Rhinoplasty

Rhinoplasty (Nose Reshaping) Before & After Photos

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Rhinoplasty Patient 41


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 42


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 43


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 44


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 45


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 46


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 47


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 48


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 49


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 50


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.


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