Is this inverted V deformity? (Photo)

Question

I had rhinoplasty 18 months ago. I started noticing diagonal lines on my nose. I sent pics to my surgeon, and they said despite using spreader grafts, it looks like the middle portion thinned out/contracted more than expected, or the bones thickened slightly or didn't move inward as much as expected. I was offered filler. Is it likely to worsen over time, and is filler the best option for my situation?

Eric M. Joseph, MD · Answer

Based on your photos, your cartilage bridge is a tad lower than the bony portion of your bridge and this is causing an indentation and lines. Depending on your examination, microdroplet Silikon-1000 injections maybe considered for adding needed volume to the mid portion of your nose and for correcting the issue that is bothering you. I hope this helps! Sincerely, Dr Joseph

Jeffrey M. Darrow, MD · Answer

Your plastic surgeons description is correct. Your nasal bones sit outside the line of the cartilage of your septum and the spread graphs that were placed. A filler can be placed to camouflage this area and this is a temporary solution. A more permanent solution would be to have a revision of your rhinoplasty so the bones could be brought into the correct alignment. Done correctly, this should be a permanent solution to your problem. Discuss this in detail with your plastic surgeon. Best wishes.

Zoran Potparic, MD · Answer

It is unclear how extensive this deformity may be because frontal photos are unavailable. Permanent correction is likely possible by rasping the distal portion of nasal bones or placing a soft tissue filler like crushed cartilage or a piece of fascia. Fillers may be an alternative since their longevity is significant in this area (up to 2 years). Hope this helps.

Ronald J. Edelson, MD · Answer

You have a mild inverted v but overall a good result. If it bothers you I agree that filler is a better solution than surgery

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.
As far as I can see from your photos I recommend you a revision rhinoplasty filling is definitely not a method we recommend.It is possible to get the nose you want with a revision operation.
It would be better face to face consultation.
Best regards!

Is this inverted V deformity? (Photo)

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Is this inverted V deformity? (Photo)

Answers (7)

Answer: Rhinoplasty

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Answer: Rhinoplasty

Answer: Rhinoplasty

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Everything you need to know about Rhinoplasty

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