Revision Nasal Surgery/Rhinoplasty

Revision Nasal Surgery/Rhinoplasty Before & After Photos

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Revision Nasal Surgery/Rhinoplasty Patient 21


This patient underwent septoplasty with a different surgeon and developed a septal perforation (hole in the nasal septum). He was referred to Dr. Bhama for persistent difficulty breathing through his nose as well as chronic nasal drainage. On exam, he was found to have a 1 cm septal perforation and very poor tip support. He was also found to have substantial collapse of the nasal valve. Options were discussed with the patient and he elected for revision surgery. He did not desire any major cosmetic change in the appearance of his nose. Dr. Bhama performed complex revision surgery including septorhinoplasty, repair of a septal perforation using temporalis fascia interposition grafting, a caudal septal extension graft, and extended spreader grafts using the patient’s own auricular (ear) cartilage. Early postoperative photos are shown. Notice the preservation of the patient’s overall nasal aesthetic. His tip support improved dramatically and the septal perforation healed completely. He was able to breathe much better through his nose and was very happy with the results.


Revision Nasal Surgery/Rhinoplasty Patient 22


This patient presented to Dr. Bhama for second opinion regarding previous rhinoplasty surgery with another surgeon. She had undergone rhinoplasty surgery several years ago at which time some an implant was placed into the nose for augmentation. Over the past several years, she had noticed intermittent swelling and pain of the nose and partial extrusion of the implant. On pre-op photos, notice the partially implant extruding through the nasal tip. Options were discussed, and the patient elected for removal of the implant without reconstruction and cosmetic refinement. Dr. Bhama performed excision of the implant via an open rhinoplasty approach. Early postoperative pictures are shown demonstrating a healed scar. The patient did not desire any scar revision and was very happy with results. Her intermittent pain and swelling completely resolved.


Revision Nasal Surgery/Rhinoplasty Patient 23


This patient presented to Dr. Bhama with nasal obstruction despite previous nasal surgery with another surgeon. On exam, her tip was ptotic and she had prominent nasal valve collapse. Additionally, she had chronic sinus disease. Options were discussed, and she elected to have revision nasal surgery. Dr. Bhama performed septorhinoplasty using cadaveric costal cartilage grafting, nasal valve repair, turbinate reduction, and functional endoscopic sinus surgery. She desired a natural appearing non-operated look without major aesthetic changes. Early post-operative photos are shown. Notice the preservation of the patient’s overall nasal aesthetic with a natural appearance and subtle rotation of the nasal tip. On base view, there is improvement in nostril symmetry and internal nasal valve patency. Her nasal breathing was dramatically improved and she was very happy with aesthetic results.


Photo Disclaimer: Before & After photographs shown on this site are actual patients who have given permission to have their photos published. They are for illustrative purposes only. Individual results vary. Reputable surgeons do not guarantee outcomes and no prediction of outcome is implied. Individual healing characteristics and unexpected complications can affect the outcome of any surgery.

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