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

Question

I went for a nose procedure in Thailand, have been left with an inverted U shape(wide nose bridge), is this just swelling or a bad result ?

Sugitha Seneviratne, MBBS, FRACS (Plas), FACCS · Answer

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

Andrew Miller, MD · Answer

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.

George Bitar, MD · Answer

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.

Ronald J. Edelson, MD · Answer

It’s possible that your bones were inadequately broken or maybe not broken at all leaving your nose wide. You would need to be examined in person to know for sure

Salih Aydin, MD · Answer

You can decide whether the surgery is successful or not, only after 1 year has passed after the surgery. We call this disorder "inverted V deformity". It is mostly a situation related to the technique applied in the surgery. If it bothers you a lot, you can have the surgery again. But it would be wrong decision to decide for surgery again before 1 year is up.

Robert Ciardullo, MD · Answer

Inverted V bridge post rhinoplasty: The inverted V bridge following rhinoplasty can result from inadequate in fracture of the nasal bones after removal of a dorsal hump, or a spreading apart of those bones after surgery if they were in fractured. Either way the usual treatment of this would be to re-in fracture the nasal bones

Jeffrey C. Hamm, MD - Account Suspended · Answer

Hi and welcome to our forum!
From your photos, I note that the nasion deviates from midline and the nasal tip is asymmetric and displaced. 
How long has it been since your procedure? If recent, this may still represent swelling which may totally camouflage the result. It takes 12-18 months for swelling to subside and for the nasal tissues to heal. 
If a year has passed since your original surgery, you may be a candidate for secondary revision. 15% of cosmetic surgeries benefit from a touch up procedure.
Visit a board certified plastic surgeon for evaluation and discussion.

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

Answers (7)

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