9 days post-op. Can my uneven columella be fixed? (Photo)

Hello and thanks for your question.Most likely the
shape will improve after second repair. It is good to hear that you trust your surgeon. I would
recommend following all his suggestions/recommendations. The swelling
needs to resolve and that could take a year or so...Best wishes,Dr Sajjadian, Triple Board Certified Plastic SurgeonDrSajjadian.com

Dear rhinoplasty patient,
What you describe is a minor problem that was resolved by your surgeon’s intervention. I reviewed your post rhinoplasty photo and considering what you describe, you healed well. You will not have any significant scaring.
 

I read your concern and reviewed your photo 9 days post-op. My hunch is that your scar will heal favorably without further intervention. Considering you had separation at the incision, the scar looks acceptable right now, and this will continue to improve.

I hope you find this helpful.

Based on your picture, I think the best intervention is time (spent doing nothing).  Almost certainly a few months of healing will see your scar fade to where it is all but imperceptible.   The only reason your incision is so noticeable is because your surgery was so recent.

The treatments you have had thus far are appropriate and likely sufficient to leave you with a  great long term outcome.  If you get 6-12 months out and the incision has not healed well, it is generally very easy to perform a revision.  This generally can be done with only local anesthesia in the office setting. Best wishes!

Give your nose 3-6 months to heal. Most of them time these end up resolving on their own. If it heals unevenly it is generally a minor in-office procedure to revise. I would ask your surgeon what their policy is on charging for revisions.

Because of the "way" rhinoplasty is performed, there is always slightly more swelling on the "tip" side of the incision, (because more of the skin blood ciculation here has been "disturbed"). This is normal and usually resolves in about 6 months.

I am sorry that you had a problem with dealyed healing on your columella.  At 9 days post-op things are quite swollen, this may get better with time. Personally, I would not revise this scar if it is a problem for at least 6 months. It will most likely improve.