Feel like I have inverted V Deformity, any chance this is just apart of healing or bad nose job? (Photos)

Hard to tell from this angle only - would need side profile shots from both sides and better front photos to help identify V deformity or any deformity. There seems to be some type of small deformity in your close up photo (but hard to tell from the limited photos). Definitely revisit with your surgeon to see if there's an idea what could be possibly there (and then try seeking a second opinion to see if there's an agreement).

Hi thank you for your question and photos. An Inverted V deformity can occur after rhinioplasty surgery. Its appearance is just as it sounds, an upside down V shaped shadow over the bridge of the nose. This can result removing a dorsal hump, but not addressing the width of the midvalt (the cartilage portion of the bridge of the nose). The appearance of this deformity is the result of the middle portion of the nose being too narow with respect to the upper 1/3 (bony portion) of the nasal bridge. It can be repaired with cartilage grafts called spreader grafts during a revision rhinoplasty. Since you are just 7 months out from surgery, I would recommend waiting until 12 months to allow any remaining swelling to go down before deciding whether you would like to have a revision surgery.

Hope this helps.

Catherine Weng MD FACS

Ozge Ergun, MD
First, the lateral osteotomy procedure wasn't very effective. I recommend filling the nasal dorsum with diced cartilage along with the lateral osteotomy. A cartilage graft can be used to restore the nasal tip. Additionally, narrowing the alar base can be considered. At least one year must pass after surgery to plan for all of this.

Your middle vault is collapsing inwards and begins to look pinched, whilst the bones are spread apart. I wonder if you had a surprisingly good postoperative, with little if any bruising, typical from non infractured noses (root cause of your both problems).

Additionally, I'd say the tip is overly rotated upwards and the alar rims are collapsing too.

There can be many reasons behind nasal asymmetry and deformities, but the primary treatment is usually revision surgery. In some cases, small fillers may be considered as an alternative solution — but only if there are no breathing problems. If breathing is not an issue, we can sometimes avoid surgery with minor filler injections. However, the main treatment for this condition is typically a revision rhinoplasty, which means another operation might be necessary in your case. The presence or absence of a breathing issue is the key factor here.