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The pollybeak deformity is also known as the polly beak deformity, parrot beak deformity, or supratip deformity and is one of the common revision rhinoplasty problems. As the name implies, the pollybeak deformity gives a 'parrot-beak' shape to the profile of the nose. In profile, there is a hump-like fullness and heaviness just above the tip and the upper part of the ridge appears scooped. Pollybeak noses can at times have functional (breathing) problems.
The pollybeak nose is typically the result of previous rhinoplasty surgery where excessive amounts of the bridge of the nose were removed. When the bridge is overly reduced, especially in someone with thicker skin, the now unsupported skin tends to sag down and gather over the tip (in the supratip area) creating this deformity. The tip of the nose is also often not adequately supported which contributes to the problem.
In rare situations a pollybeak deformity may be primary (i.e. not result of previous rhinoplasty) but majority of pollybeak deformities care secondary (result of rhinoplasty).
A pollybeak deformity is treated by adding (yes adding, not removing!) cartilage to rebuild and support the bridge and tip of the nose. The cartilage that is used for grafting typically comes from the septum or the rib. Choice of the grafting material depends on the severity of the problem with rib cartilage being able to provide more dramatic changes due to its strength and availability whereas septal cartilage is often available in smaller quantities and are less structurally strong. The skin will stretch to accommodate the newly framework of the nose and the fullness and heaviness in the supratip area will be improved. Implants can at times be used but are not the preferred method for treating a pollybeak nose.
For most individuals 1 week is adequate recovery for returning to basic activities (work, school, driving, shopping). The improved shape of the nose is immediately noticed, even when the dressing is still on the nose. Most of the swelling is typically gone in 1-2 months but some residual swelling of the nose will continue to improve up to a year after surgery. If rib cartilage is used the chest will be sore for a few weeks and you would need to avoid chest (pectoralis) exercises.