The Idaho Center for Facial Plastic Surgery

5.0 rating from 1 reviews
Practice Information
380 Washington Ave., Ste. 205, Ketchum, Idaho
This practice is not currently accepting consultations on RealSelf.

About the Practice

100 Before & After Photos
1 Reviews
9082 Answered Questions

Doctors & Other Staff Members

William Portuese, MD
Board Certified Facial Plastic Surgeon
4.6
Pam Anderson
Registered Nurse
Angela Lane
Registered Nurse
Jamie Jaramillo
Physician Associate
Janet Silver
Practice Manager

100 Before & After Photos

1 The Idaho Center for Facial Plastic Surgery Reviews

JaneNix
Facelift•4 months post-op•September 11, 2019
My Experience Was over the Top!

9,082 Answers

Eyelid Surgery
Q Non-surgical options for undereyes - Tear trough hollowing, bulging fat pad, excess skin and discoloration? (photo)
A You have significant herniation of fat and the two out of the three fat pockets in the lower lids. This is also called a prolapse. Do not have extra skin based on these limited photographs. We do not recommend fillers placed in this area due to significant complications that can happen such as blindness. Also important to get your allergies under control with nasal sprays, antihistamines and decongestants. A trans-conjunctival approach lower blepharoplasty can accomplish removal of these fat pads as an outpatient procedure under general anesthesia, which takes about 30 minutes. The incisions located completely on the inside of the lower lid, and there's no visible external incision. That's going be your best solution.
Answered by Dr. PortueseMarch 3, 2025
Revision Rhinoplasty
Q Tip is super droopy 2 years post-op. Pollybeak? (photo)
A Polly beak can be caused from two issues, thick skin and residual dorsal/tip cartilage. To treat thick skin require steroid shots to reduce the swelling in the supra tip area of the nose. If the poly beak is caused from excess cartilage, then a revision rhinoplasty is required. To prevent the tip of the nose from drooping down dynamically when smiling requires releasing of the depressor septi ligament.
Answered by Dr. PortueseFebruary 28, 2025
Neck Lift
Q Necklift and fat pad removal or just chin lipo? (photo)
A From the two limited photographs, it appears that most of your fat is located above the platysma muscle in the neck, therefore liposuction should be able to accomplish your goals. If you're looking for more jawline definition, a platysma- plasty can also be performed, which significantly improves your jawline once the fat has been removed. If you're fat deposits are located below the muscle than a formal neck lift surgery is required.
Answered by Dr. PortueseFebruary 28, 2025
Rhinoplasty
Q Refine nasal tip, fix breathing, mini osteotomy. Will these changes look drastic? (photo)
A A closed rhinoplasty approach can accomplish shaving down the dorsal hump, reduction of your hanging columella, refinement to the nasal tip cartilages, and osteotomy placed in the nasal bones to narrow the bridge line and close the open roof that's created from the hump removal itself. All of the incisions are placed on the inside of the nose, and there's no external incisions needed, and no painful packing required either. An Alar plasty is performed to narrow wide nostrils, not lower them. Functional surgery, such as a Septoplasty and turbinate surgery can also be performed simultaneously on the inside of the nose for improvement of airflow dynamics. Rhinoplasty is the most difficult procedure to perform correctly in the entire field of cosmetic surgery, so choose your surgeon wisely based on extensive experience producing natural results.
Answered by Dr. PortueseFebruary 26, 2025
Chin Implant
Q 1 year post op - How worried should I be that my doctor used a screw to secure my chin implant (silicone)? (Photos)
A As long as there's no infection, and the implant has not been displaced, it's best to leave well enough alone. There's no reason to go in and just to remove a screw. In our practice, we use silicone chin implants manufactured by Implantech, and we secure the implant in place with a dissolvable stitch that takes about two months to go away. We usually perform chin implants under local anesthesia as an outpatient procedure, which takes about 30 minutes. They can always be removed if necessary.
Answered by Dr. PortueseFebruary 25, 2025

Opening Hours

Monday8:30am - 5:00pmTuesday8:30am - 5:00pmWednesday8:30am - 5:00pmThursday8:30am - 5:00pmFriday8:30am - 3:00pmSaturdayClosedSundayClosed

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