Is this an inverted v deformity or something else? (Photos)

To begin with I like your nose on your face. It's really natural looking yet beautiful. No you don't have an inverted v deformity. You do have a break point in the area where the line is. I don't think its unsightly but if it bothers you go back to your original surgeon to discuss. You can always try a little filler in that area to see what your nose looks like without the line and see what you think before undergoing a revision surgery.

From the photograph it looks as though there is been some retraction of the right nostril. Preoperative photographs would be needed to establish this. Revision surgery would be based on the specific anatomic problem and your desire to fix it.

I think that you have a nice nose, and we can all be super critical of the result, but no rhinoplasty is ever perfect and yours looks really nice. Avoid the trap of chasing for perfection, because many people have wished they did not have repeat revisions and realized that often going back to how it looked after the first one would have been preferable.

Thanks for your post. In general, you appear to have a nice result but I share your concerns you cited. While I don't think you have a classic inverted V deformity, you do appear to have some mild concavity of the middle vault cartilages on the right side which results in a shadow. You do have some asymmetry as you correctly described. The "line" down the center of your nose is likely nasal septal cartilage, and may appear too high. A minor revision with placement of cartilage spreader grafts and some reduction of your cartilaginous septum will improve your result and enhance your dorsal aesthetic lines. Further improvement for your nostril could be considered as well. Discuss your concerns with your surgeon and ask for best recommendations. Hopefully you both can agree on the best plan to enhance your result even further. If not, consider a second opinion from an experienced revision rhinoplasty specialist. Best Wishes.