• 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 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 3


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 4


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 5


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 6


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.


Rhinoplasty Patient 7


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 8


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 9


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 10


This patient complained of severe nasal obstruction and on exam had obvious nasal valve collapse. Note the distortion of his right nostril on pre-operative photography. 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.


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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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