
Cosmetic issues including a hump, a hook, a wide nose, a thick or bulbous tip, or nostril size and position can all be addressed by the operation.
Additionally, rhinoplasty can help with any cosmetic problems brought on by trauma or injury.

You want a nose that will better fit your face since you’re unhappy with the way you look.

A nose job will offer you a gorgeous revision that will be a lovely addition to your face even though it won’t make your nose “perfect.”
Your nose job will be particular to you, your face, and the objectives of the treatment.
Rhinoplasty is intended to accentuate your true beauty and produce a result that blends in with your distinctive face traits.

The Portland Center For Facial Plastic Surgery is thrilled to assist you in achieving the appearance of your dreams, which may also aid with breathing difficulties, persistent congestion, or pain from an accident.
We can assist you, whatever your motivation for considering rhinoplasty may be!

Schedule a free appointment if you’re interested in learning more about rhinoplasty and finding out if you’re a good candidate for the treatment.

rhinoplasty treatment





Only a trained plastic surgeon can identify the best course of action for you.

Rhinoplasty Specialist in Oregon

Facial Plastic Surgeon near Tigard Oregon

How Rhinoplasty Works

A rhinoplasty is a surgical procedure that modifies the nose’s form.
The purpose of rhinoplasty may be to alter the nose’s appearance, enhance breathing, or both.

The structure of the nose is composed primarily of cartilage at the bottom and bone at the top.
Bone, cartilage, skin, or all three might be changed during rhinoplasty.
Discuss the benefits of rhinoplasty and whether it is right for you with your surgeon.

Your surgeon will take into account your other facial characteristics, the skin on your nose, and the changes you want to make while planning a rhinoplasty.
Your surgeon will create a unique strategy for you if you are a candidate for surgery.


Insurance may cover all or a portion of a rhinoplasty.


Why is it done?

Your nose’s size, shape, or proportions can be altered by rhinoplasty.
It might be carried out to fix congenital defects, heal injury-related abnormalities, or ease breathing problems.


As with any significant procedure, rhinoplasty has risks, including the following:

Infection in Bleeding

a negative response to the anesthetic

In addition, but not only, there are additional potential dangers associated with rhinoplasty

breathing through your nose is challenging.

Numbness that lasts forever in and around your nose

the potential for a nose that looks uneven

persistent pain, discolouration, or edema


There is a septal hole (septal perforation)

a requirement for more operations

How these hazards affect you should be discussed with your doctor.

How you get ready

You must consult with your surgeon to establish whether rhinoplasty is likely to be successful for you before making an appointment.
This gathering often consists of:

your medical background.
Your doctor will mostly inquire about your reasons for undergoing surgery and your objectives.
Your doctor will also inquire about your medical background, including any operations, nasal obstructions, and drugs you may be taking.
You might not be a candidate for rhinoplasty if you have a blood problem like hemophilia.

a medical checkup.
A thorough physical examination, including any necessary laboratory tests like blood testing, will be performed by your doctor.
He or she will also check your nose’s interior and outside, as well as your facial features.

The physical examination assists your doctor in determining what modifications are necessary and how physical characteristics, such as skin thickness or the durability of the cartilage at the tip of your nose, may affect the outcome.
Determining how rhinoplasty will affect your ability to breathe depends on the results of the physical examination.

Your doctor’s office will take pictures of your nose from various perspectives.
In order to demonstrate the types of outcomes that are possible, your surgeon may modify the photographs using computer software.
These images will be used by your doctor for long-term evaluations, before-and-after comparisons, and surgical reference.
Most significantly, the photographs provide a detailed discussion of the surgical objectives.

an examination of your hopes.
You should discuss your goals and expectations with your doctor.
He or she will go over what rhinoplasty can and cannot do for you, as well as potential outcomes.
It’s common to experience some self-consciousness when talking about your appearance, but it’s crucial that you are honest with your surgeon about your preferences and surgical goals.

If you have a small chin, your surgeon might discuss chin augmentation surgery with you.
This is due to the fact that a small chin will give the appearance of a larger nose.
In some situations, chin surgery is not necessary, although it could help to better balance the facial profile.

If you’re having an outpatient surgery, you’ll need to make arrangements for transportation after the procedure is planned.

