What is the Best Way to Fix Pollybeak Deformity?

The polly beak deformity may be caused by various problems. The causes and the possible solutions, are listed below. 1. Excess scar tissue: can be improved with steroid injections. If steroid injections don't work, you may need another minor procedure to remove the scar. 2. Not having the top of the septal cartilage lowered enough: The only way to fix this is to undergo another procedure. The excess cartilage can then be removed. 3. The tip dropping below the level of your profile: The... more

It appears that you do have a pollybeak deformity. What you call it is not as important as what you do for it. You should see an experienced revision rhinoplasty expert to discuss with you the pros and cons of increasing your tip projection vs. lowering the supratip excess. It also appears that you might need a graft of the bridge, but the photos are not good enough to tell..

A supratip deformity like yours may be due to over-resecting bone, under-resecting cartilage or scar tissue formation. The latter is the easiest to fix- steroid injections like kenalog are usually all that is required. If you saw this develop progressively it may be due to scar tissue accumulation. Find a couple of experienced rhinoplasty doctors and get a couple of opinions before diving in to another surgery--it may not be necessary. Good luck.