Unhappy with Front View of Nose Since Nasal Hump Removed? (photo)

I had surgery in 2008, a hump removed & slight work to the tip. I am very unhappy with my nose from the front now it looks wider, flat, has no definition and doesnt look symmetrical, it looks even worse in photos to the point where I will avoid photos taken. I went back and saw my surgeon a couple of years ago discussed this with him and he said he didnt see any problem and not to have more surgery. I feel overall my nose doesnt look or feel right it feels lumpy and uneven, hard lump down centre.

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6 Doctor Answers | Asked by 2565anon in UK

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Correcting the inverted V deformity during rhinoplasty

From these photos, it seems you have what's called an inverted-V deformity, related to the falling in of your upper lateral cartilages up against your septum. This can occur after the removal of a nasal hump if there is inadequate support to these upper lateral cartilages. Correction of this issue is achieved during a revision rhinoplasty with the placement of spreader grafts along the bridge portion of the septum, to lift these cartilages back out and smooth out the bridge of the nose.... more

Unhappy with Front View of Nose

Although the shadowing on the first picture suggests an inverted V, I would have to examine you before making any specific recommendations. Kenneth Hughes, MD Los Angeles, CA

What to do if you are not happy with your rhinoplasty

You need to visit an expert revision rhinoplasty surgeon in your area to assess your nose. From a limited view of your nasal pictures, it appears that you have had dorsal reduction without spreader grafts leading to collapse of upper lateral cartilages also known as inverted V deformity, as well as some degree of dorsal irregularities. An experienced revision rhinoplasty surgeon will not find it difficult to place spreader grafts and deal with smoothing your nasal dorsum. Five years has... more

Classic Inverted V shaped Deformity

Hi. Yes, I agree that this is an inverted V deformity. I correct this with the use of spreader grafts and only cartilage grafts. This is a fixable problem, but I would make sure that you see an experienced surgeon.

Inverted V deformity

It looks like you have an inverted V deformity. The bumps can be smoothed as well as correcting the inverted V.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Unhappy with bridge after rhinoplasty

I agree with you. The bridge, or dorsum, is irregular and has several issues. There is an inverted V deformity. This is basically an disproportion between the nasal bones and the middle third. It is probably worse on 3/4 view. The nasal bone on the left side of the nose seems wider than the right one. I think that these imperfections can be improved with a revision rhinoplasty. the result may not be perfect, but the nose should be much improved.