How do you correct a polly beak deformity and hanging columella? (photos)

Question

I had a rhinoplasty 2 years ago and would like to go for a revision. I would like to correct my slight pollybeak deformity. I'm not sure if I have a hanging columella as my profile looks normal yet from the front my tip protrudes lower than I'd like? Are these simple procedures, could I have them done using local anaesthetic? And what would be the healing time?

Toby Mayer, MD · Answer

Revision rhinoplasty for the polybeak deformity, etc. You do have a polybeak deformity with lack of tip projection. Also your columella can be raised slightly. Make  sure your surgery is done by a very experienced revision rhinoplasty surgeon who can show you dozens of noses like yours or worse that he has done. Don’t rely on Imaging.

William Portuese, MD · Answer

Itys important to figure out what is causing  the polybeak, is it excess cartilage, or thick-skin? Each one of these issues are treated differently. If there's  excess cartilage present, then revision  rhinoplasty can accomplish improvement in that area. The hanging  columella is addressed with a columella-plasty which includes removal of  excess skin and cartilage in that area.  Revision rhinoplasty is more difficult than a primary rhinoplasty, therefore an in-person examination is going to be required to make a determination about how best to  to proceed.

Tarek V. Copty, MD, FACS · Answer

Dear Ladanj, Thank you for your question and pictures. You have a nice result from your Rhinoplasty. Saying that, I also believe there are a few changes that can make the result an amazing one. There is fullness of the tip, The dorsum needs a little more curvature and the relationship between the columella and tip can be improved. Make sure you see an experienced plastic surgeon who performs a lot of revision Rhinoplasty. The healing is approximately one week and the final result will take six month to twelve months to appreciate. Best regards, 
Tarek V. Copty, MD FACS 
American Board of Surgery American Board of Cosmetic Surgery Jordanian Board of Plastic & Reconstructive Surgery Fellow, American College of SurgeonsFellow, American Academy of Cosmetic Surgery

Richard W. Fleming, MD (retired) · Answer

+You do  have fullness of the cartilaginous profile but I would not call this a polly beak. You need an examination to determine if this is scar tissue or excess cartilage, which can b removed. Sometimes tip projection can be increased but based on these pictures I would not recommend that. You do have a hanging columella which can be lifted. This can all be done under local anesthesia if you and your surgeon agree.

How do you correct a polly beak deformity and hanging columella? (photos)

Answers (4)

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