I think I have a polly beak. What can I do?

Question

I had a horrible accident, I broke my nose into door handle ..I had rhinoplasty after a month of healing, now it has been 8 months my I hate my nose to wear I had quit my joband I don't go out in public. My Nasion & Dorsum is flat I think he had graft but it looks horrible my tip is over projected the alar groove & nasolabial fold is so wide. Are wrost is that gives me a Pollybeak look. Because of this I have quit my job and refuse to go in public is caused me severely depressed, Any advise plz

Avron Lipschitz, MD · Answer

You have an a esthetically pleasing nose and  no cosmetic flaws. Please see a plastic surgeon but your depression cannot be treated with surgery.

Tanveer Janjua, MD · Answer

It is very possible to become depressed after any kind of trauma including surgery.  Sometimes depression can distort our thoughts about reality and self perception.  The photographs show a very good nose with no significant abnormality.  There is no evidence of a large poly-beak there might be mild swelling in the supratip area but it is not significant and it is certainly not taking away the beauty of the face and the nose looked beautiful and you need to know that I think the most important part is to get over the insecurity and the depression but obtaining professional help and become reintegrated into societyI am positive you will get back on her feet and will do excellent. You are a beautiful young lady who should not sit back but instead move forward.RegardsDr. J

Stephen Prendiville, MD · Answer

First of all, the photos show a beautiful young lady. There may be some things you would like to change with your nose, but you do not have a pollybeak deformity.  If you are depressed, I strongly suggest that you tackle this problem prior to having further surgery.

Clark Schierle, MD, PhD, FACS · Answer

You have to understand that there is no such thing as the “perfect” nose. As rhinoplasty surgeons, we are able to improve the structure and function of the nose to address specific issues you have with how your nose looks and and how well you can breathe. Perfect symmetry does not exist in nature. Attempts to improve the symmetry of your nose should be aimed at achieving an improvement in your asymmetry to the point where it is no longer very noticeable. If you look carefully enough, you will always be able to find imperfections. The goal is a normal looking nose that is in harmony with the rest of your anatomy.

Steven M. Denenberg, MD · Answer

First of all, see the Web reference link for a modification that I made to one of your profiles, to show the changes that I think would be important in a revision operation. You can see whether you think those changes accurately address what you don't like about your nose right now.You are correct that the dorsum and nasion are flat. The nasion is strong and projecting forward, so it looks as though your nose slides off of your forehead without that little dip at the nasion that I put in the "after" modification. Perhaps the nasion area is where the doctor put the graft that you speak about. If so, it would probably help if it came out.You don't have a "polly beak." That is a fullness much lower down on the profile, just above the tip of the nose. And I don't think your tip is over-projected, which would mean that it sticks out forward too far from your face. Your tip barely has enough projection. What I see is that the tip is low, hanging down. So the combination of a low-hanging tip and the fullness at the nasion makes your nose look very long. In the modification, I elevated the tip, maintained its projection, deepened the nasion, and adjusted the height of the dorsum to match the new position of the tip and the nasion.Does that seem to be an accurate assessment of what you dislike and what you'd like to change?

Michel Siegel, MD · Answer

In my opinion, from the photos you provide, the radix is higher than ideal, giving the appearance that the nose is too long. Besides this, your nose appears to be aesthetically balanced. Your feelings about your nose may not be rooted on its shape, but  more related to your emotional state. I would recommend you seeing a mental health specialist, not a surgeon, to help you deal with this issue.

Darryl J. Blinski, MD · Answer

To be honest I do not see the issues your are asking about! Maybe in person examinations are needed by boarded surgeons in Orlando. Good Luck..

I think I have a polly beak. What can I do?

Answers (7)

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