Fixing polybeak deformity - nonsurgical options? (PHOTOS)

Question

I am 10 months post op from a septo rhinoplasty and I am very unhappy with the results. My nose appears bigger than before, with a hump in the centre, and a tip that droops, especially when i smile. I really don't want to have another surgery, so i am wondering if it is possible that this will go away with time and if there is any non-surgical options to improve it.

Eric M. Joseph, MD · Answer

Based on your photos and your concerns, the best advice I could give you is to procure a copy of your operative report, and consider meeting with several reputable rhinoplasty specialists so you can see how best to move forward regarding your concerns. In general, a poly beak is when the lower dorsal septum is left too high. A droopy tip can be from a myriad of reasons. Sometimes a second opinion is the best way to work things out. I hope this helps, and I wish you well moving forward. Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, best option for you is a surgical revision rhinoplasty. Maneuvers for your surgery would include dorsal hump reduction, tip refinement, nasal tip deprojection, tip elevation, among other maneuvers. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Philip S. Schoenfeld, MD, FACS · Answer

From the photos that you have provided it does appear that you have a bit of a polybeak deformity. If your surgeon has tried steroid injections to the dorsum and there has been no changes to the appearance of your nose, you will likely need a revision rhinoplasty. You can explore the use of non surgical alternatives like dermal fillers and this may do the trick for you. Having your nose re operated on, though not your first choice, is definitely the most effective way to address your concerns.

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