Transcollumelar Incision and Closure

Achieving imperceptible scars is crucial in facial plastic surgery, particularly in rhinoplasty. The open rhinoplasty technique, which uses a transcolumellar incision with bilateral marginal incisions, provides enhanced visibility and control but can result in visible columellar scarring. In general, factors such as skin type, incision location, and closure technique are critical in reducing scar formation. The low inverted-V transcolumellar incision just superior to the labiocolumellar junction is favored for its excellent healing with precise aesthetic alignment and minimal visibility. This study presents an ideal method for columellar incision placement and closure using deep-buried absorbable sutures to reduce skin tension and to improve healing, enhancing the overall appearance of the incision.