Tuesday, July 4, 2017

Pollybeak Deformity - Definition, Causes, Classification, Treatment

Definition of Pollybeak Deformity - Causes of Pollybeak Deformity - Classification of Pollybeak Deformity - Treatment of Pollybeak Deformity - Polly Beak Deformity - Pollybeak Deformity Surgery in Istanbul - Revision Rhinoplasty For Pollybeak Deformity in Istanbul - Revision Rhinoplasty For Pollybeak Deformity in Turkey

Definition of Pollybeak Deformity




A nasal image similar to that of a parrot's beak may appear when the natural proportions of these two regions deteriorate after nasal surgery. This deformity, which is caused by the supratip area being ahead of the type zone, is called "Polly Beak Deformity" or "Pollybeak Deformity". This deformity can occur due to more than one cause.





Causes of Pollybeak Deformity



The most common cause is inadequate resection from the supratip region. So the beak nose deformity is a complication of a nasal aesthetic. In addition to being insufficiently taken during surgery, it may also be due to the growth of the extreme wound healing tissues that may occur in the suprathep region, leading to the growth to the front. In this case, re-operation of this region can be sufficient for treatment. Especially in patients with thick skin, after the nasal aesthetic surgery, excessive healing texture (scar tissue) may develop in the supratip region and this appearance of parrot-like beak may occur.








Another cause of the beak nose deformity may be nasal tip collapse. When the nasal region is farther behind than the supratipal region, a buccal nasal deformity can occur again.
The surplus in the Supratip region pushes the tip of the nose down, causing the "tip" region to rotate downward. This deformity is also known as "parrot beak deformity" or "supratip fullness".





Classification of Pollybeak Deformity


According to their causes, the beak nose deformity can be classified as follows:

In general, the beak nose deformity can be classified into two main forms:




1. Cartilaginous beak nose deformities (cartilaginous polly beak)

- Supratip area leading to excessive resection from the nasal bone
- Supratip area leading to incomplete resection of supratpic area
- Type zone behind due to excessive resection of lower lateral cartilage (loss of nasal support)








2. Soft tissue beak nose deformities (Soft-tissue polly beak)

- Excessive soft touch in the supratip region during recovery period due to improper bandage of the supratip area or due to skin properties
- Extreme thickening of the nasal and supratiptic skin
- unsuitable resection in vestibular mucosa
- Excessive scar tissue in the supratip region In the beak
nose deformity, in fact, the physician who performed the nasal aesthetic is also mistaken; Swelling during surgery, hiding this deformity, and replacing the supratip area with scar tissue in the post-operative period, revealing this deformity.

Patients with beak nose deformities often complain of the most complaints "beak appearance". If the nasal support is also weak; This appearance can be exaggerated when you are laughing.

Treatment of Pollybeak Deformity


In patients with deformities classified as "cartilaginous polly beak", revision nose aesthetics (secondine rhinoplasty) can be planned and treated. Tissue resection and other interventions can be performed depending on the amount of deformity and cause. As seen in the picture, the lower part of the superior part of the supratip is lowered by the lowering of the tip of the tip of the nose, which is caused by the reduction of the height of the nasal tip and the removal of the nasal tip.


In patients with deformities classified as "soft-tissue polly beak", steroid injection and banding may be recommended in the supratip region (I do not like the use of close-up cortisone injections because of side effects ...).

Gaga Burun Deformitesi Nedir? - Pollybeak Deformitesi Nedir? - Polly Beak Deformity - Revizyon Burun Estetiği - Gaga Burun Deformitesi Nedenleri - Gaga Burun Deformitesi Nasıl Tedavi Edilir?
Gaga Burun Deformitesi Nedir? - Pollybeak Deformitesi Nedir? - Polly Beak Deformity - Revizyon Burun Estetiği - Gaga Burun Deformitesi Nedenleri - Gaga Burun Deformitesi Nasıl Tedavi Edilir?

The following photographs show the nose views of the patients who underwent one or more nasal aesthetic surgeries and who underwent revision nasal aesthetic surgeries due to beak nose deformities.


Definition of Pollybeak Deformity - Causes of Pollybeak Deformity - Classification of Pollybeak Deformity - Treatment of Pollybeak Deformity - Polly Beak Deformity - Pollybeak Deformity Surgery in Istanbul - Revision Rhinoplasty For Pollybeak Deformity in Istanbul - Revision Rhinoplasty For Pollybeak Deformity in Turkey


Definition of Pollybeak Deformity - Causes of Pollybeak Deformity - Classification of Pollybeak Deformity - Treatment of Pollybeak Deformity - Polly Beak Deformity - Pollybeak Deformity Surgery in Istanbul - Revision Rhinoplasty For Pollybeak Deformity in Istanbul - Revision Rhinoplasty For Pollybeak Deformity in Turkey


Definition of Pollybeak Deformity - Causes of Pollybeak Deformity - Classification of Pollybeak Deformity - Treatment of Pollybeak Deformity - Polly Beak Deformity - Pollybeak Deformity Surgery in Istanbul - Revision Rhinoplasty For Pollybeak Deformity in Istanbul - Revision Rhinoplasty For Pollybeak Deformity in Turkey


Definition of Pollybeak Deformity - Causes of Pollybeak Deformity - Classification of Pollybeak Deformity - Treatment of Pollybeak Deformity - Polly Beak Deformity - Pollybeak Deformity Surgery in Istanbul - Revision Rhinoplasty For Pollybeak Deformity in Istanbul - Revision Rhinoplasty For Pollybeak Deformity in Turkey


