Options to correct columella scar 2 years post-op revision rhinoplasty? (Photos)

Question

I had a revision rhinoplasty performed by a board certified plastic surgeon 2 years ago. I've booked 2 follow ups with him to address the scarring and the first time he was able to acknowledge the problem and prescribed desonide cream. Now he is telling me that it looks barely visible and that i should get more sunlight to fix it. I work 68hrs/wk in the sun. What are my options to correct this? Would I be wasting my time trying to work with this person further?

Selcuk Inanli, MD · Answer

Hello! Thank you for your question. From the photos you provided I can say that the sun light you cannot get rid of the scar tissue. Maybe you can use scar removal treatments with dermatologists. Best Regards!

Lexie Wang, MD · Answer

It may be that your pictures are not the best quality, but this is actually a very well-healed scar, especially in a revision rhinoplasty because that skin there is already tenuous. I would absolutely leave it alone because I doubt anyone can see it unless they are looking up your nose like this. With all surgeries, you are unfortunately creating a scar so you have to accept that there will be one there, no matter what, and this is a pretty good one. Now I can't tell if maybe it's a little lumpy/has textural issues - if that's the case, you could consider something like microneedling. If it's the pigment, you could consider light laser treatments, but I would be cautious not to further aggravate skin in this area as this is the tightest juncture of your surgery and is at highest risk for complications like necrosis. I would leave it alone if I were you.

Options to correct columella scar 2 years post-op revision rhinoplasty? (Photos)

Answers (2)

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