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Pollybeak Deformity
A pollybeak deformity refers to a nasal shape irregularity where there is an excessive fullness or convexity in the region of the nasal bridge, typically just above the nasal tip. This deformity can create a "parrot-like" appearance to the nose, hence the term "pollybeak."
This deformity could be an aftereffect of a rhinoplasty procedure or a result of post-operative scar tissue formation, particularly in the nasal bridge area. Separately, if the nasal tip is over-projected or not properly supported, it can contribute to a mismatch in nasal proportions. In others, insufficient support or weakness in the nasal cartilage framework can cause the nasal tip to droop, exacerbating the appearance of fullness in the supratip area.
Fix-It
Mixed Techniques
A primary treatment would address underlying causes through surgical techniques tailored to the individual's nasal anatomy and aesthetic goals. These techniques could be lateral crural steel, lateral crural/medial crural overlay, interdomal/transdomal suturing and Lipsett technique.
Dorsal Reduction
Reducing the excess dorsal fullness by refining the nasal dorsum and smoothing out any irregularities is often necessary.
Tip Refinement
Adjusting the nasal tip projection and contour to achieve better balance with the rest of the nose can help alleviate the appearance of a pollybeak.
Cartilage Grafting
Cartilage Grafting adds structural support with spreader grafts or dorsal augmentation grafts, and may be required to enhance nasal tip definition, and prevent recurrence of the deformity.
Scar Revision
Scar Revision addresses any scar tissue or irregularities in the nasal bridge area to improve overall nasal contour and achieve smoother transitions.
