Uneven Columella Post-op

I had tipoplasty 9 days ago-cast,splints,and ext. stitches removed on day 5.Shortly after, the incision line on the columella became unconnected on the l. side.I went right back in.The Dr. glued it and put steristrips on it.Today, the steristrips came off and now my columella is uneven.The top and bottom are not lined up evenly on the left side.There is a ridge where the top of the incision sticks out from the bottom. Can and how can this be fixed and should I expect the Dr. to do it free?

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columella uneven female

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6 Doctor Answers | Asked by Zoe4940

Doctor Answers (6)
Community Comments (0)

Your columella incision will continue to improve after your Rhinoplasty Surgery.

I read your concern and reviewed your photo 9 days post-op. My hunch is that your scar will heal favorably without further intervention. Considering you had separation at the incision, the scar looks acceptable right now, and this will continue to improve. I hope you find this helpful.

Eric M. Joseph, MD

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West Orange Facial Plastic Surgeon

www.ericmjoseph.com

Colummellar scars after rhinoplasty heal well

Based on your picture, I think the best intervention is time (spent doing nothing). Almost certainly a few months of healing will see your scar fade to where it is all but imperceptible. The only reason your incision is so noticeable is because your surgery was so recent. The treatments you have had thus far are appropriate and likely sufficient to leave you with a great long term outcome. If you get 6-12 months out and the incision has not healed well, it is... more

Uneven columella after rhinoplasty

Give your nose 3-6 months to heal. Most of them time these end up resolving on their own. If it heals unevenly it is generally a minor in-office procedure to revise. I would ask your surgeon what their policy is on charging for revisions.

Concern about icision and scar after a nose job

Dear rhinoplasty patient, What you describe is a minor problem that was resolved by your surgeon’s intervention. I reviewed your post rhinoplasty photo and considering what you describe, you healed well. You will not have any significant scaring.

Uneven incision line on columella after rhinoplasty is "normal" 9 days postop

Because of the "way" rhinoplasty is performed, there is always slightly more swelling on the "tip" side of the incision, (because more of the skin blood ciculation here has been "disturbed"). This is normal and usually resolves in about 6 months.

Columella scar

I am sorry that you had a problem with dealyed healing on your columella. At 9 days post-op things are quite swollen, this may get better with time. Personally, I would not revise this scar if it is a problem for at least 6 months. It will most likely improve.