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

Question

Hi doctors, Six months ago I underwent a rhinoplasty where the doctor corrected my deviation, lifted my tip, and shaved a hump. I love everything about my new nose except that when you look at it from below, you can see that there are dents in the skin on both sides of the columella. One side is more dented and I can feel that skin is dented when I touch it. Is this scar tissue? Will it ever go away and should I consider revision

Tanveer Janjua, MD · Answer

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

Thomas Trevisani, MD · Answer

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.

Umang Mehta, MD · Answer

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

William Portuese, MD · Answer

The dents you're referring to are directly related to an open rhinoplasty incision. This could be completely avoided with a closed rhinoplasty approach. Best to speak with your operative surgeon about options are going to be rather limited

Julian Rowe-Jones, MBBS, FRCS (Eng), FRCS (ORL) · Answer

These dents on the sides of your columella relate to the incision line.  They may become less noticeable over the next six months as swelling settles further so do not worry.  Columella scar revision can be very difficult so if you are worried at a year have very careful discussions with your surgeon.

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

Answers (6)

Answer: I had rhinoplasty six months ago, why are there dents on the side of my columella?

Answer: I had rhinoplasty six months ago, why are there dents on the side of my columella?

Answer: Rhinoplasty scar

Answer: Rhinoplasty scar

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

Answers (6)

Answer: I had rhinoplasty six months ago, why are there dents on the side of my columella?

Answer: I had rhinoplasty six months ago, why are there dents on the side of my columella?

Answer: Rhinoplasty scar

Answer: Rhinoplasty scar

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Recommended reading

Everything you need to know about Revision Rhinoplasty

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