How much does it cost to fix a polly beak deformity? (Photos)

Question

I had rhinoplasty done a few times. The first two times I didn't research the correct surgeon and the last surgeon was great but I still am not happy with the way my nose turned out. I know I will need revision but I don't want anything too drastic. I just want my pollybeak deformity to be fixed. I want my tip to be less droopy. How much will it cost just to have that done?

Alejandro Nogueira, MD · Answer

You do not suffer from polly beak deformity (aka supratip prominence).From the images I guess you wish a more upturned and better projected tip of the nose, creating the so called supratip break (the tip higher than dorsum leaving step above).This has a technique to guarantee long lasting results and stability: tongue in groove, using the caudal septum to secure the length, position and rotation of the tip.Seek the advice and hands of a serious
 professional who offers to you a time-consuming and expensive 
procedure; stay far from minimally invassive snake-charming procedures, 
synthetic implants, fillers, wrapped diced cartilage, etc.
Difficulty 5 out of 10 in revision rhinoplasties, surgical time about 6 hours (in expert hands, could be even longer).
See the link below to find few cases of my own practice very similar 
to yours which I had the opportunity to operate successfully on, sharing
 a lot of common features with the technical problem you have posted.
If you wish better grounded opinion well lit, focused and standard 
images have to be assessed: frontal, both lateral and both oblique 
views, also from underneath.

Umang Mehta, MD · Answer

Hi and thanks for the question. It would be helpful to know exactly what was done during your last surgery. The operative report should have information such as the types of cartilage grafts and sutures used. It should be possible to lift (rotate) your tip slightly, as you are doing with your finger. This may be a minor, in-office procedure under local anesthesia or a “tip-plasty” done at a surgery center with twilight or general anesthesia. The cost varies quite a bit depending on the location, type of anesthesia, and length of time needed. It’s possible that additional cartilage would be needed, such as a caudal extension graft or a shield graft. If the cartilage in your septum has been used, ear or rib could be necessary. The final option for you might be nonsurgical rhinoplasty,  filler placement in the nose. A HA filler like Restylane Lyft can last for years in the nose while providing the rotation and definition you seek. This is a complex procedure and should only be performed by a surgeon skilled in both surgical and nonsurgical rhinoplasty. Knowledge of the blood supply and anatomy is very important. Best regards,Dr. Mehta

Jeffrey Jumaily, MD · Answer

cost is hard to say without seeing you first. You don’t have a Pollybeak. The area you are pushing is the columella and that can be adjusted. Schedule a consultation with a rhinoplasty surgeon so you can have a detailed discussion. You don’t want to keep having revisions. best wishes.

William Portuese, MD · Answer

It really depends on what is causing the poly-beak deformity, thick skin or excess cartilage.  Excess cartilage requires a revision rhinoplasty procedure performed under general anesthesia. This will be considered a complex revision rhinoplasty.  If there is thick skin in the supra tip area of the nose, cortisone shots and taping may be of some benefit.  Best to return to your original surgeon for those

Richard W. Fleming, MD (retired) · Answer

Based on these pictures it does not appear that you have a polly beak deformity. You may want more of a supra-tip break but you need an examination and a review of your previous operative reports to determine how best to achieve that.

How much does it cost to fix a polly beak deformity? (Photos)

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