How Long Do I Have to Wait for Columella Scar Revision?

Question

I just had my revision rhinoplasty 16 days ago, and I am quite happy with the result. The swelling has gone down quite a bit too. The only concern is the columella scar - there is a step when viewed from the profile. The columella isn't drooping, and the scar is not visible from front. I'm wondering, usually how long do patients have to wait for columella scar revision? I did some research here and read that it is a relatively minor procedure done in office. And how is the swelling afterward?

Kenneth Hughes, MD · Answer

The scar will definitely change over the course of the next several months.  You should wait until your plastic surgeon says it is safe to perform.  Scar revision in the simplest of cases is very minor, and the swelling is limited.

Paul S. Nassif, MD · Answer

Glad to hear you are happy with your result! It is too soon to tell how the final result of your columellar scar will look. 16 days is still very soon after surgery, and your swelling is near its peak. I would give it a bit of time before considering a columellar scar revision. In the meantime, I would recommend following up with your surgeon and having him/her examine the area, as they know the details of your surgery and exactly what was performed. I hope this helps, and I wish you the best of luck with your recovery.

Giancarlo Zuliani, MD · Answer

Rhinoplasty and specifically the scarring that occurs with the procedure often gets better with time. Specifically the columellar scar virtually disappears with time. Small imperfections now will most likely disappear with time and watchful waiting. If it indeed needs revision after 9 months to 1 year a small in office procedure under local anesthesia can be performed. Until that time try to use a good sunblock to prevent prolonged redness and inflammation. Good luct to you.

John M. Hilinski, MD · Answer

Sorry to hear about your situation. I would recommend you wait at least 6-9 months before considering scar revision of the columellar region. In many cases, adequate healing time will result in improvement of the scar.

Stephen Prendiville, MD · Answer

16 days postop is far to early to evaluate your columella scar after Rhinoplasty.  These incisions typically heal imperceptibly.  Having used the open Rhinoplasty approach for over 12 years, I have never had to revise a scar in this area.

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