Rhinoplasty

Rhinoplasty (Nose Reshaping) Before & After Photos

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Rhinoplasty Patient 21

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 22

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 23


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 24

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 25

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 26

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.


Rhinoplasty Patient 27

This patient presented to Dr. Bhama with a lifelong history of nasal obstruction. On exam he had a very poorly supported nasal tip and a saddle nose deformity. He did not want to have a major change in the appearance of his nose. Dr. Bhama performed complex septorhinoplasty and reconstruction using cartilage harvested from the patient’s rib. The patient is shown postoperatively. Noticed the improvement in the triangularity of the nose on base view and improvement in tip projection. He retains the overall preoperative aesthetic. He was very happy with breathing and cosmetic results.


Rhinoplasty Patient 28


This patient presented to Dr. Bhama complaining of nasal obstruction despite nasal steroid use. She and Dr. Bhama discussed management options and she elected for septorhinoplasty and turbinate reduction. She did not want her nose to look drastically different following surgery. She underwent septorhinoplasty using various techniques including spreader grafts, cephalic trim, and columellar strut. Shown is an early post-operative photo. On frontal view, notice the improvement in the middle vault contour, and improved tip rotation. On oblique view, the tip is in a much more functional as well as aesthetic position. On base view, notice the improvement in the nasal contour and the alignment of the tip in the midline. She was very pleased with her breathing and the aesthetic result.


Rhinoplasty Patient 29


This patient complained of difficulty breathing through his nose after an injury. He had tried nasal steroids and nasal strips with only minimal improvement. He underwent septorhinoplasty with turbinate reduction using bilateral spreader grafts, osteotomies, cephalic trim, and a columellar strut. Notice the straighter nose on the frontal view, and substantial improvement in nostril symmetry and airway patency on base view.


Rhinoplasty Patient 30


This young man had a history of nasal trauma resulting in difficulty breathing through his nose as well as an external deformity. He underwent septorhinoplasty, repair of nasal valve, and inferior turbinate reduction. Shown are early post-operative photos. On frontal view, note the substantial improvement in the brow-tip aesthetic line, as well as improvement in nasal tip bulbosity. On base view, he has improvement in nostril symmetry. His scar will continue to fade with time.


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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