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.
Answer: I wouldn't call it a pollybeak... It just looks to me as though the tip of your nose isn't as high as you wanted it, and the bridge is too prominent. In a revision operation, the tip can be elevated in a fashion to prevent it from drooping again, and the bridge lowered more, to match the new position of the tip better.
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Answer: I wouldn't call it a pollybeak... It just looks to me as though the tip of your nose isn't as high as you wanted it, and the bridge is too prominent. In a revision operation, the tip can be elevated in a fashion to prevent it from drooping again, and the bridge lowered more, to match the new position of the tip better.
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March 1, 2025
Answer: A droopy nasal tip after rhinoplasty may lead to a polly beak. Thank you for posting this question with your photos. You do not have a terrible nasal appearance. I can see that you have lost a bit of tip support which is largely causing the fullness above your tip. If you have severe dissatisfaction with your nasal appearance, revision rhinoplasty may be considered for achieving tip rotation, polly beak lowering, and a less distracting appearance. Wishing you well moving forward. Sincerely, Dr Joseph
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March 1, 2025
Answer: A droopy nasal tip after rhinoplasty may lead to a polly beak. Thank you for posting this question with your photos. You do not have a terrible nasal appearance. I can see that you have lost a bit of tip support which is largely causing the fullness above your tip. If you have severe dissatisfaction with your nasal appearance, revision rhinoplasty may be considered for achieving tip rotation, polly beak lowering, and a less distracting appearance. Wishing you well moving forward. Sincerely, Dr Joseph
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February 28, 2025
Answer: Polly beak Hi, Good question. The term "Pollybeak" is used to describe a nasal shape that has excess fullness above the tip. This makes the nose looked curved down like the top of a parrot beak. It can be from excess septum or soft tissue in this area. I personally find it is most often due to the combination or poor alignment and planning of rations, leaving the septum too high at the bottom, as well as inadequate tip support. Thick skin is often used as a scapegoat, but rarely the real issue. Yes, unfortunately your nose falls into that category. Your skin does not appear to be very thick, I would estimate moderate based on photos. If it was very thick, you would not see as many contours of your nose as you do. It seems the biggest issue is the proportion of the septal height to the tip projection. The tip cartilages are also convex and cephalically oriented. This give the tip a rounder appearance (not the skin). These are things that can be changed with proper restructuring of the nasal shape. If you decide to pursue a revision, please make sure to choose a surgeon that truly specializes in rhinoplasty. Go to several consultations and compare the assessments and explanations that you get. Good luck!
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February 28, 2025
Answer: Polly beak Hi, Good question. The term "Pollybeak" is used to describe a nasal shape that has excess fullness above the tip. This makes the nose looked curved down like the top of a parrot beak. It can be from excess septum or soft tissue in this area. I personally find it is most often due to the combination or poor alignment and planning of rations, leaving the septum too high at the bottom, as well as inadequate tip support. Thick skin is often used as a scapegoat, but rarely the real issue. Yes, unfortunately your nose falls into that category. Your skin does not appear to be very thick, I would estimate moderate based on photos. If it was very thick, you would not see as many contours of your nose as you do. It seems the biggest issue is the proportion of the septal height to the tip projection. The tip cartilages are also convex and cephalically oriented. This give the tip a rounder appearance (not the skin). These are things that can be changed with proper restructuring of the nasal shape. If you decide to pursue a revision, please make sure to choose a surgeon that truly specializes in rhinoplasty. Go to several consultations and compare the assessments and explanations that you get. Good luck!
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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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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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