How to correct it.
Open roof deformity pictures.
Open roof deformity is one of the most common and problematic deformities in revision rhinoplasties due to failure to perform or performing incomplete ineffective uneven or unilateral osteotomies between the nasal bones and the maxilla thus impeding a smooth medialization of the nasal bones after either hump resection or humpless dorsum.
In this type of roof the ends are left open to meet the walls directly there are no added benefits between the two the choice is purely based on aesthetics.
If the nasal bones are not completely closed then you may feel the free edges of the nasal bones.
An open roof deformity makes the nose appear excessively wide.
Here are selected photos on this topic but full relevance is not guaranteed.
The hump is removed with a scalpel essentially a slice of bone is taken away.
This closes the open roof created by taking off the top of the nasal bridge.
One of the most common issues present in patients seeking revision rhinoplasty is the inverted v deformity.
What is an open roof deformity and how is it avoided.
The edges of the bones separate and will create a bumps on the sides of the nose.
On profile view a large dorsal hump causes the nose to look like it has a big bump.
This is called an open roof deformity and may be corrected by repeating the osteotomies ie cutting the nasal bones.
It depends on how low or high the nasal bones are positioned.
The best way to explain an open roof deformity is to start by explaining hump reduction rhinoplasty.
Open roof deformity is one of the common results after hump removal without rebuilding the middle vault.
This refers to an upside down v shaped indentation between the end of the nasal bones and the start of the upper lateral cartilages along the top of the bridge.
An open gable roof is identical to a box gable roof with the only exception the boxed offsides on either end.
Open roof deformity photo.
Typically the nasal skin grows or droops and vertical lines or depressions start to appear.