Disconnected Columella on One Side, Not Lined Up Evenly? (photo)

Hello, I had open rhinoplasty almost a week ago , it was revision rhinoplasty . The incision line on the columella became disconnected on the side and seems like it wont be healed evenly because it has nowhere to connect to lined up. Im very worried about it, it looks very bad like skin cut. I have spoken with my Dr. and he said its nothing to worry, but to me it looks like it wont be healed well and this peace of skin will stay noticable. Please tell me what should I do now and what to expect?

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3 Doctor Answers | Asked by Lana32

Doctor Answers (3)
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Columellar incision separation

You may have an area of separation of the incision line on the right side where you circled. The area may heal just fine on it's own and doing incision line care as instructed by your surgeon will help this along. A small scar revision can be done in the future if needed. In some cases of incision line separation I'll place a small temporary suture to help bring the skin edges back together. Your surgeon is the best person to assess whether this would be a good idea. more

Why dont rhinoplasty patients believe their doctors?

It seems to me the operating surgeon here and in most cases gives the patients very good advice. Many of the questions are disbelief of their surgeon who is the best one to understand their concerns. Are we simply not believable or dont we prepare our patients well enough. When a doctor on this line disagrees with the surgeon does the patient go running into the office like he has a smoking gun." See youare wrong and I was right all along"

Healing of the open rhinoplasty incision

Thanks for the question and photo. It seems that you have a dehiscence or separation of a small portion of your open rhinoplasty incision. In all likelihood, this will heal quite well over the next few weeks, despite the separation. I typically advise my patients to put antibiotic ointment (Bacitracin) on the incision three times a day after surgery after all open rhinoplasty procedures. This helps to keep the incision moist and minimizes crusting. You can certainly ask your surgeon if... more