Open rhinoplasty: columellar scar analysis in an Arabian population

This prospective study included 50 consecutive Saudi Arabian patients who underwent open rhinoplasty. All patients had a minimum follow-up of 1 year after surgery. The columellar scar was assessed objectively and subjectively at the final follow-up. An unsatisfactory scar was considered present if anything other than a barely visible, level, and thin-line scar without notching was evident. Objectively, 39 patients (78 percent) were considered to have a satisfactory columellar scar. The percentage of unsatisfactory scars (22 percent) was higher than expected prior to performing the study, and one patient was actually conscious about the deformity. Causes and prevention of unsatisfactory columellar scars were discussed.