Is my collumellar scar normal? The two pieces of skin have not been sewn flush to one another. (photo)

I'm one week post op and had cast removal yesterday, whilst I can appreciate this is incredibly early days I just cannot see how my scar will heal smoothly. The two pieces of skin have not been sewn flush to one another. It's very jagged and rough and looks like a piece of gristle. I'm very disheartened. The thought of having a revision and dragging the process our longer is making me feel very low and anxious.

Doctor Answers 4

Seven Days Post Rhinoplasty with concerns of Columella Incision

Dear zoe87, No your incision is not closed properly and needs to be addressed immediately. I suggest you contact your surgeon ASAP and have this corrected. Sooner better then later as this will not heal adequately on its own. When these incisions are closed properly they are barely noticeable at the the time of the splint removal. I have enclosed a link below of a typical incision in my practice at seven days post surgery to give you an idea and a video above on splint removal day. Best regards, Michael V. Elam, M.D.

Orange County Facial Plastic Surgeon
5.0 out of 5 stars 208 reviews

Columellar incision mismatch

The difference of skin level between the top and the bottom is apparent and needs to be corrected.  If the area is very inflamed at present then you might want to give it another week or 2 to reduce the inflammation.

Any repair done during an extremely inflamed situation does not hold well.  New


Dr. J

Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon
5.0 out of 5 stars 107 reviews

Columellar incision

It does not look normal, you are correct. Of course, I have no way of knowing your pre-op situation nor exactly what was done at surgery which could be of some importance. You should see your surgeon for prompt evaluation. Even if no adjustment is done now for whatever reason(s), it should be relatively straightforward under local anesthesia to revise this (if it needs it) at an appropriate time in the future.

Robert H. Hunsaker, MD
Miami Plastic Surgeon
4.5 out of 5 stars 79 reviews

Incisoin issue

The incision needs to be corrected ASAP. Perhaps that stitches become undone during the early post-op period. Go back to your surgeon!

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 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.