Author Archives: The Seattle Rhinoplasty Center

Does Rhinoplasty Improve Breathing Issues?

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Does Rhinoplasty Improve Breathing Issues?

Answers from Seattle’s trusted facial plastic surgeons Dr. William Portuese and Dr. Joseph Shvidler

Many people think of rhinoplasty only as a cosmetic procedure. In reality, rhinoplasty can also help improve breathing problems caused by structural issues inside the nose. At The Seattle Rhinoplasty Center, we work with patients from neighborhoods like Capitol Hill, Queen Anne, Ballard, and West Seattle to restore both appearance and function. Whether your breathing issues are from a deviated septum, past injury, or natural anatomy, there are surgical solutions that can help.

Why Does Good Nasal Airflow Matter?

Breathing well through your nose helps with more than just comfort. It improves sleep quality, supports exercise performance, and reduces mouth dryness. Poor airflow can lead to snoring, fatigue, and even recurring sinus infections. In Seattle, where allergies and seasonal congestion can already be a challenge, nasal blockage makes everyday life harder.

rhinoplasty surgery in seattle wa

Can a Nose Job Fix Breathing Problems?

Yes—when done for functional reasons, rhinoplasty can improve breathing by correcting the internal nasal structure. For example, we often combine rhinoplasty with septoplasty to straighten the septum or perform turbinate reduction to open the airway. Our board-certified surgeons use techniques that maintain or improve airflow while achieving the patient’s desired appearance.

Will Insurance Cover Rhinoplasty for Breathing Issues?

Insurance generally does not cover rhinoplasty for cosmetic changes, but it may cover procedures that address documented functional problems, such as a deviated septum or nasal valve collapse. We can work with your insurance provider to determine if part of your procedure qualifies for coverage, especially when supported by medical records and breathing tests.

Can a Bulbous Nose Affect Breathing?

While a bulbous nasal tip usually affects appearance more than airflow, in some cases the shape of the nasal tip and cartilage can narrow the nostrils. This can contribute to difficulty breathing, especially during exercise. Rhinoplasty can refine the nasal tip and improve internal structure for better function.

Can a Dorsal Hump Cause Breathing Problems?

A dorsal hump—the bump on the bridge of the nose—does not directly block airflow. However, the underlying cause of a dorsal hump, such as trauma or cartilage displacement, can be linked to internal nasal problems. Correcting the hump during rhinoplasty often involves improving the internal nasal passages as well.

Common Functional Problems Rhinoplasty Can Address

  • Deviated septum
  • Collapsed nasal valves
  • Scar tissue from injury
  • Enlarged turbinates
  • Asymmetrical nostrils

What to Expect During Functional Rhinoplasty

Functional rhinoplasty is performed under anesthesia. Our surgeons access the nasal structures through small incisions, reshape or reposition cartilage and bone, and create a more open airway. Recovery usually takes 1–2 weeks for initial healing, with full results continuing to improve over several months.

Seattle-Focused Care

We see patients from across the Puget Sound, including Bellevue, Kirkland, and Tacoma. Many patients schedule surgery during the cooler months in Seattle, as the mild weather can make recovery more comfortable. Our central location near Swedish Medical Center provides easy access for follow-up visits.

Post-Surgery Tips for Breathing Improvement

  • Follow your surgeon’s cleaning and care instructions
  • Avoid strenuous activity for at least two weeks
  • Keep your head elevated while resting
  • Stay hydrated to reduce swelling
  • Protect your nose from injury during healing

Resources

Schedule a Consultation

If you have trouble breathing and wonder if rhinoplasty could help, talk to Dr. William Portuese or Dr. Joseph Shvidler at The Seattle Rhinoplasty Center. We’ll examine your nasal structure, discuss your symptoms, and design a plan that improves both breathing and appearance.

Call 206-624-0349.

