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January 2002

Correction of the Soft Tissue Pollybeak Using Triamcinolone Injection

Author Affiliations

Southwestern Medical School
University of Texas
5323 Harry Hines Blvd
Dallas, TX 75235-9132

Arch Facial Plast Surg. 2002;4(1):31. doi:

THE POLLYBEAK, or supratip deformity, has arisen as a consequence of modern rhinoplasty and, as Hanasono et al1 have correctly identified, originates primarily from 2 sources: overresection of skeletal structures with tissue thinning or underresection of the distal septal angle and upper lateral cartilages. Sheen2 attributes nearly 95% percent of all supratip deformities to the paradoxical overresection of the caudal nasal support structures. The distinction between the 2 pathogenetic factors is of paramount importance, as the treatment options differ considerably. Often, palpation alone is not sufficient to secure the diagnosis, and the rhinoplasty surgeon must have an intimate awareness of what was done at the primary operation.

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