Is this V inverted deformity? Do I need a revision? (Photo)

Question

I had septorhinoplasty done to fix breathing. Surgeon removed the dorsal hump and also lifted the tip. At the beginning the profile was straight but then started developing a hump again and what it seems step off from nasal bone to cartilage. How can this be fixed? Do I need revision or can be fixed with permanent filler?

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from a revision to help improve the symmetry of the dorsal aesthetic lines and reduce the dorsal hump. Placement of spreader grafts during the revision will help accomplish this. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

William Portuese, MD · Answer

From these photographs, you have a residual dorsal hump, wide nasal bones, and inverted upper lateral cartilages consistent with an inverted V deformity. A copy of the operative report would be helpful, and it's very important to know how much cartilage is left over inside your nose for grafting purposes, since you're gonna need bilateral spreader grafts to widen the upper lateral cartilages in the mid vault, that are collapsing, in addition to osteotomies placed in the nasal bones. All this can be done with a closed rhinoplasty approach with all the incisions placed on the inside of the nose, and no packing placed inside the nose. Revision rhinoplasty is very difficult, so choose your rhinoplasty specialist very wisely based on extensive experience

Is this V inverted deformity? Do I need a revision? (Photo)

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Everything you need to know about Revision Rhinoplasty

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Is this V inverted deformity? Do I need a revision? (Photo)

Answers (2)

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Everything you need to know about Revision Rhinoplasty

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