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?
Answer: Skeletal issues after abdominoplasty probably will require revisional surgery. 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.
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Answer: Skeletal issues after abdominoplasty probably will require revisional surgery. 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.
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August 18, 2014
Answer: Pollybeak deformity of nose 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.
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August 18, 2014
Answer: Pollybeak deformity of nose 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.
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August 19, 2014
Answer: Polly-beak deformity treatment 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.
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August 19, 2014
Answer: Polly-beak deformity treatment 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.
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October 14, 2014
Answer: Pollybeak deformity correction 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.
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October 14, 2014
Answer: Pollybeak deformity correction 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.
Helpful
Answer: Soft Tissue Pollybeak and Bulbous Tip 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.
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Answer: Soft Tissue Pollybeak and Bulbous Tip 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.
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