Rhinoplasty

Rhinoplasty (Nose Reshaping) Before & After Photos

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Rhinoplasty Patient 21

This patient presented to Dr. Bhama with nasal obstruction. Options were discussed and she elected for septorhinoplasty. She did not desire a major change in the appearance of her nose. On preoperative frontal view noticed that the nose is twisted. This is also evident on the base view. Early postoperative photographs demonstrate a dramatic improvement in the dorsum on frontal view as well as on base view. Her tip rotation has also improved which is evident on profile view. She was very happy with both the appearance and function of her nose after surgery.


Rhinoplasty Patient 22

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 23

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.


Rhinoplasty Patient 24

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 25

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 26

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 27

This patient presented to Dr. Bhama with a chief complaint of nasal obstruction. She also desired straightening of the dorsum. On pre-op base view, notice the severe rightward septal deviation and deviation of the nasal tip. Pre-op frontal view demonstrates deviation of the tip to the left side and concavity of the left side of the nose. Options were discussed and she elected for septorhinoplasty. Early post-op pics are shown demonstrating a substantial improvement in her dorsal lines, as well as improvement in septal deviation on base view. Notice the improved contour on profile view. Her tip has also been deprojected (derotated). She was very happy with results cosmetically and with her nasal breathing. The scar will continue to fade with time.


Rhinoplasty Patient 28

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 29

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 30

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.


Photo Disclaimer: Before & After photographs shown on this site are actual patients who have given permission to have their photos published. They are for illustrative purposes only. Individual results vary. Reputable surgeons do not guarantee outcomes and no prediction of outcome is implied. Individual healing characteristics and unexpected complications can affect the outcome of any surgery.

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