Do I have an inverted v deformity? Is there a less intrusive way to fix this? (Photo)

After reviewing your photos, although it does appear that your nose has an improved appearance, you have a mild inverted-V deformity.  The correct treatment is bilateral spreader grafts to improve what plastic surgeons call the "dorsal aesthetic lines."  If you do not wish to undergo a formal revision rhinoplasty, you may be a candidate for a nonsurgical rhinoplasty with hyaluronic acid fillers/fat.

Your bridge appears more symmetrical and pleasing after your last revision. You also appear to have very thin nasal skin which may lead to visible irregularities after nasal surgery. Depending on your examination, microdroplet Silikon-1000 may be considered for adding volume to your upper bridge. Wishing you well. Dr Joseph

Yes, you do have a mild inverted V deformity.  Unfortunately it may become a little more visble in the next several years, as the thin continues to thin with the aging process.   I have found that fat grafting in very small amounts can give a nice sustained improvement without doing additional surgery.  The alternative is revision rhiinoplaty with thin spreader grafts taken from the septum to slightly widen the middle vault of the nose which was narrowed aggressively on the initial rhinoplasty.

Hi,
The definitive treatment of "inverted-V deformity" is surgical correction with osteotomies. But if you do not want a surgery, camouflaging methods could be preferred. Injectable fillers (hyaluronic acid) can be used to fill and erase the depression line between your nasal bones and cartilages to mask off the inverted-V deformity and it would become less visible.
These are my comments solely depends on your photos and may subject to change. I highly recommend face-to-face clinical consultation with a plastic surgeon.
Best wishes,

Looking at the before and after pictures, it seems that you may be developing an inverted-v deformity.  The most common way to repair this is to undergo rhinoplasty with spreader grafts to build the middle vault area.  I would recommend that you have a consultation where a complete examination can be done to diagnose and discuss appropriate treatment.  Good luck!