Rhinoplasty

Rhinoplasty (Nose Reshaping) Before & After Photos

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Rhinoplasty Patient 41


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 42


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 43


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 44


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 45


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 46


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 47


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 48


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 49


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 50


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.


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