What treatment is suggested for a permanent Rhinoplasty scar after 4 years? (photos)

I had an open rhinoplasty done 5 years ago and a second procedure 4 years ago by the same doctor. After the surgery, there were red scars left on nose and they're visible from the side. The incision left an indentation and from up close, it seems obvious I had surgery. My skin is very oily and I have thick skin. What are my options to reduce the visibility of the scar? Are there any non-surgical procedures?

Doctor Answers 9

Rhinoplasty scars #scarrevision

You have an inverted scar, meaning that the edges fold in and tend to create a noticeable scar due to shadows.  This can occur particularly in noses when goals of the surgery include reduction in the projection or outward size of the tip.  When this occurs, the patient simply has more skin than understructure.  We do not trim the skin in rhinoplasty as it almost always settles nicely to the new form without excess trauma involved from trimming. At times, this excess skin can fold in on itself before it has completely healed creating this scenario.

I have seen this, albeit very rarely in my practice over 15 years but have found that simply numbing the area, and reapproximating this tissue in a slightly more supportive fashion (with vertical mattress sutures) should really help you out.

Stay in close touch with your surgeon for best results in all cases.  You should have a great experience!

Best regards,
todd hobgood

Phoenix Facial Plastic Surgeon
5.0 out of 5 stars 53 reviews

Columellar incision inversion

Your columellar incision line is inverted as described by the other reviewers. To correct this does not require further support of your cartilaginous components, but will require a revision of your incision line but cutting out the inverted area and repairing it using a vertical mattress stitch that is intended to avoid inversion of the incision line.

Arian Mowlavi, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 68 reviews

Columella scarring treatment options

I believe surgery is the way to go with your particular scars. The idea would be to excise the old scar and then to support the underlying cartilage such that when the new edges are brought together there is structural support to prevent them from inverting again.

If you would rather try non surgical options first, then I think the fractional CO2 laser would be where to begin. It would help to blend the tissues. A vascular laser might also be necessary to minimize the redness. These can be done under topical or local anesthesia and should take minimal time to complete (5 minutes). You might need to have them repeated a few times before determining if the treatment is adequate to address your concerns.

Andrew S. Frankel, MD
Beverly Hills Facial Plastic Surgeon
4.1 out of 5 stars 26 reviews

Scar Treatment

Your scar can be corrected non-surgically by CO2 Laser contouring along with a minimal amount of permanent filler injection to even out the scarred area.

Somyos Kunachak, MD
Thailand Facial Plastic Surgeon
4.7 out of 5 stars 17 reviews

Open Rhinoplasty Scar

Your scar can be revised with a minimal procedure under local anesthesia. I encourage you to have this done.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 39 reviews

Columellar Scar

Your columellar scar requires scar revision since there is depression of tissue, non surgical treatments such as injectables or laser would not help your situation. Talk to your surgeon about your options.

Kevin Sadati, DO
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 208 reviews

Rhinoplasty scar

You ask about non surgical options, laser can often improve scars, but your scar appears depressed & would best be addressed with a scar revision.  Speak with your surgeon about options.  Good Luck!

Amy T. Bandy, DO, FACS
Newport Beach Plastic Surgeon
4.9 out of 5 stars 107 reviews


Clearly the scar can be revised though obviousy one cannot guarantee the result particularly without an examination.  ask yourtreating surgeon his thoughts.

Dr. Corbin

Frederic H. Corbin, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 62 reviews

Bad columellar scar after open rhinoplasty.

Bad columellar scar after open rhinoplasty can be excised and closed by your surgeon under local anesthesia. 

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 34 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.