Patient Photos

Overprojected Tip and Pollybeak Deformity after Hump Takedown

This Seattle revision rhinoplasty patient came to Dr. Thomas Lamperti desiring improvement to the tip of her nose. She had undergone a septo-rhinoplasty about 4 years previously which improved the bony hump on bridge. However, she was dissatisfied with the residual fullness to the tip of her nose (best seen on profile view). During the preoperative assessment Dr. Lamperti also noted an asymmetric bulbosity to the patient’s left nasal tip and a slight deviation of the columella to the right. The tip was also overprojected and, given the patient’s height, she also had an over-rotated (too upturned) tip. Dr. Lamperti performed a revision septo-rhinoplasty in which he encountered persistent septal cartilage and scar tissue causing the patient’s residual tip roundedness. Using cartilage harvested from the septum, he flattened the left tip to make it more symmetric with the right. He also rebalanced the patient’s tip projection and reduced the rotation slightly. On base view one can also see that the columella was made straighter. The patient is shown before and 3 years after her revision nasal surgery with Dr. Lamperti.