Success rate of a pollybeak?
Doctor Answers 2
Without any pictures and frankly without an examination in person, it is impossible to answer this question. There are several different causes for the pollybeak deformity: (1) prolonged edema or scar tissue formation in the supratip, (2) excessive dorsal hump resection, or (3) poor nasal tip support/underprojected nasal tip. As one can imagine, each cause of pollybeak requires a different treatment modality. In the case of excessive scar tissue or prolonged supratip edema, sometimes steroid injections (Kenalog) can help. For the other causes, revision surgery is typically necessary, which requires cartilage for grafting purposes. If the nasal septum was utilized during the initial rhinoplasty operation for grafting, cartilage from a secondary donor site might be necessary, either from the ear or rib. However, such would be an intraoperative decision as there is no reliable test to determine whether or not sufficient septal cartilage is available for revision surgery.