Do I have a polly beak deformity? (Photo)

Hello! Thank you for your question. As far as I can see from your photo it seems like your nose is still swollen. It would not be a proper evaluation unless it goes down. Also you have thick skin and the swollen will be go down 1-1,5 years after the surgery. It would be more convenient to decide with face-to-face consultation. Best Regards!

Polly beak deformity is usually a secondary effect of an incomplete remodelation of the cartilaginous portion of your dorsal septum. Every case is different, and how to fix the dorsum in men is different compared to women. The first step of any rhinoplasty procedure is to classify the nose. For example, we can see that due to your ethnic background, the skin on your nasal tip is thicker. This is common when dealing with non Caucasian patients such as African Americans, Middle Eastern, and Latin American patients. This thicker skin makes it difficult to create a more defined nasal tip. The final diagnosis for a polly beak deformity is to physically touch and manipulate the nose, and if we can feel that the cartilaginous portion of the septum is still there, we can perform a revision rhinoplasty surgery allowing us to reshape it . In women, the ideal aesthetic dorsal lines should have the dorsum 2 or 3 mm below the maxillary projection point of your nasal tip.

I agree your nose looks good. Your tip is somewhat thick and you might consider steroid injections to get better definition

When you say "developing", I assume you are actively noticing a change in your nose. If that's the case, it could be scar tissue setting into the supratip region resulting in fullness to this area. If this is the case, see your surgeon, as steroid injections may be warranted to halt and reverse this.

While I wouldn't say you have a true polly beak deformity, you don't have a good supratip break/definition.

The nose generally continues to refine for a couple years after surgery. Since I don't know how long ago your procedure was, I'd recommend a reevaluation with your surgeon.

A polybeak deformity occurs when the cartilage of the nasal dorsum is not made, even or in proportion, to the bony dorsum of the nose. Polybeak deformity can also occur when the droop of the nasal tip is not completely corrected and the nasal tip continues to droop after rhinoplasty surgery. It is dependent on the surgical techniques used by the surgeon to rotate a droopy tip and keep it in that position. It is also dependent on the strength of the patient smile muscles, and the facial muscles ability to pull the tip of the nose down. The photos provided, do not include a smiling profile, which would be helpful in evaluating this case. However, by viewing the present photos, it appears you have a little bit of both situations, although the cosmetic result is acceptable, I understand your concern. You don’t say how many months post-op you are. If this rhinoplasty is at least one year post-op, you may consider a secondary surgical procedure to create more definition of the profile and nasal tip. My experience in practice has shown that expert surgical techniques in dealing with the cartilage of the nasal tip, and nasal dorsum, are crucial in creating the definition of a lower portion of the nose that gives the nose and attractive look. Which is the center of the face.