Columella scar not lined up and alar base scar depressed (Photo)

Question

My columellar incision isn't completely lined up, it looks like it has a step off, also, my right nostril alar scar seems depressed and casts a bad shadow .. I am 2 weeks post op

Douglas L. Vander Woude, MD · Answer

In my opinion, that is a very typical appearance for 2 weeks post operative.  There is still early postoperative swelling that will improve a lot over the next few weeks.  After that, improvement continues - for many months.  From what I can see in your pictures, you are not likely to have any long term problems with your scar.  It is rare for columellar scars to need revision.  Thanks for your question.

Raffy Karamanoukian, MD, FACS · Answer

Alar scars can be white and visible. Hidef protocols can help with visible alar scars on the face. I see a lot of these in my office in Beverly Hills. Surgery is often not needed if lasers and HIDEF scar revision techniques are introduced. 
In our office, we combine treatments starting with topical pre-conditioning of the scars with Plato's Scar Serum for hypertrophy and Melarase PM for pigmentation. Fractional RF, laser, and micro fractional RF can help limit scar growth. Kenalog IIT can also help reduce scar thickness. For lip lift scars specifically, I use selective Hyfrecation to reduce scarring. 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Michael J. Yaremchuk, MD (license resigned) · Answer

Your columellar scar and perhaps, nostril scar can be
realigned. Some surgeons would do this in the near future.Rhinoplasty can address droopy tip, bulbous tip, dorsal hump, hanging columella, and wide nostrils.

Fred J. Bressler, MD, FACS · Answer

Your rhinoplasty columellar incision is still healing and almost all of these types of concerns improve with complete recovery. Typically any residual step off's or irregularities which may create an abnormal shadow fade with time. If not, there are simple solutions to improve the appearance with dermabrasion or scar revision. Please speak with your surgeon about this and ask for recommendations as you heal. Remember that you are only 2 weeks from surgery and normal recovery takes many months. Hope this answer helps.

Columella scar not lined up and alar base scar depressed (Photo)

Answers (4)

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