Do I have inverted v deformity? (photos)

It is possible, based on these photos, that you have discrete inverted V deformity. This should be discussed with your surgeon ahead of surgery. Good luck.

Hello and thank you for your question. Based on your photographs alone, it is not possible to tell if this is an inverted V deformity. In my practice, I caution against rasping as a standalone procedure. This often times can look good for two months, but after one year does not look good and has even worse contour irregularities. Instead, I would perform this with a combination of rasping and a fascial onlay graft to produce a smooth, long-term result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon