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The Inverted V: When Revision Rhinoplasty Becomes Necessary

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One of the most common causes of an inverted V nasal malformation (i.e., a dip in the nasal bridge) is complication after rhinoplasty surgery. Unfortunately, correcting it requires a revision rhinoplasty, which we perform for Hawaii patients. But how does the primary rhinoplasty procedure create this kind of problem? When a dorsal hump is removed during rhinoplasty, there is a risk of taking away too much cartilage from the area. It’s a delicate thing, and mistakes like these are all too common. When there isn’t enough collagen left to support the vault (the bridge), an inverted V deformity occurs. If you … Continue reading

Shim Ching, MD