Does my nose have pollybeak deformity? Is it just swelling? (Photo)

You maybe developing an early pollybeak deformity.  At this time you have a options:'1)  Continue to observe the area to see if it gets better during the healing process2)  Inject the area with either steroids or 5-fluorouracil to help resolve the pollybeak3)  Inject the area with either steroids or 5-fluroruaracil in a few monthsI like to use 5-fluorouracil instead of steroids in this situation.  Steriods have the risk of causing a depression or skin pigment changes during an injection.  The risk of this happening with 5-fluorouracil is much less.I hope this helps

Dear yellow3Thanks for the question. It’s not easy to comment based solely on one photo. It’s too early to comment over the result. It’s possible to see some major changes in rhinoplasty results till the end of 12 months recovery. So far the recovery looks fine for 2 months. I wish you all the best.

Yes it appears you do.  If the area above the tip is hard it may be due to the cartilage of the lower lateral cartilages.  If this is the case, steroid may not help since their use is intended to soften and atrophy scar tissue and may not be as effective with cartilage.  Wait a few more months and then discuss a revision of the tip with your surgeon. 

Though this could be swelling, the hardness you describe makes scar fibrosis more likely. It also could be inadequately-resected cartilage. It takes noses a full 6-12 months to completely settle and scar tissue to mature after rhinoplasty, so you have answered your own question about potential steroid effectiveness that long after surgery (but only if it's scar tissue).If you were my patient, I would start steroid injection very gingerly now, using 0.1cc of 10mg.cc triamcinolone and checking effectiveness at 6-8 weeks. Nothing or minimal response is OK, as I can always increase concentration up to 40mg/cc and also increase dosage. But start conservatively, since some patients respond aggressively, and you don't want a dent!I think if you wait until a full year has passed you may have missed a window of (better) opportunity. But that's just my opinion after 27 years of doing cosmetic rhinoplasty. Talk with your surgeon. Best wishes! Dr. Tholen

Poly beak after rhinoplasty? Wait 6 months and if not better u will need a revision by your surgeon or a revision rhinoplasty surgeon. 

Hi.  From your description and the photos, it appears to me that you do have slight supra tip fullness.  If it is swelling, then it would be soft on palpation, so I would bet that it is not swelling.  I would likely give a Kenalog injection into the supra tip to thin this area out slightly.  Good luck.  

The best thing to do is wait at least a year for the nose to settle and swelling to reduce. Your surgeon is correct to advise you to wait. Looks like you'll get a good result in time.

In an ideal nose, there is a slight differential level between the tip and the bridge of the nose that is called the suprtip break. This is slightly less noticeable on a male nose. When this break is missing or worse if there is fullness in the area, it can cause supr-tip or polybeak deformity. This fullness can be caused by scar tissues, which will feel softer, residual dorsum or inadequate tip projection where the area feels firmer. Usually when the supratip area feels firm it is unlikely for the polybeak deformity to go away whiel the scar tissues can be reduced with injection of cortisone. However, it would be wise to wait for about a year for the nose to take the shape that will be taking to minimize any additional revisions that otherwise may become necessary after the swelling of the nose adequately subsides.  

Thank you for asking. There is limited information and pre-procedure pictures would be helpful for evaluating. This does not appear to be a pollybeak nose. Only 2 months after rhinoplasty is too early to decide what final results are present as tissues will still have swelling. Trust your surgeon and continue close follow up. Best wishes

My pure guess is YES. But only 2 months of healing. Best to allow a full 6 to 9 months than determine if you have a 'polly beak' deformity...