Prominent Indented Columella Scar. What Are my Treatment Options? (photo)

 One camouflage solution would be to trim back the membranous and  cartilaginous septum to reduce the columellar show, and thereby making this columella not quite so prominent and helping hide this scar

The most likely reason for your inverted columellar scar is that there was not appropriate eversion of the skin edges during closure. Correction with surgery is certainly possible but it will not be successful if the scar is just cut out and brought together again. Such a move would only create a loss of tip projection and probably a worsening of the scar. If surgery is chosen then things should be opened up and some type of increased support and increased width to the columella accomplished with a strut. Both sides of the incision will need to be mobilized before re approximating them and the tip skin should be undermined widely to allow it to close without tension.

There is a possibility that placing some filler in the scar will help to elevate it and there is nothing to lose by trying some Juvederm or Restylane.