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The Seattle Facelift Center™
William A. Portuese, M.D.
1101 Madison Street, #1280
Seattle, Washington 98104
Phone: 206.624.6200

Facial Surgery Procedures


Rhinoplasty FAQ

View your procedure in 3D

Is it wise to have rhinoplasty with tummy tuck scar revision?
From the looks of things your surgery may not be cost effective due to the fees linked with the hospital. Finding a facial plastic surgeon or plastic surgeon who owns an outpatient ambulatory surgery center to do the procedure will save money. Fees associated with the hospital can make the procedure prohibitive to your achieve your cosmetic targets. Nasal surgery can be completed at the simultaneously with the tummy tuck scar modification.

What are the pros and cons of Gortex and silicone in nose jobs?
As long as an attempt to carry the implant too far is not done a small silicone implant works well in the Asian nose. Simply put, it is not sensible to have Gortex placed in the nose; Gortex may become infected and numerous disasters have been linked with that particular nose implant.

Would nasal surgery be a good alternative for the broad nose after orthognathic surgery?
We will be able to make broad noses narrower by doing osteotomies, or re-breaking the nasal bones. Nasal tip suture techniques can make the tip smaller. Reduction of the alar base can be performed using alar-based Wier excisions.


Dr Portuese and the office manager Janet review computer imaging results with a patient
How soon is too soon to have rhinoplasty after a nonsurgical nose job?
Once Radiesse injections have been put into the nose bridge it is best to wait 12 months before scheduling reconstructive rhinoplasty. Radiesse may linger in the nose for more than two years before finally going away.



Which procedure, the rhinoplasty or tip plasty, is recommended for a thinner nose?
The thickness and width of the nasal tip are reduced in a tip plasty. Total nasal surgery is made to enhance the whole nose including the bridge and the tip. Visibly you have a wide bridge as well as a wide tip, this indicates the need for an entire rhinoplasty based on the photos on hand.

Would nonallergic rhinitis be problematic for rhinoplasty?
Yes. Cosmetic rhinoplasty can be done with non-allergic or allergic rhinitis. Treating both allergic and nonallergic rhinitis is done using medicinal nasal sprays, decongestants and antihistamines routinely during both pre- and postoperative phases. Chronic nasal infections should not change the end results.

Are there new rhinoplasty techniques that eliminate the need for a splint?
New methods have not been developed anywhere in the world that are accepted by experienced facial plastic surgeons with the purpose of eliminating the need for a nasal splint. When breaking and resetting the nasal bones, a splint must be placed to protect the area for at full week. Thankfully, the splint is not painful. It is unnecessary and painful to use packing inside the nose thus no longer necessary.