Rhinoplasty

I had my first rhinoplasty 1 year ago and got a scar on my columella area. Is this an issue that can be solved? The scar is quite deep.

Whether a scar results from an accident or a previous surgery, for many people it is bit a badge of courage but an unsightly or even deforming mark. In 5 to 10 percent of people, scars become hypertrophied because of an overproduction of scar tissue, and in some cases a keloid develops, causing a scar to appear dark, thickened, and raised. It used to be that to get rid of a scar, doctors had to excise it surgically and resuture the wound in such a way as to minimize its appearance. But that really meant just replacing one blemish with another one potentially just as noticeable. Fortunately, today we have several ways to improve a scar's appearance. Some techniques are most effective when a scar is still fresh, such as pigment blocking creams to even out color, silicone gel to improve texture, and massage to break down the tissue. But we also have several options after a scar has fully formed. Steroids injected directly into the healed wound can help to shrink the tissue and microdermabrasion and lasers can improve the appearance of the scar.

Michelle Copeland, MD, FACS
Michelle Copeland, MD, FACS
1001 5th AveNew YorkNY10028US

Michelle Copeland, MD, FACS

1001 5th Ave, New York, NY, UNITED STATES,
10028

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In most cases the scar underneath the nose from an open rhinoplasty is virtually invisible difficult to see. In your case, unfortunately, it sounds like the scar is noticeable. I recommend that you discuss your scar with your surgeon, who I am confident would be able to corrected the scar easily and safely. Using a local anesthetic in the office, the area can often be numbed, the scar carefully removed, and then re lined up and sutured in the best possible manner. You are likely to have an excellent outcome. Is very rare to have a long-term very visible columella nose scar. If this were to happen, hopefully the overall nose appearance was improved enough to make the surgery still worth your while.

Michael Suzman, MD
Michael Suzman, MD
3030 Westchester AveHarrisonNY10577US

Michael Suzman, MD

3030 Westchester Ave, Purchase, NY,
UNITED STATES, 10577

The scar on you columella is most likely from having an open rhinoplasty. It is unusual but sometimes that scar can heal in a more noticeable way than desired. This can most likely be improved upon by a scar revision that can be done under local anesthesia.

Michael A. Epstein, MD
Michael A. Epstein, MD
1535 Lake Cook RdNorthbrookIL60062US

Michael A. Epstein, MD

1535 Lake Cook Rd, #211, Northbrook, IL,
UNITED STATES, 60062

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