Female patient who had undergone a previous rhinoplasty and presented with the complaints of tip deformity. She was found to have developed a lack of tip support which resulted in what is known as a “pollybeak deformity.” She was noted to have thick nasal skin. Revision rhinoplasty included a caudal septal extension graft for tip support and tip only grafts for further tip definition. Post-operatively we see the subtle supra tip break which helps to distinguish the tip from the nasal bridge and give the tip more definition.




















































