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.

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

Answers (7)

Answer: Rhinoplasty

Answer: Rhinoplasty

Answer: Surgery time is important

Answer: Surgery time is important

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

Answers (7)

Answer: Rhinoplasty

Answer: Rhinoplasty

Answer: Surgery time is important

Answer: Surgery time is important

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Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.