Do I have an inverted-v deformity? (Photo)

I agree that you have a wide nasal appearance in the upper half of your nose. Sometimes this can happen when a bump is removed and osteotomies are not performed. If you are not comfortable bringing your concerns to your primary surgeon, consider getting a copy of your operative report and get a second opinion. Wishing you while moving forward. Sincerely, Dr Joseph

From these photos, it looks as though the tip cartilages stand out prominently from under the skin, and above there, we don't see the definition of the bridge that you talked about. It's hard to say exactly from just these frontal views, but it could be that if the bridge were narrowed, it would help establish the definition of the bridge. Also, it should be possible to soften the harsh appearance of the tip cartilages, and that would make the tip stand out less. A profile view would give information about whether the tip could be brought back a bit closer to the face -- that movement would help with softening the tip.

How *much* to narrow the bridge, or is it possible to bring the tip back and if so how much, or what other changes could/should be made? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. It's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.

And for those who have had previous surgery, it also discusses how to tell whether your first surgeon should be performing your revision.

It’s hard to tell from the photos what is going on except that your nasal bones appear somewhat wide. You need to wait a full year to really tell what’s going on. If your bones are wide you can have them rebroken to narrow the nose

Hello. It is not possible to say something clear because of the lack of light in the photo you took, but it seems to have a reverse v deformity. If you are not satisfied with the result, I recommend you to have revision rhinoplasty when your 1st year is over. or if you do not want to have surgery again, you can only get a temporary solution in a short time with a nose filling.

Based on your posted photos, it does appear as an inverted V deformity post rhinoplasty. I might try non-surgical rhinoplasty with HA fillers in one to three sessions to see if correction could be obtained to your satisfaction? If that is not to your liking, a full revision with potential bone, cartilage or silicon, dorsal graft may be needed? Best to virtual consul.

To make a quality assessment regarding the outcome of a plastic surgery procedure we generally need to see a complete set of proper before and after pictures. If you don’t have before, and after pictures and ask your surgeon to forward, the pictures they took.
Without knowing what you look like before, we can’t assess what was done during the procedure.
at this point you need to ask yourself if you’re willing to have a secondary procedure and if so, who is going to do that operation. To get a quality assessment, I suggest you rely on in person consultations. For second opinion, consultations come prepared to bring with you a complete set of proper before and after pictures and a copy of your previous operative report.
Before scheduling any plastic surgery procedure, I generally recommend patient start the process by having multiple in person consultations to help find the best provider. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who had your body or facial characteristics. An experienced plastic surgeon should have no difficulty showing you the before and after pictures of at least 50 previous patients.
Being shown a handful of pre-selected images, representing all the best results of a providers career is insufficient to get a clear understanding of what average results look like, but your results are likely to look like or how many of these procedures they’ve actually performed.
Being bored, certified, and plastic surgery does not mean somebody has mastered every procedure, especially not complex procedures like rhinoplasty surgery.
Quality outcomes in cosmetic surgery are generally based on two primary variables. The first is the candidacy of the patient for the procedure, and the second is the skill and experience of the provider.
When outcomes are less than ideal, the problem is almost always, either with the patient’s candidacy, the providers, skill and experience, or a combination of both.
Best,
Matt Hagstrom, MD .