Dent on my left dorsal line making it asymmetric - Do I have an inverted v deformity? (Photos)

Question

i’m 9 months post op and my swelling is finally going down but then i started noticing a dent on my left dorsal line making it asymmetric

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you do have some asymmetry in the upper dorsum but I don’t see an inverted V deformity. This can likely be improved with a revision. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Alejandro Nogueira, MD · Answer

Inverted V deformity and open roof deformity are always associated and sooner than later surface together as a combo resulting the lack of proper osteotomies (infractures) once the hump has been removed (aka "removing/opening the roof".

Failiing to close the roof with osteotomies leads to visible slots at the osseous dorsum, which is the issue you complain about, and later to the collapse of the cartilagenous dorsum which collapses inwards and dissociates / dislocates from the bony walls of the nose.

Briefly and simplistically said, the solution is a revision rhinoplasty to accomplish proper closure of the roof by infracturing and applying spacer/spreader grafts at the middle vault, plus another series of corrections needed in your nose as per the photos you've showed.

Seek the help of an experienced revision rhinoplasty surgeon.

Eric M. Joseph, MD · Answer

Based on your photos, you appear to have thin nasal skin, and it is the thinnest where you are seeing this bony irregularity. Rather than considering revision rhinoplasty surgery, microdroplet Silikon-1000 injections maybe considered for filling and camouflaging this area of visible bone. I hope this helps! Sincerely, Dr Joseph

Ronald J. Edelson, MD · Answer

I see what you are saying and that is because when the bones were broken the bridge was not made narrow enough.  The other thing I notice is that your nose was left too long but that’s quite simple to correct

Darryl J. Blinski, MD · Answer

Based on your two post of photos, this denting affect is minimally noticeable best corrected by injections of HA fillers in a few sessions expect fees to arrange from $5000-$1000 per session. Best of virtual concert with for more info.

Dent on my left dorsal line making it asymmetric - Do I have an inverted v deformity? (Photos)

Answers (5)

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