What's the difference between an open roof deformity and a inverted v deformity?

Question

Why would one Dr. say I have an open roof deformity and another one say inverted V. Are they one in the same?

A. Joshua Zimm, MD · Answer

They are two different things, but you can have both at the same time.  An open roof deformity usually occurs after filing down a bony hump.  The nasal bones are like the roof of a house.  If you remove the top of the roof, you will have an open space there between the two nasal bones.  That's why after taking down a bony hump, one usually has to make cuts in the nasal bones (called osteotomies) to bring the bones inward and "close the open roof."An inverted V deformity is usually a result of collapse of the middle third of the nose.  The upper lateral cartilages are attached to the undersurface of the nasal bones by fibrous/ligamentous attachments.  If the upper lateral cartilages lose their support and attachments to either the nasal bones and/or nasal septum, they can drop down causing a visible demarcation between the nasal bones and upper lateral cartilages/middle third of the nose.  That demarcation usually looks like an upside down "V".Unfortunately both can occur concomitantly or in isolation.  I hope this helps. Best of luck.

Benjamin C. Marcus, MD · Answer

An open roof deformity is often when a dorsal hump is removed but the bones are not closed.....usually from inadequete osteotomies. This leads to a flat table type nasal bridgeAn inverted V deformity is from the detachment of the upper lateral cartilage from the nasal bones.

Kenneth Hughes, MD · Answer

You may have both.  Hard to say without photos.  Both can be corrected.Find a plastic surgeon with ELITE credentials who performs hundreds  
of rhinoplasties and rhinoplasty revisions each year.  Then look at the 
 plastic surgeon's website before and after photo galleries to get a   
sense of who can deliver the results. 	Kenneth Hughes, MD Los Angeles, CA

William Portuese, MD · Answer

An Inverted V. deformity is created when the upper lateral cartilages have fallen inward and not in perfect alignment with the nasal bones. This can be related to surgery or trauma. An open roof deformity is created when the hump is removed from the bridge and the osteotomies have not closed the gap, or the nasal bones of healed inadequately

Steven Wallach, MD · Answer

An open roof is when the dorsum is shave down and the bones are not in fractured, or do not move in enough.  An inverted V deformity can occur from an open roof.

What's the difference between an open roof deformity and a inverted v deformity?

Answers (8)

Answer: Inverted V deformity versus open roof deformity

Answer: Inverted V deformity versus open roof deformity

Answer: Open roof and inverted "V" deformity

Answer: Open roof and inverted "V" deformity

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What's the difference between an open roof deformity and a inverted v deformity?

Answers (8)

Answer: Inverted V deformity versus open roof deformity

Answer: Inverted V deformity versus open roof deformity

Answer: Open roof and inverted "V" deformity

Answer: Open roof and inverted "V" deformity

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Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.