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
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All Surgery Performed in
the Seattle Location

Only Offering
Virtual Consultations

Is Rhinoplasty For Me?

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