Polly beak or “parrot beak” nose deformity is caused by a complication of rhinoplasty. Pollybeak deformity specifically results from a fullness in the supratip nasal areas that leads to loss of the supratip breakpoint or dip. As a complication of rhinoplasty Polly Beak deformity can be caused by inadequate resection or trimming of the cartilaginous portion of the nasal hump. It can also result from the dropping of the nasal alar tip due to over resection of the nasal bones and the lower lateral cartilages which lead to the loss of nasal tip support. Poor healing or excessive scarring after rhinoplasty can also result in Pollybeak deformity, especially in those with thick nasal skin.
In cases of soft tissue Pollybeak deformity steroid injection to the nasal tip might help to reduce the excess swelling or scarring. On the other hand, treatment of cartilaginous Pollybeak deformity requires Revision nose surgery, at which point the excess cartilaginous septum is trimmed and/or the nasal tip is elevated and supported with cartilage grafts.