I had revision Rhinoplasty 13 days ago, to address a Supratip deformity (Pollybeak) issue. My surgeon also advised he reduces the bridge more and narrow the nasal bones and remove more tip cartilage to give the tip a slight lift. I am now back to ask a question. As you can see in my pictures, my pollybeak deformity is gone and the nose looks better, however the tip is slightly swollen, im anxious. Is this normal? What are the odds of me developing pollybeak again? Do you advice massaging?
Answer: A temporary pollybeak can be seen after rhinoplasty surgery You are very early in the healing phase. I think there are 3 reasons patients get polly beaks:1. The tip is too weak and drops back making the lower part of the bridge appear too high forming a polly beak, this can be seen immediately after surgery or it can develop slowly as a weak tip drops back over time.2. The lower part of the bridge right above tip is left too high forming a hard tissue polly beak.3. Both the lower bridge and the tip are lowered or reduced too much and the skin is loose and in excess and forms a ball or lump of tissue that is a soft tissue polly beak.Any one these could be the reason you are are developing your issue. Only the surgeon has a good chance of predicting where you will end up when the swelling goes down, which can take months. There are many times that I do a rhinoplasty and I set the tip and bridge where the nose looks nice but there is so much swelling during the recovery period it looks like the patient has a polly beak. Since I did the surgery I know how well I set the tip and what it will look like as the edema goes down. In your case, male patient with thicker skin, it will take longer to see your results come through-be patient, it can take months to see results and share your concerns with your surgeon.Good luck and I hope this helps.
Helpful 1 person found this helpful
Answer: A temporary pollybeak can be seen after rhinoplasty surgery You are very early in the healing phase. I think there are 3 reasons patients get polly beaks:1. The tip is too weak and drops back making the lower part of the bridge appear too high forming a polly beak, this can be seen immediately after surgery or it can develop slowly as a weak tip drops back over time.2. The lower part of the bridge right above tip is left too high forming a hard tissue polly beak.3. Both the lower bridge and the tip are lowered or reduced too much and the skin is loose and in excess and forms a ball or lump of tissue that is a soft tissue polly beak.Any one these could be the reason you are are developing your issue. Only the surgeon has a good chance of predicting where you will end up when the swelling goes down, which can take months. There are many times that I do a rhinoplasty and I set the tip and bridge where the nose looks nice but there is so much swelling during the recovery period it looks like the patient has a polly beak. Since I did the surgery I know how well I set the tip and what it will look like as the edema goes down. In your case, male patient with thicker skin, it will take longer to see your results come through-be patient, it can take months to see results and share your concerns with your surgeon.Good luck and I hope this helps.
Helpful 1 person found this helpful
Answer: Massage is helpful, as well as patience in the healing process. Hello, and thank you for your question. Without a full set of pre-operative images it is a bit difficult to fully answer, but at 13 days you seem to be healing well, and with an acceptable amount of swelling. From your side image(s), I am hopeful that you will achieve an improved result.My best,Sergio P. Maggi, MD, FACSdrmaggi.com
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Answer: Massage is helpful, as well as patience in the healing process. Hello, and thank you for your question. Without a full set of pre-operative images it is a bit difficult to fully answer, but at 13 days you seem to be healing well, and with an acceptable amount of swelling. From your side image(s), I am hopeful that you will achieve an improved result.My best,Sergio P. Maggi, MD, FACSdrmaggi.com
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September 8, 2012
Answer: Correcting pollybeak
One of the major steps in correcting a poly beak deformity is establishing a strong tip support. As long as you have good tip support the polly beak will be improved. 2 weeks post surgery is still very early for you to judge the results of your surgery - be patient and follow up with your surgeon
Helpful
September 8, 2012
Answer: Correcting pollybeak
One of the major steps in correcting a poly beak deformity is establishing a strong tip support. As long as you have good tip support the polly beak will be improved. 2 weeks post surgery is still very early for you to judge the results of your surgery - be patient and follow up with your surgeon
Helpful
October 21, 2011
Answer: The swelling above the tip of your nose will improve since you're less than 2 weeks following Rhinoplasty Surgery.
I read your concern and reviewed your photos:
I would not suggest massaging the area of fullness. If the swelling isn't moving in the right direction over the next 2 weeks, you may want to ask your surgeon if he feels a dilute triamcinolone acetonide (steroid) injection might be suitable for you.
I hope this helps you.
Dr. Joseph
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October 21, 2011
Answer: The swelling above the tip of your nose will improve since you're less than 2 weeks following Rhinoplasty Surgery.
I read your concern and reviewed your photos:
I would not suggest massaging the area of fullness. If the swelling isn't moving in the right direction over the next 2 weeks, you may want to ask your surgeon if he feels a dilute triamcinolone acetonide (steroid) injection might be suitable for you.
I hope this helps you.
Dr. Joseph
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May 30, 2012
Answer: Too early to tell but you can be proactive
Taping can provide some pressure over the soft tissue swelling and reduce swelling over time. Steroid injections (must be conservative) can also reduce swelling and decrease the risk of pollybeak.
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May 30, 2012
Answer: Too early to tell but you can be proactive
Taping can provide some pressure over the soft tissue swelling and reduce swelling over time. Steroid injections (must be conservative) can also reduce swelling and decrease the risk of pollybeak.
Helpful