I underwent rhinoplasty several years ago and as you can see from the pictures the results were disastrous. . I developed an an inverted V deformity and pollybeak. I was also left with a small-round bump at the tip of my nose. My nose used to have a slight hump and more of a straight bridge, but far too much of my nasal bridge was removed. I'd also like to improve my unflattering slopey jawline/double chin but I am not willing to consider implants. Would a neck liposuction do the trick?
Answer: Stigmata of rhinoplasty include pollybeak Hello and thanks for your question. You are indeed correct that you are suffering from a pollybeak. You have short nasal bone and I'm certain spreader grafts were not inserted into your mid vault to prevent this complication after a hump takedown. The pollybeak is either from scar or from a high anterior septal angle. At this point You will need cartilage grafting to restore height to your nose and projection to your nasal tip. In terms of our jawline, liposuction can help the submittal fat but filler placed at our chin or the angle of your mandible can give you the definition you may desire. Good luck!
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CONTACT NOW Answer: Stigmata of rhinoplasty include pollybeak Hello and thanks for your question. You are indeed correct that you are suffering from a pollybeak. You have short nasal bone and I'm certain spreader grafts were not inserted into your mid vault to prevent this complication after a hump takedown. The pollybeak is either from scar or from a high anterior septal angle. At this point You will need cartilage grafting to restore height to your nose and projection to your nasal tip. In terms of our jawline, liposuction can help the submittal fat but filler placed at our chin or the angle of your mandible can give you the definition you may desire. Good luck!
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CONTACT NOW Answer: Yup, yup. Difficult revision to plan. But you could have some substantial improvements. See the "Web reference" link, just below my response. I made a couple of computer morphs, and animations of the morphs, to show the changes that are possible for your nose in truly expert hands.
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CONTACT NOW Answer: Yup, yup. Difficult revision to plan. But you could have some substantial improvements. See the "Web reference" link, just below my response. I made a couple of computer morphs, and animations of the morphs, to show the changes that are possible for your nose in truly expert hands.
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April 28, 2016
Answer: Revision rhinoplasty for poly-beak and inverted V. deformity A revision rhinoplasty procedure can accomplish reducing the poly-beak, and adding additional cartilage to the upper bridge profile. The inverted V. deformity is treated with osteotomies placed in the nasal bones, and spreader grafts placed underneath both concave upper lateral cartilages in the midportion of the nose. In addition, the hanging columella can also be reduced. Liposuction in the neck can help with a double chin, and a chin implant is not required
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CONTACT NOW April 28, 2016
Answer: Revision rhinoplasty for poly-beak and inverted V. deformity A revision rhinoplasty procedure can accomplish reducing the poly-beak, and adding additional cartilage to the upper bridge profile. The inverted V. deformity is treated with osteotomies placed in the nasal bones, and spreader grafts placed underneath both concave upper lateral cartilages in the midportion of the nose. In addition, the hanging columella can also be reduced. Liposuction in the neck can help with a double chin, and a chin implant is not required
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May 29, 2016
Answer: My comments I agree your result is really poor. Please find ahead my vision of situation and potential solutions to the issued I have detected:-I would not say you have polly beak deformity, you have a problem that is near to be such polly beak but actually is more a supratip massive fibrosis and excess of septum which has been under resected; the under resection plus the massive fibrosis makes the soft bridge prominence; all this must be shaven down-I would neither say you suffer inverted V deformity, to the contrary, your dorsum is too broad; you are not a case for spreader grafts but for correctly done osteotomies-the upper part of the dorsum and the center of the bridge are over resected, and this may need grafting to raise the level of the dorsum, this graft may cover also the lower dorsum, since once the fibrosis is removed there the level will be also low-I notice too high and incompetent osteotomies, they have to be repeated well done and at the righ location on Joseph's angle (formed between maxilla and nose)-the tip lacks definition, is too high (slight over rotation) and is too thick; needs tip grafting and repair-you have a oversized weak / soft triangle (the area without cartilage at the rim of the nostril just were the dome is formed), leaving a hollow or contracted area; this needs rim grafting to correct this-your rims are retracted and high, you need also rim grafting (of other kind) at the lower lateral crurasYour nose is of the top difficulty, not just a revision case, is a real artistic work full of skilled technices of very precise execution, very few surgeons master such cases. Do travel wherever is necessary to receive the right excellent surgery you need.
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May 29, 2016
Answer: My comments I agree your result is really poor. Please find ahead my vision of situation and potential solutions to the issued I have detected:-I would not say you have polly beak deformity, you have a problem that is near to be such polly beak but actually is more a supratip massive fibrosis and excess of septum which has been under resected; the under resection plus the massive fibrosis makes the soft bridge prominence; all this must be shaven down-I would neither say you suffer inverted V deformity, to the contrary, your dorsum is too broad; you are not a case for spreader grafts but for correctly done osteotomies-the upper part of the dorsum and the center of the bridge are over resected, and this may need grafting to raise the level of the dorsum, this graft may cover also the lower dorsum, since once the fibrosis is removed there the level will be also low-I notice too high and incompetent osteotomies, they have to be repeated well done and at the righ location on Joseph's angle (formed between maxilla and nose)-the tip lacks definition, is too high (slight over rotation) and is too thick; needs tip grafting and repair-you have a oversized weak / soft triangle (the area without cartilage at the rim of the nostril just were the dome is formed), leaving a hollow or contracted area; this needs rim grafting to correct this-your rims are retracted and high, you need also rim grafting (of other kind) at the lower lateral crurasYour nose is of the top difficulty, not just a revision case, is a real artistic work full of skilled technices of very precise execution, very few surgeons master such cases. Do travel wherever is necessary to receive the right excellent surgery you need.
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April 28, 2016
Answer: Polly beak, inverted V deformity and jawline countouring You have several challenging problems to correct, so you will have many quite different "answers" as to how to correct them best. I believe that your inverted V deformity is from over-resection of your bony dorsum, destabilizing your upper lateral cartilages at their upper junction with the bones. Although spreader grafts are required for stability, I don't think they will be enough. In addition I would consider elevating your bony bridge, most likely with diced cartilage wrapped in temporalis fascia. Your columella and tip area ought to be reconfigured as well.You are a good candidate for liposuction of the submental area if you decide upon surgery. You may also consider Kybella or CoolSculpting, depending upon your goals and timing.An examination by an experienced rhinoplasty surgeon is essential before any definitive plan is formulated. For more about revision rhinoplasty, please see my link below.
Helpful 1 person found this helpful
April 28, 2016
Answer: Polly beak, inverted V deformity and jawline countouring You have several challenging problems to correct, so you will have many quite different "answers" as to how to correct them best. I believe that your inverted V deformity is from over-resection of your bony dorsum, destabilizing your upper lateral cartilages at their upper junction with the bones. Although spreader grafts are required for stability, I don't think they will be enough. In addition I would consider elevating your bony bridge, most likely with diced cartilage wrapped in temporalis fascia. Your columella and tip area ought to be reconfigured as well.You are a good candidate for liposuction of the submental area if you decide upon surgery. You may also consider Kybella or CoolSculpting, depending upon your goals and timing.An examination by an experienced rhinoplasty surgeon is essential before any definitive plan is formulated. For more about revision rhinoplasty, please see my link below.
Helpful 1 person found this helpful
