Polly Beak Deformity-Cartilaginous or Soft Tissue
In a natural-looking nose, there is a slight depression as the nose transitions from the bridge to the tip. In the case of the polly beak deformity, however, this bridge area above the tip is too high, giving the nose an appearance like a parrot’s beak. Three different complications during rhinoplasty can lead to this problem, which is one of the most common seen after rhinoplasty surgery.
A cartilaginous polly beak deformity occurs when too much cartilage is left after surgery. Revision rhinoplasty in this case involves shaving down the extra cartilage. A soft tissue polly beak deformity occurs when a surgeon removes too much soft tissue on a patient with thick skin so the skin doesn’t properly contract and flatten out, causing excessive scar tissue to form in the area. In this situation, corrective surgery involves removal of the scar tissue and the proper placement of an absorbable suture or skin tape to make sure the skin redrapes and heals appropriately. In the third type of polly beak deformity, the original surgeon fails to leave enough support for the tip of the nose and it droops over time, making the area above the tip appear to project too far. Revision rhinoplasty to address the problem requires the surgeon to reconstruct the nasal tip so it has adequate support.