I had a rhinoplasty and septoplasty about two years ago and the more time that passes the worse my nose is getting. My tip is super droopy now and there is a bump on the side of my bridge. I know I have thick skin but I’m wondering if I have pollybeak, or what some indications of Pollybeak are.
February 28, 2025
Answer: Revision rhinoplasty Hello and thank you for your question. The true cause of a pollybeak deformity is due to lack of appropriate tip support. Based on your photographs, you may benefit from a revision rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Fascial grafts may also be used to help improve tip refinement. Establishing better tip support and elevation will also be important. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.
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February 28, 2025
Answer: Revision rhinoplasty Hello and thank you for your question. The true cause of a pollybeak deformity is due to lack of appropriate tip support. Based on your photographs, you may benefit from a revision rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Fascial grafts may also be used to help improve tip refinement. Establishing better tip support and elevation will also be important. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.
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March 4, 2025
Answer: Post-rhinoplasty changes Yes, the profile view shows a secondary polybeak deformity with supratip fullness. This can occur for a variety of reasons such as excess scar formation in the supratip and change in nasal tip position over time. Tip changes can occur depending on the techniques that were used in your initial operation- certain techniques are more stable than others in their ability to increase and maintain tip elevation. If you are two years out from your operation, the best course of action to address this would be through a full revision. Depending on the cause, some component of scar tissue removal or adjustments to tip positioning using a strong graft, such as a septal extension graft, may be necessary. A well-trained rhinoplasty surgeon should be able to help you decide on the best course of action based on an in-person evaluation.
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March 4, 2025
Answer: Post-rhinoplasty changes Yes, the profile view shows a secondary polybeak deformity with supratip fullness. This can occur for a variety of reasons such as excess scar formation in the supratip and change in nasal tip position over time. Tip changes can occur depending on the techniques that were used in your initial operation- certain techniques are more stable than others in their ability to increase and maintain tip elevation. If you are two years out from your operation, the best course of action to address this would be through a full revision. Depending on the cause, some component of scar tissue removal or adjustments to tip positioning using a strong graft, such as a septal extension graft, may be necessary. A well-trained rhinoplasty surgeon should be able to help you decide on the best course of action based on an in-person evaluation.
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