Facial plast Surg 2016; 32(04): 398-401
DOI: 10.1055/s-0036-1585571
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Pollybeak Deformity in Middle Eastern Rhinoplasty: Prevention and Treatment

Wael K.A. Hussein1, Hossam M.T. Foda1
  • 1Facial Plastic and Reconstructive Surgery Division, Department of Otorhinolaryngology, Alexandria Faculty of Medicine, Alexandria, Egypt
Further Information

Publication History

Publication Date:
05 August 2016 (online)

Abstract

The pollybeak deformity is one of the commonest causes of revision rhinoplasty. The Middle Eastern nose has certain criteria that predispose to the development of pollybeak deformity. The aim of this study is to detect the factors contributing to the development of pollybeak deformity in the Middle Eastern nose and methods used to prevent as well as to treat such deformity. Out of the 1,160 revision patients included in this study, 720 (62%) patients had a pollybeak deformity. The commonest contributing factors included underprojected tip with poor support in 490 (68%) patients, excessive supratip scarring in 259 (36%) patients, overresected bony dorsum in 202 (28%) patients, and high anterior septal angle in 173 (24%) patients. The methods used by the authors to treat the pollybeak deformity are described, along with the local steroid injection protocol used to guard against the recurrence of pollybeak deformity.