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Arch Facial Plast Surg. 2002;4:31.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

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.

In our experience, the majority of soft tissue supratip deformities are the result of dead-space replacement with scar tissue. Therefore, the use of triamcinolone acetonide injections for the reduction of scar tissue seems logical. Numerous authors have documented the efficacy of intralesional injections . . . [Full Text of this Article]

RELATED ARTICLE

Correction of the Soft Tissue Pollybeak Using Triamcinolone Injection
Matthew M. Hanasono, Russell W. H. Kridel, Norman J. Pastorek, Mark J. Glasgold, and R. James Koch
Arch Facial Plast Surg. 2002;4(1):26-30.
ABSTRACT | FULL TEXT