A polybeak deformity represents an imbalance in the relationship of the nasal tip and the height of the nose/septum just above the tip. While certain types of polybeaks are hard to correct, others can be simpler. Essentially 3 different things can be done to re-establish the correct profile relationship. In typical rhinoplasties, the goal for the profile is one in which a 1-2mm supratip break or depression is achieved. Men tolerate a straighter supratip, while women often desire more of a break. Polybeaks occur in 3 scenarios: If the nasal septum is left too high The area above the tip fills in with scar tissue If the nasal tip loses height (deprojects) Patients with thick skin are more at risk for polybeak formation due to the balance between skin weight and cartilage strength. More often than not, the tip will lose projection due to weak cartilage. One way to provide the top with greater height and definition is to do one or more grafts to strengthen it. Another way is to use sutures to narrow it. Simultaneously, 1-2mm of height is often gained. If the problem is with scar tissue, then steroid injections can sometimes prevent it when used post-operatively. If your surgery was more than 3 months ago, it is unlikely that injections will correct it. Patients with thick skin are also at increased risk for scar formation underneath the skin. If the septum was left too high, then revision profile reduction may correct the problem. However, if you have already had a revision, then this is probably not the main issue. Good luck