danistarr

So I'm opening a new thread and posting some photos. I did a bit of research and I'm beginning to stress that I have Pollybeak deformity. Since it will be a little while before I can see my surgeon again, as I am not near the area. It basically humps out at the tip and feels hard. It's been four months as I mentioned, so obviously it is not done healing,.

Here is before, after the cast, and at 4 months currently. Should I be worried?

Attached Images

	before.jpg (17.4 KB, 48 views)
	after cast.jpg (15.5 KB, 57 views)
	now.jpg (20.7 KB, 55 views)

robyne00

I can see definite improvement before and after.

Polly beak is defined by the a dorsal nasal convexity resembling a parrot's beak. This happens post-op when the surgeon does not recognize the improper tip-supratip relationship that is the hallmark of this deformity. Also, polly beak may develop because of the inability of a surgeon to precisely predict the ultimate healing of the nose. In other words it is due to a doc's error and lack of expertise.

In your case, it looks like a slight case to me. You have to wait for the swelling to go down also.

Have you spoken with your surgeon?

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danistarr

No, when I called he was out of the country for a month since he does work in the states, now I'm 6 hours away for the next four months.

Is pollybeak fixable without revision surgery? I really think that's what it is...I'm afraid revision is risky and dread having to go back under the knife

robyne00

Looks like a slight case, but it can only be assessed and evaluated with a diagnosis for 100% accuracy in person.

__________________
I am an unpaid volunteer super moderator. I receive no remuneration from this site. Although I am a medical professional, any recommendations, statements, advice, or opinions I provide are mine, and mine alone. Consult carefully with the medical professional of your choice. All statements, recommendations, opinions, and advice expressed by me are mine personally – independent of the site and made as a forum member only – and do not necessarily reflect those of PlasticSurgerySpot.com.

danistarr

I'm going on Monday, he's going to fit me in.

Its just very disappointing to think I need to go through all the healing for a year only to have it done again, with a more complicated surgery and lengthy recovery. I do think most likely it is not healing properly and it's not going to subside on its own

Amy

In all honesty, your photos don't look bad at all. Since we can't see your face, it's hard to say if your nose works with you features or not. But from what I can see, I think it's fine. The slight 'imperfection' (as u see it) adds character to your nose.

danistarr

Here is a more accurate photo. I think it looks very big and manly on my face especially with my other features like my smaller lips. I think it is a very obvious deformity, especially at 4 months.
Does anyone think this is likely to just go away on its own by the 12 month point?? I look like a parrot! I'm trying to prepare myself for what he will say on Monday.

Attached Images

IMG_5004.jpg (92.7 KB, 54 views)

Amy

Ok, from my observation, the bridge does not transition smoothly/gradually into the tip and the slightly abrupt transition catches the eye. From what I can tell, even a small reduction of the front part will balance things out. I think once your swelling has subsided completely, the transition will improve and soften the overall look. Give it a few more months, and if you still don't see an improvement, then you can start worrying.

In the meantime, you can 'camouflage' with makeup. Highlight your bridge with a light foundation or concealer and use a shade darker than your foundation for the tip, and blend the two.

Good luck with the doc! Hope all works out.

robyne00

Your nose does show marked improvement from your original photo, but yes it does look somewhat large for your face. The tip needs to be made smaller as well. The bridge and dorsum are also a concern. The alar groove and ala also look compromised. Your columella also looks short.

I hope the aforementioned feedback assists you. Please keep us updated regarding your appointment!

__________________
I am an unpaid volunteer super moderator. I receive no remuneration from this site. Although I am a medical professional, any recommendations, statements, advice, or opinions I provide are mine, and mine alone. Consult carefully with the medical professional of your choice. All statements, recommendations, opinions, and advice expressed by me are mine personally – independent of the site and made as a forum member only – and do not necessarily reflect those of PlasticSurgerySpot.com.

danistarr

My nose has always been too big for my face, I just hoped this surgery would make it more fitting. I'm not sure what you mean by the alar groove and ala. What is your concern about the bridge and dorsum? What is wrong with all these?

Is this a poorly done nose job or just not healing properly because of the way my skin is/something to do with me? It has only been 4 months, will it change anymore??

I know those are a lot of questions, I just want to have an idea of what I'm going into when I see my surgeon Monday.