Can an Inverted V Worsen Even More? to the Point of Complete Collapse and Become Very Noticeable to Others?

After two years you may not notice much worsening of your valve collapse. It is possible to repair if the narrowing is problemmatic but that is up to you.

Spreader grafts can be used to fix an inverted-V deformity. You can read more about spreader graft surgery at my web reference link below.

Inverted V deformity is from loss of support of the middle third of the nose called the internal nasal valve or middle vault. Sometimes it looks better after revision surgery for a year or so because of swelling. But if its there after 2 years is is unlikely to go away. On another note, is is unlikely to get much worse. THe idea of more surgery is not necessarily a happy one, but this is treatable.

At 2 years out, it is likely that all the swelling has settled. If you provide a high quality photograph of your nose and face it would help in providing you with a more accurate assessment.

    If you are concerned about the inverted V deformity and possible collapse, you should really visit your last surgeon or find a new one.  Pictures would be helpful to assess your concerns.  There really should not be any changes at 2 years.  Kenneth Hughes, MD Los Angeles, CA

 An inverted V deformity will not getting better 2 years after a rhinoplasty.  The inverted V deformity is best treated with a combination of bilateral spreader grafts and sometimes osteotomies. This is usually as straightforward revision rhinoplasty repair performed as an outpatient procedure.

At two years out your swelling should be gone.  An inverted V deformity will not get better.  Revision will be needed for an inverted V if it bothers you.

The Inverted V deformity occurs when the cartilage parts of the nose pull away from the nasal bones.  This allows you to see the nasal bones in relief through the skin, which looks like an upside-down V.  

Typically the Inverted V deformity gets worse to a point, and then stops.  It would be very unusual for your deformity to get severely worse over a period of years.

The treatment often requires an additional procedure to camouflage the defect.  This need not be a large surgery.  However, revision rhinoplasty surgery should always be done by an experienced surgeon.

Observing my rhinoplasty results for over 25 years I feel your nose will change little in the near future. If others don't notice the depression move on with your university plans.