Rhinoplasty

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 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 4

This patient presented to Dr. Bhama with a chief complaint of nasal obstruction. She also desired refinement of her nasal tip and reduction of her dorsal hump. Options were discussed and she elected for dual functional/cosmetic septorhinoplasty. On pre-operative photos, notice the dorsal hump and excessive columellar show. Dr. Bhama performed surgery which went well. Multiple techniques were used. Early post-operative photos are shown demonstrating a substantial improvement in columellar show, as well as a refined dorsum with appropriate supratip break and a well-defined tip. The patient was very happy with cosmetic results and her nasal breathing improved dramatically.


Rhinoplasty Patient 5

This patient was referred to Dr. Bhama for nasal obstruction. She had a long standing history of difficulty breathing through her nose and desired nasal surgery. She also requested cosmetic refinement of her nasal dorsum and tip. Options were discussed and the patient elected for dual functional and cosmetic rhinoplasty. Dr. Bhama performed surgery at the surgery center, which went well. Early post-operative photos are shown, demonstrating an excellent improvement in her nasal tip and dorsum. She was very happy with cosmetic results and was able to breathe much easier through her nose. Her swelling will continue to improve with time.


Rhinoplasty Patient 6

This patient presented to Dr. Bhama with a chief complaint of nasal obstruction. From a cosmetic standpoint, she also desired reduction in her dorsal hump, but she wanted a natural “non-done” appearance. On pre-op photos, notice the asymmetry of the dorsum and the dorsal hump. Dr. Bhama and her discussed options and she elected for dual cosmetic and functional septorhinoplasty. Dr. Bhama performed cosmetic and functional rhinoplasty as well as septoplasty. Surgery went well and she was very happy with results. Early post-operative photos are shown. Notice a dramatic improvement in overall symmetry on frontal view, and a reduction in her dorsal hump on profile view. Her appearance looks natural and her nasal aesthetic matches the remainder of her face well. Her swelling will continue to improve with time.


Rhinoplasty Patient 7

This patient presented to Dr. Bhama with a chief complain of asymmetry of the nasal tip. On pre-operative frontal view, notice the twisted nasal dorsum and tip. The tip is also very pointed, and lacks proper definition. Three-quarter views demonstrate a pointed nasal tip, supra-tip fullness, and columellar retraction. Options were discussed and she elected for tip rhinoplasty. She desired a natural appearance post-operatively. Dr. Bhama performed tip rhinoplasty under general anesthetic. Early post-operative photos are shown. On frontal view, notice the improved tip symmetry and soft appearance to the nose. Three-quarter views demonstrate improvement in columellar retraction, and a dramatic, but natural improvement in the tip and supra-tip harmony and projection. She was pleased with the results.


Rhinoplasty Patient 8

This patient presented to Dr. Bhama with difficulty breathing through her nose. Options were discussed and she elected for septorhinoplasty. Dr. Bhama performed surgery using multiple techniques including septoplasty, spreader grafts, caudal septal extension graft, tongue in groove, dome narrowing sutures, and a pedestal narrowing suture. Surgery went well and the patient was able to breathe much better through her nose afterwards. She was very happy with the cosmetic result. Her scar will continue to fade with time.


Rhinoplasty Patient 9

This patient was referred to Dr. Bhama for nasal obstruction. Options were discussed and the patient elected for septorhinoplasty. On pre-op photos, notice the deviation of the nasal dorsum to the left. Dr. Bhama performed septorhinoplasty with osteotomies and used multiple techniques including spreader grafts, tongue in groove, and more. Post-operative photos are shown. The patient was very happy with breathing and cosmetic results. On frontal view, notice the straighter appearance of the dorsum.


Rhinoplasty Patient 10

This patient presented to Dr. Bhama with a chief complaint of nasal obstruction as well as a nasal deformity. She desired reduction in her dorsal hump as well as refinement of the nasal tip. She wanted a natural look and did not want to look ” done.” Additionally, she had a forehead lesion on the left side which she wanted to have removed. Options were discussed and she elected for dual cosmetic functional septorhinoplasty and excision of the brow lesion with facial nerve monitoring. Dr. Bhama performed rhinoplasty, cosmetic and functional along with septoplasty as well as nasal valve repair. Additionally, brow lesion excision with facial nerve monitoring was performed, which required careful dissection of the forehead lesion off of the facial nerve. 3-week postoperative photos are shown demonstrating a dramatic improvement in her nasal aesthetic. She was very happy with the results and was able to breathe much better through her nose. Additionally, her bowel function was completely intact.


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