I had rhinoplasty done in 2016, and a year later a revision performed by the same surgeon to correct leftover bulbous tip cartilage. I am 7 months out following my revision, and not happy with my results. I’ve tried to give the revision time; however, the tip still seems as swollen as the day I got it done. I loved my profile after the first rhinoplasty, but now it seems larger. Sort of Pollybeak-like. What do I do? How do I address my concerns to my surgeon and what steps should I follow?
Answer: You don't have a polly beak. Rather, it's just that the tip is still strong-ish. See the morph I made from your photos. Click on the "Learn more" link, just below my response, or go here: FacialSurgery.com/RealSelf/RealSelf_annab1812.html 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?
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Answer: You don't have a polly beak. Rather, it's just that the tip is still strong-ish. See the morph I made from your photos. Click on the "Learn more" link, just below my response, or go here: FacialSurgery.com/RealSelf/RealSelf_annab1812.html 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?
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June 13, 2018
Answer: Not a polybeak 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
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June 13, 2018
Answer: Not a polybeak 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
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June 12, 2018
Answer: I don't think you have a pollybeak 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.
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June 12, 2018
Answer: I don't think you have a pollybeak 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.
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June 11, 2018
Answer: Pollybeak following revision rhinoplasty: what should I do? 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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June 11, 2018
Answer: Pollybeak following revision rhinoplasty: what should I do? 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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June 10, 2018
Answer: Pollybeak following a revision rhinoplasty 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.
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June 10, 2018
Answer: Pollybeak following a revision rhinoplasty 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.
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