• 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 21


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


Rhinoplasty Patient 22


This patient presented to Dr. Bhama with severe nasal obstruction. On pre-operative base view, notice the collapse of the left and deviation of the columella and medial crus. On frontal and profile view, note the droopiness of the nasal tip. He underwent complex septorhinoplasty with Dr. Bhama using multiple techniques including extracorporeal septoplasty, use of costal cartilage grafting, extended spreader grafts, and more. Post-operatively, notice the improvement in nostril symmetry. Additionally, notice the improvement in tip rotation and reduction in droopiness of the tip on profile view. The patient was very happy with results from a breathing and cosmetic standpoint.


Rhinoplasty Patient 23


This patient presented to Dr. Bhama with severe nasal obstruction and a history of sleep apnea. She had consulted with other surgeons previously. She did not wish to have a major change to the appearance of her nose. Dr. Bhama performed septorhinoplasty using multiple techniques including spreader grafts, dome defining sutures, columellar strut, and flaring sutures. Turbinate reduction was performed at the same time. Post-operatively, the patient was very happy with results from a cosmetic standpoint, and her nasal breathing improved dramatically. Notice the lack of major cosmetic changes between the pre and post-operative photos.


Rhinoplasty Patient 24


This patient presented to Dr. Bhama with severe nasal obstruction. He did not desire a chance to the cosmetic appearance of his nose. On examination, he had septal deviation and valve collapse. Dr. Bhama performed rhinoplasty with septal repair, and nasal valve repair. Turbinate reduction was also performed. Shown is his post-operative photos. Notice the lack of major aesthetic changes. The patient noted a substantial improvement in his breathing and was very happy with the results of surgery.


Rhinoplasty Patient 25


This patient was referred to Dr. Bhama with complaints of nasal obstruction. He did not desire a major change to the appearance of his nose. Pre-operatively, notice the underprojected nasal tip on profile view and the nasal valve collapse in base view. Dr. Bhama performed open septorhinoplasty using multiple techniques including spreader grafts, lateral crural steal, dorsal refinement, dome narrowing sutures, and turbinate reduction. Post-operatively, notice the improvement in tip projection with preservation of the patient’s overall aesthetic. Also notice improvement in his valve collapse. The patient was able to breathe much better through his nose post-operatively. He was very happy with the cosmetic appearance of his nose.


Rhinoplasty Patient 26


This patient was referred to Dr. Bhama with complaints of nasal obstruction refractory to medical management. She also desired refinement of her nasal tip. She did not want any major changes to the appearance of her nose, and desired a natural looking result. Dr. Bhama performed dual functional cosmetic rhinoplasty and septal reconstruction as well as inferior turbinate reduction. Multiple techniques were used including spreader grafting, dome narrowing sutures, and a columellar strut. Shown in an early post-operative photo. Notice the improvement in the triangularity of the nose on base view, and the subtle narrowing of the nasal tip on frontal view. She is very happy with the cosmetic result and her nasal breathing has improved dramatically.


Rhinoplasty Patient 27


This patient was referred to Dr. Bhama for a longstanding history of nasal obstruction. She desired nasal surgery, but did not want to have an unnatural “done” appearance. She underwent septorhinoplasty with Dr. Bhama. Multiple techniques were used including hump reduction, spreader grafting, cephalic trim, and dome narrowing sutures. Early post-operative pictures are shown. On profile view, note the preservation, but reduction of the dorsal hump. On frontal view, notice the improvement in tip rotation. On base view, notice the improvement in tip definition, which will continue to improve with time. The patient was very happy with cosmetic results and her nasal breathing has improved dramatically.


Rhinoplasty Patient 28


This patient presented to Dr. Bhama with complaints of nasal obstruction refractory to conservative measures. On her pre-operative frontal view, notice the pinching of the middle vault region and the very narrow nose. She was ok with having minor changes to the appearance of her nose, and understood that her nose may need to look slightly wider to accommodate improved airflow. Options were discussed and she elected for septorhinoplasty. Dr. Bhama performed surgery using several techniques including dorsal hump refinement, dome narrowing sutures, spreader grafts, columellar strut, and pedestal narrowing. Early post-operative results are shown, demonstrating substantial improvement in her brow-tip aesthetic lines on frontal view, and preservation of her initial appearance with only minor changes. Also notice the improvement in the infra-tip lobule appearance. She was very happy with results of surgery from both a breathing and cosmetic standpoint.


Rhinoplasty Patient 29


This patient presented to Dr. Bhama with a chief complaint of nasal obstruction. Options were discussed and he elected for septorhinoplasty. On pre-operative photos, notice the deviation of the dorsum to the right and the pinched, bulbous nasal tip. The right nostril is also narrowed, most obvious on base view. Dr. Bhama performed complex septorhinoplasty using auricular cartilage for grafting. Lateral crural strut grafts and spreader grafts were used, along with various cartilage sculpting and suturing techniques. Post-operative photos are shown. Notice the straighter dorsum on frontal view, improved nostril symmetry on base view, and improvement in the appearance of the nasal tip. The patient was very happy with the post-operative result from a breathing and cosmetic standpoint.


Rhinoplasty Patient 30


This patient was referred to Dr. Bhama for nasal obstruction. On pre-operative photos, notice the dorsum is silghtly deviated to the left. This is apparent on base view as well. He had severe septal deviation as well. Options were discussed and he elected for septorhinoplasty. He did not wish to have a major change to the appearance of his nose. Dr. Bhama performed septorhinoplasty and turbinate reduction. On post-operative photos, notice straightening of the nasal dorsum and tip, as well as preservation of the overall nasal aesthetic. He was very happy with results of surgery.


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    12800 Bothell-Everett Hwy
    Suite 260
    Everett, WA 98208

    425.316.5080

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