How Do You Access Beneath Columnella Skin (Closed Rhinoplasty)?

Thank you for your question. In a closed approach, there is no incision on the columella. This area could be accessed to reduce scar tissue underneath with this approach. Depending if the skin itself has scar thickening, you may need an open approach to revise the scar properly. I hope this helps, and all the best to you.
-Dr. P