• 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 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 12


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 13


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 14


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 15


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 16


This patient underwent previous rhinoplasty many years ago with another surgeon. She presented to Dr. Bhama with a complaint of nasal obstruction. On pre-operative base view, note the severe pinching of the nostrils, restricting airflow. On profile view, she has a “scooped-out” appearance to the dorsum. On frontal view, she has flattening of the dorsum and poor separation of the dorsal and sidewall subunits of the nose. Dr. Bhama performed complex revision septorhinoplasty using the patients own rib cartilage to reconstruct the entire framework of the nose. Post-operatively, the patient has a much more pleasing nasal aesthetic and substantial improvement in nostril patency. She was very happy with results. The scar will continue to fade with time.


Rhinoplasty Patient 17


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 18


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.


Rhinoplasty Patient 19


This young lady presented to Dr. Bhama complaining of nasal obstruction. She had broken her nose in the past. She wanted her nose to be symmetric, but otherwise did not want a major change in the appearance of her nose, and desired a non-operated look. On pre-operative frontal view, notice the very narrow middle vault and deviation of the nose to the left side. She also has a suggestion of an inverted-V deformity. On pre-op base view, deviation of the tip to the left is obvious. Profile view reveals a “scooped out” appearance to the nose. She underwent rhinoplasty with auricular cartilage graft and osteotomies. Post-operative, she noticed substantial improvement in her nasal breathing. She was pleased with the aesthetic changes. On frontal view post-op, notice improvement in her dorsal lines. On base view, the scar is minimally noticeable, and there is excellent correction of the tip asymmetry. Profile view demonstrates substantial improvement in her “scooped” appearance.” She is also finds that she is able to use glasses more easily since her bridge is now stronger.


Rhinoplasty Patient 20


This patient underwent previous rhinoplasty with another surgeon. She presented to Dr. Bhama with complains of nasal obstruction and a nasal deformity. She was concerned that her nose was curved on frontal view and that she had a bulbous tip. Additionally, she did not like the “scooped out” appearance on profile view. She found it very difficult to breathe through either nostril. In the pre-op frontal view, notice the severe concavity of the left middle vault and bulbous tip. Base view shows obvious nostril asymmetry and collapse of the nasal valve at rest. Dr. Bhama performed complex revision septorhinoplasty with autologous costal (rib) cartilage graft taken from the patient’s own rib. Several techniques were used to reconstruct the nose, including spreader grafting, columellar strut, lateral crural struts, and more. Post-operatively, she was very happy with the result both cosmetically and functionally. Her breathing improved substantially. On frontal view, notice the improvement in the dorsal lines and improved tip definition. On profile view, her dorsum is straight. Base view demonstrates excellent improvement in nasal valve support and nostril symmetry. These pictures demonstrate an early result – swelling will continue to decrease with time.


Rhinoplasty Patient 21


This patient was referred to Dr. Bhama for nasal obstruction. She underwent nasal surgery many years ago for difficulty breathing with inadequate relief of her symptoms. She did not want any major cosmetic changes to her nose. Pre-operative photos demonstrate pinching of the middle vault on frontal view. On pre-operative profile view, notice the acute nasolabial angle and sharp, droopy nasal tip. She desired improvement in her nasal airway and a natural, non-operated look. Dr. Bhama performed complex revision septorhinoplasty with autologous costal (rib cartilage) graft from the patients own chest. Several techniques were used for reconstruction. Post-operatively, notice the improvement in her tip rotation and dorsal lines on frontal view. On profile view, improvement in tip rotation is also obvious. She wishes to retain her dorsal profile, which has been preserved. She was able to breathe much better through her nose post-operatively and was very pleased with the cosmetic appearance of her nose.


Rhinoplasty Patient 22


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 23


Septorhinoplasty, caudal septal extension grafts, tip refinement, straightening of dorsum, auricular cartilage grafting.


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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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