Polly beak formation 6 months after rhinoplasty. Will kenalog injections help? (Photo)

Question

I had a rhinoplasty about 6 months ago and notice that my nose is still a little upturned and looks like it’s forming polly beak deformity. I just had a Kenalog injection for allergies on my hip/butt area. Will this help with the inflammation and polly beak deformity on my nose? Update: Additional photos added

Eric M. Joseph, MD · Answer

I suspect that your bridge may be a drop too low compared to the overall projection of your nasal tip. It is conceivable that adding volume to your nasal bridge, from above your tip to the root of your nose, might be helpful for improving upon the appearance of an overprojected tip. Depending on your examination, this may be achieved permanently and non-surgically with microdroplet Silikon-1000 injections. I hope this is helpful. Sincerely, Dr Joseph

Daniel Tran, MD · Answer

Hello rgilbert1111, 
Great question! I agree that it is possible this is not a polly beak deformity. It is a little early to tell. However, you do have some swelling in your tip and it's hard to tell at this point whether this is due to soft tissue swelling/early scar tissue or the shape of the lower lateral cartilages themselves. It is definitely reasonable to consider steroid injections to the tip of your nose. The tip retains swelling the longest and I often consider steroid injections to the tip and supra tip areas up to a year after surgery. It may take a few rounds of injections but if this is indeed related to soft tissue swelling, you'll start to notice a reduced size and improved definition to the tip. If it does not improve, you may consider revision rhinoplasty to reduce the tip or augment the bridge/dorsum as one of the other surgeons mentioned.
I hope that helps. Good luck!
Daniel Tran, MDFacial Plastic SurgeonWashington, DC

Mats Hagstrom, MD (license on probation) · Answer

I would not describe your outcome as having a Polly beak.
To make quality assessment regarding the outcome of any plastic surgery procedure we generally need to see a complete set of proper before and after pictures.
If you don’t have before, and after pictures, then ask your surgeon to forward the pictures they took.
Systemic Kenalog will not have any impact on your rhinoplasty outcome.
I’m curious why your provider chose intramuscular injection over oral prednisone but I suppose there may be advantages I’m not aware of.
Best,
Mats Hagstrom, MD

Polly beak formation 6 months after rhinoplasty. Will kenalog injections help? (Photo)

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