The Seattle Facial Plastic Surgery Center

I see that you currently are offering free virtual consultations for rhinoplasty.. ok.. probably a issue with Covid.. answered my own question.. thanks.. setting that up now..

It is possible to undergo a rhinoplasty procedure at age 16 for a woman, but age 18 for young men. It's important that the facial bones have quit growing before undergoing a cosmetic rhinoplasty. Since they are minors until they have reached the age of 18, parental consent is also necessary

There are eight levels of parking underneath the building at 1101 Madison Street in Seattle Washington.

Why wait any longer... if you have already talked with the plastic surgeon, had a consultation, and have the means to pay for it.. get a rhinoplasty and enjoy the results. Show us your before and afters when you are ready..

Dr William Portuese is a board certified facial plastic surgeon. You can learn more about his credentials at https://www.seattlefacial.com/plastic-surgeon-pacific-northwest

Facial plastic surgeons only perform procedures above the clavicle, and usually have extensive experience with rhinoplasty, which is one of the most difficult operations to perform correctly in the entire field of cosmetic surgery. Plastic surgeons perform facial plastic and body plastic procedures

Placement of a chin implant can be performed under local anesthesia as an outpatient procedure. If the chin implant procedure is performed simultaneously with another surgical procedure such as a facelift, neck left, or rhinoplasty, then both procedures are performed under general anesthesia as an outpatient procedure. If general anesthesia is used, this is administered by a Board Certified Physician Anesthesiologist. The implant itself is placed through a short submental incision, usually under local anesthesia.

When performing eyelid surgery, anticipate 2 weeks of visible bruising and swelling around the upper and lower eyelid area. As soon as the sutures have dissolved or been removed, makeup can be applied. No exercise or any strenuous activity should be performed for 2 weeks after the procedure.

Eyelid surgery is not painful. Most patients are able to take Tylenol or a few medium strength pain pills such as Vicodin. Most patients feel like they have conjunctivitis in the eyes. The eyes feel irritated and tired, but not painful.

Chin implants are placed under local anesthesia as an outpatient procedure. Anticipate approximately 2 weeks swelling after the initial surgical procedure. The incision is made in the submental crease underneath the chin and approximately 3-4 sutures are placed to close that incision. Post-operative pictures are taken at 4 months after the procedure once the swelling has subsided

The incision for upper eyelid surgery is located directly in the upper eyelid crease, and extends out into the crow’s feet wrinkle laterally. Dissolvable sutures are used to close the incision. The fat bags located in the lower lids are removed thru a trans--conjunctival approach on the inside of the lower lid. If there is excess skin at rest in the lower lids, then a pinch technique of extra skin is removed at the sub-ciliary line directly below the eyelashes. This incision is closed with tissue glue. No sutures are required for the lower lid surgery.

The goal for a lower blepharoplasty procedure is twofold. The primary goal when performing a lower eyelid procedure is to remove the fat bags creating the puffy look. If there is excess skin in the lower lids at rest (not when smiling), then a conservative amount of skin can be removed to tighten the loose skin in the lower lids.

The goal for upper eyelid surgery is to remove excess skin and fat which creates the tired or hooded look on the upper eyelids. This procedure effectively rejuvenates the upper eyelids. Some patients get an improvement in their peripheral vision, which is considered a functional blepharoplasty.

Patients should refrain from taking all blood thinners such as aspirin, ibuprofen, vitamin E, and all herbal supplements for 2 weeks before and after a facelift procedure. Always best to avoid smoking and secondhand smoke which can cause skin necrosis. It is also important to be in excellent health with no medical issues that could compromise either the anesthesia or the surgical healing process.

Dr. Portuese performs a High-SMAS lower Face and Neck lift procedure. This procedure accomplishes tightening loose facial and neck skin, lifting the jowls, tightening loose facial and neck muscles, and removing fatty deposits in the neck which also includes a platysma-plasty. This procedure accomplishes a comprehensive face and neck rejuvenation

Face/Neck Lift: $13,800 (Surgeon & Operating Room) + $1,214 (Anesthesia) Prices vary somewhat based on the time required for the procedure. Exact price quotes will be given during your consultation.

Facial Plastic Surgery Price List Face/Neck Lift: $13,800 (Surgeon & Operating Room) + $1,214 (Anesthesia) Upper and Lower Lid Blepharoplasty: $6,050 (Surgeon & Operating Room) + $643 (Anesthesia) Upper or Lower Lid Blepharoplasty: $3,850 (Surgeon & Operating Room) + $500 (Anesthesia) Browlift: $5,950 (Surgeon & Operating Room) + $786 (Anesthesia) Rhinoplasty (Regular): $7,850 (Surgeon & Operating Room) + $643 (Anesthesia) Rhinoplasty (Complex/Revision): $10,000 (Surgeon & Operating Room) + $786 (Anesthesia) Otoplasty (Bilateral): $5,300 (Surgeon & Operating Room) + $786 (Anesthesia) Cheek Implant: $4,350 (Surgeon & Operating Room) + $643 (Anesthesia) Chin Implant: $3,950 (Surgeon & Operating Room) + $500 (Anesthesia) Necklift: $5,950 (Surgeon & Operating Room) + $786 (Anesthesia) Neck Lipo: $2,850 (Surgeon & Operating Room) + $500 (Anesthesia) Prices vary somewhat based on the time required for the procedure. Exact price quotes will be given during your consultation.

Typically, I will see patients approximately one week postoperative, one month, three months, six months and one year to check on the final healing phases of rhinoplasty surgery.

All patients have a preop appointment with one of our nurses. For the out-of-town patients, this can be done over the phone. Pictures are taken, a thorough health history is reviewed, and all medications are recorded. It is at this time, within two to three weeks prior to the surgery that any needed laboratory or medical testing will be performed.

There are three sources of nausea and vomiting after nasal surgery. The first is from the actual anesthetic itself, which can last the first 12 hours postoperatively. After that, the nausea and vomiting can be related to taking pain medicine or swallowing blood down the back of the throat. We ask patients, if they are not actively bleeding, to taper off the pain medicine and to just take Tylenol to eliminate that nausea and vomiting. We also prescribe anti-nausea pills that are taken the day of the surgery to help with postoperative nausea and vomiting.

Depending upon your medical conditions; if you are taking a diuretic, a potassium level will need to be performed within the week before the surgery. Men 45 and over and women 55 and over will need a recent EKG within six months of the date of the surgery to make sure that there are no heart issues. Patients who have high blood pressure need to be taking their current medications to make sure that their blood pressure is under control going into the surgery. This helps prevent nose bleeds in the postoperative period.