Pollybeak Deformity

Pollybeak deformity is a postoperative nasal contour abnormality in which the area just above the nasal tip (the supratip) appears abnormally full, producing a beak-like profile. It most commonly follows rhinoplasty and can result from factors such as residual or underresected dorsal hump, excess scar tissue and soft-tissue bulk, inadequate tip support or rotation, or a combination of tip and dorsum changes.

Evaluation includes careful clinical examination and photographic analysis to identify whether soft-tissue swelling, scar contracture, or structural deficiencies are the main contributors; treatment options range from conservative measures such as steroid injections or massage for mild supratip fullness to surgical revision when structural support or contour modification is required, often involving cartilage grafting, tip support restoration, or dorsal adjustment. Management is tailored to the individual anatomy and timing since early postoperative swelling can mimic permanent deformity, so decisions about revision are based on cause, severity, and patient goals.