Based on the pictures, how would you address my case? I have 14 months I got the 1st rhinoplasty and I'm really nervous about my 2nd procedure next month. the 1st was intended to reduce the overall size of my nose without changing my profile but after it I got polly-beak (probably because soft tissue and under-projected tip for lost of support) and what I see as a slight inverted V, which I think was present on my original nose but it is more noticeable after the osteotomies. Thank you.
Revision Rhinoplasty for Inverted V and Pollybeak, How Should this be Addressed? (photo)
Doctor Answers (8)
Best Plan for Rhinoplasty Revision
Revision for pollybeak
Based on your photos it appears that you would benefit from structural grafting to compensate for your thicker skin and correct the pollybeak
Treatment of the nasal dorsum during revision rhinoplasty
Treatment of a the nasal dorsum can be achieved with nasal septal contouring and possible spreader grafts to alleviate the dorsum problems you are experiencing. A thorough discussion of your perceived improvement should be undertaken to determine the extent of cartilage shaping needed to achieve your desired result. Rhinoplasty surgery can be a very gratifying procedure.
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Evaluation for Rhinoplasty Revision
You have an inverted V deformity which can be corrected with spreader grafts. The pictures suggest you have short nasal bones, which could cause the inverted V, but this can be diagnosed with physical examination. You do have supra-tip fullness, a wide tip, and a hanging columella. This can all be improved with a revision rhinoplasty, but you must be patient post-operatively because your thick skin will prolong the healing process.
Revision Rhinoplasty - How to correct 'Pollybeak'
It looks like you would have benefited from narrowing of the nose from the frontal view. The profile was attractive as it was. At this point the tip needs to be better defined and projected and the 'V' could be improved as well. There are well known techniques for addressing each of these issues. You need an experienced nasal surgeon who understands your issues and has a plan both you and he can agree on. Best of Luck Dr Harrell
Goals should be clear for success in rhinoplasty
Your before pictures look pretty good, and it is hard to see what the goal was during your first procedure, though you now have fullness in the supra-tip, and a V on the bridge. The inverted V is caused by hump reduction, and collapse of the upper cartilages against the septum. We have a technique called a spreader graft which can correct the V. Look into the whys of the whole procedure though.
Best of luck, Peter Johnson, MD
Addressing pollybeak deformity and inverted V
From the limited view your photos provide it does appear that improving your tip position would likely help with your supra-tip fullness. The inverted V appearance can also be address at the same time. An in person exam will allow for a better assessment of what needs to be done to improve your nasal aesthetics.
Revision Rhinoplasty for Inverted V and Pollybeak, How Should this be Addressed?
IMHO, you should have a few in person consults if you're interested in a Revision Rhinoplasty. The photos show a wide nasal bridge with possible open roof from the previous hump removal as well as increased subcutaneous thickening from scar tissue accumulation.
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