Indented Columella Scar More Noticeable over the Years? (photo)

Question

I had a rhinoplasty 5 years ago and my columella scar had become more prominent and indented over the last 2 years. Can this be corrected using dermabrasion (or a similar treatment) or do I need to undergo a scar revision?

Stephen Weber MD, FACS · Answer

The photo you've provided does appear to show a significant indent in your transcolumellar scar. It is hard to tell for sure without seeing a profile view but dermabrasion likely will not provide enough benefit to camouflage the scar. Scar revision (cutting out and replacing the widened scar with a finer scar) is likely the best option. Seek an in person consultation with a Facial Plastic Surgeon for  more specific advice. I hope this information is helpful.Stephen Weber MD, FACS

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Michael I. Echavez, MD · Answer

Your picture is not ideal to view your scar, but if your columellar scar is depressed, it's possible that a filler could be used to help raise it and make it less noticeable.  The other option would be to have the scar surgically revised.

Steven Wallach, MD · Answer

It looks like you may benefit from a scar revision of your open rhinoplasty incision. Best to be seen in person.  Good luck.

Darryl J. Blinski, MD · Answer

This is one of the complication of open rhinoplasty. ONLY scar revision will help. Best to see your surgeon to discuss

Indented Columella Scar More Noticeable over the Years? (photo)

Answers (5)

Answer: Scar revision from open rhinoplasty

Answer: Scar revision from open rhinoplasty

Answer: Indented Columella Scar More Noticeable over the Years?

Answer: Indented Columella Scar More Noticeable over the Years?

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Indented Columella Scar More Noticeable over the Years? (photo)

Answers (5)

Answer: Scar revision from open rhinoplasty

Answer: Scar revision from open rhinoplasty

Answer: Indented Columella Scar More Noticeable over the Years?

Answer: Indented Columella Scar More Noticeable over the Years?

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Recommended reading

Everything you need to know about Scar Removal

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