How to Reduce Swelling Faster After Rhinoplasty

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How to Reduce Swelling Faster After Rhinoplasty

Trusted recovery tips from The Seattle Rhinoplasty Center with Dr. William Portuese and Dr. Joseph Shvidler

Swelling is a normal part of rhinoplasty recovery, but many patients want to know how to reduce swelling faster after rhinoplasty so they can enjoy their results sooner. At The Seattle Rhinoplasty Center, located near Pike Place Market and serving neighborhoods like Capitol Hill, Queen Anne, and Ballard, we help patients heal comfortably while following safe, medically approved techniques.

Why Swelling Happens After Rhinoplasty

During rhinoplasty, delicate nasal tissues are reshaped. This causes your body to respond with inflammation, which is part of the healing process. Some swelling is visible right away, while deeper swelling may take months to fully resolve. Knowing the timeline helps set realistic expectations and prevents unnecessary worry.

rhinoplasty surgery seattl

How to Make Rhinoplasty Swelling Go Down Faster

  • Use Cold Compresses: Applying cool compresses gently around (not on) your nose during the first 48 hours can help reduce inflammation.
  • Keep Your Head Elevated: Sleeping in a reclined position—around a 30-degree angle—helps fluid drain away from the face.
  • Follow a Low-Sodium Diet: Salt can increase fluid retention, which can make swelling worse.
  • Stay Hydrated: Drinking water supports circulation and helps your body flush out excess fluid.
  • Avoid Strenuous Activity: Exercise or heavy lifting can increase blood flow to your face and worsen swelling.

How Long Until Swelling Goes Down After a Nose Job?

Most patients notice the largest amount of swelling in the first week. By two weeks, a significant amount has gone down, but subtle swelling—especially at the tip—can linger for several months. Final refinement often takes 12 to 18 months.

Does Drinking Water Reduce Swelling After Rhinoplasty?

Yes. Staying hydrated supports your body’s natural healing process. Water helps maintain good circulation and prevents fluid from pooling in tissues. While water alone won’t make swelling disappear overnight, it works hand-in-hand with other recovery techniques.

How Long Should I Sleep Upright After Rhinoplasty?

We recommend sleeping upright or at a slight incline for at least 7–10 days. Some patients continue sleeping elevated for two weeks if swelling is more pronounced. Using extra pillows or a wedge pillow makes this easier.

Seattle Recovery Tips from Dr. Portuese & Dr. Shvidler

Our patients in neighborhoods from Magnolia to West Seattle often have active lifestyles. That’s why we create personalized post-operative plans that fit their schedules. Whether you’re walking along Green Lake or enjoying the waterfront near Alki Beach, remember to protect your nose from sun exposure and avoid bumping it in crowded areas.

Protecting Your Nose From Sun Exposure

Seattle may be known for cloudy days, but UV rays still reach your skin. Wearing a wide-brimmed hat and using sunscreen recommended by your surgeon helps prevent discoloration and keeps skin healthy during healing.

When to Contact Your Surgeon

If swelling increases suddenly, or if you notice redness, fever, or unusual discomfort, call our office immediately. Regular follow-up visits allow us to monitor your healing and make adjustments if needed.

Patience Pays Off

Healing after rhinoplasty is gradual. Even if you follow every recovery tip, your body still needs time to settle into its new shape. Trust the process, and remember that the final results are worth the wait.

Resources

Schedule Your Rhinoplasty Consultation

If you’re considering rhinoplasty or have questions about recovery, schedule a consultation with Dr. William Portuese or Dr. Joseph Shvidler at The Seattle Rhinoplasty Center. We’ll guide you through every step so you feel confident in your care.

Call 206-624-0349 today to book your appointment.

How to Choose the Right Rhinoplasty Surgeon

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How to Choose the Right Rhinoplasty Surgeon in Seattle

Picking a nose surgeon can feel big. This guide keeps it simple. You’ll learn how to choose the right rhinoplasty surgeon, what to ask, and what matters most for natural results in Seattle.

Serving Seattle neighborhoods like Capitol Hill, Queen Anne, Ballard, Green Lake, and West Seattle, as well as Bellevue, Kirkland, Redmond, Tacoma, Kent, Everett, Lynnwood, and Shoreline.