You can experience memory lapses, reduced reaction time, and poor judgment in the initial days following anesthesia.
So make plans for a family member or friend to spend one or two nights with you so they can assist with personal care as you heal from surgery.

medicines and food

For two weeks before and after surgery, refrain from taking any aspirin- or ibuprofen-containing drugs (Advil, Motrin IB, etc.).
These drugs might make bleeding worse.
Take just the meds that your surgeon has approved or prescribed.
Also, stay away from over-the-counter vitamins and herbal medicines.

Stop smoking if you do.
Smoking hinders the recovery from surgery and increases your risk of developing an infection.

What to anticipate

There is no set sequence of procedures for rhinoplasty.
Every surgery is special and tailored to the patient’s personal anatomy and objectives.

In the operating room

Depending on how complicated your procedure is and what your surgeon chooses, rhinoplasty involves either local anesthetic with sedation or full anaesthetic.
Before having surgery, discuss with your doctor which type of anesthetic is best for you.

sedation and local anesthesia.
Typically, an outpatient setting is when this kind of anesthetic is employed.
It only affects that region of your body.
Your doctor sedates you by administering drugs through an intravenous (IV) line while also administering a pain-killing injection into your nasal tissues.
You feel dazed but not asleep as a result.

general sedation
The anesthesia is administered to you orally or through an IV line that is inserted into a vein in your hand, neck, or chest.
Your entire body is affected by general anesthesia, which renders you unconscious throughout surgery.
A breathing tube is necessary for general anesthesia.

A small external cut (incision) can be made at the base of your nose, in the space between your nostrils, or within your nose for rhinoplasty.
The bone and cartilage underneath your skin will probably be readjusted by your surgeon.

Depending on the amount that needs to be taken out or added, the structure of your nose, and the materials that are available, your surgeon can alter the form of your nasal bones or cartilage in a number of ways.
The surgeon may utilize cartilage from your ear or from deeper into your nose to make minor adjustments.
The surgeon may utilize implants, bone from other parts of your body, or cartilage from your rib for more significant alterations.
After making these adjustments, the doctor closes the incisions in your nose and replaces the skin and tissue.

The surgeon can also improve breathing by straightening the septum, the wall that divides the two sides of the nose.

You will be in a recovery room following the procedure, where the nurses will keep an eye on your return to consciousness.
If you have further health difficulties, you might stay the night or depart later that day.

after the procedure

To lessen bleeding and edema after surgery, you must rest in bed with your head elevated above your chest.
Because of swelling or from the splints put inside your nose during surgery, your nose may be stuffy.

The internal dressings often stay in place for one to seven days following surgery.
Your doctor may also apply a splint to your nose as support and protection.
It normally lasts for a week or so.

For a few days following the procedure or after the dressing has been removed, there may be some little bleeding as well as mucus and old blood discharge.
A “drip pad,” which is a little piece of gauze taped under your nose to absorb drainage, may be applied by your doctor.
As instructed by your doctor, change the gauze.
Place the drip pad loosely, not right up against your nose.

Your doctor might advise that you take precautions for a few weeks following surgery to further reduce the likelihood of bleeding and swelling.
Your physician may advise you to:

Avoid vigorous exercises like jogging and aerobics.

While your nose is wrapped in bandages, take baths as opposed to showers.

refuse to blow your nose.

To prevent constipation, eat high-fiber foods like fruits and vegetables.
You might strain as a result of constipation, which would put pressure on the surgical site.

Avoid making exaggerated facial gestures like laughing or smiling.

To prevent your top lip from moving too much, softly brush your teeth.

Put on front-fastening clothing.
Avoid pulling items of clothes over your head, such as shirts or sweaters.

In order to reduce strain on your nose following surgery, avoid resting eyeglasses or sunglasses on it for at least four weeks.
Until your nose has healed, you can clip the glasses to your forehead or utilize cheek rests.

Apply SPF 30 sunscreen liberally to your nose when you’re outside.
The skin on your nose could become permanently irregularly colored from too much sun exposure.

Your eyelids may temporarily enlarge or turn blue-black for two to three weeks following nose surgery.
Nasal swelling takes longer to go away.
Consuming less sodium will hasten the swelling’s recovery.
After surgery, refrain from applying anything to your nose, such as ice or cold packs.

