What is An Inverted V Deformity? Do I Have an Inverted V Deformity?
In rhinoplasty, an inverted V deformity refers to a particular type of nasal shape that can occur as a complication following 
surgery. This deformity typically occurs when there is an excessive resection of the dorsal hump of the nose as the upper lateral cartilages collapse inward during the rhinoplasty procedure. The upper lateral cartilages are structures in the nasal anatomy that contribute to the nasal dorsum and sidewall and help maintain its structural integrity.
When too much cartilage is removed from the upper lateral cartilages, it can lead to the collapse of the nasal sidewalls, resulting in a V-shaped appearance when viewed from the front. The deformity resembles an inverted V, with the point of the V at the top of the nose. This can create a pinched and unnatural appearance to the nasal tip, affecting both the aesthetic and functional aspects of the nose. This is much more common with closed rhinoplasty techniques versus open techniques.
To prevent or correct the inverted V deformity, surgeons may use various techniques, such as preserving adequate cartilage, reinforcing the nasal sidewalls, or using grafts to provide support and maintain nasal structure. These grafts typically come in the form of spreader grafts or lateral cartilage turn in flaps.
Inverted V deformities are more difficult to correct than they are prevent, therefore it is important to choose the right rhinoplasty procedure and the right rhinoplasty surgeon at the outset. It is crucial for individuals considering rhinoplasty to communicate their aesthetic goals and concerns with their surgeon and discuss the potential risks and complications associated with the procedure. It is most important to choose a surgeon
Choose a Rhinoplasty Expert
It is important that you choose a Plastic Surgeon experienced in rhinoplasty surgery. Rhinoplasty surgery is a field all in itself. It is considered by many Plastic Surgeons to be the most difficult of all procedures. To be proficient in rhinoplasty requires a very specific skill set and a prolific knowledge of rhinoplasty techniques. It is a finesse surgery that takes time and a commitment to perfection. Patients should be wary of any surgeon who simply does an “add on” rhinoplasty at the time of septoplasty. Excellent rhinoplasty results take 3-4 hours to achieve.
Dr. David Graham is a rhinoplasty expert. He is a member of the both the American Rhinoplasty Society and Rhinoplasty Society of Europe. He has pursued advanced training with the world’s finest rhinoplasty surgeons, such as Dean Toriumi, Rod Rohrich, Mario Ferraz, and Rick Davis. In addition to traveling all over the US to hone his craft, he has traveled to Italy and Germany to study with the world’s best surgeons. As a result, he is at the forefront of rhinoplasty techniques, including the usage of ultrasonic rhinoplasty. He performs both primary and revision rhinoplasty procedures out of his state of the art surgical suite.
Contact Board Certified Plastic Surgeon, David Graham, MD, in Rochester, New York
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Dr. Graham receives patients from Rochester, Victor, Fairport, Pittsford, Brighton, Irondequoit, Henrietta, Syracuse, Buffalo, New York and surrounding areas.
