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

Question

I had tipoplasty 9 days ago-cast,splints,and ext. stitches removed on day 5.Shortly after, the incision line on the columella became unconnected on the l. side.I went right back in.The Dr. glued it and put steristrips on it.Today, the steristrips came off and now my columella is uneven.The top and bottom are not lined up evenly on the left side.There is a ridge where the top of the incision sticks out from the bottom. Can and how can this be fixed and should I expect the Dr. to do it free?

Ali Sajjadian, MD, FACS · Answer

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

Kevin Sadati, DO · Answer

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.

Eric M. Joseph, MD · Answer

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.

Michael Bowman, MD · Answer

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!

Gary D. Breslow, MD, FACS · Answer

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.

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

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

Answers (7)

Answer: Colummellar scars after rhinoplasty heal well

Answer: Colummellar scars after rhinoplasty heal well

Answer: Uneven columella after rhinoplasty

Answer: Uneven columella after rhinoplasty

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Recommended reading

Everything you need to know about Rhinoplasty

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