Do I have an inverted v deformity? If not, what do you think is wrong? (photos)

Question

I've had one rhinoplasty done in feb of 2011. Since the first day that I've seen my new nose I've been very unhappy. It looks uneven and bumpy. I went in for a reduce hump and to narrow the tip and my surgeon did not touch the tip at all. He just shaved the hump. He offered to do a revision for free at the time but I did not trust him with my nose again. I could feel a tiny bone popping out on the right side of my nose when I rub it. What can be done to fix this :( I have no before pictures.

N. Bill Aydin, MD · Answer

There is obvious deformity of your nose. You can fix that with just fillers or surgically. Cartilage can be trimmed from the tip and placed where the depression is.

Steven Wallach, MD · Answer

An inverted v deformity can often be corrected by improving the gap between the bones and septal/upper lateral cartilages. This may require grafting and/or osteotomies, or dorsal onlay as well. Hard to say without an exam.

Satyen Undavia, MD · Answer

Thanks for your question. Looking at your photos, I see your concern. It does look like there is a mild inverted V deformity, especially on the left side. This can happen after a dorsal hump reduction. This could be corrected with some additional cartilage grafting and possibly breaking the bone. Exactly how all this would be accomplished would depend on your exam. Wether or not you chose to go to the same doctor should be based how comfortable you feel with the surgeon and your interactions with him/her throughout this process . Complications do happen to all of this, and does not mean the doctor is not trust worthy. But in the end, it is your decision. I hope this helped and good luck!

Andrew Kornstein, MD, FACS · Answer

Yes, you do have an inverted "V" deformity.Seeing pre-ops is best, but this typically occurs from over-reducing the upper lateral cartilages.How is your breathing?With a comprehensive evaluation functionally and aesthetically, a surgical goal can be obtained. Hope this helps

Julio Clavijo-Alvarez, MD, MPH, FACS · Answer

I am sorry that you are having concerns about your procedure
and thanks for sharing your question. I can appreciate your
concern and agree with your assessment.
After 4 years what you see is what you get with rhinoplasty.
The deformity is just a discontinuity between the bone and the softer
structures of the nose. 
There is hope. It can be corrected by bridging things with
cartilage, filling the gaps. 
Finally, make sure that you have a
consultation with a board certified plastic surgeon that specializes in revision
rhinoplasty. Revision rhinoplasty is a different animal, when it comes to acing
the outcome that you are looking for.

Wishing you the best in your journey

Do I have an inverted v deformity? If not, what do you think is wrong? (photos)

Answers (6)

Answer: Do I have an inverted v deformity? If not, what do you think is wrong?

Answer: Do I have an inverted v deformity? If not, what do you think is wrong?

Answer: Inverted V deformity… Yes it can be corrected.

Answer: Inverted V deformity… Yes it can be corrected.

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Everything you need to know about Rhinoplasty

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Do I have an inverted v deformity? If not, what do you think is wrong? (photos)

Answers (6)

Answer: Do I have an inverted v deformity? If not, what do you think is wrong?

Answer: Do I have an inverted v deformity? If not, what do you think is wrong?

Answer: Inverted V deformity… Yes it can be corrected.

Answer: Inverted V deformity… Yes it can be corrected.

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Recommended reading

Everything you need to know about Rhinoplasty

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