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Pollybeak Deformity 1 Month Post Op. Worth Redoing? (photo)

Dear Doctors, I had a huge hump and a major deviation in my septum. I had to do septoplasty sooner or later because of breathing problems. My surgeon is board certified and has experience of 35 years. One of the 1st board certified plastic surgeons. Anyways, you can see that my bridge is not straight after the rhinoseptoplasty. He told me that it will stay like that because I have thick skin (middle-eastern skin). Also, a surgeon with experience like this has no idea that this would happen?

Doctor Answers 5

Needs more time

April 30th, 2013
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Hello. At one month post op you are nowhere close to your final results and for a full year after your procedure your cosmetic appearance will continue to improve. Much of your worries can be attributed to swelling at this stage. Just try to be patient as these trouble areas will improve.


Jaime Perez, MD
Rhinoplasty Specialist
Plastic Surgery Center of Tampa

Web reference: http://www.jaimeperezmd.com/photogallery/nose-job-rhinoplasty-7196

Jaime Perez, MD


Tampa Plastic Surgeon
4.8 out of 5 stars 66 reviews

Worth Revising Polly Beak Deformity?

May 1st, 2013
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It is important to wait another 9-10 months but it will be worthwhile to revise a polly beak  deformity. You will need to increase tip projection in addition to adjusting the profile.

Richard W. Fleming, MD

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 36 reviews

Pollybeak post rhinoplasty

April 30th, 2013
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Pollybeak deformity is caused by supra-tip swelling, thick skin,  a high cartilaginous dorsum, or tip retro-displacement (tip drop). Most likely it is still post op swelling. High concentration of Steroid injection into the swelling can be very useful. Ask your surgeon on the next appointment

David A. F. Ellis, MD

David A. F. Ellis, MD
Toronto Facial Plastic Surgeon
4.0 out of 5 stars 7 reviews

Rhinoplasty Results

April 30th, 2013
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Although 40 days postop is far too early to make final judgments, the photos appear to show a pollybeak deformity.  This may be related to soft tissue swelling, related to inadequate reduction of the dorsal septum, or both.  Revision surgery, if indicated, is generally not performed until about a year postoperatively.  Other temporizing measures, such as kenalog injections can be utilized if the pollybeak is determined to be related to soft tissue swelling. I would recommend discussing your concerns with your Surgeon.

Web reference: http://www.drprendiville.com/rhinoplasty.html

Stephen Prendiville, MD

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
4.8 out of 5 stars 81 reviews

Pollybeak Deformity

April 30th, 2013
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Hi,
Even though it's only 40 days after surgery, you do have a pollybeak deformity. Most likely this is from  underresected dorsal septal cartilage. So in essence what you have is a cartilaginous pollybeak deformity. Your tip is also ptotic and lack projection which contributes to the pollybeak. Even if you wait 10 years this will not improve. You will need a revision to correct this. See link below.
Best,
Dr.S.

Web reference: http://rhinoplastysurgeonnewyork.com/rhinoplasty-surgery-complications.htm

Oleh Slupchynskyj, MD, FACS

Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
4.8 out of 5 stars 259 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.