• 425.316.5080

    12800 Bothell-Everett Hwy, Suite 260
    Everett, Washington 98208

Samuel Lien, M.D.
Jeffrey Scott, M.D.
James Edwards, M.D.
Prabhat Bhama, M.D.

Rhinoplasty (Nose Reshaping) Before & After Photos

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Rhinoplasty Patient 1


This patient presented to Dr. Bhama with complaints of nasal obstruction and desired refinement of her nasal tip, reduction of her nasal dorsum, rotation of the nasal tip, and reduction of her columellar show on profile view. Additionally, she requested chin implant. She underwent dual functional cosmetic septorhinoplasty with dorsal hump reduction, tongue in groove maneuver, septoplasty, and various suturing techniques. Additionally, chin implantation was performed at the same time. Early postoperative pictures were shown demonstrating substantial improvement in her chin profile on lateral view. Additionally, columellar show has been decreased evident on both frontal and profile views. Her dorsal hump has been reduced and her nasal tip has been elevated. The patient was very happy with results of surgery and could breathe much better through her nose after surgery.


Rhinoplasty Patient 2


This beautiful young lady was referred to Dr. Bhama by another facial plastic surgeon for possible rhinoplasty. She complained of difficulty breathing through her nose for many years, and also desired reduction of her dorsal hump. It was very important to her to have a natural looking result that did not look “done up.” Options were discussed and she elected for septorhinoplasty and turbinate reduction. Dr. Bhama performed rhinoplasty and septoplasty as well as turbinate reduction using numerous techniques including dorsal hump reduction, tongue in groove, cephalic turn in flaps, dome narrowing sutures, causal septal extension grafting, and more. Very early post-operative photos are shown. Her nose is still swollen and will continue to improve with time. On frontal view, notice the improvement in her hanging columella. On profile view, notice the dramatic improvement in dorsal profile and tip rotation, while maintaining the patient’s overall facial aesthetic. On base view, notice the dramatic improvement in her external nasal valve collapse, and improved triangularity of the nose. The scar will fade with time. She was ecstatic with the cosmetic results and was able to notice a substantial improvement in her nasal breathing.


Rhinoplasty Patient 3


This patient was referred to Dr. Bhama by another ENT (Otolaryngologist – Head and Neck Surgeon). Her main concern was difficulty breathing through her nose. She also desired refinement of the nasal dorsum (reduction of her dorsal hump) and felt like her tip was droopy. On pre-operative frontal view, notice the ptotic nasal tip. On profile view, she has a subtle dorsal hump and a slightly ptotic nasal tip. Options were discussed and she elected for rhinoplasty surgery with septoplasty and turbinate reduction. It was very important to her to have a natural appearing, subtle improvement. Dr. Bhama performed septorhinoplasty using multiple techniques including spreader grafting, suture techniques, cephalic turn-in flaps, and more. Early post-operative photos are shown. On frontal view and profile views, notice improvement in tip rotation. Profile view also demonstrates softening of the dorsum. She has a very natural appearing result and was very happy with cosmetic and functional results of surgery.


Rhinoplasty Patient 4


This patient was referred to Dr. Bhama by another facial plastic surgeon for possible rhinoplasty surgery. The patient complained of nasal obstruction, and also desired rotation of her tip, dorsal hump refinement, and repair of her hanging columella. On pre-op photos, notice the hanging columella and excessive columellar show, dorsal hump, and ptotic tip. Options were discussed with the patient and she elected for dual functional and cosmetic septorhinoplasty with nasal valve repair and inferior turbinate reduction. Dr. Bhama performed surgery, which went very well. Various techniques were used including septoplasty, inferior turbinate reduction, sequential hump reduction, spreader grafts, dome narrowing sutures, tongue in groove, and columellar strut. Early post-operative pictures are shown. Notice the substantial improvement in her profile including the dorsal reduction, decrease in columellar show, and tip rotation. Her nose is still swollen and will improve with time. She was able to breathe much easier through her nose and was very happy with the cosmetic outcome.


