I had rhinoplasty six months ago. Why are there dents on the sides of my columella? Should I consider revision? (Photo)

The indents are from columellar incision used for an open rhinoplasty approach. These are very difficult to fix but a small amount of filler might reduce the appearance. RegardsDr. J

It appears that you had Rhinoplasty through open technique. That's why I'm not a proponent of this approach. I utilize a closed technique- no scar across columella- for both primary and revision rhinoplasties. You have a permanent scar and a tell tale sign of an open Rhinoplasty, unfortunately. Hopefully, this has been discussed with you pre-operatively.

Thanks for the question! It appears that your open rhinoplasty scar healed in a somewhat indented fashion. At six months, this might improve to some extent over the next six months without intervention. That said, you should ask your surgeon about microneedling to smooth the scar. Three to six sessions might be needed. A conservative and careful placement of filler could help too, though I’d start with microneedling. Laser resurfacing could also be an option. Revision surgery is not indicated if you are happy with the rest of your nose. Kind regards,Dr. Mehta