What treatment is suggested for a permanent Rhinoplasty scar after 4 years? (photos)
Doctor Answers 9
Columellar incision inversion
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Columella scarring treatment options
If you would rather try non surgical options first, then I think the fractional CO2 laser would be where to begin. It would help to blend the tissues. A vascular laser might also be necessary to minimize the redness. These can be done under topical or local anesthesia and should take minimal time to complete (5 minutes). You might need to have them repeated a few times before determining if the treatment is adequate to address your concerns.
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I have seen this, albeit very rarely in my practice over 15 years but have found that simply numbing the area, and reapproximating this tissue in a slightly more supportive fashion (with vertical mattress sutures) should really help you out.
Stay in close touch with your surgeon for best results in all cases. You should have a great experience!
Open Rhinoplasty Scar