Whether you had surgery or not, your nose changes with time.
Because of this, it might be challenging to determine whether you have reached your “ultimate result.”
But after a year, the majority of the swelling has subsided.


Changes to your nose’s structure that are commonly measured in millimeters can have a significant impact on how your nose appears.
A skilled surgeon can typically provide outcomes that both of you are happy with.
However, in certain instances, the small adjustments are insufficient, and you and your surgeon can opt to do a second surgery for more adjustments.
If so, you will need to wait at least a year before having the follow-up surgery because your nose may change over that time.


Rhinoplasty – What You Need to Know

Who do you know who has undergone a rhinoplasty?
People get this surgery for a variety of reasons, including breathing quality and attractiveness.
The act of adjusting one’s nose has many positive effects on one’s health!

A nose job, or rhinoplasty, reshapes the nose to meet an aesthetic or fix a misaligned septum.
Your nose’s soft tissue and cartilage will be worked on by the surgeon.
It is a quick treatment that has the potential to change your life.
Put your faith in the top allergists and sinus specialists in your area if you decide that rhinoplasty is the best course of action for you.

Continue reading if you have any remaining concerns regarding the procedure or your reaction to the outcome.
To make a wise choice regarding your health, arm yourself with all the knowledge you need about rhinoplasty.

The purpose of rhinoplasty

Why do people initially undergo nose jobs?

Many people engage in this activity merely for aesthetic reasons, which is entirely acceptable and beneficial to mental health.
When a hump or tiny bend in the nose is fixed, the person may also have a new nose and improved self-esteem.
The social lives of those who have undergone rhinoplasty for cosmetic purposes have reportedly improved.
Some people even experience greater success at work when they present their best selves!

Additionally, some people get rhinoplasty for physical health reasons.
Your breathing may be affected if you were hit with a dodgeball as a child and are now carrying a deviated septum.
Straightening the nose to improve airflow is one of the goals of rhinoplasty.
Parents may decide to have their child’s nose changed if an injury impacts how they breathe.

Common Issues Resolved

Let’s examine the variety of problems that rhinoplasty can resolve, even if we’ve already discussed a few that it can resolve.

noses that are too broad or turned up

bumps on the nose’s bridge

injured septa with a deviation

chronic rhinitis and breathing issues

birth flaws (children born with cleft palates often undergo this surgery)

nasal polyps blocking the airways

chronic low self-esteem brought on by bullying or teasing

Talk about your doctor about rhinoplasty the next time you have sinus treatment in Houston.
A nose job may be the best option for you if you are dealing with any of the aforementioned concerns.

The Method

Let’s examine what occurs when you choose to have rhinoplasty.

Consulting Period

Simply speaking with your doctor is the first step in your rhinoplasty adventure.
Find a local sinus expert, then inquire as to any plastic surgeons they might employ.
When you arrive for your booked appointment, your doctor will inquire about your objectives.
What goals do you have for rhinoplasty?
Are you considering getting the procedure either for cosmetic or physical health grounds, or maybe both?

The board-certified surgeon will document your nose’s “before” appearance with a few photos.
To plan your new nose, they will need references.
Additionally, they will examine the inside of your nose for any anomalies and go over all surgical risks with you.

They might also provide you with a book or brochure of noses so you can “browse around.”
You’ll be able to say, “That’s the one I want,” while pointing to a particular nose shape.

Surgical Preparation

Your doctor would probably suggest you to give up caffeine, alcohol, and smoking for a month before your rhinoplasty procedure.
Don’t take aspirin, either.

Start setting up your home for a comfortable recovery a week before your procedure.
Create an area where you would feel at ease spending the majority of your time for up to a week.
Make every effort to set up a convenient area that is filled with medical supplies, wholesome snacks, and activities to keep you busy, such games or movies.
After your operation, you won’t want to do any of this since you’ll be worn out!

In the days before the procedure, carefully follow your surgeon’s instructions.
To get ready for the anesthetic, you probably need to fast for a few hours.
Take part in numerous soothing activities to reduce any anxiety you may be experiencing.
Confirm your transportation to and from the doctor’s office in the interim.

The Step-by-Step

Rhinoplasty is frequently performed as an outpatient treatment in one or two hours, so you won’t need to stay in the hospital for recovery.
If you decide to have rhinoplasty surgery, your doctor will go over the different types of anesthesia with you.
You can choose between a local anesthetic (which will make your face numb but leave you awake) and general anesthesia (which will render you unconscious throughout the surgery).

