Post Rhinoplasty Fibrosis and Collagenase

This study aims to explain the technique used to correct the soft tissue pollybeak deformity by utilizing intralesional injection of collagenase. We present our approach, procedure, and treatment regimen for addressing the soft tissue pollybeak using collagenase injection. We provide data from a group of 19 patient who underwent rhinoplasty. Collagenase was administered to 19 patients presented with soft tissue pollybeak deformity. Among these patients, 14 patient (74%) achieved satisfactory results with notable supratip definition, and 5 patients (26%) of the 19 patients experienced suboptimal outcomes, displaying residual supratip fullness according to the surgeon's assessment. Given the challenges and potential complications associated with revision surgery, the intralesional collagenase injection stands as the primary treatment for soft tissue pollybeak deformities caused by subdermal scarring. In cases where the deformity remains unaddressed after intralesional injection, revision rhinoplasty can be considered as a subsequent option.