Primary Rhinoplasty
Personalized nasal surgery to adjust shape, projection, width or tip definition while maintaining facial harmony.
Explore primary rhinoplastySeattle Facial Plastic Surgery
Purposeful change. Natural expression.
Dr. William Portuese offers specialized facial surgery for patients seeking better proportion, stronger definition and results that remain true to their appearance.
Care shaped by facial relationships
Every plan considers how a proposed change will affect the surrounding features, profile and overall expression.
Read About the PracticeAbout the Surgeon
A practice dedicated to facial structure and aesthetics.
Facial plastic surgery involves more than changing a single feature. It requires understanding how anatomy, proportion and expression work together.
A well-planned result should improve the area of concern while preserving the qualities that make the patients face distinctive.
Dr. William Portuese is a Seattle facial plastic surgeon whose clinical focus includes nasal surgery, revision procedures and rejuvenation of the face, eyelids and neck.
His board certifications in facial plastic and reconstructive surgery and otolaryngology head and neck surgery reflect training in both facial appearance and the deeper structures that support function.
After earning his medical degree from the University of Oklahoma College of Medicine, Dr. Portuese completed residency training at Louisiana State University Hospital in otolaryngology, head and neck surgery, and facial plastic and reconstructive surgery.
He then completed advanced fellowship training at the Lasky Clinic in Beverly Hills. His approach emphasizes careful analysis, open communication and recommendations based on the patients goals, anatomy and prior treatment history.
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A successful facial procedure should improve proportion and confidence without making the result look separate from the patient.
William A. Portuese, MD
Procedures Offered
Facial treatment planned as part of the whole.
Each procedure is evaluated in relation to the patients facial shape, profile, tissue quality and long-term goals rather than as an isolated correction.
Revision Rhinoplasty
Secondary surgery for patients seeking improvement in appearance, support or breathing after an earlier rhinoplasty.
Review revision optionsFacelift
Surgical rejuvenation for jowls, lower-face laxity and diminished definition, planned to create a more rested appearance.
Learn about facelift surgeryNeck Lift
Treatment for loose tissue, submental fullness and loss of a distinct jawline-to-neck transition.
Explore neck contouringBlepharoplasty
Upper or lower eyelid surgery designed to improve heaviness, puffiness and age-related changes around the eyes.
View eyelid surgery informationChin & Cheek Implants
Structural enhancement used to improve profile relationships and strengthen facial balance where added projection may help.
See all facial procedures
Primary Rhinoplasty Result
Subtle nasal changes can influence the entire profile.
Primary rhinoplasty may involve adjusting the bridge, nasal tip, projection or overall shape. The exact plan depends on how the nose relates to the chin, lips, eyes and surrounding facial contours.
Dr. Portuese evaluates the nose from multiple views and considers structural support alongside the patients aesthetic priorities. The intention is a more balanced appearance that does not look disconnected from the rest of the face.
Real Patients. Real Results
Featured Video
Learn more about Dr. Portuese and his approach.
Hearing directly from a surgeon can help patients understand how consultations are structured and why treatment recommendations differ from person to person.
This featured video offers additional insight into Dr. Portueses facial plastic surgery practice and patient-centered planning process.
Credentials & Training
A surgical background focused on facial anatomy.
Dr. Portueses professional training spans facial aesthetics, nasal function and head and neck surgery.
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Facial Plastic Surgery Certification
American Board of Facial Plastic and Reconstructive Surgery
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Head & Neck Surgery Certification
American Board of Otolaryngology Head and Neck Surgery
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Medical Degree
University of Oklahoma College of Medicine
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Residency Training
Otolaryngology, head and neck surgery, and facial plastic and reconstructive surgery at Louisiana State University Hospital
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Advanced Facial Fellowship
Facial plastic and reconstructive surgery training at the Lasky Clinic in Beverly Hills
Consultation Process
Planning begins with clear priorities and realistic goals.
A consultation allows the patient and surgeon to define concerns, review anatomy and discuss which options may provide the most appropriate improvement.
Describe the Desired Change
Explain which features concern you, how long they have bothered you and what you would like to preserve.
Assess Facial Relationships
Review proportions, skin quality, nasal structure, profile balance and the effects of any earlier procedures.
Discuss the Best Options
Compare appropriate treatments, expected limitations, recovery details and the likely path toward improvement.
Common Questions
Information for patients researching facial surgery.
These answers are general. A personal consultation is needed before specific recommendations can be made.
Which procedures are available with Dr. Portuese?
Dr. Portuese offers rhinoplasty, revision rhinoplasty, facelift, neck lift, eyelid surgery, brow lift and facial implant procedures.
What board certifications does Dr. Portuese hold?
He is certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology—Head and Neck Surgery.
Can primary rhinoplasty address breathing concerns?
Some patients have both cosmetic and structural nasal concerns. The consultation determines whether functional treatment should be part of the surgical plan.
Where does Dr. Portuese see patients?
He sees patients at The Seattle Facial Plastic Surgery Center at 1101 Madison Street, Suite 1280, Seattle, WA 98104.
How do I contact the practice?
Call (206) 624-6200 or use the consultation request form on SeattleFacial.com.
Seattle Office
Located in Seattles First Hill medical community.
The Seattle Facial Plastic Surgery Center1101 Madison Street, Suite 1280
Seattle, WA 98104 (206) 624-6200 Send a consultation request
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