Feel like i've got Inverted V Deformity? Im 7 month post op with thick skin, any chance this is just apart of healing or bad nose job?

Thanks Considerate548 for your question! An inverted V deformity is a common complication following rhinoplasty, sometimes resulting from possible excessive removal of tissue during the procedure. While it's possible that some swelling and changes might occur during the initial healing phases, which can sometimes last more than 12 months. Things to Take Into Account: -Surgical Method: Your surgeon's particular surgical method may have an impact on the risk of this consequence. -Individual Healing: Healing rates vary from person to person. However, significant changes after seven months are less likely. -Underlying Nasal Structure: Your nose's original structure may also affect the result. It's crucial to speak with your initial surgeon if you're worried about the way your nose looks. They may evaluate your particular circumstance, identify the reason behind the deformity, and go over possible remedial measures like: -Additional expectant observation and waiting. -Revision Rhinoplasty: A secondary procedure to address the deformity and refine the nasal shape. -Filler Injections: A less invasive option to temporarily fill in the depressed area. -Spreader Grafts: A surgical procedure used to repair the deformities and support the nasal structure. It's important to keep lines of communication open with your surgeon. Communicate your expectations and worries, and cooperate to accomplish the result you want. Hope this was helpful! Best wishes, Dr Ali Sajjadian TRIPLE Board Certified Plastic Surgeon

Hello @Considerate548, thank you for your question. It is important to keep in mind that you should wait a full six months before assessing the results of your surgery. there seems to be swelling present. As a result of many factors, the healing process can take as long as a year so is best to have a little patience and follow your specialist recommendations. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

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.

Hi from Istanbul! From the images provided, I do not observe a clear inverted V deformity. It's possible that an insufficient osteotomy was performed, or there could have been excessive reduction of the dorsum. Broader angled photographs, both from the front and side profiles, would help make more precise assessments. Hope this helps!

Question: Do I have an inverted-V deformity after my rhinoplasty? I’ve included photos. Answer from Dr. Sean Hill, Board-Certified Plastic Surgeon at Lone Star Plastic Surgery – Frisco, TX: Thank you for your question and for sharing your photos, those are very helpful in evaluating your concerns. Based on what you’ve described and the images you provided, it’s possible that you’re showing signs consistent with what we call an inverted-V deformity. But let me explain what that means, why it happens, and how we typically address it. ⸻

Hello, thank you for your question. Based on your photo and description, the appearance of an Inverted V deformity can sometimes be seen after rhinoplasty, especially if the nasal cartilage is weakened or over-resected. At 7 months post-op with thick skin, some residual swelling and healing changes may still be present, which can affect the nose’s shape and contour. However, if the deformity is prominent and consistent, it may indicate structural issues from the surgery rather than just healing. I recommend discussing this concern with your surgeon for a thorough evaluation. They can determine if this is a temporary phase of healing or if revision surgery might be necessary to address any cartilage support problems.

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

Buen día, Debes esperar el proceso desinflamatorio y consultar con tu cirujano si va bien tu recuperación.

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.