Top Rhinoplasty in Portland, Oregon
Board-certified facial plastic surgeons in Portland Oregon Dr. William Portuese and Dr. Joseph Shvidler are top rhinoplasty specialists in Portland, Oregon. Patients travel from across the Pacific Northwest and United States for their expertise in closed rhinoplasty, revision rhinoplasty, and functional nasal surgery.
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What is Rhinoplasty?
Rhinoplasty, commonly called a nose job, is a surgical procedure that reshapes and refines the nose's structure and appearance. As one of the most intricate procedures in facial plastic surgery, it demands precision and expertise.
Our specialists focus on both cosmetic enhancement and functional improvement, ensuring each patient achieves a balanced, harmonious outcome that supports proper nasal function.
Rhinoplasty is one of the hardest operations to perform in cosmetic surgery, and Dr. Portuese and Dr. Shvidler take great pride in caring for patients throughout the entire process.
Closed Rhinoplasty Technique
The closed technique places all incisions inside the nose, accomplishing all the best techniques of rhinoplasty without external scarring. This advanced approach can achieve:
Dorsal Hump Reduction
Shaving down bone and cartilage humps for a smoother profile
Nasal Bone Osteotomies
Narrowing the bridge line through precise bone adjustments
Cartilage Grafting
Building up upper lateral cartilages when they're concave
Tip Refinement
Bulbous tip reduction with advanced suture techniques
Revision Rhinoplasty Expertise
Revision rhinoplasty is more complex than primary rhinoplasty due to previous anatomical alterations and scar tissue. The healing process is less predictable, making realistic expectations crucial.
Digital computer imaging is performed during consultation to show patients what may be accomplished with revision contouring. Our facial plastic surgeons specialize in correcting various post-surgical complications.

Revision rhinoplasty requires specialized expertise due to altered anatomy and scar tissue formation from previous procedures.
Issues Rhinoplasty Can Correct
Polly-beak Deformity
Treated by removing excess cartilage in the supratip area, often requiring steroid injections and taping for thick skin patients.
Hanging Columella
Addressed by removing excess skin and cartilage, adjusting the columella-labial angle upward or downward.
Dorsal Irregularities
Residual humps filed down, while over-resected areas require cartilage grafting to rebuild the bridge.
Tip Asymmetry
Corrected through suture techniques and conservative cartilage removal, with grafting for structural balance.
Comprehensive Treatment Capabilities
Crooked Nose Correction
Osteotomies placed in bones with medial and lateral cuts, manually straightened and cast for one week. Expect 10 days of visible bruising.
Mid-Vault Reconstruction
Spreader grafts harvested and placed under concave upper lateral cartilages for structural support and straightening.
Functional Improvements
Addressing breathing difficulties, deviated septums, and structural abnormalities that affect nasal function.
Surgery Process & Recovery
01
Pre-Surgery Consultation
Review surgical plan and computer imaging with patient, meet board-certified anesthesiologist.
02
Surgery Day
Performed under general anesthesia in Medicare-certified center, takes 1-2 hours with cast applied for 6 days.
03
Recovery Period
10-14 days of visible bruising and swelling. Cast removed at one week for initial results viewing.
04
Follow-up Care
Appointments at 1 month, 3 months, 6 months, and one year to monitor healing and results.
Rhinoplasty Cost
$10,600
Primary Rhinoplasty
Doctor and operating room fees included
$12,300
Complex/Revision
Doctor and operating room fees included
The rhinoplasty consultation process involves 30 minutes with staff addressing concerns about shape, breathing function, and techniques, plus 30 minutes with patient care coordinator for computer imaging, fees discussion, and scheduling.
Comprehensive Benefits & Candidate Profile
  • Enhanced facial balance and aesthetic appeal
  • Improved airflow and breathing function
  • Increased self-confidence and self-esteem
  • Correction of congenital defects or injury-related deformities
  • Resolution of sinus problems and sleep apnea
Ideal Candidates
Candidates seek rhinoplasty for cosmetic or functional reasons - dissatisfaction with size, shape, symmetry, or breathing difficulties from structural abnormalities like deviated septum.
Candidates must have realistic expectations, good overall health, and understanding of procedure risks and benefits.
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(503) 899-0006
FREE Rhinoplasty Consultation
Limited time offer for cosmetic consultations
Serving Oregon
Multnomah County, Washington County, Pacific Northwest
At The Portland Center for Facial Plastic Surgery, we combine cutting-edge techniques with personalized care. Dr. Portuese and Dr. Shvidler's extensive experience in cosmetic and functional procedures ensures natural-looking results and exceptional patient satisfaction.