How Can I Help Healing of Columella Incision?

Columellar incisions typically heal without a perceptible scar in most Surgeons hands.  There is no scar cream or scar treatment that is clinically proven to speed up the wound healing process that we, as humans, are genetically designed to have.

I tell my patients to perform twice dialy incision line care with diluted peroxide followed by plain vaseline for the first two weeks after surgery. After that it is important to place sun block of SPF 30 or higher on the scar when going outside for 6-12 months to prevent darkening of the scar. Other than that there's not much else to do, though mederma won't hurt to use. I find that with chronic use bacitracin (or other antibiotic ointments) often cause a contact dermatitis (redness, itching) so I tell my patients to avoid using that type of ointment.

Of course, I would follow the instructions of your surgeon as that's who knows your particular situation best.