Copyright 2002 American Medical Association. All Rights Reserved.
Applicable FARS/DFARS Restrictions Apply to Government Use.2002
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.
Rohrich RJ, Hartley W. Correction of the Soft Tissue Pollybeak Using Triamcinolone Injection. Arch Facial Plast Surg. 2002;4(1):31. doi: