Does this appear to be an inverted V deformity? (Photo)

Question

If this is an inverted V how much worse will it get in the next year? Any revision surgeons well known to specialize in fixing this? I am 8 weeks out of my primary rhinoplasty. What is the best way to fix this?

P. Daniel Ward, MD · Answer

An inverted V deformity in rhinoplasty results from the upper lateral cartilages collapsing inward, causing the nasal bones to be more apparent. This results in a shadow underneath the nasal bones and creates a shadow the looks like an upside down V. This situation looks more like it is related to thr osteotomies that were performed to reposition the nasal bones.Please let us know if you have any other questions or concerns.

Mark Beaty, MD · Answer

At 8 weeks post surgery you are still early in the healing process and still have some swelling.  It is likely that the appearance of you nose will continue to change with time.  The contour you see at the upper part of your nose may be related to swelling.  Specific concerns are best discussed with the operating surgeon.

Thomas Romo, III, MD · Answer

Several factors. Exact diagnosis. The inverted V deformity on the upper bridge of the nose is caused when the superior edge of the medial upper lateral cartilage becomes apparent as it slips under the overlying nasal bones. Can be caused by many things but the most common reasons are the bridge was taken down to much and/or thinned to much. You are early in your healing timeline and this situation may change with time. Your surgeon knows what what was done at the time of surgery so you need to discuss your situation with that person.

William Portuese, MD · Answer

Yes, this does appear to be  an inverted V deformity, but it's probably best to wait at least a year before undergoing a revision rhinoplasty procedure. To fix this issue requires osteotomies placed in the nasal bones, and spreader grafts to widen the upper lateral cartilages that have collapsed. For many examples, please see the first before and after example in our rhinoplasty photo gallery on the link below.

Michael M. Kim, MD · Answer

Hello jksm81,Based on your photograph, it does look like an inverted-V deformity due to the discrepancy of width between the bony bridge of your nose and the cartilaginous middle portion of your nose. It is hard to tell how much more noticeable it will get, but as residual swelling decreases, the irregularities under the surface tend to be more visible. Revision rhinoplasty and rhinoplasty specialists who do a large volume of rhinoplasty (e.g. 100/ year or more) should be more than equipped to correct this issue. It usually requires a combination of spreader grafts and possible osteotomies so that you get parallel lines all the way down the sides of your nose from frontal view.I hope that helps. Have a nice day.Michael M. Kim, MD

Richard W. Fleming, MD (retired) · Answer

This one picture does suggest that you have an Inverted V deformity after your rhinoplasty surgery but you need an examination to confirm this diagnosis. While you are very early in recovery after your procedure it is unlikely this will totally resolve in the future. Discuss your options with your surgeon and/or get a second opinion from a revision rhinoplasty specialist.

Does this appear to be an inverted V deformity? (Photo)

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