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Correction of the soft tissue pollybeak using triamcinolone injection
Matthew M Hanasono1, Russell W H Kridel, Norman J Pastorek
1Facial Plastic Surgery Associates, 6655 Travis St, Suite 900, Houston, TX 77030-1336, USA. rkridel@todaysface.com
Objective:
To describe the technique for correction of the soft tissue pollybeak deformity using intralesional injection of triamcinolone acetonide.
Methods:
We discuss our philosophy, regimen, and technique for treatment of the soft tissue pollybeak using triamcinolone injection. We include results from a series of 173 patients who underwent rhinoplasty performed by one of us (N.J.P.).
Results:
Triamcinolone was injected at 1 week after surgery in 127 patients (73%). A second injection was performed in 92 (72%) of the 127 patients at 4 weeks after surgery. One hundred eight (85%) of the 127 patients had an acceptable result, as judged by the surgeon, with good supratip definition. Nineteen (15%) of the 127 patients had a less than optimal result, with residual supratip fullness, as judged by the surgeon. There were no complications caused by triamcinolone injection.
Conclusions:
Because revision surgery is difficult and may be associated with complications, intralesional triamcinolone injection is the first-line treatment for the soft tissue pollybeak deformities caused by subdermal scarring. Should intralesional steroid injection fail to satisfactorily treat the deformity, revision rhinoplasty can subsequently be performed.
