Revision Rhinoplasty for Pollybeak Deformity

Patients typically decide to undergo rhinoplasty (a nose job) because they are unhappy with the shape and size of their nose. They want a nose that is in proper proportion to the rest of their facial features. In some cases, however, the initial cosmetic procedure may not achieve the desired results. Patients may then need to undergo a second, revision rhinoplasty procedure to get the look they want. One such case involves the pollybeak deformity, which almost always happens as a result of a prior rhinoplasty.

What Is Pollybeak Deformity?

The pollybeak deformity is the result of the incomplete removal of a dorsal hump, or bump, on the nose. The initial surgery also involves shortening the bridge of the nose. If the surgeon does not remove all the excess cartilage and bone from the entire length of the nose in the first surgery, the area of the nose just above the tip, known as the supratip, swells and becomes the highest point on the nose when seen in profile. This gives the appearance of a nose shaped like a parrot beak, leading to the name pollybeak deformity. In some other cases, the patient may have a very large supratip due to an overly prominent nasal tip. Excessive scarring or a droopy nasal tip can also lead to pollybeak deformity.

Correcting a Pollybeak Deformity

There are two basic methods for correcting a pollybeak deformity. If the deformity is due to excess cartilage, steroid injections may help reduce swelling in the early stages of the condition. Other causes for the deformity will have to be corrected with a second, revision surgery. This may involve taking down more of the cartilage, bone, or scar tissue. It may also require a cartilage graft to shore up either the bridge or the tip of the nose. Grafts are generally taken from behind the ear, so as not to be noticeable.

Revision Rhinoplasty Surgical Procedure

This procedure, like an original rhinoplasty, must be done under general anesthesia. Patients should expect many of the same side effects and recovery times as with their first procedure. The most common side effects will be bruising and swelling. These can be reduced with the use of ice, cold compresses, and the herb Arnica montana.

Most of the bruising and swelling should subside within two weeks of the surgery, but the final shape of the nose may not become apparent until two to three months after the revision rhinoplasty. Patients should be able to resume normal activities, such as driving and going to work or school, within a week after surgery.

The key to any revision cosmetic surgery, including correction for a pollybeak, is working closely with the cosmetic surgeon so that they understand the patient’s desired outcome and can determine how best to achieve it. Patients may be nervous about undergoing a second cosmetic procedure after being disappointed in the first one. However, in the hands of a surgeon trained specifically in revision rhinoplasty, patients can finally have the nose they originally wanted.

To schedule a rhinoplasty consultation, contact Marin Aesthetics.

About the Author:

Dr. Vince Marin is a San Diego board-certified plastic surgeon specializes in cosmetic surgery of the face, nose, breast and body. If you wish to contact Dr. Marin, write to [email protected] or you can follow him on Twitter!