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Is This Inverted-V Deformity? Should I be considering a revision? (Photos)

dimitrvaMay 5, 2025
I am a 20-year old Caucasion woman. I had open rhinoplasty 11 months ago. I am worried about having developed inverted-v deformity, although I have no trouble with my breathing. Do you think that I am correct and should I be considering a revision?

Answers (3)

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Dr. Philip S. Schoenfeld, MD, FACS
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Dr. Philip S. Schoenfeld, MD, FACS
Board Certified Facial Plastic Surgeon
4.8 | 90 Reviews
Answered on May 11, 2025
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Dr. Jeffrey H. Spiegel, MD
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Dr. Jeffrey H. Spiegel, MD
Board Certified Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
4.8 | 384 Reviews
Answered on May 13, 2025
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Dr. Richard G. Reish, MD, FACS
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Dr. Richard G. Reish, MD, FACS
Board Certified Plastic Surgeon
4.9 | 1736 Reviews
Answered on May 9, 2025
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Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your photograph, a soft fascial graft placed during a revision would likely help this indent. You may also benefit from a tip refining revision rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your photographs, you are a great candidate for a revision rhinoplasty. Maneuvers for your surgery would include dorsal hump reduction, tip refinement, nasal tip deprojection, tip elevation, among other maneuvers. Alar contour grafts and tip...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your photographs, you may benefit from a revision rhinoplasty. Maneuvers for your surgery would include nasal tip deprojection which can be performed to also help improve the tip symmetry, among other maneuvers. With good surgical technique, you...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your photographs, you are a great candidate for revision rhinoplasty. Maneuvers for your surgery would include dorsal hump reduction, tip refinement, nasal tip deprojection, tip elevation, correction of alar retraction with extended alar contour...

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Gianfranco Frojo, MD

You are still very swollen. Most revision rhinoplasty patients (in my practice) require 2 years of edema (swelling) management / observation after surgery to see the final result. Some of the asymmetry may be related to the swelling. I would definitely express your concerns with your revision...

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Erin Smith, MD

Hello and thank you for your question. When it comes to nostril symmetry (and rhinoplasty in general), it can be difficult to obtain perfect results. Based on the photos you have provided, the asymmetry that you are perceiving may be due to a slight notching of left ala. If this is the case,...

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