What is a “step-off” deformity, what causes it, and what can be done to fix it?

Dear wherehaveigone,A "step-off" deformity in reference to rhinoplasty usually defines an area where the nasal bone has been broken, typically during a previous rhinoplasty, and there is literally a step like separation between the two edges of the bone.  Oftentimes the step off is palpable (i.e. you can feel it), but not visible.  Correction typically involves rebreaking the nasal bones.  It can sometimes self correct if the injury or surgery is relatively recent, or it can be corrected with filler materials.  Good luck!

A step off deformity is a malalignment of the nasal bones, classically at the dorsum. It can be caused by an impact injury, such as dropping a heavy object on the nose, a car accident or an assault.