Smoothen Tip Pollybeak and Severe Irregularities?

asked 1 year ago by RhinoPlace in http://rhinoplace.userboard.net
Latest answer by William Portuese, MD
Question viewed 335 times
Tags: options, polly beak

Hello, I have a nasal result after 2 rhinoplasties, that because of severe width suturing from the primary, has caused an extreme pollybeak and protrusion in the tip that I did not have before. The pollybeak is truly extreme from the side profile, and from the front, it causes severe shine in the cartilage spine, extremely dented contours, and a sickly, surgical look. My birth nose wasn't like this; it was very wide + thick, but smooth. What can be done to restore a smooth look from all angles?

10 answers to Smoothen Tip Pollybeak and Severe Irregularities?

Fix Polly beak after Rhinoplasty

A true Polly beak deformity is caused by an overactive scar tissue response in the tip and supra tip areas of the nose after a Rhinoplasty. It requires a revision Rhinoplasty to remove the excess scar tissue and close follow up with kenalog injections to prevent the scar tissue, and Polly beak from returning. There's no guarantee that it won't come back....even in the best Rhinoplasty surgeons hand.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

drfrancispalmer.com

"Pollybeak", or supratip deformity, is the shape of unsupported nasal skin

Look at the nasal shape of a young child: it has a low bridge and a blunt, round tip. That is the shape that any nose will assume on if the nasal skeleton has been reduced below the size that can support and shape the skin. Amazingly, these noses need to be augmented: because the skin cannot shrink any more, so the skeleton has to be brought up to the skin. In doing so, the new nose takes on shape and looks more delicate and actually smaller. Your breathing will... more

Mark B. Constantian, MD
Nashua Plastic Surgeon

drconstantian.com

Polly Beak deformity can be fixed

A Polly beak deformity is the appearance of a rounded fullness of the lower third of the nose that obscures any definition of the nasal tip; it can have many causes and therefore there are many different solutions based on the reasons that the Polly beak has formed. (1) If the tip of the nose has lost projection and now has fallen back closer to the face, it will appear as a Polly beak. The solution here is to re-project the tip by giving it more support, usually through the use of... more

Russell W. H. Kridel, MD
Houston Facial Plastic Surgeon

www.todaysface.com

Correcting pollybeak deformity

A pollybeak is a very difficult problem to deal with and comes from a variety of reasons. Thick skin, fluid retention, and excess cartilage are all causes of a pollybeak. It is important to identify the cause and address the offending issues. Fluid retention is best treated with simple cortisone injections. Excess cartilages are treated best by revision rhinoplasty to trim down supra tip area, including both the upper lateral cartilages and lower lateral cartilages... more

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Pollybeak treatment after Rhinoplasty

Revision rhinoplasty is always difficult as the loss of tissue and the addition of scar will limit the result. The pollybeak may be the result of inadequate resection or may actually be the result of a tip with poor support pulling down. The treatment will depend upon the problem - additional resection or cartilage grafting. You should seek the opinion of an experienced surgeon who can make a recommendation after evaluating you and reviewing your previous records. more

Randy J. Buckspan, MD
Austin Plastic Surgeon

Polybeak deformity after rhinoplasty surgery

Polybeak deformity, defined as an overly projected nose, at the junction of the bridge and tip, after rhinoplasty can be caused by Excessive cartilage in the supra tip region: If this is the case, shaving down the appropriate amount of cartilage will correct this problem and create a smooth transition between the bridge of the nose and tip. This must be done in such a way that breathing is not compromised. If there is a need, where significant... more

Ran Y. Rubinstein, MD
Manhattan Facial Plastic Surgeon

Non-surgical rhinoplasty (nose job) can be effective for Revision rhinoplasty & treating Pollybeak Deformity

Polly beak deformity describes a condition in which the tip appears blunted, rounded, and non-defined. This may be treated with surgical or non-surgical rhinoplasty. Sometimes, more reduction is needed but more often it is important to add definition to the nasal tip. If you have a playback deformity it is very important to seek the treatment of a surgeon specializing in revision rhinoplasty as it can be a challenging problem and has the risk of becoming worse... more

David Mabrie, MD
Bay Area Facial Plastic Surgeon

yourfaceinourhands.com

Improve pollybeak deformity

Revision rhinoplasty can be done to correct a pollybeak deformity. Depending on the nature of the other tip irregularities you may need cartialge grafting to improve the contours in that area. An exam would allow for a better overall assessment.