Damanhouri, BasemMuluk, Nuray BayarCingi, Cemal2025-01-212025-01-2120240145-56131942-7522https://doi.org/10.1177/01455613241287281https://hdl.handle.net/20.500.12587/25216Objectives: Of all the face surgeries, rhinoplasty is known to be the most difficult. The aim of this paper is to review open-roof deformity. Methods: PubMed, EBSCO, UpToDate, Proquest Central at K & imath;r & imath;kkale University, and Google and Google Scholar were used in the literature review. The search was performed with the keywords open roof deformity, rhinoplasty, fillers between 2024 and 1980. Results: Rhinoplasty is a surgery that requires a combination of art and science, unlike other procedures that may have challenging anatomic access, requiring an excessive amount of physical strength, or a long operating period that causes surgeon fatigue. It is common for people undergoing primary rhinoplasty to have their hump removed, which can lead to open-roof deformity. Lateral osteotomies and the use of grafts are crucial in the prevention of open-roof abnormalities. It is common practice to perform lateral osteotomies to seal this space. However, lateral osteotomy becomes tricky when the patient's bony vault is small. Another well-known option is to shape and replace the hump or to use a spreader graft, flap, sliced cartilage, or some combination of these. HA filler can also be administered to achieve the same effect as a spreader graft. Along the length of the dorsum on both sides, HA is injected retrogradely. Conclusion: If there are dorsal irregularities after surgery or if there is a need to fix the look of nasal bridge, this therapy can help.eninfo:eu-repo/semantics/openAccessOpen-roof deformity; lateral osteotomy; graft; fillersArticle1033_SUPPL69S74S10.1177/014556132412872812-s2.0-8520533886339319859Q2WOS:001324256100001N/A