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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 Rhinoplasty complication is “Polly Beak” or Supratip Deformity. Other common deformities following nose 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. As an experienced Secondary Rhinoplasty Surgeon, Dr. Oleh Slupchynskyj is able to correct these deformities in many patients using advanced surgical techniques.

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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Dr. Oleh Slupchynskyj has over 20 years of experience as a Rhinoplasty Surgeon and has performed many Secondary Rhinoplasty procedures to correct complications such as Open Roof Deformity. If you are interested in learning more about Dr. Slupchynskyj or the procedures he performs, please contact his practice today at (212) 628-6464 in New York or (973) 966-1000 in New Jersey.

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    An actual patient of Dr. Slupchynskyj discusses her Rhinoplasty.

    New Jersey Rhinoplasty patient discusses her Nose Job procedure, performed by Dr. Oleh Slupchynskyj.

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