How do you correct a soft tissue pollybeak?

Question

Hello Doctors - There isn't enough info on the internet on how to fix pollybeak deformity from over-resection of supra-tip cartilage on a thick skinned patient. If surgery is the best way to fix this, what surgical approach is taken? I know no more cartilage can be removed but can scar tissue/soft tissue be removed? how do you ensure that this time the skin will re-drape or contract onto the underlying structure? Also - are corticosteroid injections more effective than surgery in this case?

Vincent N. Zubowicz, MD · Answer

From your description I can't really tell what the specific issues are. Fillers can sometimes camouflage issues but permanent results will require revisional surgery. Steroid injections are only for mild persistent swelling.

Mark Crispin, MD · Answer

A polybeak deformity is caused by an overresection of the top of the nose (radix/superior septum) and underresection of the bottom of the nose (inferior septum).  It is best corrected by replacing the overresected area and correcting the tip or resecting the redundant polybeak inferior septum and correcting the tip.  Hyaluronic acid will temporarily correct for defects but surgery is your best option. Steroids can be used very conservatively because it will thin the skin which according to o your description is already thin.

William Portuese, MD · Answer

If the polly-beak is caused from thick sebaceous oily skin, then steroid shots and taping  At night with Blenderm will help. If the poly-beak is caused  from excess cartilage that was not removed, revision surgery is indicated.

Kyle S. Choe, MD, FACS · Answer

Dear Rolzaa,There are different ways to address pollybeak deformity depending on whether it is cartilaginous or soft tissue in origin. For thick skinned patients, it may be mostly soft tissue in origin as thick skinned patient's rate of tip region skin contraction is slower than most leading to a dead space and resulting in a soft tissue pollybeak. In this case, soft tissue can be removed as well as the scar tissue. Triamcinolone can be injected within 2-3 weeks of the surgery to prevent it as well as nightly taping of the tip region. Steroid injections can be repeated few more times after the surgery.

Oleh Slupchynskyj, MD, FACS (retired) · Answer

Hi,There should be quite a bit of information on fixing a soft tissue pollybeak and dealing with a bulbous tip on the internet. The key is to find a surgeon that has adequately dealt with this problem in the past. Also photos of your nose would help evaluate the situation.Best,Dr.S.

Maan Kattash, MD, FRCS, FACS - Account Suspended · Answer

It is difficult to give you an accurate opinion without the standard photographs. This deformity requires careful evaluation and expert approach. In my opinion, steroids have no role . Long term fillers may help in marginal cases.

Darryl J. Hodgkinson, MD, FACS, FRCSC (retired) · Answer

The polybeak deformity is usually the consequence of primary rhinoplasty surgery.
There arethree major causes not enough removal of distal septum,overresection of tip cartilages or unresolved swelling.
Your experienced surgeon can define in what category you are and proceed to give you options to resolve the polybeak.

Ashok Govila, FRCS, MCh, MS - Account Suspended · Answer

Hi,I am so sorry that such a great question is posted without images to give some useful information.I think you should consider re psoting it with images ot get some good suggestions.Wish you all the best.

How do you correct a soft tissue pollybeak?

Answers (8)

More Rhinoplasty Questions

WE SEND PRETTY
EMAILS

Answers (8)

More Rhinoplasty Questions

Why is my nose pinched at the bridge and what can I do about it? Why is it so disproportionate? (Photo)

Nose Secret: DIY rhinoplasty, safe or unsafe? (Photo)

Nasal tip depression while talking. Why is this happening, and how can it be corrected?

My nose looks straight but when the sun or a light beams on my nose the glare is crooked. Is it becoming crooked again?

Why does my nose look so bad in photos and why is there still so much swelling? (photo)

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS