• 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 31


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.


Rhinoplasty Patient 32


This patient was referred to Dr. Bhama for nasal obstruction. On pre-operative frontal view, notice the pinched middle vault, re-curvature of the medial crura, and over rotated nasal tip. Profile views demonstrate depression in the soft tissue triangles and a dorsal hump. On base view, she has severe nasal valve collapse. Options were discussed and she elected for septorhinoplasty. Dr. Bhama performed septorhinoplasty surgery including turbinate reduction. Postoperatively, noticed the improved contour of the nose on frontal view, improved nasal symmetry on frontal view, and de-rotation of the nasal tip. On base view, noticed improvement in nostril symmetry and valve collapse. Profile view demonstrates improvement in the soft tissue triangle depressions, as well as improvement in her dorsal contour. She was very happy with the aesthetic as well as breathing results.


Rhinoplasty Patient 33


This patient presented to Dr. Bhama with nasal obstruction. On examination, her septum was not severely deviated, but she did have prominent nasal valve dysfunction. Options were discussed with the patient and she elected for functional septorhinoplasty. Dr. Bhama performed septorhinoplasty and turbinate reduction using spreader grafts, dome narrowing sutures, and a columellar strut. Techniques were also performed to reduce her medial crural recurvature. Post-operatively, notice the improved tip rotation, preservation of the supra-tip break, and improvement in medial crural recurvature. Her nostrils are much more open now. She was very happy with both the breathing and cosmetic appearance of her nose.


Rhinoplasty Patient 34


This young woman was referred to Dr. Bhama for nasal obstruction. She did not want to have any major changes to the appearance of her nose. Pre-operatively, her tip is very slightly deviated to the right, most evident on base view. She also had septal deviation and valve collapse. Options were discussed and she elected for functional septorhinoplasty. Surgery went well, and her one moth post-operative photos are shown here. The scar will fade with time. She was very happy with the breathing improvement as well as the cosmetic appearance of her nose. Notice the improvement in tip position and symmetry and preservation of the patient’s overall aesthetic.


Rhinoplasty Patient 35


This patient presented to Dr. Bhama with a chief complaint of nasal obstruction. Notice the twisting of the nasal tip to the right side most evident on frontal and base view. On profile view, notice the dorsal hump and droopiness of the nasal tip. Options were discussed and the patient elected for dual cosmetic functional septorhinoplasty. Dr. Bhama performed complex nasal surgery requiring total septal reconstruction using extracorporeal septoplasty, bilateral extended spreader grafts from rib cartilage, a caudal septal replacement graft from rib cartilage, cap graft, dorsal hump reduction, and more. Early post-operative photos are shown demonstrating a marked improvement in her profile view. The tip is in better position, and her nasal cavities are much more open on both sides. She was very happy with the breathing and cosmetic result. The swelling will continue to improve with time.


Rhinoplasty Patient 36


This patient presented to Dr. Bhama with a chief complaint of nasal obstruction. Options were discussed and she elected for close rhinoplasty and turbinate reduction. She does not desire a major change to the cosmetic appearance of her nose. Dr. Bhama performed closed (endonasal minimally invasive) rhinoplasty using batten grafts. Postoperative photos are shown. Demonstrated is a preservation of her overall nasal aesthetic. She was very happy with the results of breathing and the cosmetic appearance of her nose.


Rhinoplasty Patient 37


This patient presented to Dr. Bhama with a chief complaint of nasal obstruction. She was not interested in a major cosmetic change to her nose but was slightly bothered by the hanging columella which is most apparent on profile view. Options were discussed with the patient and she elected for septorhinoplasty. Dr. Bhama performed septorhinoplasty using several methods to help elevate the hanging columella and improve the patient’s nasal breathing. Early postoperative photos are shown, demonstrating an overall preservation of the patient’s aesthetic. There is improvement in the hanging columella. She has obvious improvement in the triangularity of the nose most evident on base view. She was able to breathe through her nose much better after surgery and was very happy with the cosmetic result.


Rhinoplasty Patient 38


This patient presented to Dr. Bhama with difficulty breathing through her nose, particularly at nighttime while trying to sleep. On preoperative base view, noticed the narrow nostrils and nasal valve collapse. The tip is also overly pointed. She does not desire any major cosmetic changes to her nose. Options were discussed and she elected for nasal surgery. Dr. Bhama performed septorhinoplasty surgery. On postoperative base view, noticed the improved triangularity to the nasal base as well as support of the nasal valve. The overall appearance of her nose has been preserved. She was very happy with results.


Rhinoplasty Patient 39


This patient presented to Dr. Bhama with complaints of nasal obstruction. On exam, she had prominent nasal valve dysfunction. Options were discussed and she elected for rhinoplasty with nasal valve repair and turbinate reduction. She did not want a major cosmetic change to her nose and desired a natural appearing look. Surgery went well, and she was very happy with results. Notice the softening of her dorsal hump, and subtle nasal tip refinement. She was able to breathe much easier through her nose following surgery.


Rhinoplasty Patient 40


This patient was referred to Dr. Bhama by another otolaryngologist (ENT Surgeon) for nasal obstruction. He also desired elevation of the nasal tip and refinement of the nasal dorsum. He desired a natural-looking result. Options were discussed and the patient elected to proceed with surgery. On pre-op photos, notice the severe nasal tip ptosis (droopiness). His tip was not well supported. On profile view, he has a pollybeak deformity and tup ptosis. Dr. Bhama performed septorhinoplasty using auricular cartilage grafting. Early post-op photos are shown. The nose is still edematous, but notice the substantial improvement in tip rotation. His dorsal hump has been softened, but he retains a natural, masculine appearance to his nose. He was very happy with the cosmetic result and was able to breathe much better through his nose. The result will continue to improve with time.


Rhinoplasty Patient 41


This patient presented to Dr. Bhama complaining of nasal obstruction and a nasal deformity. On examination, she was found to have a large 2 cm septal perforation. Management options were discussed and she elected for septorhinoplasty with repair of her septal perforation using adjacent tissue transfer and temporalis fascia interposition grafting. On pre-op photos, notice the irregularity of the nasal dorsum and the asymmetry of the supratip region. Profile view reveals a dorsal hump with alar retraction. On base view, her columella is twisted, resulting in severe narrowing of the left nostril (external nasal valve). Dr. Bhama performed complex septorhinoplasty surgery using the patient’s own temporalis (scalp muscle) fascia for repair of the septal perforation. Cadaveric costal cartilage was used to provide structural support to the nose. Surgery went well and the patient was very happy with results. The septal perforation healed completely. The patient’s breathing was improved dramatically and she was happy with cosmetic results. On frontal view, notice the improved supratip symmetry. Profile view demonstrates softening of the dorsal hump to achieve a more natural, pleasing profile with preservation of the supratip break. Base view demonstrates improved external valve patency and improved symmetry to the base of the nose.


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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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