The Portland Center For Facial Plastic Surgery
Hillsboro - Portland Oregon
The Portland Center for Facial Plastic Surgery ™
 10690 NE Cornell Rd. Suite 324A, Hillsboro, OR 97124 503-899-0006
twitter facebook google pinterest blogger instagram yelp youtube

All Surgery Performed in
the Seattle Location

Only Offering
Virtual Consultations

A person has various reasons for getting a rhinoplasty surgery. It may be to improve breathing or cosmetically enhance their nose. Sometimes it may be needed to fix deformities that were caused by birth defects or trauma. Before undergoing rhinoplasty, a person has to discuss the purpose of the surgery with the surgeon and disclose any medical history. People with bleeding disorders, for example, should not have the procedure.

A deviated septum can make it impossible to breathe through one side of the nose. This is where rhinoplasty comes into play. The surgery can correct this problem and allow the patient to breathe through both sides of their nose. In severe cases, the deviated septum may have caused problems with other bodily organs and may warrant rhinoplasty surgery. This procedure can also be performed if a person has a tumor on the brain.

A rhinoplasty procedure can be performed in the doctor’s office, a surgical facility, or a hospital. Patients can undergo the procedure under local or general anesthesia. Local anesthesia numbs the area around the face. It can make you feel groggy after the procedure, while general anesthesia renders the patient unconscious. Children are generally given general anesthesia. For this reason, a person should discuss any medical history with his or her provider before having the procedure.

Cosmetic rhinoplasties are primarily motivated by the need for facial harmony. The idea is to create an attractive face that balances all facial features. The shape of the nose may distract others or cause imbalance. Some people seek rhinoplasty to address breathing problems. Those who wear glasses or have difficulty breathing may also undergo the procedure to correct this problem. Ultimately, a person should be happy with the final results of a rhinoplasty procedure.

Before getting rhinoplasty surgery, it is essential to select a skilled cosmetic surgeon who understands the anatomy of the nose. The surgery requires a qualified plastic surgeon who is board certified in facial plastic and reconstructive surgery. The American Board of Plastic Surgery (ABFPRS) accredits cosmetic surgeons. This certification assures the surgeon’s skill level and his knowledge of the nose, which is one of the most important organs in the face.

The price of rhinoplasty depends on a number of factors, including location, surgeon, and extent of surgery. It can range from $5,000 to over $15,000, so choosing a surgeon that charges a lower rate is wise. A double board certified facial plastic surgeon is likely to charge a higher fee than a non-double-board certified surgeon. If the surgeon charges less than average, you should consider another doctor.

Rhinoplasty (RIE-no-plas-tee) is a nose surgery that alters the shape.
Rhinoplasty may be performed to enhance breathing, change the look of the nose, or both. The upper part of the nose is made of bone, while the lower part is made of cartilage. Rhinoplasty can alter bone, cartilage, skin, or all three at the same time. Consult your facial plastic surgeon Dr William Portuese to see if rhinoplasty is right for you and what it may accomplish.

Your facial plastic surgeon will evaluate your other facial characteristics, the skin on your nose, and what you want to change while considering rhinoplasty. If you’re a surgical candidate, your surgeon will create a unique treatment plan for you. Insurance may cover some or all of a rhinoplasty procedure.

Why is it done this way?

The size, shape, and proportions of your nose can all be altered through rhinoplasty. It may be used to fix abnormalities caused by an injury, cure a congenital condition, or alleviate breathing problems.


Rhinoplasty, like any major surgery, carries risks such as:

  • Infection with Bleeding
  • An anesthetic reaction that isn’t good
  • Breathing through your nose is difficult.
  • Numbness in and around your nose that doesn’t go away
  • There’s a chance you’ll end up with a nose that’s crooked.
  • Persistent pain, discolouration, or swelling


The septum has a hole in it (septal perforation) Additional surgery is required. Consult your doctor about how these dangers may affect you.

How do you get ready?

You must consult with your surgeon before scheduling rhinoplasty to discuss critical criteria that will determine if the procedure is likely to perform well for you.
The following items are usually discussed at this meeting:

Your medical background.
Your doctor’s most crucial question will be about your reason for surgery and your objectives.
Your doctor will also inquire about your medical history, including any nasal obstructions, surgeries, and drugs you are currently on.
You might not be a good candidate for rhinoplasty if you have a blood problem like hemophilia.

A physical examination.

A comprehensive physical examination, including any laboratory testing, such as blood tests, will be performed by your doctor.
Your facial characteristics, as well as the inside and outside of your nose, will be examined.

Your doctor will use the physical exam to evaluate what adjustments need to be made and how your physical characteristics, such as the thickness of your skin or the strength of the cartilage at the end of your nose, may affect the outcome.
The physical assessment is also important for determining how rhinoplasty will affect your breathing.


Photographs of your nose from various angles will be taken by someone from your doctor’s office.
Your surgeon may edit the photographs with computer software to show you what kinds of outcomes are conceivable.
These images will be used by your doctor for before-and-after evaluations, reference during surgery, and long-term follow-up.
Most significantly, the photographs allow for a detailed discussion of the surgery’s objectives.

