As a Facial Plastic Surgeon, Dr. William Portuese has devoted a significant portion of his practice to rhinoplasty, as it is his passion. He performs approximately 200 rhinoplasty surgeries per year and has been in private practice for the last 20 years. In total, Dr. William Portuese has performed thousands of rhinoplasty surgeries; all were done through the closed rhinoplasty technique, not the open technique.
Dual board certification allows him to combine cosmetic nasal surgery and medically necessary nasal procedures for patients who desire both to be done concurrently.
In Dr. Portuese’s hands, the goal of the rhinoplasty procedure is to bring the nose into balance and establish harmony with other facial features. Each part of the nose requires different surgical techniques to create the desired change. If a nose is wide with a large hump, rhinoplasty is performed to remove the dorsal hump, to narrow and refine the bridge, to create more symmetrical dorsal aesthetic lines. A wide bulbous nasal tip is refined with tip surgery and wide nostrils are narrowed by alarplasty procedures. If the nasal tip droops upon smiling, the depressor septi ligament is released during rhinoplasty to prevent the drooping. When needed, cartilage grafts are used to augment a depressed area of the nose for both breathing and cosmetic purposes.
The typical recovery time after a rhinoplasty is 10-14 days with some degree of bruising and swelling around the nose and eyes. There is mild to moderate nasal obstruction during the first 10 days as well.
Dr. William Portuese performs surgery at the Seattle Facial Plastic Surgery Center, a Medicare certified ambulatory surgery center. All surgeries are outpatient procedures and done under general anesthesia by board certified physician anesthesiologists from Physicians Anesthesia Service at Swedish Medical Center.
Dr. William Portuese is the current president of the Northwest Society of Facial Plastic Surgeons. In 2011 he served as president of the Washington Ambulatory Surgery Center Association and recently opened up a plastic surgery practice in Portland Oregon - The Portland Center For Facial Plastic Surgery
Dr William Portuese
1101 Madison St #1280
Seattle, WA, 98104 USA