I'm 1 month post op and my open rhino scar looks really bad. (photos)

Dear upturned,Thank you for your question. You are still early on in the healing process. The scar should slowly get better with time. I usually recommend using a silicone based scar gel treatment for my patients. Also remember to always wear sunscreen, since sun exposure can make the scar worse. Be sure to speak with your operating surgeon directly about your concerns. Best of luck! 

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Right now your scarring looks more red than normal, but not alarmingly.  The prolonged scabbing is also not normal, but things look like they are settling down.  The key is to keep the incisions moistened, and typically a standard petroleum ointment like vaseline, aquaphor, or even something containing an antibiotic would be best.  Silicone is really hard to work with in that site, and there really is no proven advantage anyway.  IF you get six or even twelve months out and are still unhappy, bring it up to your surgeon and she/he can likely laser away the last visible concerns.