The surgeon will access your nasal tissues by creating a tiny incision in the space between your nostrils in order to remodel and repair your nose.
The inside of your nose is mostly where the operation is done.
The surgeon will gently remove any polyps that are obstructing your ability to breathe if they are present.

Your surgeon might use cartilage from your ear or another bodily component, depending on the specifics of your individual situation, to reconstruct your nose.
This isn’t always the case, though.

Your surgeon will gently reattach your skin and tissues once the repair is complete.
After they close the initial wound between your nostrils, you’re done!
The following phase is awakening.


The medical staff will take you to a recovery room once your rhinoplasty treatment is complete, where they will keep an eye on you when you awaken.
When you’re completely awake, your ride can transport you home so you can relax in the recovery nest you prepared earlier.

You will receive a set of post-op instructions from your surgeon to help with your recuperation.
For a few days, plan on sleeping upright to lessen swelling and enhance drainage.
For the first few days, it’s normal to have some old blood or reddish mucus leak from your nose.
Change your bandages as directed, paying specific attention to the drip pad under your nose.

Do not engage in any strenuous activities or exercise for the first two weeks following your surgery.
Instead of taking a shower, take a bath to protect your bandages.
Eat foods high in fiber and refrain from blowing your nose for a while to prevent constipation.

For the first week, just take it easy as you wait for the swelling to go down and the extra fluid to drain.
Your new nose will be healed and prepared to be displayed to the public in a few weeks!

Keep this information close at hand if you’re debating whether rhinoplasty is the best option for you to get a sense of what the procedure entails.
Nasal surgery is the area of expertise for a group of skilled and sympathetic doctors at Allergy & ENT Associates.
You can discuss your options with your doctor right now now that you are aware of everything there is to know about rhinoplasty.


facial plastic surgeon


Things to do in Portland Oregon

The city of Portland is the biggest in the Oregon State. At the starting of the twenty century the city was famous to be one of the most risky port cities in the globe with planned crime and racketeering being general place. This status is now in the past and the Portland has been picked as the eight most famous city in America.

The city is extremely conscious of its effect on the atmosphere and is one of the greenest cities in the globe. Many people here cycle more than they drive, perform a lot of walking and participate in farm to table dinning.
Let’s explore the top things to do in Portland.

Many travelers, critics, and locals agree that of all of Portland’s park, Washington park is definitely the best. Home to such famous landscaping feats as the international Rose test garden and Japanese garden, as well as the Hoyt Arboretum, World Forestry Center, and 4 memorials dedicated to pivotal points in Oregon’s history.
There are also family-friendly attractions like Portland Children Museum, Oregon Zoo along with a big playground, tennis court, soccer fields, and an archery range. Just ensure you have lots of time for a leisurely stroll down one of the many cool paths, which are generally decorated with fountains and flower displays.

Pittock Mansion
This place is sat in the hills to the west of Portland and it is a charming home that is absolutely value a visit. The Mansion was built in 1909 as the house of Henry Pittock and his wife. The mansion has forty six rooms and sits within forty six acres of land. The property is now owned by the Oregon city. The mansion was unlocked to the public in 1965 and about 80,000 people visit this place each year. The home sits at one thousand feet on top of sea level making it remarkable for bird watching.

Pioneer Courthouse Square
This plaza marks the meeting point of Portland business, shopping and cultural places, meaning that it is often used as a connection place for visitors and residents alike. Here you will find a range of shops and Visitors’ Center Portland, as well as few food industries providing supplies for picnics.
Two other must-view attractions in this place are the waterfall fountain outside the Pioneer Courthouse and visitors center, which is the oldest public building in the Northwest pacific. Guests say it is a public meeting location that is generally quiet unless there is an event going on.

Portland International Raceway
If you love motor racing then you should not miss a chance on a tour to city famous international Raceway. The path is 1.97 miles in length and places on more than five hundred and fifty events a year. Normal events at the track contain motor cross, drag racing, road racing, cruise-ins and auto racing.
Center for Holocaust Education
The center for holocaust education and Oregon Jewish Museum is a best place to visit if you want to better your education of the events that took place during the holocaust. It the biggest museum of its type in the USA and amazing location to visit.

