The Seattle

Plastic Surgery Center

Rhinoplasty in Seattle Washington

In the realm of rhinoplasty, Dr. William Portuese and Dr. Joseph Shvidler, esteemed specialists, advocate for a minimalist approach. Their philosophy revolves around achieving a natural and harmonious look that complements the patient’s facial features. With a dedication to offering top-tier rhinoplasty services in Seattle, their primary focus is on creating enhancements that appear completely authentic. Unfortunately, the prevalence of poorly executed “celebrity nose jobs” has cast a shadow over this procedure. However, in the hands of skilled practitioners, the alterations seamlessly blend with the overall facial aesthetics. Leveraging their extensive expertise in facial plastic surgery, Dr. Portuese and Dr. Shvidler consistently deliver exceptional outcomes. If you are considering nose surgery, whether for cosmetic or health reasons, their practice is an excellent starting point. 

The goal of Rhinoplasty

Rhinoplasty is a cosmetic surgical procedure that aims to reshape and enhance the appearance of the nose. The goal of rhinoplasty is to create a more aesthetically pleasing nose that complements the patient’s facial features. It can also correct functional issues such as breathing difficulties caused by structural abnormalities in the nose.

The ideal outcome of rhinoplasty varies from person to person, but it generally involves achieving balance and harmony between all facial features while maintaining or improving nasal function. This means that the surgeon must consider not only the size and shape of the nose but also its relationship with other facial structures such as the chin, cheeks, and forehead.

To achieve this goal, an experienced plastic surgeon will work closely with each patient to understand their unique aesthetic goals and develop a personalized treatment plan tailored to their needs. By carefully considering every aspect of nasal anatomy and aesthetics, they can deliver results that are both beautiful and natural-looking.

Is Rhinoplasty Right for Me?

Rhinoplasty, commonly known as a nose job, is a surgical procedure that alters the shape and size of your nose. This cosmetic surgery can help improve the appearance of your nose by correcting any deformities or asymmetries. If you are unhappy with the way your nose looks or have breathing difficulties due to structural issues, rhinoplasty may be right for you.

Before deciding if rhinoplasty is suitable for you, it’s essential to consider factors such as age, overall health condition, and realistic expectations. It’s also crucial to understand that this surgery cannot completely change your face but rather enhance its features. Rhinoplasty can provide several benefits such as increased self-confidence and improved facial harmony.

If you’re considering rhinoplasty, consult with a specialist who will evaluate whether you’re an ideal candidate for this procedure. They’ll examine your medical history and perform physical assessments to determine if there are any underlying conditions that could affect the outcome of the surgery. Additionally, they’ll discuss your goals and expectations from this cosmetic surgery while providing insight into what results are achievable based on your unique facial structure.

Benefits of a Nose Job

A nose job, or rhinoplasty, can offer numerous benefits beyond just improving the appearance of your nose. One major benefit is improved breathing and overall function of the nasal passages. If you have a deviated septum or other structural issues with your nose, rhinoplasty can correct these problems and improve airflow.

Another benefit of a nose job is increased self-confidence. Many people who are unhappy with their noses feel self-conscious and may avoid social situations or photographs because they don’t like how they look. Rhinoplasty can help to address these concerns and give patients a boost in self-esteem.

Finally, rhinoplasty can also provide long-lasting results. While some minor changes may occur over time due to aging or other factors, the improvements made during surgery should be permanent. This means that patients can enjoy their new noses for years to come without worrying about needing additional procedures down the line.

Are You a Candidate For Rhinoplasty

Rhinoplasty is a surgical procedure that can reshape the nose to improve its appearance and function. It’s important to note that not everyone is a candidate for rhinoplasty. Ideal candidates are individuals who have fully developed noses, are in good overall health, and have realistic expectations for the outcome of the surgery.

Individuals with breathing difficulties due to structural issues with their nose may also be candidates for functional rhinoplasty. This type of rhinoplasty aims to correct any problems related to nasal airflow, such as a deviated septum or collapsed nasal valve.

It’s important for potential candidates to meet with a specialist in person to discuss their goals and determine if they are suitable candidates for rhinoplasty. The specialist will evaluate factors such as facial structure, skin thickness, and underlying bone structure before making recommendations on what changes can be made through surgery.


The function of the nose is not just limited to breathing. It also plays a crucial role in our sense of smell, which can affect our ability to taste and enjoy food. In addition, the shape and size of the nose can impact one’s appearance and self-confidence.

For individuals who have difficulty breathing due to structural abnormalities or previous injuries, rhinoplasty can improve their nasal function. This procedure may involve correcting a deviated septum or reducing enlarged turbinates that obstruct airflow.

Furthermore, rhinoplasty can also address cosmetic concerns while improving nasal function. A skilled surgeon can reshape the nose to better complement an individual’s facial features and enhance their overall appearance without compromising its functionality. Overall, rhinoplasty offers both functional and aesthetic benefits for those seeking to improve their quality of life.

