Rhinoplasty: Q&A
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Inverted V?
it appears that I have an inverted v. I'm confused cause my doc did say he was using a spreader graft in my nose and after reading on real self I saw that the inverted v usually happens when it just weakens and to fix it you would need a graft? How exactly does a inverted v occurr? I am looking into correcting this, but I am planning to go with a new doctor... what procedures are done with correcting an inverted v deformity? Thanks.
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13 Doctor Answers |
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luvluv123
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Inverted V deformity
An inverted V is created when upper lateral cartilages are inwardly displaced off of the nasal bones. This could be created from a previous nasal surgery that included surgery on the upper lateral cartilages without osteotomies, or simple destabilization of the upper lateral cartilages themselves. At a minimum, the treatment for an inverted V is bilateral spreader grafts. Osteotomies may or may not be performed depending upon the position of the nasal bones. Sometimes the...
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Inverted V after Rhinoplasty #nosejob
This deformity usually occurs when the bump on the nose is taken down too much and the upper lateral cartilages separate from the upper bony portion of the nose and sinks inward making the bone prominent and it looks like an upside down V. This is best treated by placing spreader grafts to recreate the attachments to the upper bony portion of the nose. Sometimes you will also need to add a fascia graft to camouflage the exposed bony portion of the nose. You are wise to seek a bard certified...
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Causes and Solutions for Inverted V Deformity
An inverted V is simply the shadowing caused by the visible edge of the nasal bone. The reason why this occurs during rhinoplasty, at times, has to do with the upper cartilages being detached from the septum and falling into the nose. This highlights their attachment to the nasal bones and the nasal bones appear as a ridge above the collapsed upper cartilage. The reason why the upper cartilages falls in is because the natural width of the nose has been removed with hump...
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Inverted V Deformity
Spreader grafts are usually the ideal treatment for the inverted V deformity caused by a collapse of the mid-portion of the nose. I need pictures to make recommendations for the correction of your problem. You want to consult with a surgeon who specializes in revision rhinoplasty.
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An inverted-V is a contour problem
The width of the bony upper part of bridge should ideally be flush with the cartilaginous lower aspect of the bridge. If the bone is wider and there is not a smooth transition below to the cartilage, an inverted V can result. It is the lower edge of the bones that become visible (in the shape of an upside-down V), creating shadows that draw attention to the area. If you have thin skin and/or short nasal bones, this problem can be more apparent.
Spreader...
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Inverted V-deformity following rhinoplasty
To answer your question, an inverted-v deformity can occur if a hump is taken down and the middle vault is not supported with spreader grafts or the nasal bones are not adequately narrowed. It is a width discrepancy between the bony vault and the middle cartilaginous portion of the nose. Correction typically would require spreader grafts (if not used or larger ones) and possible re-fracture of the nasal bones to narrow. It is important to have this examined by an...
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Revision Rhinoplasty surgery
Dear babygirl303,
An inverted V usually happens with the middle of nose falls in, or was inadequately supported at the time of spreader graft placement
It could also be the the bony part of the nose is not reduced adequately
If it has been longer than 6 months and you want it fixed, it would be a good time
An exam would help answer all of your questions and manage your expectations
Spreader grafts are great for opening the nasal airway to help you breathe...
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Inverted V deformity
An inverted V deformity can be from not infracturing the nasal bones adequately, as well as collapse of the middle vault this requiring spreader grafts. An exam is key.
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Inverted v deformity and treatment.
I need to ssee photos to determine if u have an inverted v deformity. For 35 years I have prevented this by using a precise size of the concavity and using an onlay graft of proper size before it occurs. This is probably what u need.
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Inverted V
Photos would really be helpful. The problem may not be spreader grafts but could be inadequate nasal bone infracture, which is one of the most common reasons patients may require nasal revision and often will take care of the problem. I not a big fan of spreader grafts. Have never used them nor had a desire to. some surgeons use them in everyone,and I have no idea why.
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Spreader Grafts For Inverted V Deformity
The inverted V deformity is usually best corrected by spreader grafts as you have pointed out. But they must be placed high enough (right up against the bony dorsum) and be long enough to reach the dome to be optimally effective. The upper lateral cartilages must also be properly sewn to them. The concept of spreader grafts is useful but they must also be applied properly to be optimally effective.
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Inverted V
Agree with previous post. Inverted V deformities, however, may not be fully corrected if the grafts are not of proper size and properly placed.
Look for an experienced rhinoplasty specialist.
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Inverted V deformity
The inverted V deformity occurs when the dorsum, or bridge, of the nose is reduced, or lowered, and the sides of the nose which join the dorsum collapse downward. It is usually treated with revision surgery with cartilage spreader grafts, dorsal grafts or both. The spreader grafts are placed between the top (dorsum) of the central septum and the collapsed sides (upper lateral cartilages). If the bridge has been lowered too low, another graft is placed on top. Hope this helps.
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