"Polly beak/ supratip fibrosis" 3 years after surgery - How to assure success during revision? (photo)

Sometimes, issues like yours can be due to swelling or scar tissue, in which case it would feel soft. In those situations, sometimes a steroid injection might be helpful. If you will indeed require revision rhinoplasty, the key to a successful result would be utilizing structural cartilage grafts to support your tip to prevent it from drooping. I hope this helps, and I wish you well moving forward. Sincerely, Dr Joseph

Thanks Modest794722 for your question! A Polly beak deformity, also known as supratip fibrosis, is a common complication that can occur after rhinoplasty surgery. It has a bird-like look due to a fullness or convexity in the region just above the tip of the nose.
Polly beak deformities come in two primary varieties:


Cartilaginous Polly beak which occurs when there is excess cartilage in the supratip area, and soft tissue Polly beak that occurs when there is excess soft tissue, such as scar tissue, in the supratip area.

A Polly beak malformation can arise as a result of several circumstances, such as:
Insufficient cartilage removal: which is surgeon's failure to remove enough cartilage during the first rhinoplasty.

Formation of scar tissue: The supratip region may develop an excessive amount of scar tissue, giving it a full or convex appearance.
Poor healing: A polly beak deformity can occasionally result from improper healing of the tissues of the nose.
The degree of a polly beak deformity and its underlying cause determine how it should be treated. Steroid injections and other non-surgical procedures may be useful in some situations to lessen convexity or fullness. However, in most cases, revision rhinoplasty is necessary to correct the deformity.
Revision rhinoplasty is a surgical procedure that is performed to correct problems that have developed after a previous rhinoplasty.
A board-certified plastic surgeon with expertise in revision rhinoplasty should be consulted if you are worried about a polly beak deformity. The surgeon will be able to evaluate your particular situation and suggest the best course of action.
As a triple Board-Certified Plastic Surgeon and experienced rhinoplasty surgeon, I specialize in revision rhinoplasty. This complex procedure requires meticulous attention to detail and a deep understanding of facial and nasal anatomy. I am committed to correcting imperfections and restoring both the form and function of the nose. My philospphy is to listen carefully to the goals and desirers of my patients with a focus on patient satisfaction, I utilize advanced techniques to achieve natural-looking and long-lasting results.
Hope this was helpful!
Best wishes,
Dr Ali Sajjadian

It's pretty reliable to correct for this as long as you have good followup care - I suspect the issue was that you went somewhere abroad so it was harder for you to get in, but you would normally treat this with steroid injections throughout the postop process.