Open rhinoplasty columella scarring - Is this treatable? (photos)

Question

I had an open rhinoplasty performed around 16 months ago. The surgeon used dermabond rather than sutures to close the external incision. Unfortunately, I accidentally ripped the glue off one week into my healing period. It has left a scar on the columella. Is this treatable? If so, how invasive would such a procedure be and would it make the scar worse?

Sergio Verduzco Casillas, MD · Answer

Hello, thanks for your question. By the photo, you don't have an important scar, and maybe only you can see it. Anyway, there are non-surgical options to eliminate scars, such as CO2 laser, among others. Consult a doctor expert in laser treatments in your area for an in-person exam. Good Luck!

Raffy Karamanoukian, MD, FACS · Answer

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars. 
 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Open rhinoplasty columella scarring - Is this treatable? (photos)

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Open rhinoplasty columella scarring - Is this treatable? (photos)

Answers (2)

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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.