Rhinoplasty- Inverted V deformity. Will a revision fix this? (Photo)

A revision rhinoplasty with cartilage spreader grafts placed in the middle portion of the nose on either side of the septum should restore the normal dorsal line. The first choice for obtaining the gray would be your septum. The operation could be done open or closed and should reliably fix your problem.

The areas that concern you can be realistically improved with an artistically performed natural appearing seconadry rhinoplasty through an open or closed approach rhinoplasty with spreader grafts and possble bone osteotomies .

Keep in mind that following advice from a surgeon on this or any other website who proposes to tell you exactlty what to do and how to do it based on limited photos without examining you, physically feeling your tissue, assessing your desired outcome, taking a full medical history and discussing the pros and cons of the operative procedure would not be in your best surgery. Natural appearing results need to be individualized and what is appropriate for one patient is not necessarily the best for someone else. I would suggest that you speak with your surgeon or find a surgeon certified by the American Board of American Plastic Surgery and one who is ideally a member of The American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.

Robert Singer, M.D., FACS

La Jolla, California

You do have an inverted V deformity based on these photos. A closed rhinoplasty can accomplish improvement with osteotomies placed in the nasal bones to narrow them, and spreader graft placement under the collapsed upper lateral cartilages to widen them. All incisions are placed on the inside of the nose. No external incisions are needed and no painful packing is required