Rhinoplasty: Q&A
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Is This Really Swelling Because It Was a Suture Area or is It Terrible Scar Tissue or Worse? Will It Go Away with Time? (photo)
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12 Doctor Answers |
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MELHAYDEN1
+2
Yes. Maybe. Probably not. Possibly.
Wow! 4 questions in 1 with only 2 question marks! Thanks for including photos; they are essential to see why you are understandably concerned.
Let's start at the beginning. You are 2 weeks post-op (as informed by your later comment), so the responses from my colleagues about waiting for at least weeks, but usually 4-6 months, and even up to a year are in fact correct. You ARE very early in the healing period and things will undoubtedly get better as time goes by. You would be right in...
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+1
Columellar scar following rhinoplasty
If your stitches are still in place, it is quite early to be concerned about the appearance of your columella following an open rhinoplasty. When performed correctly by a skilled surgeon, a columellar incision will leave a scar that is minimally visible. In general, a columellar scar will:
1) Fade over time
2) Benefit from scar gel
It is too soon to have scar tissue develop in the area. What you are experiencing will likely improve with time, and appears to be a result of swelling....
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Charlotte Facial Plastic Surgeon
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Columellar Scar From Rhinoplasty
With adequate healing time the appearance of the columellar scar should improve as the swelling settles down. Try and be patient. If the scar is more visible than desired after adequate time has passed, you can consider scar revision, which can likely be done under local anesthesia.
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Columellar scar after a rhinoplasty, needs more time to resolve.
It is not unusual to get some swelling around the scars from an open rhinoplasty. It appears that you are very early after the surgery. Given more time this will most likely resolve. If not a minor revision may be needed. Your plastic surgeon is in the best position to know when and if a revision would be in your best interest.
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Scar tissue adn columella incision?
It looks like the incision is very new. Most likely you are seeing swelling and you should give it at least 6 months to a year to settle down.
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Is this scar tissue?
Hard to tell and need more info, would tell you to allow 6 months before any revision is considered though, f/u with your PS and discuss your concerns with him or her, good luck
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Columellar scar is terrible after rhinoplasty
It is hard to tell how far along your scar is after an open rhinoplasty, and yes, some columellar scars do not do well. There can be tremendous change so don't give up as yet. You will have a better idea how things will look after six months or more.
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How long after suture removal
This appears to be very soon after the sutures are removed this area does have a fair amount of swelling so I feel it is far too soon to tell. If this is how it looks at 6 months then by all means a revision would be in order, but otherwise I would suggest waiting for at least six months and following your plastic surgeon's advice.
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Is Six Months Post Blepharoplasty the Appropriate Time to Address Revisions and Should I Return to Original PS
As seen in the posted photo there is a open rhinoplasty incision that has swelling and irregularities of the suture line (scar?). If after 4 months you are not pleased than consider a scar revision.
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Columella Scar Improvement
There is no question that the columella is swollen and the scar is noticeable at this point. However, as mentioned by Dr. Hughes, scar maturation takes a full year before the intense process of collagen deposition and remodeling settles down. Without knowledge of the time frame in healing, it is difficult to give more information.
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Rhinoplasty Incision
Dear Melhayden, I am not sure how soon in recovery phase you are as the incision typically heals better with time. However you do have some very unusual unevenness present in the post operative photograph that is apparant as well in the photograph taken while your sutures are in. I would discuss this with your surgeon upon examination he/she should be able to answer your question directly. With that said this is not the area I prefer to place my incision during open...
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Sutured Area after Rhinoplasty
The scar maturation process takes approximately 1 year from the time of surgery, and this area should improve markedly.
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