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Am I Developing a Polly Beak Deformity?

asked 1 year ago by Alex Ma in Beirut, 04
Latest answer by Stephen Prendiville, MD
Question viewed 744 times
Tags: polly beak

I Had Open Rhinoplasty 8 Months Ago,I Used To Have A Big Deviated Concave Nose So I Had The Surgery..I Had The Cast Off 1 Month Post The surgery ,The Shape Was Great! The Time Passed By, Its Been 9 Months , My Nose Changed Shape , It Gone Worse , My Bridge Is Great , But I Have Problems When It Comes To The Nose Tip ,its frustrating! am i developping a polly beak deformity? or is it just swelling? shud i consider revision? my surgeon is against steroids injection,wat shud i do? thanks in advance

11 answers to Am I Developing a Polly Beak Deformity?

Is this a Polly Beak Deformity

Yes, you do have a polly beak deformity. After careful examination, a good revision rhinoplasty surgeon will explain the treatment alternatives. Wait another 3-4 months for surgery, but you can start to investigate your options.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Polly Beak Deformity

In my opinion you do have a pollybeak deformity, which is best described as fullness above the nasal tip. It also appears as if the nasal dorsum was taken down a little low. I would recommend a steroid injection into the area of the pollybeak and a little more time before making a final impression.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon

www.drprendiville.com

Pollybeak

It looks more like you have an over treated bridge rather thana true pollybeak deformity. This can be treated by a dorsal onlay to raise your dorsum a bit.

Steven Wallach, MD
Manhattan Plastic Surgeon

Polybeak after rhinoplasty.

Yes, you have a polybeak and a bridge that is too low. This can be corrected with septal or ear cartilage grafts. Make sure you see a very experienced revision rhinoplasty surgeon to do this!

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

What's the treatment for Polly Beak deformity after rhinoplasty

Polly Beak Deformity is fullness immediately above the nasal tip, which can occur after rhinoplasty. There are two broad causes for this deformity. The first common cause is under excision of the dorsum of the nose immediately above the nasal tip. The second cause is poor nasal tip projection, which gives the appearance that the nasal dorsum is too high. In looking at your pictures, it appears that your nasal tip is not projected far enough, which is causing a polly beak. I notice... more

Maurice M. Khosh, MD
New York Facial Plastic Surgeon

A polly beak after rhinoplasty?

The term polly beak is a very old term used perhaps 25 years ago to describe a full area on the bridge just above the tip of the nose. The image is of a parrot beak with a downward curve toward the tip, also called a ram's tip. Now we tend to keep animals out of the discussion and refer to 'supra-tip' fullness. The cause can vary, under projection of the tip, under reduction of the cartilage of the lower bridge, or over reduction of the upper or bony bridge which I think may... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

Polly Beak deformity

You do have polly beak deformity and the reason your nasal dorsum looks good one month post op. is due to swelling. Once the swelling has gone down, the polly beak deformity shows itself. I recommend you have steroid injection and if you didn't see improvement, then may consider filler injection on the upper part of the dorsum or alternatively revision rhinoplasty with an experienced surgeon.

Mohsen Tavoussi, MD, DO
Huntington Beach Facial Plastic Surgeon

Polly Beak Deformity After Rhinoplasty Can Develop Months After Surgery

The simple answer to your question is yes, you do have a polly beak deformity after your rhinoplasty. With such a large hump removal, and now collapse of the middle vault, there is now apparent fullness in the supratip area. While steriod injections can still be done at 9 months after surgery, they would have had a better chance to be effective if done much earlier. It is now time to wait another 3 months to get to the year anniversary of your surgery. At that point, you can discuss... more

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon

www.eppleyplasticsurgery.com

Best Treatment for Pollybeak Deformity After Rhinoplasty

Hi Alex, It appears that you have had quite a bit of your nasal dorsum removed at the time of your rhinoplasty. It also appears that you are developing a polly beak deformity of your lower dorsum. At about 12 months post rhinoplasty you may consider revision rhinoplasty. An alternative is to have filler injections to build up the deficiency in your dorsum. You should discuss your concerns and these matters with your rhinoplasty surgeon. Good luck and... more

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

? polly-beak deformity after rhinoplasty.

Your 1-month post-op photograph shows a good result, but now your nose appears to have a collapse of the upper lateral cartilages in combination with a slight supratip fullness (subcutaneous scar tissue causing a "polly-beak" deformity) that actually looks worse because of the middle-third collapse. Steroid injection can help reduce the supratip scar tissue, but correction of the mid-nose collapse may require more surgery. Consult with your surgeon about your options, and rely... more

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon

Am I Developing a Polly Beak Deformity?

It appears that you underwent open (external) rhinoplasty. 9 months ago. There is a net difference from the 1 month post op picture. What you see is a supra tip fullness ,often referred to as "polly beak deformity". Go back to your surgeon and discuss your options.