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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
Archives of Facial Plastic Surgery
|February 15, 2002
Summary
Intralesional triamcinolone acetonide injections effectively correct soft tissue pollybeak deformities after rhinoplasty. This minimally invasive approach offers good results with no complications, serving as a primary treatment option.
Area of Science:
- Plastic Surgery
- Dermatology
- Otolaryngology
Background:
- Soft tissue pollybeak deformity is a common complication following rhinoplasty.
- Revision surgery for pollybeak deformity can be challenging and carry risks.
Purpose of the Study:
- To describe the technique for correcting soft tissue pollybeak deformities using intralesional triamcinolone acetonide injections.
- To evaluate the efficacy and safety of this treatment modality.
Main Methods:
- A series of 173 patients undergoing rhinoplasty were treated for soft tissue pollybeak deformity.
- Triamcinolone acetonide was administered via intralesional injection, often with a second dose.
- Treatment outcomes were assessed by the surgeon based on supratip definition.
Main Results:
- 85% of treated patients achieved acceptable results with good supratip definition.
- 15% experienced less than optimal outcomes with residual supratip fullness.
- No complications were reported secondary to triamcinolone injections.
Conclusions:
- Intralesional triamcinolone injection is a recommended first-line treatment for soft tissue pollybeak deformities.
- This method is preferred over revision surgery due to its lower complication rate.
- Revision rhinoplasty remains an option if steroid injections prove insufficient.