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Columella Scar Following Rhinoplasty

asked 1 year ago by kelly72 in white plains
Latest answer by Michael H. Rosenberg, MD
Question viewed 1,550 times
Tags: female, columella, scar

I am 6 months post open Rhinoplasty and am really unhappy with the appearance of the columella scar. There is a noticeable step on each side, one side more so than the other. The nose looks 'wonky' and one nostril also appears slightly larger than the other. My surgeon has agreed to undertake a small half-hour scar revision procedure but I am doubtful that this will address all my concerns. Also, should I be considering going under the knife again with the same consultant?? Thanks K

13 answers to Columella Scar Following Rhinoplasty

+2

Nose Scarring after Rhinoplasty

Columellar scars almost never heal bad. Your situation is specific in that the actual scar healed well but becasue the sides were not approximated accurately, there are noticeable step offs. If you are happy with the rest of your nose, you may want to consider the same surgeon. This will save you time and money. Furthermore, the revision for this is fairly simple but your columella in general will look better if the base of it was narrowed. This requires soft tissue to be removed between... more
Ashkan Ghavami, MD

Beverly Hills Plastic Surgeon

www.Ghavamiplasticsurgery.com

+2

Revision for columella scar?

A beautiful columella scar requires meticulous attention to detail when closing the wound. If the skin isnt perfectly aligned, and if the dead space within the wound isnt filled (which is why I use a two layer closure) noptching and step offs occur. I agree with having a revision performed by the same surgeon to correct it.
Mark D. Epstein, MD

Stony Brook Plastic Surgeon
+2

Rhinoplasty revision

The photo is dark so I can't see the scar as well as I might like but if you don't like other aspects of your result, revising the scar won't fix those.  Your tip looks round and might possibly have gotten more definition in your open rhinoplasty.  But I don't know if this isn't a great improvement from preop because we don't have a photo of that.
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon
+1

The columella scar across the base of the nose typically heals well after open Rhinoplasty,

And the open approach allows for greater attention to detail in correcting any changes that are desired in the nasal tip. It is also my approach of choice for patients whoo have already had a Rhinoplasty and want a revision, where the normal anatomy has already been changed surgically. If the scar remains prominent or uneven after sufficient time has passed, and there is no improvement with massage or injection techniques, than a revision of the scar should improve the appearance... more
Michael H. Rosenberg, MD

White Plains Plastic Surgeon

plasticsurgeryweb.com

+1

Columella Scar

Kelly, I looked at your photographs. I would have the same surgeon revise the scar. Most of the time this type of stepoff scar is easily corrected.
Burr Von Maur, MD

Orange County Plastic Surgeon
+1

Rhinoplasty - columella scar

Kelly, I looked at your photo and agree that there are step offs.  This is surprising as columellar incisions usually heal with an almost invisible line.  This should be relatively easy to fix and could be done under local anesthesia.  Most nostrils are not completely identical even on non-operated patients and based on your photo - they are not significantly different from each other.  As to whether or not to return to your plastic surgeon - this is personal... more
Catherine Huang-Begovic, MD

Beverly Hills Facial Plastic Surgeon
+1

What to do with cars under my nose

Dear Kelly from white plains, I reviewed basal view of your nose pictures, I agree that there are step-offs on both sides. However the incision site has healed well. If the step-offs are your main concerns after your initial rhinoplasty, I would recommend seeing your own surgeon to correct them. This could be performed under local anesthesia with no charges to you.
Kevin Sadati, DO

Orange County Facial Plastic Surgeon

www.galleryofcosmeticsurgery.com

+1

Your columella scar after Rhinoplasty Surgery may be improved.

I read your concerns and reviewed your photo. If you have other concerns about the appearance of your nose that would require surgery, then you should not undergo an in-office scar revision. Since you're having concerns about your rhinoplasty surgeon, please see several reputable rhinoplasty specialists to see what would be best for you. Feel free to email your photos along with a description, and I'll be happy to share my thoughts with you. If the "step off" was... more
Eric M. Joseph, MD

West Orange Facial Plastic Surgeon

www.ericmjoseph.com

+1

Revision Rhinoplasty of Columellar Scar

Hi Kelly, You should be sure that your rhinoplasty surgeon understands your concerns and feels that he/she can accomplish the correction.  If you are confident in your surgeon then it isokay to have the revision by the same surgeon.  If not choose another surgeon carefully whom you trust.  It may be a good idea to get a few second opinion consultation either way.  Good luck and be well, hope that you get the nose that you desire. Dr. P
Michael A. Persky, MD

Los Angeles Facial Plastic Surgeon
+1

Columella scar revision

An open rhinoplasty leaves usually a small almost imperceptible scar on the columella. If the scar is pinching or "looking wonky" then it could be a very simple procedure to revise the scar.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Collumellar scar revision

If the step-off is the only aspect of your rhinoplasty that you are concerned with, I would choose the same surgeon as this could be done under local and would likely be inexpensive or free of charge.  If there are other aspects that are unsatisfactory, it would be wise to address them with your current physician.  If you are unsatisfied with the information that you attain, seek an additional opinion.  The scar revision is a minor procedure.  Good luck! more
Jason R. Hess, MD

San Diego Plastic Surgeon
+1

My nose looks 'wonky' and one nostril also appears slightly larger than the other

Regarding : "I am 6 months post open Rhinoplasty and am really unhappy with the appearance of the columella scar. There is a noticeable step on each side, one side more so than the other. The nose looks 'wonky' and one nostril also appears slightly larger than the other. My surgeon has agreed to undertake a small half-hour scar revision procedure but I am doubtful that this will address all my concerns. Also, should I be considering going under the knife again with the same... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

Columellar Scar Straightforward to Revise

It is a little unclear as to what happened to your incision but this is an unacceptable result.  It sounds as if your surgeon is in agreement. Correcting the scar should not be at all difficult and I don't see any reason to have a new surgeon complete your revision.  If you want more significant correction, it might be worthwhile getting a second opinion even if you are mostly sure you want to stay with the original surgeon. Your comments suggest that you have at least some... more
Joseph Campanelli, MD

Minneapolis Facial Plastic Surgeon

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