Revision Rhinoplasty: Q&A
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6 Months Post, Developed Polly Beak Deformity. Had Revision Last Week, Hump is Returning? (photo)
6 months ago I had a rhinoplasty, and about 2 months into the healing process I developed pollybeak deformity. Last week I had a revision and my dr took out all of the "soft tissue" from the pollybeak. It looked GREAT when I first took the bandages off but now the hump is coming back! Will this resolve by itself, or will I have to wait a year and then get a completely new rhinoplasty? I'm seriously at my wit's end--by the way, steroid injections don't help (tried it last time).
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5 Doctor Answers |
Asked by
jbjbelle
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1 Week After Polly Beak Revision
Some of this may be due to swelling creating a larger differential than actually exists. Give at least a few months to get a better idea before another revision.
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Too early to tell at if the polly beak is back...
You are very early in the healing phase. I think there are 3 reasons patients get polly beaks:
1. The tip is too weak and drops back making the lower part of the bridge appear too high forming a polly beak, this can be seen immediately after surgery or it can develop slowly as a weak tip drops back over time.
2. The lower part of the bridge right above tip is left too high forming a hard tissue polly beak.
3. Both the lower bridge and the tip are lowered or reduced too much and...
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Polly beak?
At this time fresh out of surgery it is a waiting game again. It may just be swelling from the surgery.
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Polly beak
This can be a difficult problem. It's better to prevent it inthe first place with a Guyuron supratip stitch or repair of the pitanguy ligament. Now that it is full there again I suggest time and discuss with your doctor taping strategies. Also don't discount steroid shots. They can help when done well.
I first answered the question from my iphone and the supratip deforimity was not as eveident as it is from my home computer. That is dramatic...
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Edema after Revision Rhinoplasty
Your question is very hard to answer at one week post op. You definitely have swelling, and the short time period between your surgeries will initially make this swelling more pronounced .Cortisone may help to speed up the process when your doctor feels you are ready for that.
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