Pollybeak following revision, 7 months post op, what should I do? (photos)

You do not have a true pollybeak deformity which is characterized by so much supratip swelling combined with inadequate tip projection that the profile has some similarity to a parrot's beak in terms of the supratip area being higher than the tip. You do have some tip swelling, which even at 7 months postoperatively can respond to tincture of time, or serial steroid injections.  Tip swelling is more common after a revision than primary rhinoplasty, and unfortunately cannot always be predicted or controlled.   Overall you have had a nice improvement, and I would continue follow up with your surgeon.

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I made a computer morph of your nose, and an animation of the morph, to demonstrate what I think might be the issues right now.In the morph, I elevated the tip of your nose upwards, and I brought the tip back closer to your face. Probably, you'd also want to see more narrowing of the tip, although it's hard to see width of the tip in this profile view.Does that seem to address what's bothering you?If you were to have another operation, I think the goal of surgery should not be to just "tweak" the nose in the directions I demonstrated in the morph. Rather, the *more* you want to move the nose, the more likely you'll be happier with it. Perhaps I didn't even move the nose enough in the morph.I'd love to hear what you think of the morph. Did it seem to address your main concerns? I could modify the morph to your taste if you wish.
Your nose is also a good example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. When you see his goals, you'll know whether he has an eye for an attractive nose, and whether he shares your opinion of what constitutes an attractive nose. You'll also know whether the changes he proposes are enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. How would you ever get that figured out without the morphs?

Looks like your supratip area is fairly flat and not elevated.  It could be that it became slightly more swollen after the immediate post-op period but certainly does not look like a pollybeak.   I would leave it alone and allow the little bit of residual swelling to resolve on its own.

Hello,I agree with Dr. Kim's response below.  You do not have the appearance of a poly beak.  I suggest that you focus on optimizing your healing, perhaps increase your massage to the areas of fullness- particularly at the level of your lower lateral cartilage.  Discuss your concerns with your surgeon. Best wishes,Sergio Maggi, MDdrmaggi.com

I am sorry tohear that youhave had problems with your rhinoplasty. I don't believe that you actually have a pollybeak deformity. There is, however, some residual swelling of your tip and this would not be uncommon after a second operation at this pint in time. Express your concerns to your surgeon and see what options may be beneficial for you. Maybe steroid or 5FU injections could be tried. I think your nose looks nice and still has some more healing to go through. I hope this helps.