Open Rhinoplasty Scar Concerns Resolved In This Definitive Video

Hello, I am Dr. Sang-ju Lee, a dermatologist specializing in skin concerns. The nose is located at the center of the face and significantly impacts one's image. Many people consider nose surgery for aesthetic improvement, but unexpected scars after surgery can cause significant stress. Today, we will delve into columellar scars, one of the common types of nose surgery scars. We hope this information is useful for those planning nose surgery or already concerned about columellar scars.

Columellar scars mostly occur due to open rhinoplasty. Due to the nature of the surgery, they form during the incision and suturing of the nasal columella (the column between the two nostrils), often appearing as red or depressed white horizontal scars. While there are individual differences in skin recovery, many cases result in noticeably severe scars, and for taller individuals, the scar may appear more prominent when viewed from below, causing concern.

Unfortunately, columellar scars often do not disappear naturally over time. Applying ointment in the early stages can be somewhat helpful, but the scar prevention effect of ointments is limited, typically ranging from 5-20%. Therefore, active treatment may be necessary if a scar has already formed or for prevention.

The best way to minimize scarring is early laser treatment. It is effective to start laser treatment for scar prevention 1-2 weeks after suture removal.

Columellar scars can be treated with various methods depending on their shape and color. Similar to surgical scars in other areas, columellar scars often have a depressed lower part, so laser and procedural methods are sometimes combined for treatment.

• Red or brown scars: Vascular laser treatment is performed to alleviate redness.
• Darkly pigmented scars: Methods such as laser toning may be helpful.
• White, depressed scars: The Pinhole for Burn & Surgical Scar procedure, which creates microscopic holes with a high-output laser to induce skin regeneration, can be very helpful.
• Old, white, depressed scars: If the timing was missed and white, depressed scars remain, consistent treatment using devices like the Ultrapulse Encore can lead to improvement.

Today, we discussed columellar scars that can occur after nose surgery. Columellar scars vary widely in type and individual characteristics, so accurate diagnosis and a customized treatment plan are crucial. If you are concerned about scars, it is advisable to consult a dermatologist to find the most suitable treatment for you.