Definition of Pollybeak Deformity - Causes of Pollybeak Deformity - Classification of Pollybeak Deformity - Treatment of Pollybeak Deformity - Polly Beak Deformity - Pollybeak Deformity Surgery in Istanbul - Revision Rhinoplasty For Pollybeak Deformity in Istanbul - Revision Rhinoplasty For Pollybeak Deformity in Turkey


Definition of Pollybeak Deformity - Causes of Pollybeak Deformity - Classification of Pollybeak Deformity - Treatment of Pollybeak Deformity - Polly Beak Deformity - Pollybeak Deformity Surgery in Istanbul - Revision Rhinoplasty For Pollybeak Deformity in Istanbul - Revision Rhinoplasty For Pollybeak Deformity in Turkey


Definition of Pollybeak Deformity - Causes of Pollybeak Deformity - Classification of Pollybeak Deformity - Treatment of Pollybeak Deformity - Polly Beak Deformity - Pollybeak Deformity Surgery in Istanbul - Revision Rhinoplasty For Pollybeak Deformity in Istanbul - Revision Rhinoplasty For Pollybeak Deformity in Turkey


Definition of Pollybeak Deformity - Causes of Pollybeak Deformity - Classification of Pollybeak Deformity - Treatment of Pollybeak Deformity - Polly Beak Deformity - Pollybeak Deformity Surgery in Istanbul - Revision Rhinoplasty For Pollybeak Deformity in Istanbul - Revision Rhinoplasty For Pollybeak Deformity in Turkey

Definition of Pollybeak Deformity - Causes of Pollybeak Deformity - Classification of Pollybeak Deformity - Treatment of Pollybeak Deformity - Polly Beak Deformity - Pollybeak Deformity Surgery in Istanbul - Revision Rhinoplasty For Pollybeak Deformity in Istanbul - Revision Rhinoplasty For Pollybeak Deformity in Turkey

Treatment of Pollybeak Deformity With Nose Filler Video


Treatment of Pollybeak Deformity With Nose Filler

Treatment of Pollybeak Deformity With Nose Filler

Treatment of Pollybeak Deformity With Nose Filler

Treatment of Pollybeak Deformity With Nose Filler

Treatment of Pollybeak Deformity With Nose Filler

The above video and photos show the use of a filler with crosslinked hyaluronic acid in the beak nasal deformity. These fillings with an effect duration of 1 year may be an alternative treatment option, albeit temporarily, except surgical treatment.

You can find details about "Definition of Pollybeak Deformity - Causes of Pollybeak Deformity - Classification of Pollybeak Deformity - Treatment of Pollybeak Deformity - Polly Beak Deformity - Pollybeak Deformity Surgery in Istanbul - Revision Rhinoplasty For Pollybeak Deformity in Istanbul - Revision Rhinoplasty For Pollybeak Deformity in Turkey" and before and after photos at >> Gaga Burun Deformitesi (Pollybeak Deformity)

Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul
Private Office:
Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
Appointment Phone: +90 212 561 00 52
E-Mail: muratenoz@gmail.com
Mobile phone: +90 533 6550199
Fax: +90 212 542 74 47


Monday, July 3, 2017

Nose Wing and Nasal Holes Shrinkage Surgery: Alar Base Resection

Alar Base Resection
Alar Base Resection
​​ ​​ ​​ ​​ ​
At the tip of your nose are two inverted "U" shaped "alar cartilages". This cartilage is responsible for the rigidity and breadth of the nose wings.

When the lower part of the nose wings "alar base part" is removed as shown above, there is narrowing in the nose wings and nostrils. The upper region of the alar wings can be narrowed by nasal aesthetic surgery (alar cephalic resection). However, it is removed in skin and subcutaneous tissues in alar base resection and the incision site is camouflaged by bringing the incision area to the curvature point between the nose and cheek (alar facial groove).

The Risks of Nasal Tip Reducing Procedures


Nasal tip shrinkage
Nasal tip shrinkage
There are many different techniques that have been described for the purpose of narrowing the wrist and nose wings. There are various risks involved in all operations related to nasal cartilages. If the upper parts of the alar cartilages are excessively weakened or if they are more flexible and thinner than normal, it may occur that there is collapse in the nasal wings with breathing, which is expressed as "alar collapse". A more detailed link to alar collapse has been prepared >> www.burun-estetigi-rinoplasti.com/alar-kollaps.html

In the alar base resection method shown above, which is intended to narrow the nose wings and reduce the nose width (nose threshold) when viewed from the front, the cross-sectional area of ​​the nose holes is decreased or decreased. For this reason, it may cause complaints such as increased nasal airway resistance and nasal obstruction in patients with this procedure. Unfortunately, the resection made is causing permanent narrowing of the nostril. The nose wings of people of African origin are wide and rigid towards the sides, allowing the air to easily enter the nose during breathing. In alar base resection, on the contrary, it is aimed to narrow this region. It is a technique that needs to be used more especially in people of East Asian and African descent. However, in asymmetric resections done, permanent asymmetric appearance at the tip of the nose can be caused. For these reasons, it is a technique I rarely use.

Tipplasty in İstanbul - Nose tip lifting in Istanbul - Tipplasty in Turkey

The cartilage graft (strut graft), which is placed perpendicular to the tip of the nose, does not change the anatomy of the nose tip in an exaggerated way and the tip of the nose is lifted to the front, which is already narrowing at the tip of the nose when viewed from the front. You can find information on the topic at >> Burun Ucu Estetiği / Farkli Bir Burun Ucu Kaldırma Yöntemi: Eksternal Strut Greft / Burun Ucu Kaldırma

Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul
Private Office:
Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
Appointment Phone: +90 212 561 00 52
E-Mail: muratenoz@gmail.com
Mobile phone: +90 533 6550199
Fax: +90 212 542 74 47