What is an inverted V deformity?

An inverted-V deformity is a complication that is encountered after excessive reduction of the nasal dorsum (e.g. hump removal without adequate midvault reconstruction) or nasal trauma. The caudal (lower) edge of the nasal bones become visible (the inverted-V) because the smooth transition from bone to cartilage is too weak. Subsequently the triangular cartilages have collapse inward. Besides a cosmetically unpleasing result, this deformity can cause breathing problems  (internal nasal valve collapse).

How can the inverted V deformity be corrected?

External rhinoplasty approach:  midvault and L-strut restauration using extralong spreadergrafts. When there is insufficient cartilage remaining in the septum, auricular or rib cartilage might be needed.

Unless otherwise specified, these preoperative and postoperative photographs are illustrations of functional rhinoplasty procedures, meaning that the aesthetic outcome was a secondary goal of the surgery. Examples of aesthetic rhinoplasty procedures will soon become available.

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