A Seattle Guide from Trusted Local Specialists

In our city, people want noses that fit their face and still look like them. Most ask for small, natural changes. When you know how to choose the right rhinoplasty surgeon, you cut stress, save time, and set yourself up for a calm recovery.

rhinoplasty surgeons

How to Pick a Good Rhinoplasty Surgeon

  • Board certification in Facial Plastic Surgery or Otolaryngology (ENT).
  • Facial focus: rhinoplasty every week, not once in a while.
  • Before-and-after photos of faces like yours.
  • Clear plan: technique choice and why (open, closed, septorhinoplasty).
  • Local reviews mentioning care, comfort, and follow-up.
  • Low revision rate and open talk about healing.

Should I See an ENT or a Plastic Surgeon for Rhinoplasty?

  • ENT surgeons focus on breathing, septum, and airway care.
  • Facial plastic surgeons focus on shape, symmetry, and balance.
  • Best of both: a surgeon trained in both areas.

Should Septoplasty Be Done by an ENT or a Plastic Surgeon?

If your main goal is to breathe better, an ENT can handle septoplasty. If you want breathing help and cosmetic changes, a facial plastic surgeon who does septorhinoplasty can treat both in one visit.

Who Should Not Do Rhinoplasty?

Surgery may not be right if you have an active nasal infection, your face is still growing, you have health issues not under control, or you expect a “perfect” nose.

Questions to Ask at Your Consultation

  • How many rhinoplasties do you do each year?
  • Do you use open or closed techniques, and why?
  • Can I see before-and-after photos that match my features?
  • What will swelling look like over time?
  • What is your revision rate?

Techniques Explained

  • Closed Rhinoplasty: Cuts inside the nose, no outside scar, less swelling.
  • Open Rhinoplasty: Small cut between nostrils for better visibility during surgery.
  • Septorhinoplasty: Combines septoplasty and rhinoplasty in one surgery.

Why a Seattle Surgeon Helps

Follow-ups are easier when your surgeon is close to home. Many locals ask for soft, natural changes that fit the face, which is common in Seattle’s style preferences.

Cost and Value

  • Primary Rhinoplasty – Around $11,600
  • Complex/Revision Rhinoplasty – Around $13,800

Pick skill and fit first. A bargain can lead to a revision, which costs more time and more money.

Recovery Tips

  • Plan a calm first week with short walks.
  • Use cold compresses gently.
  • Sleep with your head elevated.
  • Delay long trips until cleared by your surgeon.

Why Choose The Seattle Rhinoplasty Center

  • Board-certified facial plastic surgeons with deep rhinoplasty experience.
  • Balanced plans for shape and breath in one surgery when needed.
  • Clear photos, careful planning, and steady follow-up.
  • Natural results that fit your face and your life.

Schedule a Consultation

Ready to talk about your goals? Call 206-624-0349 to schedule with Dr. William Portuese and Dr. Joseph Shvidler.

FAQ

How to pick a good rhinoplasty surgeon?

Look for board certification, rhinoplasty focus, before-and-after photos, and a clear surgical plan.

Should I go to an ENT or plastic surgeon for rhinoplasty?

Either can work well when they have deep nose training. Many patients pick a surgeon who does both.

Should septoplasty be done by an ENT or plastic surgeon?

If the goal is breathing only, an ENT can help. If you also want shape changes, choose a surgeon who does septorhinoplasty.

Who should not do rhinoplasty?

People with active infections, ongoing health issues, incomplete facial growth, or unrealistic goals should wait.


 

What Are the Risks or Side Effects of Rhinoplasty?

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What Are the Risks or Side Effects of Rhinoplasty?

The most common risks of rhinoplasty include swelling, bruising, nasal obstruction, and dissatisfaction with cosmetic results. While serious complications are rare, it’s crucial to understand all potential risks before surgery.

