I had a closed rhinoplasty procedure 14 months ago and have developed a polybeak deformity. My surgeon expressed that he wants to do a revision surgery (for free). I'm looking for opinions as to what is causing this deformity. Has my tip dropped bc its lacking support or does it only look droopy bc of the elevated bridge? Is the bulb of my nose still round bc my thick skin heals that way & if so is it safe to to take it in more? Is this a case where simply lowering my bridge will fix all this?
Answer: Poor results You are indeed a candidate for revision, it is unclear what may exist inside, what are the unrelying reasons for your problems or which anatomical parts are ok or which need restoration or replacement, and this uncertainty of preop diagnosis (in your particular case) is due to the combination of a very thick skin (does not allow visualization of inner situation) and the massive amount of fibrosis (not a good sign).
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Answer: Poor results You are indeed a candidate for revision, it is unclear what may exist inside, what are the unrelying reasons for your problems or which anatomical parts are ok or which need restoration or replacement, and this uncertainty of preop diagnosis (in your particular case) is due to the combination of a very thick skin (does not allow visualization of inner situation) and the massive amount of fibrosis (not a good sign).
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January 28, 2017
Answer: Revision rhinoplasty for multiple problems. You need a revision rhinoplasty to correct insufficient tip projection, probably excess scar or cartilage above the tip, insufficient rim cartilage, etc. An in person examination will determine exactly what other issues including the dent need to be repaired. See a very experienced revision rhinoplasty specialist can show you many examples of his work with natural results in noses like yours.
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January 28, 2017
Answer: Revision rhinoplasty for multiple problems. You need a revision rhinoplasty to correct insufficient tip projection, probably excess scar or cartilage above the tip, insufficient rim cartilage, etc. An in person examination will determine exactly what other issues including the dent need to be repaired. See a very experienced revision rhinoplasty specialist can show you many examples of his work with natural results in noses like yours.
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January 28, 2017
Answer: Pollybeak deformity It's impossible to say for sure which factors are at play, however, it is certainly possible and safe to improve your nose with additional surgery. The most important thing, by far, is your relationship with your surgeon. If you trust them and their abilities then go for it. Otherwise, seek out a revision rhinoplasty specialist even if it means you will have to pay. Good luck!
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January 28, 2017
Answer: Pollybeak deformity It's impossible to say for sure which factors are at play, however, it is certainly possible and safe to improve your nose with additional surgery. The most important thing, by far, is your relationship with your surgeon. If you trust them and their abilities then go for it. Otherwise, seek out a revision rhinoplasty specialist even if it means you will have to pay. Good luck!
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Answer: A nonsurgical revision rhinoplasty may be appropriate. Dear Tinelillian in Santa Barbara, California:
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Answer: A nonsurgical revision rhinoplasty may be appropriate. Dear Tinelillian in Santa Barbara, California:
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January 28, 2017
Answer: Poly-beak deformity: from thick skin, scar tissue, elevated. She, drooping cartilage, or all? A poly-beak deformity can be caused by all of the above reasons. A thorough examination is required to make a determination about what the cause is. When you have identified the cause, then a plan for correction can occur. A revision rhinoplasty is more difficult than a primary rhinoplasty due to scar tissue and thick skin present and alterations of the normal anatomy. If the issue is excess thick skin, steroid shots should be beneficial. If there is residual cartilage present in the lower portion of the nasal dorsum, a touch up revision procedure can be performed.
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January 28, 2017
Answer: Poly-beak deformity: from thick skin, scar tissue, elevated. She, drooping cartilage, or all? A poly-beak deformity can be caused by all of the above reasons. A thorough examination is required to make a determination about what the cause is. When you have identified the cause, then a plan for correction can occur. A revision rhinoplasty is more difficult than a primary rhinoplasty due to scar tissue and thick skin present and alterations of the normal anatomy. If the issue is excess thick skin, steroid shots should be beneficial. If there is residual cartilage present in the lower portion of the nasal dorsum, a touch up revision procedure can be performed.
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