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A New Classification of Pollybeak Deformity and Its Treatment in Asian Rhinoplasty

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  • Rhinoplasty
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Abstract

Background

Supratip deformity, also known as pollybeak deformity, is a common complication of primary and secondary rhinoplasty, characterized by fullness in the supratip region. The correction of pollybeak deformity is a challenging procedure, and its management requires a thorough understanding of the pathogenic mechanism of pollybeak deformity.

Objectives

This study aimed to evaluate the effectiveness of surgical methods for correcting pollybeak deformity in Asian rhinoplasty.

Methods

A retrospective chart review was conducted for 53 patients who underwent pollybeak correction between 2021 and 2022. A modified classification system for pollybeak deformity, the Supratip Fullness Rating Scale (SFRS), was developed to evaluate supratip fullness. The aesthetic outcomes of the patients were assessed by surgeons using the visual analog scale (VAS), and patient was self-assessed using the Rhinoplasty Outcome Evaluation (ROE) scale.

Results

The study demonstrated that our surgical method resulted in satisfactory outcomes, with a mean SFRS score change from 2.34[0.65] to 0.23[0.42], a decrease in VAS score from 7.47[1.73] to 1.79[1.67] and a high satisfaction rate of 77.36%, calculated by ROE score. No complications were reported.

Conclusion

Our surgical method for correcting pollybeak deformity in Asian rhinoplasty can result in satisfactory outcomes, particularly in terms of aesthetic appearance, without any side effects. The use of the modified classification system (SFRS) can provide an objective evaluation of supratip fullness, thereby aiding in the management of this challenging complication.

Level of Evidence IV

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Funding

This work was supported by the Hunan Provincial Natural Science Foundation (No.2021JJ30034).

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Authors and Affiliations

  1. Department of Plastic and Aesthetic (Burn) Surgery, The Second Xiangya Hospital of Central South University, Changsha City, Hunan Province, PR China

    Xiancheng Wang, Hongli Zhao, Yang Sun, Xiang Xiong, Xianxi Meng, Wenbo Li, Zhihua Qiao, Weiliang Zeng, Kai Yang & Yi Tian

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  1. Xiancheng Wang
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Correspondence to Xiancheng Wang.

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Conflict of interest

The authors declared no potential conflicts of interest with respect to the research, authorship and publication of this article.

Informed consent

Written informed consent was obtained from all patients for the procedures performed and for the use of their images.

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Xiancheng Wang and Hongli Zhao is the first co-author.

Supplementary Information

Below is the link to the electronic supplementary material.

Supplementary Table 1. Visual analog scale (VAS) questionnaire for surgeon byphotograph 1 (DOCX 182 kb)

Supplementary Table 2. Rhinoplasty Outcome Evaluation (ROE) questionnaire forpatients (DOCX 222 kb)

Supplementary video 1. Supratip suture (MP4 51012 kb)

Supplementary video 2. Supratip skin excision (MP4 88083 kb)

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Wang, X., Zhao, H., Sun, Y. et al. A New Classification of Pollybeak Deformity and Its Treatment in Asian Rhinoplasty. Aesth Plast Surg 48, 388–397 (2024). https://doi.org/10.1007/s00266-023-03695-3

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  • DOI: https://doi.org/10.1007/s00266-023-03695-3

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