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

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.

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