Here is a map to The Portland Center For Facial Plastic Surgery from Oregon City.

The Portland Center For Facial Plastic Surgery is located at 18650 NW Cornell Rd Suite 324A, Hillsboro, OR 97124

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Directions from Washington County, Oregon

The Portland Center for Facial Plastic Surgery

Washington County is one of the 36 counties that make up the state of Oregon in the United States. The county had a population of 529,710 people according to the 2010 United States Census, making it the state’s second most populated county. Hillsboro is the county seat and largest city. The Portland metropolitan area includes Washington County. Washington County is one of the 36 counties that make up the state of Oregon in the United States. The county had a population of 529,710 people as of the 2010 United States Census, making it the state’s second most populated county. Hillsboro is the county seat and largest city. Cities in Washington County include Hillsboro, Beaverton, Tigard, Cornelius, Banks, Gaston, Sherwood, North Plains, and Forest Grove, the county’s oldest city. Small portions of Interstate 5 and Interstate 205, the Sunset Highway, Oregon Route 217, Oregon Route 47, Oregon Route 10, Oregon Route 6, and Oregon Route 8 are among the county’s main highways. TriMet is the primary provider of public transit, which includes buses, the Westside Express commuter rail, and MAX Light Rail.

The county has a total area of 726 square miles (1,880 km2), of which 724 square miles (1,880 km2) is land and 2.2 square miles (5.7 km2) (0.3 percent) is water, according to the US Census Bureau. It’s about a 20-mile (32-kilometer) drive west of Portland. The county is divided in half by the Portland Metro Urban Growth Boundary (UGB). South Saddle Mountain, at 3,464 feet, is the county’s highest point.

The Portland metropolitan area includes Washington County.

Directions from Tanasbourne, Hillsboro, OR

Tanasbourne is a neighborhood in Washington County, Oregon, located at the intersection of NW 185th Avenue and the Sunset Highway.
It is part of the metropolitan area of Portland.

Hillsboro, OR
Head southwest on NW 194th Terrace/NE Amberglen Pkwy toward NW Venetian Dr
0.3 mi
Turn left onto NE Cornell Rd
0.6 mi
Turn right
Destination will be on the right

Plastic Surgery Procedures Available

The Portland Center for Facial Plastic Surgery
Rhinoplasty Surgery in Portland Oregon
Eyelid Surgery


Directions from Tigard, OR

Get on OR-217 N
5 min (2.1 mi)
Head northeast on Pacific Hwy W toward Pacific Hwy W
Pass by Papa Murphy’s | Take ‘N’ Bake Pizza (on the left in 0.4 mi)
1.8 mi
Turn right to merge onto OR-217 N toward Beaverton
0.3 mi
Continue on OR-217 N. Take US-26 W/NW Sunset Hwy to NW 185th Ave. Take exit 64 from US-26 W/NW Sunset Hwy
12 min (10.9 mi)
Merge onto OR-217 N
5.8 mi
Use the left 2 lanes to merge onto US-26 W/NW Sunset Hwy toward Seaside
4.8 mi
Take exit 64 for 185th Ave toward P.C.C- Rock Cr
0.2 mi
Use the left lane to keep left at the fork and follow signs for Hillsboro/Beaverton
118 ft
Continue on NW 185th Ave to your destination
3 min (0.8 mi)
Turn left onto NW 185th Ave
0.3 mi
Turn right onto NE Evergreen Pkwy
0.1 mi
Turn left onto NE 106th Ave
0.3 mi
Turn left onto NE Cornell Rd
459 ft
Turn right
Destination will be on the right

The Portland Center for Facial Plastic Surgery

Closed Rhinoplasty for droopy tip repair

Dr. William Portuese, a facial plastic surgeon, encounters a number of diseases that can cause a droopy nose and add to the appearance. A droopy nasal tip may be to blame for the “hang-down” appearance, or there may be a more general issue made worse by structural problems further up the nose.

For example, a nasal hump can cause lines to flow from the middle of the nose to the tip, accentuating a droop even more.

Droopy Nose Rhinoplasty Consultation

Patients will meet with a plastic surgeon for a consultation prior to any drooping nose rhinoplasty in order to go over their surgical goals and ask any questions they may have regarding the surgery.

