• 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 11


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.


Rhinoplasty Patient 12


This patient underwent rhinoplasty in another country by a different surgeon. An implant was placed at the time of surgery to augment the nose. The patient presented to Dr. Bhama complaining of recurrent swelling and an extruding implant resulting in nasal obstruction. Options were discussed, and she requested removal of the implant. The implant was removed without creation of a visible scar and the patient recovered well. She is able to breathe through her nose, and was very happy with the result. Shown are her 1 week post-operative photos.


Rhinoplasty Patient 13


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.


Rhinoplasty Patient 14


This patient complained of difficulty breathing through his nose. On the pre-op frontal view, notice the pinching of the middle vault region, and the prominent bulbous tip. Post-operatively, notice improvement in the brow-tip aesthetic line, and improvement in nostril symmetry. He noted a substantial improvement in breathing. The scar will continue to fade with time.


Rhinoplasty Patient 15


This young lady complained of nasal obstruction and also desired a very subtle cosmetic refinement of the nasal tip. She did not want a “done” look and wanted her nose to look as if it were unoperated. Her goal was to reduce the fullness of the tip on profile and frontal view slightly. She underwent septorhinoplasty with nasal valve repair, use of spreader grafts to improve the nasal airway, dome narrowing sutures and very conservative thinning of the nasal tip soft tissue with Dr. Bhama. Early post-operative photos are shown. Post-operatively, she noted a substantial improvement in her breathing and was very pleased with the cosmetic refinement. Over the next few months, her tip will continue to heal and become more defined.


Rhinoplasty Patient 16


This patient complained of nasal obstruction, and also desired a smoother appearing nose on frontal view. On profile view, he wished to reduce, but preserve some of his dorsal hump to achieve a natural “non-operated” look. He underwent rhinoplasty with repair of the nasal valve and straightening of the nasal septum. Post-operatively, notice the much smoother brow-tip aesthetic line on frontal view, and the improvement in the profile. He maintains his overall nasal aesthetic, but has a natural, improved look. He was very happy with the improvement in his breathing as well.


Rhinoplasty Patient 17


This gentleman was involved in a car accident and severely injured his nose. He found it very difficult to breathe through his nose. On exam, his septum was accordion shaped and very deviated in both directions, causing severe nasal airway obstruction. He also had a saddle nose deformity, most obvious on the profile view. He desired improvement in his nasal airway, and a subtle, yet natural improvement in the projection of his nasal tip and dorsum. He did not desire a “operated” look and wished to have his nose look as close to possible as it did before the injury. Dr. Bhama performed a complicated rhinoplasty and septal reconstruction using autologous rib cartilage and perichondrium harvested from the patient’s chest. Post-operatively, the patient was very happy with the improvement in his nasal airway. Pain from rib harvest was easily controlled with post-operative pain medication. Notice the subtle improvement in the tip projection on base view and dorsal projection most evident on ¾ and profile views.


Rhinoplasty Patient 18


This patient presented to Dr. Bhama with severe nasal obstruction on both sides. On pre-operative frontal view, note the crooked nasal dorsum and very narrow middle vault. On base view, the dorsal deviation is notable. Also note the asymmetry of the nostrils. Dr. Bhama performed septorhinoplasty with osteotomies and tip work, along with inferior turbinate reduction. He desired a natural non-operated look. During the same operation, the patient underwent sinus surgery as well. Post-operative he noted a substantial improvement in his nasal airway. One week post-operative photos are shown, demonstrating an obvious improvement in frontal appearance of the nose, as well as improvement in nostril symmetry on base view. Profile view demonstrates substantial improvement in his dorsal hump.


Rhinoplasty Patient 19


This patient presented to Dr. Bhama with complaints of nasal obstruction. On her pre-operative frontal view, note the excessive nostril show and the triangular appearance of the nose. On profile view, she has alar retraction on the right side resulting in excessive columellar show and a subtle saddle nose deformity. She did not desire a major cosmetic change. She underwent septorhinoplasty with osteotomies with Dr. Bhama. Post-operatively, notice the substantial improvement in nostril show on frontal view, as well as the improved dorsal lines. Right profile view demonstrates improved columellar show due to corrected alar retraction. She was very happy with the result.


Rhinoplasty Patient 20


This gentleman has a history of nasal injury in the past resulting in a nasal deformity and nasal obstruction. On pre-operative frontal view, note deviation of the dorsum to the patient’s right side. On base view, he has obviously asymmetric nostrils with narrowing of the external nasal valve on the left side. The patient wanted to maintain the overall appearance of his nose. Dr. Bhama performed rhinoplasty, septoplasty and inferior turbinate reduction. Several techniques were used including clocking sutures, spreader grafting, pedestal narrowing, and a columellar strut. Post-operatively, he was very happy with his result. He is breathing much better. Notice the straighter dorsum on frontal view, and more symmetric nostrils on base view. His overall nasal appearance has been maintained as he desired.


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    Plastic, Hand, and Reconstructive Surgery

    12800 Bothell-Everett Hwy
    Suite 260
    Everett, WA 98208

    425.316.5080

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