Revision rhinoplasty in ethnic patients: pollybeak deformity and persistent bulbous tip

Pollybeak deformity has been reported as the most common complication of rhinoplasty surgery, occurring in some series in up to 50% of cases. Persistent bulbous tip after initial rhinoplasty is also a common complication; both lead to dissatisfaction with the esthetic result in many patients and are common complaints leading to subsequent revision rhinoplasty. In this retrospective review of 28 cases of revision rhinoplasty in ethnic patients, the most common indication for revision included pollybeak deformity and persistent bulbous tip. A majority of deformities were caused by poor implant selection and placement. Desirable esthetic results were often achieved by removal of existing grafts and replacement with custom-carved silicone implants.