Rhinoplasty Patient 5


This patient presented to Dr. Bhama with complaints of difficulty breathing through her nose. On pre-operative frontal view notice the excess nostril show. On profile view she has a slight dorsal hump, and an obtuse nasolabial angle (over-rotated tip). Dr. Bhama performed septorhinoplasty using multiple techniques including hump reduction, extended spreader grafts and caudal septal extension graft to de-rotate the tip. Post-operatively, she is very happy with her nasal breathing. On frontal view, notice the improvement in her nostril show. On profile view, notice the improved nasolabial angle and smoother dorsal contour.


Rhinoplasty Patient 6


This patient was referred to Dr. Bhama by an ENT (otolaryngologist) for nasal obstruction. She could not breathe well through her nose, and also desired cosmetic refinement of the nasal tip, rotation of the tip upwards, and improvement in her breathing. She desired a natural “non-operated” appearance. On pre-operative frontal view, notice the tip ptosis, pinching of the middle vault and flared nostrils. On three-quarter view, the tip ptosis is demonstrated as well. On base view, notice the trapezoidal shape to the nose, as well as the medial crural flaring and narrow nostrils (external nasal valve). Options were discussed, and the patient elected for dual functional and cosmetic rhinoplasty. Surgery went well, and early post-operative photos are shown. On frontal view and three-quarter views, notice the improvement in tip projection and rotation. Base view demonstrates improved nostril patency and improved triangularity to the base of the nose. She was very happy with the cosmetic results, and was able to breathe easier through her nose. Swelling will continue to improve with time.


Rhinoplasty Patient 7


This young lady presented to Dr. Bhama with complaints of nasal obstruction, more so on the right side. On pre-op frontal view, notice the deviation of the nose to the left side. Base view demonstrates tip deviation as well as asymmetric nostrils. Post-operatively, notice the straighter nose on frontal view. Profile view demonstrates improved dorsal contour with refinement of her hump. On base view, her nostrils are more symmetric and the tip has a triangular shape and is midline. She was very happy with the cosmetic and functional outcome.


Rhinoplasty Patient 8


This 29 year old complained of difficulty breathing through her nose for many years. She had tried nasal steroid sprays without adequate relief. She desired a natural “non-operated” look. She underwent septorhinoplasty with nasal valve repair and turbinate reduction with Dr. Bhama. Her one month post-operative pics are shown. Notice the substantial improvement in nostril symmetry on base view. Also note the slight rotation of the tip on profile view, and the straighter nose on frontal view.


Rhinoplasty Patient 9


This patient presented to Dr. Bhama with a lifelong history of nasal obstruction. On exam he had a very poorly supported nasal tip and a saddle nose deformity. He did not want to have a major change in the appearance of his nose. Dr. Bhama performed complex septorhinoplasty and reconstruction using cartilage harvested from the patient’s rib. The patient is shown postoperatively. Noticed the improvement in the triangularity of the nose on base view and improvement in tip projection. He retains the overall preoperative aesthetic. He was very happy with breathing and cosmetic results.


Rhinoplasty Patient 10


This patient presented to Dr. Bhama complaining of nasal obstruction despite nasal steroid use. She and Dr. Bhama discussed management options and she elected for septorhinoplasty and turbinate reduction. She did not want her nose to look drastically different following surgery. She underwent septorhinoplasty using various techniques including spreader grafts, cephalic trim, and columellar strut. Shown is an early post-operative photo. On frontal view, notice the improvement in the middle vault contour, and improved tip rotation. On oblique view, the tip is in a much more functional as well as aesthetic position. On base view, notice the improvement in the nasal contour and the alignment of the tip in the midline. She was very pleased with her breathing and the aesthetic result.


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    Washington Plastic Surgery
    Plastic, Hand, and Reconstructive Surgery

    12800 Bothell-Everett Hwy
    Suite 260
    Everett, WA 98208

    425.316.5080

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