I had closed rhinoplasty 1yr 6 months ago. I also had a breast augmentation 4yrs ago and from this I realised that I do not scar/heal very well and subsequently had to get steroid injections. I am not happy with my results. My surgeon had suggested that I have a local anaesthetic procedure to trim down the excess scar tissue in the lower third, however I am apprehensive how this will rectify my nose.... Any suggestions/help? Do I go ahead or not?
June 20, 2016
Answer: Treating polly beak deformity after reduction rhinoplasty 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.
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June 20, 2016
Answer: Treating polly beak deformity after reduction rhinoplasty 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.
Helpful
June 19, 2016
Answer: Revision rhinoplasty candidate 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
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June 19, 2016
Answer: Revision rhinoplasty candidate 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
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