If I have an open roof deformity, how long do I have to wait before I can have a revision?

 If there is a significant open roof deformity, and it is the only deformity present on the nose, osteotomies of the nasal bones can be performed before one year. It's probably best to wait at least 6 months to ensure that there's no other issues present that will need to be addressed.

The general rule of thumb is to wait a year before any revision surgery is performed. Even though it is unlikely that anything will change in regards to the open roof deformity, you would want the overall swelling to go down enough so any other irregularities or areas of concern can be addressed. Best of luck

It is important to wait for all of the swelling to dissipate in the nose before having a revision procedure. This time frame is typically denoted at the one year mark. While this time may make little difference in your open roof deformity and changing of your results it is important that all of the swelling has dissipated so the revision procedure can address any and all concerns with your current results. Best regards, Michael V. Elam, M.D.

Thankyou for your question. The open roof deformity is an unfortunate complication following hump reduction as part of a rhinoplasty. It used to be more common prior to the structural approach to rhinoplasty. It results from the side walls of the nasal dorsum becoming visibly separate from the midline septum after the dorsal hump is removed. It is usually prevented by a combination of bending the lateral bones of the nose inward (osteotomies) together with the use of spreader grafts extending up to the "keystone" area (where the bone meets the cartilage framework of the nose). Sometimes this is not apparent initially due to swelling and may take a year or more to become manifest but if it is already apparent at this early stage then it will need fixing. I would be concerned that if this aspect of the surgery isn't correct there may be other issues that will emerge as things settle further and rather than going back to correct this problem too early you should wait a little longer to determine what else might be wrong so that all can be fixed in one operation. One year is usually sufficient recovery time .

Hi, I have performed and taught Rhinoplasty for 30 years.  Six months between Rhinoplasties is the general rule which allows time for the nasal tissues to heal between procedures.  In some cases it might be longer.  Hope this helps.