Open Roof Deformity
Rhinoplasty surgery can be associated with many risks where the main complications are post-operative deformities, often requiring Revision Rhinoplasty Surgery. The most common deformity is "Polly Beak" or Supra-tip Deformity. Other common deformities following Rhinoplasty Surgery include wide nasal tip, alar collapse, nasal valve collapse, retracted columella, hanging columella, saddle nose, pinched nasal tip, short nose and over-shortened nose.
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. If you can imagine taking the roof off of a house while leaving up only the side walls, then you have what is known as Open Roof Deformity. The nasal dorsum appears wide with an unusually flat bridge and bump on each side of the bridge where the bones have been separated during surgery.
Dr. Slupchynskyj sees many patients who have undergone bony dorsal hump reduction with another surgeon resulting in this type of 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.
From a functional or physiological standpoint, Open Roof Deformity does not usually contribute to serious consequences with the function of the nose, specifically the patient's breathing ability.
The above patient had an Open Roof Deformity from a previous Rhinoplasty procedure
with another surgeon. Dr. Slupchynskyj corrected the deformity
with an Open Revision
Rhinoplasty procedure
using Lateral Osteotomies and the insertion of a custom-carved
Dorsal implant, the SLUPimplant™.
Here is the same patient again, shown Before and After
her Eithnic Revision Rhinoplasty procedure.
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