The Portland Rhinoplasty Center THe Portland Rhinoplasty CEnter

The Portland Rhinoplasty Center

If you are considering Rhinoplasty in Portland Oregon or revision rhinoplasty, ethnic rhinoplasty, male rhinoplasty, or a deviated septum contact board certified facial surgeons William A. Portuese MD – Joseph Shvidler md – top rated facial plastic surgeons seeing patients from Tigard, Hillsboro OR, Multnomah County, Pacific Northwest and surrounding areas in Oregon.

The Portland Rhinoplasty Center in Oregon is a boutique medical and surgical center devoted to the art and science of nasal contouring surgery, specifically primary and revision rhinoplasty via the closed rhinoplasty approach. There are many reasons people undergo a nose job in Portland, which include a broken and twisted nose or nasal bones, removal of a dorsal hump, reducing the bulbous nasal tip, or their nose is simply out of balance with the remainder of their facial features. The nose is the most prominent feature on the patient’s face, and it is a very defining characteristic of the face. When the size and the shape of the nose is out of balance with the remainder of the patient’s facial features, a nasal contouring procedure can accomplish making patients feel more self-confident about themselves. Facial plastic surgery and rejuvenation expert Dr. William Portuese is the founder and medical director of this medical center.

Rhinoplasty Procedure

Our doctors prefer the Closed Rhinoplasty approach, which accomplishes making all the incisions on the inside of the nose in order to reshape it. When patients have been feeling uncomfortable for a long period of time about the shape of their nose, consider a nasal reshaping procedure, also known as a nose job. Nasal contouring is the fourth most common cosmetic surgical procedure performed in the United States today. Nose surgery is one of the most difficult operations to perform correctly in the entire field of aesthetic/cosmetic surgery, so it is imperative to choose your facial surgeon based on extensive experience producing natural results. The nose is a three-dimensional structure that must look good in all three dimensions, and nasal contouring is performed in a three-dimensional fashion. The healing process also occurs in a three-dimensional fashion, so it’s important to choose a surgeon who can anticipate the surgical results. Facial plastic surgery specialists Dr. William Portuese and Joseph Shvidler MD are Rhinoplasty specialists in Oregon who has dedicated a significant component of his practice to the discipline of cosmetic nasal surgery, eyelid surgery and facelifts.

Candidate for a Nose Job in Multnomah County Oregon – Nose Surgery ( Rhinoplasty )

A candidate for a nasal contouring must be in excellent physical health to undergo elective cosmetic surgery. The procedure itself is performed under general anesthesia as an outpatient surgical procedures. The Closed approach accomplishes making all the required changes to the nose by placement of all the incisions on the inside of the nose. No visible external incisions are required. No painful packing is necessary.

The consultation with board certified facial plastic surgeon

The consultation with the Oregon doctor usually lasts at least 30 minutes, and an additional 30 minutes spent with the patient care coordinator discussing scheduling, costs, nostrils, appearance, columella, concerns, treatment, cartilage, discomfort, needs, splint, techniques, breathing, plan, outcomes, harmony, breathing function, expertise, bone, pain medication, expectations, recovery, scar, candidates, and digital computer imaging. It is very important that patients get all their questions answered, and they understand the process of how to accomplish their goals of obtaining a new nose. It’s also imperative that patients understand what can and cannot be accomplished with the surgical procedure. Patients are not going to get a celebrity nose. It’s also very important patients present to the consultation with specific goals in mind on exactly what they are trying to accomplish, such as shaving down dorsal hump, narrowing the bridgeline, refining the nasal tip, etc. It is best to talk very specifically about what the nose job goals are so that there’s no miscommunication between the facial cosmetic surgeon and patient.

Surgical and Anesthesia considerations

Nasal surgery in our practice is performed under general anesthesia in our outpatient surgical center. The reason for this is for patient safety and comfort. We do not perform conscious awareness or twilight surgery for nose jobs. The surgical center is a state-of-the-art Medicare certified outpatient medical center. It is also licensed by the Washington State Department of Health. The medical office meets strict criteria to be able to be licensed and certified by these entities. Our surgical center is located in downtown Seattle, Washington adjacent to Providence/Swedish Hospital while we offer consultations in our Hillsboro Oregon medical office. The anesthesiologists are all board-certified physician anesthesiologists who perform general anesthesia, and have many years of experience. The anesthesiologists also come to our surgical center from Providence Hospital as well. The procedure will last anywhere from 1 to 2 hours.

Preoperative preparations

It’s important that patients do not take any blood thinners, aspirin and ibuprofen and vitamin E supplements to prevent a nosebleed for the upcoming cosmetic procedure. We ask that patients refrain from taking all these type of products for two weeks before and two weeks after. At our medical center, we have a list of preoperative instructions for the patients, so that there are no surprises and patients understand what’s going to happen during the surgical process

Postoperative Nose Surgery considerations

At the end of the surgical procedure, a cast is applied across the bridge of the nose and this is left in place for one week. Anticipate visible bruising and swelling for approximately 10 to 14 days. We ask patients to refrain from any physical exercise or vigorous activity to prevent a nosebleed situation. Most patients return to work at approximately 10 days.

Follow-up appointments

The follow-up appointments are just as important as the actual procedure itself, so it’s imperative that patients follow up for the first several months after the surgical procedure to address swelling in the tip of the nose. Steroid shots, Blenderm tape and a low salt diet are all helpful in managing the soft-tissue envelope over the new cartilaginous and bony framework of the nose. The typical postoperative follow-up regimen would be once the first week to remove the cast, another appointment at the first month to start to see how the nose is taking shape, then again at three months, six months, and a year. Postoperative pictures are also taken at six months to a year. Full healing takes a year after Rhinoplasty , especially in patients when there is thick skin and extensive tip surgery performed.

Undergoing a surgical procedure is a lifelong dream for many patients who are self-conscious about their nose. Many patients have significant increased self-confidence and feel better about themselves. Helping patients accomplish their goals gives great pride to our entire team of professionals. We offer both primary and revision nasal contouring. Come visit Portland Oregon and see for yourself.

How Much Does a Rhinoplasty Cost

Rhinoplasty (Regular):
$10,100 (Surgeon & Operating Room) + $725 (Anesthesia)

Rhinoplasty (Complex/Revision):
$12,300 Surgeon & Operating Room) + $875 (Anesthesia)

Does insurance cover rhinoplasty?

Since insurance coverage varies from policy to policy and from insurer to insurer, there is no universally applicable answer to this topic. However, unless they are medically required, the majority of insurance companies will not pay for cosmetic surgical treatments like cosmetic nasal contouring. Your insurance provider is unlikely to offer coverage if your nose is being done just for cosmetic reasons.


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