Do I have a mild pollybeak and can injections resolve it? (photo)

Question

I am one year post op from revision surgery and have a noticeable 'hump' on one side. When I press it in, it goes in quite a bit and looks how I want it to. I am unsure if it is cartlidge or scar tissue. The opposite side looks fine. Is it possible to reduce it without another surgery, such as steroid injection, and would this be safe? The thought of a third surgery concerns me in safeness and cost. Pic 1 is current and Pic 2 is when pressed in. Thank you

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, this area of supratip fullness can likely be improved with a revision rhinoplasty. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Eric M. Joseph, MD · Answer

Excessive swelling or scar tissue in the supratip area tends to respond well to an injection with Kenalog. Can be performed by your surgeon to see if it fixes the problem. In general, if the poly beak is from cartilage, revision rhinoplasty surgery may be necessary to lower it. I hope this helps, and I wish you well moving forward. Sincerely, Dr Joseph

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