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Facelift Consultation: $125
Rhinoplasty Consultation: $125
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4.8 out of 5 stars 4.8 stars from 143 reviews See details Hide details
5.0 out of 5 stars Doctor's bedside manner
5.0 out of 5 stars Answered my questions
5.0 out of 5 stars After care follow-up
5.0 out of 5 stars Time spent with me
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5.0 out of 5 stars Staff professionalism & courtesy
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5 out of 5 stars Neck Lift

Totally Worth It! Had a Saggy Neck, Now It's Beautiful! - Seattle, WA

I had a face and neck lift in June, and I couldn't be more thrilled with the result. I spent many years being extremely self-consicous about a VERY saggy neck, inherited from my mother's side of the family. Now, even though I'm just a few weeks post-op, I can't get over how beautiful I look and feel!

5 out of 5 stars Rhinoplasty

amazing!!! - Seattle, WA

I can breathe better and am more confident about the way I look!! Not a single con!

5 out of 5 stars Rhinoplasty

Happy Rhinoplasty - Seattle

Had the "family" bump on my nose and wanted to get this done for years. I'm wear my glasses more becuase I feel like my nose is nice and straight now. It's been about 10 years and every day I'm glad I did it.

5 out of 5 stars Facelift

I Can't Describe How I Am Happy with the Results. - Seattle

I had my face lift surgery about 2 month ago and I can't describe how I am happy with the results. I not only look refreshed and 10 years younger, I feel energized and more confident.

5 out of 5 stars Rhinoplasty

Excellence! - Seattle Rhinoplasty

Anything in life you are not satisfied with can be fixed and changed. If it will make you happier, why not?

5 out of 5 stars Eyelid Surgery

One Very Happy Client! - Seattle, WA

My upper lids looked like tents hanging on my lashes. My lower eyes were puffy and tired looking and my cheeks had dropped from age.

5 out of 5 stars Revision Rhinoplasty

I Wish I Had Choosen Dr. P the First Time Around!

I had a revision rhinoplasty with Dr. P. He understood my current problem, gave me a frank assessment, and explained what he would do to fix my nose. I had to decide whether to have a revision with my primary surgeon or go to a new surgeon. I consulted with two others and choose Dr. P both for his method and for his outcomes. It was a difficult decision but in the end I am very glad I choose...

5 out of 5 stars Rhinoplasty

Dr. Portuese is Amazing - Seattle, WA

What i love about his work is he has you look like yourself, but you know that "wow I look good today" day, well that happens almost everyday now. People ask me if I have lost weight or tell me my skin is glowing, but literally I have worked out less and ate the same. I just look better and feel glad I finally did this for me!

5 out of 5 stars Chin Surgery

It Was Wonderful - Seattle

My neck was starting to sag, and it was making me look old. My Dr. fixed it without making it look too "fixed" just natural. I love the results!

5 out of 5 stars Chin Implant

Painless, Huge Improvement with Chin Implant - Seattle, WA

My chin was receding pretty extensively. Teamed with a larger nose, I was never a fan of my profile. After extensive research I decided to consider a chin implant and rhinoplasty. After meeting with my doctor, we agreed a large implant teamed with the rhinoplasty would balance out my profile as I desired. Surgery was combined, and quick. I had moderate swelling in the chin, with no pain. After...

Personal Statement

Dr. William A. Portuese is board certified by the American Board of Facial Plastic and Reconstructive Surgery and by the American Board of Otolaryngology, Head & Neck Surgery.
Real Self Top Doctor Dr. Portuese has extensive experience in Facial Plastic Surgery

Board Certifications

Board-certified by the American Board of Facial Plastic and Reconstructive Surgery and American Board of Otolaryngology


American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)

Consultation Fee


Awards & Recognition

Medical Leader of the Year, 2008, 2012
RealSelf Top Doctor, 2010 - 2016
RealSelf Top Doctor

Hospital Privileges

Dr. Portuese has hospital affiliations at Swedish.


  • Undergraduate & Medical School

    Undergraduate: BS, Zoology, Oklahoma State University, 1981
    Medical: MD, University of Oklahoma College of Medicine, 1985
  • Post-Medical School Training

    Internship: Categorical Otolaryngology/General Surgery, Louisiana State University Hospital, Shreveport, Louisiana, 1986
    Residency: Otolaryngology/Head and Neck Surgery and Facial Plastic and Reconstructive Surgery, Louisiana State University Hospital, Shreveport, Louisiana, 1990
    Fellowship: Facial Plastic and Reconstructive Surgery, Lasky Clinic, Beverly Hills, California, 1991

Treatments offered at The Seattle Facial Plastic Surgery Center

Blog Posts and Articles

Are you going to turn up my nose?

