Columella Scar - I'm Worried About It? (photo)

I have read all the expert responses and I will interpret them a bit differently. I believe you need a revision of the columella incision. Either the closure was NOT "lined" up properly, or a dehiscence has occurred, or as Dr Prendiville stated the caudal edge is out of line causing the appearance of an uneven closure, or a combination of these effects. Either way see you surgeon ASAP to understand this issue and determine a plan for correction. Whether it will be observation of the stages of healing to see if there is any improvement or an immediate surgery to correct is up to YOU and your chosen surgeon (I hope he/she) was a boarded surgeon. 

You definitely have a poorly aligned skin edge when the closure was performed thus making the scar look obvious but this is compounded by the fact that the caudal end(lower end) of the septum is deflected to the right and into the right nostril.  The scar should be revised but not for at least 3 months to allow healing to occur from the original surgery and the possibility that it may improve.  In 3 months both the scar and the septum can be corrected to correct the present deformity.

Thank you for your question.  I must say it does look more irregular than most normal average columellar incisions.  Please see your plastic surgeon to rule out opening of the wound - dehiscence - or infection.  Rhinoplasty scars can be light red and swollen at 10 days post-op but should be fairly well aligned.  Good look!  Dr. Marc DuPere, Toronto Plastic Surgeon, board-certified  416.929.9800