A discussion of your goals and objectives.

Your motivations and expectations should be discussed with your doctor.
He or she will discuss what rhinoplasty can and cannot do for you, as well as the potential outcomes.
It’s natural to feel self-conscious about discussing your appearance, but it’s critical that you communicate your objectives and surgical goals to your surgeon.

If you have a small chin, your surgeon may suggest that you undergo chin augmentation surgery.
This is due to the fact that a small chin gives the appearance of a larger nose.
In some situations, chin surgery isn’t essential, but it may help to balance the facial profile.

If you’re having an outpatient surgery, you’ll need to arrange for someone to drive you home once the operation is set.

You may experience memory lapses, reduced reaction time, and poor judgment in the days following anesthesia.
So, when you’re recovering from surgery, have a family member or friend stay with you for a night or two to assist you with personal care activities.

Medication and food

Avoid aspirin and ibuprofen-containing drugs (Advil, Motrin IB, and others) for two weeks before and after surgery.
These drugs may make you bleed more.
Only take drugs that your surgeon has approved or recommended.
Also, stay away from over-the-counter vitamins and herbal medicines.

Stop smoking if you do.
Smoking hinders the healing process and increases the risk of infection following surgery.

What you may anticipate

Rhinoplasty does not have a set of stages that must be followed in a specific order.
Each surgery is one-of-a-kind and tailored to the individual’s anatomy and goals.

During the procedure,

Rhinoplasty involves either local anesthetic with sedation or general anesthesia, depending on the complexity of the procedure and the preference of your physician.
Before surgery, talk to your doctor about which type of anesthetic is best for you.

Sedation and local anesthesia.
In most cases, this type of anesthesia is administered in an outpatient setting.
It’s restricted to a single part of your body.
Your doctor sedates you with drugs infused through an intravenous (IV) line and injects a pain-numbing substance into your nasal tissues.
You will feel groggy but not completely sleepy as a result of this.

Anesthesia that is administered to the entire body.
The medicine (anesthetic) is administered either inhalation or a small tube (IV line) inserted into a vein in your hand, neck, or chest.
During surgery, general anesthesia affects your entire body and renders you unconscious.
A breathing tube is required for general anesthesia.

Rhinoplasty can be performed either inside your nose or by a small external cut (incision) between your nostrils at the base of your nose.
The bone and cartilage beneath your skin will most likely be realigned by your surgeon.

Depending on how much needs to be removed or added, the structure of your nose, and the materials available, your surgeon can alter the form of your nasal bones or cartilage in a variety of ways.
The surgeon may use cartilage from deeper inside your nose or from your ear for minor modifications.
The surgeon can utilize cartilage from your rib, implants, or bone from other parts of your body to make greater alterations.
After making these adjustments, the surgeon closes the incisions in your nose and replaces the skin and tissue.

The surgeon can also repair the septum (the wall between the two sides of the nose) if it is curved or crooked (deviated) to facilitate breathing.

You’ll be in a recovery room after the procedure, where the team will monitor your return to normalcy.
You could go later that day or stay overnight if you have other health concerns.

Following the procedure,

To prevent bleeding and swelling, you should relax in bed with your head raised higher than your chest after surgery.
Because of edema or the splints inserted inside your nose during surgery, your nose may be stuffy.

Internal dressings are usually left in place for one to seven days after surgery.
A splint is also applied to your nose by your doctor for protection and support.
It stays in place for roughly a week on average.

For a few days following surgery or after removing the bandage, minor bleeding, mucous discharge, and old blood are usual.
To absorb drainage, your doctor may place a “drip pad” — a little piece of gauze secured in place with adhesive — beneath your nose.
As advised by your doctor, change the gauze.
Make sure the drip pad isn’t too close to your nose.

Your doctor may ask you to take extra precautions for a few weeks after surgery to reduce the risk of bleeding and swelling.
Your doctor may ask you to perform the following:

Exercises that are strenuous, such as aerobics and jogging, should be avoided.

While your nose is bandaged, take baths instead of showers.

You should not blow your nose.

Constipation can be avoided by eating high-fiber foods like fruits and vegetables.
Constipation can make you strain, putting strain on the operation site.

Excessive facial expressions, such as smiling or laughing, should be avoided.

Brush your teeth softly to keep your top lip from moving.

Dress in front-fastening clothing.
Pulling shirts or sweaters over your head is not a good idea.

To avoid putting strain on your nose, don’t wear eyeglasses or sunglasses for at least four weeks after the surgery.
Until your nose heals, you can use cheek rests or attach the glasses to your forehead.

When you’re outside, use SPF 30 sunscreen, especially on your nose.
Too much exposure to the sun might create permanent uneven darkening of the skin of your nose.

After nasal surgery, you may have transient swelling or black-and-blue discoloration of your eyelids for two to three weeks.
Nasal swelling takes longer to go away.
Limiting your sodium intake will aid in the reduction of swelling.
After surgery, avoid putting anything on your nose, such as ice or cold packs.

Whether you had surgery or not, your nose changes with time.
As a result, determining when you’ve achieved your “ultimate result” is challenging.
Within a year, however, the majority of the edema has subsided.


