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

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