Can an Inverted V Worsen Even More? to the Point of Complete Collapse and Become Very Noticeable to Others?

After two years you may not notice much worsening of your valve collapse. It is possible to repair if the narrowing is problemmatic but that is up to you.

Spreader grafts can be used to fix an inverted-V deformity. You can read more about spreader graft surgery at my web reference link below.

 An inverted V deformity will not getting better 2 years after a rhinoplasty.  The inverted V deformity is best treated with a combination of bilateral spreader grafts and sometimes osteotomies. This is usually as straightforward revision rhinoplasty repair performed as an outpatient procedure.

Inverted V deformity is from loss of support of the middle third of the nose called the internal nasal valve or middle vault. Sometimes it looks better after revision surgery for a year or so because of swelling. But if its there after 2 years is is unlikely to go away. On another note, is is unlikely to get much worse. THe idea of more surgery is not necessarily a happy one, but this is treatable.