How can I fix indented columella scar? (photos)

Question

Hello I had an open rhinoplasty done and the columella scar is bothering me. On the left side there is a clear indent that creates a shadow which makes it more obvious. What can I do to fix it? I’ve been getting fractional CO2 laser and its been helping the scar except for that area.

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

Generally speaking, scars can be improved with a combination of surgery and/or lasers and microneedling with PRP. Below is a more detailed reference list of the treatments available. I recommend getting a formal evaluation with a scarring expert to determine which is best for your specific case. Best, Dr. Emer   1. Vascular lasers (BBL, Yellow laser, V-Beam, Excel V) 2. Fractional lasers (Fraxel, Erbium, CO2, Halo) 3. Microneedling/PRP 4. Silicone-based scar gels with growth factors 5. Excision / revision surgery   See an expert to develop a treatment plan that works for you. Best, Dr. Emer

Nelson Lee Novick, MD · Answer

The skillful injection of a filler can help to elevate the indentation. Injecting the nose, particularly one that has been surgically treated, requires an experienced filler injector. So, be sure to consult with a board certified cosmetic dermatologist.

How can I fix indented columella scar? (photos)

Answers (3)

Recommended reading

Everything you need to know about Scar Removal

Our mission is to create a world where every investment in modern beauty is Worth It.

How can I fix indented columella scar? (photos)

Answers (3)

Browse related questions

Recommended reading

Everything you need to know about Scar Removal

Our mission is to create a world where every investment in modern beauty is Worth It.