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

Question

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.

Kenneth Hughes, MD · Answer

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

Garrett Griffin, MD · Answer

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.

William Portuese, MD · Answer

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

Mohsen Tavoussi, MD, DO · Answer

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.

Steven Wallach, MD · Answer

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.

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

Answers (7)

Answer: Polybeak deformity with Crooked septum

Answer: Polybeak deformity with Crooked septum

Answer: Rhinoplasty revision

Answer: Rhinoplasty revision

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

Answers (7)

Answer: Polybeak deformity with Crooked septum

Answer: Polybeak deformity with Crooked septum

Answer: Rhinoplasty revision

Answer: Rhinoplasty revision

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Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.