19 months post op, can injections help polly beak deformity? If so, where can I do them. (photos)

Thank you for your question and sharing your photographs.

I am sorry to hear regarding your post-operative concerns.

The first thing I would suggest would be to contact your surgeon and discuss the solutions they would propose. They had direct assessment of your nasal soft tissues and may be in a position to offer better answers.

In terms of general management pathways, there are several options available:

- You can allow more time for things to settle before taking action as thicker skin typically has a longer cycle of recovery that can span to approximately 3 years

- Steroid injections to see if the supratip volume can be reduced. If the steroid injections only have a temporary effect, it can be that the problem is related to the amount of blood flow through the skin and would not be stabilised in the long-term by steroids .

- Accutane which is normally prescribed for management of acne has also been shown to reduce the soft tissue thickness around the nasal tip and supratip following rhinoplasty. It is a more challenging medication and requires close supervision by a dermatologist.

- Nonsurgical tip augmentation using injectable fillers. This approach can produce a change in shape of the profile and semi profile and would require repeat treatments to maintain the effect

- Surgical tip augmentation which would normally be combined with further reduction in the thickness of the tissues of the supratip. It would more likely involve an open approach

- Finally, one of the techniques that has been used for control of the soft tissue polly beak is removal of an ellipse of skin in the supratip area. This leaves a mark in the supratip region which is relatively faint but nevertheless represents a permanent scar.

Hello! Thank you for your question.As far as I can see from your photo to make your nose more elegant and the way you want it to be I recommend you revision rhinoplasty.It would be better face to face consultation.Best regards!

It would be best to undergo a revision rhinoplasty to address this and not do steroid injections as these could have adverse effects on the skin and not correct the issue at all. You also appear to have developed significant asymmetry of the nasal tip/ala region that steroids will not correct. Obtaining the operative report from Turkey would be helpful.