Polly beak deformity is one of the most common complications of a rhinoplasty operation, defined by the typical appearance of a dorsal nasal convexity resembling a parrot’s beak. While it may be the result of technique, it may be an unpredictable complication even with the most experienced surgeons. Types have been described, which could by cartilaginous or soft tissue types. This deformity can be suspected earlier based on the skin type and sub-cutaneous tissue or can be expected postoperative by certain surgical techniques. Different types of management approaches are discussed.