We Performed Again Open Technique Tertiary Revision Rhinoplasties For "Pollybeak Deformity"

Pollybeak Deformity

Pollybeak deformity is a case of "bird's beak" appearance due to problems with cartilage and soft tissue. It may be due to excess cartilage in the supratip region and excessive resection of the nasal hump (cartilaginous polly beak) or excessive subdermal edema in the supratip (soft tissue polly beak). You can see details at >> Pollybeak Deformity - Definition, Causes, Classification, Treatment

3rd Revision Nose Job,Pollybeak Deformity,Tertiary Revision Rhinoplasty,
3rd revision rhinoplasty for treatment of Pollybeak Deformity

The most common cause is insufficient resection of the supratip region. In other words, beak nasal deformity is a complication of nasal aesthetics. Generally, inadequate intake during surgery, as well as excessive wound healing tissues in the supratip region may occur due to the growth of the front. In this case, re-surgical removal of this region may be sufficient for treatment. Especially in patients with thick skin, excessive healing tissue (scar tissue) may appear in the supratip area after nasal aesthetic surgery, and in this case this appearance in the form of parrot beak may occur.

3rd revision rhinoplasty for treatment of Pollybeak Deformity

Seen from the side of the nose due to excessive resection of observed on the nose is drooping down as birds beak of that nose end of the nose skin seen from the side cartilage excess to supratip the first case above is evident too much to be thicker and significantly abnormal curvature

Definition and causes of Pollybeak Deformity

It is the name given to the noses resembling parrot beak. Congenital nasal tip (type region) to be downward drooping, nasal holes between the columella region is short and the tip of the nasal tip towards the nasal tip of the supratip region gives this image. After the rhinoplasty operation, the excess supratype (cartilage or soft tissue) is left behind and this deformity is caused. The supratip breaking point at the tip of the nose is the smallest angle between the tip of the nose and the back of the nose and makes the nose look aesthetically beautiful. In rhinoplasty, the beak nasal deformity is corrected by removing excess tissue in the supratip and / or raising the type region (with suture and cartilage).

Pollybeak deformity may be a result of the technique used in nasal nose surgery, but it may occur as an unpredictable complication even for the most experienced surgeons. The causes of beak nasal deformity can be roughly classified as inadequate resection of supratip structures (inadequate cartilage removal), excessive rasping of the nasal bone, loss of nasal tip support, or abnormal edema in patients with thick supratip skin.

Cartilaginouse pollybeak nose deformity

  • Excess resection of nasal bones
  • Inadequate cartilage dorsum
  • Excessive resection of the lower lateral cartilage (leading to loss of tip support)

Soft tissue pollybeak deformity

  • Bandage of the upper part of the supratip region with excessive pressure bandage
  • Excessive skin thickness at nose tip after reduction after rhinoplasty
  • Inadequate correction of vestibular mucosa
  • Soft tissue excess in the supratip region

3rd revision rhinoplasty for treatment of Pollybeak Deformity 

In the following two photos, two previous rhinoplasty operations were performed and the resulting pollybeak deformity was seen. An open technique tertiary revision rhinoplasty operation was performed and the natural (masculine) appearance of the nose was obtained.

3rd revision rhinoplasty for treatment of Pollybeak Deformity

In the above photo, it is understood from the comedones that there is excessive soft tissue edema and cartilage tissue excess in the supratip region and the skin of the nose is very oily and thick.

Pollybeak Deformity can also be seen due to healing properties and inappropriate nasal taping, also due to excessive cartilage tissue on the supratip region.

Cost of 3rd revision rhinoplasty for treatment of Pollybeak Deformity 

Normally total cost of 3rd revision rhinoplasty for treatment of Pollybeak Deformity is changing according to the hospital between the 3500-5000 US Dollars. If cadaveric rib cartilage, ear cartilage grafting, patient's own rib cartilage grafting are needed cost may be rising.

After the operation 7-10 days staying at Istanbul is enough.

Similar links >> Soft Tissue Pollybeak Deformity / Revision Rhinoplasty in IstanbulSteroid Injection After RhinoplastyRisks & Complications of Rhinoplasty Operation

Source links >> Polly Beak Deformity in RhinoplastyPollybeak Deformity in Middle Eastern Rhinoplasty

Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

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