Rhinoplasty (Nose Reshaping)

Dr. William Portuese performs primary and revision rhinoplasty at his on-site Medicare-certified surgery center in Seattle's First Hill neighborhood. His preferred closed technique places all incisions internally, leaving no external scarring. General anesthesia is administered by board-certified anesthesiologists. Primary rhinoplasty is priced from $11,600 all-inclusive; complex or revision cases from $13,800. Minor corrections such as columella adjustment or Weirs excision start at $4,850. Recovery involves a one-week cast with bruising resolving by two weeks and full healing at one year.

Seattle Facial Plastic Surgery offers rhinoplasty under the direction of Dr. William A. Portuese, who has been performing nose reshaping procedures for over 35 years and holds dual board certification from the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology, Head and Neck Surgery. His signature closed rhinoplasty technique places all incisions inside the nostrils, avoiding the external columella scar associated with open approaches and typically reducing swelling and recovery time compared to open techniques. All rhinoplasty procedures at this practice take place within the clinic's own Medicare-certified ambulatory surgery center — meeting the highest federal standards for outpatient surgical facilities. General anesthesia is administered by board-certified physician anesthesiologists or CRNAs, and the vast majority of patients return home the same day. Primary rhinoplasty — addressing concerns such as a nasal hump, wide nasal tip, deviated appearance, or proportion imbalance — is priced at $11,600 all-inclusive, covering surgeon fee, anesthesia, and facility charges. Complex or revision rhinoplasty, which requires navigating prior surgical changes and scar tissue, is priced at $13,800. For patients requiring only minor corrections such as columella adjustment or Weirs excision, pricing starts at $4,850. A triplasty combination procedure is available from $6,250. Recovery follows a predictable timeline: a cast is worn for one week, bruising and swelling typically resolve within two weeks, and visible refinements emerge over three months, with full healing at one year. Candidates are generally age 18 or older with a fully developed nose. Dr. Portuese's reputation for the closed technique draws patients from across the Pacific Northwest — Bellevue, Tacoma, Redmond, Kirkland, Olympia, and beyond — seeking a Seattle rhinoplasty specialist with proven, transparent results.