Are fillers a safe option to temporarily treat an inverted V deformity? (Photo)

Fillers to this area are safe if done by a trained profressional.  this are is more hi risk due to the small blood supply that is why i suggest a reversible filler.  Best, Dr. Emer.

You appear to have this skin and not much swelling remaining in your nose, so it is possible revision rhinoplasty could be considered now, eight months postoperative. Consider re-asking your question with oblique and profile photos. Based on your frontal photo, you may require lateral osteotomies to narrow the bones where your nose meets your face. You may require lowering of the bottom of your bridge, depending on your profile. Your tip may be fine.Based on what you've presented, I would suggest holding off on injectable fillers for your nose, since revision rhinoplasty may be considered sooner rather than later, depending on your examination.Wishing you all the best moving forward.Dr Joseph

I am very sorry that you have had a bad experience 8 months ago; this is a classic example of an inverted V deformity.   Since you are planning on revision surgery and due to the severity of the deformity, I would strongly encourage you to defer any further treatments until your revision surgery.  If this was a small deformity, my answer would likely be different.  However, fillers in the nose can compromise vascularity and you definitely don't want to further complicate your revision procedure.  At 8 months and due to the nature of your problem, your revision Surgeon may agree to proceed prior to the one year mark.

Hello samartaha,Thanks for your question.Yes, fillers are safe for temporary correction of your inverted V deformity.You may have to wait until the fillers dissolve in 9-12 months for revision surgery, but you can also use hyaluronidase enzyme injections to make it go away earlier if surgery is more pressing.The process is safe in experienced hands. It is quite successful in experienced hands.  I would suggest you see an injection expert in your area for an evaluation and possible treatment.  It is best if it is a revision rhinoplasty specialist as well.  You have several in Houston.Good luck,Dr. Shah

HI. Thanks for your question. Yes, you do have an inverted V deformity. Yes you are correct that you should wait 1 year before considering revision. In the meantime, fillers can be used to fill the hollows and create a better contour for your nose. I am a facial plastic surgeon in Houston and specialize in surgical & nonsurgical rhinoplasty. Good luck. Best Dr H 

 Treatment for an inverted V. deformity is performed surgically with osteotomies placed in the nasal bones, and most likely spreader grafts will be required to be placed underneath the concave upper lateral cartilages. It's best not to artificially and temporarily changed the shape of the nose until definitive surgery, to better allow the surgeon to see the current anatomy to fix the problem. Placement of fillers in the nose is only temporary, is not FDA approved, and can have significant complications.

Based on your photos, non surgical rhinoplasty may help with the V deformity if performed properly by a bard certified plastic surgeon. Results are only temporary and you may need revision in the long run. Dermal fillers are also safe when injected correctly by a board certified surgeon.

HiYour surgeon's biggest mistake was not breaking your bones during the primary rhinoplasty.  Had he broken your bones your inverted-v would never have been this bad.  Revision osteotomies can be done much sooner than 1 year after a primary rhinoplasty if that is the only thing that needs to be done.  If further work needs to be done, you definitely should wait the full year.  Mean while though you can get Restylane injected to the bridge to give it more height in order to reduce the appearance of the inverted V.  The injections are not done to the V as that would make it look wider.  Without osteotomies to break in the bones and narrow them, the nonsurgical filler injections will have some benefit but will not solve the problem completely.  These fillers are relatively safe when injected properly.  Also be aware that once you do get the Restylane you have to wait 6-12 months for it to disappear before going through a revision rhinoplasty surgery.