Case 13


Case 13

[Nassif\, Paul S. and Kulbersh\, Jonathan]

Major Deformity

Bulbous tip

Minor Deformities

Pollybeak deformity, nose encased in silicone granulomas


This 43-year-old woman had undergone three previous rhinoplasties as well as silicone injections into the nose. Following a dental infection, her nose began to swell and exhibit granulomatous changes. The patient then underwent multiple steroid injections without improvement. She complained of right nasal obstruction and constant facial pressure ( Fig. 13.1A–H ).

Fig. 13.1 (A–D) Preoperative photos of the patient.

Analysis of Preoperative Photos

The tip is amorphous, wide, and has a classic pollybeak deformity. The alae and sidewalls are swollen from the granulomatous reaction to the silicone; this is worse on the right side. There is obstruction of the external nasal valve on the right.

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Jul 7, 2020 | Posted by in OTOLARYNGOLOGY | Comments Off on Case 13

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