Rhinoplasty: Q&A
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Does my Nose Have Polly Beak?
I have had two Rhinoplasty surgeries and I still have a crooked bone and septum. I am wondering if I also have a pollybeak?
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17 Doctor Answers |
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anon
+2
You might benefit from a Non-Surgical Rhinoplasty Procedure.
I think you have a slight "polly-beak" condition. This is not the end of the world. You seem to have some fullness just above your tip.
Before considering a third surgery, you should consider an Injectable Filler treatment for your nose. You could have Injectable Filler to the upper 2/3 of your bridge which could lead to a straight, attractive appearance. Your results could be permanent, depending on what filler is used. I offer Silikon-1000 for permanent results.
I hope this is...
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+4
From your pictures you do not need more rhinoplasty
You had two surgeies on your nose and your result may not be the results that your expecting, but the third surgery may make it worse. Filler can help you and they are reversible.
+3
Polly beak nose deformities
A polly beak nose has more dramatic excess just above the highest point of the tip. You do not have that. While your dorsum could be taken down a slight bit more, this is not a polly beak.
Parenthetically, I would strongly caution against further surgery, as I have only once in my life seen a patient with multiple rhinoplasties who eventually was perfectly happy. Best to stop now while you're ahead and like the result you've gotten.
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+2
Polly beak deformity is when the nose has characteristics of a parrot's beak
A parrot's beak is round at the end and the round portion projects away from the face further than the tip (end) of the beak. In attractive noses, the tip is usually the most projecting part. In your case, the tip has slightly more projection than the bridge so you do not have a "polly beak".
+2
Polly beak deformity in Rhinoplasty
It does not appear that you have a polly beak deformity. I think just the opposit, you have an overresected dorsum which gives the impression of a polly beak. To correct this you probably need a dorsal only graft.
+2
Polybeak deformity
From one view, my opinion is no. You have a low dorsum, with a low take off but not a polybeak deformity.
You have had what is called a reductive rhinoplasty (or two), essentially, they took away. To correct the problems, you need to "augment" the dorsum.
I agree that a nonsurgical approach could improve things. A surgical tertiaty rhinoplasty will be difficult, and will require cartilege grafting from either the ear or rib, so if you go with this route, find a very experienced...
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+2
It appears that you have a small poly beak
Your polly beak is very small and should be easily corrected. The polly beak looks higher than one that would be due to scarring. I would venture to say that the polly beak that you have is probably due to cartilage being left in and this can be easily reduced.
The crooked bone and septum can also be fixed. I usually only need one procedure to correct a crooked nose. A crooked nose requires the most extensive knowledge regarding rhinoplasty so its not surprising that you might still...
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+2
See a revision rhinoplasty specialist
Your upper bridge is slightly low and the tip of the nose is even with the bridge. It is difficult to say whether or not you would need slight augmentation of the tip with of without slight lowering of the cartilage just above the tip.
See an experienced revision rhinoplasty surgeon who is used to doing these very difficult noses. I agree that the skill of the surgeon is the only way you will be improving your nose. Over 30 years of doing revisions I see patients who have gone from...
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+2
You don't have Polly Beak Deformity
You do have some fullness in the supra tip area but it does not qualify as a polly beak deformity. In fact your nose has an acceptable appearance from this profile view. Every nose has some features that can be pointed out but in your situation where you have had two prior procedures I would say it is better to stay with what you have than try to do anything more.
I would recommend that you give the nose tissues some time, about two years, to see how everything does long term. Maybe after a...
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+2
Low Naso-frontal Angle After Rhinoplasty
Hi Pinup Girl,
Your naso-frontal angle (where your nose "takes off" from your forehead) is low, likely from your previous two rhinoplasties. This gives the impression that the lower 1/3 of your nose is slightly large, but you do not have a typical "polly beak" deformity.
If you are satisified with your nasal appearance then you should leave it alone. If your nose bothers you, consult with rhinoplasty surgeons about a possible radix graft which would elevate your...
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+2
Polly beak nose
From the view that is shown in this picture, it does not appear that you have a polly beak. This is typified by excessive fullness in the area just above the tip the nose. However, if you prefer to have a "scoop" tip, the excessive cartilage in this area can be removed in the same fashion that one would correct a polly beak.
+1
Polly-beak nasal deformity
A pollybeak deformity is caused by fluid retention and scar tissue in the lower one-third of the nose in the supratip area. This can be addressed with cortisone injections, and if those fail, occasionally revision surgery to pare down the excess scar tissue buildup.
+1
Polly Beak nose
Answer: “Polly beak” following nasal surgery refers to an appearance that is similar to that of a parrot’s beak with prominence of the tip and supratip (the region just above the nasal tip).
There is usually a characteristic rounding of the tip without a desired angulation. In reviewing the photo of your nose, it is apparent that you have excess cartilage in the region of the supratip.
It appears from this photo that there is most likely prominent cartilage of the nasal...
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Freehold Facial Plastic Surgeon
+1
Polly Beak vs. a Low Naso-Frontal Angle and Overprojection
Hi,
What you have is an over-projected tip and a low naso-frontal angle. This means that too much was taken off from the upper part of your nose and too little removed from the lower part of your nose. This is not a pollybeak.
To fix this you would need to build up your upper nose and lower the lower part of the nose including the tip.
Look to have an open rhinoplasty by an experienced rhinoplasty surgeon if it is going to be your 3rd one.
Best,
Dr. S.
+1
Polly beak nasal deformity is when the highest point of the nose is above the tip
Polly beak is a general term we use to describe a nose where the highest point of the nose is in what is called the supra-tip. This is above the tip and below the bridge. The bridge scoops a little or is straight. There are a number of causes. The most common ones are: too much cartilage on the upper part of the septum, loss of tip support, scar tissue formation in this area of the nose and removing too much bone above.
Instead of commenting if you have a poly beak or not, that will not...
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+1
Balancing your nasal profile
I too agree with the surgeons who have voiced their opinion. Polly beak is fullness in the supratip, the area of the nose as it transitions from the nasal tip to the bridge. The most common reason this occurs postsurgically is because not enough cartilage is removed from this specific site.
The second possibility is because the skin and underlying muscle is too thick here, called a soft tissue pollybeak. The surgeon usually palpates the area to determine the difference. Based solely on...
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+1
You don't have Polly Beak Deformity
I agree with Dr. Placik. You do not have a Parrot or Polly Beak deformity.
You did not specify WHY you had to have two rhinoplasties, but from the side view your lower septum / upper lateral cartilages could be trimmed further to give you a straighter profile.
Dr. P. Aldea
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