Understanding the Risks and Side Effects of Rhinoplasty

Rhinoplasty, or nose reshaping surgery, is typically safe when performed by a board-certified facial plastic surgeon. However, like all surgical procedures, it carries potential risks and side effects. Here’s what you should know:

Common Side Effects (Usually Temporary)

  • Swelling and bruising: Most noticeable in the first 1–2 weeks, particularly around the eyes and nose.
  • Nasal congestion or obstruction: Caused by internal swelling, usually resolves in a few weeks.
  • Mild discomfort or pain: Managed with prescribed medication during recovery.
  • Numbness around the nose: Typically temporary but may last several months in some cases.
before and after rhinoplasty

Less Common Risks (May Require Additional Care)

  • Bleeding or infection: Rare but can occur, especially if post-operative care instructions aren’t followed.
  • Asymmetry or dissatisfaction with cosmetic results: May require a revision rhinoplasty for correction.
  • Septal perforation: A hole in the septum that may cause breathing difficulties or whistling noises (uncommon).
  • Scarring: Especially with open rhinoplasty, though usually minimal and well-concealed.

According to the American Society of Plastic Surgeons, these risks are generally low when the surgery is performed by an experienced, board-certified surgeon and when patients follow all pre- and post-operative instructions.

Why It Matters: What You Need to Know

Understanding these risks helps you make an informed decision. While complications are uncommon, being aware of them can reduce your anxiety and prepare you for what to expect. Most importantly, choosing a highly qualified facial plastic surgeon in Seattle—such as a board-certified specialist in facial plastic surgery—significantly reduces your chances of experiencing serious side effects. Ignoring potential risks or choosing an underqualified provider can lead to undesirable outcomes and the need for revision surgery.

Schedule a Consultation in Seattle

If you’re considering rhinoplasty and want to better understand how the procedure can safely meet your goals, we invite you to schedule a private consultation with our expert facial plastic surgeon in Seattle. Contact our office today to take the next step toward a more confident you. View before and after photos. 

Closed Rhinoplasty: A Scarless Nose Reshaping Option

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Closed Rhinoplasty: A Scarless Nose Reshaping Option

Closed rhinoplasty — often referred to as a “scarless nose job”—is a surgical technique in which incisions are made entirely within the nostrils. This approach allows for reshaping the nose without any visible external scars, making it a popular choice for those seeking subtle refinements.

Key Features of Closed Rhinoplasty

  • No Visible Scarring
    Since all incisions are placed inside the nostrils, there are no external scars, which appeals to patients desiring a natural look.
  • Precision in Refinement
    Although the surgeon works with limited direct visibility, they are still able to sculpt and reshape the bone and cartilage with a high degree of accuracy.
  • Quicker Recovery
    Closed rhinoplasty typically results in less swelling, bruising, and discomfort than the open technique, allowing for a faster return to daily activities.
  • Ideal for Minor Corrections
    This method is often chosen for less complex enhancements, such as refining the nasal tip, smoothing a dorsal hump, or narrowing the bridge.

Benefits of Closed Rhinoplasty

  • No External Scars
    The hidden incisions preserve the nose’s natural appearance.
  • Faster Healing Time
    Patients generally experience a shorter recovery period and milder post-operative symptoms.
  • Potentially Less Painful
    Some evidence suggests patients undergoing closed rhinoplasty report reduced pain compared to the open approach.

Limitations of Closed Rhinoplasty

  • Restricted Visibility
    The internal-only access limits the surgeon’s view, which may be a challenge when addressing complex anatomical issues.
  • Not Suitable for All Cases
    Patients requiring significant structural changes or undergoing revision surgery may benefit more from an open approach.
  • Demands High Surgical Skill
    Achieving optimal results through the closed technique requires extensive expertise and experience.

Schedule a Consultation

Closed rhinoplasty is a minimally invasive technique best suited for patients seeking subtle nose reshaping with the advantage of no external scarring and a quicker recovery. While it’s not appropriate for all surgical goals, it offers excellent results for minor aesthetic adjustments when performed by a skilled and experienced facial plastic surgeon like Dr William Portuese or Dr Joseph Shvidler.