Inverted v? Open roof?

This is an inverted V deformity. One of the most common errors I see in revision rhinoplasty when the initial surgery was performed by non-specialists. Revision (with a revision rhinoplasty expert) can resolve this for you.

Revision rhinoplasty is more difficult than a primary rhinoplasty, so a full set of facial photographs from all angles are going to be required to make a determination about how best to proceed. Best to obtain a copy of the previous operative report to find out what was accomplished in the first procedure, and it's also very important to know how much cartilage is left over on the inside of your nose for potential grafting purposes. The inverted V is treated with combination of spreader grafts and low lateral osteotomies. An open roof deformity is treated with medial and lateral osteotomies.

Hello, hope you are well. Thanks for posting your question and photos. The camera angles and framing are generally poor/incomplete, but there does appear to be an inverted V deformity. Revision surgery is the only way to correct this problem, but as to whether it's "worth it" is up to you. You simply have to weigh the improvement in appearance versus the surgical process.
Cheers,Dr. Tower