My nose job was about two months ago

It is difficult to say without seeing you, but it is possible that this is a “pollybeak.” A pollybeak refers to a specific problem of the nasal dorsum, specifically postoperative fullness of the supratip region, with an abnormal tip-supratip relationship. This may have several causes, including failure to maintain adequate tip support (postoperative loss of tip projection), inadequate cartilaginous hump (anterior septal angle) removal, or supratip dead space and scar formation.

Treatment of the pollybeak deformity depends on the anatomic cause. If the cartilaginous hump was underresected, then the surgeon should resect additional dorsal septum. Adequate tip support must be ensured; maneuvers such as placement of a columellar strut may be of benefit. If the bony hump was overresected, a graft to augment the bony dorsum may be beneficial. If a pollybeak is from excessive scar formation, Kenalog (triamcinolone) injection or skin taping in the early postoperative period should be undertaken before any consideration of surgical revision.

Posted by Dr. Becker