How easy it is to fix an open roof deformity and narrow the tip of the nose? (Photos)

Question

I’m planning on having a revision rhinoplasty next year, my nose has been made very wide compared to my birth nose. Luckily I don’t have any breathing problems and I’m happy with my side profile. I think I just need my open roof deformity fixing and my tip made more defined, possibly an alar base reduction. On a scale of 1-10 how simple or difficult do you think my case is?

Jeffrey H. Spiegel, MD · Answer

It's difficult to fly an airplane, unless you do it regularly.Similarly, revision rhinoplasty is very complex unless you're familiar with it.This is a common scenario for me to see and I think we should certainly be able to improve the appearance and function of your nose.

Oleh Slupchynskyj, MD, FACS (retired) · Answer

Open Roof Deformity is an obvious deformity of the dorsal nasal bone and a common complication of Cosmetic Rhinoplasty Surgery following nasal dorsal hump reduction and resection. 
Unfortunately I see many patients who have undergone bony dorsal hump reduction resulting in this deformity. Typically, this is due to surgical error. The nasal bones are over-resected, with either incomplete or inadequate osteotomies of the lateral nasal bones. Once the nasal bump is removed it is critical to perform adequate lateral osteotomies to bring the nasal bones inward towards each other.  In the rights hands, this can be fixed as can refining your nasal tip.Best,Dr. S.

How easy it is to fix an open roof deformity and narrow the tip of the nose? (Photos)

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Everything you need to know about Revision Rhinoplasty

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How easy it is to fix an open roof deformity and narrow the tip of the nose? (Photos)

Answers (2)

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Recommended reading

Everything you need to know about Revision Rhinoplasty

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