Can nasal tip & pollybreak be fixed without addressing crooked septum in revision surgery? (photo)

Hi, I'm 34. At 17 I got my dorsal hump removed as well as excess cartilage on the sides, however the tip fell back down and the S-shaped septum was unsuccessfully repaired. Tip looks "witchlike". Tip juts to one side and is irregularly shaped, droops somewhat, I am aware it relates to the crooked septum. Based on my pics, can the tip be at least reshaped and lifted or trimmed down? Can it be straightened? I keep reading that a crooked septum is too hard to fix. Thanks for your time and expertise.

Doctor Answers 8

Deviated septum and poly-beak

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 It is possible to leave the deviated septum  alone. The dorsal hump and poly-beak can  be addressed by shaving down the bridge line. A spreader graft will also need to be performed underneath the concave upper lateral cartilage area. For many examples, please see link below

Seattle Facial Plastic Surgeon
4.8 out of 5 stars 158 reviews

Polybeak deformity with Crooked septum

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Revision rhinoplasty is done to correct the deformities after the primary rhinoplasty and therefore, all of the problems are usually addressed. The septal deviation which often leads to nasal deviation, as well as poly beak deformity can easily be corrected by any experience surgeon. 

Mohsen Tavoussi, MD, DO
Orange County Facial Plastic Surgeon

Can nasal tip & pollybeak be fixed without addressing crooked septum in revision surgery?

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A closed rhinoplasty can be used to reduce the pollybeak, straighten the nose, and refine and lift the tip.

Find a board certified plastic surgeon who performs hundreds of rhinoplasties and rhinoplasty revisions each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.

Kenneth Hughes, MD

Los Angeles, CA

Revision rhinoplasty

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Hi Sheldon: Revision rhinoplasty can be difficult but I do think an experienced rhinoplasty surgeon could make a significant improvement.  Cartilage grafts can be used to straighten a crooked septum.  Likely, simply removing a bit more of the dorsal septum will straighten your profile and remove the hump.  Tip cartilage sutures and possibly a small cartilage and/or fascia graft for camouflage will make your tip more symmetric. Best of luck. 

Garrett Griffin, MD
Minneapolis Facial Plastic Surgeon
5.0 out of 5 stars 14 reviews

Revision rhinoplasty

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Hi. You definitely will need the septum addressed to ensure a straight nose - the septum is the cause of the deviation. The tip could be elevated and dorsum straightened at the same time, with the use of spreader grafts being necessary. Regards Dr Charles Cope

Charles Cope, MD
Sydney Plastic Surgeon
5.0 out of 5 stars 5 reviews


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Based on the pictures posted, all your concerns can be corrected with a septorhinoplasty. Straighten the nose, with spreader grafts, elevate the tip and correct the dorsum.
Samir Shureih MD. FACS

Samir Shureih, MD
Baltimore Plastic Surgeon

Good candidate

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Contrary to what you've read, your septum and deviation of the nose can be corrected.  A revision is indeed a bit more complex, but see a surgeon who performs and is confident in their abilities with revision rhinoplasty.  Cartilage grafting will be necessary to straighten out the nose.  I predict that you will be happy with the outcome.

John Frodel, MD
Atlanta Facial Plastic Surgeon

Rhinoplasty revision

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A crooked septum always wants to stay crooked, but there are several maneuvers including using grafts to try to straighten it.  The tip certainly can be lifted, and the pollybeak most likely related to inadequate resection of dorsal septum can be treated.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.