Rhinoplasty and Scar on the Columella Skin: Is There a Scar with the Open Technique?

What Is the Difference Between Open and Closed Techniques in Nose Aesthetics?

Rhinoplasty is one of the most preferred nose surgeries due to aesthetic concerns and breathing problems. This operation is performed using two techniques: closed and open rhinoplasty. The open technique involves making a small, hidden incision in the area under the nose called the columella.

Why Is the Open Technique in Rhinoplasty More Preferred?

With open rhinoplasty, the surgeon can directly access the internal structures of the nose, allowing for a more controlled and detailed procedure.

Especially in cases such as:

When revision rhinoplasty is needed
In asymmetric noses
In complex structural issues, the open technique provides a significant advantage. This helps achieve more successful and predictable results.

Is the Columella Scar Permanent?

The scar that may form after the columella incision in open rhinoplasty generally fades over time. The surgeon’s experience, the suture technique used, and the patient’s skin type are key factors affecting the scar.

To minimize scar formation:

Good suture techniques
Regular wound care
Protection from sunlight are important factors to consider. Most patients hardly notice this scar after a few months.

Is Fear of Scarring After Rhinoplasty Unnecessary?

Although the columella scar is an inevitable part of open rhinoplasty, its visibility is usually very minimal — often barely noticeable.

A small scar on the road to beauty can create a major transformation.