Meeting With a Specialist

During a consultation with a specialist, they will assess your nose and facial structure to determine if you are a good candidate for rhinoplasty. They will also discuss your goals and expectations for the procedure. It is important to be honest about what you hope to achieve so that the specialist can provide realistic expectations.

The specialist may take photographs of your face from different angles and use computer imaging software to show you potential outcomes of the surgery. This can help you visualize how changes to your nose may affect the overall appearance of your face.

It is essential to ask any questions or voice concerns during this meeting with the specialist. Be sure to inquire about their experience performing rhinoplasty procedures, as well as their credentials and certifications in plastic surgery. A successful outcome depends on choosing an experienced surgeon who understands both form and function when it comes to nasal anatomy.

Open Versus Closed Rhinoplasty

The decision to undergo rhinoplasty surgery is a personal one that should be carefully considered. One of the factors to consider is whether an open or closed approach will be used during the procedure. In an open rhinoplasty, a small incision is made on the columella (the tissue between the nostrils) which allows for better visualization and access to the nasal structures. A closed rhinoplasty involves incisions being made inside the nose.

There are pros and cons to each technique. Open rhinoplasty may provide more precision in reshaping certain areas of the nose, especially if there are complex structural issues or significant deformities present. However, it does require a longer recovery time due to increased swelling and potential scarring at the incision site. Closed rhinoplasty can result in less visible scarring and typically has a shorter recovery period but may not allow for as much control over shaping.

Ultimately, your surgeon will recommend which technique they believe will provide you with optimal results based on your individual anatomy and desired outcome. It’s important to have realistic expectations about what can be achieved through either approach and communicate openly with your surgeon about any concerns or questions you may have before making a final decision on which method of rhinoplasty is right for you.

Using Existing Cartilage

Another method of rhinoplasty involves using existing cartilage from the patient’s own body. This approach is particularly useful for patients who desire a more subtle change to their nasal shape or those with thinner skin that may not be able to hide an implant well. The most commonly used sources of cartilage are the septum, ear, and rib.

The septum is located in the middle of the nose and separates the two nostrils. It contains a significant amount of cartilage that can be harvested for use in rhinoplasty procedures. Ear cartilage is also frequently used as it has a similar texture and appearance to nasal cartilage. Rib cartilage is less commonly used but can provide larger amounts of tissue for more extensive reconstructions.

Using existing cartilage has several advantages over synthetic implants, including reduced risk of rejection or infection since it comes from the patient’s own body. Additionally, natural tissue tends to integrate better with surrounding structures and can provide a more natural-looking result. However, this technique does require additional incisions to harvest the necessary tissue which may lead to longer recovery times compared to other methods.

Overall, using existing cartilage provides a safe and effective option for patients seeking subtle changes or reconstructive surgery on their nose. Consultation with a qualified specialist will help determine if this approach is suitable for your individual needs and goals.\n

Recovery from a Nose Job

After a nose job, patients can expect some discomfort and swelling for the first few days. Pain medication will be prescribed to manage any discomfort during this time. It is important to keep your head elevated while sleeping or resting to help reduce swelling.

It is normal for bruising and swelling around the nose and eyes to last up to two weeks after surgery. Applying cold compresses can help alleviate these symptoms. Avoiding strenuous activity or exercise for at least two weeks post-surgery is also recommended.

Most patients are able to return to work or school within one week of their procedure, but it may take several months for all swelling and bruising to completely subside. Following post-operative instructions provided by your surgeon will ensure a smooth recovery process without complications such as infection or bleeding.

Closed Rhinoplasty

Closed rhinoplasty is a surgical procedure that involves making incisions inside the nostrils to access and reshape the nasal structures. This technique is preferred by some surgeons as it allows for more precise control over the shape and size of the nose, without leaving any visible scars on the outside.

During closed rhinoplasty, small incisions are made inside each nostril to access the underlying cartilage and bone. The surgeon then uses specialized tools to sculpt and reshape these structures until they achieve the desired shape. Because there are no external incisions, patients can expect minimal scarring and a faster recovery time than with open rhinoplasty.

While closed rhinoplasty may be suitable for many patients seeking cosmetic improvements to their nose, it may not be appropriate for those requiring significant changes or reconstruction due to injury or medical conditions. A consultation with a qualified plastic surgeon can help determine whether this technique is right for you based on your individual needs and goals.

What is the function of the nose?

The function of the nose is to filter and humidify the air we breathe, as well as to help us smell.

What happens during a meeting with a specialist?

During a meeting with a specialist, you will discuss your goals for the procedure, your medical history, and any concerns you may have. The specialist will also evaluate your nose to determine the best approach for the procedure.

What is the difference between open and closed Rhinoplasty?

Open rhinoplasty involves making an incision on the outside of the nose, while closed rhinoplasty involves making incisions inside the nostrils. The approach used will depend on the specific needs of the patient.

Can existing cartilage be used during Rhinoplasty?

Yes, existing cartilage can be used during rhinoplasty to reshape and support the nose.

What are the different methods of Rhinoplasty?

The different methods of rhinoplasty include open and closed approaches, as well as different types of incisions. The specific method used will depend on the needs of the patient.

The Seattle

Plastic Surgery Center


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