Rhinoplasty

Rhinoplasty (Nose Reshaping) Before & After Photos

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Rhinoplasty Patient 51


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 52


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.


Rhinoplasty Patient 53


This patient presented to Dr. Bhama with a chief complaint of nasal obstruction. Options were discussed and she elected for septorhinoplasty. Dr. Bhama performed rhinoplasty, nasal valve repair, septoplasty, and turbinate reduction using multiple techniques including cephalic trim, spreader grafts, and more. Early post-op photos are shown. Notice the preservation of her overall nasal aesthetic. On base view, notice the substantial improvement in nostril symmetry. She was very happy with results from a cosmetic and functional standpoint.


Rhinoplasty Patient 54


This patient was referred to Dr. Bhama by an otolaryngologist for possible nasal surgery. He complained of difficulty breathing through his nose. He did not desire major cosmetic changes to his nose. Options were discussed and he elected for septorhinoplasty. Dr. Bhama performed rhinoplasty, septoplasty, and turbinate reduction. Surgery went well and the patient was very happy with results of breathing and the cosmetic appearance of his nose. On frontal view, notice that the nose is straighter. Remaining views demonstrate preservation of the patient’s appearance, which he desired.


Rhinoplasty Patient 55


This patient was referred to Dr. Bhama for nasal obstruction. Options were discussed and she elected for closed (endonasal) septorhinoplasty. She did not want to have any changes to the appearance of her nose. Dr. Bhama performed endonasal (closed) septorhinoplasty using incisions placed only on the inside of the nose. Early post-op pics are shown, demonstrating preservation of the patient’s overall aesthetic. She was very happy with results of surgery, both cosmetic and breathing.


Rhinoplasty Patient 56


This patient was referred to Dr. Bhama for nasal obstruction. He did not want to change the appearance of his nose. Options were discussed and he elected for endonasal (closed) septorhinoplasty. Dr. Bhama performed close rhinoplasty using minimally invasive techniques. Early postoperative photos are shown demonstrating improvement in the patient’s nasal valve collapse and preservation of his overall aesthetic. He was very happy with the results from both a functional breathing and cosmetic standpoint.


Rhinoplasty Patient 57


This patient presented to Dr. Bhama for nasal obstruction. On exam he had nasal valve collapse. Options were discussed and he elected for functional septorhinoplasty. He did not desire any major cosmetic change to his nose. Early postoperative photos are shown. Noticed the preservation in the overall aesthetic of his nose. He was happy with both the appearance and function of his nose postoperatively. The scar will continue to fade with time.


Rhinoplasty Patient 58


This patient presented to Dr. Bhama with a history of nasal obstruction. Options were discussed and she elected for septorhinoplasty. She did not desire major changes to the aesthetic appearance of her nose. Surgery proceeded uneventfully. Postoperative photos are shown demonstrating an improvement in the external nasal valves as well as a well-healed scar. The patient was very happy with the cosmetic results as well as the breathing.


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