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Great question! I agree that it is possible this is not a polly beak deformity. It is a little early to tell. However, you do have some swelling in your tip and it's hard to tell at this point whether this is due to soft tissue swelling/early scar tissue or the shape of the lower lateral cartilages themselves. It is definitely reasonable to consider steroid injections to the tip of your nose. The tip retains swelling the longest and I often consider steroid injections to the tip and supra tip areas up to a year after surgery. It may take a few rounds of injections but if this is indeed related to soft tissue swelling, you'll start to notice a reduced size and improved definition to the tip. If it does not improve, you may consider revision rhinoplasty to reduce the tip or augment the bridge/dorsum as one of the other surgeons mentioned. I hope that helps. Good luck!
This is a great question and I'm glad you're seeing your surgeon next week. Oftentimes we use different columellar and septal grafts to change the rotation of the tip and prevent the columella from hanging or drooping. These can vary from columellar strut grafts to septal extension grafts, tongue-in-groove, plumping grafts, etc. It is possible that a graft is resorbed or there is loss of some of the tip support mechanisms. As the rotation changes with the tip drooping down, you will lose some of that slope you used to have. I would definitely bring it up to your surgeon and show him/her the exact photos you posted on here. I always appreciate when my patients are completely open with me about their results. Besides, your surgeon is going to know exactly what graft they put in there and how to possibly fix it. If they are not helpful, I would just make sure to ask for the operative report so that any surgeon you see for a second opinion can come up with an accurate plan to address your concerns. I hope that helps! Good luck!
Thanks for the great question! It is possible you have a deviated septum. You may be feeling your bony septum or nasal spine. This can happen even without breaking your nose or any trauma in the past. This can be perfectly normal. I would say many of my patients don't even realize they have a deviated septum until I put a scope or camera in their nose to show them. If you don't like the way your nose looks or are having problems breathing out of your nose, I would go see your facial plastic surgeon, ENT surgeon, or plastic surgeon and have them evaluate whether you may be a good candidate for a septoplasty or rhinoplasty. Hope that helps! Good luck!
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