Open Rhinoplasty incisions heal well in just about everyone.
Revision rhinoplasty is one of the most difficult, humbling operations I perform. I couldn't imagine getting a favorable, predictable result without the small columella incision.
I typically use 3 permanent sutures, and 2 absorbable sutures to close the columella. This is done purely out of habit, since that's the way my mentor trained me 11 years ago. I think this incision has a high likelihood of healing well no matter what stitches are placed. All of these sutures are removed 7 days...