Is this a Inverted V Deformity? Pinched Tip? Can it be Fixed? (photos)

Unfortunately, it appears that you have a couple complications from this rhinoplasty.  One is an open roof deformity, which occurs when the bridge is taken down and the nasal bones are not in-fractured adequately to close the gap/ the "roof".  The other is an inverted V deformity, which occurs when the upper lateral cartilages (the cartilages that support the middle third of your nose) are separated from the nasal bones.  This is corrected by placement of spreader grafts to help support them back into position.  Without a base view and oblique views, I can't render an accurate opinion about your tip.  So, you will require revision surgery, but these are very fixable conditions.  My advice is to avoid fillers in your case.  It's best to wait at least 6-12 months prior to embarking on revision surgery.  Seek consultation with a rhinoplasty specialist (facial plastic surgeon or plastic surgeon that performs many nasal surgeries annually).  I'm sorry this happened to you, and good luck as you move forward!

Hello,Your problem is best solved with a revision surgery to restore the proper anatomic positions of the lateral cartilages with relation to the septum.  They have collapsed inward after hump removal causing the inverted V and loss of dorsal height as seen in an oblique viewing angle. This will also restore or improve airflow through the nose. Best of luck!

Revision rhinoplasty for inverted V deformity and pinched tip, etc. can correct these issues. An exam is needed and how long since u had a rhinoplasty. See a very experienced revision rhinoplasty surgeon with good results on his before after photos. 

Yes, it does appear that you have an open roof deformity. This occurs when the bridge is taken down and the bones are not properly narrowed inwards to close the open roof. In addition, spreader grafts can prevent this from occurring by propping up the cartilage sidewalls so that they do not fall in and cause collapse of the middle third of your nose. The good news is that this can be fixed but it does require a revision nose surgery. I would advise that you visit with a rhinoplasty surgeon that specializes and performs many rhinoplasties each year.

Thank you for the question and the photos.  I suspect what is occurring with regards to your bridge is the following:upper lateral cartilages (side walls) have dropped downnasal bones not narrowed enough+/- dorsal lowered too muchTo repair this spreader grafts and and re-fracture of the nasal bones would be needed.  Dorsal augmentation with diced cartilage graft may be needed as well to repair the height of the dorsum.  With regards to the nasal tip, the "pinched" look is likely secondary to the amount of cartilage removed from the lower lateral cartilages. This can be addressed with cartilage grafts as well.All the best,Dr. Remus Repta

Thank you jfor the photos and question and from them without an examination you do appear to have mild collapse of the middle third of your nose which would benefit from a revision as well as revision of your tip though that is not as clear from the photos.  So see some experts in your area who offer a complimentary consultation and via digital photgraphy see what can be done to improve the appearance of your nose.Dr. Corbin

Your wide bridge with an open roof and/or inverted V deformity can be corrected with revision surgery. I agree with your decision not to have filler injections; I strongly recommend that a young lady like yourself choose a permanent solution. The collapsed lateral aspect of your tip, caused by the vertically oriented tip cartilages, can also be augmented.

Dear m0kat, The above mentioned concerns can be addressed with revision rhinoplasty surgery. I believe if I remember correctly from earlier questions you have asked that your surgery was around October 2015 so you are approximately four months post surgery. At four months post surgery you will keep seeing changes in your nose as the swelling dissipates and you will need to wait about twelve months to have revision surgery. I would request a copy of your operative report and your preoperative photographs from your current surgeon so that you can have these available to consulting surgeons. Best regards, Michael V. Elam, M.D.