Columellar scar 3 weeks post op. Will I need revision of the scar? (photo)

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture. Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.

Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Thank you very much for enquire.Swelling after a rhinoplasty depends of the surgery complexity.In this regard, the nasal swelling Post-op It can last from two weeks to two months.To reduce this swelling, I recommend you perform delicates daily lymphatic drainage massage therapy over the face (around the nose) avoid sun exposure, and take pain/inflamation pills, as your surgeron precribe you.Kind regards, Dr. Emmanuel Mallol Cotes.-  

Thanks for your post. Since you are still only 3 weeks removed from surgery, I expect your columella incision will improve considerably over the next few weeks and months. That doesn't automatically mean nothing will need to be done, but often times this type of problem resolves with time. Be sure to communicate your concerns with your surgeon. Good luck!

3 weeks after surgery what you are seeing and feeling is not outside the realm of normal.  Unfortunately, some people can take a little longer to heal than others. At this time, the best thing to do to help improve the scar and improve how quickly it settles down and matures is to use silicone creams and gentle massage.  That being said, each operating surgeon has different routines post op to improve outcomes. Give the office of your surgeon a call and let him know of your concerns - that way they can help guide you along the healing process and avoid needing to have any revision work for scarring between 6 months and a year after your surgery.  Best of luck! 

The columellar incision at 3 weeks will be very noticeable in all patients.  At 3 months, it will start to flatten and fade and at 6 months, typically is very difficult to see.   The columellar incision rarely ever requires revision as it typically heals very well.

This is a common question. Typically these columellar incisions will heal smoothly and evenly without any need for scar revision. I would allow this incision to mature and heal for about 6 months or more before considering minor revision. Sometime an office dermabrasion will help improve the appearance if necessary. Rarely do patients require a scar revision. I would suggest you discuss this with your surgeon and follow his/her best recommendations as this heals. Best wishes.