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?
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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