Supratip fullness after rhinoplasty
Thank you for your question!
It is understandable that you are
concerned especially with the supratip fullness. Changes after rhinoplasties vary with
every patient and you could be a candidate for a revision rhinoplasty at this time.
cosmetic results in any particular case are based on a variety of factors,
including: the unique anatomy of the patient, realistic expectations, a
well-informed and detailed discussion with your plastic surgeon concerning the
best options for you especially covering a deep understanding of the pros and
cons of any given choice you will adopt. Revision rhinoplasties could provide you with great results if well performed.
in mind that following the advice from a surgeon online who offers to tell you
what to do without a physical examination covering the nature and the status of
the tissue, assessing your desired outcome, taking a full medical history, and
discussing the pros and cons of each operative solution would not be in your
best interest. With that in mind, it is the safest and for your best interest
to find a plastic surgeon with solid experience and certified by the American
Board of Plastic Surgery who is ideally a member of the American Society of
Plastic Surgeons that you will trust and be comfortable with. You should discuss
your concerns with that surgeon in person.
Sajjadian, MD FACS
Revision rhinoplasty will probably be necessary.
From the limited information provided by the photographs it looks as though there is been over resection of the nasal dorsum. This will require revisional surgery and possibly spreader grafts.
Pollybeak 20 Months Post Rhinoplasty
At 20 months this is not secondary to swelling that will resolve. Your tip is thick but I cannot be sure this is a true polly beak deformity. You have relative fullness above your tip but with these pictures your unwanted profile may also be secondary to inadequate projection of your dorsum which may require some augmentation of your bridge. The good news is that you have a new child and the nose can be improved with a revision procedure.
Dear Americanbeauty1, From these photographs it is hard to determine if you have what we consider a true pollybeak deformity. A consultation, direct examination and digital imaging would be very informative in providing insight to your current concerns and opening a discussion on possible revision surgery. Best regards, Michael V. Elam, M.D.
Thank you for the photos but a full examination is really needed aided by digital photos altered with your input to determine what might be best for you
Is this a Poly Beak Deformity or could it be possible swelling even 20 months post op?
I would go for a consultation with a rhinoplasty expert to determine what would be recommended.
Kenneth Hughes, MD
Los Angeles, CA
To my eye, with these photos, it appears more like there is some overresection of the cartilagenous and boney septum that makes the supratip stand out more. Based ONLY on these photos, I would likely recommend AUGMENTING the dorsum (the proper amount of course) to restore normal proportions and contours.
Polybeak 20 months post op.
Of course it takes an exam to be sure but it appears you do have a polybeak . In addition you have valve stenosis with mid vault collapse. See an experienced revision rhinoplasty surgeon.