Do I have open roof deformity? (Photo)

Based on the photographs it is not possible to make the deduction that there is open roof deformity.  However there is a possibility of early open roof deformity that is showing.  This would need to be corrected if it gets worse by using either grafts to camouflage it or completing the osteotomies and bringing the side nasal bones together.RegardsDr. J

You definitely have visible irregularities which are consistent with an osteotomy that has not healed properly.  Without an examination, it would not be possible to know whether you have an open roof, or bony fragments that need to be smoothed out.  You do have a suggestion of an inverted V deformity, although again, an in person examination would be helpful.  In any case you would benefit from a revision rhinoplasty, which could be as simple as rasping the irregularities ( often can be done as an office procedure), or more complex with osteotomies, and the need for cartilage grafting.  .

Your nasal profile appears nice. If you are satisfied with the width of your bridge on front view, the irregularities seen on your upper bridge maybe filled with microdroplet Silikon-1000 for permanent results.If you're looking for a narrower appearance of your nasal bridge, repeat osteotomies may be considered.Hope this helps you.Dr Joseph

 To confirm the presence of an open roof deformity requires a physical examination and palpation of the bridge line. It appears that there may be an open roof deformity along with wide nasal bones. Medial and lateral osteotomies of the nasal bones can close the open roof and narrow the bridge line. For many examples of narrowing a wide nose with osteotomies, please see the link and the video below

It is difficult to say from the one photo and so early in your recovery whether or not you will develop an open roof.

You definetly have a contour deformity of the nasal dorsum.   This usually is repaired by performing lateral osteotomies and closing the "open roof" by infracturing the nasal bones.  Another option would be to place a graft over the open roof.  the decision would be made at the time of consultation. 

It appears from your photograph that you do.... slightly irregular nasal bones centrally combined with a broad/flat appearance and inverted 'v' deformity add up to a slightly foreshortened nose which lacks dorsal lines.... dorsal lines are the holy grail in rhinoplasty for achieving elegant results and eliminating distracting dorsal imperfectionsafter dorsal resections, dorsal lines are achieved and open roof/inverted 'v' deformities are ameliorated by meticulous infracture of nasal bones, placement of spreader grafts and proper handling of upper lateral cartilagesModern, nondestructive, anatomical rhinoplasty techniques are more sophisticated than they were years ago. In the minds of modern rhinoplasty experts, these characteristics (beyond appropriate training/credentials) are tantamount to achieving consistently excellent rhinoplasty/revision rhinoplasty results:1. many years of rhinoplasty practice experience2. judgment and techniques that have evolved over time3. a practice focused on rhinoplasty 4. a willingness to do difficult, secondary and reconstructive cases5. an interest in teaching others how to evaluate and do rhinoplasty properly6. a willingness to share one's rhinoplasty resume, photos and patient experiences with prospective patientsgood luck

Hi, I have performed and taught Rhinoplasty for over 30 years and there appear to be "telltale" vertical grooves in the nasal bones indicating an open roof deformity.  This would be reduced with osteotomies that would bring the nasal bone back together along the mid line.Hope this helps.  

It is difficult from your photos to have a definitive impression.I cannot see much of your nose. There is an irregularity of the nasal bones that is present but that does not mean there is an open roof.