Changes in the structure of your nose, commonly measured in millimeters, can have a significant impact on how it looks. Most of the time, a skilled plastic surgeon can provide results that are satisfactory to both of you. However, in some circumstances, the little alterations are insufficient, and you and your surgeon may opt to do a second operation to make additional improvements. If this is the case, you will need to wait at least a year for the follow-up operation, as your nose may change over that period.

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

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.

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.

If you wish to narrow a wide nose using rhinoplasty, you may need to go through the operation.
The procedure entails fracturing the bridge and upper section of the nose and rebuilding it.
As a result, your nose will be slimmer and more attractive.
After the treatment, bruising and swelling are typical, but they should go away in a few weeks.
What to expect throughout your recovery will be explained by your doctor.

Patients may need to take several weeks off work depending on the plastic surgery procedure.
Following surgery, the surgeon may advise dietary adjustments, quitting smoking, and engaging in some physical activity for a few days.
The recuperation time will, however, be determined by the type of rhinoplasty performed.
The cosmetic surgeon will give you information on how to prepare for the treatment so that you can recover quickly and comfortably.

Nose surgery is performed on patients of various ethnic backgrounds in order to change the contour of their nose.
Surgeons employ filler to narrow the nose and make it appear more appealing during the surgery.
When it comes to narrowing a wide, rounded nose, this procedure is more effective.
To avoid unnecessary anxiety, the surgeon administers a general anesthesia.
The amount of bone and cartilage revision is determined during the open rhinoplasty procedure.
This differs from one patient to the next.

Rhinoplasty is a procedure that improves the appearance of the nose.
Those who are in good overall health and have no systemic disorders are the greatest candidates for the surgery.
They should also be willing to strictly adhere to the post-operative recommendations.
They should set realistic goals for themselves.
This will boost their happiness with the procedure’s results.
After that, individuals can follow their plastic surgeon’s post-operative care instructions.

You may wish to narrow your nose if it is too large or lopsided.
This is a long-term operation that not everyone should undergo.
Before the procedure, you will be given a general anesthesia to ensure that you do not feel any pain.
You should have no problems with functionality, however you may want to limit the large region around your nose.
To fix the condition, your rhinoplasty surgeon will need to restructure the nasal bone and cartilage.

You should be absolutely honest with your doctor prior to the operation.
You should be open and honest about your objectives and expectations so that your surgeon can provide you with the finest possible results.
If you desire rhinoplasty to shorten your nose, you should be realistic with the doctor.
They may also suggest additional procedures that are relevant.
Cosmetic rhinoplasty, septoplasty, and other medically essential treatments are examples of these procedures.

For rhinoplasty in Hillsboro Oregon – within a few miles of Portland Oregon.. contact The Portland Center for Facial Plastic Surgery.

The nose, which extends from the jaws and cheekbones to the forehead, is a prominent feature of the face.
A reshaped nose can improve overall face harmony whether or not a person has a deviated septum.
The facial harmony is determined by the anatomy of the face, and the shape of the nostrils plays an important role.
It can be disfiguring when the nose is out of proportion to the rest of the face.
A rhinoplasty can improve the contour of the nose and bring the entire face into harmony.

You should refrain from smoking and using any anti-inflammatory medications before having a rhinoplasty operation.
Any drugs or supplements you are taking should also be disclosed to the surgeon.
You must follow postoperative recommendations after undergoing rhinoplasty.
These guidelines should be given to you by the surgeon to ensure that you recuperate appropriately.
Recovery is a step-by-step procedure that you must carefully follow.
You’ll need time to recuperate and acclimate to your new facial shape.

A rhinoplasty treatment can be done on the bones or cartilage of your nose.
It also has the ability to alter the shape of the face.
It can even eliminate the septum in some situations, making breathing easier.
Fortunately, the advantages of rhinoplasty surgery are practically endless, and if you’re thinking about it, a consultation with a Portland facial plastic surgeon is advised.

A physical examination is required prior to rhinoplasty surgery.
To establish whether any alterations are necessary, the doctor will need to inspect your facial anatomy.
In order to ensure that the reshape will improve your quality of life, your doctor will need to assess your breathing.
The surgeon should explain what the surgery includes, as well as the procedure’s benefits and hazards.
It will be the best option for you and your facial features.

You should have reasonable expectations about how you want your nose to look before undergoing rhinoplasty.
If you want a bigger or smaller nose, you’ll need to find a specialist that specializes in ethnic rhinoplasty.
Your surgeon should also be able to adjust to your face’s unique shape, as well as your skin and facial anatomy.
If you’re unhappy with your existing appearance, rhinoplasty may be a good option.

Any minor flaws in the nose caused by birth or accident can be corrected with rhinoplasty surgery.
The procedure can affect the contour and size of the nose.
Rhinoplasty can fix a deviated or too big nose, depending on the reason for the procedure.
When picking a surgeon, be sure you’re choosing someone who will provide you with the greatest possible care.
Only a trained plastic surgeon can identify the best course of action for you.

Rhinoplasty Specialist in Oregon