The Portland Rhinoplasty Center THe Portland Rhinoplasty CEnter
  • Dr William Portuese

Rhinoplasty Portland Oregon

If you are considering Rhinoplasty in Portland Oregon or revision rhinoplasty contact board certified facial plastic surgeon William A. Portuese MD – a top rated facial plastic surgeon seeing patients in Portland OR, Hillsboro OR, Multnomah County 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 rhinoplasty and revision rhinoplasty via the closed rhinoplasty approach. There are many reasons people undergo a nose procedure, which include a broken and twisted nose, 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 expert Dr. William Portuese is the founder and medical director of this medical center.

Rhinoplasty Procedure

Dr. William Portuese prefers 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. Rhinoplasty 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 specialist Dr. William Portuese is a Rhinoplasty specialist 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 rhinoplasty Portland must be in excellent physical health to undergo elective cosmetic surgery. The procedure itself is performed under general anesthesia as an outpatient surgical procedure. 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 rhinoplasty 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, 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 nose surgery 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 surgery center. The reason for this is for patient safety and comfort. We do not perform conscious awareness or twilight surgery for Rhinoplasty. 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. We are located in downtown Seattle, Washington adjacent to Providence/Swedish Hospital. The anesthesiologists are all board-certified physician anesthesiologists who perform general anesthesia, and have many years of experience. The anesthesiologists also come to our surgery center from Providence Hospital as well. The surgery 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 nasal surgery. We ask that patients refrain from taking all these type of products for two weeks before and two weeks after the surgery. At The Portland Rhinoplasty 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 conclusion of the surgery, 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 plastic surgery 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 plastic surgery, especially in patients when there is thick skin and extensive tip surgery performed.


Undergoing a Rhinoplasty plastic surgery 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 rhinoplasty and revision rhinoplasty. Come visit Portland Oregon and see for yourself.

How Much Does a Rhinoplasty Cost

Rhinoplasty (Regular):
$8,350 (Surgeon & Operating Room) + $643 (Anesthesia)

Rhinoplasty (Complex/Revision):
$10,000 (Surgeon & Operating Room) + $786 (Anesthesia)


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