Do I have an open roof deformity? (photos)

Question

I had open rhinoplasty 2 years ago. About 6 months ago I noticed a gap on the bridge of my nose, where my hump was shaved off. I recently had my 2 year post op and my surgeon said this is normal to have when you have had rhinoplasty and that it is not an open roof deformity because it is not visible to the eye. However I can see it and it’s noticeable in certain lighting and in some pictures. My surgeon doesn’t believe a revision would help because he believes it’s a minor detail.

Randal Haworth, MD, FACS · Answer

If you are personally bothered by the gap and find it noticeable in certain lighting or in pictures, it's worth discussing your concerns further with your surgeon. They should be open to hearing your perspective and addressing any questions or anxieties you may have. They may offer additional explanations or reassurances based on their expertise and knowledge of your specific case.

If you still feel unsatisfied with your surgeon's response or would like a second opinion, it may be beneficial to seek a consultation with another qualified and experienced rhinoplasty specialist. They can evaluate your nose and provide their professional opinion on whether a revision procedure could potentially improve the appearance of the gap.

During a consultation, the surgeon will assess your nasal anatomy, consider your goals, and discuss the potential risks, benefits, and limitations of revision surgery in your particular case. They can provide a more detailed assessment of the gap and whether it can be addressed through surgical intervention.

Remember that open and honest communication with your surgeon is key. They should be attentive to your concerns and work with you to find the best possible solution.

I hope this helps,
best of luck !

Eric M. Joseph, MD · Answer

Based on your photos, you appear to have visible edges of nasal bone high up on your nose. Depending on your examination, microdroplet Silikon-1000 injections maybe considered for camouflaging these edges of bone. It works by putting a small cushion in between your skin and underlying bony framework. I hope this is helpful! Sincerely, Dr Joseph

Ronald J. Edelson, MD · Answer

You say your bridge was shaved but you don’t mention if the bones were broken. You would need to have the bones broken to priestly address that area

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.From the photo you provided the the gap is really noticeable. To get rid of this gap you can consider a revision surgery, you will most probably need cartilage reconstruction.Best regards!

Ufuk Duzenli, MD · Answer

You have open roof and it requires revision surgery . I recommend this surgery. Your bones have to be reshaped

Sinan Eroglu, MD · Answer

Actually yes it is minor detail. It is probably because of cartilage and bone levels are different in small percentages. It can be fixt with revision

Robert Ciardullo, MD · Answer

Do you have an open roof deformity?
Technically, an open roof deformity involves a relatively wide separation of the nasal bones with a visible flatness and an inverted “V”appearance in the front view. You only show one view which is not a pure frontal view, but it does not look like you have a widened bridge. It is true that after a rhinoplasty there is a slight gap between each nasal bone and the septum. If this is visible at rest, it may deserve some intervention. However if it is only visible when you pull on the skin as it appears you are doing in the photo you show, it could just as well be left alone. It all depends on how much it is bothering you , But if it does not show without pulling on the skin, it is probably just as well to leave it alone, if the bones are not wide and the bridge is not flat with the inverted deformity.

Darryl J. Blinski, MD · Answer

Based on the 1 posted photos this is a type of "open roof" deformity. Before having more revision nasal surgery I might try a filler injection rhinoplasty only done by true expert injecting MD.

Do I have an open roof deformity? (photos)

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