8 months post op, Is This Open Roof Deformity? (photo)

Hi, Please let me know if I have an open roof deformity. I underwent open rhinoplasty 8 months back to remove a prominent hump and this is the result from the front. Why is it so wide and shapeless. Please help. If it is open roof,I need to consider revision. Thanks.

Doctor Answers 7

Wide dorsum after open rhinoplasty

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From the one photo you provided, you may have an open roof deformity or a saddle deformity from a depression of the nasal bones or loss of support. It also appears your nose tilts to the right slightly. In either case, this can most often be corrected with infracturing or osteotomies of the nasal bones to bring them closer together or you may need some grafting of cartilage to that area as well. Good luck and its best to wait one year from your previous surgery prior to undergoing a revision.

Jacksonville Facial Plastic Surgeon
5.0 out of 5 stars 20 reviews

Post op rhinoplasty open roof deformity

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Dear grapes1986

  • From the one photograph you have provided, it seems that the nasal bones have remained wider than you would like.  
  • You are correct that in most cases, you may consider revision with osteotomies to address nasal bone position. 
  • Best Wishes

Open Roof Deformity

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It is difficult to determine if you have an open roof deformity but your nasal bones are very wide and do need to be repositioned. You should consider a revision.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 40 reviews

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IS This Open Roof Deformity?

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Yes based upon the one posted photo you listed it appears as a postoperative open roof deformity. Sorry. 

Open roof?

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It certainly looks like you have an open roof .  This happens when the dorsum is taken down and the bones aren't brought in adequately. Mid-vault collapse can contribute and sometimes spreader grafts help.

Open roof deformity.

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An open roof deformity occurs in rhinoplasty when the nasal dorsum and sidewalls are not adequaltely narrowed following reduction of the nasal bridge.  It would appear that you indeed may have an open roof deformity.  A revision rhinoplasty can help you achieve your desired goals.

Mario J. Imola, MD, DDS, FRCSC.

Lowering the bridge can result in widening of the nose

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You have gained width to your nose as the bridge has lost projection following the hump removal.  Because the nose sits of the face like a triangular pyramid, lowering the bridge (removing a hump), takes away the narrowest part of the pyramid, leaving behind a broader surface.  The nasal bones can be narrowed to compensate for the partially, which also prevents the open roof.  It is hard to tell from the photo if you do have an open roof, but the bones do look wide.  A revision may help you to gain back narrowness of your nose. This may require osteotomies to narrow the bone and/or augmentation of your bridge.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.