How Can my Uneven Nostrils Be Corrected and Scars on Columnella Be Reduced?

I've had several nasal surgeries, and have obvious scars on my columnella, which are very embarrasing to me. I can't seem to find a surgeon who can get it right. Now I have uneven nostrils, too. I've already spent thousands of dollars on my nose, and it still doesn't look right. My last surgeon keeps blowing me off, because he obviously didn't do me justice. My main concern now is that my scars are minimized and nostrils are even. Can anything be done without paying thousands again?

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5 Doctor Answers | Asked by Rocky22 in Kansas

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Uneven nostrils and columellar scar revision

The columellar scar may be able to be revised. It's hard to get a good sense of it from your photo, but in general the scar could be revised by excising the scar itself and reclosing it. Another possibility is to perform dermabrasion to essentially sand the scar to help blend it. Either option could be done under local anesthesia in the office. Addressing your nostril asymmetry may be more complicated. You do seem to have retraction of your right nostril margin. This can be more... more

Rhinoplasty revision--again! How to make this the last time!

Rocky, I am sorry you are having these difficulties. Your columellar scar is indeed visible, but based on what your photograph shows, nobody notices this as much as you. Of course, your are your own worst critic, and it is your own reflection you see in the mirror every day, so it is appropriate for you to want things as good as humanly possible. I get that. But, you need to understand that perfection is not in the cards, especially with what sounds like at least your 4th nasal surgery.... more

Uneven nostrils

It would be helpful if you can provide a photo looking directly at your nostrils with your head all the way back- also a close-up on the scars would be helpful. Nostril asymmetry is usually a result of cartilage asymmetry underneat, scarring, or a combination of both. Most issues are correctable to some point although the more surgery the more scarring which adds to unpredictability. It's hard to comment on cost without knowing exactly what is involved in your repair. more

Columellar Scar and Asymmetrical Nostrils

An unfavorable columellar scar can be easily revised under local anesthesia. It appears you have retraction of the alar margin on the right side. A small cartilage graft can be placed to lower that margin. Get a second opinion if your surgeon does not want to address your concerns.

Richard W. Fleming, MD

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Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Columellar scars after multiple rhinoplasties

With the open technique an incision is made across the columella, hopefully near the base where it inserts into the face and is less noticeable. If closed meticulously, these scars usually fade with time. But if the scars are still visible after a few months, a simple in-office dermabrasion with a diamond fraize can easily be done under local anesthesia. If the scar has spread, it may need to be re-excised and re-approximated. If the problem is at the sides of the columella, it may reflect... more