Revision Rhino for Scarred Columella

asked 1 year ago by Andread Baka in Singapore
Latest answer by Thomas A Lamperti, MD
Question viewed 337 times
Tags: columella, scar

Im planning to have revision rhino n was advised by the Dr.V & was advised rib cartilage.I have scar from previous surgery on my columella(stiches line&keloid at the bottom).Dr.V advised to wait til revision is fully heal to consider scar revision.He will incise at the middle (horizontal) of my columella for the revision.My previous doc. is against rib cartilage&told me that scar in rhinoplasty is normal& some(like me)are more prone to scar.He said incision should be at the bottom as previous.

9 answers to Revision Rhino for Scarred Columella

Revising columellar incision scar

If you're planning on a revision rhinoplasty procedure it is more standard to use the prior incision and revise the scar at the same time. Without seeing your nose it's difficult to give a full assessment of this though.

Thomas A Lamperti, MD
Seattle Facial Plastic Surgeon

www.drlamperti.com

Choice of incisions with revision

Without seeing your pictures it is very hard to give you accurate advice but , in general, it is common practice to use the existing incisions instead of making new ones.

Sam Naficy, MD
Seattle Facial Plastic Surgeon

seattleface.com

Open Rhinoplasty

If a cartilage graft is needed, the Surgeon should use the previous incision because if a more anterior incision is used there is a good possibility that the tissue between the old scan and new incision will die.

Walter D. Gracia, MD
Arlington Plastic Surgeon

Many noses are more safely and accurately revised by closed rhinoplasty

Although open rhinoplasty is very common, it t has significant drawbacks. All the modern techniques can be done through the inside (closed), and many were originally designed to be done that way. My research presented at the annual meeting of the American Society of Aesthetic Plastic Surgeons shows that patients seeking revision rhinoplasty who were originally treated by open rhinoplasty have more deformities than those who were originally treated closed, and their deformities are... more

Mark B. Constantian, MD
Nashua Plastic Surgeon

drconstantian.com

Revision Rhinoplasty with Scarred Columella

With all due respect for your surgeon, I would do the revision surgery through the previous incision and revise the scar at the same time rather than make a new incision.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Scar at columella

The columella scar usualy heals quite well after rhinoplasty, but I would give it time( at least a year usually) before considering a revision.

Steven Wallach, MD
Manhattan Plastic Surgeon

Revision of Columella Scar

Waiting for things to settle down for 6-12 months after any rhinoplasty operation is a good practice. The need for cartilage, rib or other, is often a choice made best by an experienced surgeon in consultation with the patient. Without photos and a more detailed history we can't call that here. A columellar scar after an incision is expected up to a point. It sounds like you have a hypertrophic scar, which may settle down over time. A revision of the scar can be done if indicated after a... more

Ira D. Papel, MD
Baltimore Facial Plastic Surgeon

Revision Rhinoplasty and Scarred Columella

Hello, I think that it is wise to wait until things are healed prior to performing a revision. I like to wait at least one year before reoperating on a nose, particularly if it is a complicated revision that will require grafting. If restructuring of the nose or augmentation is needed, my personal preference is to use rib cartilage if a lot of tissue is needed and when septal cartilage is not available. i stronly believe this is the best grafting material available to us for revision... more

Andres Gantous, MD
Toronto Facial Plastic Surgeon

Keloid on Columella

If I understand your problem correctly, you have a keloid scar on the columella and have lost support for the tip of your nose requiring a rib graft to repair. Waiting at least 6 months after your last rhinoplasty is always good advice. Keloids can be treated in the meantime with steroid injections. You will be at risk for another keloid if you have surgery again, and injection with steroids beginning one week after surgery can be helpful. For support of a collapsed nose with a lack of... more