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Pollybeak deformity refers to excess tissue over the supratip area (region over the bridge of the nose right before the nasal tip). This causes the nose to be beak-shaped in appearance, hence the name used for this deformity. This usually occurs from prior rhinoplasty surgery.
There are many causes of pollybeak deformity, each relating to what was done during the original nasal surgery.
Aggressive Dorsal Hump Removal: Pollybeak deformities can occur when large bumps (referred to as “dorsal humps”) are aggressively taken down without accounting for skin re-draping. If you had a big bump on your nose that was removed, the skin over top of it will remain stretched out. This skin then sits on the bridge of the nose and bunches up in the area above the tip. Patients subsequently develop excess scar tissue underneath the skin, causing the characteristic bird-like appearance.
Inadequate Dorsal Hump Removal: Pollybeak deformities can also result from inadequate removal of the nasal bridge. If the prior surgeon failed to remove a dorsal hump in its entirety,
you may be left with excess tissue in the supratip area that also causes a bird-like appearance of the nose.
Poor Management of the Tension Tip: Sometimes a person may undergo a primary rhinoplasty for a “tension tip.” This refers to a strong, prominent nasal tip. This often may be associated with a dorsal hump. Sometimes the original surgeon may remove the dorsal hump without addressing the strong nasal tip cartilages. This results in the tip of the nose protruding outwards along with the supratip area, causing a pollybeak deformity.
The number one symptom is an external deformity with the characteristic appearance of the nose. However, because of the location of the deformity, and in many cases poor healing which led to the deformity, you may also experience difficulty in breathing through one or both of your nostrils.
Surgery is usually the preferred method of correcting a pollybeak deformity through a revision rhinoplasty approach. Depending on the cause of the deformity, the surgeon must correct any inadequacies from the original surgery. In many cases, grafting material such as rib grafts (link to rib) may need to be used in order to correct the deformity.
Yes. Dr. Mourad is an expert in the correction of pollybeak deformities. He is a double board certified Facial Plastic Surgeon with expertise in revision rhinoplasty surgery. Below are example photographs of patients that have undergone corrective surgery for pollybeak deformities.