Is fixing open roof deformity & over resection of bony dorsum easy or hard? (Photo)

Question

Hello After deep searching I knew my nose deformity But now I’m searching for a good doctor to fix my problem I have open roof deformity with over resection of the bony dorsum g picture of flat nose A sort of pinched tip Up turned tip, I want highly experienced doctor to fix my nose So is fixing these problem easy or hard ?

Randal Haworth, MD, FACS · Answer

It is possible to fix an open roof deformity.

An osteotomy will realign the nasal bones, closing the open roof and creating a natural-looking result. Patients with a reduced dorsal hump and osteotomies are vulnerable to mid-nose narrowing, but this is prevented by using spreader grafts.

Make sure to consult with a board certified plastic surgeon expert in revision rhinoplasty.

I hope this helps,
best of luck !

M. Hugh Bailey, MD FACS · Answer

Difficult to evaluate your deformity on a single photograph! Also with your face cropped, impossible to tell if your result is ethnically appropriate. In the photograph, your result might be good or bad! So I can only discuss in general terms how the problems you describe might be fixed. The surgery is usually more challenging. An over-resected dorsum will usually require a graft, which can shift after surgery, distort during healing or become visible if the tissues are thin. Likewise, over-resection of the tip may require multiple cartilage grafts with the same potential problems. I suggest getting at least two consultations from appropriately qualified surgeons before making any decision.

Lexie Wang, MD · Answer

Fixing an open roof deformity is pretty "easy" in that all it really requires is osteotomies/ breaking of the nasal bones to help close it. However, fixing of an over-resected dorsum is a little bit more challenging because you have to put something there to build it up, and so the question will be - what can we put there? Did you have your septum done as well? - if not, you may have a decent amount of cartilage left that can be used to build this area up. If not, you might be talking about other options such as rib.

Is fixing open roof deformity & over resection of bony dorsum easy or hard? (Photo)

Answers (3)

Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.

Is fixing open roof deformity & over resection of bony dorsum easy or hard? (Photo)

Answers (3)

Browse related questions

Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.