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It appears that you have a residual open roof deformity. After reviewing the operative note, this is a very frequent potential issue that occurs when the hump is reduced with an osteotome as described. I would recommend seeing an American Board of Plastic Surgery certified plastic surgeon with experience in rhinoplasty. You may benefit from a revision rhinoplasty with rib cartilage.
Hello and thank you for your question. Based on your photographs, up do not have an inverted V-deformity. However, you do have asymmetry in the dorsal aesthetic lines, nostril asymmetry, and tip asymmetry. You may benefit from revision Rhinoplasty. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.Best wishes and good luck.Richard G. Reish, M.D.Harvard-trained plastic surgeon
An inverted V deformity may occur at the junction between the bones and cartilage of your nose, and be seen as an upside down V on front view. It's not clear from your photographs whether or not this is the case. Thank you for your question. Sincerely, Dr Joseph
Hello and thank you for your question. It difficult to tell just based on the photos. At eight months post-op, you are still swollen. The final results take at least 1.5 years for the swelling to fully resolve. This can require lots of patience and waiting. Steroid injections performed by...
Hello and thank you for your question. It really depends on exactly what you need done, but ear cartilage does not work well, and I never use it as it lacks structural stability. If you don’t have septal cartilage available for grafting then I always use MTF Cartilage for revisions. I r...
It appears that your nose has been shortened and the tip is poorly defined with a very thick soft tissue envelope that is continuing to lose projection/definition. I would recommend seeing an American Board of Plastic Surgery certified plastic surgeon with experience in rhinoplasty. You may need...
Hello and thank you for your question. Based on your photographs, you have instability and collapse of the dorsal aesthetic lines. Do not use a Goretex implant. That will cause numerous complications in your nose. Instead, you should have MTF Cartilage to rebuild the dorsal aesthetic lines with...
Hello and thank you for your question. Based on your photograph, you may benefit from tip elevation with stabilizing tip support to help prevent tip droop with smiling. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified...
Hello and thank you for your question. Based on your photographs, you may benefit from a a Revision with a nasal tip deprojection to shorten the entire tip complex. A mastoid fascia tip graft can be placed at the same time to prevent asymmetry and camouflage the tip. With good surgical...