Primary Rhinoplasty
Customized nose surgery designed to improve shape, proportion and nasal function when appropriate.
Learn about rhinoplastySeattle Facial Plastic Surgery
Refined change. Recognizably you.
Dr. William Portuese provides facial plastic surgery with an emphasis on facial harmony, structural support and results that preserve individual character.
William A. Portuese, MD
Advanced facial surgery training paired with a careful, patient-specific approach to planning and treatment.
Learn About Dr. PortueseAbout Dr. Portuese
Focused expertise for complex facial anatomy.
Facial plastic surgery requires both technical precision and a clear understanding of how each feature affects overall balance.
The goal is not to create a different face. It is to improve proportion, definition and confidence while preserving identity.
William A. Portuese, MD, is a double board-certified facial plastic surgeon in Seattle whose practice is devoted to cosmetic and functional procedures of the face, nose and neck.
He is certified by the American Board of Facial Plastic and Reconstructive Surgery and by the American Board of Otolaryngology Head and Neck Surgery. This combination supports a detailed understanding of facial aesthetics, nasal structure and airway function.
Dr. Portuese earned his medical degree from the University of Oklahoma College of Medicine and completed residency training in otolaryngology, head and neck surgery, and facial plastic and reconstructive surgery at Louisiana State University Hospital.
He later completed advanced fellowship training in facial plastic and reconstructive surgery at the Lasky Clinic in Beverly Hills. His Seattle practice emphasizes measured change, clear communication and personalized surgical planning.
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Facial surgery should create better balance, not a new identity. The result should still feel entirely like the patient.
William A. Portuese, MD
Areas of Expertise
Procedures tailored to facial structure and aging.
Every treatment plan considers facial proportions, anatomy, skin quality and the relationship between the area being treated and the rest of the face.
Revision Rhinoplasty
Secondary nasal surgery for patients with cosmetic, structural or breathing concerns after a previous rhinoplasty.
Explore revision rhinoplastyFacelift
Facial rejuvenation designed to address jowls, laxity and reduced lower-face definition while maintaining a natural appearance.
Explore facelift surgeryNeck Lift
Treatment for loose skin, fullness beneath the chin and reduced definition along the neck and jawline.
Learn about neck liftBlepharoplasty
Upper and lower eyelid surgery to improve heaviness, puffiness and tired-looking contours around the eyes.
Explore eyelid surgeryChin & Cheek Implants
Facial augmentation designed to improve structural balance, strengthen the profile and complement surrounding features.
View all procedures
Rhinoplasty Results
Results shaped by proportion, structure and restraint.
Rhinoplasty is not simply about changing the nose. It is about understanding how the nose relates to the eyes, chin, lips and overall profile.
Dr. Portuese plans each rhinoplasty around the patients existing anatomy, aesthetic goals and functional needs. The objective is a result that appears balanced from multiple angles and remains consistent with the patients facial identity.
Individual results vary. Before-and-after photography is intended for educational purposes and does not guarantee a specific outcome.
Watch Dr. Portuese
Learn more directly from the surgeon.
Video gives patients an opportunity to hear Dr. Portuese explain his approach to facial plastic surgery, rhinoplasty planning and the importance of realistic expectations.
Educational video content can help patients better understand the consultation process before visiting the Seattle practice.
Training & Credentials
Education built around the face, nose and neck.
Dr. Portueses background combines facial plastic surgery, nasal function and head and neck anatomy.
01
Facial Plastic Surgery Board Certification
American Board of Facial Plastic and Reconstructive Surgery
02
Head & Neck Surgery Board Certification
American Board of Otolaryngology Head and Neck Surgery
03
Medical Education
University of Oklahoma College of Medicine
04
Residency Training
Otolaryngology, head and neck surgery, and facial plastic and reconstructive surgery at Louisiana State University Hospital
05
Advanced Fellowship
Facial plastic and reconstructive surgery at the Lasky Clinic in Beverly Hills
The Consultation
Personalized guidance from the first visit.
Your consultation is designed to clarify goals, evaluate anatomy and determine which options may provide the most balanced and realistic result.
Understand the Concern
Discuss what you would like to improve, what you want to preserve and what outcome would feel appropriate.
Evaluate the Face
Review proportions, structure, skin quality, nasal function and any prior surgical history.
Create the Recommendation
Build a treatment plan based on anatomy, expectations, health history and the most appropriate path forward.
Frequently Asked Questions
What patients often want to know.
These general answers can help you prepare. Personal recommendations require a consultation based on your anatomy and goals.
What facial procedures does Dr. Portuese perform?
Dr. Portuese performs rhinoplasty, revision rhinoplasty, facelift, neck lift, eyelid surgery, brow lift and facial implant procedures.
Is Dr. Portuese double board certified?
Yes. He is certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology—Head and Neck Surgery.
Can rhinoplasty address breathing concerns?
For some patients, nasal surgery may address both appearance and structural issues affecting airflow. A consultation is needed to determine what applies to your anatomy.
Where is the practice located?
The Seattle Facial Plastic Surgery Center is located at 1101 Madison Street, Suite 1280, Seattle, WA 98104.
How can I request a consultation?
Call (206) 624-6200 or request a consultation through SeattleFacial.com.
Seattle Location
Visit our First Hill practice.
The Seattle Facial Plastic Surgery Center1101 Madison Street, Suite 1280
Seattle, WA 98104 (206) 624-6200 Request a consultation online
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