Do I need a revision for my inverted U shape? (Photo)

Hi,
The bases for the appearance of your nasal bridge will depend on when your procedure was performed and what technique was used, in particular if osteotomies were performed.
In general terms, initial swelling after primary rhinoplasty surgery can be due to oedema (fluid in the soft tissues) or scar formation. These factors will typically improve over the course of 6 to 12 months and sometimes even over 18 months. At NorthEast Plastic Surgery, we therefore advise patients during weekly post operative consultations for 6-8 weeks in order to manage swelling with oedema control strategies and scar management advice, including the use of LED therapy.
If osteotomies were not performed by your surgeon, the width of the nasal bridge may be anatomical and due to the failure to narrow the nasal bones. It might be worthwhile seeking your operative records to establish whether or not this procedure was performed during your surgery.
Best wishes
Dr Sugitha Seneviratne

It's kind of hard to tell from the photos what is going on. If you obtain a copy of the operative note, you can better determine what happened. If you had a bump that was taken down and osteotomies weren't done to bring the bones back together, this can result in an open roof or inverted v deformity. This can be corrected with revision surgery.

It depends on how long ago the surgery was performed. The nose can retain swelling for 1 year after rhinoplasty. The nasal bridge can remain wide because of the way the bones were broken and reset and/or preexisting anatomic deformity limiting narrowing of the nasal bridge, which only your surgeon would have seen intraoperatively. I would recommend consultation with an experienced, board-certified plastic surgeon who specializes in rhinoplasty for evaluation and treatment because revision rhinoplasty is much more difficult due to scarring and anatomic changes from our previous surgery.