18 Months Post-op: Do I Have a Polly Beak?

It is hard to tell if a pollybeak has formed judging from your photos. I would recommend going to see a surgeon experienced in revision rhinoplasty. It does appear from your photos that there are some issues that could be addressed, but again, I would have to examine you to know for sure. Good luck.

A "Polly Besk" deformity is an increase in subcutaneous tissue (scar) formation in the surpratip area that gives the end of the nose a hook-like appearance. Your nose has a hook like issue but this could be the result of residual dorsal cartilage as well as some residual post Rhinoplasty scar formation. An in-person consultation with an experienced Rhinoplasty Surgeon that understands and follows the proper aesthetics of facial beauty would make the proper... more

I neec to see better lateral pictures. Be very careful. It is often tempting to just take down morer dorsum but, You must get good tip supporto or you risk repeating what you have. Straightening the septum will help but, you may need a graft to suppoert the septum

Dear Shankara87 First of all, sorry to hear about your disappointment in your rhinoplasty results . Your photos are helpful, but make sure you meet face to face and discuss the potential revision. You can have very nice results from a revision. Certainly the profile view is the one that most people look at in pictures, but face to face, the deviation of the upper and middle of the your nose is more obvious. The underlying nasal septum will need to be... more

It's hard to put a label based on these photos. You do definitely appear to have deviation and excess dorsal prominence or possibly over resection of your bony bridge. You are going to need to seek consultation for revision surgery.

Your concerns are valid and you have waited sufficient time for the swelling to resolve. I would not be so concerned with putting a label on the problem. Your posted photos show deviation of the cartilage portion of the bridge to the left (oblique or possibly C-shaped deviation of the septum), fullness of the supratip area just above the tip, a parantheses appearance to the dome of the tip and possibly a hanging columella. You will likely need surgery to change the septal cartilage shape and... more

Hi, It appears that you may have a pollybeak deformity. A true lateral photo is really needed to determine that but the 3/4 does seem to look Pollybeakish. This would be from under-resected dorsal septal cartilage and possibly bone. it will require a revision. Best, Dr.S.

You do not have a polly beak (as in Polly the parrot) as you have a general under reduction of the bridge, yes, a hump. This problem is relatively easy to correct with a revision, as well as the deviation on your photo. The name polly beak has given way to 'supratip fullness', the area just above the tip. Another older name is rams tip. Sorry about your dilemma. Best of luck, peterejohnsonmd.com

Thanks for some views of your nose. A true lateral woudl have been helpful, but just from the photos that you posted, it does not look like a true polly beak deformity. It looks like that you need more dorsal take down and possibly better tip refinement.

From your pictures I can see that you have a collapse on the right nasal wall, and a fullness on the left side. This is giving the appearance that your nose is crooked from the front view. It appears that not enough dorsum was removed, or that too much was taken off from the top (between the eyes). I would consult with a rhinoplasty specialist. I would recommend dorsal reduction with spreader grafts . You also have excess columellar show. Your tip needs to be re-supported to address its... more

We do not have acess to your before pictures,but your post op pictures show results that can be better. You can get second opinion and computer imaging/morphing can helpful.

I'm sorry about your disappointment, but in the pictures submitted it looks like you have convexity of the entire profile line (not truly a polly beak), poor tip definition, and deviation in the middle 1/3rd of your nose. You have been patient, but it is time to consult with a specialist about a revision.