I tell patients, "No, I'm not." During rhinoplasty consultations, I assure the person that I'm not going to turn their nose up. I tell them that I'm not going to give you a ski slope, and I'm not going to give you a Miss Piggy. These were three

Will my nose look like Michael Jackson's?

I tell patients, "Absolutely not" The common concern that I hear from patients is that they have seen Michael Jackson's multiple rhinoplasties and made very explicit comments that they do not want a nose like that nose. Today's rhinoplasty is do

Will you be packing my nose?

I tell patients, "We do not pack the nose" I tell patients that there's no need to put any tampons up inside their nose. A misconception about nose surgery is that the nose has to be packed with packing on the inside of the nose after a rhinopla

Most popular answers from William Portuese, MD

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Dorsal Hump Swelling or Callus After Rhinoplasty?

A callous formation can occur across the top of the bridge of the nose where the cartilage meets with the bone. It is impossible to tell at three... READ MORE

How is a Lifestyle Lift Different from a Traditional Face Lift?

A lifestyle lift is another name for a mini lift and will give mini results. The traditional (comprehensive) face/neck lift is a full facial... READ MORE

Who has done this rhinoplasty? Can you as a surgeon take on work as complicated as this? (Photo)

The photographs exhibit the work of Dr. Steven Dennenberg in Omaha Nebraska, an excellent Facial Plastic Surgeon and Rhinoplasty specialist. It is... READ MORE

How Can I Address Deep Neck Creases? In My Early 20's.

There is no option to getting rid of flexion type neck creases.  Infants have them at birth; they are part of the skin’s ability flex with neck mo... READ MORE

What is the Safest Material for Asian Nose Bridge Augmentation? (Rhinoplasty)

Silicone implants are the best implant and tolerated quite well if used conservatively in an Asian patient’s face. The cost of a rhinoplasty is... READ MORE

Can Alar Base Reduction Be Done Alone?

Yes, alar base reductions can be performed if that is the only presenting problem regarding the rhinoplasty. Cost on alar base reductions are... READ MORE

Best Rhinoplasty Surgeon

There are many factors to look at when looking for the right rhinoplasty surgeon:1. Board Certification: ENT/ Facial Plastic Surgeon or a board... READ MORE

I want a perfect doll nose - help! (photo)

There is no such thing as a perfect nose. A doll nose belongs in a doll, not on a human face!! The nose is a three-dimensional structure that must... READ MORE

Chin Implant Complications

 In our practice we insert chin implants under local anesthesia. We also give patients antibiotics to prevent an infection. We have seen a handful of ... READ MORE

If Facelift Results Are the Same Why Would I Invest More Recovery Time and Money?

We do not recommend a facelift be done under oral sedation, for patient comfort and safety. Board-certified physician anesthesiologists perform... READ MORE

Before and After Photos by Dr. Portuese

William Portuese, MD has shared 966 before and after pictures with 4,941 helpful votes from the RealSelf community.

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Videos by William Portuese, MD

William Portuese, MD has shared 31 videos.

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What to Consider When Choosing a Surgeon for Revision Rhinoplasty

Live from Vegas at VCS 2016, Dr. William Portuese answers questions about revision rhinoplasty and why it's important to select a board certified plastic surgeon with extensive experience. WATCH VIDEO

Closed vs. Open Nose Job: The Doctor's Recommendation

Dr. William Portuese explains what to consider during a nose job. WATCH VIDEO

What Happens During a Rhinoplasty Consultation?

William Portuese explains how he, as a plastic surgeon, takes the time to really listen to his patients to better understand their concerns and needs. WATCH VIDEO

The Power of the Selfie: Photo Trend Leads to More Facial Plastic Surgery

Dr. William Portuese explains how the evolution of a photo trend has lead to more patients becoming concerned over their weak or recessive chins and seeking plastic surgery to help improve their profile. WATCH VIDEO

Rhinoplasty Recovery: "Keep Your Head Above Your Heart"

Dr. William Portuese discusses how patients can ensure a quicker and easier recovery following a rhinoplasty. WATCH VIDEO

Removing the Bump on the Nose May Require Other Work to Balance the Face

Dr. William Portuese explains that he often has to inform patients that while he can perform the requested work, such as removing a bump on the nose, there may be some other work that must be done to ensure a truly natural result. WATCH VIDEO

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