Male interested in columellar scar revision 6 years after open rhinoplasty - what are my options? (photos)

Question

Male with visible columellar scar following an open rhinoplasty six years ago. My surgeon used a previously existing columellar scar, but it ended up looking more prominent than before. What are my options for minimizing the appearance of this scar? I have other concerns for a revision, such as bulging scar tissue, but the scar is main concern. I would greatly appreciate any advice and recommendations.

Thomas A. Mustoe, MD, FACS · Answer

I agree that the scar is highly visible on profile. Part of the problem is that the tip cartilage (medial crura is bowed and needs to be straightened as part of the repair.  It is unlikely that a simple scar revision involving skin only will fix the problem.  The correction of the medial Curia might require a cartilage graft to brace and stiffen the cartilage to make it straighter.

William Portuese, MD · Answer

It's going to be impossible to get rid of the actual scar itself, however you do have a significant hanging columella which exacerbates the visibility of your scar.  A revision rhinoplasty can accomplish reduction of the significant hanging columella and adding a small pumping cartilage graft to the depression in the scar itself

Male interested in columellar scar revision 6 years after open rhinoplasty - what are my options? (photos)

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Male interested in columellar scar revision 6 years after open rhinoplasty - what are my options? (photos)

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Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.