Are the Problems with my Columella Going to Subside? Or Are Any of These Revisional Issues (photo)

The most important factor here is time.  When deciding when and if revisional surgery is needed, we need to know how long ago the surgery was.  

Looking at your pictures, it seems that the scar is still "fresh" and fairly new.  In my experience this tends to improve dramatically with time.  I usually advise patients to wait at least 6 months and preferably 12 before attempting any revisions on a nose.


That being said, if you are unhappy at that time, these appear to be very minor issues that can be touched up!

Hi

Your question is about the columellar open rhinoplasty scar.  It looks depressed which results from inadequate tissue eversion during closure.  Better suturing of the incision at the time of the rhinoplasty would have prevented this from happening. Fortunately all scars usually improve with time.  If this is the only issue, you wont need an actual revision rhinoplasty but you may require scar revision.  Talk to your surgeon and see if he is OK with you using Silicone topical creams.  Give it time - over a year or longer.  Dont rush into another surgery.