I had a close rhinoplasty about 5 and 1/2 months ago to remove a bum on the upper part of the bridge of my nose. I then started to develop a diagonal line/shadow starting at the middle of my nose. Before surgery I never had these lines and it makes a clear definition from the top part of my nose to the bottom half. From the side these lines are barley noticeable. Will I need revision surgery to make there be a smooth transition?
March 14, 2014
Answer: The inverted V deformity that resulted after your Rhinoplasty is from collapse of the mid vault of your nose Your nose is a very complex structure. There is the tip which gets it's shape from your lower lateral cartilages. There is the mid vault which is made up of the upper lateral cartilages which attach over the septum which is the cartilage that separates the two sides of the nose. Then there is the boney dorsum. Your hump is made up of the boney dorsum on the top which attaches to the mid vault. Your hump is removed by filing down the boney dorsum and removing some of the upper lateral cartilages and septum. The inverted V deformity comes when after the hump is taken down the upper lateral cartilages are not reattached over the cartilage septum. When this happens the upper lateral cartilages slide down the sides of the septum and thus the inverted V deformity. Unfortunately the only way to correct this is to re operate on your nose and reattach the upper lateral cartilages over the septum. If you have or had some mid vault collapse you may need to have some spreader grafts. These are cartilage grafts usually taken from the septum (donor site) which are sew on to both sides of the septum and the upper lateral cartilages are then sewed over the septum and spreader grafts. It is not clear if your boney dorsum is wider than your nasal base. If it is you would be best served by having the dorsal bones of your nose cut to narrow this area also. I would recommend that you seek a second opinion from a Board Certified Plastic Surgeons who does frequent rhinoplasties, consult them, ask to see photos and then make an informed decision.
Helpful
March 14, 2014
Answer: The inverted V deformity that resulted after your Rhinoplasty is from collapse of the mid vault of your nose Your nose is a very complex structure. There is the tip which gets it's shape from your lower lateral cartilages. There is the mid vault which is made up of the upper lateral cartilages which attach over the septum which is the cartilage that separates the two sides of the nose. Then there is the boney dorsum. Your hump is made up of the boney dorsum on the top which attaches to the mid vault. Your hump is removed by filing down the boney dorsum and removing some of the upper lateral cartilages and septum. The inverted V deformity comes when after the hump is taken down the upper lateral cartilages are not reattached over the cartilage septum. When this happens the upper lateral cartilages slide down the sides of the septum and thus the inverted V deformity. Unfortunately the only way to correct this is to re operate on your nose and reattach the upper lateral cartilages over the septum. If you have or had some mid vault collapse you may need to have some spreader grafts. These are cartilage grafts usually taken from the septum (donor site) which are sew on to both sides of the septum and the upper lateral cartilages are then sewed over the septum and spreader grafts. It is not clear if your boney dorsum is wider than your nasal base. If it is you would be best served by having the dorsal bones of your nose cut to narrow this area also. I would recommend that you seek a second opinion from a Board Certified Plastic Surgeons who does frequent rhinoplasties, consult them, ask to see photos and then make an informed decision.
Helpful
March 14, 2014
Answer: Diagonal Lines after Rhinoplasty You have what is called an "inverted V deformity" which is secondary to collapsed central portion of your nose. This can be corrected with the placement of cartilage "spreader " grafts. Unfortunately a revision will be necessary.
Helpful 1 person found this helpful
March 14, 2014
Answer: Diagonal Lines after Rhinoplasty You have what is called an "inverted V deformity" which is secondary to collapsed central portion of your nose. This can be corrected with the placement of cartilage "spreader " grafts. Unfortunately a revision will be necessary.
Helpful 1 person found this helpful
