I Had Open Rhinoplasty 8 Months Ago. Am I Developing a Polly Beak Deformity? (photos)

Hello,
In my experience, the usual cause for pollybeak deformity is under correction of the dorsum of the nose in the area above the tip.  The other less common cause is post surgical scarring.  If the first postoperative photo showed no pollybeak and then it appeared several months later, the cause is most likely scarring.  This can be improved with either Kenalog (steroid) injections or with surgery.  I recommend consulting with your surgeon and giving him the opportunity to either reassure you or resolve this problem.
Best of Luck,

Thank you for your question!It is understandable that you are concerned especially at 8 months after your surgery. Changes after rhinoplasties vary with every patient and what you are experiencing is not uncommon. Swelling takes time to subside as it masks the results of your surgery but you are at 8 month post-op and the amount of swelling should be minimal.Without a physical exam, it is not possible to provide you with a definitive answer. Usually, a year is required before formulating how your nose will be, but longer with a thick skin. Even then, your nose will keep shaping itself to complement your face for better results in the years to come.My best recommendation at the moment is to be patient, and allow nature to take its course. There is no doubt that once the swelling resolves, more definition and shape will be achieved and you should be happier with the results.Also, it is important that you keep communicating with your surgeon and work as a team together to achieve the best results possible.Should you be unsatisfied with the end results, revision rhinoplasty is easily discussed with a surgeon of solid experiences and certified by the American Board of Plastic Surgery who is
ideally a member of the American Society of Plastic Surgeons that you will
trust and be comfortable with. You should discuss your concerns with that
surgeon in person.Congratulations on your surgery and please remain positive!Ali Sajjadian, MD FACS

In my opinion you do have a pollybeak deformity, which is best described as fullness above the nasal tip.  It also appears as if the nasal dorsum was taken down a little low.  I would recommend a steroid injection into the area of the pollybeak and a little more time before making a final impression.

Yes, you have a polybeak and a bridge that is too low. This can be corrected with septal or ear cartilage grafts. Make sure you see a very experienced revision rhinoplasty surgeon to do this!

Hi Alex,

It appears that you have had quite a bit of your nasal dorsum removed at the time of your rhinoplasty.  It also appears that  you are developing a polly beak deformity of your lower dorsum.  At about 12 months post rhinoplasty you may consider revision rhinoplasty.  An alternative is to have filler injections to build up the deficiency in your dorsum.  You should discuss your concerns and these matters with your rhinoplasty surgeon.  Good luck and be well.

Dr. P