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Background, Pollybeak deformity is the most common delayed complication o f rhinoplasty. The pre­
vention practicehave not been fully determined. The purpose was to analyze and evaluate the results o f using
different variants ofsurgical approaches and modified methods of preservation rhinoplasty and their importance in
preventing the development o f pollybeak deformity. Materials and methods. The study included 154 patients with
similar aesthetic nasal deformities. They were divided into 3 groups, depending on the techniques and methods of
rhinoplasty applied. In group l (68 patients), the cartilaginous skeleton of the nasal Up was isolated supraperiehon-
drially, then, crossing the Pitanguy’s ligament and the scroll ligament complex, the dorsum o f the nose was isolated supraperichondrially in the cartilaginous part, and subperiosteally in the bone part. In group 2 (27patients), the cartilaginous skeleton of the tip of the nose was isolated subperichondrially and, without crossing the Pitanguy’s ligament, scission o f this ligament was performed vertically. In this type of access, the scroll ligament complex was no damaged. The dorsum of the nose was excised subperichondrially and subperiosteally. In group 3 (59 patients), soft tissue separation was performed under the perichondrium and under the periosteum. A suture was placed between the anterior septal angle and the Pitanguy’s ligament in the supratip region. Results. Pollybeak deformity ingroups /, 2, and 3 occurred in 14(20.6 %), 3(11.1 %), and 2(3.4 %) cases, respectively. 11 (16.2 %), 3(11.1 %), and 2 (3.4 %) patients developed a mild degree., respectively. Moderatand severe cases were detected only in group Jo f the study: in  2 (2.9 %)  and 1(1.5%) patients, respectively. The rhinoplasty method used ingroup 3 allowed to significantly (p < 0.05) reduce the overallfrequency of mild pollybeak deformity compared to group l. Conclusions.
Preventing the development of pollybeak deformity involves the application of modified techniques.
Keywords: preserving rhinoplasty; complications; pollybeak deformity; prevention