Do I have an Inverted V deformity? (photo)

Question

Several docs mentioned that I look to have an Inverted V deformity. I emailed my surgeon & his response was "not possible for you to get an inverted v deformity because the upper lateral cartilages are firmly attached to the nasal bones, I did not cut them but rasped them." I moved away after my surgery & have not seen him since the 3month mark - it's been a year now & Im still not happy. What is your opinion? If it is an IVD would you go back to original surgeon to correct or find new doctor?

Toby Mayer, MD · Answer

Inverted V deformity? Yes! I would go back to your surgeon IF you have confidence in him. If not see a very experienced revision rhinoplasty surgeon with good before after photos of his work--not imaging or diagrams.

Garrett A. Wirth, MD, MS, FACS · Answer

It is not obvious, but there are characteristics of the inverted V.  Since you are so far out from your surgery, it is safer now to re-operate, if that is your desire.  Keep in mind that there are some other temporary (such as fillers) and more permanent (such as fat) injections that could assist in contouring if it still bothers you.Garrett A. Wirth, MD, MS, FACSWirth Plastic Surgery

Garrett H. Bennett, MD · Answer

You do have a mild inverted V deformity. Rasping a bump can detach upper lateral cartilages and cause this. You also appear to have wide nasal bones above your cartilage. The nasal bones should have been narrowed with osteotomies after the bump was taken down. Osteotomies can be performed by your original or new surgeon. Evaluation may show that internal spreader grafts would help but it is tough to tell by photo alone.

Steven Wallach, MD · Answer

It does look like you have an inverted v deformity in the photos. Often spreader grafts can help to improve this as one maneuver.

Michael Sundine, MD, FACS · Answer

In reviewing your photographs it does appear that you have an inverted V deformity.  You will need a revision rhinoplasty to address the deformity or you may be able to camouflage the deformity with some filler.  I would recommend you follow up with your surgeon to let them examine you more closely.

Do I have an Inverted V deformity? (photo)

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Do I have an Inverted V deformity? (photo)

Answers (10)

Answer: Inverted V deformity

Answer: Inverted V deformity

Answer: Do I Have An Inverted-V Deformity?

Answer: Do I Have An Inverted-V Deformity?

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Everything you need to know about Rhinoplasty

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