Rhinoplasty has become one of the most commonly used surgeries in recent years. The visible columella scar is one of the problems of open Rhinoplasty. This study aims to compare the two common V and the inverted-V incisions in terms of their scar after open Rhinoplasty among patients. This comparative cross-sectional study was carried out on 394 open rhinoplasty patients from 2015 to 2016 in Amiralmomenin Hospital of Rasht. Half of the patients were treated with V incision and the other half with inverted-V. Subjective and objective scar assessment was done at least 12 months after surgery by using PSAS and CSAS questionnaires. Of 394 patients under study, 81% (319 cases) were female and 19% (75cases) were male. The subjects were at around the age of 28 ± 6 years and their Rhinoplasty surgery was performed 18 ± 6 months ago. In the subjective study, the final score of PSAS and its items (pain, itching, color, stiffness, thickness, irregularity) were not significantly different in the two studied incisions (p> 0.05). Also, in the objective study, the CSAS final score and its items (satisfactory, pigmentation and irregularity) didn’t show a significant difference in two under study incisions (p> 0.05). No significant difference was observed in forming scars in terms of individual and social variables and skin thickness in two groups (p> 0.05). The two v and inverted-v incisions have similar scar qualities. Besides, scar formation is not related to skin thickness and sex
