Facial Plastic Surgery Questions and Answers: Part 10
Dr William Portuese | Facial Plastic Surgeon in Seattle Washington
by admin
1d ago
Question: What is my nose shape , is it big, and does it need a nose job? Answer: From the limited photographs, you have a dorsal hump, which is composed of both bone and cartilage on the bridge line of your nose. A closed rhinoplasty can accomplish removal of the dorsal hump with all of the incisions placed on the inside of the nose. You also have a recessive chin profile, so strongly consider placement of a chin implant for better facial balance and proportions, especially with respect to your nose from the side profile. Question: What would be the best treatment for my chin? Answer: From th ..read more
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Facial Plastic Surgery Questions and Answers: Part 9
Dr William Portuese | Facial Plastic Surgeon in Seattle Washington
by admin
1d ago
Question: How much would a rhinoplasty be for a very small hump on my nose? Answer: The photographs demonstrate an overly projecting nose with a dorsal hump, and wide nasal bones and inverted upper lateral cartilages in the midportion of the nose. A full and closed rhinoplasty is going to be required. The price of rhinoplasty includes the operating room, surgeon’s fees, and the anesthesiologist fee. For more information and our current price list, please see link below. Question: I am thinking about getting a Alar Reduction. What techniques would I use to narrow my nose? Answer: An alar plasty ..read more
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Facial Plastic Surgery Questions and Answers: Part 8
Dr William Portuese | Facial Plastic Surgeon in Seattle Washington
by admin
1d ago
Question: How soon after a neck lift can I schedule a brow lift with forehead contouring?  Answer: It would be helpful if you posted a full set of facial photographs from all angles to make sure your candidate for two different surgical procedures. If you’re undergoing both procedures under general anesthesia, probably best wait at least one month. Question: How long does it take the depressor septi muscle to heal if it was cut? Answer: In our practice, we only release the depressor septi ligament as part of rhinoplasty procedure. Healing on rhinoplasty is one year, and the upper lip into go b ..read more
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Facial Plastic Surgery Questions and Answers: Part 7
Dr William Portuese | Facial Plastic Surgeon in Seattle Washington
by admin
1d ago
Question: I want my nose shortened and narrowed. Is what I want achievable? Answer: A closed rhinoplasty approach can accomplish refinement of the nasal tip somewhat, and narrowing the bridge line. All the incisions are placed on the inside of the nose. The side profile photograph demonstrates an overly projecting nose and an under projecting chin. A closed rhinoplasty approach can accomplish decreasing the overall projection just a few millimeters. Consider placement of a small chin implant to augment the chin forward for better facial balance and proportions, especially with respect to the p ..read more
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Facial Plastic Surgery Questions and Answers: Part 6
Dr William Portuese | Facial Plastic Surgeon in Seattle Washington
by admin
1d ago
Question: Did my surgeon ruin my nose? What are my options? Answer: You have multiple complicated issues going on with your nose currently. Make sure you obtain a copy of your operative report for the next surgeon, since it’s very important to know how much cartilage is left over on the inside of your nose for grafting purposes. To reduce the ski slope, you’re going to require a graft of cartilage across the bridge of the nose. You will also require osteotomies to narrow the nasal bones, and spreader grafts placed underneath the concave upper lateral cartilages creating the inverted V deformit ..read more
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Facial Plastic Surgery Questions and Answers: Part 5
Dr William Portuese | Facial Plastic Surgeon in Seattle Washington
by admin
1d ago
Question: My nose is getting crooked. Can it be fixed with a nonsurgical rhinoplasty? Answer: There are twisted nasal bones and a concave upper lateral cartilage in the mid portion of my nose in addition to a twisted nasal tip. A surgical revision rhinoplasty can accomplish straightening the nose. In our practice, we do not recommend fillers placed in the nose for a variety of reasons. It’s also important to know how much cartilage is left over on the inside of the nose for grafting purposes. Question: I’m interested in chin/neck lipo. Will the fat grow back shortly after? Answer: Once the fat ..read more
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Facial Plastic Surgery Questions and Answers: Part 4
Dr William Portuese | Facial Plastic Surgeon in Seattle Washington
by admin
1d ago
Question: I am hearing that a lot of facelifts don’t last past 5 years. Is this true? Answer: In our practice, that’s not true. We perform a high SMAS, comprehensive lower face and neck lift procedure, which accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing fat deposits above and below the platysma muscle in the neck, in addition to a platysma plasty to significantly improve the jawline. We typically revise our own facelift patients between 10 and 20 years after their initial Face and neck lift. You may be referring to ..read more
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Facial Plastic Surgery Questions and Answers: Part 3
Dr William Portuese | Facial Plastic Surgeon in Seattle Washington
by admin
1d ago
Question: What procedures are best to reduce a wide face, big cheeks, and a big nose? Answer: Consider a closed rhinoplasty procedure to reduce the large nose. The dorsal hump can be shaved down, the tip refined in the bridge line narrowed with all the incisions placed on the inside of the nose. No external incisions are required, and no painful packing is required either. Digital computer imaging of your nose upon your facial features would be helpful to understand what can be accomplished with the procedure. Best to leave the rest of your face alone. Question: Is revision rhinoplasty recomme ..read more
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Facial Plastic Surgery Questions and Answers: Part 2
Dr William Portuese | Facial Plastic Surgeon in Seattle Washington
by admin
1d ago
Question: Is it true that noses gets hard after rhinoplasty? If that’s the case, will I still be able to pinch and move my nose Answer: Even after a simple primary rhinoplasty, your nose will be rather hard and stiff for the first several months after the surgery because of the fluid retention in your nose. If you’ve had additional cartilage grafts added to the nasal tip, especially from the ear, then you’ll have permanent stiffness in the nose. Question: When will I be able to go swimming after rhinoplasty? Answer: In our practice, we would allow you to go swimming after rhinoplasty at two we ..read more
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Facial Plastic Surgery Questions and Answers: Part 1
Dr William Portuese | Facial Plastic Surgeon in Seattle Washington
by admin
1d ago
Question: Would I be an acceptable rhinoplasty candidate? Answer: As long as you’re in excellent health, and have reasonable expectations, then you’re Excellent candidate for a rhinoplasty procedure. A closed rhinoplasty approach can accomplish reduction of the bulbous nasal tip, shaving down the small dorsal hump, and narrowing the bridge line.No external incisions are required and no painful packing is required either. Question: Chin lift? Lipo? Kybella? What’s the best option for me? I’m 5’6″ and 155 LBs. Answer: The photographs demonstrate a recessive chin profile For which a chin implant ..read more
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