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.

After having 4 children, it is completely natural to changes to your abdominal wall structures that are permanent. There can be excess skin, excess fat, and weakened fascia (connective tissue around the muscles) that can result in some bulging. Much of our fat is inside the abdomen, around the organs, known as visceral fat, and this is not treatable by surgery. Only weight loss can help this inner fat. For people close to their ideal body weight without scars on the tummy, I try and keep the scar as low as possible. Most patients are very happy with the trade off of a very low long scar and a tighter and flatter tummy with more muscle support. For thinner patients, we can often avoid the scar around the belly button by elevating the belly button off the abdominal tissues, tightening the muscle layer then replacing the base of the belly button a bit lower. This works well in the right patients when done carefully. Here are some references to this type of abdominoplasty that I have written: https://drsuzman.com/before-after-photos/body/tummy-tuck/westchester-county-ny/29841 https://drsuzman.com/blog/unnamed-5-great-advances-in-tummy-tuck-surgery-that-everyone-needs-to-know Liposuction alone can help in some cases. Discussion with your plastic surgeon about the limitation and benefits of liposuction only is key.