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

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

Even though it is early in the healing process for your columellar incision, I must say that it looks more irregular and asymmetric than I am used to seeing.   I would have your surgeon examine this immediately to make sure there is not an infection/abscess/hematoma or otherwise. 

Generally it's unwise to make judgments about healing nose for weeks after an operation. In this case the asymmetry is bothersome. It looks as though some of the cartilages in the columella may be eccentric. I would talk your plastic surgeon to get a hands-on opinion and some reassurance.

On the positive side, columellar skin usually heals almost imperceptibly.  So much so that I have never had to revise one of my scars.  However, the base view shows irregular swelling, possibly related to deflection of the caudal septum.  I would definitely raise these concerns with your Surgeon, although he/she is likely to advocate (correctly) a watch and wait policy until the swelling subsides.

   The appearance of your columellar closure is concerning.  Go in to see your plastic surgeon for an exam to determine what is the next step.  Kenneth Hughes, MD Los Angeles, CA