Rhinoplasty

Rhinoplasty (Nose Reshaping) Before & After Photos

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Rhinoplasty Patient 11

This patient was referred to Dr. Bhama by another ENT (Otolaryngologist – Head and Neck Surgeon). Her main concern was difficulty breathing through her nose. She also desired refinement of the nasal dorsum (reduction of her dorsal hump) and felt like her tip was droopy. On pre-operative frontal view, notice the ptotic nasal tip. On profile view, she has a subtle dorsal hump and a slightly ptotic nasal tip. Options were discussed and she elected for rhinoplasty surgery with septoplasty and turbinate reduction. It was very important to her to have a natural appearing, subtle improvement. Dr. Bhama performed septorhinoplasty using multiple techniques including spreader grafting, suture techniques, cephalic turn-in flaps, and more. Early post-operative photos are shown. On frontal view and profile views, notice improvement in tip rotation. Profile view also demonstrates softening of the dorsum. She has a very natural appearing result and was very happy with cosmetic and functional results of surgery.


Rhinoplasty Patient 12

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 13

This patient was referred to Dr. Bhama for nasal obstruction. On pre-operative photos, notice the deviation of the dorsum to the right. Profile view demonstrates a large dorsal hump and a tension nose deformity. Options were discussed and the patient elected for septorhinoplasty. Dr. Bhama performed complex septorhinoplasty using multiple techniques including dorsal hump reduction, spreader grafts, caudal septal extension graft, radix graft, tongue in groove, and auricular cartilage grafting. Five week post-operative photos are shown demonstrating an excellent cosmetic result. The nose is straighter, and his dorsal hump is less prominent. The tension nose deformity has been corrected. He was very pleased with the cosmetic result, and his nasal breathing was dramatically improved. His swelling will continue to improve with time.


Rhinoplasty Patient 14

This patient presented to Dr. Bhama with a chief complaint of nasal obstruction. She did not desire any cosmetic changes to her nose. It was important to her to have a natural, not “done” look. On exam, she was found to have nasal valve collapse and septal deviation. Options were discussed and she elected for functional septorhinoplasty and turbinate reduction. Dr. Bhama performed surgery, which went well. Post-operative photos are shown demonstrating a preservation in her nasal aesthetic. The red discoloration of her nose is unrelated to the surgery. She was very happy with results of surgery.


Rhinoplasty Patient 15

This patient was referred to Dr. Bhama by an ENT (otolaryngologist) for nasal obstruction. She could not breathe well through her nose, and also desired cosmetic refinement of the nasal tip, rotation of the tip upwards, and improvement in her breathing. She desired a natural “non-operated” appearance. On pre-operative frontal view, notice the tip ptosis, pinching of the middle vault and flared nostrils. On three-quarter view, the tip ptosis is demonstrated as well. On base view, notice the trapezoidal shape to the nose, as well as the medial crural flaring and narrow nostrils (external nasal valve). Options were discussed, and the patient elected for dual functional and cosmetic rhinoplasty. Surgery went well, and early post-operative photos are shown. On frontal view and three-quarter views, notice the improvement in tip projection and rotation. Base view demonstrates improved nostril patency and improved triangularity to the base of the nose. She was very happy with the cosmetic results, and was able to breathe easier through her nose. Swelling will continue to improve with time.


Rhinoplasty Patient 16

This patient was referred to Dr. Bhama by another otolaryngologist. Her main complaint was difficulty breathing through her nose. She did not wish to have any major cosmetic changes to her nose, and wanted to have a natural appearance. On pre-operative frontal view, notice the deviation of the dorsum to the left, and the very narrow middle vault (internal nasal valve). The tip is ptotic. Base view reveals bulbous tip and asymmetric nostrils. On profile view, she has alar retraction and a prominent dorsal hump and a polly-beak deformity. Options were discussed and she elected for septorhinoplasty. Dr. Bhama performed rhinoplasty, septoplasty, and turbinate reduction. Early post-operative photos are shown. On frontal view, notice the improved, straighter dorsum. Profile view demonstrates correction of her alar retraction, and a softening of her dorsal hump while still retaining her overall aesthetic. She was very happy with the cosmetic results and was able to breathe much easier through her nose. The scar will continue to fade with time, as will the swelling.


Rhinoplasty Patient 17


This patient was referred to Dr. Bhama for nasal obstruction. On preoperative basis. Noticed the deviation of the nasal tip to the left. Preoperative frontal view reveals obvious deviation of the nasal dorsum to the left with a C-shaped deformity and depression of the right middle vault. Profile view reveals an irregular appearing dorsum with a dorsal hump. Options were discussed and the patient elected for septorhinoplasty. Dr. Bhama performed surgery which went well. Early postoperative photos are shown. On frontal view, noticed the improvement in his dorsum. The dorsum is straighter and the concavity on the right side has been improved. On base view, the position of the nasal tip has improved. His dorsum has a more suitable appearance on profile view as well. He was very happy with the aesthetic results and was able to breathe much better through his nose.


Rhinoplasty Patient 18

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 19

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 20

This patient was referred to Dr. Bhama for nasal obstruction. On pre-op frontal view, notice the twisted nasal dorsum (bridge) and tip. Base view demonstrates deviation of the tip to the left and asymmetry of the nostrils. On ¾ views notice the dorsal hump. Options were discussed and he elected for septorhinoplasty. Dr. Bhama performed septorhinoplasty with osteotomies and turbinate reduction. Early post-operative photos are shown, demonstrating a substantial improvement in his dorsal hump, straighter dorsum on frontal view, and improved triangularity of the nose on base view. Nostrils are now more symmetric as well. His swelling will continue to improve with time. He was very happy with the appearance and function of his nose.


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