Polybeak deformity? What to do? (Photos)

In my opinion correcting only your pollybeak deformity would not give you the most balanced profile. The upper part of your nose is very shallow. Whether this was filed down as part of your previous surgery or you grew this way, I would consider adding more projection there to enhance the bridge. I would seek a second opinion for a formal revision rhinoplasty to address the entire nose in relation to the rest of your face. Good luck! 

It appears that you do have a pollybeak deformity. That probably happened because not enough cartilage was removed in the supratip area. The best way to address this, unfortunately, is thru revision surgery. You could try adding dermal fillers above the pollybeak as well to try to give your nose a smooth profile view.

Based on your pictures, it seems that you have a polly beak deformity.  This can occur when either too little cartilage is removed at the supratip (bottom area) or swelling occurs during the healing process.  You may benefit from another surgery. I recommend that you see a facial plastic surgeon who can discuss treatment options with you.  

Polly beak deformities develop for two reasons: 1. Not enough cartilage is removed from the supratip area (called a cartilaginous polly-beak); 2. Too much cartilage is removed, so the skin cannot contract down to the new framework. Instead, the body forms scar tissue to fill the gap. Surgery to correct #2 can work, usually accompanied by steroid and/or fluorouracil injections during the healing process to prevent re-formation of the scar. In addition, if the dorsal height is too low, then just removing scar tissue and injecting steroids will not prevent the polly beak from returning. In your case, you may have to augment the dorsal height just to reduce the dead space that could fill with scar again.To my knowledge, there is no correlation between previous hypertrophic or keloid scars and polly beak formation.For more information about augmentation rhinoplasty, please see my web link below.

 The photographs demonstrate a poly-beak deformity and a low bridge. Both issues need to be treated with a revision rhinoplasty which would include reduction of the bulbous tip, Polly beak, and adding a cartilage graft to the bridge line to build up the shallow bony nasal bridge line. For many examples  and more information, please see the link and the video

In addition to lowering your profile by removing cartilage immediately above the tip consider augmenting your very low bridge so you you achieve a defined nose with improved balance. I suggest you get a second opinion.