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

Question

Eight months ago I received primary rhinoplasty for a deviated septum/crooked nose. The surgeon straightened my nose and removed my dorsal hump. When he took off the cast I was very unhappy with what I saw. I had lost almost all definition in my previously well defined tip and something just looked off about my entire nose. Whenever I looked in the mirror all I could see was the tip of the nose sticking out. No bridge definition and no brow-tip aesthetic line. Do I Have an Inverted-V Deformity?

Eric M. Joseph, MD · Answer

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

Steven M. Denenberg, MD · Answer

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.

Ronald J. Edelson, MD · Answer

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

Merve Selimbabaogullari, MD · Answer

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.

Darryl J. Blinski, MD · Answer

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.

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

Answers (6)

Answer: Inverted-V Deformity

Answer: Inverted-V Deformity

Answer: Inverted the deformity of post rhinoplasty?

Answer: Inverted the deformity of post rhinoplasty?

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Everything you need to know about Rhinoplasty

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

Answers (6)

Answer: Inverted-V Deformity

Answer: Inverted-V Deformity

Answer: Inverted the deformity of post rhinoplasty?

Answer: Inverted the deformity of post rhinoplasty?

Browse related questions

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.