In order to demonstrate each patient what rhinoplasty outcomes might appear like on their own face, digital imaging is employed to create virtual before and after photographs during this session. They can see firsthand the potential benefits of rhinoplasty and the effect a straighter nose would have on the face.

Droopy Nose Surgery


After evaluating the nose, Dr. William Portuese chooses a suggested line of action.
He works closely with each patient to understand their goals for rhinoplasty and thoroughly describes the procedure. With more than 30 years of rhinoplasty experience, he can manage a variety of issues and aims and tailor the procedure to the individual patient.

In order to fix a droopy nose, the doctor will conduct a rhinoplasty after the initial consultation and preoperative procedures.

To prevent future droopiness, he will rotate or lift the nasal tip, then add or rebuild support with cartilage taken from the patient.

Rhinoplasty can simultaneously minimize a nasal hump and an oversized nose.
In some instances, the two surgical procedures go hand in hand because cartilage removed from the nose to reduce its size can later be used to strengthen the nasal tip.

The end result of a drooping nose rhinoplasty is to create a nose that doesn’t emphasize any one particular feature and fits naturally and proportionately in the face.


Droopy Tip Rhinoplasty Recovery


Patients will need a few weeks to recuperate from droopy tip rhinoplasty. Patients can anticipate wearing an outer splint for roughly a week and a light dressing for a day.

For the first two to three weeks after surgery, patients should refrain from engaging in any physical activity that could cause a physical blow to their healing nose.

Swelling and bruises will progressively go away throughout this period.
Although the surgery’s outward indications disappear in a matter of weeks, interior healing could take up to a year.

Every crooked nose rhinoplasty patient receives aftercare instructions from The Portland Center For Facial Plastic Surgery, along with information on how to recognize uncommon potential problems including bleeding and infection.

Closed Rhinoplasty to Narrow a Wide Nose | Rhinoplasty For Wide Nose

A rhinoplasty procedure can accomplish narrowing wide nasal bones with osteotomies. The osteotomies allow the entire bridge line composed of the wide nasal bones and the corresponding wide upper lateral cartilages to be narrowed from their pre-existing wider position. After performing medial and lateral osteotomies in the nasal bones, a cast is applied across the bridge of the nose and is usually left intact for one week. Anticipate 2 weeks of visible bruising and swelling from the procedure itself. The sutures placed on the inside of the nose with closed rhinoplasty are all dissolvable. It’s also important to make sure the tip of the nose balances with the new bridge line, so in many instances, some type of tip surgery may be required. To narrow the nasal tip requires a conservative cartilage removal or suture techniques called intra-domal or inter-domal sutures, which can narrow the nasal tip. It’s important that all of the components of the nose including the nasal bones, upper lateral cartilages, and the lower lateral cartilages of the nasal tip balance with themselves. To narrow wide nostrils requires an alar-plasty, which can be accomplished with an incision at the base of the nostril sill for very wide nostrils, or an internal incision if the amount of narrowing is minimal. To close the alar-plasty incision usually requires 2 types of sutures to hold the incision together underneath the skin with dissolvable sutures and a meticulous skin layered closure so that the incision heals inconspicuously.


Many nose job procedures require a dorsal hump reduction. The dorsal hump is composed of cartilage and bone and it must be shaved down in order to remove it successfully. The removing of the dorsal hump creates an open roof, and a flat-top nasal deformity which also has the appearance of a very wide nose. Osteotomies of the nasal bones are definitely required for each time the dorsal hump is removed. Osteotomies performed on the nasal bones allow closure of the open roof deformity to give a very balanced nose. It’s also important that the nose looks balanced from all angles, since it is a three-dimensional structure. Some patients also require small spreader grafts placed underneath a concave upper lateral cartilage once the dorsal hump has been removed. These grafts are placed through a small incision at the septal angle and inserted underneath the perichondrium and periosteum of the nasal septum to bolster and support the upper lateral cartilages and prevent them from falling inwards. Portland Facial Plastic Surgeon Dr. Portuese performs closed rhinoplasty to accomplish narrowing a wide nose under general anesthesia by a board-certified physician anesthesiologist. The procedure is performed in a state of the art in a Medicare Certified, Outpatient Ambulatory Surgery Center. The center is also a licensed by the Department of Health in Washington State. Call today for rhinoplasty for wide nose.