• 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 young man underwent previous nasal surgery with another surgeon. Despite previous surgery, he was still unable to breathe well through his nose. Dr. Bhama performed revision surgery including septorhinoplasty, costal (rib) cartilage harvest, and reshaping of the nose with nasal valve reconstruction. The patient is able to breathe much better through his nose and has an excellent, natural-looking nasal contour.


Rhinoplasty Patient 2


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 3


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 4


This patient complained of difficulty breathing through his nose after an injury. He had tried nasal steroids and nasal strips with only minimal improvement. He underwent septorhinoplasty with turbinate reduction using bilateral spreader grafts, osteotomies, cephalic trim, and a columellar strut. Notice the straighter nose on the frontal view, and substantial improvement in nostril symmetry and airway patency on base view.


Rhinoplasty Patient 5


This young man had a history of nasal trauma resulting in difficulty breathing through his nose as well as an external deformity. He underwent septorhinoplasty, repair of nasal valve, and inferior turbinate reduction. Shown are early post-operative photos. On frontal view, note the substantial improvement in the brow-tip aesthetic line, as well as improvement in nasal tip bulbosity. On base view, he has improvement in nostril symmetry. His scar will continue to fade with time.


Rhinoplasty Patient 6


This patient has a history of two previous nasal injuries. He complained of difficulty breathing through his nose. He underwent septorhinoplasty with extracorporeal septal reconstruction and correction of the nasal valve. Note the improvement in the dorsal lines on frontal view, improved nasal airway on base view, and improved contour on profile view.


Rhinoplasty Patient 7


This patient complained of severe nasal obstruction and on exam had obvious nasal valve collapse. He underwent rhinoplasty with nasal valve repair using a number of techniques including caudal septal extension grafts and spreader grafts. Post-operatively, his breathing improved dramatically. Notice the improvement in his nasal valve collapse.


Rhinoplasty Patient 8


This gentleman had a previous history of nasal trauma resulting in a severe nasal deformity. He was unable to breathe through his nose adequately, and also had difficulty using his CPAP mask because of the deformity. He had previously undergone nasal surgery with another surgeon without sufficient improvement. Dr. Bhama performed complex revision septorhinoplasty with autologous costal (rib) cartilage grafting, osteotomies, and correction of the nasal valve with septal reconstruction. Post-operatively, he was able to breathe much better. Notice the improvement in the dorsal deviation, particularly on three-quarter view. On base view, the nose assumes a more anatomic, triangular shape and is more midline. On profile view, the tip and infratip lobule assume are less droopy, facilitating breathing and improving the appearance.


Rhinoplasty Patient 9


This patient underwent nasal surgery with another surgeon with some improvement in his nasal breathing, but he desired more improvement. Notice the severe nasal valve collapse pre-operatively. He did not desire cosmetic refinements. He underwent complex revision septorhinoplasty with harvest of autologous costal (rib) cartilage grafting. Several techniques including extracorporeal septoplasty, extended spreader grafts, osteotomies, and caudal septal replacement grafting were used. Subjectively, the patient reported marked improvement in his nasal breathing. Notice the substantial improvement in nasal valve patency.


Rhinoplasty Patient 10


This young man was involved in motorcycle accident and injured his nose, resulting in severe nasal obstruction. On pre-op base view, notice the severe leftward septal deviation. He did not wish to have a major cosmetic change to his nose. The patient underwent septorhinoplasty with extracorporeal septoplasty, caudal septal replacement graft and extended spreader graft. The early post-operative photos demonstrate maintenance of his nasal aesthetic, and substantial improvement in the nasal airway. He was very happy with results both cosmetically and functionally and noticed substantial improvement in his breathing.


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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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